School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, P. R. China.
One Health Center, Shanghai Jiao Tong University-The University of Edinburgh, Shanghai, 200025, P. R. China.
Adv Sci (Weinh). 2022 Dec;9(34):e2204172. doi: 10.1002/advs.202204172. Epub 2022 Oct 18.
Mitigating the spread of global infectious diseases requires rapid and accurate diagnostic tools. Conventional diagnostic techniques for infectious diseases typically require sophisticated equipment and are time consuming. Emerging clustered regularly interspaced short palindromic repeats (CRISPR)/CRISPR-associated proteins (Cas) detection systems have shown remarkable potential as next-generation diagnostic tools to achieve rapid, sensitive, specific, and field-deployable diagnoses of infectious diseases, based on state-of-the-art microfluidic platforms. Therefore, a review of recent advances in CRISPR-based microfluidic systems for infectious diseases diagnosis is urgently required. This review highlights the mechanisms of CRISPR/Cas biosensing and cutting-edge microfluidic devices including paper, digital, and integrated wearable platforms. Strategies to simplify sample pretreatment, improve diagnostic performance, and achieve integrated detection are discussed. Current challenges and future perspectives contributing to the development of more effective CRISPR-based microfluidic diagnostic systems are also proposed.
减轻全球传染病的传播需要快速准确的诊断工具。传染病的传统诊断技术通常需要复杂的设备,并且耗时。新兴的成簇规律间隔短回文重复(CRISPR)/CRISPR 相关蛋白(Cas)检测系统已显示出作为下一代诊断工具的巨大潜力,可基于最先进的微流控平台实现快速、敏感、特异性和现场可部署的传染病诊断。因此,迫切需要对基于 CRISPR 的用于传染病诊断的微流控系统的最新进展进行综述。本综述重点介绍了基于 CRISPR/Cas 的生物传感机制和尖端微流控设备,包括纸基、数字和集成可穿戴平台。讨论了简化样品预处理、提高诊断性能和实现集成检测的策略。还提出了当前面临的挑战和未来展望,有助于开发更有效的基于 CRISPR 的微流控诊断系统。