Microfluid Nanofluid DOI 10.1007/s10404-013-1283-9 RESEARCH PAPER Centrifugal automation of a triglyceride bioassay on a low-cost hybrid paper-polymer device Neus Godino • Elizaveta Vereshchagina Robert Gorkin III • Jens Ducrée • Received: 10 July 2013 / Accepted: 22 October 2013 Springer-Verlag Berlin Heidelberg 2013 Abstract We present a novel paper-polymer hybrid construct for the simple automation of fundamental microfluidic operations in a lab-on-a-disc platform. The novel design, we term a paper siphon, consists of chromatographic paper strips embedded along a siphon microchannel. The paper siphon relies on two main interplaying forces to create unique valving and liquidsampling methods in centrifugal microfluidics. At sufficiently low speeds, the inherent wicking of the paper overcomes the rotationally induced centrifugal force to drive liquids towards inwards positions of the disc. At elevated speeds, the dominant centrifugal force will extract liquid from the siphon paper strip towards the edge of the Neus Godino and Elizaveta Vereshchagina have contributed equally to this work. N. Godino E. Vereshchagina R. Gorkin III J. Ducrée (&) Biomedical Diagnostics Institute, National Centre for Sensor Research, School of Physical Sciences, Dublin City University, Dublin, Ireland e-mail: [email protected] N. Godino e-mail: [email protected] Present Address: N. Godino Fraunhofer Institute for Biomedical Engineering IBMT, Branch Potsdam, Potsdam, Germany Present Address: E. Vereshchagina Microsystems Centre of Tyndall National Institute, Cork, Ireland Present Address: R. Gorkin III ARC Centre of Excellence for Electromaterials Science, Intelligent Polymer Research Institute, University of Wollongong, Wollongong, Australia disc. Distinct modes of flow control have been developed to account for water (reagent) and more viscous plasma samples. The system functionality is demonstrated by the automation of sequential sample preparation steps in a colorimetric triglyceride assay: plasma is metered from a whole blood sample and incubated with a specific enzymatic mixture, followed by detection of triglyceride levels through (off-disc) absorbance measurements. The successful quantification of triglycerides and the simple fabrication offer attractive directions for such hybrid devices in low-cost bioanalysis. Keywords Lab-on-a-disc Centrifugal microfluidics Paper microfluidics Point of care diagnostic Triglyceride assay 1 Introduction Paper microfluidics has garnered attention for the development of low-cost point-of-care diagnostic devices in the scientific community (Ballerini et al. 2012; Fu et al. 2011) as well as for commercial purposes (Fulmer 2012). Besides the game-changing cost advantage of the material, paper devices offer further benefits when compared to conventional substrates such as silicon, glass or plastics, such as an easier pathway towards fabrication (Carrilho et al. 2009; Martinez et al. 2010) and remarkable capabilities for dry reagent storage and surface functionalization (Ge et al. 2012; Kwong and Gupta 2012). In the last few years, the field of paper microfluidics has brought various innovative, low-cost and rapid engineering solutions to biodiagnostics (Arnaud 2012; Liana et al. 2012; Shah et al. 2013). Furthermore, due to the wide range of inherent advantages of using paper like flow control through wicking and inherent 123 Microfluid Nanofluid biocompatibility, paper microfluidic devices have been harnessed for applications such as human blood typing (AlTamimi et al. 2012; Jarujamrus et al. 2012), plasma separation and detection of various biomolecular entities (antibodies, enzymes) (Songjaroen et al. 2012; Yang et al. 2012). Recent publications have improved the control over the two-dimensional flow for the sequential delivery of liquid reagents (Fu et al. 2012). While advantageous as a substrate, using paper alone puts some constraints on functionality of microfluidic devices to perform certain laboratory unit operations (LUOs) such as metering or valving. Paper can pose challenges for sequential processing as liquids cannot successively run through the same passage. The field has certainly progressed, with recent advances using the inherent filter capabilities of paper for human blood typing on antibody-treated paper (Al-Tamimi et al. 2012; Jarujamrus et al. 2012) and in the development of microfluidics paper-based analytical devices for plasma separation and subsequent detection of proteins in plasma (Songjaroen et al. 2012; Yang et al. 2012). In this work, we join the advantages of using paper as a substrate regarding capillarity, filtering, cost and simple fabrication to perform novel concepts of fundamental microfluidics functionalities in centrifugal platforms. Centrifugal microfluidics is a mature technology with established benefits for liquid handling. One of the major developments in centrifugal microfluidics is