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Bechtold P, Wagner P, Hosch S, Gregorini M, Stark WJ, Gody JC, Kodia-Lenguetama ER, Pagonendji MS, Donfack OT, Phiri WP, García GA, Nsanzanbana C, Daubenberger CA, Schindler T, Vickos U. Development and evaluation of PlasmoPod: A cartridge-based nucleic acid amplification test for rapid malaria diagnosis and surveillance. PLOS GLOBAL PUBLIC HEALTH 2023; 3:e0001516. [PMID: 37756280 PMCID: PMC10529553 DOI: 10.1371/journal.pgph.0001516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Accepted: 09/04/2023] [Indexed: 09/29/2023]
Abstract
Malaria surveillance is hampered by the widespread use of diagnostic tests with low sensitivity. Adequate molecular malaria diagnostics are often only available in centralized laboratories. PlasmoPod is a novel cartridge-based nucleic acid amplification test for rapid, sensitive, and quantitative detection of malaria parasites. PlasmoPod is based on reverse-transcription quantitative polymerase chain reaction (RT-qPCR) of the highly abundant Plasmodium spp. 18S ribosomal RNA/DNA biomarker and is run on a portable qPCR instrument which allows diagnosis in less than 30 minutes. Our analytical performance evaluation indicates that a limit-of-detection as low as 0.02 parasites/μL can be achieved and no cross-reactivity with other pathogens common in malaria endemic regions was observed. In a cohort of 102 asymptomatic individuals from Bioko Island with low malaria parasite densities, PlasmoPod accurately detected 83 cases, resulting in an overall detection rate of 81.4%. Notably, there was a strong correlation between the Cq values obtained from the reference RT-qPCR assay and those obtained from PlasmoPod. In an independent cohort, using dried blood spots from malaria symptomatic children living in the Central African Republic, we demonstrated that PlasmoPod outperforms malaria rapid diagnostic tests based on the PfHRP2 and panLDH antigens as well as thick blood smear microscopy. Our data suggest that this 30-minute sample-to-result RT-qPCR procedure is likely to achieve a diagnostic performance comparable to a standard laboratory-based RT-qPCR setup. We believe that the PlasmoPod rapid NAAT could enable widespread accessibility of high-quality and cost-effective molecular malaria surveillance data through decentralization of testing and surveillance activities, especially in elimination settings.
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Affiliation(s)
- Philippe Bechtold
- Institute for Chemical and Bioengineering, ETH Zurich, Zuerich, Switzerland
- Diaxxo AG, Zuerich, Switzerland
| | - Philipp Wagner
- Swiss Tropical and Public Health Institute, Basel, Switzerland
- University of Basel, Basel, Switzerland
| | - Salome Hosch
- Swiss Tropical and Public Health Institute, Basel, Switzerland
- University of Basel, Basel, Switzerland
| | - Michele Gregorini
- Institute for Chemical and Bioengineering, ETH Zurich, Zuerich, Switzerland
- Diaxxo AG, Zuerich, Switzerland
| | - Wendelin J. Stark
- Institute for Chemical and Bioengineering, ETH Zurich, Zuerich, Switzerland
- Diaxxo AG, Zuerich, Switzerland
| | - Jean Chrysostome Gody
- Paediatric Hospital and University Complex of Bangui, Bangui, Central African Republic
| | | | | | | | | | | | - Christian Nsanzanbana
- Swiss Tropical and Public Health Institute, Basel, Switzerland
- University of Basel, Basel, Switzerland
| | - Claudia A. Daubenberger
- Swiss Tropical and Public Health Institute, Basel, Switzerland
- University of Basel, Basel, Switzerland
| | - Tobias Schindler
- Swiss Tropical and Public Health Institute, Basel, Switzerland
- University of Basel, Basel, Switzerland
| | - Ulrich Vickos
- Infectious and Tropical Diseases Unit, Department of Medicine, Amitié Hospital, Bangui, Central African Republic
- Microbiology and Diagnostic Immunology Unit, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy
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2
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Zhang Z, Zhao S, Jiang L, Wu J, Zhao W, Guo X, Peng N, Hu F. A sample-to-answer DNA detection microfluidic system integrating sample pretreatment and smartphone-readable gradient plasmonic photothermal continuous-flow PCR. Analyst 2022; 147:4876-4887. [DOI: 10.1039/d2an00908k] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
We report a microfluidic system integrating sample pretreatment and smartphone-readable gradient plasmonic photothermal continuous-flow PCR, paving the way for low-cost and rapid implementation of PCR diagnostics.
