Sample-to-answer palm-sized nucleic acid testing device towards low-cost malaria mass screening.

Sample-to-answer palm-sized nucleic acid testing device towards low-cost malaria mass screening.
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DOI:
10.1016/j.bios.2018.05.019
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发表时间:
2018-09-15
影响因子:
12.6
通讯作者:
Guan W
Guan W
中科院分区:
工程技术1区
文献类型:
--
作者:
Choi G;Prince T;Miao J;Cui L;Guan W

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The effectiveness of malaria screening and treatment highly depends on the low-cost access to the highly sensitive and specific malaria test. We report a real-time fluorescence nucleic acid testing device for malaria field detection with automated and scalable sample preparation capability. The device consists a compact analyzer and a disposable microfluidic reagent compact disc. The parasite DNA sample preparation and subsequent real-time LAMP detection were seamlessly integrated on a single microfluidic compact disc, driven by energy efficient non-centrifuge based magnetic field interactions. Each disc contains four parallel testing units which could be configured either as four identical tests or as four species-specific tests. When configured as species-specific tests, it could identify two of the most life-threatening malaria species (P. falciparum and P. vivax). The NAT device is capable of processing four samples simultaneously within 50 min turnaround time. It achieves a detection limit of ~0.5 parasites/μl for whole blood, sufficient for detecting asymptomatic parasite carriers. The combination of the sensitivity, specificity, cost, and scalable sample preparation suggests the real-time fluorescence LAMP device could be particularly useful for malaria screening in the field settings.
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