An electronic-based ELISA combined with microfluidics

Lead Research Organisation: University of Southampton
Department Name: Electronics and Computer Science

Abstract

Our aim is to develop a low-cost real-time protein detection device to continuously monitor cytokines during in-vitro culture that could eventually expand in clinical practice. We will do this by exploiting discrete electronic components as chemical sensors that are compatible with unique microfluidic chips for minimising the overall cost of the device in combination with small size enzyme-linked immunosorbent assay (ELISA) chambers that minimise antibody requirements. We aspire achieving this by adapting well established manufacturing techniques, currently employed in fabricating printed-circuit boards (PCBs), that could effortlessly render bespoke functionalised electrodes coupled with um-scale fluidic channels/chambers.

Planned Impact

The interdisciplinary work proposed within this program seeks adapting existing manufacturing processes, currently used in mass-producing printed circuit boards, for developing bespoke, disposable diagnostics. As this technology will be clinically applicable in a large variety of diseases, the anticipated impact expands across three main areas: (1) Societal (2) Economic (3)Academic.

Societal: The proposed research will develop a platform technology for low cost diagnostics and will have wide societal benefits in terms of public health. The proposed research will be focus on tuberculosis diagnosis - although only one aspect of tuberculosis control it is perhaps the most important. Currently there are several unmet needs in TB diagnosis, which include rapidity of diagnosis, affordability, simplicity and the ability to generate same-day results preferably at point-of-care. At present a return visit is required to access test results and as a result, time to treatment is prolonged and default rates are significant. A good diagnostic tool that can provide results rapidly will be invaluable in our ability to control this disease, especially in low resource settings. In terms of use, the technology can be utilised to provide reliable proteomic algorithms as well as experimental redundancy for minimising false positive results. In addition, when compared to conventional ELISA, significantly smaller sample volumes are required. These attributes are thus essential for developing a more reliable medical intervention without compromising the overall cost and discomfort of patients in intensive care units.

Economic: The main beneficiaries of the research stand to be industrial manufacturers of medical devices, and our industrial partner Newbury Electronics. By utilizing well-established PCB fabrication techniques, the research outputs could represent significant growth opportunities for Newbury Electronics by extending their portfolio into the diagnostics sector (valued at $13.8bn in 2011) and capturing potential high growth in the UK. The proposed research provides an alternative paradigm in manufacturing high-throughput, reliable yet low-cost diagnostic platforms and is thus anticipated that it will attract substantial interest world-wide. Multi-billion global businesses such as Life Sciences and Roche have invested substantially in CMOS technologies, as a means to develop advanced medical devices. Nonetheless, as discussed in this proposal, this approach only offers benefits when an extremely high density of sensing sites is required (as in DNA-sequencing), which is not the case for POC diagnostics. Aside from pharmaceutical and medical device sectors, we see potential impact in bio-defense and environmental monitoring.
Bringing in new potential collaborations, commercial outcomes and through effective dissemination of this work we will strengthen the UK's academic and commercial position. We have had enquiries from GlaxoSmithKline, who have expresses interest in exploiting this technology, particularly in drug toxicology assays and other clinicians who are interested in pursuing clinical outcomes of this type of technology.

Academic: By combining the multi-disciplinary strengths of our collaborators and the host research groups we aim to:
- Innovate using the ingredients from different disciplines for enhancing the knowledge economy.
- Develop end-to-end infrastructure from a range of technologies, design methodologies and clinical applications.
- Cultivate inter-disciplinary IP for accelerating the commercialization of the proposed technology.
- Foster the training of highly skilled researchers.

