Blood coagulation screening using a paper-based microfluidic lateral flow device

Point-of-care diagnostics for niche applications

Point-of-care or point-of-use diagnostics are analytical devices that provide clinically relevant information without the need for a core clinical laboratory. In this review we define point-of-care diagnostics as portable versions of assays performed in a traditional clinical chemistry laboratory. This review discusses five areas relevant to human and animal health where increased attention could produce significant impact: veterinary medicine, space travel, sports medicine, emergency medicine, and operating room efficiency. For each of these areas, clinical need, available commercial products, and ongoing research into new devices are highlighted.

EDTA-treated cotton-thread microfluidic device used for one-step whole blood plasma separation and assay

This study aims to observe the wicking and separation characteristics of blood plasma in a cotton thread matrix functioning as a microfluidic thread-based analytical device (μTAD). We investigated several cotton thread treatment methods using ethylenediaminetetraacetic acid (EDTA) anticoagulant solution for wicking whole blood samples and separating its plasma. The blood of healthy Indonesian thin tailed sheep was used in this study to understand the properties of horizontal wicking and separation on the EDTA-treated μTAD. The wicking distance and blood cell separation from its plasma was observed for 120 s and documented using a digital phone camera. The results show that untreated cotton-threads stopped the blood wicking process on the μTAD. On the other hand, the deposition of EDTA anticoagulant followed by its drying on the thread at room temperature for 10 s provides the longest blood wicking with gradual blood plasma separation. Furthermore, the best results in terms of the longest wicking and the clearest on-thread separation boundary between blood cells and its plasma were obtained using the μTAD treated with EDTA deposition followed by 60 min drying at refrigerated temperature (2-8 °C). The separation length of blood plasma in the μTADs treated with dried-EDTA at both room and refrigerated temperatures was not statistically different (P > 0.05). This separation occurs through the synergy of three factors, cotton fiber, EDTA anticoagulant and blood platelets, which induce the formation of a fibrin-filter via a partial coagulation process in the EDTA-treated μTAD. An albumin assay was employed to demonstrate the efficiency of this plasma separation method during a one-step assay on the μTAD. Albumin in blood is an important biomarker for kidney and heart disease. The μTAD has a slightly better limit of detection (LOD) than conventional blood analysis, with an LOD of 114 mg L(-1) compared to 133 mg L(-1), respectively. However, the μTAD performed faster to get results after 3 min compared to 14 min for centrifuged analysis of sheep blood samples. In conclusion, on-thread dried-EDTA anticoagulant deposition was able to increase the wicking distance and has a better capability to separate blood plasma and is suitable for combining separation and the assay system in a single device.

Distance-based microfluidic quantitative detection methods for point-of-care testing

Equipment-free devices with quantitative readout are of great significance to point-of-care testing (POCT), which provides real-time readout to users and is especially important in low-resource settings. Among various equipment-free approaches, distance-based visual quantitative detection methods rely on reading the visual signal length for corresponding target concentrations, thus eliminating the need for sophisticated instruments. The distance-based methods are low-cost, user-friendly and can be integrated into portable analytical devices. Moreover, such methods enable quantitative detection of various targets by the naked eye. In this review, we first introduce the concept and history of distance-based visual quantitative detection methods. Then, we summarize the main methods for translation of molecular signals to distance-based readout and discuss different microfluidic platforms (glass, PDMS, paper and thread) in terms of applications in biomedical diagnostics, food safety monitoring, and environmental analysis. Finally, the potential and future perspectives are discussed.

Synthetic microfluidic paper: high surface area and high porosity polymer micropillar arrays

We introduce Synthetic Microfluidic Paper, a novel porous material for microfluidic applications that consists of an OSTE polymer that is photostructured in a well-controlled geometry of slanted and interlocked micropillars. We demonstrate the distinct benefits of Synthetic Microfluidic Paper over other porous microfluidic materials, such as nitrocellulose, traditional paper and straight micropillar arrays: in contrast to straight micropillar arrays, the geometry of Synthetic Microfluidic Paper was miniaturized without suffering capillary collapse during manufacturing and fluidic operation, resulting in a six-fold increased internal surface area and a three-fold increased porous fraction. Compared to commercial nitrocellulose materials for capillary assays, Synthetic Microfluidic Paper shows a wider range of capillary pumping speed and four times lower device-to-device variation. Compared to the surfaces of the other porous microfluidic materials that are modified by adsorption, Synthetic Microfluidic Paper contains free thiol groups and has been shown to be suitable for covalent surface chemistry, demonstrated here for increasing the material hydrophilicity. These results illustrate the potential of Synthetic Microfluidic Paper as a porous microfluidic material with improved performance characteristics, especially for bioassay applications such as diagnostic tests.

