Chao-Min Cheng

Paper-Based ELISA†

This paper describes enzyme-linked immunosorbent assays (ELISA) performed in a 96-microzone plate fabricated in paper (paper-based ELISA, or P-ELISA). ELISA is widely used in biochemical analyses; these assays are typically carried out in microtiter plates or small vials. 2] ELISA combines the specificity of antibodies with high-turnover catalysis by enzymes to provide specificity and sensitivity. We have recently described a 96-microzone paper plate— fabricated by patterning hydrophobic polymer in hydrophilic paper—as a platform for biochemical analysis. Although microfluidic paper-based analytical devices (mPADs) were designed primarily to provide analytical capability at low cost in developing countries, we expect that they will also be useful in applications such as point-of-care clinical analysis, military and humanitarian aid field operations, and others where high throughput, low volumes of sample, low cost, and robustness are important. These devices have so far been prototyped using analyses of simple analytes: glucose, total protein, and certain enzymes. P-ELISA combines the sensitivity and specificity of ELISA with the convenience, low cost and ease-of-use of paper-based platforms; P-ELISA (at it current state of development) is faster and less expensive than conventional ELISA, but somewhat less sensitive. Porous membranes, including nitrocellulose and filter paper, have been used for decades in dot-immunobinding assays (DIA). Though DIAs are the simplest form of immunoassays on paper, they typically require one piece of nitrocellulose for each assay; the pieces of nitrocellulose have to be processed individually in Petri dishes, and the assays take several hours to complete. Quantitative DIAs have been reported, but DIAs are typically qualitative, and provide only “yes/no” results. Conventional ELISA, usually performed in 96-well plates (fabricated by injection molding in plastic), is quantitative and well-suited for highthroughput assays, but each assay requires large volumes (ca. 20–200 mL) of analyte and reagents, the time required for incubation and blocking steps are long ( 1 h per step, because the reagents must diffuse to the surface of the wells), and the results are usually quantified using a plate reader, typically a

Recent advances in low-cost microfluidic platforms for diagnostic applications

20 000 instrument. Paper microzone plates for ELISA can have the same layout as plastic 96-well plates, but each test zone requires only about 3 mL of sample, and the results can be measured using a desktop scanner, typically a

Composite polymer systems with control of local substrate elasticity and their effect on cytoskeletal and morphological characteristics of adherent cells.

100 instrument. In addition, an entire P-ELISA can be completed in less than one hour. The ease of fabrication of paper microzone plates also opens opportunities for a wide range of non-standard formats, and customized connections to carry reagents between zones. To evaluate the feasibility of P-ELISA, and the potential advantages and disadvantages of P-ELISA and 96-well-plate-based ELISA, we adapted a standard procedure to our format and then demonstrated an indirect P-ELISA using rabbit IgG as a model analyte. We also established that P-ELISA can be used to detect and quantify antibodies to the HIV-1 envelope antigen gp41 in human serum using an anti-human IgG antibody conjugated to alkaline phosphatase (ALP) to produce a colorimetric readout. We used a 96-microzone paper plate with an array (12 8) of circular test zones for running multiple P-ELISAs in parallel (Figure 1A); the Supporting Information describes the details. The array was designed to have the same layout and dimensions as a standard plastic 96-well plate, so that it would be compatible with existing microanalytical infrastructure (eightor twelve-channel pipettes and plate readers). Each test zone was 5 mm in diameter and required 3 mL of solution to fill (e.g., to wet completely with fluid); this design was a good compromise between convenience and conservation of reagents, as it reduced the amount of reagents and sample required for the assay but ensured accurate distribution of fluids when using a manual pipette. We also examined smaller test zones, with the smallest test zone requiring 0.5 mL of solution to fill (e.g., to wet completely). This size is similar to that required in a 384-well plate format. The top and bottom faces of the test zones in papermicrozone plates are open to atmosphere. The advantage of this configuration is that the zones can be washed by adding a washing buffer to the top of the zone while pressing the bottom of the zone against a piece of blotting paper. The washing buffer goes through the test zone vertically and into [*] Dr. C.-M. Cheng, Dr. A. W. Martinez, Dr. J. Gong, Dr. C. R. Mace, Prof. S. T. Phillips, Prof. E. Carrilho, K. A. Mirica, Prof. G. M. Whitesides Department of Chemistry and Chemical Biology Harvard University Cambridge, MA 02138 (USA) E-mail: gwhitesides@gmwgroup.harvard.edu Homepage: http://gmwgroup.harvard.edu

