posted on 2022-08-26, 09:31authored byFiachra O'Leary
Herpes Simplex Virus (HSV) is widespread among the human population. HSV infection
can have subtle symptoms and often go undiagnosed. There are two types of HSV
infections. HSV type 1 (HSV-1) is associated with orofacial blisters transmitted through
saliva whereas HSV type 2 (HSV-2) causes genital ulcers, genital herpes and in severe
cases meningitis. HSV-2 is transmitted through sexual contact. Current methods of
detecting HSV infection are labour intensive and time consuming. Patients that attend a
doctor's surgery often have to wait weeks to obtain a result due to transportation of the
patient's sample to a laboratory with suitable facilities and personnel with expertise to
diagnose HSV infection. Currently, there is a need to develop a rapid point-of-care
(POC) device that is capable of detecting HSV infections from a patient's bedside,
doctor's surgery or a remote location. Currently, there are capillary flow driven devices
for the detection of HSV infections but the microdevice developed in this study for the
fluorescent detection of HSV infection has a novel method of detection via capillary flow
through open microchannels made of a cyclo-olefin polymer. In this thesis, a capillary
driven microdevice was developed with the goal of fluorescent detection of HSV-1 and
HSV-2 as a first step toward developing a POC microdevice.
The first step in the development of this microdevice was to assess the influence
of surfactants on the capillary flow through open hydrophobic microchannels and the
hydrophilisation of the hydrophobic microchannels through the use of surfactant coatings
which to the author’s knowledge has not been explored to date. An algorithm was
developed which measured the meniscus position of the fluid in the microchannels by
processing digitally captured high speed images of the fluid flow. It was found for the
surfactant solutions flowing in hydrophobic open microchannels via capillary action did
not follow conventional capillary flow theory possibly due the adsorption of surfactant
molecules to the microchannel surfaces. To the author’s knowledge, the dynamic contact
angles of fluids flowing in open microchannels have never been measured and in this
thesis an algorithm was used to measure dynamic contact angles non-invasively by
analysing digital images of the fluid flow. Surfactant coating of flat hydrophobic surfaces
increased their wettabilty although surfactant coating of hydrophobic open microchannels
promoted capillary flow of water but as the concentration of surfactant increased the flow
through the microchannels decreased. The surfactant coating created a hydrophobic
barrier that increased in strength with increasing surfactant concentration. Also, the
meniscus shape started to deform from conventional capillary flow into a nonconventional
shape which has not been documented before. This hydrophobic barrier and
deformation of the meniscus shape may be due to the water adsorbing surfactant
molecules from the surface of the microchannels.
The second step was to assess the performance of the fluorescent detection of
HSV infection using the microdevice based on a miniaturised ELISA technique. The
detection method was based on the immobilisation of 100-1000μg/ml of capture
antibodies specific for either HSV-1 or HSV-2 antigens. The concentration of HSV
specific antigens and fluorescent detection antibodies used were 75-200 and 20μg/ml
respectively. The concentration of HSV antigens used was 4-5 orders of magnitude
higher than a POC device would use. An algorithm was developed that eliminated
background noise allowing accurate qualitative and quantitative measurement of
fluorescent detection. The microdevice failed in fluorescently detecting both HSV-1 and
HSV-2. This technique requires substantial modifications to improve its performance.