Evidence map›Paper›PMID 41644546›Full record

ArticleNature communications2026

Paper-based fluorescent assay for blood typing and antibody titer determination using long-term ambient-stored bioengineered RBCs.

Yuxuan Li, Yulong Zhang, Shengqiang Liang, Daye Cao, Weifeng Ye, Zebin Hu, Jindian Xie, Qinan Ban, Xiaoqin Zhou, Chengzi Quan and 8 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

18 authors.

Yuxuan Li *Academy of Military Medical Sciences, Beijing, China.ORCID 0009-0000-7071-8833
Yulong Zhang *Academy of Military Medical Sciences, Beijing, China.
Shengqiang LiangDepartment of Clinical Laboratory, The 909th Hospital (Southeast Hospital of Xiamen University), School of Medicine, Xiamen University, Zhangzhou, China.
Daye CaoAnbio (Xiamen) Biotechnology Co., Ltd, Xiamen, China.
Weifeng YeCenter of Clinical Laboratory, Capital Medical University, Beijing, China.
Zebin HuState Key Laboratory of Drug Regulatory Science, National Institutes for Food and Drug Control, Beijing, China.
Jindian XieAcademy of Military Medical Sciences, Beijing, China.
Qinan BanAcademy of Military Medical Sciences, Beijing, China.
Xiaoqin ZhouDepartment of Clinical Laboratory, The 909th Hospital (Southeast Hospital of Xiamen University), School of Medicine, Xiamen University, Zhangzhou, China.
Chengzi QuanAcademy of Military Medical Sciences, Beijing, China.
Sujing SunAcademy of Military Medical Sciences, Beijing, China.
Man ZhaoAcademy of Military Medical Sciences, Beijing, China.
Xiaowen XingAcademy of Military Medical Sciences, Beijing, China.
Qianqian ZhouAcademy of Military Medical Sciences, Beijing, China.
Jiawei BaiAnbio (Xiamen) Biotechnology Co., Ltd, Xiamen, China.
Linsheng ZhanAcademy of Military Medical Sciences, Beijing, China. amms91@126.com.ORCID 0000-0003-3392-2266
Daming WangAnbio (Xiamen) Biotechnology Co., Ltd, Xiamen, China. daming_wang@anbio.com.ORCID 0000-0001-5572-5090
Xiaohui WangAcademy of Military Medical Sciences, Beijing, China. lovechina1980@163.com.ORCID 0000-0003-3091-0219

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Methods for accurate, rapid blood typing and antibody titration at the point of care are constrained by cold-chain dependent red blood cell (RBC) reagents, time-consuming serial dilutions, and subjective visual interpretation. To overcome these limitations, here we develop a method based on bioengineered red-blood cells. We engineer hemoglobin-depleted RBC membranes that preserve ABO surface antigens, label them with fluorescent nanoparticles, and lyophilize them, demonstrating at least 2 years of stability at room-temperature. We capture hemagglutination on a dual-layer paper pad and quantify it by fluorescence in approximately 8 minutes, eliminating the need for serial dilution. We conduct a registered clinical trial (ChiCTR2300078864) and benchmark performance against the gel microcolumn assay. In a clinical cohort (n = 641), ABO typing achieves 100% concordance. In antibody-titration samples, quantitative titers agree with the gel microcolumn assay (coincidence 80.75%, κ = 0.8623). In summary, we develop a cold-chain-independent, handheld paper-based assay that enables simultaneous ABO grouping and quantitative antibody titration with clinical-grade performance, supporting scalable manufacturing, cross-site standardization, and transfusion decision-making in emergency and resource-limited settings.

Indexed as

AntibodiesBlood Grouping and CrossmatchingErythrocytesABO Blood-Group SystemBioengineeringHumansABO Blood-Group SystemAntibodies

Identifiers

PMID41644546
PMCPMC12982496

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.