Molecular diagnostics offer quick access to information for healthcare decision-making towards personalized therapeutics, but complicated procedures requiring extensive labor and infrastructure restrict their use. Droplet-based technologies can expand the accessibility of molecular diagnostics by miniaturizing devices, shortening sample-to-answer times, decreasing costs and increasing throughput. Methods for droplet manipulation are central to the automation of molecular diagnostics protocols. The innovative method, wire-guided droplet manipulation (WDM), is the actuation of liquid droplets in a hydrophobic milieu with a wire, or needle, guide. In this work, WDM is demonstrated for the automation of the polymerase chain reaction (PCR) on reprogrammable platforms for the diagnosis of cardiovascular infections. WDM is used to minimize thermal resistance by convective heat transfer for PCR amplification at a maximum speed of 8.67 s/cycle. The oil-water interfacial boundary is shown to passively partition molecular contaminants from sample matrices, including blood and heart valve tissue. Molecular self-assembly at the oil-water interface is used to increase PCR efficiency with blood in situ and is used as an innovative sensing modality for real-time monitoring of PCR amplification. Temperature feedback controlled droplet actuation is achieved by using a thermocouple loop as a functionalized wire-guide. Our novel methodology for real-time PCR, droplet-on-thermocouple silhouette real-time PCR (DOTS qPCR), utilizes interfacial effects to achieve droplet actuation, relief from PCR inhibitors and amplification sensing, for a sample-to-answer time as short as 3 min 30 s. DOTS qPCR addresses three major issues for rapid PCR—sample preparation, rapid thermocycling and sensitive real-time detection—on an inexpensive, disposable device with smartphone-based detection. In contrast, commercially available real-time PCR systems rely on fluorescence detection, have substantially higher threshold cycles, and require expensive optical components and extensive sample preparation. Due to the advantages of low threshold cycle detection we anticipate extending this technology towards trending biological research applications such as single cell, single nucleus, and single DNA molecule analyses, especially in droplet microfluidic platforms.
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机译:分子诊断可以快速获取信息,以帮助医疗保健决策制定个性化疗法,但是复杂的程序需要大量的人力和基础设施,因此限制了其使用。基于液滴的技术可以通过使设备小型化,缩短从样品到答案的时间,降低成本和提高通量来扩展分子诊断的可访问性。液滴操作方法是分子诊断规程自动化的关键。线引导液滴操作(WDM)是一种创新方法,它是利用线或针引导器在疏水环境中驱动液滴的。在这项工作中,WDM被证明可在可重编程平台上自动化聚合酶链反应(PCR),以诊断心血管感染。 WDM用于通过对流传热来最大程度地降低热阻,用于PCR扩增,最大速度为8.67 s /循环。已显示油水界面边界可被动分配样品基质(包括血液和心脏瓣膜组织)中的分子污染物。油-水界面处的分子自组装可提高原位血液的PCR效率,并用作实时监测PCR扩增的创新传感方式。通过使用热电偶回路作为功能性导线,可以实现温度反馈控制的液滴驱动。我们用于实时PCR的新颖方法,即液滴对热电偶轮廓实时PCR(DOTS qPCR),利用界面效应实现液滴驱动,PCR抑制剂释放和扩增传感,从而缩短了样品到答案的时间3分30秒DOTS qPCR解决了在基于智能手机的廉价一次性设备上进行快速PCR的三个主要问题,即样品制备,快速热循环和灵敏的实时检测。相反,可商购的实时PCR系统依赖于荧光检测,具有更高的阈值循环,并且需要昂贵的光学组件和大量样品制备。由于低阈值循环检测的优势,我们期望将这项技术扩展到生物研究的趋势,例如单细胞,单核和单DNA分子分析,特别是在液滴微流体平台中。
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