1
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Fang X, Sun C, Dai P, Xian Z, Su W, Zheng C, Xing D, Xu X, You H. Capillary Force-Driven Quantitative Plasma Separation Method for Application of Whole Blood Detection Microfluidic Chip. MICROMACHINES 2024; 15:619. [PMID: 38793192 PMCID: PMC11122923 DOI: 10.3390/mi15050619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/10/2024] [Revised: 04/27/2024] [Accepted: 04/29/2024] [Indexed: 05/26/2024]
Abstract
Separating plasma or serum from blood is essential for precise testing. However, extracting precise plasma quantities outside the laboratory poses challenges. A recent study has introduced a capillary force-driven membrane filtration technique to accurately separate small plasma volumes. This method efficiently isolates 100-200 μL of pure human whole blood with a 48% hematocrit, resulting in 5-30 μL of plasma with less than a 10% margin of error. The entire process is completed within 20 min, offering a simple and cost-effective approach to blood separation. This study has successfully addressed the bottleneck in self-service POCT, ensuring testing accuracy. This innovative method shows promise for clinical diagnostics and point-of-care testing.
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Affiliation(s)
| | | | | | | | | | | | | | - Xiaotian Xu
- School of Mechanical Engineering, Guangxi University, Nanning 530004, China; (X.F.); (C.S.); (P.D.); (Z.X.); (W.S.); (C.Z.); (D.X.)
| | - Hui You
- School of Mechanical Engineering, Guangxi University, Nanning 530004, China; (X.F.); (C.S.); (P.D.); (Z.X.); (W.S.); (C.Z.); (D.X.)
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2
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Ardakani F, Hemmateenejad B. Pronounced effect of lamination on plasma separation from whole blood by microfluidic paper-based analytical devices. Anal Chim Acta 2023; 1279:341767. [PMID: 37827667 DOI: 10.1016/j.aca.2023.341767] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2023] [Revised: 08/28/2023] [Accepted: 08/29/2023] [Indexed: 10/14/2023]
Abstract
Many diseases are detected through blood tests. Currently, most blood tests are done on plasma instead of whole blood because of the interference of blood cells on detection results. Here, we developed a laminated microfluidic paper-based analytical device (L-μPAD) for the separation of plasma from whole blood without using plasma separation membrane (PSM). A lateral flow design consisting of a circular sampling zone and rectangular detection zone was patterned on the paper substrate using laser printing technology. The μPAD was then laminated after impregnation with KCl solution. Lamination and electrolyte addition represented synergistic effects on the separation by controlling the pore size of the paper. In addition, by preventing evaporation on one hand and squeezing paper pores on the other hand, lamination caused longer movement of the separated plasma, the longest plasma path reported so far. The separation process was monitored using colorimetric reagent bromocresol green and scanning electron microscopy. The process of separation was completed in less than 90s without significant hemolysis and the separated plasma was far from the interfering effect of red blood cells. We used the device for the determination of serum albumin. However, it represents the potential for point-of-care testing in multi-assay experiments too.
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Affiliation(s)
| | - Bahram Hemmateenejad
- Chemistry Department, Shiraz University, Shiraz, Iran; Medicinal and Natural Products Chemistry Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
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3
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Free TJ, Tucker RW, Simonson KM, Smith SA, Lindgren CM, Pitt WG, Bundy BC. Engineering At-Home Dilution and Filtration Methods to Enable Paper-Based Colorimetric Biosensing in Human Blood with Cell-Free Protein Synthesis. BIOSENSORS 2023; 13:104. [PMID: 36671942 PMCID: PMC9855769 DOI: 10.3390/bios13010104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 12/28/2022] [Accepted: 12/30/2022] [Indexed: 06/17/2023]
Abstract
Diagnostic blood tests can guide the administration of healthcare to save and improve lives. Most clinical biosensing blood tests require a trained technician and specialized equipment to process samples and interpret results, which greatly limits test accessibility. Colorimetric paper-based diagnostics have an equipment-free readout, but raw blood obscures a colorimetric response which has motivated diverse efforts to develop blood sample processing techniques. This work uses inexpensive readily-available materials to engineer user-friendly dilution and filtration methods for blood sample collection and processing to enable a proof-of-concept colorimetric biosensor that is responsive to glutamine in 50 µL blood drop samples in less than 30 min. Paper-based user-friendly blood sample collection and processing combined with CFPS biosensing technology represents important progress towards the development of at-home biosensors that could be broadly applicable to personalized healthcare.
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4
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Alhabbab RY. Lateral Flow Immunoassays for Detecting Viral Infectious Antigens and Antibodies. MICROMACHINES 2022; 13:1901. [PMID: 36363922 PMCID: PMC9694796 DOI: 10.3390/mi13111901] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Revised: 10/14/2022] [Accepted: 10/19/2022] [Indexed: 05/28/2023]
Abstract
Abundant immunological assays currently exist for detecting pathogens and identifying infected individuals, making detection of diseases at early stages integral to preventing their spread, together with the consequent emergence of global health crises. Lateral flow immunoassay (LFIA) is a test characterized by simplicity, low cost, and quick results. Furthermore, LFIA testing does not need well-trained individuals or laboratory settings. Therefore, it has been serving as an attractive tool that has been extensively used during the ongoing COVID-19 pandemic. Here, the LFIA strip's available formats, reporter systems, components, and preparation are discussed. Moreover, this review provides an overview of the current LFIAs in detecting infectious viral antigens and humoral responses to viral infections.
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Affiliation(s)
- Rowa Y. Alhabbab
- Vaccines and Immunotherapy Unit, King Fahad Medical Research Center, King Abdulaziz University, Jeddah 21589, Saudi Arabia;
- Department of Medical Laboratory Sciences, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah 21589, Saudi Arabia
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5
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Maurya A, Murallidharan JS, Sharma A, Agarwal A. Microfluidics geometries involved in effective blood plasma separation. MICROFLUIDICS AND NANOFLUIDICS 2022; 26:73. [PMID: 36090664 PMCID: PMC9440999 DOI: 10.1007/s10404-022-02578-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/19/2021] [Accepted: 08/09/2022] [Indexed: 06/15/2023]
Abstract
The last two decades witnessed a significant advancement in the field of diluted and whole blood plasma separation. This is one of the common procedures used to diagnose, cure and treat numerous acute and chronic diseases. For this separation purpose, various types of geometries of microfluidic devices, such as T-channel, Y-channel, trifurcation, constriction-expansion, curved/bend/spiral channels, a combination of any of the two geometries, etc., are being exploited, and this is detailed in this review article. The evaluation of the performance of such devices is based on the several parameters such as separation efficiency, flow rate, hematocrits, channel dimensions, etc. Thus, the current extensive review article endeavours to understand how particular geometry influences the separation efficiency for a given hematocrit. Additionally, a comparative analysis of various geometries is presented to demonstrate the less explored geometric configuration for the diluted and whole blood plasma separation. Also, a meta-analysis has been performed to highlight which geometry serves best to give a consistent separation efficiency. This article also presents tabulated data for various geometries with necessary details required from a designer's perspective such as channel dimensions, targeted component, studied range of hematocrit and flow rate, separation efficiency, etc. The maximum separation efficiency that can be achieved for a given hematocrits and geometry has also been plotted. The current review highlights the critical findings relevant to this field, state of the art understanding and the future challenges.
