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Keywords = paper-based microfluidic device

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51 pages, 4358 KB  
Review
Paper-Based Biosensors for Monitoring Binding, Blocking, and Surrogate Neutralizing Antibody Responses Against Viral Infections
by Yiren Yin, Yujie Yi, Yazheng Yu, Tatyana Aleksandrovna Khrustaleva, Linlin Zhai, Jianhai Yu, Wei Zhao and Chenguang Shen
Biosensors 2026, 16(8), 420; https://doi.org/10.3390/bios16080420 - 4 Aug 2026
Viewed by 364
Abstract
Virus-specific antibody responses, including binding antibodies and neutralizing antibodies (nAbs), are important indicators of antiviral immune status after infection or immunization. They provide complementary information on antiviral humoral immunity after infection or vaccination. Antigen-binding antibodies indicate previous exposure and the magnitude of the [...] Read more.
Virus-specific antibody responses, including binding antibodies and neutralizing antibodies (nAbs), are important indicators of antiviral immune status after infection or immunization. They provide complementary information on antiviral humoral immunity after infection or vaccination. Antigen-binding antibodies indicate previous exposure and the magnitude of the immune response, whereas receptor-blocking and functional neutralization assays assess whether antibodies interfere with viral entry or infection. Conventional neutralization assays, such as plaque reduction neutralization tests and pseudovirus neutralization tests, provide functional information but are labor-intensive, time-consuming, biosafety-restricted, and difficult to deploy for large-scale or decentralized monitoring. Paper-based biosensors, including lateral flow assays (LFAs), microfluidic paper-based analytical devices (μPADs), and paper-based ELISA, have emerged as promising point-of-care tools owing to their low cost, portability, simple operation, and compatibility with visual or digital readouts. This review critically evaluates these platforms according to whether they measure antigen-binding antibodies, receptor-blocking activity, surrogate neutralization, or functional neutralization and summarizes the applications of these three platforms for monitoring antibody responses against SARS-CoV-2, influenza, dengue, Zika, and monkeypox viruses. Unlike previous reviews that mainly focus on general paper-based biosensor design or conventional nAb assays, this review emphasizes the distinction between antigen-binding, receptor-blocking, and surrogate neutralization readouts, and critically discusses how paper-based signals should be interpreted in relation to functional immunity. We further analyze key translational challenges, including quantitative accuracy, antigen cross-reactivity, standardization, clinical validation, regulatory positioning, and real-world implementation. Future development should combine multiplex detection, standardized calibration, digital and AI-assisted interpretation, and clinically validated assay formats. Paper-based biosensors have considerable potential for decentralized antibody monitoring and public health surveillance, but their clinical utility depends on clear assay positioning and validation against appropriate functional or reference methods. Full article
(This article belongs to the Special Issue Point-of-Care Testing: Advances and Perspectives)
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21 pages, 5435 KB  
Article
A Perspective on Direct Binary Capacitance Detectors for Decision-Driven Biochemical and Lab-on-Chip Applications: A CMOS Cross-Coupled-Based Capacitance Detector
by Tayebeh Azadmousavi, Saghi Forouhi and Ebrahim Ghafar-Zadeh
Micromachines 2026, 17(8), 909; https://doi.org/10.3390/mi17080909 - 29 Jul 2026
Viewed by 283
Abstract
Capacitive sensors implemented in complementary metal-oxide-semiconductor (CMOS) technology are widely used in lab-on-chip (LoC), biomedical, and microfluidic systems. While most capacitive sensor interfaces are designed for high-resolution capacitance quantification, many practical applications require only binary decisions, event detection, or state discrimination. In such [...] Read more.
