Lab on a Chip · 2016 · 64 citations · 39 references
Life SciencesBiotechnologyMicrobiologyGastroenterologyMedical MicrobiologyMolecular DiagnosticsDna SequencingGastrointestinal Pathogen DiagnosticsInfectious Disease DetectionInfectious Disease Molecular TestingPathogen DetectionHelicobacter Pylori InfectionHelicobacter Pylori TestingMicrofluidic Device DesignMolecular Stool DiagnosticsNucleic Acid AnalysisSample Introduction SystemsStool SamplingStool Specimen Handling
Despite recent advances in microfluidic-based integrated diagnostic systems, the sample introduction interface, especially with regards to large volume samples, has often been neglected. We present a sample introduction interface that allows direct on-chip processing of crude stool samples for the detection of Helicobacter pylori (H. pylori). The principle of IFAST (immiscible filtration assisted by surface tension) was adapted to include a large volume sample chamber with a septum-based interface for stool sample introduction. Solid chaotropic salt and dry superparamagnetic particles (PMPs) could be stored on-chip and reconstituted upon sample addition, simplifying the process of release of DNA from H. pylori cells and its binding to the PMPs. Finally, the PMPs were pulled via a magnet through a washing chamber containing an immiscible oil solution and into an elution chamber where the DNA was released into aqueous media for subsequent analysis. The entire process required only 7 min while enabling a 40-fold reduction in working volume from crude biological samples. The combination of a real-world interface and rapid DNA extraction offers the potential for the methodology to be used in point-of-care (POC) devices.
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Risk for gastric cancer in people with CagA positive or CagA negative Helicobacter pylori infection.
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