1. A dye-assisted paper-based point-of-care assay for fast and reliable blood grouping
- Author
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Xiang Yang, Yuanfeng Zhu, Yong-Jun Yang, Yurui Zou, Yang Luo, Lingyun Zou, Ke Yang, Yang Zhou, Yanyao Ye, Chao Qi, Hong Zhang, and Xiaopei Qiu
- Subjects
Paper ,Point-of-Care Systems ,02 engineering and technology ,Biology ,01 natural sciences ,chemistry.chemical_compound ,ABO blood group system ,Humans ,Coloring Agents ,Whole blood ,Point of care ,Reproducibility ,Bromocresol green ,Chromatography ,010401 analytical chemistry ,Reproducibility of Results ,General Medicine ,Paper based ,021001 nanoscience & nanotechnology ,Molecular biology ,0104 chemical sciences ,Specific antibody ,Blood grouping ,Blood Grouping and Crossmatching ,chemistry ,Spectrophotometry ,Feasibility Studies ,Fluorescein ,Indicators and Reagents ,0210 nano-technology - Abstract
Fast and simultaneous forward and reverse blood grouping has long remained elusive. Forward blood grouping detects antigens on red blood cells, whereas reverse grouping identifies specific antibodies present in plasma. We developed a paper-based assay using immobilized antibodies and bromocresol green dye for rapid and reliable blood grouping, where dye-assisted color changes corresponding to distinct blood components provide a visual readout. ABO antigens and five major Rhesus antigens could be detected within 30 s, and simultaneous forward and reverse ABO blood grouping using small volumes (100 μl) of whole blood was achieved within 2 min through on-chip plasma separation without centrifugation. A machine-learning method was developed to classify the spectral plots corresponding to dye-based color changes, which enabled reproducible automatic grouping. Using optimized operating parameters, the dye-assisted paper assay exhibited comparable accuracy and reproducibility to the classical gel-card assays in grouping 3550 human blood samples. When translated to the assembly line and low-cost manufacturing, the proposed approach may be developed into a cost-effective and robust universal blood-grouping platform.
- Published
- 2017
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