Sensitive and specific biomarkers are needed for early diagnosis of neurodegenerative diseases, such as Alzheimer's disease (AD). Herein, a new type of chiral gold nanostructure induced by D-/L-cysteine-leucine dipeptides with a g-factor of 0.1 was successfully synthesized. To enhance the discrimination performance, the chiral gold nanostructures were assembled into D-/L-Au monolayers. As surface-enhanced Raman scattering (SERS) substrates, the D-/L-Au monolayers simultaneously deliver molecular structural specificity and enantioselectivity within a single spectrum, which can be a versatile, label-free chiral discrimination strategy for the detection of D-/L-kynurenine (Kyn). The mechanism was unveiled to involve high enantioselective adsorption energies between L- and D-Kyn on the lattice plane (221), resulting in enantioselective sensing. The results showed that L-Au monolayer reached a limit of detection (LOD) of 3.7 nM for L-Kyn, while D-Au monolayer reached a LOD of 3.6 nM for D-Kyn, respectively. Notably, there was a significant difference in D-Kyn levels between AD patients and healthy individuals in serum samples, a distinction not observed for L-Kyn, which positioned D-Kyn as a potential novel biomarker for clinical prediagnosis of AD patients, marking the first report of its kind worldwide. This study provides a robust tool for biomedical science and clinical diagnostics.

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http://dx.doi.org/10.1002/anie.202502115DOI Listing

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