The lateral flow
immunoassay (LFIA) is the most successful point-of-care
testing (POCT) method to date. In the case of clinical biomarkers
that require quantification, it remains a challenge to quantitate
those biomarkers using the lateral flow immunoassay remains a challenge
due to the cost of the reader and possibly the type of marker used.
In the present work, a new concept of a platform LFIA device configuration
is proposed in which different, aligned membrane components, some
already existing in the classical lateral flow immunoassay, and the
others created with special new functions in the present device. As
the sample containing the target analyte passes through the aforementioned
membranes, the target analyte will initially interact with a target-specific
antibody-conjugated to horseradish peroxidase (HRP). Thereafter, the
newly formed immunocomplex will diffuse through a proprietary capture
membrane (that ensures that the nontarget-bound antibodies do not
continue further and thus remain “captured” to that
specific area). This is done by having the target molecules (or components
thereof) immobilized onto the said capture layer. The target-bound
immunocomplexes will then be allowed by the system configuration to
continue further to the last layer, where the signal will be generated
and quantified. Thus, in the absence of the target analyte in the
sample, the free antibodies will be filtered at the capture layer
by preimmobilized analyte molecules, thus preventing a false positive
signal to occur. We validated the concept in the detection of dengue
NS1 protein in view of making a triage test. The sample containing
NS1 will first meet HRP-conjugated NS1-specific antibodies and become
attached, thus producing an NS1-specific antibody–HRP immunocomplex.
The sample then flows through the blocking layer, where the immunocomplex
is unchallenged and thus allowed to reach the last “absorbent”
pad, incorporating the substrate for the HRP marker. In the case of
a positive test, a signal is generated, that is proportional
to the amount of immunocomplexes (and therefore the NS1 concentration),
and then analyzed and measured at the absorbent pad. Any unbound
anti-NS1 antibody will be stopped at the blocking matrix by preimmobilized
NS1, so there will be no false positive. As this study is the initial
study of a novel configuration, much of the work comprised of optimization
steps, such as determining the required NS1 membrane-immobilization
concentration and the required target-specific capture antibody concentration.
Our immunoassay was tested with spiked buffer and serum samples to
mimic the clinical conditions, with a range of NS1 concentrations,
and was found, at this time, to be fivefold more sensitive than a
gold standard enzyme-linked immunosorbent assay (ELISA) test (5 ng
mL–1) performed in our laboratory. This method shows
another form of LFIA that has the potential to be quantitative (at
least semiquantitative), albeit not solving the reader cost; however,
unlike the regular LFIA, we do not use nanobeads but...