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Affiliation(s)
- Zengming Zhang
- State Key Laboratory for Manufacturing Systems Engineering, Xi'an Jiaotong University No. 99, Yanxiang Road, Xi'an, 710054, P. R. China
| | - Shuhao Zhao
- State Key Laboratory for Manufacturing Systems Engineering, Xi'an Jiaotong University No. 99, Yanxiang Road, Xi'an, 710054, P. R. China
| | - Lei Jiang
- State Key Laboratory for Manufacturing Systems Engineering, Xi'an Jiaotong University No. 99, Yanxiang Road, Xi'an, 710054, P. R. China
| | - Junjun Wu
- State Key Laboratory for Manufacturing Systems Engineering, Xi'an Jiaotong University No. 99, Yanxiang Road, Xi'an, 710054, P. R. China
| | - Wenhan Zhao
- State Key Laboratory for Manufacturing Systems Engineering, Xi'an Jiaotong University No. 99, Yanxiang Road, Xi'an, 710054, P. R. China
| | - Xiaoniu Guo
- State Key Laboratory for Manufacturing Systems Engineering, Xi'an Jiaotong University No. 99, Yanxiang Road, Xi'an, 710054, P. R. China
| | - Niancai Peng
- State Key Laboratory for Manufacturing Systems Engineering, Xi'an Jiaotong University No. 99, Yanxiang Road, Xi'an, 710054, P. R. China
| | - Fei Hu
- State Key Laboratory for Manufacturing Systems Engineering, Xi'an Jiaotong University No. 99, Yanxiang Road, Xi'an, 710054, P. R. China
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3
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Bechtold P, Wagner P, Hosch S, Siegrist D, Ruiz-Serrano A, Gregorini M, Mpina M, Ondó FA, Obama J, Ayekaba MO, Engler O, Stark WJ, Daubenberger CA, Schindler T. Rapid Identification of SARS-CoV-2 Variants of Concern Using a Portable peakPCR Platform. Anal Chem 2021; 93:16350-16359. [PMID: 34852455 PMCID: PMC8672427 DOI: 10.1021/acs.analchem.1c02368] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Accepted: 09/29/2021] [Indexed: 11/29/2022]
Abstract
The need for tools that facilitate rapid detection and continuous monitoring of SARS-CoV-2 variants of concern (VOCs) is greater than ever, as these variants are more transmissible and therefore increase the pressure of COVID-19 on healthcare systems. To address this demand, we aimed at developing and evaluating a robust and fast diagnostic approach for the identification of SARS-CoV-2 VOC-associated spike gene mutations. Our diagnostic assays detect the E484K and N501Y single-nucleotide polymorphisms (SNPs) as well as a spike gene deletion (HV69/70) and can be run on standard laboratory equipment or on the portable rapid diagnostic technology platform peakPCR. The assays achieved excellent diagnostic performance when tested with RNA extracted from culture-derived SARS-CoV-2 VOC lineages and clinical samples collected in Equatorial Guinea, Central-West Africa. Simplicity of usage and the relatively low cost are advantages that make our approach well suitable for decentralized and rapid testing, especially in resource-limited settings.
