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<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="research-article"><?properties manuscript?><front><journal-meta><journal-id journal-id-type="nlm-journal-id">0370536</journal-id><journal-id journal-id-type="pubmed-jr-id">519</journal-id><journal-id journal-id-type="nlm-ta">Anal Chem</journal-id><journal-id journal-id-type="iso-abbrev">Anal. Chem.</journal-id><journal-title-group><journal-title>Analytical chemistry</journal-title></journal-title-group><issn pub-type="ppub">0003-2700</issn><issn pub-type="epub">1520-6882</issn></journal-meta><article-meta><article-id pub-id-type="pmid">29790331</article-id><article-id pub-id-type="pmc">6595480</article-id><article-id pub-id-type="doi">10.1021/acs.analchem.8b02042</article-id><article-id pub-id-type="manuscript">NIHMS1021416</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Development of an Electrochemical Paper-Based Analytical Device for Trace Detection of Virus Particles</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Channon</surname><given-names>Robert B.</given-names></name><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0001-5416-7736</contrib-id><xref ref-type="aff" rid="A1">&#x02020;</xref><xref rid="FN1" ref-type="author-notes">#</xref></contrib><contrib contrib-type="author"><name><surname>Yang</surname><given-names>Yuanyuan</given-names></name><xref ref-type="aff" rid="A1">&#x02020;</xref><xref rid="FN1" ref-type="author-notes">#</xref></contrib><contrib contrib-type="author"><name><surname>Feibelman</surname><given-names>Kristen M.</given-names></name><xref ref-type="aff" rid="A2">&#x02021;</xref></contrib><contrib contrib-type="author"><name><surname>Geiss</surname><given-names>Brian J.</given-names></name><xref ref-type="aff" rid="A2">&#x02021;</xref><xref ref-type="aff" rid="A4">&#x02225;</xref></contrib><contrib contrib-type="author"><name><surname>Dandy</surname><given-names>David S.</given-names></name><xref ref-type="aff" rid="A3">&#x000a7;</xref><xref ref-type="aff" rid="A4">&#x02225;</xref></contrib><contrib contrib-type="author"><name><surname>Henry</surname><given-names>Charles S.</given-names></name><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-8671-7728</contrib-id><xref rid="CR1" ref-type="corresp">*</xref><xref ref-type="aff" rid="A1">&#x02020;</xref><xref ref-type="aff" rid="A3">&#x000a7;</xref><xref ref-type="aff" rid="A4">&#x02225;</xref></contrib></contrib-group><aff id="A1"><label>&#x02020;</label> Department of Chemistry, Colorado State University, Fort Collins, Colorado 80523, United States</aff><aff id="A2"><label>&#x02021;</label> Department of Microbiology, Immunology, and Pathology, Colorado State University, Fort Collins, Colorado 80523, United States</aff><aff id="A3"><label>&#x000a7;</label> Department of Chemical and Biological Engineering, Colorado State University, Fort Collins, Colorado 80523, United States</aff><aff id="A4"><label>&#x02225;</label> School of Biomedical Engineering, Colorado State University, Fort Collins, Colorado 80523, United States</aff><author-notes><fn fn-type="other" id="FN1"><label>#</label><p id="P1">R.B.C. and Y.Y. contributed equally to this work.</p></fn><corresp id="CR1"><label>*</label><bold>Corresponding Author</bold><email>Chuck.Henry@colostate.edu</email>.</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>12</day><month>6</month><year>2019</year></pub-date><pub-date pub-type="epub"><day>01</day><month>6</month><year>2018</year></pub-date><pub-date pub-type="ppub"><day>19</day><month>6</month><year>2018</year></pub-date><pub-date pub-type="pmc-release"><day>27</day><month>6</month><year>2019</year></pub-date><volume>90</volume><issue>12</issue><fpage>7777</fpage><lpage>7783</lpage><!--elocation-id from pubmed: 10.1021/acs.analchem.8b02042--><abstract id="ABS1"><p id="P2">Viral pathogens are a serious health threat around the world, particularly in resource limited settings, where current sensing approaches are often insufficient and slow, compounding the spread and burden of these pathogens. Here, we describe a label-free, point-of-care approach toward detection of virus particles, based on a microfluidic paper-based analytical device with integrated microwire Au electrodes. The device is initially characterized through capturing of streptavidin modified nanoparticles by biotin-modified microwires. An order of magnitude improvement in detection limits is achieved through use of a microfluidic device over a classical static paper-based device, due to enhanced mass transport and capturing of particles on the modified electrodes. Electrochemical impedance spectroscopy detection or West Nile virus particles was carried out using antibody runctionalized Au microwires, achieving a detection limit of 10.2 particles in 50 <italic>&#x003bc;</italic>L of cell culture media. No increase in signal is found on addition of an excess of a nonspecific target (Sindbis). This detection motif is significantly cheaper (~$1 per test) and faster (~30 min) than current methods, while achieving the desired selectivity and sensitivity. This sensing motif represents a general platform for trace detection of a wide range of biological pathogens.</p></abstract><abstract abstract-type="graphical" id="ABS2"><title>Graphical Abstract</title><p id="P3"><graphic xlink:href="nihms-1021416-f0008.jpg" position="anchor" orientation="portrait"/></p></abstract></article-meta></front><body><p id="P4">Viral pathogens cause millions of infections in the United States and abroad every year, resulting in severe morbidity and mortality in both the developing and developed world.