Publications

10 25 50
 
Description This project aspires establishing a low-cost real-time protein detection Lab On a Chip device with electronic read-out for clinical practice. We do this by exploiting discrete electronic components as chemical sensors that are compatible with unique microfluidic chips for minimising the overall cost of the device in combination with small size enzyme-linked immunosorbent assay (ELISA) chambers that minimise antibody requirements. We achieve this based on a multilayer PCB approach, with layer 1 being the reference electrode layer, layer 2 the protein-functionalized sensing extended gates and layer 3 the µfluidic network.
Exploitation Route We are developing a platform technology for low cost diagnostics and will have wide societal benefits in terms of public health. The proposed research will be focus on tuberculosis diagnosis - although only one aspect of tuberculosis control it is perhaps the most important. Currently there are several unmet needs in TB diagnosis, which include rapidity of diagnosis, affordability, simplicity and the ability to generate same-day results preferably at point-of-care. At present a return visit is required to access test results and as a result, time to treatment is prolonged and default rates are significant. A good diagnostic tool that can provide results rapidly will be invaluable in our ability to control this disease, especially in low resource settings. In terms of use, the technology can be utilised to provide reliable proteomic algorithms as well as experimental redundancy for minimising false positive results. In addition, when compared to conventional ELISA, significantly smaller sample volumes are required. These attributes are thus essential for developing a more reliable medical intervention without compromising the overall cost and discomfort of patients in intensive care units.
Sectors Healthcare,Manufacturing, including Industrial Biotechology,Pharmaceuticals and Medical Biotechnology

 
Description Our platform technology is currently optimised in collaboration with external to this project partners (e.g. Dr Spiros Garbis - University of Southampton) for detecting a panel of prostate cancer markers. We have also developed a new start-up esens Ltd for exploiting all commercial pathways.
First Year Of Impact 2013
Sector Agriculture, Food and Drink,Digital/Communication/Information Technologies (including Software),Electronics,Environment,Healthcare,Manufacturing, including Industrial Biotechology,Pharmaceuticals and Medical Biotechnology
Impact Types Societal,Economic

 
Description CRACK-IT
Amount £100,000 (GBP)
Organisation National Centre for the Replacement, Refinement and Reduction of Animals in Research (NC3Rs) 
Sector Public
Country United Kingdom
Start 01/2014 
End 07/2014
 
Description PhD Scholarships
Amount £75,000 (GBP)
Organisation AG Leventis Foundation 
Sector Charity/Non Profit
Country Cyprus
Start 07/2011 
End 06/2014
 
Description PhD sholarship in Nano/bio sciences
Amount £75,000 (GBP)
Organisation AG Leventis Foundation 
Sector Charity/Non Profit
Country Cyprus
Start 07/2017 
End 07/2021
 
Description Newbury Electronics Ltd 
Organisation Newbury Electronics Ltd
Country United Kingdom 
Sector Academic/University 
PI Contribution Optimised some of their the manufacturing processes for printed-circuit-boards (PCB) to facilitate their use in point-of-case diagnostics.
Collaborator Contribution Provided free-of-charge access to facilities, tools, processes and expertise.
Impact Establishment of esens Ltd, a start-up that promotes the development of affordable point-of-care electronic-based technologies.
Start Year 2013
 
Title A SENSOR FOR USE IN ANALYSING PROTEINS 
Description Biosensor commercialization for Point-of-Care diagnostics is an area of major interest for companies and researchers worldwide, allowing on the spot, accurate measurements. Until now, CMOS technologies have been proposed with increased sensitivity, however too expensive to be disposable, due to the difficulty of interfacing them with microfluidic channels, delivering the biological sample. The low-cost approach of passive electrode sensors traditionally exploits planar geometries. With our invention we propose increasing the effective sensing area of the sensing electrodes, extending them in the z-direction in a cylindrical geometry. This way we have a 2*L/r larger effective sensing area (L:via depth, r:via radius, L>r), thus increasing sensing sensitivity within the same chip footprint. The second innovation of this sensing geometry we propose is that the sample volume to be analysed (directly affecting sensing reliability and repeatability) is easily confined and predefined by the size of the cylinder (Vsample=pr2L). This concept is easily implementable in PCB technologies (conventional via drilling, Cu / Au plating), maintaining the cost of the diagnostic device low, allowing for PCB microfluidics integration. This cylindrical electrode can be functionalized to sense application-driven diseases by printing/immobilizing the antibodies of interest in each well. 
IP Reference GB1415405.8 
Protection Patent granted
Year Protection Granted 2014
Licensed No
Impact Our sensing approach is rather versatile as the sensing specificity arises from the type of antibodies that are blinded on the sensors' surface. As such, we are already exploiting this technology for diagnosing and monitoring the progression of various diseases (eg. prostate cancer - in collaboration with Dr S. Garbis - Faculty of Medicine, Southampton) in a low-cost manner.
 
