Abstract
In the last decade, the chemistry research community has witnessed an explosive growth of microfluidic devices made of paper (paper-based microfluidics). Use of paper as a substrate material brings several attractive features including extremely low cost and auxiliary pump-free liquid transportation, among others, and application of paper-based microfluidics to on-site medical diagnosis has been actively pursued. To meet the demand for medical diagnostic devices operable by end-users without expert knowledge in resource-limited settings, recent studies on paper-based microfluidics pay particular attention to simplification of user operations prior to an assay (e.g. achieving multistep enzymatic assays by single pipetting) and resulting signal readout (e.g. achieving naked eye-based analog thermometer-style result interpretation). One of the objectives of this chapter is to overview state-of-the-art research progresses in simplification of user operational procedures and development of equipment-free signal readout approaches. In addition, the basics of paper-based microfluidics including a short history of paper-based microfluidics, a comparison of paper-based and conventional plastic- or glass-based microfluidic devices and general requirements for ideal point-of-care testing devices are described. The authors believe this chapter helps researchers new to the field and researchers with different background to learn about analytical applications exclusively achieved by paper-based microfluidics and future challenges in developing “truly” practical medical diagnostic devices.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Manz A, Graber N, Widmer HM (1990) Miniaturized total chemical analysis systems: a novel concept for chemical sensing. Sens. Actuat. B: Chem. 1:244–248
Whitesides GM (2006) The origins and the future of microfluidics. Nature 442:368–373
Yager P, Edwards T, Fu E, Helton K, Nelson K, Tam MR, Weigl BH (2006) Microfluidic diagnostic technologies for global public health. Nature 442:412–418
Volpatti LR, Yetisen AK (2014) Commercialization of microfluidic devices. Trends Biotechnol 32:347–350
Temiz Y, Lovchik RD, Kaigala GV, Delamarche E (2015) Lab-on-a-chip devices: how to close and plug the lab? Microelectron Eng 132:156–175
Kurita R, Niwa O (2016) Microfluidic platforms for DNA methylation analysis. Lab Chip 16:3631–3644
Lim YC, Kouzani AZ, Duan W (2010) Lab-on-a-chip: a component view. Microsyst Technol 16:1995–2015
Tsao C-W (2016) Polymer microfluidics: simple, low-cost fabrication process bridging academic lab research to commercialized production. Micromachines 7:255
Martinez AW, Phillips ST, Butte MJ, Whitesides GM (2007) Patterned paper as a platform for inexpensive, low-volume, portable bioassays. Angew Chem Int Ed 46:1318–1320
Xu Y, Liu M, Kong N, Liu J (2016) Lab-on-paper micro- and nano-analytical devices: fabrication, modification, detection and emerging applications. Microchim Acta 183:1521–1542
Ruecha N, Yamada K, Suzuki K, Citterio D (2017) (Bio)chemical sensors based on paper. In: Cesar Paixão TRL, Reddy SM (eds) Materials for chemical sensing. Springer International Publishing, Cham, pp 29–74
Yetisen AK, Akram MS, Lowe CR (2013) Paper-based microfluidic point-of-care diagnostic devices. Lab Chip 13:2210–2251
Cate DM, Adkins JA, Mettakoonpitak J, Henry CS (2015) Recent developments in paper-based microfluidic devices. Anal Chem 87:19–41
Yamada K, Henares TG, Suzuki K, Citterio D (2015) Paper-based inkjet-printed microfluidic analytical devices. Angew Chem Int Ed 54:5294–5310
Xia Y, Si J, Li Z (2016) Fabrication techniques for microfluidic paper-based analytical devices and their applications for biological testing: a review. Biosens Bioelectron 77:774–789
