This document relates to devices, systems, and methods involved in the detection of pathogens in bodily fluids such as blood. For example, this document provides microfluidic designs including microchambers including mesh structures including anticoagulant and target capture agents.
In parts of the world, diseases such as Hepatitis C, HIV infection (and various stages of the disease), syphilis infection, malaria infection, and anemia are common and debilitating to humans, particularly to pregnant women. For example, Hepatitis C is an infectious disease affecting primarily the liver, caused by the hepatitis C virus (HCV). An HCV infection can be asymptomatic. A chronic HCV infection, however, can lead to scarring of the liver and ultimately to cirrhosis, which can result in liver failure, liver cancer, or even deadly esophageal and gastric varices. Accordingly, there is a need to detect the presence of HCV prior to an infected person becoming symptomatic. Likewise, there is also a need to detect other pathogens, such HIV, syphilis, and malaria, prior to an infected person becoming symptomatic. Currently available detection procedures, however, are costly and/or time consuming. Moreover, point-of-care medical diagnostic tools can require complex arrangements for the mixing of samples and reagents and dispersed phase transfer in order to achieve a sufficient sensitivity for the detection of pathogens in collected biological samples. These complex arrangements add to the cost of design, development, and manufacturing these tools.
This document provides devices, systems, and methods for reducing the complexities of reagent mixing in a microfluidic architecture. Devices, systems and methods provided herein can improve the mixing of liquids, liquids and solids, and provide scaffolds for dispersed phase t that also allow transfer in a microfluidic architecture. Devices, systems and methods provided herein can reduce and/or improve the accuracy/sensitivity of a pathogen detection apparatus.
In some aspects, a pathogen detection apparatus provided herein includes a fibrous matrix carrying an anticoagulant and target capture agents. In some cases, the devices, systems, and methods include a microfluidic device, which can include a biological sample inlet in fluid communication with at least a first microfluidic chamber. The at least a first microfluidic chamber can hold a fibrous matrix. In some cases, the fibrous matrix can be a nonwoven sheet, which can entangle and retain particles bonded to the target capture agents. In some cases, the target capture agents can be virion capture agents. In some cases, the target capture agents can be bound to particles retained in the fibrous matrix (e.g., retained in a non-woven mesh). In some cases, the particles can be nanoparticles. In some cases, the particles can be metallic. In some cases, the particles can be magnetic. In some cases, the fibrous matrix (e.g., a non-woven mesh) can be positioned inside a sample intake chamber of the pathogen detection apparatus. In some cases, the fibrous matrix can include fibers that are entangled, thermally bonded, chemically bonded, layered, or a combination thereof. In some cases, the fibrous matrix can be a sheet of non-woven material.
In some aspects, a pathogen detection apparatus provided herein includes a fibrous matrix retaining a plurality of target capture agents. In some cases, the fibrous matrix can be a non-woven mesh. In some cases, the devices, systems, and methods include a microfluidic device, which can include a biological sample inlet in fluid communication with at least a first microfluidic chamber. The at least a first microfluidic chamber can hold a fibrous matrix. In some cases, the fibrous matrix can be a nonwoven sheet, which can entangle and retain particles bonded to the target capture agents. In some cases, the target capture agents can be virion capture agents. In some cases, the target capture agents can be bound to particles retained in the fibrous matrix (e.g., retained in a non-woven mesh). In some cases, the particles can be nanoparticles. In some cases, the particles can be metallic. In some cases, the particles can be magnetic. In some cases, the fibrous matrix (e.g., a non-woven mesh) can be positioned inside a sample intake chamber of the pathogen detection apparatus. In some cases, the fibrous matrix can include fibers that are entangled, thermally bonded, chemically bonded, layered, or a combination thereof. In some cases, the fibrous matrix can be a sheet of non-woven material.
