Multiplexed biomarker
detection can play a critical role
in reliable
and comprehensive disease diagnosis and prediction of outcome. Enzyme-linked
immunosorbent assay (ELISA) is the gold standard method for immunobinding-based
biomarker detection. However, this is currently expensive, limited
to centralized laboratories, and usually limited to the detection
of a single biomarker at a time. We present a low-cost, smartphone-based
portable biosensing platform for high-throughput, multiplexed, sensitive,
and quantitative detection of biomarkers from single, low-volume drops
(<1 μL) of clinical samples. Biomarker binding to spotted
capture antigens is converted, via enzymatic metallization, to the
localized surface deposition of amplified, dry-stable, silver metal
spots whose darkness is proportional to biomarker concentration. A
custom smartphone application is developed, which uses real-time computer
vision to enable easy optical detection of the deposited metal spots
and sensitive and reproducible quantification of the biomarkers. We
demonstrate the use of this platform for high-throughput, multiplexed
detection of multiple viral antigen-specific antibodies from convalescent
COVID-19 patient serum as well as vaccine-elicited antibody responses
from uninfected vaccine-recipient serum and show that distinct multiplexed
antibody fingerprints are observed among them.