Development of a Point-of-Care Diagnostic Platform for Dengue Virus Detection
Abstract
Dengue fever is a significant health threat in tropical and subtropical regions, with current diagnostic methods requiring well-equipped laboratories and skilled personnel. Early detection is crucial for effective management and control. To develop a reliable, rapid, and user-friendly point-of-care diagnostic platform for dengue virus detection, suitable for use in low-resource settings. The study utilized a multi-disciplinary approach, integrating microfluidics, biosensors, and nanotechnology. Blood samples from suspected dengue patients were analyzed using the newly developed platform. Comparative analysis was conducted against conventional diagnostic methods. The new point-of-care platform demonstrated a sensitivity of 90% and specificity of 85%, providing results in an average of 15 minutes. This performance marks a significant improvement over conventional methods, which are slower and less accurate. The integration of advanced technologies into a point-of-care diagnostic platform has significantly enhanced the accuracy and speed of dengue virus detection. Further clinical trials are necessary to validate these findings and ensure the platform's efficacy and scalability in real-world settings.
Full text article
References
Abidemi, A., Abd Aziz, M. I., & Ahmad, R. (2020). Vaccination and vector control effect on dengue virus transmission dynamics: Modelling and simulation. Chaos, Solitons & Fractals, 133, 109648. https://doi.org/10.1016/j.chaos.2020.109648
Alagarasu, K., Patil, P., Kaushik, M., Chowdhury, D., Joshi, R. K., Hegde, H. V., Kakade, M. B., Hoti, S. L., Cherian, S., & Parashar, D. (2022). In Vitro Antiviral Activity of Potential Medicinal Plant Extracts Against Dengue and Chikungunya Viruses. Frontiers in Cellular and Infection Microbiology, 12, 866452. https://doi.org/10.3389/fcimb.2022.866452
Bhatnagar, P., Sreekanth, G. P., Murali-Krishna, K., Chandele, A., & Sitaraman, R. (2021). Dengue Virus Non-Structural Protein 5 as a Versatile, Multi-Functional Effector in Host–Pathogen Interactions. Frontiers in Cellular and Infection Microbiology, 11, 574067. https://doi.org/10.3389/fcimb.2021.574067
Bicudo, N., Bicudo, E., Costa, J. D., Castro, J. A. L. P., & Barra, G. B. (2020). Co-infection of SARS-CoV-2 and dengue virus: A clinical challenge. The Brazilian Journal of Infectious Diseases, 24(5), 452–454. https://doi.org/10.1016/j.bjid.2020.07.008
Borah, M., Das, D., Gayan, A., Fenton, F., & Cherry, E. (2021). Control and anticontrol of chaos in fractional-order models of Diabetes, HIV, Dengue, Migraine, Parkinson’s and Ebola virus diseases. Chaos, Solitons & Fractals, 153, 111419. https://doi.org/10.1016/j.chaos.2021.111419
Braun, N. J., Quek, J. P., Huber, S., Kouretova, J., Rogge, D., Lang?Henkel, H., Cheong, E. Z. K., Chew, B. L. A., Heine, A., Luo, D., & Steinmetzer, T. (2020). Structure?Based Macrocyclization of Substrate Analogue NS2B?NS3 Protease Inhibitors of Zika, West Nile and Dengue viruses. ChemMedChem, 15(15), 1439–1452. https://doi.org/10.1002/cmdc.202000237