The fibrous matrix can include fibers made out of any suitable material and having any suitable fiber dimensions. Suitable materials include materials that are biologically inert. In some cases, the fibers can be hydrophobic. In some cases, the fibers can be hydrophilic. In some cases, the fibers can include both hydrophilic and hydrophobic materials. In some cases, fibers can be engineered, coated, or finished to allow binding or capture of certain targets. Blood constituents like platelets might bind to the fibers and reduce the effectiveness of the fibrous matrix so the fibers need to be modified chemically. An example of this is the use of phosphorylcholine-like coatings that present a surface that platelets identify as endothelium and pass through without binding. In some cases, the fibrous matrix can include polypropylene (PP), polyester (PET) and copolyesters, polyamide, and copolyamides, cellulosics, rayon, and bi/multicomponents fibers. In some cases, the fibers can have a fiber length of 1-75 mm for natural fibers and continuous length for synthetic fibers such as PP and PET that are melt spun or melt blown into continuous webs of 5 meters wide. In some cases, the fibers can have a fiber diameter of between 0.1 microns and 15 microns with commercial diameters of around 10-15 microns usually found. The fact that polymeric fibers are extruded through rows of spinnerets, elongated during manufacture to promote variable tensile properties, and deposited into various custom entanglement webs allows enormous design capability.
The fibrous matrix can be a sheet of non-woven material made using any suitable process. In some cases, the fibrous matrix can be produced by air laying or wet laying natural fibers, spinning synthetic fibers, and bonding and/or entangling layers of fibers. In some cases, the fibrous matrix can be produced by melt blowing polymeric fibers. In some cases, the fibrous matrix can be produced by e-spinning material into fibers and randomly laying down the fibers. Preferred materials for this application are PP and PET using processes of spinning, thermal bonding, needle punching, and spun lacing, The sheet of non-woven material can have a basis weight of 5-800 grams/sq. meter with preferred basis weight of 10-100 grams/sq. meter, In some cases, the basis weight, void volume, and average pore size is selected to retain a majority of target capture agents within the non-woven web. In some cases, target capture agents are bound to particles (e.g., nanoparticles) retained within the non-woven web and the basis weight, void volume, and average pore size of the non-woven web are selected to retain at least 80% of the particles when one liter of water flows through the non-woven web. In some cases, the particles retained within the non-woven web can have an average particle size greater than the average pore size of the non-woven web. In some cases, the fibrous matrix can be purchased from a nonwoven supplier, such as DelStar and Freudenberg.
In some cases, a pathogen detection device provided herein includes particles retained within a fibrous matrix. In some cases, the particles can be immobilized in the fibrous matrix. In some cases, the particles are immobilized physically. For example, particles can be captured through filtration using the nonwoven matrix. In some cases, particles can be intermixed within the polymeric network and dried in place. In some cases, the particles are immobilized chemically. For example, in some cases, particles can bonded to polymeric fibers. In some cases the binding moiety can be chemically applied to the fiber surfaces of the fibrous web thereby increasing the active surface area for capture by hundreds of times. In some cases, the particles are immobilized magnetically. For example, particles can be attracted to a magnet positioned relative to the fibrous matrix to limit migration of the particles within the fibrous matrix. The particles can have any suitable size or shape. The particles can include any suitable material. In some cases, a target capture agent (e.g., a virion capture agent) is bound (e.g., covalently bound) to the particles. In some cases, the particles are metallic. In some cases, the particles are magnetic. In some cases, the particles can include silver. For example, core antigen can be captured in the presence of silver nanoparticles that can further be dissociated into silver ions used to quantify the core antigen.
Pathogen detection devices provided herein can be used to isolate and detect target molecules or parts of molecules. In some cases, a biological sample and an anticoagulant are introduced to a microfluidic chamber including a fibrous matrix provided herein. In some cases, the biological sample and the buffer can be introduced through the same port. In some cases, the biological sample and the buffer can be introduced through different ports. In some cases, the biological sample and the buffer are introduced to the microfluidic chamber at the same time. In some cases, the biological sample and the buffer can intermix while in the microfluidic chamber. In some cases, targets (e.g., cells, viruses, proteins, antibodies, macromolecules, DNA, RNA) can bind with target capture agents retained in the fibrous matrix. In some cases, a mixture of biological sample and the buffer can exit the microfluidic chamber through an exit port. In some cases the biological sample can mix with the anticoagulant and target capture agent in the microfluidic chamber followed by a rinse step and then followed by lysis reagent within the same chamber. Once lysis is complete, the core antigen of the bound virions can be transported out of the compartment for further processing and quantitation. In some cases, a rinse buffer can be introduced after the biological sample but prior to the introduction of a lysis buffer.
