Sanjay Sharma T, Fu Guanglei, Dou Maowei, Xu Feng, Liu Rutao, Qi Hao, Li XiuJun
Department of Chemistry, University of Texas at El Paso, 500 West University Ave, El Paso, Texas 79968, USA.
Analyst. 2015 Nov 7;140(21):7062-81. doi: 10.1039/c5an00780a.
Early and timely detection of disease biomarkers can prevent the spread of infectious diseases, and drastically decrease the death rate of people suffering from different diseases such as cancer and infectious diseases. Because conventional diagnostic methods have limited application in low-resource settings due to the use of bulky and expensive instrumentation, simple and low-cost point-of-care diagnostic devices for timely and early biomarker diagnosis is the need of the hour, especially in rural areas and developing nations. The microfluidics technology possesses remarkable features for simple, low-cost, and rapid disease diagnosis. There have been significant advances in the development of microfluidic platforms for biomarker detection of diseases. This article reviews recent advances in biomarker detection using cost-effective microfluidic devices for disease diagnosis, with the emphasis on infectious disease and cancer diagnosis in low-resource settings. This review first introduces different microfluidic platforms (e.g. polymer and paper-based microfluidics) used for disease diagnosis, with a brief description of their common fabrication techniques. Then, it highlights various detection strategies for disease biomarker detection using microfluidic platforms, including colorimetric, fluorescence, chemiluminescence, electrochemiluminescence (ECL), and electrochemical detection. Finally, it discusses the current limitations of microfluidic devices for disease biomarker detection and future prospects.
疾病生物标志物的早期及时检测可预防传染病的传播,并大幅降低患癌症和传染病等不同疾病人群的死亡率。由于传统诊断方法因使用笨重且昂贵的仪器而在资源匮乏地区的应用有限,因此,当下亟需简单且低成本的即时诊断设备来实现生物标志物的及时早期诊断,尤其是在农村地区和发展中国家。微流控技术在简单、低成本和快速疾病诊断方面具有显著特点。用于疾病生物标志物检测的微流控平台的开发已取得重大进展。本文综述了使用具有成本效益的微流控设备进行疾病诊断的生物标志物检测的最新进展,重点关注资源匮乏地区的传染病和癌症诊断。本综述首先介绍了用于疾病诊断的不同微流控平台(如聚合物和纸基微流控),并简要描述了它们的常见制造技术。然后,重点介绍了使用微流控平台进行疾病生物标志物检测的各种检测策略,包括比色法、荧光法、化学发光法、电化学发光法(ECL)和电化学检测。最后,讨论了微流控设备在疾病生物标志物检测方面目前存在的局限性和未来前景。