Lab on a chip point of care assay for the rapid serodiagnosis of Lyme disease

描述：由伯氏疏螺旋体引起的莱姆病(LD)会影响皮肤、心脏、关节或神经系统，导致一系列基本上非特异性的症状，这些症状与其他令人衰弱的疾病的症状重叠。疾病进展可能导致预后不良的疾病的发展，如抗生素难治性关节炎或治疗后莱姆病综合征(PTLDS)。早期诊断和治疗是改善疾病结局的关键。目前的检测方法不区分疾病的早期和晚期，也不能预测预后。我们建议使用超灵敏的微流控技术开发第一个用于莱姆病血清诊断的芯片上实验室(POC)定量快速检测方法。拟议的POC测试将在一次测试中提供对早期和晚期莱姆病的敏感和明确的检测和区分。它是一种多功能和信息量丰富的第一级检测方法，可以发展成取代目前的双血清两级检测标准 关爱。

DESCRIPTION: Caused by Borrelia burgdorferi, Lyme disease (LD) can affect the skin, heart, joints or nervous system leading to an array of largely non-specific symptoms that overlap with those of other debilitating illnesses. Disease progression can lead to development of conditions with unfavorable prognosis such as antibiotic-refractory arthritis or Post- Treatment Lyme disease Syndrome (PTLDS). Early diagnosis and treatment is key to improving disease outcomes. Current assays do not discriminate between early and late stages of the disease and cannot predict prognosis. We propose to use ultrasensitive microfluidics technology to develop the first quantitative rapid lab-on-a-chip point of care (POC) assay for the serodiagnosis of Lyme disease. The proposed POC test will provide sensitive and definitive detection and differentiation of early- and late- stage Lyme disease in a single test. It is a versatile and informative first-tier assay which can evolve to replace the current bi-serologic two-tier standard of care.