1. A Lab‐On‐chip Tool for Rapid, Quantitative, and Stage‐selective Diagnosis of Malaria
- Author
-
Marco Giacometti, Francesca Milesi, Pietro Lorenzo Coppadoro, Alberto Rizzo, Federico Fagiani, Christian Rinaldi, Matteo Cantoni, Daniela Petti, Edoardo Albisetti, Marco Sampietro, Mariagrazia Ciardo, Giulia Siciliano, Pietro Alano, Brigitte Lemen, Joel Bombe, Marie Thérèse Nwaha Toukam, Paul Fernand Tina, Maria Rita Gismondo, Mario Corbellino, Romualdo Grande, Gianfranco Beniamino Fiore, Giorgio Ferrari, Spinello Antinori, and Riccardo Bertacco
- Subjects
diagnostic tests ,hemozoin nanocrystals ,impedimetric detection ,lab‐on‐chip ,magnetic sorting ,malaria ,Science - Abstract
Abstract Malaria remains the most important mosquito‐borne infectious disease worldwide, with 229 million new cases and 409.000 deaths in 2019. The infection is caused by a protozoan parasite which attacks red blood cells by feeding on hemoglobin and transforming it into hemozoin. Despite the WHO recommendation of prompt malaria diagnosis, the quality of microscopy‐based diagnosis is frequently inadequate while rapid diagnostic tests based on antigens are not quantitative and still affected by non‐negligible false negative/positive results. PCR‐based methods are highly performant but still not widely used in endemic areas. Here, a diagnostic tool (TMek), based on the paramagnetic properties of hemozoin nanocrystals in infected red blood cells (i‐RBCs), is reported on. Exploiting the competition between gravity and magnetic forces, i‐RBCs in a whole blood specimen are sorted and electrically detected in a microchip. The amplitude and time evolution of the electrical signal allow for the quantification of i‐RBCs (in the range 10–105 i‐RBC µL−1) and the distinction of the infection stage. A preliminary validation study on 75 patients with clinical suspect of malaria shows on‐field operability, without false negative and a few false positive results. These findings indicate the potential of TMek as a quantitative, stage‐selective, rapid test for malaria.
- Published
- 2021
- Full Text
- View/download PDF