Cecchetto, J., Santos, A., Mondini, A., Cilli, E. M., & Bueno, P. R. (2020). Serological point-of-care and label-free capacitive diagnosis of dengue virus infection. Biosensors and Bioelectronics, 151, 111972. https://doi.org/10.1016/j.bios.2019.111972
Chandra, F., Lee, W. L., Armas, F., Leifels, M., Gu, X., Chen, H., Wuertz, S., Alm, E. J., & Thompson, J. (2021). Persistence of Dengue (Serotypes 2 and 3), Zika, Yellow Fever, and Murine Hepatitis Virus RNA in Untreated Wastewater. Environmental Science & Technology Letters, 8(9), 785–791. https://doi.org/10.1021/acs.estlett.1c00517
De, S., Aamna, B., Sahu, R., Parida, S., Behera, S. K., & Dan, A. K. (2022). Seeking heterocyclic scaffolds as antivirals against dengue virus. European Journal of Medicinal Chemistry, 240, 114576. https://doi.org/10.1016/j.ejmech.2022.114576
Dieng, I., Hedible, B. G., Diagne, M. M., El Wahed, A. A., Diagne, C. T., Fall, C., Richard, V., Vray, M., Weidmann, M., Faye, O., Sall, A. A., & Faye, O. (2020). Mobile Laboratory Reveals the Circulation of Dengue Virus Serotype I of Asian Origin in Medina Gounass (Guediawaye), Senegal. Diagnostics, 10(6), 408. https://doi.org/10.3390/diagnostics10060408
Gloria-Soria, A., Payne, A. F., Bialosuknia, S. M., Stout, J., Mathias, N., Eastwood, G., Ciota, A. T., Kramer, L. D., & Armstrong, P. M. (2020). Vector Competence of Aedes albopictus Populations from the Northeastern United States for Chikungunya, Dengue, and Zika Viruses. The American Journal of Tropical Medicine and Hygiene. https://doi.org/10.4269/ajtmh.20-0874
Hamdani, S. S., Khan, B. A., Hameed, S., Batool, F., Saleem, H. N., Mughal, E. U., & Saeed, M. (2020). Synthesis and evaluation of novel S-benzyl- and S-alkylphthalimide- oxadiazole -benzenesulfonamide hybrids as inhibitors of dengue virus protease. Bioorganic Chemistry, 96, 103567. https://doi.org/10.1016/j.bioorg.2020.103567
Ka, S., Merindol, N., Sow, A. A., Singh, A., Landelouci, K., Plourde, M. B., Pépin, G., Masi, M., Di Lecce, R., Evidente, A., Seck, M., Berthoux, L., Chatel-Chaix, L., & Desgagné-Penix, I. (2021). Amaryllidaceae Alkaloid Cherylline Inhibits the Replication of Dengue and Zika Viruses. Antimicrobial Agents and Chemotherapy, 65(9), e00398-21. https://doi.org/10.1128/AAC.00398-21
Kanagavalli, P., & Veerapandian, M. (2020). Opto-electrochemical functionality of Ru(II)-reinforced graphene oxide nanosheets for immunosensing of dengue virus non-structural 1 protein. Biosensors and Bioelectronics, 150, 111878. https://doi.org/10.1016/j.bios.2019.111878
Katzelnick, L. C., Bos, S., & Harris, E. (2020). Protective and enhancing interactions among dengue viruses 1-4 and Zika virus. Current Opinion in Virology, 43, 59–70. https://doi.org/10.1016/j.coviro.2020.08.006
Kaushik, V., G, S. K., Gupta, L. R., Kalra, U., Shaikh, A. R., Cavallo, L., & Chawla, M. (2022). Immunoinformatics Aided Design and In-Vivo Validation of a Cross-Reactive Peptide Based Multi-Epitope Vaccine Targeting Multiple Serotypes of Dengue Virus. Frontiers in Immunology, 13, 865180. https://doi.org/10.3389/fimmu.2022.865180
King, C. A., Wegman, A. D., & Endy, T. P. (2020). Mobilization and Activation of the Innate Immune Response to Dengue Virus. Frontiers in Cellular and Infection Microbiology, 10, 574417. https://doi.org/10.3389/fcimb.2020.574417
