Year: 2025
Type: article
Abstract: The worldwide burden of fungal infection has been increasing due to the expansion of the endemic borders, the host range of certain mycosis, and the emergence of novel opportunistic, drug and multi‐drug‐resistant fungal pathogens. Many deaths can be attributed to slow, inaccurate, or absent diagnostic testing and a lack of timely administration of effective antifungal treatment. Panfungal PCR followed by sequence identification has the practical advantage of rapidly and accurately detecting slow‐growing, unculturable and even rare, unexpected or novel pathogens. We have developed and tested a robust and flexible biosensing diagnostic strategy, consisting of panfungal rDNA amplification, DNA hybridization, and magnetic labeling on a portable microfluidic setup. We designed DNA‐capture probes specific for Candida albicans , Candida auris , Nakaseomyces glabratus , and Cryptococcus neoformans , and evaluated them for diagnostic sensitivity and specificity assessment, first in silico against a dataset of 58 pathogenic species (1239 DNA sequences), and then in vitro against the four species and 30 unsequenced clinical isolates of N. glabratus . On‐chip, our assay performed with 95% accuracy, 91% sensitivity, and 98% specificity under a limit of detection of 600 single‐stranded amplified ITS DNA sequences. Our results demonstrate the diagnostic value of DNA‐barcoding and magnetoresistive biosensing, emphasizing the revolutionizing potential of DNA‐sequence‐based technologies in clinical practice.
DOI: 10.1002/viw.20250015
Authors: Maria Zolotareva, Francisco Cascalheira, Rúben Afonso, Maria Corado, Ana Martins, Cátia Caneiras, Cristina Bárbara, Miguel Cacho Teixeira, Diogo Miguel Caetano
Institutions: Instituto de Engenharia de Sistemas e Computadores Microsistemas e Nanotecnologias, Institute for Bioengineering and Biosciences, University of Lisbon, Escola Superior de Saúde Egas Moniz, Centro de Investigação Interdisciplinar Egas Moniz, Laboratório Associado TERRA, Unidade Local de Saúde Santa Maria, Instituto Superior Técnico
Language: English
Subfield: Biomedical Engineering
Field: Engineering
Domain: Physical Sciences
Open Access status: gold
Estimated APC paid: $3,000
Awards: Instituto de Bioengenharia e Biociências, Acelerando Inovação em dispositivos médicos microfabricados, Instituto de Bioengenharia e Biociências, Instituto para a Saúde e a Bioeconomia, INESC Microsistemas e Nanotecnologias – Instituto de Engenharia de Sistemas e Computadores para os Microsistemas e as Nanotecnologias, INESC Microsistemas e Nanotecnologias – Instituto de Engenharia de Sistemas e Computadores para os Microsistemas e as Nanotecnologias
OpenAlex ID: W4414096102
