Abstract

The outbreak of Zika virus (ZIKV) has posed a great challenge to public health in recent years. To address the urgent need of ZIKV RNA assays, we integrate the microfluidic chip embedded with chitosan-modified silicon dioxide capillaries, smartphone-based detection unit to be a C3-system for the rapid extraction and detection of ZIKV RNA. The C3-system is characterized by: (1) four chitosan-modified silicon dioxide capillaries integrated in the microfluidic chip for target ZIKV RNA enrichment and “in situ PCR” (polymerase chain reaction) amplification; (2) smartphone-based point of care (POC) device consisting of a pneumatic subsystem for controlling the nucleic acid extraction processes in the microfluidic chip, a heating subsystem for sample lysis and PCR amplification, and an optical subsystem for signal acquisition. The entire detection processes including sample lysis, ZIKV RNA enrichment, and reverse-transcription polymerase chain reaction (RT-PCR) is achieved in the microfluidic chip. Moreover, PCR buffers can be directly loaded into the chitosan-modified silicon dioxide capillaries for “in situ PCR”, in which the captured ZIKV RNA is directly used for downstream PCR without any loss. ZIKV RNA extracted by the C3-system can be successfully recovered at very low concentrations of 50 transducing units (TU)/mL from crude human saliva. This means that our method of detecting viremia in patients infected with ZIKV is reliable.

Highlights

  • Zika virus (ZIKV) is a positive-sense single-stranded rLaKatKhneCgCrmthuairnmthoedFelrecuonnsdildicehrsisthoatht einrmtermacotido(e1nl) between adsorbed species (RNA) virus, a member of the family flaviviridae, genus flavivirus [1]

  • Though infected mosquitoes are the main disseminators for the transmission of ZIKV infections, the ZIKV gene can be detected in blood, saliva, urine or semen, indicating multiple potential routes of person-to-person transmission [4,5,6]

  • To solve the above problems, we developed a chitosan-modified capillary assist, microfluidic-based in situ PCR method for the rapid extraction and detection of ZIKV RNA in the study

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Summary

Introduction

Zika virus (ZIKV) is a positive-sense single-stranded RNA virus, a member of the family flaviviridae, genus flavivirus [1]. According to the Centers for Disease Control and Prevention (CDC), 80% of cases of ZIKV-infected individuals are asymptomatic [2], while the symptoms in other cases are mild and nonspecific, including fever, rash, joint pain, conjunctivitis, myalgia, and headache [3]. It means that no symptom is unique for ZIKV infection, making differential diagnosis even more challenging. Though infected mosquitoes are the main disseminators for the transmission of ZIKV infections, the ZIKV gene can be detected in blood, saliva, urine or semen, indicating multiple potential routes of person-to-person transmission [4,5,6]. ZIKV transmits through multiple ways and mostly spreads in resource-limiting areas urging an inexpensive, continent, and accurate method for ZIKV diagnose

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