Lateral flow immunoassays (LFIAs or LFAs) have become indispensable in point-of-care medical diagnostics, but improving their sensitivity remains a critical challenge. In this work, we present a strategy to enhance LFA sensitivity by introducing novel oxidative coupling-based chromogenic substrates for horseradish peroxidase (HRP)-based enzymatic sensitivity enhancement. Motivated by the requirement for more sensitive and cost-effective LFAs, we developed substrates inspired by the chemistry of permanent oxidative hair dyes. These substrates consist of two components: a primary intermediate and a coupler that undergo an oxidative coupling reaction in the presence of H2O2, catalyzed by HRP, to generate an intensely colored dye. LFAs employing these substrates outperformed conventional substrates (3,3′-diaminobenzidine (DAB) and 3,3′,5,5′-tetramethylbenzidine (TMB)) and achieved an unprecedented sub-ng/mL limit of detection (LoD) for human IgG as a model analyte. LFAs employing these novel substrates could detect human IgG at 0.16 ng/mL (1.07 pM), significantly surpassing reported sensitivities in the literature. These LFAs also exhibit over 40 times improved sensitivity compared to standard gold nanoparticle-based LFAs. Moreover, these substrates are about 10,000X more cost-effective than their conventional counterparts, thus making them a compelling choice for point-of-care diagnostics in low-resource settings.
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