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Affiliation(s)
- Anamika Maurya
- Department of Mechanical Engineering, Indian Institute of Technology Mumbai, Mumbai, 400076 India
| | | | - Atul Sharma
- Department of Mechanical Engineering, Indian Institute of Technology Mumbai, Mumbai, 400076 India
| | - Amit Agarwal
- Department of Mechanical Engineering, Indian Institute of Technology Mumbai, Mumbai, 400076 India
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6
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Multifunctional self-driven origami paper-based integrated microfluidic chip to detect CRP and PAB in whole blood. Biosens Bioelectron 2022; 208:114225. [DOI: 10.1016/j.bios.2022.114225] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Revised: 03/01/2022] [Accepted: 03/24/2022] [Indexed: 12/12/2022]
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7
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Burgos-Flórez F, Rodríguez A, Cervera E, De Ávila M, Sanjuán M, Villalba PJ. Microfluidic Paper-Based Blood Plasma Separation Device as a Potential Tool for Timely Detection of Protein Biomarkers. MICROMACHINES 2022; 13:mi13050706. [PMID: 35630172 PMCID: PMC9142996 DOI: 10.3390/mi13050706] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Revised: 04/26/2022] [Accepted: 04/26/2022] [Indexed: 01/27/2023]
Abstract
A current challenge regarding microfluidic paper-based analytical devices (µPAD) for blood plasma separation (BPS) and electrochemical immunodetection of protein biomarkers is how to achieve a µPAD that yields enough plasma to retain the biomarker for affinity biosensing in a functionalized electrode system. This paper describes the development of a BPS µPAD to detect and quantify the S100B biomarker from peripheral whole blood. The device uses NaCl functionalized VF2 filter paper as a sample collection pad, an MF1 filter paper for plasma retention, and an optimized microfluidic channel geometry. An inverted light microscope, scanning electron microscope (SEM), and image processing software were used for visualizing BPS efficiency. A design of experiments (DOE) assessed the device’s efficacy using an S100B ELISA Kit to measure clinically relevant S100B concentrations in plasma. The BPS device obtained 50 μL of plasma from 300 μL of whole blood after 3.5 min. The statistical correlation of S100B concentrations obtained using plasma from standard centrifugation and the BPS device was 0.98. The BPS device provides a simple manufacturing protocol, short fabrication time, and is capable of S100B detection using ELISA, making one step towards the integration of technologies aimed at low-cost POC testing of clinically relevant biomarkers.
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Affiliation(s)
- Francisco Burgos-Flórez
- Biotechnology Research Group, Universidad del Norte, Barranquilla 081007, Colombia; (A.R.); (E.C.); (M.D.Á.); (P.J.V.)
- Rational Use of Energy and Preservation of the Environment Group (UREMA), Universidad del Norte, Barranquilla 081007, Colombia;
- Health and Technological Innovation, Universidad Simón Bolívar, Facultad de Ingenierías, Barranquilla 080002, Colombia
- Correspondence:
| | - Alexander Rodríguez
- Biotechnology Research Group, Universidad del Norte, Barranquilla 081007, Colombia; (A.R.); (E.C.); (M.D.Á.); (P.J.V.)
| | - Eliana Cervera
- Biotechnology Research Group, Universidad del Norte, Barranquilla 081007, Colombia; (A.R.); (E.C.); (M.D.Á.); (P.J.V.)
| | - Marcio De Ávila
- Biotechnology Research Group, Universidad del Norte, Barranquilla 081007, Colombia; (A.R.); (E.C.); (M.D.Á.); (P.J.V.)
| | - Marco Sanjuán
- Rational Use of Energy and Preservation of the Environment Group (UREMA), Universidad del Norte, Barranquilla 081007, Colombia;
| | - Pedro J. Villalba
- Biotechnology Research Group, Universidad del Norte, Barranquilla 081007, Colombia; (A.R.); (E.C.); (M.D.Á.); (P.J.V.)
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8
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Hong X, Wu HM, Zhang XR, Wei CJ, Chen DJ, Huang XJ. The micro-volume liquid focusing effect in Janus membrane and its biosensing application. J Colloid Interface Sci 2021; 592:22-32. [PMID: 33639535 DOI: 10.1016/j.jcis.2021.02.034] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 01/31/2021] [Accepted: 02/08/2021] [Indexed: 11/19/2022]
Abstract
The micro-volume analysis and specific detection are both essential requirements in the field of chemical sensing and biological testing. Membrane prefiltration can be used to improve the selectivity and accuracy of detection. But for traditional porous membrane filtration, it is difficult to achieve the transmembrane transport of micro-volume liquid due to the influence of lateral diffusion on membrane surface. Herein, we studied the focused transmembrane transport of micro-volume liquid in the porous polyethersulfone membrane with asymmetric (Janus) surface wettability. The hydrophilic layer (polydopamine) and hydrophobic layer (fluoropolymer) were deposited with controllable thickness by dip-coating and roller-assisted liquid printing. The micro-volume liquid focusing effect was verified by experiments such as visual wetting circle and fluorescent tracer. The liquid focusing effect of as-prepared Janus membrane was integrated with glucose test strip in the application of micro-volume liquid biosensing. Compared with conventional porous membrane, detected signal amplitude and response time were improved 7.5× and 2.7×, respectively. In summary, this research studied the dynamics of liquid transport through Janus membrane and provides a new strategy for microfluidic detection applications through balancing detection volume, time and selectivity by the advantage of micro-volume liquid focusing effect.
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Affiliation(s)
- Xiao Hong
- MOE Key Laboratory of Macromolecular Synthesis and Functionalization, Department of Polymer Science and Engineering, Zhejiang University, Hangzhou 310027, China
| | - Hui-Min Wu
- MOE Key Laboratory of Macromolecular Synthesis and Functionalization, Department of Polymer Science and Engineering, Zhejiang University, Hangzhou 310027, China
| | - Xin-Ran Zhang
- Medical College, Hangzhou Normal University, Hangzhou 311121, China
| | - Chen-Jie Wei
- MOE Key Laboratory of Macromolecular Synthesis and Functionalization, Department of Polymer Science and Engineering, Zhejiang University, Hangzhou 310027, China
| | - Da-Jing Chen
- Medical College, Hangzhou Normal University, Hangzhou 311121, China.
| | - Xiao-Jun Huang
- MOE Key Laboratory of Macromolecular Synthesis and Functionalization, Department of Polymer Science and Engineering, Zhejiang University, Hangzhou 310027, China.
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9
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Yadav S, Sharma NN, Akhtar J. Nucleic acid analysis on paper substrates (NAAPs): an innovative tool for Point of Care (POC) infectious disease diagnosis. Analyst 2021; 146:3422-3439. [PMID: 33904559 DOI: 10.1039/d1an00214g] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
The cost-effective rapid diagnosis of infectious diseases is an essential and important factor for curing such diseases in the global public health care picture. Owing to poor infrastructure and lack of sanitation, these diseases have an extreme impact on remote and rural areas, especially in developing countries, and there are unresolved challenges. Molecular diagnosis, such as nucleic acid analysis, plays a key role in the significant treatment of numerous infectious diseases. Current molecular diagnostic assays require a sophisticated laboratory setup with expensive components. Molecular diagnosis on a microfluidic point-of-care (POC) platform is attractive to researchers for disease detection with proper prevention. Compared to various microfluidic substrate materials, paper-based POC technologies offer significant cost-effective solutions over high-cost clinical instruments to fill the gap between the needs of users and affordability. Low-cost paper-based microfluidic POC technologies provide portable and disposable diagnostic systems for multiple disease detection that may be extremely useful in remote areas. This article presents a critical review of paper-based microfluidic device technology which has become an imminent platform to adjust the current health scenario for the detection of diseases using different stages of nucleic acid analysis, such as extraction, amplification and detection of nucleic acid, with future perspectives for paper substrates.