Capacitive sensors implemented in complementary metal-oxide-semiconductor (CMOS) technology are widely used in lab-on-chip (LoC), biomedical, and microfluidic systems. While most capacitive sensor interfaces are designed for high-resolution capacitance quantification, many practical applications require only binary decisions, event detection, or state discrimination. In such scenarios, conventional readout architectures introduce unnecessary circuit complexity, power consumption, latency, and data-processing overhead. This paper presents a CMOS cross-coupled-based capacitance detector (CBCD) that directly converts the imbalance between a sensing capacitance and a reference capacitance into a digital output. By exploiting regenerative positive feedback in a dynamic latch architecture, the proposed detector integrates sensing, comparison, and digitization within a single stage, eliminating the need for analog amplification, analog-to-digital conversion, frequency-based readout, and external thresholding circuitry. Circuit-level simulations show the ability to detect extremely small capacitance differences, demonstrate robust operation across a wide range of input capacitances, and achieve negligible power consumption. Process-corner, noise, and Monte Carlo analyses further verify reliable operation in the presence of device mismatch and process variations. Owing to its compact structure, digital-native output, and energy-efficient operation, the proposed CBCD is well suited for decision-driven sensing applications, including droplet presence detection, bubble monitoring, threshold-based diagnostics, event detection, and time-of-evaporation (ToE) measurements. The proposed architecture provides a scalable and low-complexity front-end solution for next-generation CMOS-integrated sensing platforms. Full article
(This article belongs to the Special Issue Advances in CMOS Integrated Sensors and Biosensors)
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49 pages, 6776 KB  
Review
Organ-on-a-Chip and Microfluidic Plant Cell Culture Systems: The Next Frontier for Controlled Secondary Metabolite Production and Real-Time Metabolomic Monitoring
by Abhishek Dadhich, Vikas Sharma and Iyyakkannu Sivanesan
Plants 2026, 15(14), 2179; https://doi.org/10.3390/plants15142179 - 16 Jul 2026
Cited by 1 | Viewed by 658
Abstract
Plant secondary metabolites remain indispensable for pharmaceuticals, nutraceuticals, and cosmeceuticals, yet conventional plant culture systems are increasingly limited by inconsistent yields, poor scalability, and inadequate capacity for real-time process monitoring. Microfluidic technologies and organ-on-a-chip (OoC) platforms, originally developed for mammalian biology, are now [...] Read more.
Plant secondary metabolites remain indispensable for pharmaceuticals, nutraceuticals, and cosmeceuticals, yet conventional plant culture systems are increasingly limited by inconsistent yields, poor scalability, and inadequate capacity for real-time process monitoring. Microfluidic technologies and organ-on-a-chip (OoC) platforms, originally developed for mammalian biology, are now emerging as powerful tools to overcome these constraints. These systems enable laminar flow, precise gradient generation, single-cell resolution, and biosensor integration, providing unprecedented control over the cellular microenvironment and supporting non-destructive, real-time metabolomic monitoring. While recent reviews have surveyed plant microfluidics broadly covering developmental biology, single-cell phenotyping, and root–microbe interactions, this review provides, to our knowledge, the first synthesis focused specifically on organ-on-a-chip approaches for plant secondary metabolite biosynthesis and real-time metabolomic monitoring. Advances in device fabrication, including PDMS, paper-based, hydrogel, and thermoplastic materials, surface engineering, gradient-based elicitation strategies, and integration of optical, electrochemical, and mass spectrometric detection systems have also been critically examined. Special emphasis is placed on root-on-a-chip, shoot meristem, protoplast, callus, and 3D organoid platforms for studying cell wall mechanics, vacuolar dynamics, cytoskeletal responses, and signalling cascades. However, challenges remain in long-term culture stability and scalability; nonetheless, these technologies offer a roadmap toward programmable ‘plant biosynthetic factories’ to produce high-value natural products. Full article
(This article belongs to the Collection Plant Tissue Culture)
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29 pages, 7201 KB  
Review
Recent Progress in Artificial Intelligence in Biosensor Development: From Bioprobe Design to Fabrication and Signal Analysis
by Yunseon Han, Haebin Jo, Minyoung Ju, Seowoo Bae, Ju Young Kim, Jinho Yoon and Taek Lee
Biosensors 2026, 16(7), 382; https://doi.org/10.3390/bios16070382 - 13 Jul 2026
Viewed by 894
Abstract
The coronavirus disease 2019 (COVID-19) pandemic highlighted the need for rapid, accurate, and point-of-care diagnostic technologies, accelerating interest in biosensors as next-generation analytical platforms. However, biosensor performance is governed by a connected sequence of processes, including bioprobe–target recognition, sensor fabrication, structural optimization, and [...] Read more.