In some aspects, a method of detecting the presence of a target in a biological sample includes introducing a biological sample into a microfluidic device to flow through the fibrous matrix to mix with the anticoagulant and contact target capture agents. The target capture agents can either remain in the fibrous matrix or flow to a target capture agent chamber. A lysis agent can be delivered through microfluidic chambers including the target capture agent and any captured targets to lyse the target and produce lysate, which can be analyzed to detect a presence of the target in the biological sample.
A method for running a diagnostic analysis provided herein can include delivering a blood sample to a cartridge including a fibrous matrix provided herein, inserting the cartridge into a controller, and activating the controller to run a diagnostic analysis, where the diagnostic analysis includes a step of delivering a rinse buffer and/or a lysis buffer from one or more reservoirs on the cartridge.
The details of one or more embodiments are set forth in the accompanying drawings and the description below. Other features and advantages will be apparent from the description and drawings, and from the claims.
This document provides systems, methods, and devices related to mixing biological samples with anticoagulant and collecting targets with target capture agents. In some cases, anticoagulant and/or target capture agents are retained in a fibrous matrix. In some cases, microfluidic devices provided herein can be used to receive a biological sample (e.g., a finger prick of blood) and sufficiently mix the sample with anticoagulant. By retaining anticoagulant in the fibrous matrix in a microfluidic chamber, the biological sample can wick through the fibrous matrix and simultaneously intermix with dispersed anticoagulant in the fibrous matrix. The mixing of fluids in a microfluidic channel can require a complex and tortuous arrangement to force the fluids to intermix, thus the use of a fibrous matrix holding an anticoagulant can simplify a design for a biological sample receiving microfluidic device where the sample needs to be intermixed with a reagent, buffer, or other additive. Accordingly, the use of a fibrous matrix holding at least anticoagulant in a microfluidic device used to analyze a biological sample and/or detect a target constituent can provide more efficient and more accurate data.
In some cases, a fibrous matrix can include target capture agents. In some cases, a single fibrous matrix can include both anticoagulant and target capture agents. In some cases, an initial fibrous matrix can include anticoagulant and a subsequent fibrous matrix can include target capture agent. In some cases, methods, devices, and systems provided herein can be adapted for use with sample either premixed with anticoagulant or that do not require anticoagulant, thus certain embodiments of microfluidic devices provided herein might not include anticoagulant in a fibrous matrix.
In some cases, target capture agents can be held and retained in at least one fibrous matrix such that at least 50 weight percent of the target capture agents remain in the fibrous matrix after the sample, a rinsing buffer, and a lysis buffer passes through the fibrous matrix. In some cases, at least 60 weight percent, at least 70 weight percent, at least 80 weight percent, at least 90 weight percent, or at least 95 weight percent of the target capture agents remain in the fibrous matrix after the sample, a rinsing buffer, and a lysis buffer passes through the fibrous matrix. Target capture agents can be retained in a fibrous matrix by bonding target capture agents to particles (e.g., nanoparticles). The nanoparticles can be retained within the fibrous matrix physically, chemically, or magnetically. Some examples of how the particles can be retained are discussed below. In some cases, target capture agents can be bonded directly to fibers of the fibrous matrix.
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In some cases, a magnetic field can be applied to chamber 110 to control the placement and/or movement of particles 114. In some cases, a magnetic field can be applied to move particles around in chamber 110 to facilitate mixing of a biological sample 122 with anticoagulant within chamber 110. In some cases, particles 114 can be magnetic particles and a magnetic field can be applied to keep particles 114 from exiting chamber 110.
In some cases, multiple microfluidic chambers can be used in series to ensure a more complete capture of target moving through the microfluidic device. For example,
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Fibrous Matrix
A fibrous matrix provided herein can be any suitable entanglement of fibers. A fibrous matrix can allow a sample to be wicked through a microfluidic chamber to intermix and/or contact anticoagulant, target capture agents, or a combination thereof. In some cases, methods, devices, and systems provided herein incorporate a non-woven web as the fibrous matrix. Non-woven webs in methods, systems, and devices provided herein can be prepared using any suitable material and any suitable process. Anticoagulant and/or target capture agents may be mixed with structural fibers forming the fibrous matrix during any point in the various processes of processing, producing, and/or further manipulating the structural fibers to produce the anticoagulant/target capture agent entangled fibrous matrix. Suitable methods include the dry laid system, spun bond systems, spun laced systems, melt blown systems, and e-spun systems.