Defining the role of syndecan-4 in mechanotransduction using surface-modification approaches

The use of inexpensive materials and cost‐effective manufacturing processes for mass production of microfluidic devices is very attractive and has spurred a variety of approaches. Such devices are particularly suited for diagnostic applications in limited resource settings. This review describes the recent and remarkable advances in the use of low‐cost substrates for the development of microfluidic devices for diagnostics and clinical assays. Thus, a plethora of new and improved fabrication methods, designs, capabilities, detections, and applications of microfluidic devices fabricated with paper, plastic, and threads are covered.

Understanding Sensory Nerve Mechanotransduction through Localized Elastomeric Matrix Control

At the interface between extracellular substrates and biological materials, substrate elasticity strongly influences cell morphology and function. The associated biological ramifications comprise a diversity of critical responses including apoptosis, differentiation, and motility, which can affect medical devices such as stents. The interactions of the extracellular environment with the substrate are also affected by local properties wherein cells sense and respond to different physical inputs. To investigate the effects of having localized elasticity control of substrate microenvironments on cell response, we have developed a method to control material interface interactions with cells by dictating local substrate elasticity. This system is created by generating a composite material system with alternating, linear regions of polymers that have distinct stiffness characteristics. This approach was used to examine cytoskeletal and morphological changes in NIH 3T3 fibroblasts with emphasis on both local and global properties, noting that cells sense and respond to distinct material elasticities. Isolated cells sense and respond to these local differences in substrate elasticity by extending processes along the interface. Also, cells grown on softer elastic regions at higher densities (in contact with each other) have a higher projected area than isolated cells. Furthermore, when using chemical agents such as cytochalasin-D to disrupt the actin cytoskeleton, there is a significant increase in projected area for cells cultured on softer elastic regions This method has the potential to promote understanding of biomaterial-affected responses in a diversity of areas including morphogenesis, mechanotransduction, stents, and stem cell differentiation.

Paper-based ELISA for the detection of autoimmune antibodies in body fluid-the case of bullous pemphigoid

The ability of cells to respond to external mechanical stimulation is a complex and robust process involving a diversity of molecular interactions. Although mechanotransduction has been heavily studied, many questions remain regarding the link between physical stimulation and biochemical response. Of significant interest has been the contribution of the transmembrane proteins involved, and integrins in particular, because of their connectivity to both the extracellular matrix and the cytoskeleton. Here, we demonstrate the existence of a mechanically based initiation molecule, syndecan-4. We first demonstrate the ability of syndecan-4 molecules to support cell attachment and spreading without the direct extracellular binding of integrins. We also examine the distribution of focal adhesion-associated proteins through controlling surface interactions of beads with molecular specificity in binding to living cells. Furthermore, after adhering cells to elastomeric membranes via syndecan-4-specific attachments we mechanically strained the cells via our mechanical stimulation and polymer surface chemical modification approach. We found ERK phosphorylation similar to that shown for mechanotransductive response for integrin-based cell attachments through our elastomeric membrane-based approach and optical magnetic twisting cytometry for syndecan-4. Finally, through the use of cytoskeletal disruption agents, this mechanical signaling was shown to be actin cytoskeleton dependent. We believe that these results will be of interest to a wide range of fields, including mechanotransduction, syndecan biology, and cell–material interactions.

Probing cell structure by controlling the mechanical environment with cell–substrate interactions