<sup><xref rid="R1" ref-type="bibr">1</xref>,<xref rid="R2" ref-type="bibr">2</xref></sup> This problem is worsened by cocirculation of pathogens, for example, West Nile, chikungunya, Zika, and dengue viruses in Brazil. These diseases exhibit similar symptoms early in the infection making identification challenging.<sup><xref rid="R3" ref-type="bibr">3</xref></sup> To combat the spread of these viruses, sensitive detection techniques such as enzyme linked immunosorbent assay (ELISA) for IgM antibodies<sup><xref rid="R4" ref-type="bibr">4</xref></sup> and reverse transcriptase polymerase chain reaction (RT-PCR) for RNA<sup><xref rid="R5" ref-type="bibr">5</xref></sup> are employed. However, these methods require relatively long turnaround times (~days) in a centralized laboratory with professionally trained personnel at high expense. For example, it is estimated in Brazil that only 100 Zika virus samples a week can be processed through the existing infrastructure for the entire country.<sup><xref rid="R6" ref-type="bibr">6</xref></sup> This, coupled with the dramatic proliferation of emerging viruses, highlights the pressing need to develop inexpensive point-of-care (POC) technologies for rapid, sensitive, and accurate screening for patients suspected to have viral infections.<sup><xref rid="R2" ref-type="bibr">2</xref></sup> The ability to diagnose active infections on-site can improve patient compliance, allow physicians to tailor treatment options, and help prevent transmission of the pathogen.<sup><xref rid="R2" ref-type="bibr">2</xref></sup></p><p id="P5">Common POC detection methods for viral targets include colorimetry,<sup><xref rid="R7" ref-type="bibr">7</xref>,<xref rid="R8" ref-type="bibr">8</xref></sup> fluorescence,<sup><xref rid="R9" ref-type="bibr">9</xref>,<xref rid="R10" ref-type="bibr">10</xref></sup> and lateral flow assays (LFAs).<sup><xref rid="R11" ref-type="bibr">11</xref>,<xref rid="R12" ref-type="bibr">12</xref></sup> Colorimetric approaches are simple and inexpensive but often suffer from poor sensitivities and detection limits<sup><xref rid="R13" ref-type="bibr">13</xref></sup> without additional amplification (loop-mediated isothermal amplification)<sup><xref rid="R8" ref-type="bibr">8</xref></sup> or detection (CRISPR - Clustered Regularly Interspaced Short Palindromic Repeats)<sup><xref rid="R7" ref-type="bibr">7</xref></sup> methods. Florescence detection is capable of excellent detection limits but can be expensive or require additional steps like immunomagnetic separation<sup><xref rid="R9" ref-type="bibr">9</xref></sup> or nucleic acid amplification,<sup><xref rid="R10" ref-type="bibr">10</xref></sup> increasing the complexity and assay time. LFAs are inexpensive, simple, and fast and have been used for POC detection of a range of viruses. Colorimetric detection is often used with LFAs, such that achieving the required detection limits can be challenging depending on the system,<sup><xref rid="R14" ref-type="bibr">14</xref>&#x02013;<xref rid="R16" ref-type="bibr">16</xref></sup> and the transport of large particles in a single layer of paper is challenging.<sup><xref rid="R17" ref-type="bibr">17</xref>,<xref rid="R18" ref-type="bibr">18</xref></sup> In summary, there are no optimal POC diagnostics currently in use for viral pathogens.</p><p id="P6">Since their introduction in 2008, microfluidic paper-based analytical devices (<italic>&#x003bc;</italic>PADs) have been applied to a variety of fields, including environmental monitoring, disease diagnosis, and food quality control.<sup><xref rid="R17" ref-type="bibr">17</xref>,<xref rid="R18" ref-type="bibr">18</xref></sup> Through patterning of cellulosic paper, flow is self-generated and controlled via capillary action. <italic>&#x003bc;</italic>PADs have been coupled with several detection motifs including colorimetry, electrochemistry, and chemiluminescence, enabling fast analysis through simple operation in POC environments. <sup><xref rid="R17" ref-type="bibr">17</xref></sup> Electrochemical PADs (ePADs) typically provide excellent sensitivity and good selectivity and are easily miniaturized.<sup><xref rid="R17" ref-type="bibr">17</xref>,<xref rid="R19" ref-type="bibr">19</xref>,<xref rid="R20" ref-type="bibr">20</xref></sup> ePADs have been previously employed for the sensing of biological targets including cancer biomarkers,<sup><xref rid="R21" ref-type="bibr">21</xref></sup> antibodies,<sup><xref rid="R22" ref-type="bibr">22</xref></sup> the influenza virus,<sup><xref rid="R23" ref-type="bibr">23</xref></sup> and neurotransmitters.<sup><xref rid="R24" ref-type="bibr">24</xref></sup></p><p id="P7">Electrochemical impedance spectroscopy (EIS) is a particularly popular technique among electrochemical biosensors, as high sensitivities are commonplace, and the analyte of interest does not have to be electrochemically active.<sup><xref rid="R25" ref-type="bibr">25</xref>&#x02013;<xref rid="R30" ref-type="bibr">30</xref></sup> EIS has been previously used for the sensitive detection of DNA, proteins, antibodies, viruses, and cells.<sup><xref rid="R27" ref-type="bibr">27</xref>,<xref rid="R30" ref-type="bibr">30</xref>&#x02013;<xref rid="R33" ref-type="bibr">33</xref></sup> One drawback of EIS biosensors is their typical complexity and cost,<sup><xref rid="R26" ref-type="bibr">26</xref></sup> and achieving good specificity and sensitivity is a significant challenge for POC virus biosensors.