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Affiliation(s)
- Philippe Bechtold
- Institute
for Chemical and Bioengineering, ETH Zurich, 8093 Zuerich, Switzerland
- Diaxxo
AG, 8093 Zuerich, Switzerland
| | - Philipp Wagner
- Swiss
Tropical and Public Health Institute, 4051 Basel, Switzerland
- University
of Basel, 4051 Basel, Switzerland
| | - Salome Hosch
- Swiss
Tropical and Public Health Institute, 4051 Basel, Switzerland
- University
of Basel, 4051 Basel, Switzerland
| | | | - Amalia Ruiz-Serrano
- Institute
for Chemical and Bioengineering, ETH Zurich, 8093 Zuerich, Switzerland
- Diaxxo
AG, 8093 Zuerich, Switzerland
| | - Michele Gregorini
- Institute
for Chemical and Bioengineering, ETH Zurich, 8093 Zuerich, Switzerland
- Diaxxo
AG, 8093 Zuerich, Switzerland
| | - Maxmillian Mpina
- Swiss
Tropical and Public Health Institute, 4051 Basel, Switzerland
- University
of Basel, 4051 Basel, Switzerland
- Laboratorio
de Investigaciones de Baney, P.O. Box 338, Baney, Equatorial
Guinea
| | | | - Justino Obama
- Ministry
of Health and Social Welfare, P.O. Box 209, Malabo, Equatorial
Guinea
| | | | | | - Wendelin J. Stark
- Institute
for Chemical and Bioengineering, ETH Zurich, 8093 Zuerich, Switzerland
- Diaxxo
AG, 8093 Zuerich, Switzerland
| | - Claudia A. Daubenberger
- Swiss
Tropical and Public Health Institute, 4051 Basel, Switzerland
- University
of Basel, 4051 Basel, Switzerland
| | - Tobias Schindler
- Swiss
Tropical and Public Health Institute, 4051 Basel, Switzerland
- University
of Basel, 4051 Basel, Switzerland
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4
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Kobialka RM, Ceruti A, Bergmann M, Hartmann K, Truyen U, Abd El Wahed A. Molecular Detection of Feline Coronavirus Based on Recombinase Polymerase Amplification Assay. Pathogens 2021; 10:pathogens10101237. [PMID: 34684186 PMCID: PMC8538120 DOI: 10.3390/pathogens10101237] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Revised: 09/22/2021] [Accepted: 09/23/2021] [Indexed: 11/16/2022] Open
Abstract
Feline coronavirus (FCoV) is endemic in cat populations worldwide. Persistently, subclinically infected cats play a significant role in spreading the infection. Testing fecal samples of cats may facilitate efforts to decrease the viral burden within a population. Real-time RT-PCR is highly sensitive and specific for the detection of FCoV but must be performed in a fully equipped laboratory. A simple and accurate assay is needed to identify FCoV at the point-of-need. The aim of this study was to develop a rapid FCoV detection assay based on isothermal amplification technology, i.e., reverse transcription-recombinase polymerase amplification (RT-RPA). Primers were designed to target the highly conserved 3′ untranslated region of the 7b gene. Running on a constant temperature of 42 °C, reverse transcription as well as DNA amplification and detection was achieved in a maximum of 15 min. A probit analysis revealed a detection limit of 58.5 RNA copies/reaction. For cross-detection, nucleic acids from 19 viruses were tested. Both RT-RPA and real-time RT-PCR showed cross-detection with canine coronavirus and transmissible gastroenteritis virus, but not with other pathogens. To evaluate clinical performance, RNA was extracted from 39 fecal samples from cats. All samples were tested simultaneously with real-time RT-PCR resulting in a RT-RPA sensitivity and specificity of 90.9% and 100%, respectively. RT-RPA can be considered a promising simple method for rapid detection of FCoV.
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Affiliation(s)
- Rea Maja Kobialka
- Institute of Animal Hygiene and Veterinary Public Health, Leipzig University, 04103 Leipzig, Germany; (R.M.K.); (A.C.); (U.T.)
| | - Arianna Ceruti
- Institute of Animal Hygiene and Veterinary Public Health, Leipzig University, 04103 Leipzig, Germany; (R.M.K.); (A.C.); (U.T.)
| | - Michelle Bergmann
- Clinic of Small Animal Medicine, LMU, 80539 Munich, Germany; (M.B.); (K.H.)
| | - Katrin Hartmann
- Clinic of Small Animal Medicine, LMU, 80539 Munich, Germany; (M.B.); (K.H.)
| | - Uwe Truyen
- Institute of Animal Hygiene and Veterinary Public Health, Leipzig University, 04103 Leipzig, Germany; (R.M.K.); (A.C.); (U.T.)
| | - Ahmed Abd El Wahed
- Institute of Animal Hygiene and Veterinary Public Health, Leipzig University, 04103 Leipzig, Germany; (R.M.K.); (A.C.); (U.T.)