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Affiliation(s)
- Supriya Yadav
- Department of Biosciences, Manipal University Jaipur, 303007, Rajasthan, India.
| | - Niti Nipun Sharma
- Department of Mechanical Engineering, Manipal University Jaipur, 303007, Rajasthan, India.
| | - Jamil Akhtar
- Department of Electronics & Communication Engineering, Manipal University Jaipur, 303007, Rajasthan, India.
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10
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Sena-Torralba A, Alvarez-Diduk R, Parolo C, Torné-Morató H, Müller A, Merkoçi A. Paper-Based Electrophoretic Bioassay: Biosensing in Whole Blood Operating via Smartphone. Anal Chem 2021; 93:3112-3121. [PMID: 33534544 DOI: 10.1021/acs.analchem.0c04330] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Point-of-care (PoC) tests are practical and effective diagnostic solutions for major clinical problems, ranging from the monitoring of a pandemic to recurrent or simple measurements. Although, in recent years, a great improvement in the analytical performance of such sensors has been observed, there is still a major issue that has not been properly solved: the ability to perform adequate sample treatments. The main reason is that normally sample treatments require complicated or long procedures not adequate for deployment at the PoC. In response, a sensing platform, called paper-based electrophoretic bioassay (PEB), that combines the key characteristics of a lateral flow assay (LFA) with the sample treatment capabilities of electrophoresis is developed. In particular, the ability of PEB to separate different types of particles and to detect human antibodies in untreated spiked whole blood is demonstrated. Finally, to make the platform suitable for PoC, PEB is coupled with a smartphone that controls the electrophoresis and reads the optical signal generated. It is believed that the PEB platform represents a much-needed solution for the detection of low target concentrations in complex media, solving one of the major limitations of LFA and opening opportunities for point-of-care sensors.
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Affiliation(s)
- Amadeo Sena-Torralba
- Nanobioelectronics & Biosensors Group, Institut Català de Nanociència I Nanotecnologia (ICN2), CSIC and The Barcelona Institute of Science and Technology (BIST), Campus UAB, Bellaterra, 08193 Barcelona, Spain
| | - Ruslan Alvarez-Diduk
- Nanobioelectronics & Biosensors Group, Institut Català de Nanociència I Nanotecnologia (ICN2), CSIC and The Barcelona Institute of Science and Technology (BIST), Campus UAB, Bellaterra, 08193 Barcelona, Spain
| | - Claudio Parolo
- Nanobioelectronics & Biosensors Group, Institut Català de Nanociència I Nanotecnologia (ICN2), CSIC and The Barcelona Institute of Science and Technology (BIST), Campus UAB, Bellaterra, 08193 Barcelona, Spain
| | - Helena Torné-Morató
- Nanobioelectronics & Biosensors Group, Institut Català de Nanociència I Nanotecnologia (ICN2), CSIC and The Barcelona Institute of Science and Technology (BIST), Campus UAB, Bellaterra, 08193 Barcelona, Spain
| | - Alexander Müller
- Nanobioelectronics & Biosensors Group, Institut Català de Nanociència I Nanotecnologia (ICN2), CSIC and The Barcelona Institute of Science and Technology (BIST), Campus UAB, Bellaterra, 08193 Barcelona, Spain
| | - Arben Merkoçi
- Nanobioelectronics & Biosensors Group, Institut Català de Nanociència I Nanotecnologia (ICN2), CSIC and The Barcelona Institute of Science and Technology (BIST), Campus UAB, Bellaterra, 08193 Barcelona, Spain.,Catalan Institution for Research and Advanced Studies (ICREA), Pg. Lluís Companys 23, 08010 Barcelona, Spain
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11
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Jiang F, Xiang N, Ni Z. Ultrahigh throughput beehive-like device for blood plasma separation. Electrophoresis 2020; 41:2136-2143. [PMID: 33049067 DOI: 10.1002/elps.202000202] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Revised: 09/20/2020] [Accepted: 10/09/2020] [Indexed: 12/18/2022]
Abstract
We report here a low-cost, rapid-prototyping, and beehive-like multilayer polymer microfluidic device for ultrahigh-throughput blood plasma separation. To understand the device physics and optimize the device structure, the effect of cross-sectional dimension and operational parameter on particle focusing behavior was explored using a single spiral microchannel device. Then, the blood plasma separation performance of the determined channel structure was validated using the blood samples with different hematocrits (HCTs). It was found that a high separation efficiency of 99% could be achieved using the blood sample with an HCT of 0.5% at a high throughput of 1 mL/min. Finally, a multilayer microfluidic device with a novel beehive-like multiplexing channel arrangement was developed for ultrahigh-throughput blood plasma separation. The prototype device could be fabricated within ∼1 hour utilizing the laser cutting and thermal lamination methods. The total processing throughput could reach up to 72 mL/min for 0.5% HCT sample with a plasma separation ratio close to 90%. Our device may hold potentials for the ultrahigh-throughput separation of blood plasma from large volume blood samples for downstream disease diagnosis.
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Affiliation(s)
- Fengtao Jiang
- School of Mechanical Engineering, and Jiangsu Key Laboratory for Design and Manufacture of Micro-Nano Biomedical Instruments, Southeast University, Nanjing, P. R. China
| | - Nan Xiang
- School of Mechanical Engineering, and Jiangsu Key Laboratory for Design and Manufacture of Micro-Nano Biomedical Instruments, Southeast University, Nanjing, P. R. China
| | - Zhonghua Ni
- School of Mechanical Engineering, and Jiangsu Key Laboratory for Design and Manufacture of Micro-Nano Biomedical Instruments, Southeast University, Nanjing, P. R. China
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12
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Tutorial: design and fabrication of nanoparticle-based lateral-flow immunoassays. Nat Protoc 2020; 15:3788-3816. [PMID: 33097926 DOI: 10.1038/s41596-020-0357-x] [Citation(s) in RCA: 217] [Impact Index Per Article: 54.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2019] [Accepted: 05/12/2020] [Indexed: 12/20/2022]
Abstract
Lateral-flow assays (LFAs) are quick, simple and cheap assays to analyze various samples at the point of care or in the field, making them one of the most widespread biosensors currently available. They have been successfully employed for the detection of a myriad of different targets (ranging from atoms up to whole cells) in all type of samples (including water, blood, foodstuff and environmental samples). Their operation relies on the capillary flow of the sample throughout a series of sequential pads, each with different functionalities aiming to generate a signal to indicate the absence/presence (and, in some cases, the concentration) of the analyte of interest. To have a user-friendly operation, their development requires the optimization of multiple, interconnected parameters that may overwhelm new developers. In this tutorial, we provide the readers with: (i) the basic knowledge to understand the principles governing an LFA and to take informed decisions during lateral flow strip design and fabrication, (ii) a roadmap for optimal LFA development independent of the specific application, (iii) a step-by-step example procedure for the assembly and operation of an LF strip for the detection of human IgG and (iv) an extensive troubleshooting section addressing the most frequent issues in designing, assembling and using LFAs. By changing only the receptors, the provided example procedure can easily be adapted for cost-efficient detection of a broad variety of targets.