<sup><xref rid="R34" ref-type="bibr">34</xref></sup> Given the high surface sensitivity of EIS, the electrode material, geometry, cleanliness, and modification strategy can all have significant effects on the sensitivity, specificity, and longevity of the sensor.<sup><xref rid="R26" ref-type="bibr">26</xref>,<xref rid="R35" ref-type="bibr">35</xref></sup> Au-monothiol coupling to generate a self-assembled monolayer is a particularly common coupling method for electrochemical biosensors, although the monolayer stability can vary depending on preparation and experimental conditions.<sup><xref rid="R36" ref-type="bibr">36</xref></sup> Alternate electrochemical approaches such as electrochemical-ap-tamer<sup><xref rid="R37" ref-type="bibr">37</xref>,<xref rid="R38" ref-type="bibr">38</xref></sup> and electrochemical-ELISA<sup><xref rid="R22" ref-type="bibr">22</xref>,<xref rid="R39" ref-type="bibr">39</xref></sup> have also been widely employed for the sensing of biological targets. One disadvantage of these approaches is that the capturing moiety must be modified with an electrochemical mediator (e.g., methylene blue) or catalyst (alkaline phosphatase)<sup><xref rid="R22" ref-type="bibr">22</xref></sup> adding further complexity to the sensor and potentially limiting the sensors longevity.</p><p id="P8">Herein, we describe an EIS ePAD platform capable of specifically detecting intact virus particles at clinically relevant concentrations in minutes. Simple patterning techniques are employed to create barriers on cellulosic paper, which can be coupled with functionalized Au microwire electrodes. Dithiol modification under strict conditions generates a robust base layer which can be cross-linked to antibodies through carbodiimide coupling. During detection, virus particles are captured onto the antibody-modified electrodes, resulting in a significant change in impedance. The proposed sensing platform and robust electrode modification strategy provides the groundwork for a broadly applicable chemistry to detect different intact viruses and other biological targets sensitively and specifically. Additionally, the inexpensive and generalized approach offers the potential for high-throughput manufacturing of disposable ePADs. This technology will ultimately allow multiplexed POC diagnostic detection of viral infection in a rapid and accurate manner.</p><sec id="S1"><title>EXPERIMENTAL SECTION</title><sec id="S2"><title>Chemicals and Materials.</title><p id="P9">30% hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>), potassium nitrate (KNO<sub>3</sub>), ethanolamine, amine-PEG2-biotin, 1-ethyl-3-(3-(dimethylamino)propyl)-carbodiimide HCl (EDC), and potassium ferricyanide (Fe-<sc>(cn)</sc><sub>6</sub><sup>3&#x02013;</sup><sc>)</sc> were purchased from Thermofisher Scientific (Fairlawn, NJ, USA). Anhydrous ethanol solution, 2-(<italic>N</italic>-morpholino)ethanesulfonic acid (MES) buffer, sulfo-<italic>N</italic>-hydroxsulfosuccinimide (NHS), lipoic acid, 11-mercaptoundecanoic acid (MUA), and potassium hexacyanoferrate(II) trihydrate (Fe(CN)<sub>6</sub><sup>4&#x02013;</sup>) were purchased from Sigma-Aldrich (St. Louis, MO). 6-(Ferrocenyl)hexanethiol (Fc-(CH)<sub>6</sub>SH) was purchased from Santa Cruz Biotech (Dallas, TX). Sodium hydroxide (NaOH) was purchased from JT Baker (TX, USA). All solutions were prepared in ultrapure Milli-Q water (18.2 M&#x003a9; cm, MilliPore, MA, USA). Whatman 1 chromatography paper was purchased from GE healthcare sciences (UK). Scotch Heavy Duty Shipping packing tape (3M) was purchased from Office Max. Streptavidin (SA) microparticles were purchased from Life Technologies. High purity silver paint was purchased from SPI Supplies (West Chester, PA). Au microwires (99.99% pure, 25 <italic>&#x003bc;</italic>m diameter) were purchased from California Fine Wire Company (Grover Beach, CA). 0.05 M pH 6.0 MES buffer was made with MES, and pH was adjusted to 6.0 with NaOH.</p></sec><sec id="S3"><title>Device Fabrication.</title><p id="P10">Two device designs are tested within this study, namely a static-ePAD and a flow-ePAD as shown in <xref rid="F4" ref-type="fig">Figures 4b</xref> and <xref rid="F4" ref-type="fig">4a</xref>, respectively. While the static-ePAD features a stationary microwell, the flow-ePAD utilizes a fan-shaped paper passive pump to generate fluid flow from the sample inlet. These device designs have been well characterized in previous works.<sup><xref rid="R19" ref-type="bibr">19</xref>,<xref rid="R20" ref-type="bibr">20</xref></sup> In short, Whatman 1 chromatography paper was patterned with wax using a Xerox ColorCube 8870 wax printer (Norwalk, CT) and then melted at 150 &#x000b0;C on a hot plate for 30 s to create hydrophobic barriers (circle for static-ePAD, fan shape for flow-ePAD). The backsides of both devices were sealed with packing tape to prevent leaking. For the static-ePAD, Au microwires were placed on the device and then held in place with laser cut packing tape (30 W Epilog Zing Laser Cutter and Engraver, Golden, CO). For the flow-ePAD, a second layer of Whatman 1 chromatography paper was laser cut to the dimensions of the wax printed microfluidic channels. The Au microwires were placed in between the two paper layers and the top of the device sealed with laser-cut packing tape, such that an inlet sample well is left uncovered for sample addition. For both devices, silver paint was used to make connections from the microwires to the potentiostat clips.</p></sec><sec id="S4"><title>Electrode Modification.