Developing Paper Based Diagnostic Technique to Detect Uric Acid in Urine

Urinary or serum uric acid concentration is an indicator of chronic kidney condition. An increase in uric acid concentration may indicate renal dysfunction. Reliable instantaneous detection of uric acid without requiring sophisticated laboratory and analytical instrumentation, such as: chromatographic and spectrophotometric methods, would be invaluable for patients with renal complication. This paper reports the early development of a simple, low-cost, instantaneous and user-friendly paper based diagnostic device (PAD) for the qualitative and quantitative detection of uric acid in urine. A colorimetric detection technique was developed based on the intensity of Prussian blue color formation on paper in presence of uric acid; the reaction rate of corresponding chemical reactions on paper surface was also studied. Based on the colorimetric signal produced on paper surface, a calibration curve was developed to detect unknown concentration of uric acid in urine. The effect of temperature on formation of color signal on paper surface was also analyzed. In this study, estimation of urinary uric acid using MATLAB coding on a windows platform was demonstrated as the use of software application and digital diagnostics. This paper-based technique is faster and less expensive compared to traditional detection techniques. The paper-based diagnostic can be integrated with a camera of smart phone, tablet computer or laptop and an image processing application (using windows/android/IOS platform) as a part of digital diagnostics. Therefore, with proper calibration, the paper-based technique can be compatible and economical to the sophisticated detection techniques used to detect urinary uric acid.

[1]  Gil Garnier,et al.  Paper diagnostic for instantaneous blood typing. , 2010, Analytical chemistry.

[2]  H. Silverman,et al.  Colorimetric determination of uric acid with alkaline ferricyanide. , 1947, The Journal of biological chemistry.

[3]  W. Nuchpramool,et al.  Serum and urinary uric acid levels in healthy subjects and in patients with urolithiasis. , 1991, Journal of the Medical Association of Thailand = Chotmaihet thangphaet.

[4]  K. Nakashima,et al.  [The Rotterdam study]. , 2011, Nihon rinsho. Japanese journal of clinical medicine.

[5]  V. R. Biljak,et al.  Laboratory diagnostics of chronic kidney disease in Croatia: state of the art , 2015, Biochemia medica.

[6]  Koichi Inoue,et al.  Determination of uric acid in human saliva by high-performance liquid chromatography with amperometric electrochemical detection. , 2003, Journal of chromatography. B, Analytical technologies in the biomedical and life sciences.

[7]  A. Grigoriev,et al.  Determination of diagnostical markers of urolithiasis by capillary electrophoresis , 2012, Journal of Analytical Chemistry.

[8]  C. Pundir,et al.  Fabrication of dissolved O2 metric uric acid biosensor using uricase epoxy resin biocomposite membrane. , 2009, Analytica chimica acta.

[9]  J. Jen,et al.  Simultaneous determination of uric acid and creatinine in urine by an eco-friendly solvent-free high performance liquid chromatographic method. , 2002, Talanta.

[10]  B. Kestenbaum,et al.  Relationship of uric acid with progression of kidney disease. , 2007, American journal of kidney diseases : the official journal of the National Kidney Foundation.

[11]  F. Grases,et al.  Determination of uric acid in urine, saliva and calcium oxalate renal calculi by high-performance liquid chromatography/mass spectrometry. , 2005, Journal of chromatography. B, Analytical technologies in the biomedical and life sciences.

[12]  Claire M. Lochner,et al.  Monitoring of Vital Signs with Flexible and Wearable Medical Devices , 2016, Advanced materials.

[13]  F. R. Rocha,et al.  A flow-based procedure with solenoid micro-pumps for the spectrophotometric determination of uric acid in urine , 2010 .

[14]  M. Calabozo,et al.  Renal underexcretion of uric acid is present in patients with apparent high urinary uric acid output. , 2002, Arthritis and rheumatism.

[15]  Gil Garnier,et al.  Effect of polymers on the retention and aging of enzyme on bioactive papers. , 2010, Colloids and surfaces. B, Biointerfaces.

[16]  Josef Coresh,et al.  Chronic kidney disease , 2012, The Lancet.

[17]  J. Reilly,et al.  EFFECTS OF FLUCTUATING ENVIRONMENTS ON PAPER MATERIALS — STABILITY AND PRACTICAL SIGNIFICANCE FOR PRESERVATION , 2002 .

[18]  S. B. Jonnalagadda,et al.  KINETICS AND MECHANISM OF PRUSSIAN BLUE FORMATION , 2009 .

[19]  M. Doherty,et al.  Gout. Epidemiology of gout , 2010, Arthritis Research & Therapy.