Mahadeva SK, Walus K, Stoeber B (2015) Paper as a Platform for sensing applications and other devices: a review. ACS Appl Mater Interfaces 7:8345–8362
Klemm D, Heublein B, Fink H-P, Bohn A (2005) Cellulose: fascinating biopolymer and sustainable raw material. Angew Chem Int Ed 44:3358–3393
Habibi Y, Lucia LA, Rojas OJ (2010) Cellulose nanocrystals: chemistry, self-assembly, and applications. Chem Rev 110:3479–3500
Credou J, Berthelot T (2014) Cellulose: from biocompatible to bioactive material. J Mater Chem B 2:4767–4788
Bajpai P (2012) Brief description of the pulp and paper making process. In: Bajpai P (ed) Biotechnology for pulp and paper processing. Springer US, Boston, pp 7–14
Nery EW, Kubota LT (2013) Sensing approaches on paper-based devices: a review. Anal Bioanal Chem 405:7573–7595
Rodney C (2004) Scientific American inventions and discoveries. John Wiley & Sons, Inc, Hoboken
Maumené M (1850) On a new reagent for ascertaining the presence of sugar in certain liquids. Philos Mag Ser 3(36):482
Campbell RL, Wagner DB, O’Connell JP (1987) Solid phase assay with visual readout. US Patent 4703017, October 27
Rosenstein RW, Bloomster TG (1989) US Patent 4855240, August 8
Mills CK, Afable C, Candanoza C, Ferreria V, Landon S, Repaske A, Scully J, Gherna R (1989) Comparison of the merckoquant 10007 nitrite test strip with conventional reagents in the detection of nitrate reduction by bacteria. J Microbiol Methods 9:233–237
Müller RH, Clegg DL (1949) Automatic paper chromatography. Anal Chem 21:1123–1125
Chin CD, Linder V, Sia SK (2012) Commercialization of microfluidic point-of-care diagnostic devices. Lab Chip 12:2118–2134
Mao X, Huang TJ (2012) Microfluidic diagnostics for the developing world. Lab Chip 12:1412–1416
Carrilho E, Martinez AW, Whitesides GM (2009) Understanding wax printing: a simple micropatterning process for paper-based microfluidics. Anal Chem 81:7091–7095
Lu Y, Shi W, Jiang L, Qin J, Lin B (2009) Rapid prototyping of paper-based microfluidics with wax for low-cost, portable bioassay. Electrophoresis 30:1497–1500
Abe K, Suzuki K, Citterio D (2008) Inkjet-printed microfluidic multianalyte chemical sensing paper. Anal Chem 80:6928–6934
Fenton EM, Mascarenas MR, López GP, Sibbett SS (2009) Multiplex lateral-flow test strips fabricated by two-dimensional shaping. ACS Appl Mater Interfaces 1:124–129
Carson FT (1940) Some observations on determining the size of pores in paper. J Res Natl Bur Stand 24:435–442
Osborn JL, Lutz B, Fu E, Kauffman P, Stevens DY, Yager P (2010) Microfluidics without pumps: reinventing the T-sensor and H-filter in paper networks. Lab Chip 10:2659–2665
Ahmed S, Bui M-PN, Abbas A (2016) Paper-based chemical and biological sensors: Engineering aspects. Biosens Bioelectron 77:249–263
Kar S, Maiti TK, Chakraborty S (2015) Capillarity-driven blood plasma separation on paper-based devices. Analyst 140:6473–6476
Ota R, Yamada K, Suzuki K, Citterio D (2018) Quantitative evaluation of analyte transport on microfluidic paper-based analytical devices (μPADs). Analyst 143:643–653
Wang X, Zhang Q, Nam C, Hickner M, Mahoney M, Meyerhoff ME (2017) An ionophore-based anion-selective optode printed on cellulose paper. Angew Chem Int Ed 56:11826–11830
Shibata H, Henares TG, Yamada K, Suzuki K, Citterio D (2018) Implementation of a plasticized PVC-based cation-selective optode system into a paper-based analytical device for colorimetric sodium detection. Analyst 143:678–686
Cassano CL, Fan ZH (2013) Laminated paper-based analytical devices (LPAD): fabrication, characterization, and assays. Microfluid Nanofluid 15:173–181