The coronavirus disease 2019 (COVID-19) pandemic highlighted the need for rapid, accurate, and point-of-care diagnostic technologies, accelerating interest in biosensors as next-generation analytical platforms. However, biosensor performance is governed by a connected sequence of processes, including bioprobe–target recognition, sensor fabrication, structural optimization, and signal interpretation. Because these processes involve multiple interacting variables, conventional empirical approaches often have limitations in efficiently optimizing biosensor performance and interpreting complex analytical signals. Artificial intelligence (AI) and machine learning (ML) provide tools to model these relationships and support prediction-guided biosensor development. This review discusses recent progress in AI-assisted biosensor development in three sequential stages. First, AI-assisted bioprobe design is reviewed, including in silico aptamer discovery, smart-SELEX-based aptamer screening, and peptide receptor design for improving molecular recognition. Second, AI-driven sensor fabrication and structural optimization are discussed, focusing on electrochemical feature extraction, paper-based microfluidic device optimization, and optical biosensor parameter prediction. Third, ML-based signal analysis is examined as a strategy for converting complex electrochemical, colorimetric, and optical responses into quantitative analytical outputs. By organizing these examples as a connected workflow rather than as separate applications, this review highlights how AI can link molecular design, device engineering, and signal interpretation to accelerate the development of next-generation biosensors. Full article
(This article belongs to the Special Issue AI/ML-Enabled Biosensing: Shaping the Future of Disease Detection)
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36 pages, 2462 KB  
Review
Microfluidic and Paper-Based Recombinase Polymerase Amplification Systems for Decentralized Diagnostics and Biosurveillance
by Hsing-Meng Wang, Sheng-Zhuo Lee and Lung-Ming Fu
Micromachines 2026, 17(7), 825; https://doi.org/10.3390/mi17070825 - 10 Jul 2026
Viewed by 726
Abstract
Recombinase polymerase amplification (RPA) has become a central amplification strategy for decentralized molecular diagnostics because it operates rapidly at mild temperatures and requires far less thermal control than PCR. Its analytical value increases substantially when paired with microfluidic and paper-based platforms, where sample [...] Read more.
Recombinase polymerase amplification (RPA) has become a central amplification strategy for decentralized molecular diagnostics because it operates rapidly at mild temperatures and requires far less thermal control than PCR. Its analytical value increases substantially when paired with microfluidic and paper-based platforms, where sample handling, reagent delivery, amplification, and signal readout can be organized within compact, low-power, and field-compatible formats. This review examines recent progress in microfluidic and paper-based RPA systems across biomedical diagnostics, food safety testing, environmental monitoring, and One Health biosurveillance. Particular attention is given to integrated device architectures, including centrifugal chips, capillary-driven platforms, microfluidic paper-based analysis devices (μPADs), electrochemical biosensors, CRISPR-assisted assays, digital microfluidic systems, and sample-to-answer cartridges. Biomedical applications now span respiratory viruses, reproductive and emerging infections, bacterial and parasitic diseases, pharmacogenomic markers, and cancer-related biomarkers. RPA-enabled platforms are moving steadily into food safety and environmental surveillance, covering pathogen detection, seafood and dairy monitoring, agricultural disease control, antimicrobial-resistance tracking, and airborne pathogen screening. At the same time, the field is shifting toward more intelligent diagnostic formats. Smartphone imaging, artificial intelligence (AI)-assisted interpretation, digital partitioning, cloud connectivity, and automated quality control are increasingly being built into rapid testing workflows, giving these systems greater portability, consistency, and decision-making value. Despite this progress, practical deployment still depends on robust sample preparation, multiplex stability, quantitative reliability, reagent storage, scalable fabrication, and regulatory validation. Continued convergence of RPA chemistry with microfluidics, paper devices, CRISPR recognition, electrochemical readout, and data-assisted interpretation is expected to support more robust and accessible molecular diagnostic workflows. Full article
(This article belongs to the Special Issue Microfluidics in Biomedical Research)
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39 pages, 1739 KB  
Review
Carbon-Based Microfluidic Sensors for Water Monitoring
by Guihe Li and Jia Yao
C 2026, 12(3), 57; https://doi.org/10.3390/c12030057 - 7 Jul 2026
Cited by 1 | Viewed by 1219
Abstract
Carbon-based materials, including graphene, carbon nanotubes, laser-induced graphene, and pyrolyzed glassy carbon, are widely used in sensing applications due to their high conductivity, large surface area, and tunable surface chemistry. Meanwhile, microfluidic systems enable precise fluid handling, reduced sample consumption, and enhanced analytical [...] Read more.
