A range of biosensing techniques
including immunoassays are routinely
used for quantitation of analytes in biological samples and available
in a range of formats, from centralized lab testing (e.g., microplate
enzyme-linked immunosorbent assay (ELISA)) to automated point-of-care
(POC) and lateral flow immunochromatographic tests. High analytical
performance is intrinsically linked to the use of a sequence of reagent
and washing steps, yet this is extremely challenging to deliver at
the POC without a high level of fluidic control involving, e.g., automation,
fluidic pumping, or manual fluid handling/pipetting. Here we introduce
a microfluidic siphon concept that conceptualizes a multistep ″dipstick″
for quantitative, enzymatically amplified immunoassays using a strip
of microporous or microbored material. We demonstrated that gravity-driven
siphon flow can be realized in single-bore glass capillaries, a multibored
microcapillary film, and a glass fiber porous membrane. In contrast
to other POC devices proposed to date, the operation of the siphon
is only dependent on the hydrostatic liquid pressure (gravity) and
not capillary forces, and the unique stepwise approach to the delivery
of the sample and immunoassay reagents results in zero dead volume
in the device, no reagent overlap or carryover, and full start/stop
fluid control. We demonstrated applications of a 10-bore microfluidic
siphon as a portable ELISA system without compromised quantitative
capabilities in two global diagnostic applications: (1) a four-plex
sandwich ELISA for rapid smartphone dengue serotype identification
by serotype-specific dengue virus NS1 antigen detection, relevant
for acute dengue fever diagnosis, and (2) quantitation of anti-SARS-CoV-2
IgG and IgM titers in spiked serum samples. Diagnostic siphons provide
the opportunity for high-performance immunoassay testing outside sophisticated
laboratories, meeting the rapidly changing global clinical and public
health needs.