Liu W, Cassano CL, Xu X, Fan ZH (2013) Laminated paper-based analytical devices (LPAD) with origami-enabled chemiluminescence immunoassay for cotinine detection in mouse serum. Anal Chem 85:10270–10276
Tenda K, Ota R, Yamada K, Henares T, Suzuki K, Citterio D (2016) High-resolution microfluidic paper-based analytical devices for sub-microliter sample analysis. Micromachines 7:80
Urdea M, Penny LA, Olmsted SS, Giovanni MY, Kaspar P, Shepherd A, Wilson P, Dahl CA, Buchsbaum S, Moeller G, Hay Burgess DC (2006) Requirements for high impact diagnostics in the developing world. Nature 444:73–79
Recommendations for Clinical Laboratory Improvement Amendments of 1988 (CLIA) (2018) Waiver applications for manufacturers of in vitro diagnostic devices. http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/ucm079632.htm. Accessed 22 Feb 2018
Nilghaz A, Guan L, Tan W, Shen W (2016) Advances of paper-based microfluidics for diagnostics—the original motivation and current status. ACS Sens 1:1382–1393
Yamada K, Shibata H, Suzuki K, Citterio D (2017) Toward practical application of paper-based microfluidics for medical diagnostics: state-of-the-art and challenges. Lab Chip 17:1206–1249
Bai Y, Tian C, Wei X, Wang Y, Wang D, Shi X (2012) A sensitive lateral flow test strip based on silica nanoparticle/CdTe quantum dot composite reporter probes. RSC Adv 2:1778–1781
Xie QY, Wu YH, Xiong QR, Xu HY, Xiong YH, Liu K, Jin Y, Lai WH (2014) Advantages of fluorescent microspheres compared with colloidal gold as a label in immunochromatographic lateral flow assays. Biosens Bioelectron 54:262–265
Kim K, Joung H-A, Han G-R, Kim M-G (2016) An immunochromatographic biosensor combined with a water-swellable polymer for automatic signal generation or amplification. Biosens Bioelectron 85:422–428
Park J, Shin JH, Park JK (2016) Pressed paper-based dipstick for detection of foodborne pathogens with multistep reactions. Anal Chem 88:3781–3788
Shyu R-H, Shyu H-F, Liu H-W, Tang S-S (2002) Colloidal gold-based immunochromatographic assay for detection of ricin. Toxicon 40:255–258
Rong-Hwa S, Shiao-Shek T, Der-Jiang C, Yao-Wen H (2010) Gold nanoparticle-based lateral flow assay for detection of staphylococcal enterotoxin B. Food Chem 118:462–466
Chiao D-J, Shyu R-H, Hu C-S, Chiang H-Y, Tang S-S (2004) Colloidal gold-based immunochromatographic assay for detection of botulinum neurotoxin type B. J Chromatogr B 809:37–41
Fu E, Liang T, Spicar-Mihalic P, Houghtaling J, Ramachandran S, Yager P (2012) Two-dimensional paper network format that enables simple multistep assays for use in low-resource settings in the context of malaria antigen detection. Anal Chem 84:4574–4579
Lutz B, Liang T, Fu E, Ramachandran S, Kauffman P, Yager P (2013) Dissolvable fluidic time delays for programming multi-step assays in instrument-free paper diagnostics. Lab Chip 13:2840–2847
Apilux A, Ukita Y, Chikae M, Chailapakul O, Takamura Y (2013) Development of automated paper-based devices for sequential multistep sandwich enzyme-linked immunosorbent assays using inkjet printing. Lab Chip 13:126–135
Ishii M, Preechakasedkit P, Yamada K, Chailapakul O, Suzuki K, Citterio D (2018) Wax-assisted one-step enzyme-linked immunosorbent assay on lateral flow test devices. Anal Sci 34:51–56
Cherpillod P, Schibler M, Vieille G, Cordey S, Mamin A, Vetter P, Kaiser L (2016) Ebola virus disease diagnosis by real-time RT-PCR: a comparative study of 11 different procedures. J Clin Virol 77:9–14
Notomi T, Okayama H, Masubuchi H, Yonekawa T, Watanabe K, Amino N, Hase T (2000) Loop-mediated isothermal amplification of DNA. Nucleic Acids Res 28:e63–e63
