Development of nucleic acid aptamer-based lateral flow assays: A robust platform for cost-effective point-of-care diagnosis

Theranostics. 2021 Mar 5;11(11):5174-5196. doi: 10.7150/thno.56471. eCollection 2021.

Abstract

Lateral flow assay (LFA) has made a paradigm shift in the in vitro diagnosis field due to its rapid turnaround time, ease of operation and exceptional affordability. Currently used LFAs predominantly use antibodies. However, the high inter-batch variations, error margin and storage requirements of the conventional antibody-based LFAs significantly impede its applications. The recent progress in aptamer technology provides an opportunity to combine the potential of aptamer and LFA towards building a promising platform for highly efficient point-of-care device development. Over the past decades, different forms of aptamer-based LFAs have been introduced for broad applications ranging from disease diagnosis, agricultural industry to environmental sciences, especially for the detection of antibody-inaccessible small molecules such as toxins and heavy metals. But commercial aptamer-based LFAs are still not used widely compared with antibodies. In this work, by analysing the key issues of aptamer-based LFA design, including immobilization strategies, signalling methods, and target capturing approaches, we provide a comprehensive overview about aptamer-based LFA design strategies to facilitate researchers to develop optimised aptamer-based LFAs.

Keywords: Aptamer; biosensor; competitive assay.; lateral flow assay; point-of-care; sandwich assay.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Antibodies / chemistry
  • Aptamers, Nucleotide / chemistry*
  • Biological Assay / methods*
  • Cost-Benefit Analysis / methods
  • Humans
  • Limit of Detection
  • Nucleic Acids / chemistry*
  • Point-of-Care Systems
  • Point-of-Care Testing

Substances

  • Antibodies
  • Aptamers, Nucleotide
  • Nucleic Acids