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Feasibility of a point-of-care test based on quantum dots with a mobile phone reader for detection of antibody responses

DOI:10.1371/journal.pntd.0007746 期刊:PLOS Neglected Tropical Diseases 出版年份:2019 更新时间:2025-09-16 10:30:52
摘要: We developed a novel and portable fluorescent sensor that integrates a lateral flow assay with a quantum dot (Qdots) label and a mobile phone reader for detection of specific antibodies in human serum. We evaluated the utility of this assay to test for antibodies to the Taenia solium rT24H antigen. It was a retrospective study by examining 112 positive human sera from patients with neurocysticercosis (NCC) including samples from patients with single viable cyst (n = 18), two or more viable cysts (n = 71), and subarachnoid (racemose) cysts (n = 23). These samples were collected from previous study subjects in Lima, Peru that conducted under an approved study protocol in Peru. The sera were made anonymous under a protocol approved by the CDC Institutional Review Board. Definitive diagnosis of the specimen was established by computed-tomography and/or magnetic resonance imaging. To test the specificity of the assay, we evaluated a panel of serum samples obtained from patients with other infections (n = 24), and serum samples from persons in the United States and Egypt who had not traveled outside their country, and therefore are presumed negative for cysticercosis (n = 128). The assay specificity in the negative panel was 99% (95–100%) while assay sensitivity was 89% (79–95%) in NCC patients with two or more viable cysts. Our assay has performance characteristics similar to those of traditional platforms for the detection of NCC and shows promise as a mobile phone reader-based point-of-care test for antibody detection.
作者: Chan Lee,Sukwan Handali,John Noh,Seth E. O’Neal,Armando E. Gonzalez,Hector H. Garcia
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To develop a novel and portable fluorescent sensor that integrates a lateral flow assay with a quantum dot (Qdots) label and a mobile phone reader for detection of specific antibodies in human serum, specifically for antibodies to the Taenia solium rT24H antigen.

The developed POC test based on a combination of rT24H antigen and Qdots for antibody detection has similar performance to that of other assays for NCC. It demonstrates the feasibility for this test format and the potential use of mobile readers for qualitative reading of POC tests, opening the way for point of care diagnosis in cysticercosis control programs.

The sensitivity of the assay was lower for the category of single viable cyst (44%) compared to two or more viable cysts (89%). The test may need further optimization for use as a screening tool for NCC.

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