Ali MM, Li F, Zhang Z, Zhang K, Kang D-K, Ankrum JA, Le XC, Zhao W (2014) Rolling circle amplification: a versatile tool for chemical biology, materials science and medicine. Chem Soc Rev 43:3324–3341
Connelly JT, Rolland JP, Whitesides GM (2015) “Paper machine” for molecular diagnostics. Anal Chem 87:7595–7601
Magro L, Escadafal C, Garneret P, Jacquelin B, Kwasiborski A, Manuguerra J-C, Monti F, Sakuntabhai A, Vanhomwegen J, Lafaye P, Tabeling P (2017) Paper microfluidics for nucleic acid amplification testing (NAAT) of infectious diseases. Lab Chip 17:2347–2371
Zuk RF, Ginsberg VK, Houts T, Rabbie J, Merrick H, Ullman EF, Fischer MM, Sizto CC, Stiso SN, Litman DJ (1985) Enzyme immunochromatography—a quantitative immunoassay requiring no instrumentation. Clin Chem 31:1144–1150
Vaughan L, Milavetz G, Ellis E, Szefler S, Conboy K, Weinberger M, Tillson S, Jenne J, Wiener M, Shaughnessy T, Carrico J (1986) Multicentre evaluation of disposable visual measuring device to assay theophylline from capillary blood sample. Lancet 327:184–186
Chen R, Li TM, Merrick H, Parrish RF, Bruno V, Kwong A, Stiso C, Litman DJ (1987) An internal clock reaction used in a one-step enzyme immunochromatographic assay of theophylline in whole blood. Clin Chem 33:1521–1525
Allen MP, DeLizza A, Ramel U, Jeong H, Singh P (1990) A noninstrumented quantitative test system and its application for determining cholesterol concentration in whole blood. Clin Chem 36:1591–1597
Liu VY, Lin TY, Schrier W, Allen M, Singh P (1993) AccuMeter noninstrumented quantitative assay of high-density lipoprotein in whole blood. Clin Chem 39:1948–1952
Cate DM, Dungchai W, Cunningham JC, Volckens J, Henry CS (2013) Simple, distance-based measurement for paper analytical devices. Lab Chip 13:2397–2404
Yamada K, Henares TG, Suzuki K, Citterio D (2015) Distance-based tear lactoferrin assay on microfluidic paper device using interfacial interactions on surface-modified cellulose. ACS Appl Mater Interfaces 7:24864–24875
Wei X, Tian T, Jia S, Zhu Z, Ma Y, Sun J, Lin Z, Yang CJ (2016) Microfluidic distance readout sweet hydrogel integrated paper-based analytical device (μDiSH-PAD) for visual quantitative point-of-care testing. Anal Chem 88:2345–2352
Tian T, An Y, Wu Y, Song Y, Zhu Z, Yang C (2017) Integrated distance-based origami paper analytical device for one-step visualized analysis. ACS Appl Mater Interfaces 9:30480–30487
Hongwarittorrn I, Chaichanawongsaroj N, Laiwattanapaisal W (2017) Semi-quantitative visual detection of loop mediated isothermal amplification (LAMP)-generated DNA by distance-based measurement on a paper device. Talanta 175:135–142
Wang AG, Dong T, Mansour H, Matamoros G, Sanchez AL, Li F (2018) Paper-based DNA reader for visualized quantification of soil-transmitted helminth infections. ACS Sens 3:205–210
Chen Y, Chu W, Liu W, Guo X (2018) Distance-based carcinoembryonic antigen assay on microfluidic paper immunodevice. Sens. Actuat. B: Chem. 260:452–459
Wei X, Tian T, Jia S, Zhu Z, Ma Y, Sun J, Lin Z, Yang CJ (2015) Target-responsive DNA hydrogel mediated “stop-flow” microfluidic paper-based analytic device for rapid, portable and visual detection of multiple targets. Anal Chem 87:4275–4282
Zhang L, Nie J, Wang H, Yang J, Wang B, Zhang Y, Li J (2017) Instrument-free quantitative detection of alkaline phosphatase using paper-based devices. Anal Methods 9:3375–3379
Noiphung J, Talalak K, Hongwarittorrn I, Pupinyo N, Thirabowonkitphithan P, Laiwattanapaisal W (2015) A novel paper-based assay for the simultaneous determination of Rh typing and forward and reverse ABO blood groups. Biosens Bioelectron 67:485–489
Berry SB, Fernandes SC, Rajaratnam A, DeChiara NS, Mace CR (2016) Measurement of the hematocrit using paper-based microfluidic devices. Lab Chip 16:3689–3694
