1. Paper-Based RNA Extraction, in Situ Isothermal Amplification, and Lateral Flow Detection for Low-Cost, Rapid Diagnosis of Influenza A (H1N1) from Clinical Specimens.
- Author
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Rodriguez NM, Linnes JC, Fan A, Ellenson CK, Pollock NR, and Klapperich CM
- Subjects
- Humans, Influenza A Virus, H1N1 Subtype chemistry, Influenza A Virus, H1N1 Subtype isolation & purification, Limit of Detection, Paper, Point-of-Care Systems, RNA chemistry, Genetic Techniques economics, Genetic Techniques instrumentation, Genetic Techniques standards, Influenza A Virus, H1N1 Subtype genetics, Influenza, Human diagnosis, RNA genetics
- Abstract
The 2009 Influenza A (H1N1) pandemic disproportionately affected the developing world and highlighted the key inadequacies of traditional diagnostic methods that make them unsuitable for use in resource-limited settings, from expensive equipment and infrastructure requirements to unacceptably long turnaround times. While rapid immunoassay diagnostic tests were much less costly and more context-appropriate, they suffered from drastically low sensitivities and high false negative rates. An accurate, sensitive, and specific molecular diagnostic that is also rapid, low-cost, and independent of laboratory infrastructure is needed for effective point-of-care detection and epidemiological control in these developing regions. We developed a paper-based assay that allows for the extraction and purification of RNA directly from human clinical nasopharyngeal specimens through a poly(ether sulfone) paper matrix, H1N1-specific in situ isothermal amplification directly within the same paper matrix, and immediate visual detection on lateral flow strips. The complete sample-to-answer assay can be performed at the point-of-care in just 45 min, without the need for expensive equipment or laboratory infrastructure, and it has a clinically relevant viral load detection limit of 10(6) copies/mL, offering a 10-fold improvement over current rapid immunoassays.
- Published
- 2015
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