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13
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Gao Q, Chang Y, Deng Q, You H. A simple and rapid method for blood plasma separation driven by capillary force with an application in protein detection. ANALYTICAL METHODS : ADVANCING METHODS AND APPLICATIONS 2020; 12:2560-2570. [PMID: 32930282 DOI: 10.1039/d0ay00240b] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Blood plasma separation is a vital sample pre-treatment procedure for microfluidic devices in blood diagnostics, and it requires reliability and speediness. In this work, we propose a novel and simple method for microvolume blood plasma separation driven by capillary force. Flat-shaped filter membranes combined with hydrophilic narrow capillaries are introduced into devices, in order to reduce the residual volumes of blood plasma. An interference fit is used to ensure no leakage of blood or cells. There is desired trapping efficiency of blood cells in the devices. The method provides high efficiency with a plasma extraction yield of 71.7% within 6 min, using 60 μL of undiluted whole human blood with 45% haematocrit. The influence from structural parameters on the separation kinetics and the dependence of the haematocrit levels on the separation efficiency are also investigated. The total protein detection shows considerable protein recovery of 82.3% in the extracted plasma. Thus, the plasma separation unit with a very simple structure is suitable for integrating into microfluidic devices, presenting promising prospects for clinical diagnostics as well as for point-of-care testing applications.
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Affiliation(s)
- Qingxue Gao
- Institute of Intelligent Machines, Chinese Academy of Sciences, Hefei, Anhui 230031, PR China
- University of Science and Technology of China, Hefei, Anhui 230026, PR China
| | - Yongjia Chang
- Institute of Intelligent Machines, Chinese Academy of Sciences, Hefei, Anhui 230031, PR China
| | - Qingmei Deng
- Department of Laboratory, Cancer Hospital, Chinese Academy of Sciences, Hefei, Anhui 230031, PR China
| | - Hui You
- School of Mechanical Engineering, Guangxi University, Nanning, Guangxi 530004, PR China.
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14
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Su X, Zhang J, Zhang D, Wang Y, Chen M, Weng Z, Wang J, Zeng J, Zhang Y, Zhang S, Ge S, Zhang J, Xia N. High-Efficiency Plasma Separator Based on Immunocapture and Filtration. MICROMACHINES 2020; 11:mi11040352. [PMID: 32231068 PMCID: PMC7231172 DOI: 10.3390/mi11040352] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/14/2020] [Revised: 03/24/2020] [Accepted: 03/26/2020] [Indexed: 12/15/2022]
Abstract
The shortcomings of standard plasma-separation methods limit the point-of-care application of microfluidics in clinical facilities and at the patient's bedside. To overcome the limitations of this inconvenient, laborious, and costly technique, a new plasma-separation technique and device were developed. This new separation method relies on immunological capture and filtration to exclude cells from plasma, and is convenient, easy to use, and cost-effective. Most of the RBCs can be captured and immobilized by antibody which coated in separation matrix, and residue cells can be totally removed from the sample by a commercially plasma purification membranes. A 400 µL anti-coagulated whole blood sample with 65% hematocrit (Hct) can be separated by the device in 5 min with only one pipette. Up to 97% of the plasma can be recovered from the raw blood sample with a separation efficiency at 100%. The recovery rate of small molecule compounds, proteins, and nucleic acid biomarkers is evaluated; there are no obvious differences from the centrifuge method. The results demonstrate that this method is an excellent replacement for traditional plasma preparation protocols.
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Affiliation(s)
- Xiaosong Su
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Xiamen University, Xiamen 361102,China; (X.S.); (J.Z.); (D.Z.); (Y.W.); (M.C.); (Z.W.); (J.W.); (J.Z.); (Y.Z.); (S.G.); (J.Z.); (N.X.)
- National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Xiamen University, Xiamen 361102, China
- School of Public Health, Xiamen University, Xiamen 361102, China
| | - Jianzhong Zhang
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Xiamen University, Xiamen 361102,China; (X.S.); (J.Z.); (D.Z.); (Y.W.); (M.C.); (Z.W.); (J.W.); (J.Z.); (Y.Z.); (S.G.); (J.Z.); (N.X.)
- National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Xiamen University, Xiamen 361102, China
- School of Public Health, Xiamen University, Xiamen 361102, China
| | - Dongxu Zhang
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Xiamen University, Xiamen 361102,China; (X.S.); (J.Z.); (D.Z.); (Y.W.); (M.C.); (Z.W.); (J.W.); (J.Z.); (Y.Z.); (S.G.); (J.Z.); (N.X.)
- National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Xiamen University, Xiamen 361102, China
- School of Public Health, Xiamen University, Xiamen 361102, China
| | - Yingbin Wang
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Xiamen University, Xiamen 361102,China; (X.S.); (J.Z.); (D.Z.); (Y.W.); (M.C.); (Z.W.); (J.W.); (J.Z.); (Y.Z.); (S.G.); (J.Z.); (N.X.)
- National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Xiamen University, Xiamen 361102, China
- School of Public Health, Xiamen University, Xiamen 361102, China
| | - Mengyuan Chen
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Xiamen University, Xiamen 361102,China; (X.S.); (J.Z.); (D.Z.); (Y.W.); (M.C.); (Z.W.); (J.W.); (J.Z.); (Y.Z.); (S.G.); (J.Z.); (N.X.)
- National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Xiamen University, Xiamen 361102, China
- School of Public Health, Xiamen University, Xiamen 361102, China
| | - Zhenyu Weng
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Xiamen University, Xiamen 361102,China; (X.S.); (J.Z.); (D.Z.); (Y.W.); (M.C.); (Z.W.); (J.W.); (J.Z.); (Y.Z.); (S.G.); (J.Z.); (N.X.)
- National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Xiamen University, Xiamen 361102, China
- School of Public Health, Xiamen University, Xiamen 361102, China
| | - Jin Wang
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Xiamen University, Xiamen 361102,China; (X.S.); (J.Z.); (D.Z.); (Y.W.); (M.C.); (Z.W.); (J.W.); (J.Z.); (Y.Z.); (S.G.); (J.Z.); (N.X.)
- National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Xiamen University, Xiamen 361102, China
- School of Public Health, Xiamen University, Xiamen 361102, China
| | - Juntian Zeng
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Xiamen University, Xiamen 361102,China; (X.S.); (J.Z.); (D.Z.); (Y.W.); (M.C.); (Z.W.); (J.W.); (J.Z.); (Y.Z.); (S.G.); (J.Z.); (N.X.)
- National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Xiamen University, Xiamen 361102, China
- School of Public Health, Xiamen University, Xiamen 361102, China
| | - Ya Zhang
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Xiamen University, Xiamen 361102,China; (X.S.); (J.Z.); (D.Z.); (Y.W.); (M.C.); (Z.W.); (J.W.); (J.Z.); (Y.Z.); (S.G.); (J.Z.); (N.X.)