Carbon-based materials, including graphene, carbon nanotubes, laser-induced graphene, and pyrolyzed glassy carbon, are widely used in sensing applications due to their high conductivity, large surface area, and tunable surface chemistry. Meanwhile, microfluidic systems enable precise fluid handling, reduced sample consumption, and enhanced analytical performance through improved mass transport and device miniaturization. The integration of carbon-based materials with microfluidic platforms has enabled the development of compact, portable, and highly sensitive devices for water monitoring. This review summarizes recent advances in carbon-based microfluidic sensors for water monitoring applications. Key carbon materials and their sensing mechanisms, particularly electrochemical transduction, are discussed. Various microfluidic integration strategies, including paper-based devices, polymer-based devices, MEMS-based systems, and flexible platforms, are highlighted, with emphasis on mass transport enhancement and overall system performance. Representative recent advances in carbon-based microfluidic sensors for water monitoring, including the detection of heavy metal ions, nutrients, and emerging contaminants, are reviewed. Finally, challenges related to scalable manufacturing, long-term operational stability, biofouling/surface fouling, and reproducible system integration are discussed, together with future perspectives on intelligent carbon-based microfluidic platforms featuring AI-assisted analytics, sense-response functionality, and self-healing and dynamic antifouling capabilities for water monitoring. These advances are expected to enable real-time, low-cost, and field-deployable water monitoring systems for environmental protection and public health management. Overall, this review highlights the critical role of integrating carbon-based sensing materials with microfluidic engineering in advancing next-generation water monitoring technologies. Full article
(This article belongs to the Special Issue Carbons for Health and Environmental Protection (2nd Edition))
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21 pages, 23838 KB  
Article
From Simulation to Application: Droplet-Based Microfluidics for Thermal Targeting of Cancer Cells
by Zsombor Szomor, Eszter L. Tóth, János M. Bozorádi, Tamás Pardy, Rauno Jõemaa and Péter Fürjes
Micromachines 2026, 17(7), 782; https://doi.org/10.3390/mi17070782 - 27 Jun 2026
Viewed by 1449
Abstract
This paper presents the development, fabrication, and characterization of a droplet-based microfluidic platform designed for precise local thermal treatment of cancer cells, with prospective chemical targeting as a future application. The workflow begins with a finite element model (FEM) using COMSOL Multiphysics 6.0 [...] Read more.
This paper presents the development, fabrication, and characterization of a droplet-based microfluidic platform designed for precise local thermal treatment of cancer cells, with prospective chemical targeting as a future application. The workflow begins with a finite element model (FEM) using COMSOL Multiphysics 6.0 to characterize coupled hydrodynamic and thermal behavior, specifically analyzing temperature distributions across single-phase and three-phase regimes. Following the simulation, work has progressed to the fabrication of a microfluidic device and the characterization of its platinum heat source and temperature detector to ensure precise thermal control. To replicate realistic biochemical conditions, experiments have employed a three-phase configuration of oil, water, and fluorescent BSA solution. In the final stage, DX5-GFP MES-SA cancer cells have replaced the BSA solution to complete the measurements. To ensure reagent homogenization and consistent cellular exposure, a serpentine channel design was utilized to induce Dean vortices, which significantly enhanced internal mixing within the droplets. Fluorescence-loss experiments demonstrated that localized heating above ~60 °C induces irreversible thermal damage in both model proteins (fluorescent BSA) and cancer cells, establishing a proof-of-concept basis for precise thermal regulation at the single-droplet level. By deactivating specific thermo-sensitive proteins responsible for drug resistance, this integrated approach to thermal and hydrodynamic optimization enhances the efficacy of chemical stimuli and provides a robust platform for investigating the modulation of cellular defense mechanisms in future biotechnological applications. The platform holds significant potential for advancing precision oncology by enabling systematic, single-cell-level investigation of heat-shock-mediated drug sensitization, with long-term implications for overcoming multidrug resistance in aggressive cancer therapies. Full article
(This article belongs to the Special Issue Microfluidic Droplet Array)
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52 pages, 7565 KB  
Review
Recent Advances in Paper-Based Microfluidic Devices for Heavy Metal Ion Detection: A Review
by Jianqin Xu, Xinyuan Ma, Zhiping Li, Tingting Zhou, Yanshuang Wang and Jianyu Zhu
Micromachines 2026, 17(7), 780; https://doi.org/10.3390/mi17070780 - 26 Jun 2026
Viewed by 363
Abstract
Heavy metal ion pollution has emerged as a global issue. These contaminants are not only present in water sources but are also commonly detected in air, soil, food, and consumer products, posing serious risks to ecosystems and human health. Even at very low [...] Read more.
