Development of a Prototype Lateral Flow Immunoassay of Cortisol in Saliva for Daily Monitoring of Stress

Biosensors (Basel). 2021 May 7;11(5):146. doi: 10.3390/bios11050146.

Abstract

Emotional stress negatively affects the quality of a person's daily life. From a physiological point of view, stress is expressed in the excitation of the hypothalamic-pituitary-adrenal cortex axis, which leads to the release of the hormone cortisol into the blood. We developed a lateral flow immunoassay to detect cortisol in human salivary fluid and tested it on 10 healthy volunteers daily for about one month (n = 293 saliva samples). Cortisol was detected in concentrations ranging from 1 to 70 ng/mL. Salivary cortisol levels were confirmed by ELISA. The straightness range of LFIA calibration was from 1 to 100 ng/mL. The diagnostic sensitivity of the method was 73%. It was found that in 3 out of 10 subjects, fluctuations in the level of cortisol in saliva partially corresponded to the subjectively assessed level of stress.

Keywords: emotional stress; gold nanoparticles conjugation; immunochromatographic test; point-of-care testing; rapid detection; salivatory cortisol.

MeSH terms

  • Humans
  • Hydrocortisone / metabolism*
  • Immunoassay / methods
  • Monitoring, Physiologic / methods*
  • Saliva / metabolism*
  • Stress, Physiological / physiology*

Substances

  • Hydrocortisone