- National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Xiamen University, Xiamen 361102, China
- School of Public Health, Xiamen University, Xiamen 361102, China
| | - Shiyin Zhang
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Xiamen University, Xiamen 361102,China; (X.S.); (J.Z.); (D.Z.); (Y.W.); (M.C.); (Z.W.); (J.W.); (J.Z.); (Y.Z.); (S.G.); (J.Z.); (N.X.)
- National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Xiamen University, Xiamen 361102, China
- School of Public Health, Xiamen University, Xiamen 361102, China
- Correspondence:
| | - Shengxiang Ge
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Xiamen University, Xiamen 361102,China; (X.S.); (J.Z.); (D.Z.); (Y.W.); (M.C.); (Z.W.); (J.W.); (J.Z.); (Y.Z.); (S.G.); (J.Z.); (N.X.)
- National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Xiamen University, Xiamen 361102, China
- School of Public Health, Xiamen University, Xiamen 361102, China
| | - Jun Zhang
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Xiamen University, Xiamen 361102,China; (X.S.); (J.Z.); (D.Z.); (Y.W.); (M.C.); (Z.W.); (J.W.); (J.Z.); (Y.Z.); (S.G.); (J.Z.); (N.X.)
- National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Xiamen University, Xiamen 361102, China
- School of Public Health, Xiamen University, Xiamen 361102, China
| | - Ningshao Xia
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Xiamen University, Xiamen 361102,China; (X.S.); (J.Z.); (D.Z.); (Y.W.); (M.C.); (Z.W.); (J.W.); (J.Z.); (Y.Z.); (S.G.); (J.Z.); (N.X.)
- National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Xiamen University, Xiamen 361102, China
- School of Public Health, Xiamen University, Xiamen 361102, China
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15
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Padmanabhan S, Han JY, Nanayankkara I, Tran K, Ho P, Mesfin N, White I, DeVoe DL. Enhanced sample filling and discretization in thermoplastic 2D microwell arrays using asymmetric contact angles. BIOMICROFLUIDICS 2020; 14:014113. [PMID: 32095199 PMCID: PMC7028432 DOI: 10.1063/1.5126938] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Accepted: 02/09/2020] [Indexed: 05/04/2023]
Abstract
Sample filling and discretization within thermoplastic 2D microwell arrays is investigated toward the development of low cost disposable microfluidics for passive sample discretization. By using a high level of contact angle asymmetry between the filling channel and microwell surfaces, a significant increase in the range of well geometries that can be successfully filled is revealed. The performance of various array designs is characterized numerically and experimentally to assess the impact of contact angle asymmetry and device geometry on sample filling and discretization, resulting in guidelines to ensure robust microwell filling and sample isolation over a wide range of well dimensions. Using the developed design rules, reliable and bubble-free sample filling and discretization is achieved in designs with critical dimensions ranging from 20 μm to 800 μm. The resulting devices are demonstrated for discretized nucleic acid amplification by performing loop-mediated isothermal amplification for the detection of the mecA gene associated with methicillin-resistant Staphylococcus aureus.
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Affiliation(s)
- S. Padmanabhan
- Department of Chemical and Biomolecular Engineering, University of Maryland, College Park, Maryland 20742, USA
| | - J. Y. Han
- Department of Mechanical Engineering, University of Maryland, College Park, Maryland 20742, USA
| | - I. Nanayankkara
- Department of Bioengineering, University of Maryland, College Park, Maryland 20742, USA
| | - K. Tran
- Department of Chemical and Biomolecular Engineering, University of Maryland, College Park, Maryland 20742, USA
| | - P. Ho
- Department of Chemical and Biomolecular Engineering, University of Maryland, College Park, Maryland 20742, USA
| | - N. Mesfin
- Department of Chemical and Biomolecular Engineering, University of Maryland, College Park, Maryland 20742, USA
| | - I. White
- Department of Bioengineering, University of Maryland, College Park, Maryland 20742, USA
| | - D. L. DeVoe
- Author to whom correspondence should be addressed:. Tel.: +1-301-405-8125
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16
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Fast blood plasma separation device for point-of-care applications. Talanta 2018; 183:55-60. [DOI: 10.1016/j.talanta.2018.02.004] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Revised: 01/30/2018] [Accepted: 02/01/2018] [Indexed: 11/22/2022]
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17
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Su X, Zhang S, Ge S, Chen M, Zhang J, Zhang J, Xia N. A low cost, membranes based serum separator modular. BIOMICROFLUIDICS 2018; 12:024108. [PMID: 29576838 PMCID: PMC5851786 DOI: 10.1063/1.5019650] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2017] [Accepted: 02/26/2018] [Indexed: 05/19/2023]
Abstract
To fulfill the requirement of sample preparation in a microfluidic analysis system designed for "sample in, answer out" testing which was urgently needed by resource limited clinical facilities, we proposed a critical low cost, membrane-based serum separator design in this article. With a specially designed microchip, this device can easily separate serum from the whole blood sample in 5 min. Different from techniques which have been reported earlier, this approach does not require either centrifugation or sample dilution which may cause hemolysis or decreased testing sensitivity. By applying 300 μl of the whole blood sample, 50-70 μl of serum can be recovered from each device, and the serum volume recovery rate compared with centrifuged control is around 73% which is sufficient for most of the microfluidic-based assays. The protein recovery rate ranged from 70% to 95% which was compared with centrifuged control. The evaluation results indicate that this sample preparation device can offer sufficient amount of purified serum sample for any kind of diagnostic assays such as immunoassay and serum nucleic acid assay.
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Affiliation(s)
| | - Shiyin Zhang
- Authors to whom correspondence should be addressed: and
| | - Shengxiang Ge
- Authors to whom correspondence should be addressed: and
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18
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Gong MM, Sinton D. Turning the Page: Advancing Paper-Based Microfluidics for Broad Diagnostic Application. Chem Rev 2017. [PMID: 28627178 DOI: 10.1021/acs.chemrev.7b00024] [Citation(s) in RCA: 329] [Impact Index Per Article: 47.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Infectious diseases are a major global health issue. Diagnosis is a critical first step in effectively managing their spread. Paper-based microfluidic diagnostics first emerged in 2007 as a low-cost alternative to conventional laboratory testing, with the goal of improving accessibility to medical diagnostics in developing countries. In this review, we examine the advances in paper-based microfluidic diagnostics for medical diagnosis in the context of global health from 2007 to 2016. The theory of fluid transport in paper is first presented. The next section examines the strategies that have been employed to control fluid and analyte transport in paper-based assays. Tasks such as mixing, timing, and sequential fluid delivery have been achieved in paper and have enabled analytical capabilities comparable to those of conventional laboratory methods. The following section examines paper-based sample processing and analysis. The most impactful advancement here has been the translation of nucleic acid analysis to a paper-based format. Smartphone-based analysis is another exciting development with potential for wide dissemination. The last core section of the review highlights emerging health applications, such as male fertility testing and wearable diagnostics. We conclude the review with the future outlook, remaining challenges, and emerging opportunities.
