How a New Sensor Could Diagnose Sepsis in 25 Minutes
MIT researchers have invented a sensor that could accelerate the process of diagnosing sepsis. In a paper presented at the recent Engineering in Medicine and Biology Conference in Berlin, Germany, the researchers describe a microfluidics-based system designed to automatically detect clinically significant levels of interleukin-6 (IL-6), a protein biomarker found to be an early indicator of sepsis.
In sepsis patients, IL-6 levels can rise hours before other symptoms begin to show. But even at these elevated levels, the concentration of this protein in the blood is too low overall for traditional assays to detect it quickly, MIT News reported.
How It Works Magnetic beads are coated with an antibody that attracts IL-6 and a catalyzing enzyme called horseradish peroxidase. The beads and blood sample are injected into the device, entering into an “analyte-capture zone,” which is basically a loop. Along the loop is a peristaltic pump with valves automatically controlled by an external circuit. Opening and closing the valves in specific sequences circulates the blood and beads to mix together. After about 10 minutes, the IL-6 proteins have bound to the antibodies on the beads. Automatically reconfiguring the valves at that time forces the mixture into a smaller loop where they stay trapped. A tiny magnet collects the beads for a brief wash before releasing them around the loop. After about 10 minutes, many beads have stuck on an electrode coated with a separate antibody that attracts IL-6. Then, a solution flows into the loop and washes the untethered beads, while the ones with IL-6 protein remain on the electrode. The solution carries a specific molecule that reacts to the horseradish enzyme to create a compound that responds to electricity. When a voltage is applied to the solution, each remaining bead creates a small current. A common chemistry technique called “amperometry” converts that current into a readable signal. The device counts the signals and calculates the concentration of IL-6.
In one channel of the new sensor, microbeads laced with antibodies mix with a blood sample to capture the biomarker. In another channel, only beads containing the biomarker attach to an electrode. Running voltage through the electrode produces an electrical signal for each biomarker-laced bead, which is then converted into the biomarker concentration level, the researchers explain in the paper.
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“For an acute disease such as sepsis, which progresses very rapidly and can be life-threatening, it’s helpful to have a system that rapidly measures these nonabundant biomarkers,” said Dan Wu, a PhD student in the Department of Mechanical Engineering at MIT and first author of the paper. “You can also frequently monitor the disease as it progresses.”
Wu worked with Joel Voldman, a professor and associate head of MIT’s Department of Electrical Engineering and Computer Science, co-director of the Medical Electronic Device Realization Center, and a principal investigator in the Research Laboratory of Electronics and the Microsystems Technology Laboratories.
The problem with traditional assays that detect protein biomarkers is that they are bulky, expensive machines relegated to labs that require about a milliliter of blood and take hours to produce results, MIT noted. Point-of-care systems have been developed to produce similar results in about 30 minutes using microliters of blood, but these systems are still expensive because most of them rely on optical components to detect the biomarkers.
How They Did It
The MIT researchers set out to shrink components of the magnetic-bead-based assay, often used in labs, onto an automated microfluidics device roughly several square centimeters. To do so, they had to manipulate beads in micron-sized channels and fabricate a device in the Microsystems Technology Laboratory that automated the movement of fluids.
The device uses about 5 microliters of blood, which is about a quarter the volume of blood drawn from a finger prick and a fraction of the 100 microliters required to detect protein biomarkers in lab-based assays. The device captures IL-6 concentrations as low as 16 picograms per milliliter, which is below the concentrations that signal sepsis, meaning the device is sensitive enough to provide clinically relevant detection.
The current design has eight separate microfluidics channels to measure as many different biomarkers or blood samples in parallel. Different antibodies and enzymes can be used in separate channels to detect different biomarkers, or different antibodies can be used in the same channel to detect several biomarkers simultaneously.
Next, the researchers plan to create a panel of important sepsis biomarkers for the device to capture, including interleukin-6, interleukin-8, C-reactive protein, and procalcitonin. But Wu said there’s really no limit to how many different biomarkers the device can measure, for any disease.
“This is a very general platform,” he said. “If you want to increase the device’s physical footprint, you can scale up and design more channels to detect as many biomarkers as you want.”
The work was funded by Analog Devices, Maxim Integrated, and the Novartis Institutes of Biomedical Research.