Heavy metal ion pollution has emerged as a global issue. These contaminants are not only present in water sources but are also commonly detected in air, soil, food, and consumer products, posing serious risks to ecosystems and human health. Even at very low concentrations, heavy metal ions can exhibit substantial toxicity. Traditional methods for the detection of heavy metal ions typically require complex laboratory equipment and specialized technicians, making them inadequate for rapid on-site monitoring. Microfluidic technology, as an innovative platform capable of precisely controlling and manipulating minute volumes of fluid, has demonstrated enormous potential in analytical chemistry, biomedicine, and environmental monitoring. In the rapidly developing field of microfluidics, paper-based microfluidic platforms have become prominent due to their low cost, straightforward fabrication, and eco-friendly nature, offering powerful tools for the detection of heavy metal ions in diverse samples. This survey consolidates the major advances reported from 2015 to 2025 in utilizing paper-based microfluidic systems for identifying heavy metal ion pollutants in diverse sample types, including air, explosive residues, water sources, herbal supplements, skin-whitening cosmetics, environmental aerosols, urine, soil, gunshot residues, cucumber plants, and food. The review analyzes in detail the principles and applications of detection strategies based on colorimetric methods, fluorescent methods, electrochemical methods, dual-detection systems, and other methods, as well as the role of nanomaterials and selective recognition elements in improving detection sensitivity and specificity. These portable, low-cost, and easy-to-operate detection systems provide viable solutions for environmental and public health monitoring, particularly suitable for resource-limited regions and scenarios requiring rapid detection. Full article
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12 pages, 2302 KB  
Article
Electrostatically Sealed Paper-Based Microfluidic Device for Environmentally Robust Nitrite Determination by Griess Colorimetry
by Xiaoli Guo, Mingfei Tong, Danping Xie, Baimei Shi, Xiaoqian Long, Kai Luo, Xuekun Li and Yunhui Zhai
Chemosensors 2026, 14(6), 139; https://doi.org/10.3390/chemosensors14060139 - 16 Jun 2026
Viewed by 299
Abstract
Microfluidic paper-based analytical devices (µPADs) are promising for point-of-care testing, yet most operate in an open-format that is susceptible to solvent evaporation and reagent contamination, causing poor signal stability under changing environments. Here, we present an equipment-free sealing strategy to construct closed µPADs [...] Read more.