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Affiliation(s)
- Max M Gong
- Department of Mechanical and Industrial Engineering, University of Toronto , 5 King's College Road, Toronto, Ontario, Canada M5S 3G8.,Department of Biomedical Engineering, Wisconsin Institutes for Medical Research, University of Wisconsin-Madison , 1111 Highland Avenue, Madison, Wisconsin 53705, United States
| | - David Sinton
- Department of Mechanical and Industrial Engineering, University of Toronto , 5 King's College Road, Toronto, Ontario, Canada M5S 3G8
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19
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Kim B, Oh S, You D, Choi S. Microfluidic Pipette Tip for High-Purity and High-Throughput Blood Plasma Separation from Whole Blood. Anal Chem 2017; 89:1439-1444. [DOI: 10.1021/acs.analchem.6b04587] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Affiliation(s)
- Byeongyeon Kim
- Department of Biomedical
Engineering, Kyung Hee University, Yongin-si, Gyeonggi-do 17104, Republic of Korea
| | - Sein Oh
- Department of Biomedical
Engineering, Kyung Hee University, Yongin-si, Gyeonggi-do 17104, Republic of Korea
| | - Dongwon You
- Department of Biomedical
Engineering, Kyung Hee University, Yongin-si, Gyeonggi-do 17104, Republic of Korea
| | - Sungyoung Choi
- Department of Biomedical
Engineering, Kyung Hee University, Yongin-si, Gyeonggi-do 17104, Republic of Korea
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20
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Mielczarek WS, Obaje EA, Bachmann TT, Kersaudy-Kerhoas M. Microfluidic blood plasma separation for medical diagnostics: is it worth it? LAB ON A CHIP 2016; 16:3441-8. [PMID: 27502438 DOI: 10.1039/c6lc00833j] [Citation(s) in RCA: 53] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
Circulating biomarkers are on the verge of becoming powerful diagnostic tools for various human diseases. However, the complex sample composition makes it difficult to detect biomarkers directly from blood at the bench or at the point-of-care. Blood cells are often a source of variability of the biomarker signal. While the interference of hemoglobin is a long known source of variability, the release of nucleic acids and other cellular components from hemocytes is a new concern for measurement and detection of circulating extracellular markers. Research into miniaturised blood plasma separation has been thriving in the last 10 years (2006-2016). Most point-of-care systems need microscale blood plasma separation, but developed solutions differ in complexity and sample volume range. But could blood plasma separation be avoided completely? This focused review weights the advantages and limits of miniaturised blood plasma separation and highlights the most interesting advances in direct capture as well as smart blood plasma separation.
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Affiliation(s)
- W S Mielczarek
- Institute of Biological Chemistry, Biophysics and Bioengineering, School of Engineering and Physical Sciences, Heriot-Watt University, Edinburgh EH14 4AS, UK.
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21
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Chen PC, Chen CC, Young KC. Characterization of thermoplastic microfiltration chip for the separation of blood plasma from human blood. BIOMICROFLUIDICS 2016; 10:054112. [PMID: 27733893 PMCID: PMC5055531 DOI: 10.1063/1.4964388] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/01/2016] [Accepted: 09/23/2016] [Indexed: 05/09/2023]
Abstract
In this study, we developed a fully thermoplastic microfiltration chip for the separation of blood plasma from human blood. Spiral microchannels were manufactured on a PMMA substrate using a micromilling machine, and a commercial polycarbonate membrane was bonded between two thermoplastic substrates. To achieve an excellent bonding between the commercial membrane and the thermoplastic substrates, we used a two-step injection and curing procedure of UV adhesive into a ring-shaped structure around the microchannel to efficiently prevent leakage during blood filtration. We performed multiple filtration experiments using human blood to compare the influence of three factors on separation efficiency: hematocrit level (40%, 23.2%, and 10.9%), membrane pore size (5 μm, 2 μm, and 1 μm), and flow rate (0.02 ml/min, 0.06 ml/min, 0.1 ml/min). To prevent hemolysis, the pressure within the microchannel was kept below 0.5 bars throughout all filtration experiments. The experimental results clearly demonstrated the following: (1) The proposed microfiltration chip is able to separate white blood cells and red blood cells from whole human blood with a separation efficiency that exceeds 95%; (2) no leakage occurred during any of the experiments, thereby demonstrating the effectiveness of bonding a commercial membrane with a thermoplastic substrate using UV adhesive in a ring-shaped structure; (3) separation efficiency can be increased by using a membrane with smaller pore size, by using diluted blood with lower hematocrit, or by injecting blood into the microfiltration chip at a lower flow rate.
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Affiliation(s)
- Pin-Chuan Chen
- Department of Mechanical Engineering, National Taiwan University of Science and Technology , Taipei, Taiwan
| | - Chih-Chun Chen
- Department of Mechanical Engineering, National Taiwan University of Science and Technology , Taipei, Taiwan
| | - Kung-Chia Young
- Department of Medical Laboratory Science and Biotechnology, National Cheng Kung University , Tainan, Taiwan
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22
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Nosrati R, Gong MM, San Gabriel MC, Pedraza CE, Zini A, Sinton D. Paper-Based Quantification of Male Fertility Potential. Clin Chem 2016; 62:458-65. [DOI: 10.1373/clinchem.2015.250282] [Citation(s) in RCA: 51] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2015] [Accepted: 12/11/2015] [Indexed: 12/31/2022]
Abstract
Abstract
BACKGROUND
More than 70 million couples worldwide are affected by infertility, with male-factor infertility accounting for about half of the cases. Semen analysis is critical for determining male fertility potential, but conventional testing is costly and complex. Here, we demonstrate a paper-based microfluidic approach to quantify male fertility potential, simultaneously measuring 3 critical semen parameters in 10 min: live and motile sperm concentrations and sperm motility.
METHODS
The device measures the colorimetric change of yellow tetrazolium dye to purple formazan by the diaphorase flavoprotein enzyme present in metabolically active human sperm to quantify live and motile sperm concentration. Sperm motility was determined as the ratio of motile to live sperm. We assessed the performance of the device by use of clinical semen samples, in parallel with standard clinical approaches.
RESULTS
Detection limits of 8.46 and 15.18 million/mL were achieved for live and motile sperm concentrations, respectively. The live and motile sperm concentrations and motility values from our device correlated with those of the standard clinical approaches (R2 ≥ 0.84). In all cases, our device provided 100% agreement in terms of clinical outcome. The device was also robust and could tolerate conditions of high absolute humidity (22.8 g/m3) up to 16 weeks when packaged with desiccant.
CONCLUSIONS
Our device outperforms existing commercial paper-based assays by quantitatively measuring live and motile sperm concentrations and motility, in only 10 min. This approach is applicable to current clinical practices as well as self-diagnostic applications.
