Zhu Hanliang, Zhang Haoqing, Ni Sheng, Korabečná Marie, Yobas Levent, Neuzil Pavel
Department of Microsystem Engineering, School of Mechanical Engineering, Northwestern Polytechnical University, 127 West Youyi Road, Xi'an, 710072 Shaanxi, PR China.
Department of Electronic and Computer Engineering, Hong Kong University of Science and Technology, Clear Water Bay, Hong Kong, S.A.R., PR China.
Trends Analyt Chem. 2020 Sep;130:115984. doi: 10.1016/j.trac.2020.115984. Epub 2020 Jul 20.
Infectious diseases, such as the most recent case of coronavirus disease 2019, have brought the prospect of point-of-care (POC) diagnostic tests into the spotlight. A rapid, accurate, low-cost, and easy-to-use test in the field could stop epidemics before they develop into full-blown pandemics. Unfortunately, despite all the advances, it still does not exist. Here, we critically review the limited number of prototypes demonstrated to date that is based on a polymerase chain reaction (PCR) and has come close to fulfill this vision. We summarize the requirements for the POC-PCR tests and then go on to discuss the PCR product-detection methods, the integration of their functional components, the potential applications, and other practical issues related to the implementation of lab-on-a-chip technologies. We conclude our review with a discussion of the latest findings on nucleic acid-based diagnosis.
传染病,比如最近的2019冠状病毒病病例,已将即时检测(POC)诊断测试的前景推到了聚光灯下。一种能在现场快速、准确、低成本且易于使用的测试可以在流行病发展成全面大流行之前将其遏制。不幸的是,尽管取得了诸多进展,但这样的测试仍然不存在。在此,我们批判性地回顾了迄今为止所展示的基于聚合酶链反应(PCR)且已接近实现这一愿景的数量有限的原型。我们总结了POC-PCR测试的要求,接着讨论了PCR产物检测方法、其功能组件的整合、潜在应用以及与芯片实验室技术实施相关的其他实际问题。我们以对基于核酸诊断的最新发现的讨论来结束我们的综述。