School of Biomedical Engineering, Shanghai Jiao Tong University, 1954 Huashan Road, Shanghai, 200030, China.
The International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200030, China.
Adv Sci (Weinh). 2024 Nov;11(43):e2406367. doi: 10.1002/advs.202406367. Epub 2024 Sep 25.
High-risk human papillomavirus (HPV) screening is crucial for cervical cancer prevention. However, laboratory-based nucleic acid amplification tests (NAATs) require costly equipment, designated lab space, and skilled personnel. Additionally, cervical swabs collected by healthcare professionals can be inconvenient, uncomfortable, and reduce privacy, limiting broader application and patient compliance. A SlipChip-based Integrated Point-of-Care (SIPOC) system featuring an injection-molded SlipChip is presented with preloaded reagents for nucleic acid extraction and a portable four-channel real-time quantitative PCR instrument for detection. This system incorporates a self-sampling method that allows participants to collect their own vaginal swabs, with the β-Globin gene as a control. After testing 130 participants for HPV-16 and HPV-18, 97.7% of the self-collected samples are valid. Among valid samples, 25 tested positive for HPV-16 and 9 for HPV-18. Compared to Roche's standard HPV PCR test, the SIPOC system shows 100% positive predictive value (PPV) for both HPV-16 and HPV-18 and negative predictive values (NPVs) of 99.0% and 99.1%, respectively. This system is promising for HPV screening in resource-limited settings and adaptable for other point-of-care NAAT applications, including home testing.
高危型人乳头瘤病毒(HPV)筛查对于宫颈癌的预防至关重要。然而,基于实验室的核酸扩增检测(NAAT)需要昂贵的设备、专用的实验室空间和熟练的人员。此外,医护人员采集的宫颈拭子可能不方便、不舒服,且降低了隐私性,限制了更广泛的应用和患者的依从性。本文提出了一种基于 SlipChip 的即时检测(SIPOC)系统,该系统采用注塑成型的 SlipChip,预加载了核酸提取试剂和便携式四通道实时定量 PCR 仪器用于检测。该系统采用了一种自我采样方法,允许参与者自行采集阴道拭子,同时以β-珠蛋白基因为对照。该系统对 130 名参与者进行了 HPV-16 和 HPV-18 检测,其中 97.7%的自我采集样本有效。在有效样本中,25 份样本 HPV-16 检测呈阳性,9 份 HPV-18 检测呈阳性。与罗氏的标准 HPV PCR 检测相比,SIPOC 系统对 HPV-16 和 HPV-18 的阳性预测值(PPV)均为 100%,阴性预测值(NPV)分别为 99.0%和 99.1%。该系统有望在资源有限的环境中进行 HPV 筛查,并可适用于其他即时检测 NAAT 应用,包括家庭检测。