</title><p id="P11">Au microwires were modified with bioaffinity reagents to drive specific analyte binding through a stepwise bioconjugation process (<xref rid="F1" ref-type="fig">Figure 1a</xref>). Twenty-five <italic>&#x003bc;</italic>m diameter Au microwires were cleaned by immersing in a NaOH solution containing 25% (v/v) H<sub>2</sub>O<sub>2</sub> for 20 min. The clean Au microwires were then rinsed with DI water 3 times and then conditioned with anhydrous ethanol solution. To attach the carboxyl terminated alkane dithiol and generate a self-assembled monolayer, the freshly cleaned Au microwires were incubated in 1.0 mM lipoic acid in ethanol for 16 h in a N<sub>2</sub>-infused aluminum foil-covered container, to achieve an O<sub>2</sub>-free and UV-free environment.</p><p id="P12">After rinsing with DI water 3 times, the Au microwires were incubated in 0.05 M pH 6.0 MES buffer containing 200 <italic>&#x003bc;</italic>M amine-PEG2-biotin, 400 <italic>&#x003bc;</italic>M EDC, and 800 <italic>&#x003bc;</italic>M NHS for 4 h. After this carbondiimide cross-linking reaction, 0.10 M ethanolamine solution was added for 40 min to quench excess carboxyl groups on the Au surface. Furthermore, mixed self-assembled monolayers featuring a mix of capturing moieties and blocking groups are known to provide greater sensitivity due to reduced interunit screening.<sup><xref rid="R30" ref-type="bibr">30</xref></sup> The resulting Au microwires were carefully rinsed 3 times with DI water and dried under N<sub>2</sub> before assembly into the paper devices.</p></sec><sec id="S5"><title>Electrochemical Impedance Spectroscopy.</title><p id="P13">All experiments were carried out using a CH660 potentiostat (CH Instruments, TX), using a home-built faraday cage at room temperature. Cyclic voltammetry and EIS measurements were carried out in a 2-electrode setup, with both electrodes modified with capturing groups to increase the sensitivity. This format (2-electrode setup with identical electrodes) is common for impedance biosensors.<sup><xref rid="R29" ref-type="bibr">29</xref></sup> Before EIS measurement in each device, cyclic voltammetry was carried out between &#x02013;0.2 and 0.2 at 0.1 V s<sup>&#x02212;1</sup> in the Fe(CN)<sub>6</sub><sup>3/4&#x02212;</sup> EIS mediator solution. This was found to equilibrate the surface resulting in more consistent EIS data. For EIS detection, an oscillation of &#x000b1;10 mV about 0 V (vs Au) was applied at a frequency range of 100 kHz&#x02013;0.05 Hz.</p></sec><sec id="S6"><title>Virus Stocks and Controls.</title><p id="P14">West Nile virus (subtype Kunjin) was used to infect 70% confluent Baby Hamster Kidney 21 (BHK21) cells at an MOI of 0.1. The virus was incubated on cells for 72 h at 37 &#x000b0;C in Dulbecco&#x02019;s Modified Eagle Medium (ThermoFisher Scientific, Fairlawn, NJ, USA) supplemented with 10% fetal bovine serum and penicillin + streptomycin (cDMEM). Virus-containing media was harvested, centrifuged, and stored in single use aliquots at &#x02013;80 &#x000b0;C. Viruses were titered by plaque assay as previously described.<sup><xref rid="R40" ref-type="bibr">40</xref></sup> For virus negative controls, media was harvested from uninfected BHK21 cells after 72 h, centrifuged, and stored at &#x02013;80 &#x000b0;C. Standard curves were generated by diluting virus samples in a 1:10 dilution series in cDMEM.</p></sec></sec><sec id="S7"><title>RESULTS AND DISCUSSION</title><sec id="S8"><title>Device Characterization through Biotin Streptavidin Coupling.</title><p id="P15">As a proof of principle, biotin-terminated micro-wires were employed as recognition groups to bind with streptavidin modified (SA) microparticles (<italic>K</italic><sub>d</sub> &#x02248; 10<sup>&#x02212;14</sup> M), mimicking an antibody&#x02013;antigen interaction. The electrode modification and capturing of the target analyte can be followed via cyclic voltammetry and EIS, as shown in <xref rid="F1" ref-type="fig">Figures 1b</xref> and <xref rid="F1" ref-type="fig">1c</xref>, respectively. In this case, Au modification with thiol and biotin, followed by addition of 1 &#x000d7; 10<sup>6</sup> SA particles mL<sup>&#x02212;1</sup> (100 nm diameter), results in a clear increase in peak&#x02013;peak separation (<xref rid="F1" ref-type="fig">Figure 1b</xref>) as well as an increase in the resistance to charge transfer (<italic>R</italic><sub>ct</sub>, <xref rid="F1" ref-type="fig">Figure 1c</xref>, diameter of semicircle), using a Fe(CN)<sub>6</sub><sup>3/4&#x02013;</sup> redox couple. Similar electrode modification strategies have been demonstrated previously, for example with SS-DNA modified Au microwires and Au macroelectrodes for EIS detection of C-reactive protein<sup><xref rid="R25" ref-type="bibr">25</xref></sup> and <italic>E. coli</italic> single-strand binding protein,<sup><xref rid="R41" ref-type="bibr">41</xref></sup> respectively. To account for interdevice variabilities, the <italic>R</italic><sub>ct</sub> can be normalized via<sup><xref rid="R42" ref-type="bibr">42</xref></sup>