- Correspondence: ; Tel.: +49-341-97-38-153
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5
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Tonelli A, Mangia V, Candiani A, Pasquali F, Mangiaracina TJ, Grazioli A, Sozzi M, Gorni D, Bussolati S, Cucinotta A, Basini G, Selleri S. Sensing Optimum in the Raw: Leveraging the Raw-Data Imaging Capabilities of Raspberry Pi for Diagnostics Applications. SENSORS 2021; 21:s21103552. [PMID: 34065190 PMCID: PMC8160707 DOI: 10.3390/s21103552] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 05/10/2021] [Accepted: 05/16/2021] [Indexed: 12/12/2022]
Abstract
Single-board computers (SBCs) and microcontroller boards (MCBs) are extensively used nowadays as prototyping platforms to accomplish innovative tasks. Very recently, implementations of these devices for diagnostics applications are rapidly gaining ground for research and educational purposes. Among the available solutions, Raspberry Pi represents one of the most used SBCs. In the present work, two setups based on Raspberry Pi and its CMOS-based camera (a 3D-printed device and an adaptation of a commercial product named We-Lab) were investigated as diagnostic instruments. Different camera elaboration processes were investigated, showing how direct access to the 10-bit raw data acquired from the sensor before downstream imaging processes could be beneficial for photometric applications. The developed solution was successfully applied to the evaluation of the oxidative stress using two commercial kits (d-ROM Fast; PAT). We suggest the analysis of raw data applied to SBC and MCB platforms in order to improve results.
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Affiliation(s)
- Alessandro Tonelli
- DNAPhone S.R.L., Viale Mentana 150, 43121 Parma, Italy; (A.T.); (V.M.); (A.C.); (F.P.); (T.J.M.); (A.G.); (M.S.)
| | - Veronica Mangia
- DNAPhone S.R.L., Viale Mentana 150, 43121 Parma, Italy; (A.T.); (V.M.); (A.C.); (F.P.); (T.J.M.); (A.G.); (M.S.)
| | - Alessandro Candiani
- DNAPhone S.R.L., Viale Mentana 150, 43121 Parma, Italy; (A.T.); (V.M.); (A.C.); (F.P.); (T.J.M.); (A.G.); (M.S.)
| | - Francesco Pasquali
- DNAPhone S.R.L., Viale Mentana 150, 43121 Parma, Italy; (A.T.); (V.M.); (A.C.); (F.P.); (T.J.M.); (A.G.); (M.S.)
| | - Tiziana Jessica Mangiaracina
- DNAPhone S.R.L., Viale Mentana 150, 43121 Parma, Italy; (A.T.); (V.M.); (A.C.); (F.P.); (T.J.M.); (A.G.); (M.S.)
| | - Alessandro Grazioli
- DNAPhone S.R.L., Viale Mentana 150, 43121 Parma, Italy; (A.T.); (V.M.); (A.C.); (F.P.); (T.J.M.); (A.G.); (M.S.)
| | - Michele Sozzi
- DNAPhone S.R.L., Viale Mentana 150, 43121 Parma, Italy; (A.T.); (V.M.); (A.C.); (F.P.); (T.J.M.); (A.G.); (M.S.)
| | - Davide Gorni
- H&D S.R.L., Strada Langhirano 264/1a, 43124 Parma, Italy;
| | - Simona Bussolati
- Dipartimento di Scienze Medico-Veterinarie, Via del Taglio 10, 43126 Parma, Italy; (S.B.); (G.B.)
| | - Annamaria Cucinotta
- Dipartimento di Ingegneria e Architettura, University of Parma, Parco Area delle Scienze, 181/A, 43124 Parma, Italy;
| | - Giuseppina Basini
- Dipartimento di Scienze Medico-Veterinarie, Via del Taglio 10, 43126 Parma, Italy; (S.B.); (G.B.)
| | - Stefano Selleri
- Dipartimento di Ingegneria e Architettura, University of Parma, Parco Area delle Scienze, 181/A, 43124 Parma, Italy;
- Correspondence: ; Tel.: +39-052-190-5763
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6
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Abstract
With the rapid development of high technology, chemical science is not as it used to be a century ago. Many chemists acquire and utilize skills that are well beyond the traditional definition of chemistry. The digital age has transformed chemistry laboratories. One aspect of this transformation is the progressing implementation of electronics and computer science in chemistry research. In the past decade, numerous chemistry-oriented studies have benefited from the implementation of electronic modules, including microcontroller boards (MCBs), single-board computers (SBCs), professional grade control and data acquisition systems, as well as field-programmable gate arrays (FPGAs). In particular, MCBs and SBCs provide good value for money. The application areas for electronic modules in chemistry research include construction of simple detection systems based on spectrophotometry and spectrofluorometry principles, customizing laboratory devices for automation of common laboratory practices, control of reaction systems (batch- and flow-based), extraction systems, chromatographic and electrophoretic systems, microfluidic systems (classical and nonclassical), custom-built polymerase chain reaction devices, gas-phase analyte detection systems, chemical robots and drones, construction of FPGA-based imaging systems, and the Internet-of-Chemical-Things. The technology is easy to handle, and many chemists have managed to train themselves in its implementation. The only major obstacle in its implementation is probably one's imagination.
