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Towards an instrument-free future of molecular diagnostics at the point-of-care

Project description

Rapid, accurate, and inexpensive molecular diagnostics in the field or in the office

Point-of-care (POC) rapid diagnostic tests are critical in the field, especially during infectious disease outbreaks. Unlike lab test results, they can also reduce patient waiting time and speed-up treatment. The global POC molecular diagnostics market size was valued at more than USD 1.5 billion in 2018 but significant enhancements are needed. One of the most sensitive techniques to identify pathogens at low density requires nucleic acid amplification. Currently, this process involves complex steps and temperature control along with reproducibility issues. FreeATPOC is developing novel methods for nucleic acid amplification to enable room-temperature processing and smartphone detection for fast, accurate, and inexpensive POC molecular diagnostics.

Objective

Molecular diagnostics is still primarily a lab-based method. Emerging technologies for application at the point of care (POC) or need, i.e. where a patient or a sample is, have started gaining a big part of the molecular diagnostics market. Interestingly, available methods are divided in two groups: sophisticated instruments for ultra-sensitive temperature-regulated enzymatic amplification of nucleic acids and extremely simple paper-based immuno-diagnostic kits. Complexity, the main disadvantage of the former, results in their poor translation to several applications at the POC. Simplicity, often accompanied by failures, of the latter is the reason for their slow adoption even in resource limited areas. Our vision is an instrument-free approach that combines the advantages of both groups, i.e. a method that does not use heaters or modules that require electricity, infrastructure and maintenance, but, still, takes advantage of enzymatically-amplified nucleic acids detection. To achieve the above, novel diagnostic tools for genetic amplification based on ligases, polymerases and restriction enzymes operating at ambient temperature will be developed, combined with quantitative smartphone colorimetric/UV detection. The global applicability of the new approach will be demonstrated during infectious disease (Influenza and HIV) testing in human samples (blood and swabs) and plant pathogens (Xylella fastidiosa) in plant-tissues. In all cases, we aim for a time-to-result of less than 60 min, demonstrated sensitivities down to the clinically/field relevant values and a final cost in the order of $1 per assay. Combination of Free@POC concept with newly developed predictive models will expand its utility to monitoring disease outbreaks and their spreading. This new generation of instrument-free molecular diagnostics is expected to revolutionize nucleic acid analysis at the POC but also in applications beyond resulting in substantial societal as well as economic benefits.

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Topic(s)

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Funding Scheme

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RIA - Research and Innovation action

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Call for proposal

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(opens in new window) H2020-FETOPEN-2018-2020

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Coordinator

IDRYMA TECHNOLOGIAS KAI EREVNAS
Net EU contribution

Net EU financial contribution. The sum of money that the participant receives, deducted by the EU contribution to its linked third party. It considers the distribution of the EU financial contribution between direct beneficiaries of the project and other types of participants, like third-party participants.

€ 1 146 250,00
Address
N PLASTIRA STR 100
70 013 IRAKLEIO
Greece

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Region
Νησιά Αιγαίου Κρήτη Ηράκλειο
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Research Organisations
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Total cost

The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.

€ 1 146 250,00

Participants (4)

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