Novel HIV Test Delivers Results in Minutes Without Lab Wait: Study Finds
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Researchers have developed new technology that could lead to the creation of a rapid point-of-care test for HIV infection competitive with traditional lab-based HIV testing in a fraction of the time and without the need for a stressful wait while results are processed or confirmed in a clinical laboratory.
The technology described in a study published in the journal Biosensors and Bioelectronics uses a nanomechanical platform and tiny cantilevers to detect multiple HIV antigens at high sensitivity in a matter of minutes. These silicon cantilevers are cheap and easy to mass produce and can be readily equipped with a digital readout. Built into a solar-powered device, this technology could be taken to hard-to-reach parts of the world where early detection remains a challenge to deliver fast interventions to vulnerable populations without waiting for a lab.
"When we first developed the microcantilever technology 20 years ago, I realized that this technology is so generally applicable," Dravid said. "It is a very powerful tool that depends on three basic things: sensitivity, antigen-antibody affinity and specificity. This is where HIV comes in, because HIV is so pernicious that it mutates so there is no unique antibody. We had to figure out how to overcome that challenge."
Beginning with pure samples of the p24 antigen, the team applied layers of antibodies onto each "finger" of the gold-coated microcantilever to measure how strongly p24 bonded to the surface, which would cause the cantilever to bend a measurable and quantifiable amount.
After this proof-of-concept, the team introduced human blood samples, which are much more complex than purified samples. The sensor continued to bend only in samples where p24 was present, demonstrating high specificity.
Finally, the scientists added two antibodies to different "fingers" of the microcantilever to more broadly cover all HIV subtypes. Even in very low concentrations, the test accurately responded when antigens specific to HIV were introduced.
Reference: https://news.northwestern.edu/stories/2025/04/accurate-hiv-results-in-minutes/?fj=1
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