For the first time,
a paper-based analytical device (PAD) was developed
for the assessment of transferrin saturation (TSAT), which is defined
as the ratio between iron bound to transferrin (Tf) and the total
iron-binding capacity (TIBC) of Tf. Both parameters were simultaneously
measured on the same PAD using ferrozine as a chromophore and a smartphone
as the color reader. To this end, Tf was first isolated from serum
using anti-Tf immunomagnetic beads to ensure that only the Tf-bound
iron was measured, improving the selectivity and accuracy of TSAT
assessment. To demonstrate the practical utility of the device, it
was validated by analyzing a certified reference material, showing
excellent accuracy (E
r < 4%) and good
precision (RSD ≤ 6%). Finally, 18 diagnosed serum samples from
ischemic stroke patients were analyzed by this approach, and the results
were compared with those obtained by urea-PAGE, showing not only an
excellent correlation (r = 0.93, p < 0.05) but that the PAD approach has become statistically identical
to the free-interference urea-PAGE. In comparison with the slow, tedious,
and non-miniaturized-PAGE, this PAD approach exhibited attractive
characteristics such as low cost, disposability, and connectivity,
showing great potential for future point-of-care testing,
especially in developing countries and/or remote areas, where access
to medical or clinical facilities is limited.