In some case, a fibrous matrix provided herein can be made using a dry laid system. A dry laid system can arrange preformed structural fibers into a web. The preformed structural fibers can be between 1.2 and 100 cm long. For example, the preformed structural fibers can be polyester or polypropylene. In some cases, anticoagulant and/or target capture agents can be mixed in with the structural fibers during fiber processing or just prior to input into a web forming apparatus.
During a dry laid process, preformed fibers (e.g., polypropylene) can be mechanically and/or pneumatically processed from a bale to a point where the fibers can be introduced into a web-forming machine. A dry laid process can include the following steps: bale opening; blending; coarse opening; fine opening; and web-form feeding. During these processes, pins can be used to open fiber tufts in preparation for forming a web. Rolls can also reduce the tuft size by using the principle of carding points between the different rolls The opened fiber with the reduced tufts can be transferred via an air stream to a web-former. In some cases, anticoagulant and/or target capture agents is mixed with the opened fibers just before being fed into a web-former.
One dry laid method of forming a nonwoven web is carding. The carding process separates small tufts into individual fibers, begins to parallelize the fibers, and forms the fibers into a web. In the carding process, fibers are held by one surface while another surface combs the fibers causing individual fiber separation. A large rotating metallic cylinder covered with card clothing can be used to card preformed fibers. The card clothing can include needles, wires, or fine metallic teeth embedded in a heavy cloth or in a metallic foundation. The top of the cylinder may be covered by alternating rollers and stripper rolls in a roller-top card. The fibers, optionally mixed with anticoagulant and/or target capture agents, can be fed by a chute or hopper and condensed into the form of a lap or batting. Needles of the two opposing surfaces of the cylinder and flats or the rollers can be inclined in opposite directions and move at different speeds. The fibers are aligned in the machine direction and form a coherent web below the surface of the needles of the main cylinder. The web can be removed from the surface of cylinder and deposited on a moving belt.
Another dry laid method of forming a nonwoven web is garnetts. Garnetts uses a group of rolls placed in an order that allows a given wire configuration, along with certain speed relationships, to level, transport, comb and interlock fibers to a degree that a web is formed. Garnetts can deliver a more random web than carding.
An air-stream can also be used to orient the structural fibers in a carding or garnetts system. For example, starting with a lap or plied card webs fed by a feed roller, the fibers can be separated by a licker-in or spiked roller and introduced into an air-stream. The air-stream can randomize the fibers as they are collected on the condenser screen. The web can be delivered to a conveyor for transporting to a bonding area. In some cases, the length of fibers used in air-laying varies from 2 to 6 cm. In some cases, the air-stream also delivers a stream of anticoagulant and/or target capture agents to be mixed with the nonwoven fibers.
A centrifugal system can also be used to form a nonwoven web by throwing off fibers from the cylinder onto a doffer with fiber inertia, which is subject to centrifugal force. Orientation in the web is three-dimensional and is random or isotropic. In some cases, anticoagulant and/or target capture agents is added to the centrifugal system to be mixed with the structural fibers.
Web formations can be made into the desired web structure by the layering of the webs from either the card and/or garnetts. Layering techniques include longitudinal layering, cross layering, and perpendicular layering. In some cases, layers of anticoagulant and/or target capture agents are deposited between layers of carded or garneted preformed fibers. As will be discussed below, the non-woven web can be further processed to entangle or interlock the preformed structural fibers of the web with each other and/or with anticoagulant and/or target capture agents. These processed include needling, needle punching, needle felting, stitch bonding, thermal bonding, ultrasonic bonding, radiation bonding, chemical bonding, air-jet entanglement, spun lace, and hydroentanglement.