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Affiliation(s)
- Reza Nosrati
- Department of Mechanical and Industrial Engineering, University of Toronto, Toronto, Ontario, Canada
| | - Max M Gong
- Department of Mechanical and Industrial Engineering, University of Toronto, Toronto, Ontario, Canada
| | - Maria C San Gabriel
- Urology Research Laboratory, Department of Surgery, McGill University and Research Institute, McGill University Health Centre, Montreal, Quebec, Canada
| | - Claudio E Pedraza
- Urology Research Laboratory, Department of Surgery, McGill University and Research Institute, McGill University Health Centre, Montreal, Quebec, Canada
| | - Armand Zini
- Urology Research Laboratory, Department of Surgery, McGill University and Research Institute, McGill University Health Centre, Montreal, Quebec, Canada
| | - David Sinton
- Department of Mechanical and Industrial Engineering, University of Toronto, Toronto, Ontario, Canada
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23
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Liu C, Liao SC, Song J, Mauk MG, Li X, Wu G, Ge D, Greenberg RM, Yang S, Bau HH. A high-efficiency superhydrophobic plasma separator. LAB ON A CHIP 2016; 16:553-60. [PMID: 26732765 PMCID: PMC4729584 DOI: 10.1039/c5lc01235j] [Citation(s) in RCA: 75] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
To meet stringent limit-of-detection specifications for low abundance target molecules, a relatively large volume of plasma is needed for many blood-based clinical diagnostics. Conventional centrifugation methods for plasma separation are not suitable for on-site testing or bedside diagnostics. Here, we report a simple, yet high-efficiency, clamshell-style, superhydrophobic plasma separator that is capable of separating a relatively large volume of plasma from several hundred microliters of whole blood (finger-prick blood volume). The plasma separator consists of a superhydrophobic top cover with a separation membrane and a superhydrophobic bottom substrate. Unlike previously reported membrane-based plasma separators, the separation membrane in our device is positioned at the top of the sandwiched whole blood film to increase the membrane separation capacity and plasma yield. In addition, the device's superhydrophobic characteristics (i) facilitates the formation of well-defined, contracted, thin blood film with a high contact angle; (ii) minimizes biomolecular adhesion to surfaces; (iii) increases blood clotting time; and (iv) reduces blood cell hemolysis. The device demonstrated a "blood in-plasma out" capability, consistently extracting 65 ± 21.5 μL of plasma from 200 μL of whole blood in less than 10 min without electrical power. The device was used to separate plasma from Schistosoma mansoni genomic DNA-spiked whole blood with a recovery efficiency of >84.5 ± 25.8%. The S. mansoni genomic DNA in the separated plasma was successfully tested on our custom-made microfluidic chip by using loop mediated isothermal amplification (LAMP) method.
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Affiliation(s)
- Changchun Liu
- Department of Mechanical Engineering and Applied Mechanics, University of Pennsylvania, 210 Towne Building, 220 South 33rd St, Philadelphia, Pennsylvania 19104-6315, USA.
| | - Shih-Chuan Liao
- Department of Mechanical Engineering and Applied Mechanics, University of Pennsylvania, 210 Towne Building, 220 South 33rd St, Philadelphia, Pennsylvania 19104-6315, USA. and Department of Biomechatronics Engineering, National Pingtung University of Science and Technology, Pingtung 912, Taiwan, Republic of China
| | - Jinzhao Song
- Department of Mechanical Engineering and Applied Mechanics, University of Pennsylvania, 210 Towne Building, 220 South 33rd St, Philadelphia, Pennsylvania 19104-6315, USA.
| | - Michael G Mauk
- Department of Mechanical Engineering and Applied Mechanics, University of Pennsylvania, 210 Towne Building, 220 South 33rd St, Philadelphia, Pennsylvania 19104-6315, USA.
| | - Xuanwen Li
- Institute for Translational Medicine and Therapeutics, Perelman School of Medicine, USA
| | - Gaoxiang Wu
- Department of Materials Science and Engineering, 3231 Walnut Street, Philadelphia, PA 19104, USA
| | - Dengteng Ge
- Department of Materials Science and Engineering, 3231 Walnut Street, Philadelphia, PA 19104, USA
| | - Robert M Greenberg
- Department of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
| | - Shu Yang
- Department of Materials Science and Engineering, 3231 Walnut Street, Philadelphia, PA 19104, USA
| | - Haim H Bau
- Department of Mechanical Engineering and Applied Mechanics, University of Pennsylvania, 210 Towne Building, 220 South 33rd St, Philadelphia, Pennsylvania 19104-6315, USA.
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24
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Abstract
Fast and reliable diagnoses are invaluable in clinical care. Samples (e.g., blood, urine, and saliva) are collected and analyzed for various biomarkers to quickly and sensitively assess disease progression, monitor response to treatment, and determine a patient's prognosis. Processing conventional samples entails many manual time-consuming steps. Consequently, clinical specimens must be processed by skilled technicians before antigens or nucleic acids are detected, and these are often present at dilute concentrations. Recently, several automated microchip technologies have been developed that potentially offer many advantages over traditional bench-top extraction methods. The smaller length scales and more refined transport mechanisms that characterize these microfluidic devices enable faster and more efficient biomarker enrichment and extraction. Additionally, they can be designed to perform multiple tests or experimental steps on one integrated, automated platform. This review explores the current research on microfluidic methods of sample preparation that are designed to aid diagnosis, and covers a broad spectrum of extraction techniques and designs for various types of samples and analytes.
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Affiliation(s)
- Francis Cui
- Center for Biomedical Engineering, School of Engineering, Brown University, Providence, Rhode Island 02912;
| | - Minsoung Rhee
- Sandia National Laboratories, Livermore, California 94551-0969
| | - Anup Singh
- Sandia National Laboratories, Livermore, California 94551-0969
| | - Anubhav Tripathi
- Center for Biomedical Engineering, School of Engineering, Brown University, Providence, Rhode Island 02912;
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25
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Zhang L, Fu Y, Jing W, Xu Q, Zhao W, Feng M, Tachibana H, Sui G, Cheng X. Rapid microfluidic immunoassay for surveillance and diagnosis of Cryptosporidium infection in human immunodeficiency virus-infected patients. BIOMICROFLUIDICS 2015; 9:024114. [PMID: 25945140 PMCID: PMC4401809 DOI: 10.1063/1.4916229] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/28/2015] [Accepted: 03/15/2015] [Indexed: 05/04/2023]
Abstract
Cryptosporidiosis has been reported to be associated with HIV/acquired immune deficiency syndrome, which greatly reduces the quality of life and shortens the life expectancy of HIV-infected patients. In order to properly treat the infected patients, accurate and automatic diagnostic tools need to be developed. In this study, a novel microfluidic immunochip system was presented for the surveillance and the rapid detection of Cryptosporidium infection in 190 HIV-infected patients from Guangxi, China, using the P23 antigen of Cryptosporidium. The procedure of detection can be completed within 10 min with 2 μl sample consumption. The system also was evaluated using the standard ELISA method. Among 190 HIV-infected individuals, the rate of P23 positivity was 13.7%. Seropositivity in HIV-infected individuals was higher in female patients. The seropositivity to P23 was higher in HIV-infected individuals with high viral load, although the difference was statistically insignificant. Significantly higher Cryptosporidium seropositivity was observed in HIV-infected individuals with a CD4(+) T-cell count of <200 cells/μl than in those with ≥200 cells/μl. Our results also demonstrate that a lower CD4(+) T-cell count may reflect an increased accumulated risk for cryptosporidiosis. The detection system was further validated using the standard ELISA method and good correlation between the two methods was found (r = 0.80). Under the same sensitivity, this new microfluidic chip device had a specificity of 98.2%. This developed system may provide a powerful platform for the fast screening of Cryptospordium infection in HIV-infected patients.