<disp-formula id="FD1"><label>(1)</label><mml:math display="block" id="M1" overflow="scroll"><mml:mrow><mml:mi>%</mml:mi><mml:mi>&#x00394;</mml:mi><mml:msub><mml:mi>R</mml:mi><mml:mrow><mml:mtext>ct</mml:mtext></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mn>100</mml:mn><mml:mo>&#x000d7;</mml:mo><mml:mfrac><mml:mrow><mml:mrow><mml:mo>(</mml:mo><mml:mrow><mml:msub><mml:mi>R</mml:mi><mml:mrow><mml:mspace width="0.25em"/><mml:mtext>ct</mml:mtext><mml:mspace width="0.25em"/><mml:mtext>after</mml:mtext><mml:mspace width="0.25em"/></mml:mrow></mml:msub><mml:mo>&#x02212;</mml:mo><mml:msub><mml:mi>R</mml:mi><mml:mrow><mml:mspace width="0.25em"/><mml:mtext>ct</mml:mtext><mml:mspace width="0.25em"/><mml:mtext>before</mml:mtext><mml:mspace width="0.25em"/></mml:mrow></mml:msub></mml:mrow><mml:mo>)</mml:mo></mml:mrow></mml:mrow><mml:mrow><mml:msub><mml:mi>R</mml:mi><mml:mrow><mml:mspace width="0.25em"/><mml:mtext>ct</mml:mtext><mml:mspace width="0.25em"/><mml:mtext>before</mml:mtext><mml:mspace width="0.25em"/></mml:mrow></mml:msub></mml:mrow></mml:mfrac></mml:mrow></mml:math></disp-formula></p><p id="P16">Assessment of the percentage increase in <italic>R</italic><sub>ct</sub>, before and after target analyte addition (%&#x00394;<italic>R</italic><sub>ct</sub>), was found to give smaller interdevice variability compared to direct comparison of the final <italic>R</italic><sub>ct</sub> values after binding as described in the <xref rid="SD1" ref-type="supplementary-material">Supporting Information</xref> (<xref rid="SD1" ref-type="supplementary-material">Figure S1</xref>). This is likely due to correction against device-to-device variations in fabrication and electrode modification, as previously discussed by Gupta et al.<sup><xref rid="R42" ref-type="bibr">42</xref></sup> Use of a 2-electrode setup with both wires modified identically was found to improve the assay sensitivity (data not shown), likely due to increased surface capturing sites. Fe(CN)<sub>6</sub><sup>3/4&#x02013;</sup> (10 mM) was employed as a EIS mediator, with the high concentration minimizing <italic>R</italic><sub>ct</sub>, making changes on binding more significant (<xref rid="SD1" ref-type="supplementary-material">Figure S2</xref>).</p></sec><sec id="S9"><title>Stability of Au-Thiol Self-Assembled Monolayers.</title><p id="P17">Coupling of thiols to Au to generate a self-assembled monolayer is a common electrode modification strategy due to the reaction&#x02019;s spontaneous and mild conditions. Despite widespread use in many biological applications,<sup><xref rid="R25" ref-type="bibr">25</xref></sup> thiol instability, especially in the presence of Fe(CN)<sub>6</sub><sup>3/4&#x02013;</sup>, is a poorly understood issue, resulting in unstable modifications and erroneous results.<sup><xref rid="R36" ref-type="bibr">36</xref></sup> Several approaches to increase the thiol-Au SAM stability have been investigated including UV and O<sub>2</sub> free environments and the use of multidentate instead of monodentate thiols.<sup><xref rid="R36" ref-type="bibr">36</xref>,<xref rid="R43" ref-type="bibr">43</xref></sup></p><p id="P18">The stability of thiol modified Au microwires was first investigated through binding of a ferrocene terminated monothiol (Fc-(CH)<sub>6</sub>SH) under different experimental conditions, as described in the <xref rid="SD1" ref-type="supplementary-material">Supporting Information</xref> (<xref rid="SD1" ref-type="supplementary-material">S2</xref>). Cyclic voltammetry of the modified electrodes, after different storage conditions between modification and fabrication into static-ePADs, demonstrated that storage in a N<sub>2</sub>-infused and dark environment provided significant enhancements in the monolayer stability (<xref rid="SD1" ref-type="supplementary-material">Figure S3</xref>). This is in line with previous investigations of thiol-gold self-assembled monolayer stabilities.<sup><xref rid="R36" ref-type="bibr">36</xref></sup> Next, MUA (a monodentate thiol) was contrasted with lipoic acid (dithiol) to investigate the self-assembled monolayer stability. Au wires were modified with either mono- or dithiol carboxylic acid, followed by biotin (<xref rid="F1" ref-type="fig">Figure 1a</xref>) for the capturing of SA microbeads in a static-ePAD. The dithiol was found to give a greater sensitivity (17.5 vs 11.7) and smaller errors in %&#x00394;<italic>R</italic><sub>ct</sub> compared to the capturing of SA microbeads with the monodentate thiol, as shown in <xref rid="F2" ref-type="fig">Figure 2</xref>. This difference is likely due to the instability of the monothiol modification, resulting in a reduction of self-assembled monolayer density and larger variance. The device longevity was tested through capturing of 1.0 &#x000d7; 10<sup>6</sup> SA particles mL<sup>&#x02212;1</sup> from 1&#x02013;14 days after device fabrication, as described in the <xref rid="SD1" ref-type="supplementary-material">Supporting Information</xref> (<xref rid="SD1" ref-type="supplementary-material">S2</xref>, <xref rid="SD1" ref-type="supplementary-material">Figure S4</xref>). A 68% increase in signal (%&#x00394;<italic>R</italic><sub>ct</sub>) was observed over the first 3 days, followed by a plateau in signal indicating a stable surface over the 15 days investigated.</p><sec id="S10"><title>Flow vs Static Paper-Based Devices.</title><p id="P19">To characterize the system, SA particles ranging in size from 40 nm to 56 <italic>&#x003bc;</italic>m diameter were added to static-ePADs, as shown in <xref rid="F3" ref-type="fig">Figure 3</xref>. The SA particles were prepared in 0.10 M NaCl buffer, and 10 mM Fe(CN)<sub>6</sub><sup>3/4&#x02013;</sup> was prepared in 0.10 M KNO<sub>3</sub> as an electrochemical mediator. Sensing was carried out through addition of 50 <italic>&#x003bc;</italic>L of Fe(CN)<sub>6</sub><sup>3/4&#x02013;</sup>, followed by 50 <italic>&#x003bc;</italic>L of SA solution, and then 50 <italic>&#x003bc;</italic>L of Fe(CN)<sub>6</sub><sup>3/4&#x02013;</sup> again. For the static-ePAD, the SA particles were left on the device for 10 min. For the flow-ePAD, injections were added and allowed to flow until depletion of the inlet (~10 min), and EIS was carried out after Fe(CN)<sub>6</sub><sup>3/4&#x02013;</sup> had reached the electrodes. A roughly linear increase in %&#x00394;<italic>R</italic><sub>ct</sub> was observed on capture of increasing diameter particles (<xref rid="F3" ref-type="fig">Figure 3</xref> inset, <italic>R</italic><sup>2</sup> = 0.9866), consistent with greater steric blocking of Fe(CN)<sub>6</sub><sup>3/4&#x02013;</sup> diffusion about the microwire surface. Therefore, the proposed method is amenable to a wide size range of target species, from small viruses to intact cells.