Mu Hsuan-Yu, Lu Yu-Lun, Hsiao Tzu-Hung, Huang Jen-Huang
Department of Chemical Engineering, National Tsing Hua University, Hsinchu 30013, Taiwan.
Biomicrofluidics. 2020 Dec 8;14(6):061504. doi: 10.1063/5.0031406. eCollection 2020 Nov.
Novel coronavirus, COVID-19, erupted in Wuhan, China, in 2019 and has now spread to almost all countries in the world. Until the end of November 2020, there were over 50 × 10 people diagnosed with COVID-19 worldwide and it caused at least 1 × 10 deaths. These numbers are still increasing. To control the spread of the pandemic and to choose a suitable treatment plan, a fast, accurate, effective, and ready-to-use diagnostic method has become an important prerequisite. In this Review, we introduce the principles of multiple off-site and on-site detection methods for virus diagnosis, including qPCR-based, ELISA-based, CRISPR-based methods, etc. All of these methods have been successfully implanted on the microfluidic platform for rapid screening. We also summarize currently available diagnostic methods for the detection of SARS, MERS, and COVID-19. Some of them not only can be used to analyze the SARS and MERS but also have the potential for COVID-19 detection after modifications. Finally, we hope that understanding of current microfluidic-based detection approaches can help physicians and researchers to develop advanced, rapid, and appropriate clinical detection techniques that reduce the financial expenditure of the society, accelerate the examination process, increase the accuracy of diagnosis, and eventually suppress the worldwide pandemic.
新型冠状病毒,即2019冠状病毒病,于2019年在中国武汉爆发,目前已蔓延至世界几乎所有国家。截至2020年11月底,全球有超过5000万人被诊断感染2019冠状病毒病,造成至少100万人死亡。这些数字仍在上升。为了控制疫情蔓延并选择合适的治疗方案,一种快速、准确、有效且易于使用的诊断方法已成为重要前提。在本综述中,我们介绍了多种用于病毒诊断的场外和现场检测方法的原理,包括基于定量聚合酶链反应(qPCR)、酶联免疫吸附测定(ELISA)、基于成簇规律间隔短回文重复序列(CRISPR)的方法等。所有这些方法都已成功应用于微流控平台进行快速筛查。我们还总结了目前可用于检测严重急性呼吸综合征(SARS)、中东呼吸综合征(MERS)和2019冠状病毒病的诊断方法。其中一些方法不仅可用于分析SARS和MERS,经过改进后也有检测2019冠状病毒病的潜力。最后,我们希望对当前基于微流控的检测方法的理解能够帮助医生和研究人员开发先进、快速且合适的临床检测技术,从而减少社会经济支出,加快检测过程,提高诊断准确性,并最终抑制全球疫情。