Title A microfluidic chip connector assembly 
Description One of the main limiting factors in microfluidic chip handling that eventually prohibits commercialisation is the difficulty in sample delivery from the user to the chip. Currently, custom made chip holders are utilized along with/or individual fluidic interconnects; all current solutions require skilled and experienced people to handle them and attach them appropriately to avoid leakages. Most of these rely in attaching interconnects vertically, through vias, and utilizing sealing apparatuses like o-rings or ferrules, while all horizontal geometries rely in mechanical bolting of the interconnects to thick, rigid (eg glass) substrates. With our invention we supply a plug and play, side-interfacing solution embodied in the microfluidic chip substrate itself, eliminating the problem of chip inlet sealing. The interfacing relies on the self-alignment of the microfluidic chip interfacing with the external interconnect, through a comb-like geometry. This geometry is realized directly on the microfluidic chip by micromachining it to the desired shape, thus eliminating the need for additional assembly steps of external connectors that typically compromise the sealing integrity. 
IP Reference GB1415404.1 
Protection Patent granted
Year Protection Granted 2014
Licensed No
Impact This technique allows to effortlessly and reliably link a disposable fluidic cartridge with an analyser. This approach facilitates the wider use of point of care diagnostics in mobile settings.
 
Title PCB integrated reference electrodes 
Description Reference electrodes are an essential part of sensing systems, maintaining a known reference potential irrespective of the analyte to be sensed. Several reference electrodes have been proposed and utilized like saturated calomel electrodes, Ag/AgCl electrodes etc. Until now several approaches have been followed to integrate microfabricated reference electrodes in microfluidic devices, however all of them are integrated with standard metal deposition techniques on Si or paper substrates, compatible with CMOS fabricated sensors. With our invention we propose a PCB compatible fabrication process for integrating Ag/AgCl reference electrodes, in one of the possible embodiments. These PCB reference electrodes can also be integrated in multilayer PCB structures. The reference electrodes could be of planar or via architecture, with the latter simultaneously serving as an air exhaust/outlet that could minimise inconsistent sample loading in integrated microfluidic networks. 
IP Reference GB1415406.6 
Protection Patent granted
Year Protection Granted 2014
Licensed No
Impact Reference electrodes stability and position with respect to the sensing electrodes could have an enormous impact on the attainable sensitivity of a point-of-care system. Our approach not only facilitates an inexpensive platform, but also results into long-term stability that is comparable to commercially available reference electrodes while allows for a monolithic integration; contributing towards low-cost yet reliable and quantitative point-of-care diagnostics.
 
Title Affordable electronic-based TB Point-of-Care diagnostic platforms 
Description We have developed a novel 'Lab on a PCB', utilising microfluidics and PCB technology to offer an exceptionally cost effective diagnosis device. Its accuracy and consistency is comparable to current Elisa testing protocols but with the device having true Point of Care (POC) potential, the opportunity exists to offer this in developing countries for a wide range of diseases, namely Tuberculosis, Sexually Transmitted Diseases and potentially forms of Cancer. The simplistic design satisfies the World Health Organisation's requirements for POC devices but also has potential to be utilised in other scenarios such as within GP clinics, thereby reducing the diagnostic testing process. 
Type Diagnostic Tool - Non-Imaging
Current Stage Of Development Refinement. Clinical
Year Development Stage Completed 2017
Development Status Under active development/distribution
Impact - Amended/optimised PCB manufacturing processes of Newbury Electronics Ltd. - Developed start-up company esens ltd for commercialising first concepts. 
 
Company Name esens Ltd 
Description We have recently developed a novel 'Lab on a PCB', utilising microfluidics and PCB technology to offer an exceptionally cost effective diagnosis device. Its accuracy and consistency is comparable to current Elisa testing protocols but with the device having true Point of Care (POC) potential, the opportunity exists to offer this in developing countries for a wide range of diseases, namely Tuberculosis, Sexually Transmitted Diseases and potentially forms of Cancer. The simplistic design satisfies the World Health Organisation's requirements for POC devices but also has potential to be utilised in other scenarios such as within GP clinics, thereby reducing the diagnostic testing process. esens Ltd is responsible for promoting this technology and translating it to niche applications for POC. 
Year Established 2016 
Impact Optimised PCB manufacturing processes at Newbury Electronics Ltd.