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The Pathologist / Issues / 2024 / Nov / Meeting Mpox Where It’s At
Point of care testing Analytical science Infectious Disease

Meeting Mpox Where It’s At

New optical biosensor offers mpox virus detection in 20 minutes

By Helen Bristow 11/26/2024 News 3 min read

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Mpox continues to sweep a deadly course through African nations, including the Democratic Republic of Congo. PCR remains the only approved diagnostic test, but faster testing – ideally at the point of care – is urgently required to more effectively manage patients with the fast-spreading disease.

With that need in mind, engineers at Boston University, USA, have developed a new optical biosensor technology – pixel diversity interferometric reflectance imaging sensor (PD-IRIS) – that has demonstrated significant improvements in detecting the mpox virus (MPXV) over existing sensors. The innovation, detailed in Biosensors and Bioelectronics, shows potential as a rapid – and cost-effective – diagnostic platform for point-of-care settings.

The PD-IRIS system can detect intact MPXV particles with a sensitivity nine times greater than a standard enzyme-linked immunosorbent assay (ELISA), achieving a limit of detection of 200 PFU/mL (~3.3 attomolar). How? PD-IRIS uses monoclonal antibodies targeting the MPXV A29 protein – a highly conserved viral membrane antigen.

Moreover, the system uses multi-spectral illumination to capture the optical signatures of viral particles in a single snapshot, which enables the completion of the entire assay, including sample preparation, within 20 minutes.

Specificity tests confirmed PD-IRIS could differentiate MPXV from closely related cowpox virus and herpes simplex virus. And additional experiments demonstrated the robustness of the technology across a range of viral concentrations and experimental conditions.

In short, the authors believe that PD-IRIS holds promise for widespread application in Mpox diagnostics, particularly in resource-limited environments. The research team suggests future adaptations could extend the platform to additional pathogens, providing a scalable solution for real-time infectious disease monitoring and control.

Credit: Adobe Stock (edited)

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Helen Bristow

Combining my dual backgrounds in science and communications to bring you compelling content in your speciality.

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