In a wet laid web process, structural fibers are dispersed in an aqueous medium. Specialized paper machines can be used to separate the water from the fibers to form a uniform sheet of material, which is then bonded and dried. Wet laid Nonwoven Systems can have high production rate (up to 1000 m/min) and the ability to blend a variety of fibers from papermaking technology. Any natural or synthetic fiber could be used in the production of wet-laid nonwovens. For example, cotton linters, wood pulp, and cellulose structural fibers can be used in wet-laid process. Synthetic fibers (e.g., rayon, polyester) can be used and can provide thermobonding capabilities. In some cases, the fibers are between 2 mm and 50 mm long. The wet-laid nonwoven system can use consistencies of between 0.005% and 0.05%. In some cases, anticoagulant and/or target capture agents is also suspended in the water with structural fibers.
After swelling and dispersion of the fibers in water, the mixing vats can be transported to the head box from where they are fed continuously into a web-laying machine. In some cases, anticoagulant and/or target capture agents is also added to the mixing vats prior to feeding the dispersion to the web-laying machine. The anticoagulant and/or target capture agents can be treated prior to adding them to the dispersion. Squeezing machines can be used to dehydrate the web. The web can then be dried and bonded. For example, convection, contact and radiation dryers can be used to both dry and bond the web.
Bonding agents can be added to the wet laid material to help bond the structure. For example, meltable fibers can also be used or added to the web for bonding and activated by a heating step either during drying, or during a later hot calendaring step. Examples of fibers of this type include vinyon, polypropylene, cellulose acetate, and special low melting polyester or polyamide copolymers. In other embodiments, beads of globules of meltable materials can be added during the dry laid process and activated by a heating step to result in spot bonding.
Other in-line treatments can include aperturing and water jet entanglement. Apertures are regularly spaced holes, and can be selected for performance. One method of aperturing uses a course forming wire, so that the sheet is formed around the protruding “knuckles” in a regular pattern. Another method uses high-pressure water showers and patterned cylinders to rearrange the fiber into the desired pattern, which can be used to entangle the fibers and/or create apertures. A process sometimes known as spun lace can use precise jets of high pressure water to hydroentangle the structural fibers with each other and/or with anticoagulant and/or target capture agents. Other processes, including those discussed below, can also be used with a web laid web to entangle anticoagulant and/or target capture agents and/or to bond the structural fibers such that the non-woven web is cohesive.
Polymer-based systems for producing polymeric structural fibers having a nonwoven structure include, for example, melt-blown systems and spun bond systems. Other systems for producing polymeric fibers include electro spinning and force spinning. Moreover, other systems for producing polymeric structural fibers are also contemplated.
Both melt-blowing and spun bonding processes extrude polymeric materials and attenuate (stretch) the extruded polymer to produce fibers. The extruded and attenuated fibers can be collected on a vacuum drum or a conveyor. These processes can be run in both a horizontal and a vertical orientation. Spun bond or melt-blown structural fibers can then be collected on a wind up reel for later entangling with anticoagulant and/or target capture agents. In some cases, anticoagulant and/or target capture agents can be placed in contact with and/or entangled with the spun bond or melt-blown structural fibers during the spun bond or melt-blowing processes. In some cases, target capture agent can be added to the polymeric material before it is melt-blown or spun bond such that the resulting melt-blown or spun bond fibers include the particles at least partially encapsulated by the polymeric material of the structural fibers.
The spun bond and melt-blown processes are somewhat similar from an equipment and operator's point of view and anticoagulant and/or target capture agents can be added to these processes in substantially similar manners. The two major differences between a typical melt-blown process and a typical spun bond process are: i) temperature and volume of the air used to attenuate the filaments; and ii) the location where the filament draw or attenuation force is applied. A melt-blown process uses relatively large amounts of high-temperature air to attenuate the filaments. The air temperature can be equal to or slightly greater than the melt temperature of the polymer. In contrast, the spun bond process generally uses a smaller volume of air close to ambient temperature to first quench the fibers and then to attenuate the fibers. In the melt-blown process, the draw or attenuation force is applied at the die tip while the polymer is still in the molten state. Application of the force at this point can form microfibers but does not allow for polymer orientation. In the spun bond process, this force is applied at some distance from the die or spinneret, after the polymer has been cooled and solidified. Application of the force at this point provides the conditions necessary for polymer orientation, but is not conducive to forming microfibers.