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Affiliation(s)
- Gurpur Rakesh D Prabhu
- Department of Chemistry, National Tsing Hua University, 101, Section 2, Kuang-Fu Road, Hsinchu, 30013, Taiwan.,Department of Applied Chemistry, National Chiao Tung University, 1001 University Road, Hsinchu, 300, Taiwan
| | - Pawel L Urban
- Department of Chemistry, National Tsing Hua University, 101, Section 2, Kuang-Fu Road, Hsinchu, 30013, Taiwan.,Frontier Research Center on Fundamental and Applied Sciences of Matters, National Tsing Hua University, 101, Section 2, Kuang-Fu Road, Hsinchu, 30013, Taiwan
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7
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Zhang Z, Zhao S, Hu F, Yang G, Li J, Tian H, Peng N. An LED-Driven AuNPs-PDMS Microfluidic Chip and Integrated Device for the Detection of Digital Loop-Mediated Isothermal DNA Amplification. MICROMACHINES 2020; 11:mi11020177. [PMID: 32046315 PMCID: PMC7074644 DOI: 10.3390/mi11020177] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2019] [Revised: 01/23/2020] [Accepted: 02/04/2020] [Indexed: 01/28/2023]
Abstract
The sensitive quantification of low-abundance nucleic acids holds importance for a range of clinical applications and biological studies. In this study, we describe a facile microfluidic chip for absolute DNA quantifications based on the digital loop-mediated isothermal amplification (digital LAMP) method. This microfluidic chip integrates a cross-flow channel for droplet generation with a micro-cavity for droplet tiling. DNA templates in the LAMP reagent were divided into ~20,000 water-in-oil droplets at the cross-flow channel. The droplets were then tiled in the micro-cavity for isothermal amplification and fluorescent detection. Different from the existing polydimethylsiloxane (PDMS) microfluidic chips, this study incorporates gold nanoparticles (AuNPs) into PDMS substrate through silica coating and dodecanol modification. The digital LAMP chip prepared by AuNPs-PDMS combines the benefits of the microstructure manufacturing performance of PDMS with the light-to-heat conversion advantages of AuNPs. Upon illumination with a near infrared (NIR) LED, the droplets were stably and efficiently heated by the AuNPs in PDMS. We further introduce an integrated device with a NIR heating unit and a fluorescent detection unit. The system could detect HBV (hepatitis B virus)-DNA at a concentration of 1 × 101 to 1 × 104 copies/μL. The LED-driven digital LAMP chip and the integrated device; therefore, demonstrate high accuracy and excellent performance for the absolute quantification of low-abundance nucleic acids, showing the advantages of integration, miniaturization, cost, and power consumption.
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8
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Kohll AX, Koch J, Chen WD, O’Dwyer C, Mikutis G, Stark WJ, Grass RN. DNA Barcode Quantification As a Robust Tool for Measuring Mixing Ratios in Two-Component Systems. ACS APPLIED BIO MATERIALS 2019; 2:5062-5068. [DOI: 10.1021/acsabm.9b00735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- A. Xavier Kohll
- Institute for Chemical and Bioengineering, ETH Zurich, Vladimir-Prelog-Weg 1, Zürich 8093, Switzerland
| | - Julian Koch
- Institute for Chemical and Bioengineering, ETH Zurich, Vladimir-Prelog-Weg 1, Zürich 8093, Switzerland
| | - Weida D. Chen
- Institute for Chemical and Bioengineering, ETH Zurich, Vladimir-Prelog-Weg 1, Zürich 8093, Switzerland
| | - Conor O’Dwyer
- Institute for Chemical and Bioengineering, ETH Zurich, Vladimir-Prelog-Weg 1, Zürich 8093, Switzerland
| | - Gediminas Mikutis
- Institute for Chemical and Bioengineering, ETH Zurich, Vladimir-Prelog-Weg 1, Zürich 8093, Switzerland
| | - Wendelin J. Stark
- Institute for Chemical and Bioengineering, ETH Zurich, Vladimir-Prelog-Weg 1, Zürich 8093, Switzerland
| | - Robert N. Grass
- Institute for Chemical and Bioengineering, ETH Zurich, Vladimir-Prelog-Weg 1, Zürich 8093, Switzerland
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