</p><p id="P20">The static-ePAD and flow-ePAD platforms were compared for trace detection of 100 nm diameter SA particles (<xref rid="F4" ref-type="fig">Figure 4</xref>). Similar sensitivities (17.4 vs 17.5 &#x00394;<italic>R</italic><sub>ct</sub> particles<sup>&#x02212;1</sup> mL), but a wider linear range (2.0 &#x000d7; 10<sup>2</sup> to 2.0 &#x000d7; 10<sup>10</sup> vs 2.0 &#x000d7; 10<sup>4</sup> to 2.0 &#x000d7; 10<sup>10</sup> particles mL<sup>&#x02212;1</sup>) and lower detection limit (7.4 &#x000d7; 10<sup>3</sup> vs 8.4 &#x000d7; 10<sup>4</sup> particles mL<sup>&#x02212;1</sup>), were observed for flow-ePADs compared to static-ePADs. The modified Au microwires were placed between two paper layers in the flow-ePADs, such that the sample added to the inlet flows down along the channel (~25 <italic>&#x003bc;</italic>m gap between paper layers, channel width = 1.8 mm) toward the fan-shaped passive pump, which drives the fluid flow via capillary action (<xref rid="F4" ref-type="fig">Figure 4a</xref>).<sup><xref rid="R20" ref-type="bibr">20</xref></sup> Thus, we hypothesize the lower detection limits in flow-ePADs are due to increased mass transport of species to the electrode surface, via convection and diffusion. Conversely, the static-ePAD (<xref rid="F4" ref-type="fig">Figure 4b</xref>) relies solely on diffusive transport of the target analyte to the electrode surface. Moreover, the closed nature of the flow-ePADs (sealed with packing tape) makes handling and disposal simpler compared to the open static-ePAD.</p><p id="P21">The binding was further characterized through scanning electron microscopy (SEM) on biotin-modified electrodes before (<xref rid="F5" ref-type="fig">Figure 5a</xref>) and after (<xref rid="F5" ref-type="fig">Figure 5b</xref>) addition of 1.0 &#x000d7; 10<sup>6</sup> SA particles mL<sup>&#x02212;1</sup>. The SEM images were then analyzed to establish the density of bound beads through a circle-finding script in MATLAB, as described in the <xref rid="SD1" ref-type="supplementary-material">Supporting Information (S3)</xref>. After modification in a static-ePAD for 10 min, the density was found to be 2.8 &#x000d7; 10<sup>4</sup> SA particles mm<sup>&#x02212;2</sup> (averaged between 5 images across the electrode surface). This corresponds to ~7,600 bound particles across the two microwires, an active capturing group separation of ~6.0 <italic>&#x003bc;</italic>m, a surface coverage of 0.09%, and a capturing efficiency of ~0.76% of the total SA particles. These values are reasonable based on literature values for modified Au electrodes.<sup><xref rid="R44" ref-type="bibr">44</xref></sup> Diffusion coefficients (<italic>D</italic>) of viruses and micrometer particles are typically around 5.0 &#x000d7; 10<sup>&#x02212;8</sup> cm<sup>2</sup> s<sup>&#x02212;1</sup> and dependent on the virus/particle size.<sup><xref rid="R45" ref-type="bibr">45</xref></sup> Thus, assuming mass-transport limited capturing (fast binding kinetics compared to diffusion), during a 10 min deposition time (<italic>t</italic>), particles will diffuse an average distance (<italic>x</italic>) of 78 <italic>&#x003bc;</italic>m based on
<disp-formula id="FD2"><label>(2)</label><mml:math display="block" id="M2" overflow="scroll"><mml:mrow><mml:mi>x</mml:mi><mml:mo>=</mml:mo><mml:msqrt><mml:mrow><mml:mn>2</mml:mn><mml:mi>D</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:msqrt></mml:mrow></mml:math></disp-formula></p><p id="P22">Thus, ~0.82% of the 50 <italic>&#x003bc;</italic>L aliquot volume (~0.41 <italic>&#x003bc;</italic>L) is sampled between the two microwires, and the effective capturing efficiency in the static-ePADs is ~93% of the aliquot. Multilayer <italic>&#x003bc;</italic>PADs (featuring two layers of paper) have been shown to increase mass transport and facilitate greater sampling of the aliquot compared to static measurements.<sup><xref rid="R46" ref-type="bibr">46</xref></sup> Therefore, these data corroborate the lower detection limits in the flow-ePAD format over the static-ePAD format.</p></sec><sec id="S11"><title>Trace Detection of West Nile Virus.</title><p id="P23">To demonstrate the method scope, flow-ePADs were applied for detection of West Nile virus particles (WNV, subtype Kunjin). WNV is an arthropod-borne flavivirus typically transmitted to humans by female Culex species mosquitos.<sup><xref rid="R1" ref-type="bibr">1</xref></sup> Infection with WNV can lead to severe neurological symptoms such as meningitis or encephalitis, and there are currently no available vaccines or therapeutic treatments for humans.<sup><xref rid="R1" ref-type="bibr">1</xref>,<xref rid="R47" ref-type="bibr">47</xref></sup> Between 1999 and 2013 there were 17,463 verified cases of WNV infection in the US, and current studies predict increasing rates of WNV transmission as global temperatures increase and create climatic conditions favorable to mosquito vectors.