Lahon, A., Arya, R. P., & Banerjea, A. C. (2021). Dengue Virus Dysregulates Master Transcription Factors and PI3K/AKT/mTOR Signaling Pathway in Megakaryocytes. Frontiers in Cellular and Infection Microbiology, 11, 715208. https://doi.org/10.3389/fcimb.2021.715208
Lee, J.-S., Kim, J., Shin, H., & Min, D.-H. (2020). Graphene oxide-based molecular diagnostic biosensor for simultaneous detection of Zika and dengue viruses. 2D Materials, 7(4), 044001. https://doi.org/10.1088/2053-1583/ab9a64
Lee, M. F., Voon, G. Z., Lim, H. X., Chua, M. L., & Poh, C. L. (2022). Innate and adaptive immune evasion by dengue virus. Frontiers in Cellular and Infection Microbiology, 12, 1004608. https://doi.org/10.3389/fcimb.2022.1004608
Lim, S. Y. M., Chieng, J. Y., & Pan, Y. (2021). Recent insights on anti-dengue virus (DENV) medicinal plants: Review on in vitro , in vivo and in silico discoveries. All Life, 14(1), 1–33. https://doi.org/10.1080/26895293.2020.1856192
Loaiza-Cano, V., Monsalve-Escudero, L. M., Filho, C. D. S. M. B., Martinez-Gutierrez, M., & Sousa, D. P. D. (2020). Antiviral Role of Phenolic Compounds against Dengue Virus: A Review. Biomolecules, 11(1), 11. https://doi.org/10.3390/biom11010011
Loe, M. W. C., Hao, E., Chen, M., Li, C., Lee, R. C. H., Zhu, I. X. Y., Teo, Z. Y., Chin, W.-X., Hou, X., Deng, J., & Chu, J. J. H. (2020). Betulinic acid exhibits antiviral effects against dengue virus infection. Antiviral Research, 184, 104954. https://doi.org/10.1016/j.antiviral.2020.104954
Lustig, Y., Keler, S., Kolodny, R., Ben-Tal, N., Atias-Varon, D., Shlush, E., Gerlic, M., Munitz, A., Doolman, R., Asraf, K., Shlush, L. I., & Vivante, A. (2021). Potential Antigenic Cross-reactivity Between Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and Dengue Viruses. Clinical Infectious Diseases, 73(7), e2444–e2449. https://doi.org/10.1093/cid/ciaa1207
Namazi, H. (2020). COMPLEXITY-BASED CLASSIFICATION OF THE CORONAVIRUS GENOME VERSUS GENOMES OF THE HUMAN IMMUNODEFICIENCY VIRUS (HIV) AND DENGUE VIRUS. Fractals, 28(07), 2050129. https://doi.org/10.1142/S0218348X20501297
Ononamadu, C. J., Abdalla, M., Ihegboro, G. O., Li, J., Owolarafe, T. A., John, T. D., & Tian, Q. (2021). In silico identification and study of potential anti-mosquito juvenile hormone binding protein (MJHBP) compounds as candidates for dengue virus—Vector insecticides. Biochemistry and Biophysics Reports, 28, 101178. https://doi.org/10.1016/j.bbrep.2021.101178
Quintana, V. M., Selisko, B., Brunetti, J. E., Eydoux, C., Guillemot, J. C., Canard, B., Damonte, E. B., Julander, J. G., & Castilla, V. (2020). Antiviral activity of the natural alkaloid anisomycin against dengue and Zika viruses. Antiviral Research, 176, 104749. https://doi.org/10.1016/j.antiviral.2020.104749
Rahman, Md. M., Biswas, S., Islam, K. J., Paul, A. S., Mahato, S. K., Ali, Md. A., & Halim, M. A. (2021). Antiviral phytochemicals as potent inhibitors against NS3 protease of dengue virus. Computers in Biology and Medicine, 134, 104492. https://doi.org/10.1016/j.compbiomed.2021.104492
Roy, S. K., & Bhattacharjee, S. (2021). Dengue virus: Epidemiology, biology, and disease aetiology. Canadian Journal of Microbiology, 67(10), 687–702. https://doi.org/10.1139/cjm-2020-0572