Fibers in fibrous matrix can include the full array of extrudable polymers, such as polypropylene, polyethylene, PVC, viscose, polyester, and PLA. In some cases, the structural fibers have low extractables and/or are biologically inert.
In some cases, anticoagulant and/or target capture agents can be blown by a blower into a stream of melt-blown or spun bond structural fibers exiting a die in a horizontal process. The stream of anticoagulant and/or target capture agents entangled with the structural fiber can be collected and calendared between a pair of vacuum drums. Calendaring can be used in combination with heat (either added or latent) to bond the structural fibers. In some cases, additional methods of bonding or entangling the structural fibers can be used in fibrous matrix.
In some cases, the anticoagulant and/or target capture agents/fibrous matrix can further processed to further secure the anticoagulant and/or target capture agents within the fibrous matrix. For example, the fibrous matrix composite may be needled, needle punched, needle felted, air jet entangled, spun laced, or hydroentangled.
Anticoagulants
As discussed above, methods, systems, and devices can include anticoagulants retained in a fibrous matrix to simplify the mixing of a biological sample with the anticoagulant. Any suitable anticoagulant can be included in methods, systems, and devices provided herein. In some cases, the anticoagulant can be an antithrombics, fibrinolytic, thrombolytics, or a combination thereof. In some cases, an anticoagulant in a method, system, or device provided herein includes ethylenediamine tetraacetic acid (EDTA), heparin, Warfarin (Coumadin), Acenocoumarol, phenprocoumon, Atromentin, Brodifacoum, Phenindione, or a combination there.
Anticoagulants can be incorporated into the fibrous matrix using any suitable method. In some case a solution of anticoagulant is added to a non-woven sheet and dried. In some cases, particles of anticoagulant can be incorporated into the fibrous matrix.
Target Capture Agents
Target capture agents can be incorporated a fibrous matrix to capture a desired target to separate the target form remaining biological constituents. Accordingly, the selection of the target capture agent is highly dependent on the target. For example, in some cases, the target is a virus and the target capture agent is a virion capture agent. Suitable target capture agents include anit apoE ab1, anti apoE ab2, anti apoE ab3, anti apoE ab3, anti E2 ab2, anti E2 ab4, heparin, E2 aptamer, DC-SIGN-Fc chimea, protein G mag beads, streptavidin mag beads, Ni-NTA mag beads, apoH mag beads, MBP-6×His-no CaCl2, and combinations thereof.
Alternative Arrangements
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In some cases, the devices, systems, and methods provided herein relate to diagnosing one or more disease conditions (e.g., HIV infections, syphilis infections, malaria infections, anemia, gestational diabetes, and/or pre-eclampsia). For example, a biological sample (e.g., blood) can be collected from a mammal (e.g., pregnant woman) and analyzed using a kit including a cartridge including one or more deformable reservoirs provided herein, each reservoir including a reagent, such that the reagent can be mixed with the biological sample using a controller that receives the cartridge to determine whether or not the mammal has any of a group of different disease conditions. In the case of a device that diagnoses multiple disease conditions, the analysis for each disease condition can be performed in parallel, for example using different reagents from different deformable reservoirs, such that the results for each condition are provided at essentially the same time. In some cases, the devices, systems, and methods provided herein can be used outside a clinical laboratory setting. For example, the devices, systems, and methods provided herein can be used in rural settings outside of a hospital or clinic. Any appropriate mammal can be tested using the methods and materials provided herein. For example, dogs, cats, horses, cows, pigs, monkeys, and humans can be tested using a diagnostic device or kit provided herein.
A number of embodiments of the invention have been described. Nevertheless, it will be understood that various modifications may be made without departing from the spirit and scope of the invention. Accordingly, other embodiments are within the scope of the following claims.
This application claims the benefit of U.S. Provisional Application Ser. No. 62/074,347, filed Nov. 3, 2014. The disclosure of the prior application is considered part of (and is incorporated by reference in) the disclosure of this application.
Number | Date | Country | |
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62074347 | Nov 2014 | US |