Mechanical Engineering and Applied Mechanics (MEAM), School of Engineering and Applied Science, University of Pennsylvania, Towne Building, 220 33rd Street, Philadelphia, PA 19104, USA.
Biosensors (Basel). 2018 Feb 26;8(1):17. doi: 10.3390/bios8010017.
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.
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。