Lewis GG, DiTucci MJ, Phillips ST (2012) Quantifying analytes in paper-based microfluidic devices without using external electronic readers. Angew Chem Int Ed 51:12707–12710
Lewis GG, Robbins JS, Phillips ST (2013) Point-of-care assay platform for quantifying active enzymes to femtomolar levels using measurements of time as the readout. Anal Chem 85:10432–10439
Zhang Y, Fan J, Nie J, Le S, Zhu W, Gao D, Yang J, Zhang S, Li J (2015) Timing readout in paper device for quantitative point-of-use hemin/G-quadruplex DNAzyme-based bioassays. Biosens Bioelectron 73:13–18
Zhang Y, Gao D, Fan J, Nie J, Le S, Zhu W, Yang J, Li J (2016) Naked-eye quantitative aptamer-based assay on paper device. Biosens Bioelectron 78:538–546
Li M, Tian J, Al-Tamimi M, Shen W (2012) Paper-based blood typing device that reports patient’s blood type “in writing”. Angew Chem Int Ed 51:5497–5501
Yamada K, Suzuki K, Citterio D (2017) Text-displaying colorimetric paper-based analytical device. ACS Sens 2:1247–1254
Cate DM, Noblitt SD, Volckens J, Henry CS (2015) Multiplexed paper analytical device for quantification of metals using distance-based detection. Lab Chip 15:2808–2818
Zhong M, Lee CY, Croushore CA, Sweedler JV (2012) Label-free quantitation of peptide release from neurons in a microfluidic device with mass spectrometry imaging. Lab Chip 12:2037–2045
Mentele MM, Cunningham J, Koehler K, Volckens J, Henry CS (2012) Microfluidic paper-based analytical device for particulate metals. Anal Chem 84:4474–4480
Rattanarat P, Dungchai W, Cate DM, Siangproh W, Volckens J, Chailapakul O, Henry CS (2013) A microfluidic paper-based analytical device for rapid quantification of particulate chromium. Anal Chim Acta 800:50–55
Henares TG, Yamada K, Takaki S, Suzuki K, Citterio D (2017) “Drop-slip” bulk sample flow on fully inkjet-printed microfluidic paper-based analytical device. Sens Actuat B: Chem 244:1129–1137
Kudo H, Yamada K, Watanabe D, Suzuki K, Citterio D (2017) Paper-based analytical device for zinc ion quantification in water samples with power-free analyte concentration. Micromachines 8:127
Chatterjee D, Mansfield DS, Anderson NG, Subedi S, Woolley AT (2012) “Flow valve” microfluidic devices for simple, detectorless, and label-free analyte quantitation. Anal Chem 84:7057–7063
Karita S, Kaneta T (2014) Acid-base titrations using microfluidic paper-based analytical devices. Anal Chem 86:12108–12114
Karita S, Kaneta T (2016) Chelate titrations of Ca2+ and Mg2+ using microfluidic paper-based analytical devices. Anal Chim Acta 924:60–67
Kenney RM, Boyce MW, Whitman NA, Kromhout BP, Lockett MR (2018) A pH-sensing optode for mapping spatiotemporal gradients in 3D paper-based cell cultures. Anal Chem 90:2376–2383
Wang J, Li W, Ban L, Du W, Feng X, Liu B-F (2018) A paper-based device with an adjustable time controller for the rapid determination of tumor biomarkers. Sens Actuat B: Chem 254:855–862
Mu X, Xin X, Fan C, Li X, Tian X, Xu KF, Zheng Z (2015) A paper-based skin patch for the diagnostic screening of cystic fibrosis. Chem Commun 51:6365–6368
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Yamada, K., Citterio, D. (2019). Paper-Based Microfluidics for Point-of-Care Medical Diagnostics. In: Tokeshi, M. (eds) Applications of Microfluidic Systems in Biology and Medicine . Bioanalysis, vol 7. Springer, Singapore. https://doi.org/10.1007/978-981-13-6229-3_13
Download citation
DOI: https://doi.org/10.1007/978-981-13-6229-3_13
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-13-6228-6
Online ISBN: 978-981-13-6229-3
eBook Packages: Chemistry and Materials ScienceChemistry and Material Science (R0)