What considerations went into adapting the SERRS platform for point-of-need (PON) diagnostic settings?
Adaption of the platform for PON applications has proceeded in parallel with that of our work for its use in clinical settings. It is important to note that almost all the tasks required for movement to the clinic will need to be incorporated into the adaptations of the platform for PON applications. That said, there are development and standardization considerations tied specifically to movement to the PON arena, which include the care and feeding of the portable Raman spectrometer, reagent stability, and safe practices. A few details on how we are addressing these needs follow below:
- Spectrometer: Establish the spectrometer's ruggedness (drop resistance and temperature susceptibility), portability (weight and size), operational time between recharge cycles concerning usage and recharge requirements, and optical accessories and adaptors for sample readout.
- Reagent stability: Develop and quantify the effectiveness of approaches to break the cold chain by lyophilizing antibodies and other time and temperature-sensitive reagents, and approaches for their preparation for use at the work site.
- Safe practices: Develop procedures and train manuals and videos to ensure the safety of field technicians and other end users and require all users to successfully complete all mandatory training exercises (laser safety, sample collection and preparation), and waste disposal) and demonstrate then demonstrate operation proficiency. Related items can be found in Hopkins’ recent publication (2).
What steps are needed to move this detection strategy from a research lab environment to widespread clinical use?
Moving our Raman-based immunoassay from the R&D laboratory to clinical settings entails several interconnected tasks. Each of these tasks focus on implementing the changes required to transform a proof-of-concept analysis system into a robust, reliable, and clinically validated diagnostic tool. A same sampling of these tasks include:
- optimizing and standardizing all assay procedures, including those related to collection, storage, and preparation of samples;
- defining instrument operational setting and standardize tests to determine, for example, if the laser’s output intensity is in or out of compliance with during deployment; and
- validating the clinical accuracy of the test, the data analysis software, data interpretation, and measurement levels for yes/no cutoffs for screening-based tests.
- developing safe and secure modes for short- and long-term data storage and transmission.
We have also worked to establish strong connections with our clinical colleagues and partners to gain clear perspective and insights for the specifications required for clinical acceptance, which include ease of use, regent preparation, and the footprint of the hardware and the utility connections required for operation.
Are there any foreseeable challenges in integrating this SERRS assay into vertical flow-style diagnostic devices?
As you know, other research groups are working to combine the detection strengths of SERS with the ability to markedly reduce the time required to complete the antigen capture and labeling steps in a vertical flow assay (VFA). VFAs slowly pass the liquid sample through a membrane-like material that is modified to act as a capture substrate. Several of these studies use porous materials impregnated with antibody-modified gold nanoparticles for this purpose. We have also been investigating the merits of integrating the two technologies in pursing the development a POC screening test for alphafetoprotein in human serum. This 70 kDa protein is an at-risk marker for hepatocellular carcinoma (HCC) and is part of a broader effort to develop a multiplexed panel screen to detect the early onset of this devastating disease. Our work with VFAs takes advantage of our extensive experience in developing a water quality for the potable water systems in the International Space Station (ISS) that used colorimetric-solid phase extraction (C-SPE). This technology was used to quantify biocide levels by impregnating porous, flow-through media with selective colorimetric indicators, which were interrogated by using a hand-held and microgravity certified diffuse reflection spectrometer and has been operational on ISS for more than a decade.
We view adapting our SERRS-based immunoassay to operate in a vertical flow format is one of the steps that will prove pivotal in the successful movement of ManLAM assay to function as a POC test for TB. This perspective, supported by our own experiences and by a literal explosion of work on VFAs around the world. Recent work has for example, demonstrated the ability to complete a vertical flow assay in spiked human serum within a few minutes. Other reports have been able to reach LODs for a mycotoxin at ~8 fg/mL. These developments, when coupled with strategies to carry out multiplexed biomarker detection, tell us to get these plans moving forward yesterday.
Join us tomorrow for the final part of this interview. Picture a world where diagnosing deadly diseases is as easy as pulling out a handheld device. With portable Raman spectrometers entering decentralized healthcare, even the most remote settings can benefit from instant analysis—slashing turnaround times and costs while boosting patient care. This innovation extends to our SERRS-based immunoassays: highly flexible, multiplexable, and ready for a range of biomarkers and pathogens. From TB to pancreatic cancer, these tools hold the promise of real-world impact, especially in TB-endemic regions where accurate, affordable, point-of-need tests could save millions. But that’s not all…emerging nanotechnologies and AI-driven breakthroughs are poised to redefine speed, sensitivity, and selectivity, bringing personalized, real-time diagnostics within reach. The future of global health is decentralized, powerful, and closer than ever, powered by Raman, SERRS, and unstoppable innovation.
References
1. Owens, N. A.; Pinter, A.; Porter, M. D. Surface-Enhanced Resonance Raman Scattering for the Sensitive Detection of a Tuberculosis Biomarker in Human Serum. J. Raman Spec. 2019, 50 (1), 15-25. DOI: 10.1002/jrs.5500
2. Hopkins, A. Overcoming Struggles in Implementing Handheld Raman Spectroscopy Across the Manufacturing Line. Spectroscopy 2017, 32 (6) 40-43.