Feasibility of Using High-Contrast Grating as a Point-of-Care Sensor for Therapeutic Drug Monitoring of Immunosuppressants

Point-of-care (POC) testing has demonstrated great transformative potential in personalized medicine. In particular, patients undergoing transplantation require POC testing to ensure appropriate serum immunosuppressant levels so as to maintain adequate graft function and survival. However, no suitab...

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Main Authors: Yi-Cheng Liu, Christina Thantrakul, Shu Kan, Connie Chang-Hasnain, Dong-Ru Ho
Format: Article
Language:English
Published: IEEE 2020-01-01
Series:IEEE Journal of Translational Engineering in Health and Medicine
Subjects:
Online Access:https://ieeexplore.ieee.org/document/8981894/
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author Yi-Cheng Liu
Christina Thantrakul
Shu Kan
Connie Chang-Hasnain
Dong-Ru Ho
author_facet Yi-Cheng Liu
Christina Thantrakul
Shu Kan
Connie Chang-Hasnain
Dong-Ru Ho
author_sort Yi-Cheng Liu
collection DOAJ
description Point-of-care (POC) testing has demonstrated great transformative potential in personalized medicine. In particular, patients undergoing transplantation require POC testing to ensure appropriate serum immunosuppressant levels so as to maintain adequate graft function and survival. However, no suitable POC device for monitoring immunosuppressant levels is currently available. Exploiting the latest advances in metamaterials can lead to a breakthrough in POC testing. A high-contrast grating (HCG) biosensor is a low-cost, compact, simple-to-fabricate, and easy-to-operate structure. It is highly sensitive and robust in surface-based biomarker detection, which is favorable for the efficiency of a POC device. In this study, the feasibility of using an HCG as a POC sensor for therapeutic drug monitoring of immunosuppressants was evaluated. The detection efficiency of the most commonly prescribed immunosuppressive medication cyclosporine A by using this sensor was demonstrated to be comparable to those of conventional commercial kits, suggesting that the sensor has the potential to be used as a rapid detection and feedback platform for increasing drug compliance and improving new organ transplant survival.
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spelling doaj.art-89135f594cbd4014be737f4556afb9482022-12-21T23:44:13ZengIEEEIEEE Journal of Translational Engineering in Health and Medicine2168-23722020-01-0181610.1109/JTEHM.2020.29664788981894Feasibility of Using High-Contrast Grating as a Point-of-Care Sensor for Therapeutic Drug Monitoring of ImmunosuppressantsYi-Cheng Liu0https://orcid.org/0000-0002-3343-0336Christina Thantrakul1Shu Kan2Connie Chang-Hasnain3https://orcid.org/0000-0002-5341-6267Dong-Ru Ho4Department of Electrical Engineering and Computer Sciences, University of California–Berkeley, Berkeley, CA, USADepartment of Electrical Engineering and Computer Sciences, University of California–Berkeley, Berkeley, CA, USADepartment of Bioengineering, University of California–Berkeley, Berkeley, CA, USADepartment of Electrical Engineering and Computer Sciences, University of California–Berkeley, Berkeley, CA, USADepartment of Cardiovascular Medicine, Center for Cardiovascular Technology, Stanford University, Stanford, CA, USAPoint-of-care (POC) testing has demonstrated great transformative potential in personalized medicine. In particular, patients undergoing transplantation require POC testing to ensure appropriate serum immunosuppressant levels so as to maintain adequate graft function and survival. However, no suitable POC device for monitoring immunosuppressant levels is currently available. Exploiting the latest advances in metamaterials can lead to a breakthrough in POC testing. A high-contrast grating (HCG) biosensor is a low-cost, compact, simple-to-fabricate, and easy-to-operate structure. It is highly sensitive and robust in surface-based biomarker detection, which is favorable for the efficiency of a POC device. In this study, the feasibility of using an HCG as a POC sensor for therapeutic drug monitoring of immunosuppressants was evaluated. The detection efficiency of the most commonly prescribed immunosuppressive medication cyclosporine A by using this sensor was demonstrated to be comparable to those of conventional commercial kits, suggesting that the sensor has the potential to be used as a rapid detection and feedback platform for increasing drug compliance and improving new organ transplant survival.https://ieeexplore.ieee.org/document/8981894/Point-of-caremetamaterialstransplantationtherapeutic drug monitoring
spellingShingle Yi-Cheng Liu
Christina Thantrakul
Shu Kan
Connie Chang-Hasnain
Dong-Ru Ho
Feasibility of Using High-Contrast Grating as a Point-of-Care Sensor for Therapeutic Drug Monitoring of Immunosuppressants
IEEE Journal of Translational Engineering in Health and Medicine
Point-of-care
metamaterials
transplantation
therapeutic drug monitoring
title Feasibility of Using High-Contrast Grating as a Point-of-Care Sensor for Therapeutic Drug Monitoring of Immunosuppressants
title_full Feasibility of Using High-Contrast Grating as a Point-of-Care Sensor for Therapeutic Drug Monitoring of Immunosuppressants
title_fullStr Feasibility of Using High-Contrast Grating as a Point-of-Care Sensor for Therapeutic Drug Monitoring of Immunosuppressants
title_full_unstemmed Feasibility of Using High-Contrast Grating as a Point-of-Care Sensor for Therapeutic Drug Monitoring of Immunosuppressants
title_short Feasibility of Using High-Contrast Grating as a Point-of-Care Sensor for Therapeutic Drug Monitoring of Immunosuppressants
title_sort feasibility of using high contrast grating as a point of care sensor for therapeutic drug monitoring of immunosuppressants
topic Point-of-care
metamaterials
transplantation
therapeutic drug monitoring
url https://ieeexplore.ieee.org/document/8981894/
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