Evidence map›Paper›PMID 40128193›Full record

ArticleNature communications2025

Portable molecular diagnostic platform for rapid point-of-care detection of mpox and other diseases.

Matthew L Cavuto, Kenny Malpartida-Cardenas, Ivana Pennisi, Marcus J Pond, Sohail Mirza, Nicolas Moser, Mark Comer, Isobel Stokes, Lucy Eke, Sian Lant and 12 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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

21 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Emerging point-of-care technologies for bacterial pathogen detection.Journal of Zhejiang University. Science. B · 2026
    Review
  7. Article
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  9. Article
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  11. Review
  12. Article
  13. Article
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  16. Article
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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

22 authors.

Matthew L Cavuto *Department of Infectious Disease, Faculty of Medicine, Imperial College London, London, UK.ORCID https://orcid.org/0000-0002-6104-6083
Kenny Malpartida-Cardenas *Department of Infectious Disease, Faculty of Medicine, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-3874-8810
Ivana PennisiDepartment of Infectious Disease, Faculty of Medicine, Imperial College London, London, UK.
Marcus J PondDepartment of Infection and Immunity, Imperial College Healthcare NHS Trust, London, UK.
Sohail MirzaDepartment of Infectious Disease, Faculty of Medicine, Imperial College London, London, UK.
Nicolas MoserProtonDx Ltd, Translation & Innovation Hub, Imperial College London, London, UK.
Mark ComerProtonDx Ltd, Translation & Innovation Hub, Imperial College London, London, UK.
Isobel StokesDepartment of Microbial Sciences, School of Biosciences and Medicine, University of Surrey, Guildford, UK.ORCID http://orcid.org/0000-0002-1833-2754
Lucy EkeDepartment of Microbial Sciences, School of Biosciences and Medicine, University of Surrey, Guildford, UK.
Sian LantDepartment of Microbial Sciences, School of Biosciences and Medicine, University of Surrey, Guildford, UK.ORCID http://orcid.org/0000-0001-7764-3520
Katarzyna M Szostak-LipowiczProtonDx Ltd, Translation & Innovation Hub, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-9565-6816
Luca MigliettaDepartment of Infectious Disease, Faculty of Medicine, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-6652-4785
Oliver W StringerDepartment of Infectious Disease, Faculty of Medicine, Imperial College London, London, UK.
Katerina-Theresa MantikasProtonDx Ltd, Translation & Innovation Hub, Imperial College London, London, UK.
Rebecca P SumnerDepartment of Microbial Sciences, School of Biosciences and Medicine, University of Surrey, Guildford, UK.ORCID http://orcid.org/0000-0003-0735-8649
Frances BoltDepartment of Infectious Disease, Faculty of Medicine, Imperial College London, London, UK.
Shiranee SriskandanDepartment of Infectious Disease, Faculty of Medicine, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-5214-4941
Alison HolmesDepartment of Infectious Disease, Faculty of Medicine, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-5554-5743
Pantelis GeorgiouProtonDx Ltd, Translation & Innovation Hub, Imperial College London, London, UK.
David O UlaetoCBR Division, Defence Science and Technology Laboratory, Salisbury, UK.ORCID http://orcid.org/0000-0002-7493-3159
Carlos Maluquer de MotesDepartment of Microbial Sciences, School of Biosciences and Medicine, University of Surrey, Guildford, UK.ORCID http://orcid.org/0000-0003-4712-4601
Jesus Rodriguez-ManzanoDepartment of Infectious Disease, Faculty of Medicine, Imperial College London, London, UK. j.rodriguez-manzano@imperial.ac.uk.ORCID http://orcid.org/0000-0002-2583-8366

Funding

DH | National Institute for Health Research (NIHR) NIHR134694RCUK | Biotechnology and Biological Sciences Research Council (BBSRC) BB/X011569/1RCUK | Engineering and Physical Sciences Research Council (EPSRC) WDPI.G09074RCUK | Medical Research Council (MRC) MR/X502959/1Wellcome TrustWellcome Trust (Wellcome) 215688/Z/19/ZWellcome Trust (Wellcome) 226691/Z/22/Z
6 · The paper itself

Abstract

The World Health Organization's designation of mpox as a public health emergency of international concern in August 2024 underscores the urgent need for effective diagnostic solutions to combat this escalating threat. The rapid global spread of clade II mpox, coupled with the sustained human-to-human transmission of the more virulent clade I mpox in the Democratic Republic of Congo, highlights a critical gap in point-of-care diagnostics for this emergent disease. In response, we developed Dragonfly, a portable molecular diagnostic platform for point-of-care use that integrates power-free nucleic acid extraction (<5 minutes) with lyophilised colourimetric LAMP chemistry. The platform demonstrated an analytical limit-of-detection of 100 genome copies per reaction for monkeypox virus, effectively distinguishing it from other orthopoxviruses, herpes simplex virus, and varicella-zoster virus. Clinical validation on 164 samples, including 51 mpox-positive cases, yielded 96.1% sensitivity and 100% specificity for orthopoxviruses, and 94.1% sensitivity and 100% specificity for monkeypox virus. Here, we present a rapid, accessible, and robust point-of-care diagnostic solution for mpox, suitable for both low- and high-resource settings, addressing the global resurgence of orthopoxviruses in the context of declining smallpox immunity.

Indexed as

Molecular Diagnostic TechniquesMonkeypox virusMpox, MonkeypoxNucleic Acid Amplification TechniquesPoint-of-Care SystemsDemocratic Republic of the CongoHumansLimit of DetectionPoint-of-Care TestingSensitivity and Specificity

Identifiers

PMID40128193
PMCPMC11933461

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Registered trials

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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.