Enhanced Chemiluminescence of a Superior Luminol Derivative Provides Sensitive Smartphone-Based Point-of-Care Testing with Enzymatic μPAD

Chemiluminescence (CL) provides ideal conditions for point-of-care testing (POCT) with wide dynamic ranges, superior sensitivities, and detection simplicity. It has not arrived routinely in the POCT field due to naturally low quantum yields of typical probes and the lack of sensitive low-cost detection devices. Here, we developed a universal microfluidic paper-based analytical device (μPAD) using l-lactate as model analyte. We demonstrate that a smartphone camera can compete with a scientific CCD camera as performance benchmark when using the strong CL emitter, m-carboxy luminol, resulting in extraordinary signal-to-noise ratios of 67. The μPAD provides CV<10 %, stability at room temperature for≥3 months and simple processing. Furthermore, the μPAD enables the detection of picomoles of the luminophore providing additional design flexibility. Thus, this new CL-μPAD is available for translating the many CL standard analytical assays performed in microtiter plates, microarrays or other more complex detection strategies to the POC.