Evidence map›Paper›PMID 26125635›Full record

ArticleAnalytical chemistry2015

Paper-Based RNA Extraction, in Situ Isothermal Amplification, and Lateral Flow Detection for Low-Cost, Rapid Diagnosis of Influenza A (H1N1) from Clinical Specimens.

Natalia M Rodriguez, Jacqueline C Linnes, Andy Fan, Courtney K Ellenson, Nira R Pollock, Catherine M Klapperich

Abstract read
In one paragraph

Article in Analytical chemistry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 1 synthesis or guideline pooled it.

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15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Natalia M Rodriguez†Department of Biomedical Engineering, Boston University, Boston, Massachusetts 02215, United States.
Jacqueline C Linnes†Department of Biomedical Engineering, Boston University, Boston, Massachusetts 02215, United States.
Andy Fan†Department of Biomedical Engineering, Boston University, Boston, Massachusetts 02215, United States.
Courtney K Ellenson†Department of Biomedical Engineering, Boston University, Boston, Massachusetts 02215, United States.
Nira R Pollock‡Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02115, United States.
Catherine M Klapperich†Department of Biomedical Engineering, Boston University, Boston, Massachusetts 02215, United States.

Funding

Center for Innovation in Point of Care Technologies for the Future of Cancer CareU54EB015403 · NIBIB · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI KLAPPERICH, CATHERINE M. · 2012 to 2016
$8.9M
Microchip to Detect Influenza Infection and Type in Nasopharyngeal SwabsR01EB008268 · NIBIB · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI KLAPPERICH, CATHERINE M. · 2007 to 2010
$1.6M
Rapid molecular diagnostic for chlamydia and gonorrhea at the point-of-careR01AI113927 · NIAID · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI KLAPPERICH, CATHERINE M. · 2015 to 2018
$1.4M
A Rapid Instrument Free Molecular Diagnostic for B. PertussisF32AI110023 · NIAID · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI LINNES, JACQUELINE · 2014 to 2015
$63k
NIAID NIH HHS F32 AI110023NIAID NIH HHS R01 AI113927NIBIB NIH HHS R01 EB008268NIBIB NIH HHS U54 EB015403NIBIB NIH HHS U54-EB015403-S1
6 · The paper itself

Abstract

The 2009 Influenza A (H1N1) pandemic disproportionately affected the developing world and highlighted the key inadequacies of traditional diagnostic methods that make them unsuitable for use in resource-limited settings, from expensive equipment and infrastructure requirements to unacceptably long turnaround times. While rapid immunoassay diagnostic tests were much less costly and more context-appropriate, they suffered from drastically low sensitivities and high false negative rates. An accurate, sensitive, and specific molecular diagnostic that is also rapid, low-cost, and independent of laboratory infrastructure is needed for effective point-of-care detection and epidemiological control in these developing regions. We developed a paper-based assay that allows for the extraction and purification of RNA directly from human clinical nasopharyngeal specimens through a poly(ether sulfone) paper matrix, H1N1-specific in situ isothermal amplification directly within the same paper matrix, and immediate visual detection on lateral flow strips. The complete sample-to-answer assay can be performed at the point-of-care in just 45 min, without the need for expensive equipment or laboratory infrastructure, and it has a clinically relevant viral load detection limit of 10(6) copies/mL, offering a 10-fold improvement over current rapid immunoassays.

Indexed as

Genetic TechniquesHumansInfluenza A Virus, H1N1 SubtypeInfluenza, HumanLimit of DetectionPaperPoint-of-Care SystemsRNARNA

Identifiers

PMID26125635
PMCPMC4878390

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.