Department of Bioengineering, University of Illinois at Urbana-Champaign, Champaign, IL, USA.
Micro and Nanotechnology Laboratory, University of Illinois at Urbana-Champaign, Champaign, IL, USA.
Biomed Microdevices. 2017 Aug 22;19(4):73. doi: 10.1007/s10544-017-0209-9.
Infectious diseases remain the world's top contributors to death and disability, and, with recent outbreaks of Zika virus infections there has been an urgency for simple, sensitive and easily translatable point-of-care tests. Here we demonstrate a novel point-of-care platform to diagnose infectious diseases from whole blood samples. A microfluidic platform performs minimal sample processing in a user-friendly diagnostics card followed by real-time reverse-transcription loop-mediated isothermal amplification (RT-LAMP) on the same card with pre-dried primers specific to viral targets. Our point-of-care platform uses a commercial smartphone to acquire real-time images of the amplification reaction and displays a visual read-out of the assay. We apply this system to detect closely related Zika, Dengue (types 1 and 3) and Chikungunya virus infections from whole blood on the same pre-printed chip with high specificity and clinically relevant sensitivity. Limit of detection of 1.56e5 PFU/mL of Zika virus from whole blood was achieved through our platform. With the ability to quantitate the target nucleic acid, this platform can also perform point-of-care patient surveillance for pathogen load or select biomarkers in whole blood.
传染病仍然是全球导致死亡和残疾的主要原因,最近寨卡病毒感染的爆发,迫切需要简单、敏感和易于转化的即时护理点检测方法。在这里,我们展示了一种从全血样本中诊断传染病的新型即时护理点平台。微流控平台在用户友好的诊断卡中进行最小的样本处理,然后在同一卡上进行实时逆转录环介导等温扩增(RT-LAMP),使用针对病毒靶标的预干燥引物。我们的即时护理点平台使用商业智能手机获取扩增反应的实时图像,并显示检测的视觉读数。我们将该系统应用于从全血中检测密切相关的寨卡病毒、登革热(1 型和 3 型)和基孔肯雅病毒感染,具有高特异性和临床相关的灵敏度。通过我们的平台,从全血中检测到的寨卡病毒的检测限为 1.56e5 PFU/mL。通过定量目标核酸,该平台还可以在即时护理点对患者进行病原体载量监测或在全血中选择生物标志物。