Paper-based device detects immune defects in 10 minutes with high accuracy

A 3D paper-based analytical device (3D-osPAD) with in situ gold signal amplification enables one-step, highly sensitive detection of anti-IFN-γ autoantibodies within 10 minutes, showing 10-fold improved sensitivity and high clinical accuracy for adult-onset immunodeficiency.

Researchers at National Taiwan University have developed a fast, low-cost paper-based test to detect hidden immune defects that make patients prone to severe, persistent infections. The device targets harmful autoantibodies that block interferon-gamma, a key immune molecule, leaving patients vulnerable to difficult-to-diagnose diseases. The study is published in Biosensors and Bioelectronics.

The test features a 3D folded paper structure integrated with gold nanoparticle signal amplification. All required reagents are preloaded in layered compartments, enabling the assay to start automatically when just a small drop of diluted blood serum is added—delivering results in only 10 minutes.

This one-step design not only streamlines the process but also improves sensitivity tenfold compared to conventional methods, detecting even trace levels of these autoantibodies in the early stages of illness.

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