<sup><xref rid="R48" ref-type="bibr">48</xref>,<xref rid="R49" ref-type="bibr">49</xref></sup> Common approaches such as antibody capture ELISA or RT-PCR are difficult to carry out in resource limited settings.<sup><xref rid="R2" ref-type="bibr">2</xref></sup> Therefore, POC techniques are needed for increased surveillance of WNV spread in patients and vector species to divert virus control efforts to those areas with the greatest need.</p><p id="P24">Using a similar modification procedure to the one shown in <xref rid="F1" ref-type="fig">Figure 1a</xref>, Au microwires were modified with lipoic acid, followed by a flavivirus-envelope protein specific 4G2 antibody (20 <italic>&#x003bc;</italic>g mL<sup>&#x02212;1</sup>)<sup><xref rid="R50" ref-type="bibr">50</xref></sup> through EDC/NHS coupling, before assembly into flow-ePADs. After thawing, West Nile and Sindbis viruses were serially diluted with cell culture media to their required concentrations and then kept on ice during aliquot extraction for measurement. The average viral titer was ~1 h between different devices/measurements. As shown in <xref rid="F6" ref-type="fig">Figure 6</xref>, an antibody concentration of 20 <italic>&#x003bc;</italic>g/mL was found to give a significant increase in %&#x00394;<italic>R</italic><sub>ct</sub> for addition of 1 &#x000d7; 10<sup>6</sup> WNV particles mL<sup>&#x02212;1</sup> (blue circles) compared to a control of viral media (red squares). Note the concentratsion tested are in line with literature values for virus sensors.<sup><xref rid="R50" ref-type="bibr">50</xref></sup> At lower antibody concentrations, similar %&#x00394;<italic>R</italic><sub>ct</sub> were observed for both target and control tests due to low modification densities. For example, note that the 2 <italic>&#x003bc;</italic>g/mL in <xref rid="F6" ref-type="fig">Figure 6</xref> has the control mean data point at a higher %&#x00394;<italic>R</italic><sub>ct</sub> than the WNV target. Although not quite statistically significant (unpaired <italic>t</italic>-test <italic>p</italic> = 0.096), this erroneous result may be an artifact of the small sample size (<italic>n</italic> = 3).</p><p id="P25">To assess the assay sensitivity and capacity for trace detection of virus particles, 50 <italic>&#x003bc;</italic>L of 1.0 &#x000d7; 10<sup>3</sup>&#x02013;1.0 &#x000d7; 10<sup>6</sup> WNV particles mL<sup>&#x02212;1</sup> in cell culture media were added, generating a linear response as shown in <xref rid="F7" ref-type="fig">Figure 7</xref> (triangles, <italic>n</italic> = 4). A nonspecific test was carried out using an excess of nonrelated Sindbis virus particles<sup><xref rid="R51" ref-type="bibr">51</xref></sup> (1.0 &#x000d7; 10<sup>7</sup> particles mL<sup>&#x02212;1</sup>, green circle, <italic>n</italic> = 4), finding a low %&#x00394;<italic>R</italic><sub>ct</sub> (244% &#x000b1; 24). A limit of detection of 2.0 &#x000d7; 10<sup>3</sup> WNV particles mL<sup>&#x02212;1</sup> or 10.2 WNV particles within the 50 <italic>&#x003bc;</italic>L aliquot was found (Sindbis %&#x00394;<italic>R</italic><sub>ct</sub> + 3 &#x000d7; standard error of the mean/slope), which is similar to that achievable by RT- PCR, ELISA, or other literature approaches.<sup><xref rid="R4" ref-type="bibr">4</xref>,<xref rid="R5" ref-type="bibr">5</xref>,<xref rid="R34" ref-type="bibr">34</xref></sup> Note, the nonspecific value is used in place of a blank as it is more representative of a real system, as previously discussed.<sup><xref rid="R26" ref-type="bibr">26</xref></sup> Also, the error bars in <xref rid="F7" ref-type="fig">Figure 7</xref> represent the standard error of the mean (<italic>n</italic> = 4). Further, these data also correspond to <xref rid="SD1" ref-type="supplementary-material">Figure S1</xref> in the <xref rid="SD1" ref-type="supplementary-material">Supporting Information</xref>, highlighting the need for normalization of the EIS signals. No statistically significant correlation was observed between measurement number and signal, indicating the electrodes and antibodies were stable over the experimental time (~1 h between fabrication and measurement, unpaired <italic>t</italic>-test <italic>p</italic> = 0.311). Our detection limits are below the clinical range for WNV, which varies between 1 &#x000d7; 10<sup>2</sup> and 1 &#x000d7; 10<sup>6</sup> genomic equivalents per mL, depending on the location (tissue in the body), matrix (blood or urine), and stage of infection.<sup><xref rid="R52" ref-type="bibr">52</xref>,<xref rid="R53" ref-type="bibr">53</xref></sup></p></sec></sec></sec><sec id="S12"><title>CONCLUSIONS</title><p id="P26">A sensitive, specific, inexpensive, and fast flow-ePAD sensor for virus particles has been developed. This approach is ideally suited to sensing in resource limited settings, given EIS-based sensing motifs are easily miniaturized and controllable via a smartphone.<sup><xref rid="R54" ref-type="bibr">54</xref></sup> Use of dithiol-Au and carbodiimide coupling is shown to provide a stable electrode with a high density (2.8 &#x000d7; 10<sup>4</sup> SA particles mm<sup>&#x02212;2</sup>) of capturing groups (e.g., antibodies). The sensing motif has broad applicability to a range of biological targets for POC detection, particularly for monitoring transmission of other closely related flavivirus species such as yellow fever and Zika viruses in areas where access to traditional methods of disease diagnosis and monitoring are limited. Given the small size of WNV particles (~50 nm diameter),<sup><xref rid="R55" ref-type="bibr">55</xref></sup> we anticipate similar or better detection limits for other similar or larger size targets, allowing for variance in binding kinetics between different target-capture systems. Future work will seek to apply this sensing motif to different biological targets and reduce the assay time through optimization of the device geometry to compete with the speed of LFAs (~10 min).