Development of a practical point-of-care test for urinalysis
is
crucial for early diagnosis and treatment of chronic kidney disease
(CKD). However, the classical gold standard detection method depends
on sophisticated instruments and complicated procedures, impeding
them from being utilized in resource-limited settings and daily screening.
Herein, we report a rapid point-of-care device for the simultaneous
quantification of microalbuminuria and leukocyte using one drop of
urine. A luminogen (TTVP) with an aggregation-induced emission property
can selectively activate its near-infrared fluorescence in the presence
of albumin and leukocyte via hydrophobic or electrostatic interactions.
The fluorescence signals from urine albumin and leukocyte could be
well-separated combined with the coffee-ring effect. Using a smartphone-based
detection device, simultaneous quantification of urine albumin and
leukocyte was successfully achieved, which only took 20 min and required
one drop of urine. The performance of this system is also verified
with 120 clinical samples, which might serve as a simple, low-cost,
and rapid tool for CKD screening and disease monitoring at the point
of care.