Sangili, A., Kalyani, T., Chen, S.-M., Rajendran, K., & Jana, S. K. (2022). Label-free electrochemical immunosensor based on l-cysteine-functionalized AuNP on reduced graphene oxide for the detection of dengue virus E-protein in dengue blood serum. Composites Part B: Engineering, 238, 109876. https://doi.org/10.1016/j.compositesb.2022.109876
Santoso, M. S., Yohan, B., Denis, D., Hayati, R. F., Haryanto, S., Trianty, L., Noviyanti, R., Hibberd, M. L., & Sasmono, R. T. (2020). Diagnostic accuracy of 5 different brands of dengue virus non-structural protein 1 (NS1) antigen rapid diagnostic tests (RDT) in Indonesia. Diagnostic Microbiology and Infectious Disease, 98(2), 115116. https://doi.org/10.1016/j.diagmicrobio.2020.115116
Seok, Y., Batule, B. S., & Kim, M.-G. (2020). Lab-on-paper for all-in-one molecular diagnostics (LAMDA) of zika, dengue, and chikungunya virus from human serum. Biosensors and Bioelectronics, 165, 112400. https://doi.org/10.1016/j.bios.2020.112400
Shrivastava, G., Visoso-Carvajal, G., Garcia-Cordero, J., Leon-Juarez, M., Chavez-Munguia, B., Lopez, T., Nava, P., Villegas-Sepulveda, N., & Cedillo-Barron, L. (2020). Dengue Virus Serotype 2 and Its Non-Structural Proteins 2A and 2B Activate NLRP3 Inflammasome. Frontiers in Immunology, 11, 352. https://doi.org/10.3389/fimmu.2020.00352
Su, Y., Huang, Y., Wu, Y., Chen, H., Wu, Y., Hsu, C., Hsu, Y., & Lee, J. (2020). MicroRNA?155 inhibits dengue virus replication by inducing heme oxygenase?1?mediated antiviral interferon responses. The FASEB Journal, 34(6), 7283–7294. https://doi.org/10.1096/fj.201902878R
Thakali, O., Raya, S., Malla, B., Tandukar, S., Tiwari, A., Sherchan, S. P., Sherchand, J. B., & Haramoto, E. (2022). Pilot study on wastewater surveillance of dengue virus RNA: Lessons, challenges, and implications for future research. Environmental Challenges, 9, 100614. https://doi.org/10.1016/j.envc.2022.100614
Tian, B., Fock, J., Minero, G. A. S., & Hansen, M. F. (2020). Nicking-assisted on-loop and off-loop enzymatic cascade amplification for optomagnetic detection of a highly conserved dengue virus sequence. Biosensors and Bioelectronics, 160, 112219. https://doi.org/10.1016/j.bios.2020.112219
Troost, B., & Smit, J. M. (2020). Recent advances in antiviral drug development towards dengue virus. Current Opinion in Virology, 43, 9–21. https://doi.org/10.1016/j.coviro.2020.07.009
Wang, J., Xia, Q., Wu, J., Lin, Y., & Ju, H. (2021). A sensitive electrochemical method for rapid detection of dengue virus by CRISPR/Cas13a-assisted catalytic hairpin assembly. Analytica Chimica Acta, 1187, 339131. https://doi.org/10.1016/j.aca.2021.339131
Xue, L., Zhang, H., Sun, W., & Scoglio, C. (2021). Transmission dynamics of multi-strain dengue virus with cross-immunity. Applied Mathematics and Computation, 392, 125742. https://doi.org/10.1016/j.amc.2020.125742
Zaidi, M. B., Cedillo-Barron, L., González Y Almeida, M. E., Garcia-Cordero, J., Campos, F. D., Namorado-Tonix, K., & Perez, F. (2020). Serological tests reveal significant cross-reactive human antibody responses to Zika and Dengue viruses in the Mexican population. Acta Tropica, 201, 105201. https://doi.org/10.1016/j.actatropica.2019.105201
Authors
Copyright (c) 2025 Dita Nurul Savitri, Ming Kiri, Ravi Dara

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.