Abstract

Point of Care (PoC) diagnostics have been the subject of considerable research over the last few decades driven by the pressure to detect diseases quickly and effectively and reduce healthcare costs. Herein, we demonstrate a novel, fully integrated, microfluidic amperometric enzyme-linked immunosorbent assay (ELISA) prototype using a commercial interferon gamma release assay (IGRA) as a model antibody binding system. Microfluidic assay chemistry was engineered to take place on Au-plated electrodes within an assay cell on a printed circuit board (PCB)-based biosensor system. The assay cell is linked to an electrochemical reporter cell comprising microfluidic architecture, Au working and counter electrodes and a Ag/AgCl reference electrode, all manufactured exclusively via standard commercial PCB fabrication processes. Assay chemistry has been optimised for microfluidic diffusion kinetics to function under continual flow. We characterised the electrode integrity of the developed platforms with reference to biological sampling and buffer composition and subsequently we demonstrated concentration-dependent measurements of H2O2 depletion as resolved by existing FDA-validated ELISA kits. Finally, we validated the assay technology in both buffer and serum and demonstrate limits of detection comparable to high-end commercial systems with the addition of full microfluidic assay architecture capable of returning diagnostic analyses in approximately eight minutes.

Highlights

  • Biomarker analysis is one of the cornerstones of medical evaluation and Point of Care (PoC) diagnostics have demonstrated the potential to become fundamental medical tools when rapid, sensitive, and user-friendly biomarker analysis in non-laboratory environments is required

  • This could result in a requirement for further assay optimisation in order to integrate with true PoC field systems

  • We demonstrate a complete LoPCB biosensor platform with bespoke in-line assay cells, electrochemical cells and full microfluidic architecture that significantly builds on previous, proof-of-concept static LoPCB platforms [48,49,50,51]

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Summary

Introduction

Biomarker analysis is one of the cornerstones of medical evaluation and PoC diagnostics have demonstrated the potential to become fundamental medical tools when rapid, sensitive, and user-friendly biomarker analysis in non-laboratory environments is required. Molecular components of assay technology are often developed for electrochemical reporter systems using expensive high quality electrodes able to function with a far higher sensitivity than, for example, the basic elemental surfaces we employ . This could result in a requirement for further assay optimisation in order to integrate with true PoC field systems. The aim to develop kits capable of detecting and processing bio-information on-chip in the most cost- and space-effective manner still remains a challenge [9,24]

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