[20]  M Kitamura,et al.  [Uric acid]. , 1967, Nihon rinsho. Japanese journal of clinical medicine.

[21]  G. Whitesides,et al.  Patterned paper as a platform for inexpensive, low-volume, portable bioassays. , 2007, Angewandte Chemie.

[22]  Hyon K. Choi,et al.  The epidemiology of uric acid and fructose. , 2011, Seminars in nephrology.

[23]  D. Gregor-Svetec,et al.  Durability of Cellulose and Synthetic Papers Exposed to Various Methods of Accelerated Ageing , 2012, Acta Polytechnica Hungarica.

[24]  G. Berti,et al.  Use of 3,5-dichloro-2-hydroxybenzenesulfonic acid/4-aminophenazone chromogenic system in direct enzymic assay of uric acid in serum and urine. , 1980, Clinical chemistry.

[25]  N. Kageyama A direct colorimetric determination of uric acid in serum and urine with uricase-catalase system. , 1971, Clinica chimica acta; international journal of clinical chemistry.

[26]  Richard J. Johnson,et al.  Uric acid levels increase risk for new-onset kidney disease. , 2008, Journal of the American Society of Nephrology : JASN.

[27]  Phillip Won,et al.  A soft, wearable microfluidic device for the capture, storage, and colorimetric sensing of sweat , 2016, Science Translational Medicine.

[28]  A. Hofman,et al.  Uric Acid Is a Risk Factor for Myocardial Infarction and Stroke: The Rotterdam Study , 2006, Stroke.

[29]  Ke Yang,et al.  A dye-assisted paper-based point-of-care assay for fast and reliable blood grouping , 2017, Science Translational Medicine.

[30]  N. Gochman,et al.  Automated determination of uric acid, with use of a uricase-peroxidase system. , 1971, Clinical chemistry.

[31]  Jean W. Lee,et al.  Quantification of uric acid, xanthine and hypoxanthine in human serum by HPLC for pharmacodynamic studies. , 2006, Journal of chromatography. B, Analytical technologies in the biomedical and life sciences.

[32]  L. Kubota,et al.  Flow in a Paper‐based Bioactive Channel – Study on Electrochemical Detection of Glucose and Uric Acid , 2016 .

[33]  Giuseppe Lippi,et al.  High Serum Uric Acid as a Novel Risk Factor for Type 2 Diabetes , 2008, Diabetes Care.

[34]  S. Kalliney,et al.  Determination of uric acid in serum, with use of uricase and a tribromophenol-aminoantipyrine chromogen. , 1973, Clinical chemistry.

[35]  K. Leung,et al.  Use of allopurinol in slowing the progression of renal disease through its ability to lower serum uric acid level. , 2006, American journal of kidney diseases : the official journal of the National Kidney Foundation.

[36]  Z. M. Zain,et al.  Spectrophotometric Determination of Uric Acid in Urine Based-Enzymatic Method Uricase with 4-Aminodiphenylamine Diazonium Sulfate (Variamine Blue RT Salt) , 2013 .

[37]  G. Whitesides,et al.  Simple telemedicine for developing regions: camera phones and paper-based microfluidic devices for real-time, off-site diagnosis. , 2008, Analytical chemistry.

[38]  D. F. Putnam Composition and concentrative properties of human urine , 1971 .

[39]  D. Shillady Essentials of Physical Chemistry , 2011 .

[40]  Richard J. Johnson,et al.  Role of uric acid in hypertension, renal disease, and metabolic syndrome. , 2005, Cleveland Clinic journal of medicine.

[41]  Mohidus Samad Khan,et al.  Qualitative and quantitative detection of T7 bacteriophages using paper based sandwich ELISA. , 2015, Colloids and surfaces. B, Biointerfaces.

[42]  Wei Shen,et al.  Thermal stability of bioactive enzymatic papers. , 2010, Colloids and surfaces. B, Biointerfaces.

[43]  William T. Hu,et al.  Poly(Gp) Proteins Are A Useful Pharmacodynamic Marker For C9Orf72-Associated Amyotrophic Lateral Sclerosis , 2017 .

[44]  C. Pundir,et al.  Fabrication of dissolved O 2 metric uric acid biosensor based on uricase bound to PVC membrane , 2010 .

[45]  V. Jha,et al.  Chronic kidney disease: global dimension and perspectives , 2013, The Lancet.

[46]  Abdul,et al.  Flow-injection Spectrophotometric Determination of Uric Acid in Urine via Prussian Blue Reaction , 2011 .

[47]  S. Low,et al.  Association Between Urine Uric Acid Levels and Quality of Life in Academicians and Non-academicians in UTAR, Kampar , 2015 .