Point-Of-Care Ultra-Portable Single-Molecule Bioassays for One-Health.
Eleonora MacchiaFabrizio TorricelliMariapia CaputoLucia SarcinaCecilia ScandurraPaolo BollellaMichele CatacchioMatteo PiscitelliCinzia Di FrancoGaetano ScamarcioLuisa TorsiPublished in: Advanced materials (Deerfield Beach, Fla.) (2023)
Screening asymptomatic organisms (humans, animals, plants) with a high-diagnostic accuracy using point-of-care-testing (POCT) technologies, though still visionary holds great potential. Convenient surveillance requires easy-to-use, cost-effective, ultra-portable but highly reliable, in-vitro-diagnostic devices that are ready for use wherever they are needed. Currently, there are not yet such devices available on the market, but there are a couple more promising technologies developed at readiness-level 5: the Clustered-Regularly-Interspaced-Short-Palindromic-Repeats (CRISPR) lateral-flow-strip tests and the Single-Molecule-with-a-large-Transistor (SiMoT) bioelectronic palmar devices. They both hold key features delineated by the World-Health-Organization for POCT systems and an occurrence of false-positive and false-negative errors <1-5% resulting in diagnostic-selectivity and sensitivity >95-99%, while limit-of-detections are of few markers. CRISPR-strip is a molecular assay that, can detect down to few copies of DNA/RNA markers in blood while SiMoT immunometric and molecular test can detect down to a single oligonucleotide, protein marker, or pathogens in 0.1mL of blood, saliva, and olive-sap. These technologies can prospectively enable the systematic and reliable surveillance of asymptomatic ones prior to worsening/proliferation of illnesses allowing for timely diagnosis and swift prognosis. This could establish a proactive healthcare ecosystem that results in effective treatments for all living organisms generating diffuse and well-being at efficient costs.
Keyphrases
- single molecule
- healthcare
- public health
- gram negative
- genome editing
- crispr cas
- atomic force microscopy
- genome wide
- living cells
- human health
- risk assessment
- high resolution
- climate change
- mental health
- multidrug resistant
- signaling pathway
- health information
- high throughput
- low cost
- patient safety
- dna methylation
- health insurance
- low grade
- gene expression
- binding protein
- affordable care act