Nanotechnology-Based Diagnostics for Diseases Prevalent in Developing Countries: Current Advances in Point-of-Care Tests.

Lungile Nomcebo Thwala, Sphumelele Colin Ndlovu, Kelvin Tafadzwa Mpofu, Masixole Yvonne Lugongolo, Patience Mthunzi-Kufa
Author Information
  1. Lungile Nomcebo Thwala: National Laser Centre, Council for Scientific and Industrial Research, P.O. Box 395, Pretoria 0001, South Africa. ORCID
  2. Sphumelele Colin Ndlovu: National Laser Centre, Council for Scientific and Industrial Research, P.O. Box 395, Pretoria 0001, South Africa.
  3. Kelvin Tafadzwa Mpofu: National Laser Centre, Council for Scientific and Industrial Research, P.O. Box 395, Pretoria 0001, South Africa.
  4. Masixole Yvonne Lugongolo: National Laser Centre, Council for Scientific and Industrial Research, P.O. Box 395, Pretoria 0001, South Africa.
  5. Patience Mthunzi-Kufa: National Laser Centre, Council for Scientific and Industrial Research, P.O. Box 395, Pretoria 0001, South Africa.

Abstract

The introduction of point-of-care testing (POCT) has revolutionized medical testing by allowing for simple tests to be conducted near the patient's care point, rather than being confined to a medical laboratory. This has been especially beneficial for developing countries with limited infrastructure, where testing often involves sending specimens off-site and waiting for hours or days for results. However, the development of POCT devices has been challenging, with simplicity, accuracy, and cost-effectiveness being key factors in making these tests feasible. Nanotechnology has played a crucial role in achieving this goal, by not only making the tests possible but also masking their complexity. In this article, recent developments in POCT devices that benefit from nanotechnology are discussed. Microfluidics and lab-on-a-chip technologies are highlighted as major drivers of point-of-care testing, particularly in infectious disease diagnosis. These technologies enable various bioassays to be used at the point of care. The article also addresses the challenges faced by these technological advances and interesting future trends. The benefits of point-of-care testing are significant, especially in developing countries where medical care is shifting towards prevention, early detection, and managing chronic conditions. Infectious disease tests at the point of care in low-income countries can lead to prompt treatment, preventing infections from spreading.