Measurement of Total Antioxidant Capacity in Sub-μL Blood Samples Using Craft Paper-based Analytical Devices

Antioxidants play a role in counteracting free radicals and reactive oxygen species and are thought to help prevent or slow the progression of many chronic diseases, such as cancer, diabetes mellitus, cardiovascular disease, and neurodegenerative diseases. Herein we report a simple way to make a colorimetric assay for measuring total antioxidant capacity (TAC) on craft paper-based analytical devices (cPADs) suitable for sub-μL volume blood samples. We incorporated a microfluidic separation mechanism for isolation of plasma from interfering blood cells. The whole diagnostic process, including cPAD construction, plasma sample preparation, assay, and image thresholding analysis, can be completed in fifteen minutes. We applied our approach toward the measurement of TAC in mice that model Huntington's disease (HD), a fatal, neurodegenerative movement disorder. Results revealed that TAC was significantly elevated in R6/2 HD model mice compared to their age-matched wild-type (WT) controls. We expect that this method, carrying a simple, fast, and sensitive assay on low-cost and disposable paper, will meet the potential needs for point-of-care (POC) testing of TAC, as well as other disease biomarkers in blood and other types of bodily fluids where limited volumes of samples are obtainable.

Successes and future outlook for microfluidics-based cardiovascular drug discovery

INTRODUCTION

The greatest advantage of using microfluidics as a platform for the assessment of cardiovascular drug action is its ability to finely regulate fluid flow conditions, including flow rate, shear stress and pulsatile flow. At the same time, microfluidics provide means for modifying the vessel geometry (bifurcations, stenoses, complex networks), the type of surface of the vessel walls, and for patterning cells in 3D tissue-like architecture, including generation of lumen walls lined with cells and heart-on-a-chip structures for mimicking ventricular cardiomyocyte physiology. In addition, owing to the small volume of required specimens, microfluidics is ideally suited to clinical situations whereby monitoring of drug dosing or efficacy needs to be coupled with minimal phlebotomy-related drug loss.

AREAS COVERED

In this review, the authors highlight potential applications for the currently existing and emerging technologies and offer several suggestions on how to close the development cycle of microfluidic devices for cardiovascular drug discovery.

EXPERT OPINION

The ultimate goal in microfluidics research for drug discovery is to develop 'human-on-a-chip' systems, whereby several organ cultures, including the vasculature and the heart, can mimic complex interactions between the organs and body systems. This would provide in vivo-like pharmacokinetics and pharmacodynamics for drug ADMET assessment. At present, however, the great variety of available designs does not go hand in hand with their use by the pharmaceutical community.

Low-cost blood plasma separation method using salt functionalized paper

This study presents a low-cost method for separating blood plasma on μPADs.

Control performance of paper-based blood analysis devices through paper structure design

In this work, we investigated the influence of paper structure on the performance of paper-based analytical devices that are used for blood analysis. The question that we aimed to answer is how the fiber type (i.e., softwood and hardwood fibers) influences the fiber network structure of the paper, which affects the transport of red blood cells (RBCs) in paper. In the experimental design, we isolated the influence of fiber types on the paper structure from all other possible influencing factors by removing the fines from the pulps and not using any additives. Mercury porosimetry was employed to characterize the pore structures of the paper sheets. The results show that papers with a low basis weight that are made with short hardwood fibers have a higher porosity (i.e., void fraction) and simpler pore structures compared with papers made with long softwood fibers. RBC transport in paper carried by saline solution was investigated in two modes: lateral chromatographic elution and vertical flow-through. The results showed that the complexity of the paper's internal pore structure has a dominant influence on the transport of RBCs in paper. Hardwood fiber sheets with a low basis weight have a simple internal pore structure and allow for the easy transport of RBCs. Blood-typing sensors built with low basis weight hardwood fibers deliver high-clarity assays. Softwood fiber papers are found to have a more complex pore structure, which makes RBC transport more difficult, leading to blood-typing results of low clarity. This study provides the principle of paper sheet design for paper-based blood analysis sensors.