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微创、基于微流控的即时核酸扩增检测的简易方法。

Simple Approaches to Minimally-Instrumented, Microfluidic-Based Point-of-Care Nucleic Acid Amplification Tests.

机构信息

Mechanical Engineering and Applied Mechanics (MEAM), School of Engineering and Applied Science, University of Pennsylvania, Towne Building, 220 33rd Street, Philadelphia, PA 19104, USA.

出版信息

Biosensors (Basel). 2018 Feb 26;8(1):17. doi: 10.3390/bios8010017.

Abstract

Designs and applications of microfluidics-based devices for molecular diagnostics (Nucleic Acid Amplification Tests, NAATs) in infectious disease testing are reviewed, with emphasis on minimally instrumented, point-of-care (POC) tests for resource-limited settings. Microfluidic cartridges ('chips') that combine solid-phase nucleic acid extraction; isothermal enzymatic nucleic acid amplification; pre-stored, paraffin-encapsulated lyophilized reagents; and real-time or endpoint optical detection are described. These chips can be used with a companion module for separating plasma from blood through a combined sedimentation-filtration effect. Three reporter types: Fluorescence, colorimetric dyes, and bioluminescence; and a new paradigm for end-point detection based on a diffusion-reaction column are compared. Multiplexing (parallel amplification and detection of multiple targets) is demonstrated. Low-cost detection and added functionality (data analysis, control, communication) can be realized using a cellphone platform with the chip. Some related and similar-purposed approaches by others are surveyed.

摘要

基于微流控的分子诊断设备(核酸扩增检测,NAATs)在传染病检测中的设计与应用得到了回顾,重点是针对资源有限环境的微创、即时检测(POC)。本文描述了一种微流控试剂盒(芯片),它结合了固相核酸提取、等温酶促核酸扩增、预先储存、包埋在石蜡中的冻干试剂,以及实时或终点光学检测。该试剂盒可与一个配套模块配合使用,通过沉淀-过滤联合作用,从血液中分离血浆。本文比较了三种报告类型:荧光、比色染料和生物发光,以及一种基于扩散-反应柱的终点检测新方法。通过平行扩增和检测多个靶标实现了多重化。利用带有芯片的手机平台,可以实现低成本检测和附加功能(数据分析、控制、通信)。还调查了其他一些相关和类似目的的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca83/5872065/96c38b935d19/biosensors-08-00017-g001.jpg

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