Gowri Annasamy, Ashwin Kumar N, Suresh Anand B S
Department of Biomedical Engineering, Vel Tech Research Park, Vel Tech Rangarajan Dr.Sagunthala R & D Institute of Science and Technology, Avadi, Chennai 600 062, Tamil Nadu, India.
Department of Biomedical Engineering, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur 603203, Tamil Nadu, India.
Trends Analyt Chem. 2021 Apr;137:116205. doi: 10.1016/j.trac.2021.116205. Epub 2021 Jan 28.
Early diagnosis and ultrahigh sample throughput screening are the need of the hour to control the geological spread of the COVID-19 pandemic. Traditional laboratory tests such as enzyme-linked immunosorbent assay (ELISA), reverse transcription polymerase chain reaction (RT-PCR) and computed tomography are implemented for the detection of COVID-19. However, they are limited by the laborious sample collection and processing procedures, longer wait time for test results and skilled technicians to operate sophisticated facilities. In this context, the point of care (PoC) diagnostic platform has proven to be the prospective approach in addressing the abovementioned challenges. This review emphasizes the mechanism of viral infection spread detailing the host-virus interaction, pathophysiology, and the recent advances in the development of affordable PoC diagnostic platforms for rapid and accurate diagnosis of COVID-19. First, the well-established optical and electrochemical biosensors are discussed. Subsequently, the recent advances in the development of PoC biosensors, including lateral flow immunoassays and other emerging techniques, are highlighted. Finally, a focus on integrating nanotechnology with wearables and smartphones to develop smart nanobiosensors is outlined, which could promote COVID-19 diagnosis accessible to both individuals and the mass population at patient care.
早期诊断和超高样本通量筛查是控制新冠疫情全球传播的当务之急。传统实验室检测方法,如酶联免疫吸附测定(ELISA)、逆转录聚合酶链反应(RT-PCR)和计算机断层扫描,已用于新冠病毒检测。然而,它们受限于繁琐的样本采集和处理程序、较长的检测结果等待时间以及需要熟练技术人员操作精密设备。在此背景下,即时检测(PoC)诊断平台已被证明是应对上述挑战的前瞻性方法。本综述强调了病毒感染传播机制,详细阐述了宿主-病毒相互作用、病理生理学,以及用于快速准确诊断新冠病毒的经济实惠的PoC诊断平台开发的最新进展。首先,讨论了成熟的光学和电化学生物传感器。随后,重点介绍了PoC生物传感器开发的最新进展,包括侧向流动免疫测定和其他新兴技术。最后,概述了将纳米技术与可穿戴设备和智能手机集成以开发智能纳米生物传感器的情况,这可以促进在患者护理中个人和大众都能进行新冠病毒诊断。