# Aptamer-Based Lateral Flow Assays: Current Trends in Clinical Diagnostic Rapid Tests

**Authors:** Marjan Majdinasab, Mihaela Badea, Jean Louis Marty

PMC · DOI: 10.3390/ph15010090 · 2022-01-13

## TL;DR

This paper reviews how aptamers can replace antibodies in rapid diagnostic tests, offering advantages like stability and ease of use.

## Contribution

The paper provides a comprehensive review of aptamer-based lateral flow assays for clinical diagnostics.

## Key findings

- Aptamers offer better stability and lower cost compared to antibodies in lateral flow assays.
- Aptamer-based assays have been developed for detecting biomarkers, microbes, hormones, and antibiotics.
- The review discusses the performance and limitations of these assays in point-of-care diagnostics.

## Abstract

The lateral flow assay (LFA) is an extensively used paper-based platform for the rapid and on-site detection of different analytes. The method is user-friendly with no need for sophisticated operation and only includes adding sample. Generally, antibodies are employed as the biorecognition elements in the LFA. However, antibodies possess several disadvantages including poor stability, high batch-to-batch variation, long development time, high price and need for ethical approval and cold chain. Because of these limitations, aptamers screened by an in vitro process can be a good alternative to antibodies as biorecognition molecules in the LFA. In recent years, aptamer-based LFAs have been investigated for the detection of different analytes in point-of-care diagnostics. In this review, we summarize the applications of aptamer technology in LFAs in clinical diagnostic rapid tests for the detection of biomarkers, microbial analytes, hormones and antibiotics. Performance, advantages and drawbacks of the developed assays are also discussed.

## Full-text entities

- **Genes:** MUC16 (mucin 16, cell surface associated) [NCBI Gene 94025] {aka CA125}, Crp (C-reactive protein, pentraxin-related) [NCBI Gene 12944], ERBB2 (erb-b2 receptor tyrosine kinase 2) [NCBI Gene 2064] {aka CD340, HER-2, HER-2/neu, HER2, MLN 19, MLN-19}, MUC1 (mucin 1, cell surface associated) [NCBI Gene 4582] {aka ADMCKD, ADMCKD1, ADTKD2, CA 15-3, CD227, Ca15-3}, CGB5 (chorionic gonadotropin subunit beta 5) [NCBI Gene 93659] {aka CGB, HCG}, IL6 (interleukin 6) [NCBI Gene 3569] {aka BSF-2, BSF2, CDF, HGF, HSF, IFN-beta-2}, F2 (coagulation factor II, thrombin) [NCBI Gene 2147] {aka PT, RPRGL2, THPH1}, FAS (Fas cell surface death receptor) [NCBI Gene 355] {aka ALPS1A, APO-1, APT1, CD95, FAS1, FASTM}, SPP1 (secreted phosphoprotein 1) [NCBI Gene 6696] {aka BNSP, BSPI, ETA-1, OPN}
- **Diseases:** infectious diseases (MESH:D003141), bird flu (MESH:D001715), ovarian cancer (MESH:D010051), gastric, lung, ovarian and oral (MESH:D013276), foodborne pathogens (MESH:D005517), breast cancer (MESH:D001943), bacterial (MESH:D001424), viral (MESH:D014777), cancer (MESH:D009369), COVID-19 (MESH:D000086382), coronavirus (MESH:D018352)
- **Chemicals:** amine (MESH:D000588), TB (MESH:D013725), 3,3',5,5'-tetramethylbenzidine (MESH:C021758), pullulan (MESH:C009109), C (MESH:D002244), OTC (MESH:D010118), A (MESH:D001151), thiol (MESH:D013438), ochratoxin A. (MESH:C025589), sugar (MESH:D000073893), silver (MESH:D012834), lipids (MESH:D008055), poly A (MESH:D011061), metal (MESH:D008670), Biotin (MESH:D001710), Au (MESH:D006046), graphene oxide (MESH:C000628730), peroxide (MESH:D010545), Progesterone (MESH:D011374), kanamycin (MESH:D007612), P4 (MESH:C015586), poly T (MESH:D011071), salt (MESH:D012492), Oligonucleotides (MESH:D009841), Silica (MESH:D012822), cellulose acetate (MESH:C005062), Dopamine (MESH:D004298), europium (MESH:D005063), Cysteamine (MESH:D003543), Ampicillin (MESH:D000667), 3,3'-diaminobenzidine (MESH:D015100), PDDA polymer (MESH:C041004), Aptamer (-), steroid hormone (MESH:D013256), Water (MESH:D014867), T (MESH:D014316), H2O2 (MESH:D006861), NaCl (MESH:D012965), epoxy (MESH:D004853), Cortisol (MESH:D006854)
- **Species:** Listeria monocytogenes (species) [taxon 1639], Anas platyrhynchos (duck, species) [taxon 8839], Gallus gallus (bantam, species) [taxon 9031], Mus musculus (house mouse, species) [taxon 10090], H3N2 subtype (serotype) [taxon 119210], Salmonella enterica subsp. enterica serovar Typhimurium (no rank) [taxon 90371], H5N2 subtype (serotype) [taxon 119220], Orthomyxoviridae (family) [taxon 11308], Homo sapiens (human, species) [taxon 9606], Escherichia coli O157:H7 (no rank) [taxon 83334], Severe acute respiratory syndrome coronavirus 2 (no rank) [taxon 2697049], Bacteria Latreille et al. 1825 (Bacteria stick insect, genus) [taxon 629395]

## Figures

10 figures with captions in the complete paper: https://tomesphere.com/paper/PMC8781427/full.md

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Source: https://tomesphere.com/paper/PMC8781427