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A handheld HIV detection platform using paper-based sample preparation and real-time isothermal amplification.

George Adedokun1, Gurjit Sidhu2, Morteza Alipanah1

  • 1Interdisciplinary Microsystems Group, Department of Mechanical & Aerospace Engineering, University of Florida, Gainesville, FL, 32611, USA.

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|November 29, 2024
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Summary

A new, low-cost platform enables early human immunodeficiency virus (HIV) diagnosis at the point-of-care. This portable device integrates nucleic acid extraction and amplification for rapid HIV detection without lab infrastructure.

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Area of Science:

  • Biomedical Engineering
  • Infectious Disease Diagnostics
  • Point-of-Care Testing

Background:

  • Accurate human immunodeficiency virus (HIV) diagnosis is crucial for effective antiretroviral therapy (ART) and infection control.
  • Conventional nucleic acid tests for HIV require specialized laboratory equipment and trained staff, limiting their use in resource-limited settings and at the point-of-care (POC).

Purpose of the Study:

  • To develop an affordable, integrated platform for POC HIV testing.
  • To enable rapid and accurate detection of HIV nucleic acid without reliance on laboratory infrastructure.

Main Methods:

  • Development of a portable, battery-powered device integrating paper-based nucleic acid extraction and reverse transcription loop-mediated isothermal amplification (RT-LAMP).
  • Real-time detection assay designed for POC use, requiring no external power outlets.
  • Validation using spiked and clinical samples, compared against standard polymerase chain reaction (PCR) assays.

Main Results:

  • The platform achieved a detection limit of 30 copies/mL HIV RNA in serum.
  • Demonstrated high sensitivity with 4 copies/reaction using 50 μL serum.
  • Showed no cross-reactivity with hepatitis C virus (HCV) and was validated against PCR methods.

Conclusions:

  • The developed integrated platform is feasible for POC HIV testing.
  • This technology offers a low-cost, accessible solution for early HIV diagnosis in diverse settings.
  • The system bypasses the need for traditional laboratory infrastructure, enhancing POC diagnostic capabilities.