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Affiliation(s)
- Li Zhang
- Department of Medical Microbiology and Parasitology, Shanghai Medical College of Fudan University , Shanghai, China
| | - Yongfeng Fu
- Department of Medical Microbiology and Parasitology, Shanghai Medical College of Fudan University , Shanghai, China
| | - Wenwen Jing
- Department of Medical Microbiology and Parasitology, Shanghai Medical College of Fudan University , Shanghai, China
| | - Qing Xu
- Department of Medical Microbiology and Parasitology, Shanghai Medical College of Fudan University , Shanghai, China
| | - Wang Zhao
- Shanghai Key Laboratory of Atmospheric Particle Pollution Prevention (LAP3), Department of Environment Science and Engineering, Fudan University , Shanghai, China
| | - Meng Feng
- Department of Medical Microbiology and Parasitology, Shanghai Medical College of Fudan University , Shanghai, China
| | - Hiroshi Tachibana
- Department of Infectious Diseases, Tokai University School of Medicine , Isehara, Kanagawa, Japan
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26
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Tomaiuolo G. Biomechanical properties of red blood cells in health and disease towards microfluidics. BIOMICROFLUIDICS 2014; 8:051501. [PMID: 25332724 PMCID: PMC4189537 DOI: 10.1063/1.4895755] [Citation(s) in RCA: 197] [Impact Index Per Article: 19.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2014] [Accepted: 09/03/2014] [Indexed: 05/04/2023]
Abstract
Red blood cells (RBCs) possess a unique capacity for undergoing cellular deformation to navigate across various human microcirculation vessels, enabling them to pass through capillaries that are smaller than their diameter and to carry out their role as gas carriers between blood and tissues. Since there is growing evidence that red blood cell deformability is impaired in some pathological conditions, measurement of RBC deformability has been the focus of numerous studies over the past decades. Nevertheless, reports on healthy and pathological RBCs are currently limited and, in many cases, are not expressed in terms of well-defined cell membrane parameters such as elasticity and viscosity. Hence, it is often difficult to integrate these results into the basic understanding of RBC behaviour, as well as into clinical applications. The aim of this review is to summarize currently available reports on RBC deformability and to highlight its association with various human diseases such as hereditary disorders (e.g., spherocytosis, elliptocytosis, ovalocytosis, and stomatocytosis), metabolic disorders (e.g., diabetes, hypercholesterolemia, obesity), adenosine triphosphate-induced membrane changes, oxidative stress, and paroxysmal nocturnal hemoglobinuria. Microfluidic techniques have been identified as the key to develop state-of-the-art dynamic experimental models for elucidating the significance of RBC membrane alterations in pathological conditions and the role that such alterations play in the microvasculature flow dynamics.
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Affiliation(s)
- Giovanna Tomaiuolo
- Dipartimento di Ingegneria Chimica, dei Materiali e della Produzione Industriale, Università di Napoli Federico II , Piazzale Tecchio 80, Napoli 80125, Italy and CEINGE Biotecnologie Avanzate , Via Gaetano Salvatore 486, Napoli 80145, Italy
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27
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Gong MM, MacDonald BD, Nguyen TV, Van Nguyen K, Sinton D. Lab-in-a-pen: a diagnostics format familiar to patients for low-resource settings. LAB ON A CHIP 2014; 14:957-63. [PMID: 24406870 DOI: 10.1039/c3lc51185e] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
We present a low cost, simple and integrated device for medical diagnostics in low-resource settings called the lab-in-a-pen. Finger pricking, and sample collection and processing, are integrated with commercially available paper-based assays in a pen format. This approach ensures safety (i.e. biological sample and sharps containment) and can be used by untrained end users across multiple settings. The pen format also leverages existing low cost, high volume manufacturing and assembly methods. We characterize sample wicking in the lab-in-a-pen using porcine whole blood. The clinical diagnostic utility and usability of the lab-in-a-pen is established by testing of patients for Hepatitis B surface antigen (HBsAg) and Hepatitis B 'e' antigen (HBeAg) by medical staff at the National Hospital for Tropical Diseases in Hanoi, Vietnam.
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Affiliation(s)
- Max M Gong
- Department of Mechanical and Industrial Engineering, University of Toronto, 5 King's College Road, Toronto, Ontario, Canada M5S 3G8.
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28
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Abstract
Point-of-care applications are gaining increasing interest in clinical diagnostics and emergency applications. Biosensors are used to monitor the biomolecular interaction process between a disease biomarker and a recognition element such as a reagent. Essential are the quality and selectivity of the recognition elements and assay types used to improve sensitivity and to avoid nonspecific interactions. In addition, quality measures are influenced by the detection principle and the evaluation strategies. For these reasons, this review provides a survey and validation of recognition elements, assays, and various types of detection methods for point-of-care testing (POCT) platforms. Common applications of clinical parameters are discussed and considered. In this ever-changing field, a snapshot of current applications is needed. We provide such a snapshot by way of a table including literature citations and also discuss these applications in more detail throughout.
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Affiliation(s)
- Günter Gauglitz
- Institute of Physical and Theoretical Chemistry, University of Tuebingen, D-72076 Tuebingen, Germany;
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Jun Kang Y, Yeom E, Lee SJ. A microfluidic device for simultaneous measurement of viscosity and flow rate of blood in a complex fluidic network. BIOMICROFLUIDICS 2013; 7:54111. [PMID: 24404074 PMCID: PMC3799722 DOI: 10.1063/1.4823586] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2013] [Accepted: 09/16/2013] [Indexed: 05/07/2023]
Abstract
Blood viscosity has been considered as one of important biophysical parameters for effectively monitoring variations in physiological and pathological conditions of circulatory disorders. Standard previous methods make it difficult to evaluate variations of blood viscosity under cardiopulmonary bypass procedures or hemodialysis. In this study, we proposed a unique microfluidic device for simultaneously measuring viscosity and flow rate of whole blood circulating in a complex fluidic network including a rat, a reservoir, a pinch valve, and a peristaltic pump. To demonstrate the proposed method, a twin-shaped microfluidic device, which is composed of two half-circular chambers, two side channels with multiple indicating channels, and one bridge channel, was carefully designed. Based on the microfluidic device, three sequential flow controls were applied to identify viscosity and flow rate of blood, with label-free and sensorless detection. The half-circular chamber was employed to achieve mechanical membrane compliance for flow stabilization in the microfluidic device. To quantify the effect of flow stabilization on flow fluctuations, a formula of pulsation index (PI) was analytically derived using a discrete fluidic circuit model. Using the PI formula, the time constant contributed by the half-circular chamber is estimated to be 8 s. Furthermore, flow fluctuations resulting from the peristaltic pumps are completely removed, especially under periodic flow conditions within short periods (T < 10 s). For performance demonstrations, the proposed method was applied to evaluate blood viscosity with respect to varying flow rate conditions [(a) known blood flow rate via a syringe pump, (b) unknown blood flow rate via a peristaltic pump]. As a result, the flow rate and viscosity of blood can be simultaneously measured with satisfactory accuracy. In addition, the proposed method was successfully applied to identify the viscosity of rat blood, which circulates in a complex fluidic network. These observations confirm that the proposed method can be used for simultaneous measurement of viscosity and flow rate of whole blood circulating in the complex fluid network, with sensorless and label-free detection. Furthermore, the proposed method will be used in evaluating variations in the viscosity of human blood during cardiopulmonary bypass procedures or hemodialysis.
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Affiliation(s)
- Yang Jun Kang
- Center for Biofluid and Biomimic Research, Pohang University of Science and Technology, Pohang, South Korea
| | - Eunseop Yeom
- Department of Mechanical Engineering, Pohang University of Science and Technology, Pohang, South Korea
| | - Sang-Joon Lee
- Center for Biofluid and Biomimic Research, Pohang University of Science and Technology, Pohang, South Korea ; Department of Mechanical Engineering, Pohang University of Science and Technology, Pohang, South Korea
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