Paper-based
platforms are ideal for on-site surveillance of infectious
diseases in low-resource settings due to their simplicity, self-containment,
and low cost. The two most popular materials used in paper-based platforms
are nitrocellulose and cellulose. The nitrocellulose membrane has
a high protein binding affinity, but its high price is an issue. Cellulose
paper is inexpensive and allows intricate fluidic control for more
sophisticated biochemical reactions, but it has a low protein binding
affinity. By examining the microstructure of cellulose paper, we discover
that cellulose fibers in the paper matrix are covered by thin films,
which possibly result from the additives used in the paper-making
process. Our finding suggests that the thin films are inert to protein
adsorption. By selectively depleting the inert films with reactive
plasma, we were able to enhance the protein adsorption to the cellulose
paper and improve the performance of lateral flow assays. The performance
of certain lateral flow assays on the plasma-treated cellulose paper
is equivalent to or better than that on the nitrocellulose membrane.
This leads us to believe that cellulose paper with a microstructure
exclusively designed for protein binding, either by refined paper
manufacturing process or by post-manufacture modification such as
the plasma treatment presented herein, can potentially replace nitrocellulose
as a less expensive paper substrate for point-of-care rapid test kits.
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