Quantum-dot Linked Immuno-diagnostic Assay for Detection of Cardiac Biomarkers Michael Boyce-Jacino**, Michael Neidrauer*, Michael Kochersperger**, Chengjie Yu*, Nikolay Voznyak*, Elisabeth S. Papazoglou* Medical/Market Need Performance of current detection system Acute Myocardial Infarction (AMI, heart attack) Model system: silica microspheres + qdots (no sandwich immunochemistry) • Cardiac muscle damage biomarkers (troponin etc) increase over 4-6 hours after event and peak within 24-48 hours (depending on marker) • 6 million Emergency Dep. visits per year for chest pain • Second most common reason to visit ED • Equivical ECG/Troponin (biomarker) results on admission most common • 90 minutes to first test, up to 9 hours to clinical decision • About ½ patients admitted to ICU for AMI don’t need to be • #1 cause of medical malpractice lawsuits Immunoassay Performance Full system (sandwich immunochemistry) Primary antibody QDbiotin Streptavidin QD-conjugated secondary antibody Antigen (troponin I) Silica microsphere Silica microsphere Silica microsphere Silica microsphere Silica microsphere Early Detection of AMI is Essential to Survival CURRENT MARKET TARGET MARKET Blood Level of Troponin FUTURE MARKET Defensive medicine 0 ng/ml (blank) Diagnostic Predictive 0.005 ng/ml 0.01 ng/ml 0.025 ng/ml Time Need: faster and more sensitive assay Next Steps Project Evolution Current (Start-up Seed Funding) University (Coulter funding) Sample Primary antibody Optimize immunochemistry Envisioned Product QD-­‐conjugated secondary antibody Antigen (troponin I) Maximize sensitivity Minimize variance Minimize incubation time • • • Convert sample holder – Capillary tube to Lateral flow Silica microsphere Interact w/ antigen Silica microsphere Silica microsphere Sandwich w/ QD conjugated Ab* Op.cal detec.on window Sample loading • • Whole blood Single step procedure Miniaturize reader à Sensovation AG Acknowledgements Technology development funded by: Breadboard concept: Low cost camera, robust Benchtop prototype: Simple, flexible design Handheld concept: Exploit built-in power of smart phone with simple, miniaturized reader concept Coulter-Drexel Translational Research Partnership Program • • • • W. H. Coulter Foundation Ben Franklin Technology Partners NetScientific Group * Drexel University School of Biomedical Engineering, Philadelphia, Pennsylvania **QLIDADiagnostics, LLC Office of International Programs Microspheres in capillary tube