Keywords

References

  1. Sensors (Basel). 2015 Dec 01;15(12):30011-31 [PMID: 26633409]
  2. ACS Nanosci Au. 2021 Nov 29;2(2):64-92 [PMID: 37101661]
  3. Analyst. 2019 Apr 8;144(8):2460-2466 [PMID: 30849145]
  4. Sensors (Basel). 2020 Dec 04;20(23): [PMID: 33291519]
  5. ACS Sens. 2019 Apr 26;4(4):961-967 [PMID: 30869519]
  6. Nat Biomed Eng. 2020 Dec;4(12):1150-1158 [PMID: 33273714]
  7. Exp Mol Med. 2020 Jun;52(6):963-977 [PMID: 32546849]
  8. Adv Sci (Weinh). 2021 Nov;8(21):e2100556 [PMID: 34558234]
  9. J Pharm Biomed Anal. 2021 Feb 5;194:113802 [PMID: 33303267]
  10. Chem Soc Rev. 2018 Jul 2;47(13):4697-4709 [PMID: 29770813]
  11. Sensors (Basel). 2022 Feb 18;22(4): [PMID: 35214519]
  12. Front Mol Biosci. 2021 Apr 20;8:637559 [PMID: 33959631]
  13. ACS Sens. 2020 Nov 25;5(11):3346-3364 [PMID: 33185417]
  14. J Anal Methods Chem. 2019 Oct 23;2019:2179718 [PMID: 31886019]
  15. Sensors (Basel). 2020 Mar 31;20(7): [PMID: 32244343]
  16. ACS Nano. 2020 Jun 23;14(6):7617-7627 [PMID: 32437124]
  17. Sci Rep. 2017 Aug 2;7(1):7149 [PMID: 28769052]
  18. J Chromatogr A. 2015 Feb 20;1382:98-116 [PMID: 25458901]
  19. J Nanobiotechnology. 2020 Apr 21;18(1):62 [PMID: 32316985]
  20. Mol Biosyst. 2012 Apr;8(5):1441-5 [PMID: 22334395]
  21. Microb Biotechnol. 2020 Jul;13(4):950-961 [PMID: 32333644]
  22. Nanoscale Adv. 2020 Jan 22;2(3):1253-1260 [PMID: 36133049]
  23. Proc Natl Acad Sci U S A. 2017 May 2;114(18):4625-4630 [PMID: 28416667]
  24. Nat Nanotechnol. 2021 Apr;16(4):1 [PMID: 33854221]
  25. Int J Mol Sci. 2018 May 31;19(6): [PMID: 29857492]
  26. ACS Nano. 2018 Feb 27;12(2):1170-1178 [PMID: 29338249]
  27. Mikrochim Acta. 2022 Feb 3;189(3):83 [PMID: 35118576]
  28. PLoS One. 2015 May 20;10(5):e0126609 [PMID: 25993381]
  29. Bioengineering (Basel). 2022 Nov 08;9(11): [PMID: 36354576]
  30. ACS Nano. 2018 Jun 26;12(6):5452-5462 [PMID: 29750502]
  31. Front Chem. 2020 Oct 16;8:586702 [PMID: 33195085]
  32. Biosens Bioelectron. 2017 Jan 15;87:373-387 [PMID: 27589400]
  33. Trends Biotechnol. 2014 Jul;32(7):347-50 [PMID: 24954000]
  34. Biosensors (Basel). 2022 Oct 13;12(10): [PMID: 36291008]
  35. Lab Chip. 2020 May 5;20(9):1621-1627 [PMID: 32334422]
  36. Emerg Top Life Sci. 2019 Nov 27;3(6):741-746 [PMID: 32915223]
  37. Mater Today Bio. 2022 Mar;14:100231 [PMID: 35280329]
  38. Malar J. 2018 Sep 17;17(1):333 [PMID: 30223852]
  39. Lab Chip. 2012 Apr 21;12(8):1437-40 [PMID: 22395572]
  40. Adv Med Sci. 2012;57(2):196-207 [PMID: 23154427]
  41. Front Bioeng Biotechnol. 2021 Aug 19;9:733810 [PMID: 34490230]
  42. Colloid Interface Sci Commun. 2022 Jan;46:100544 [PMID: 34778007]
  43. Biosensors (Basel). 2022 Sep 07;12(9): [PMID: 36140122]
  44. Sensors (Basel). 2012;12(5):5996-6022 [PMID: 22778628]
  45. Anal Chem. 2011 Jul 15;83(14):5570-7 [PMID: 21619038]
  46. Drug Discov Today. 2012 Jul;17(13-14):760-73 [PMID: 22480870]
  47. Parasitol Res. 2022 Jul;121(7):1867-1885 [PMID: 35460369]
  48. Acc Chem Res. 2021 Nov 16;54(22):4107-4119 [PMID: 34699183]
  49. Biosens Bioelectron. 2019 Feb 1;126:68-81 [PMID: 30391911]
  50. Med Hypotheses. 2021 Jan;146:110356 [PMID: 33342643]
  51. Adv Sci (Weinh). 2022 Jan;9(3):e2102466 [PMID: 34825525]
  52. Mikrochim Acta. 2018 Feb 10;185(3):168 [PMID: 29594727]
  53. Lancet Infect Dis. 2014 Nov;14(11):1123-1135 [PMID: 25189349]
  54. Theranostics. 2014 Jan 25;4(3):307-15 [PMID: 24505238]
  55. Nanoscale Adv. 2021 Jan 18;3(6):1588-1596 [PMID: 34381960]
  56. Pharmaceuticals (Basel). 2022 Jul 17;15(7): [PMID: 35890178]
  57. BMC Microbiol. 2018 Sep 3;18(1):100 [PMID: 30176804]
  58. Materials (Basel). 2017 Dec 12;10(12): [PMID: 29231908]
  59. Nano Lett. 2021 Mar 10;21(5):2272-2280 [PMID: 33635655]
  60. ACS Nano. 2021 Jun 22;15(6):10194-10202 [PMID: 34008961]
  61. Anal Chem. 2015 Oct 20;87(20):10613-8 [PMID: 26382883]
  62. Mikrochim Acta. 2022 May 28;189(6):236 [PMID: 35633385]
  63. Top Curr Chem (Cham). 2020 Jan 14;378(1):15 [PMID: 31938922]
  64. PLoS One. 2015 Feb 13;10(2):e0117744 [PMID: 25680117]
  65. Biosensors (Basel). 2022 Sep 09;12(9): [PMID: 36140129]
  66. Int J Nanomedicine. 2017 Jul 04;12:4789-4803 [PMID: 28740385]
  67. Nanomaterials (Basel). 2021 Jul 16;11(7): [PMID: 34361227]
  68. Sens Actuators B Chem. 2022 Jan 15;351:130897 [PMID: 34658530]
  69. ACS Appl Mater Interfaces. 2019 Mar 20;11(11):10707-10717 [PMID: 30810300]
  70. Nano Lett. 2007 Sep;7(9):2812-8 [PMID: 17705551]
  71. J Nanosci Nanotechnol. 2014 Oct;14(10):7374-87 [PMID: 25942798]
  72. Nano Today. 2021 Apr;37:101092 [PMID: 33584847]
  73. Nanomaterials (Basel). 2019 Oct 02;9(10): [PMID: 31581689]
  74. Chem Commun (Camb). 2011 May 28;47(20):5671-80 [PMID: 21468401]
  75. Analyst. 2017 Mar 13;142(6):858-882 [PMID: 28217778]

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