Comparison between (a)
traditional single-plex lateral flow assay,
where the analyte is identified by localization onto a specific location
(the capture line), and the new (b, c) MFAs where an analyte is identified
via its optical code rather than onto a specific geometric location.
A traditional lateral flow assay has a detection Ab attached to an
Au nanoparticle and a capture Ab bound to the test line at a specific
location (a1). The antigen within the analyte solution moves through
the flow medium (purple arrows), bonds to the capture Ab (a2), and
the tripartite antigen/capture Ab/Au nanoparticle moiety localizes
onto a second Ab at the test line location (a3), indicating a positive
antigen test. In contrast, the MFA assay for antigens (b) or antibodies
(c) instead of nanoparticles uses a multitude of lanthanide-encoded
beads contacting the flow medium to identify the captured analyte,
and only molecular species move within the flow. To identify Ags using
sandwich ELISA in a multiplexed fashion (b), the beads are derivatized
with capture probe Abs, with each capture probe bound to a bead set
with a unique optical code (b4), exposed to the Ag analyte solution,
treated with the detection Ab (b5), and stained with antispecies stain
or streptavidin–phycoerythrin (SAPE) to measure the amount
of Ag (b6). To identify Abs instead of Ags in a multiplexed assay
(c), a recombinant protein, which acts as an Ag against the Ab of
interest, is attached to the lanthanide-encoded bead set (c7), exposed
to the Ab analyte solution (c8), and labeled with an antispecies stain
against the captured Ab (c9) to give the amount of analyte.