Evidence map›Paper›PMID 40617841›Full record

ArticleNature communications2025

A point-of-care diagnostic for drug-induced liver injury using surface-enhanced Raman scattering lateral flow immunoassay.

Sian Sloan-Dennison, Kathleen M Scullion, Benjamin Clark, Paul Fineran, Joanne Mair, Stacey Laing, Neil C Shand, Cicely Rathmell, David Creasey, Dieter Bingemann and 7 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
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

17 authors.

Sian Sloan-Dennison *Department of Pure and Applied Chemistry, Technology and Innovation Centre, University of Strathclyde, Glasgow, UK.
Kathleen M Scullion *Centre for Cardiovascular Science, The Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK.
Benjamin Clark *Department of Pure and Applied Chemistry, Technology and Innovation Centre, University of Strathclyde, Glasgow, UK.
Paul FineranTranslational Healthcare Technologies Group, Centre for Inflammation Research, Institute for Regeneration and Repair, Edinburgh, UK.
Joanne MairTranslational Healthcare Technologies Group, Centre for Inflammation Research, Institute for Regeneration and Repair, Edinburgh, UK.
Stacey LaingDepartment of Pure and Applied Chemistry, Technology and Innovation Centre, University of Strathclyde, Glasgow, UK.
Neil C ShandDefence Science and Technology Laboratory (DSTL), Porton Down, Salisbury, UK.
Cicely RathmellWasatch Photonics, Morrisville, NC, USA.
David CreaseyWasatch Photonics, Morrisville, NC, USA.
Dieter BingemannWasatch Photonics, Morrisville, NC, USA.ORCID http://orcid.org/0009-0003-6421-6847
Jonathan FairclothWasatch Photonics, Morrisville, NC, USA.
Mark ZiegWasatch Photonics, Morrisville, NC, USA.ORCID http://orcid.org/0009-0001-2467-8276
Elizabeth VargheseEdinburgh Clinical Trials Unit, Usher Institute, University of Edinburgh, Edinburgh, UK.
Christopher J WeirEdinburgh Clinical Trials Unit, Usher Institute, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0002-6494-4903
James W DearCentre for Cardiovascular Science, The Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK. james.dear@ed.ac.uk.ORCID http://orcid.org/0000-0002-8630-8625
Karen FauldsDepartment of Pure and Applied Chemistry, Technology and Innovation Centre, University of Strathclyde, Glasgow, UK.
Duncan GrahamDepartment of Pure and Applied Chemistry, Technology and Innovation Centre, University of Strathclyde, Glasgow, UK.ORCID http://orcid.org/0000-0002-6079-2105

Funding

Chief Scientist Office (CSO) PMAS/21/07RCUK | Engineering and Physical Sciences Research Council (EPSRC) EP/T517938/1RCUK | Medical Research Council (MRC) MR/V038303/1
6 · The paper itself

Abstract

Paracetamol overdose (POD) is common, with approximately 100,000 cases attending UK hospitals annually. Timely antidote administration is crucial for patients at risk of developing acute liver failure. A rapid point-of-care (POC) assay is required to identify high-risk patients with fit-for-purpose sensitivity and specificity. Here we show that by measuring a circulating biomarker, cytokeratin-18 (K18), accurate detection of drug-induced liver injury (DILI) is possible. To achieve this, we created an in vitro diagnostic medical device designed to quantitatively detect serum K18, consisting of a Lateral Flow Immunoassay (LFIA) paired with a bespoke handheld Raman Reader (HRR) to produce quantitative surface-enhanced Raman scattering (SERS). The diagnostic was assessed in 2 performance evaluation studies using 199 serum samples from individuals following POD. The device achieves diagnostic accuracy for DILI with a specificity of 94% and sensitivity of 82%. Here we show that SERS-LFIA can rapidly identify patients with DILI, allowing individualised treatment pathways.

Indexed as

Chemical and Drug Induced Liver InjuryKeratin-18Point-of-Care SystemsSpectrum Analysis, RamanAcetaminophenBiomarkersFemaleHumansImmunoassayMalePoint-of-Care TestingSensitivity and SpecificityAcetaminophenBiomarkersKeratin-18

Identifiers

PMID40617841
PMCPMC12228770

What OpenQuestion holds

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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.