<sup><xref rid="R46" ref-type="bibr">46</xref></sup></p></sec><sec sec-type="supplementary-material" id="SM1"><title>Supplementary Material</title><supplementary-material content-type="local-data" id="SD1"><label>Supplemental</label><media xlink:href="NIHMS1021416-supplement-Supplemental.pdf" orientation="portrait" xlink:type="simple" id="d36e1172" position="anchor"/></supplementary-material></sec></body><back><ack id="S13"><title>ACKNOWLEDGMENTS</title><p id="P27">R.B.C., Y.Y., and C.S.H. thank CSU through the Catalyst for Innovative Partnerships program and the USDA through the National Wildlife Research Center (NWRC, AP17WSNWRC00C027) for project support. K.M.F. and B.J.G. are grateful for partial support from NIH/NIAID R01 AI114675. R.B.C. is grateful for partial support from NIOSH R01 OH010662.</p></ack><fn-group><fn id="FN2"><p id="P28">ASSOCIATED CONTENT</p></fn><fn id="FN3"><p id="P29">Supporting Information</p><p id="P30">The Supporting Information is available free of charge on the ACS Publications website at DOI: <ext-link ext-link-type="uri" xlink:href="10.1021/acs.anal-chem.8b02042">10.1021/acs.anal-chem.8b02042</ext-link>.</p><p id="P31">Normalization of the EIS spectra, optimization of the EIS mediator concentration, investigations of Au-thiol stability, and analysis of SEM images (PDF)</p></fn><fn id="FN4"><p id="P32">The authors declare no competing financial interest.</p></fn></fn-group><ref-list><title>REFERENCES</title><ref id="R1"><label>(1)</label><mixed-citation publication-type="journal"><name><surname>Mackenzie</surname><given-names>JS</given-names></name>; <name><surname>Gubler</surname><given-names>DJ</given-names></name>; <name><surname>Petersen</surname><given-names>LR</given-names></name>
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<source>Lancet Neurol</source>. <year>2007</year>, <volume>6</volume>, <fpage>171</fpage>&#x02013;<lpage>181</lpage>.<pub-id pub-id-type="pmid">17239804</pub-id></mixed-citation></ref></ref-list></back><floats-group><fig id="F1" orientation="portrait" position="float"><label>Figure 1.</label><caption><p id="P33">a) Reaction scheme with b) representative corresponding cyclic voltammograms and c) EIS for Au microwire electrodes at different stages of modification with biotin, for capture of SA particles on a static-ePAD.</p></caption><graphic xlink:href="nihms-1021416-f0001"/></fig><fig id="F2" orientation="portrait" position="float"><label>Figure 2.</label><caption><p id="P34">Comparison of monothiol (11-mercaptoundecanoic acid) vs dithiol (lipoic acid) modification of Au microwires, for detection of 100 nm SA particles in static-ePADs, <italic>n</italic> = 4, sensitivity = 11.7 and 17.5 particles<sup>&#x02212;1</sup> mL, and <italic>R</italic><sup>2</sup> = 0.9062 and 0.9963 for the mono- and dithiol, respectively.</p></caption><graphic xlink:href="nihms-1021416-f0002"/></fig><fig id="F3" orientation="portrait" position="float"><label>Figure 3.</label><caption><p id="P35">Effect of SA particle size on %&#x00394;<italic>R</italic><sub>ct</sub> for 1 &#x000d7; 10<sup>6</sup> SA particles mL<sup>&#x02212;1</sup> captured on biotin-modified microwires in a static-ePAD, <italic>R</italic><sup>2</sup> = 0.9866, <italic>n</italic> = 4.</p></caption><graphic xlink:href="nihms-1021416-f0003"/></fig><fig id="F4" orientation="portrait" position="float"><label>Figure 4.</label><caption><p id="P36">Calibration curve for flow-ePADs (blue triangles, a inset, <italic>R</italic><sup>2</sup> = 0.9932) and static-ePADs (red circles, b inset, <italic>R</italic><sup>2</sup> = 0.9963) for detection of different concentrations of 100 nm diameter SA particles, 50 <italic>&#x003bc;</italic>L aliquot in phosphate buffer, <italic>n</italic> = 4.</p></caption><graphic xlink:href="nihms-1021416-f0004"/></fig><fig id="F5" orientation="portrait" position="float"><label>Figure 5.</label><caption><p id="P37">SEM images a) before and b) after modification with 1 &#x000d7; 10<sup>6</sup> SA particles mL<sup>&#x02212;1</sup> (100 nm diameter) in a static-ePAD.</p></caption><graphic xlink:href="nihms-1021416-f0005"/></fig><fig id="F6" orientation="portrait" position="float"><label>Figure 6.</label><caption><p id="P38">Optimization of 4G2 antibody concentration for Au microwire modification. %&#x00394;<italic>R</italic><sub>ct</sub> measured for [Fe(CN)<sub>6</sub>]<sup>3/4&#x02013;</sup> impedance before and after addition of 1 &#x000d7; 10<sup>6</sup> WNV particles mL<sup>&#x02212;1</sup> (blue circles) or viral media (red squares) to flow-ePADs (<italic>n</italic> = 4).</p></caption><graphic xlink:href="nihms-1021416-f0006"/></fig><fig id="F7" orientation="portrait" position="float"><label>Figure 7.</label><caption><p id="P39">Calibration curve (blue triangles) for different concentrations of WNV particles in a 50 <italic>&#x003bc;</italic>L aliquot of cell culture media (<italic>R</italic><sup>2</sup> = 0.9650, <italic>n</italic> = 4) and a nonspecific test with Sindbis virus particles (red circle, <italic>n</italic> = 2) added to antibody-modified microwires in a flow-ePAD.</p></caption><graphic xlink:href="nihms-1021416-f0007"/></fig></floats-group></article>