Microfluidic paper-based analytical devices (µPADs) are promising for point-of-care testing, yet most operate in an open-format that is susceptible to solvent evaporation and reagent contamination, causing poor signal stability under changing environments. Here, we present an equipment-free sealing strategy to construct closed µPADs by electrostatically adsorbing two polymer films onto open chips, forming an enclosed microenvironment. Using the Griess colorimetric reaction for nitrite, we benchmarked the closed-format against an open counterpart. At a standard condition, the closed µPAD produced a higher grayscale signal, reached a stable peak within 10 min, and remained stable for >60 min. It also demonstrated superior environmental robustness, yielding consistently smaller relative standard deviations (RSDs) across varying humidity levels and temperatures. With the optimized readout time, nitrite exhibited linear calibration over 2.0–10 mg/L (R2 = 0.998), with a detection limit of 0.75 mg/L. In synthetic urine A, spike–recovery tests at 2.0, 5.0, and 9.0 mg/L gave acceptable recoveries and precision across temperature–humidity conditions (RSD < 10%). Additional verification in synthetic urine B at 5.0 mg/L under an uncontrolled environment further confirmed the practicality of this sealed µPAD for environment-tolerant quantitative nitrite analysis. Full article
(This article belongs to the Section Analytical Methods, Instrumentation and Miniaturization)
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41 pages, 23754 KB  
Review
Carbon Dot-Based Electrochemical and Optical Sensors for Pharmaceutical Analysis and Point-of-Care Diagnostics
by Ganesh Gollavelli, Chiranjib Patra, Chiranjeevi Korupalli, Manuri Brahmayya and Yong-Chen Ling
Biosensors 2026, 16(5), 246; https://doi.org/10.3390/bios16050246 - 28 Apr 2026
Cited by 2 | Viewed by 2257
Abstract
Because of their special optical and electrochemical characteristics, superior biocompatibility, adjustable surface chemistry, and inexpensive, scalable synthesis, carbon dots (CDs), including carbon quantum dots and graphene quantum dots, have become powerful and adaptable nanomaterials for advanced pharmaceutical analysis and other toxicants. The sensitive [...] Read more.
Because of their special optical and electrochemical characteristics, superior biocompatibility, adjustable surface chemistry, and inexpensive, scalable synthesis, carbon dots (CDs), including carbon quantum dots and graphene quantum dots, have become powerful and adaptable nanomaterials for advanced pharmaceutical analysis and other toxicants. The sensitive and selective detection of active pharmaceutical substances, degradation products, contaminants, biomarkers, and therapeutic medication levels in complex matrices has shown great promise in recent years with CD-based nanobiosensors. The development of various sensing platforms, such as electrochemical, optical, and dual-mode biosensors, as well as integration into microfluidic, paper-based, and wearable point-of-care (POC) devices, is made possible by their intrinsic fluorescence, effective electron transfer capacity, and ease of functionalization. With an emphasis on sensing mechanisms, biorecognition techniques, and analytical performance, this study critically reviews current developments in CD-based nanobio/chemosensors for pharmaceutical analysis. It includes a thorough discussion of important applications in drug development, stability research, therapeutic drug monitoring, and drug quality control. Along with new developments like green synthesis, AI-assisted signal processing, and smart sensing platforms, current issues with reproducibility, standardization, biocompatibility, and regulatory validation are highlighted. Lastly, prospects for the industrial application and clinical translation of CD-based nanobiosensors are discussed. Full article
(This article belongs to the Special Issue Recent Advances in Biosensors for Pharmaceutical Analysis)
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10 pages, 28956 KB  
Communication
Fabrication of Paper Microfluidic Chips via Wax Soft Lithography
by Xinyi Chen, Jie Zhou, Jiahua Zhong, Zitong Ye, Qinghao He, Hao Chen and Weijin Guo
Micromachines 2026, 17(5), 512; https://doi.org/10.3390/mi17050512 - 23 Apr 2026
Viewed by 784
Abstract
Paper-based microfluidic devices (μPADs) have attracted significant attention for point-of-care testing (POCT), environmental monitoring, and food safety due to their low cost, ease of use, and minimal instrument dependence. However, fabricating high-resolution and reproducible microchannels on paper remains challenging. Conventional methods such as [...] Read more.
Paper-based microfluidic devices (μPADs) have attracted significant attention for point-of-care testing (POCT), environmental monitoring, and food safety due to their low cost, ease of use, and minimal instrument dependence. However, fabricating high-resolution and reproducible microchannels on paper remains challenging. Conventional methods such as wax printing, photolithography, and inkjet printing are limited by resolution or equipment cost. Here, we present a low-cost, high-resolution fabrication method for μPADs, termed wax soft lithography, which combines wax printing with soft lithography. Through this method, microchannels with a minimum width of 234 ± 62 μm were consistently produced, and complex patterns were successfully fabricated, demonstrating high precision and reproducibility. As a proof-of-concept demonstration of device functionality, the fabricated μPADs were used to detect glucose in spiked urine samples, showing a concentration-dependent colorimetric response. This method provides an effective route for rapid production of high-resolution μPADs in resource-limited settings. With further validation before practical applications, this method shows promise for future development in POCT. Full article
(This article belongs to the Special Issue Microfluidics in Biomedical Research)
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24 pages, 323 KB  
Review
Molecular Point-of-Care Testing for Respiratory Infections: A Comprehensive Literature Review (2006–2026)
by Ahmed J. Alzahrani
Diagnostics 2026, 16(6), 930; https://doi.org/10.3390/diagnostics16060930 - 20 Mar 2026
Cited by 3 | Viewed by 1760
Abstract
Molecular point-of-care testing (POCT) for respiratory infections has undergone remarkable advancement over the past two decades, driven by technological innovation and urgent clinical needs highlighted by the COVID-19 pandemic. This comprehensive systematic review was conducted following PRISMA 2020 guidelines, synthesizing evidence from 254 [...] Read more.