Background While neural systems are known to respond to chemical and electrical stimulation, the effect of mechanics on these highly sensitive cells is still not well understood. The ability to examine the effects of mechanics on these cells is limited by existing approaches, although their overall response is intimately tied to cell-matrix interactions. Here, we offer a novel method, which we used to investigate stretch-activated mechanotransduction on nerve terminals of sensory neurons through an elastomeric interface. Methodology/Principal Findings To apply mechanical force on neurites, we cultured dorsal root ganglion neurons on an elastic substrate, polydimethylsiloxane (PDMS), coated with extracellular matrices (ECM). We then implemented a controlled indentation scheme using a glass pipette to mechanically stimulate individual neurites that were adjacent to the pipette. We used whole-cell patch clamping to record the stretch-activated action potentials on the soma of the single neurites to determine the mechanotransduction-based response. When we imposed specific mechanical force through the ECM, we noted a significant neuronal action potential response. Furthermore, because the mechanotransduction cascade is known to be directly affected by the cytoskeleton, we investigated the cell structure and its effects. When we disrupted microtubules and actin filaments with nocodozale or cytochalasin-D, respectively, the mechanically induced action potential was abrogated. In contrast, when using blockers of channels such as TRP, ASIC, and stretch-activated channels while mechanically stimulating the cells, we observed almost no change in action potential signalling when compared with mechanical activation of unmodified cells. Conclusions/Significance These results suggest that sensory nerve terminals have a specific mechanosensitive response that is related to cell architecture.

Paper-based tuberculosis diagnostic devices with colorimetric gold nanoparticles

Bullous pemphigoid (BP), a common autoimmune blistering disease, is increasing in incidence and conveys a high mortality. Detection of autoantibodies targeting the noncollagenous 16A (NC16A) domain of type XVII collagen using enzyme-linked immunosorbent assay (ELISA) has demonstrated high sensitivity and specificity for diagnosing BP. We have developed a rapid, low-cost, and widely applicable ELISA-based system to detect the NC16A autoimmune antibody and then diagnose and monitor BP disease activity using a piece of filter paper, a wax-printer, and NC16A antigens. Both sera and/or blister fluids from 14 untreated BP patients were analyzed. The control group included healthy volunteers and patients with other blistering disorders such as pemphigus vulgaris. In our established paper-based ELISA (P-ELISA) system, only 2 μL of serum or blister fluid and 70 min were required to detect anti-NC16A autoimmune antibodies. The relative color intensity was significantly higher in the BP group than in the control groups when using either serum (P < 0.05) or blister fluid (P < 0.001) specimens from BP patients. The results of P- ELISA were moderately correlated with the titer of the commercial ELISA kit (MBL, Japan) (rho = 0.5680, P = 0.0011). This newly developed system allows for rapid and convenient diagnosis and/or monitoring of BP disease activity.

Probing localized neural mechanotransduction through surface-modified elastomeric matrices and electrophysiology

Recent results demonstrate the exquisite sensitivity of cell morphology and structure to mechanical stimulation. Mechanical stimulation is often coupled with cell-substrate interactions that can, in turn, influence molecular response and determine cellular fates including apoptosis, proliferation, and differentiation. To understand these effects as they specifically relate to compressive mechanical stimulation and topographic control, we developed a microfabricated system to grow cells on polydimethylsiloxane (PDMS) microchannel surfaces where we maintained compression stimulation. We also probed cellular response following compressive mechanical stimulation to PDMS substrates of varying stiffness. In these instances, we examined cytoskeletal and morphologic changes in living cells attached to our substrate following the application of localized compressive stimulation. We found that the overall morphology and cell structure, including the actin cytoskeleton, oriented in the direction of the compressive strain applied and along the topographic microchannels. Furthermore by comparing topographic response to material stiffness, we found a 40% increase in cell area for cells cultured on the microchannels versus softer PDMS as well as a decreased cell area of 30% when using softer PDMS over unmodified PDMS. These findings have implications for research in a diversity of fields including cell-material interactions, mechanotransduction, and tissue engineering.

Cellulose-Based Diagnostic Devices for Diagnosing Serotype-2 Dengue Fever in Human Serum

Abstract A colorimetric sensing strategy employing gold nanoparticles and a paper assay platform has been developed for tuberculosis diagnosis. Unmodified gold nanoparticles and single-stranded detection oligonucleotides are used to achieve rapid diagnosis without complicated and time-consuming thiolated or other surface-modified probe preparation processes. To eliminate the use of sophisticated equipment for data analysis, the color variance for multiple detection results was simultaneously collected and concentrated on cellulose paper with the data readout transmitted for cloud computing via a smartphone. The results show that the 2.6 nM tuberculosis mycobacterium target sequences extracted from patients can easily be detected, and the turnaround time after the human DNA is extracted from clinical samples was approximately 1 h.