Molecular point-of-care testing (POCT) for respiratory infections has undergone remarkable advancement over the past two decades, driven by technological innovation and urgent clinical needs highlighted by the COVID-19 pandemic. This comprehensive systematic review was conducted following PRISMA 2020 guidelines, synthesizing evidence from 254 peer-reviewed studies published between 2006 and 2026, with detailed analysis of the 30 most relevant papers selected through a rigorous four-stage screening process. The review examines the evolution of molecular POCT technologies, including reverse transcription polymerase chain reaction (RT-PCR), loop-mediated isothermal amplification (LAMP), recombinase polymerase amplification (RPA), and CRISPR-based detection systems. Key findings demonstrate that modern molecular POCT platforms achieve diagnostic performance comparable to laboratory-based testing, with sensitivities ranging from 88% to 100% and specificities from 98% to 100%, while delivering results in 15 to 80 min. These technologies enable rapid, accurate detection of major respiratory pathogens, including SARS-CoV-2, influenza A/B, respiratory syncytial virus (RSV), and atypical bacteria. The integration of microfluidic systems, portable devices, and smartphone-based analysis has expanded access to testing in resource-limited settings, emergency departments, and wearable platforms. This review provides critical insights for clinicians, researchers, and policymakers regarding the current state, clinical applications, and future directions of molecular POCT for respiratory infections. Full article
(This article belongs to the Special Issue Advances in Infectious Disease Diagnosis Technologies)
22 pages, 4421 KB  
Article
Integrated Microfluidic Chip Enabling Preparation and Immobilization of Cell-Laden Microspheres, and Microsphere-Based Cell Culture and Analysis
by Qiongyao Mou, Peiyi Zhang, Daijing Li, Qiong Wang and Jun Yang
Biosensors 2026, 16(2), 126; https://doi.org/10.3390/bios16020126 - 19 Feb 2026
Cited by 2 | Viewed by 1146
Abstract
Microfluidics-based preparation methods for cell-laden hydrogel microspheres are well-suited for large-scale comparative analysis of single or few cells. However, in existing studies, the preparation of cell-laden hydrogel microspheres and the cell culture process are typically separated, requiring the fabricated microspheres to be eluted [...] Read more.
Microfluidics-based preparation methods for cell-laden hydrogel microspheres are well-suited for large-scale comparative analysis of single or few cells. However, in existing studies, the preparation of cell-laden hydrogel microspheres and the cell culture process are typically separated, requiring the fabricated microspheres to be eluted and transferred from the preparation device to cell culture dishes or plates for cultivation. This transfer process can easily compromise sterility, while conventional cell culture methods consume more reagents and cause microsphere stacking, hindering single-cell observation and analysis. To address these issues, this paper presents an integrated microfluidic chip that sequentially enables droplet generation with cell encapsulation, gel droplet solidification, hydrogel microsphere trapping, and microsphere-based cell culture and analysis, facilitating the cultivation and observation of single or small numbers of cells. Integrating cell-laden microsphere preparation and 3D cell culture within a sealed chip structure reduces contamination risks associated with cell transfer, enables automation of multiple cell analysis workflows, and minimizes reagent and sample consumption. Using polydimethylsiloxane (PDMS) with good gas permeability and processability as the chip material, biocompatible fluorinated oil was selected as the oil phase for microsphere preparation. A mild sodium alginate-calcium ion gelation system was employed, where calcium ions were released under acidic conditions after droplet generation to trigger solidification, yielding uniform hydrogel microspheres. Under optimized conditions, the single-cell encapsulation efficiency for test samples of human myeloid leukemia cells (K562) was 33.8% ± 1.8%, with a size uniformity coefficient of variation (CV) reaching 3.85%. Cells encapsulated within hydrogel microspheres were cultured in 286 on-chip independent cell culture chambers, achieving >95% viability after 24 h. Full article
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30 pages, 1982 KB  
Perspective
Microfluidic Paper-Based Devices at the Edge of Real Samples: Fabrication Limits, Hybrid Detection, and Perspectives
by Hsing-Meng Wang, Sheng-Zhuo Lee and Lung-Ming Fu
Micromachines 2026, 17(1), 105; https://doi.org/10.3390/mi17010105 - 13 Jan 2026
Cited by 8 | Viewed by 1578
Abstract
Microfluidic paper-based analytical devices (µPADs) convert ordinary cellulose into an active analytical platform where capillary gradients shape transport, surface chemistry guides recognition, and embedded electrodes or optical probes translate biochemical events into readable signals. Progress in fabrication—from wax and stencil barriers to laser-defined [...] Read more.
Microfluidic paper-based analytical devices (µPADs) convert ordinary cellulose into an active analytical platform where capillary gradients shape transport, surface chemistry guides recognition, and embedded electrodes or optical probes translate biochemical events into readable signals. Progress in fabrication—from wax and stencil barriers to laser-defined grooves, inkjet-printed conductive lattices, and 3D-structured multilayers—has expanded reaction capacity while preserving portability. Detection strategies span colorimetric fields that respond within porous fibers, fluorescence and ratiometric architectures tuned for low abundance biomarkers, and electrochemical interfaces resilient to turbidity, salinity, and biological noise. Applications now include diagnosing human body fluids, checking food safety, monitoring the environment, and testing for pesticides and illegal drugs, often in places with limited resources. Researchers are now using learning algorithms to read minute gradients or currents imperceptible to the human eye, effectively enhancing and assisting the measurement process. This perspective article focuses on the newest advancements in the design, fabrication, material selection, testing methods, and applications of µPADs, and it explains how they work, where they can be used, and what their future might hold. Full article
(This article belongs to the Special Issue Microfluidics in Biomedical Research)
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48 pages, 8669 KB  
Review
Recent Advancements in the SERS-Based Detection of E. coli
by Sarthak Saxena, Ankit Dodla, Shobha Shukla, Sumit Saxena and Bayden R. Wood
Sensors 2026, 26(2), 490; https://doi.org/10.3390/s26020490 - 12 Jan 2026
Cited by 1 | Viewed by 2613
Abstract
Escherichia coli (E. coli) is a well-established indicator of faecal pollution and a potent pathogen linked to numerous gastrointestinal and systemic illnesses. Ensuring public safety requires rapid and sensitive detection methods capable of real-time, on-site deployment. Many conventional techniques are either [...] Read more.
Escherichia coli (E. coli) is a well-established indicator of faecal pollution and a potent pathogen linked to numerous gastrointestinal and systemic illnesses. Ensuring public safety requires rapid and sensitive detection methods capable of real-time, on-site deployment. Many conventional techniques are either laborious, time-intensive, costly, or require complex infrastructure, limiting their applicability in field settings. Raman spectroscopy offers label-free molecular fingerprinting; however, its inherently weak scattering signals restrict its effectiveness as a standalone technique. Surface-Enhanced Raman Spectroscopy (SERS) overcomes this limitation by exploiting plasmonic enhancement from nanostructured metallic substrates—most commonly gold, silver, copper, and aluminium. Despite the commercial availability of SERS-active substrates, challenges remain in achieving high reproducibility, long-term stability, and true field applicability, necessitating the development of integrated lab-on-chip platforms and portable, handheld Raman devices. This review critically examines recent advances in SERS-based E. coli detection across water and perishable food products with particular emphasis on the evolution of SERS substrate design, the incorporation of biosensing elements, and the integration of electrochemical and microfluidic systems. By contrasting conventional SERS approaches with next-generation biosensing strategies, this paper outlines pathways toward robust, real-time pathogen detection technologies suitable for both laboratory and field applications. Full article
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