standardization of method for blood separation in clinical assays. We describe for the first time the development of composite paper-centrifugal microfluidic valving and liquid-sampling method that enables a novel concept that we term a paper siphon. When combining the centrifugally actuated lab-ona-disc with the autonomous capillary absorption of paper, it is possible to develop a fundamental set of LUOs in a simple, inexpensive and rapid fashion (Godino et al. 2012a, b; Vereshchagina et al. 2012; Hwang et al. 2011). Siphoning is one of the most common features in centrifugal microfluidic platforms that is based on the principle of hydrostatic equilibrium of liquid levels in the rotationally induced artificial gravity field (Siegrist et al. 2009; Steigert et al. 2007). In a common implementation, two chambers are interconnected using reverse-U shaped duct featuring a crest point above the maximum liquid level in the upstream chamber. When a fluid meniscus passes this crest point and protrudes radially outward below the liquid level, liquid is centrifugally ‘‘pulled’’ through the siphon channel to the downstream chamber. Priming of the siphon channel has been implemented by flow propulsion through capillary action, or through pneumatic and thermal actuation (Garcia-Cordero et al. 2010; Schembri et al. 1995; Gorkin et al. 2010; Godino et al. 2013; Grumann et al. 2006; Kitsara and Ducrée 2013). In this work, we develop a 123 novel siphoning concept utilizing the inherent imbibition of paper segments. The use of paper in siphon valving has several important benefits: (1) simple manufacturing (no need for additional hydrophilization processes); (2) flow control by both capillary and centrifugation forces; (3) low cost; (4) long shelf life; (5) accessibility to surface modification techniques, if necessary; (6) biocompatibility (Pelton 2009) and (7) storing of dry reagents (Fridley et al. 2012). Our hybrid lab-on-a-disc merges both, the effectiveness of centrifugal platforms for blood separation with the straightforward filtering properties of paper. With this method, we succeeded to integrate a complete assay protocol including plasma isolation, metering and filtering simultaneously through a disc-based paper siphon. The protocol is used to perform a commercial triglyceride assay as a pilot study. Along with cholesterol, triglyceride levels constitute an important blood testing parameter. Excessive triglyceride concentrations may indicate an enhanced risk of heart attack, stroke, diabetes or other metabolic disorders. Thus, low-cost diagnostic devices enabling frequent, near-patient monitoring of triglyceride levels are highly desired. The colorimetric assay involves initial blood separation step with extraction of 10 lL of pure plasma, followed by mixing with an enzymatic reagent and off-disc colorimetric detection. We demonstrate the integration and automation of the subsequent assay steps on our hybrid labon-disc utilizing the paper siphon as will be shown throughout this work. 2 Principle Flow control in the paper-polymer lab-on-a-disc is governed by the interplay of two primary effects: capillarity action and the centrifugal field. Capillary flow is driven by imbibition of the dry (hydrophilic) paper segments. The capillary flow within dry paper is isotropic and its speed is primarily impacted by the porosity and hydrophilicity of the paper. The centrifugal field, on the other hand, always points in the radial direction and scales linearly with the distance from the centre of rotation and with the square of the frequency of rotation and can be dynamically controlled by the speed of a spindle motor. By integrating paper membranes on a disc and setting a sequence of designated rotational frequencies, it is possible to control liquid transport and to establish fluid pathways that are challenging to achieve with individual stand-alone microfluidic components. Figure 1 depicts the three different conditions regarding the balance between centrifugal and capillary force when using a paper strip in a centrifugal platform. In the schematic, the liquid is brought in contact with the paper Microfluid Nanofluid Each case describes a different state of the processing on hybrid paper-polymer disc. Liquids can be driven towards the centre (Fig. 1a); the meniscus level can be temporarily held at particular radii (Fig. 1b); or liquids can be transferred from pre-wetted material towards the disc edge (Fig. 1c). Additionally, by establishing a spin protocol that cycles the spin speed slightly below and above the threshold frequency, a combination of the techniques can be used to re-circulate fluids through the paper membrane (Godino et al. 2012a, b) or, as we will show in the following, enable siphoning and metering. Based on the method of fluidic control described in case (iii), the extraction of well-defined liquid volumes from a paper strip can be performed, a LUO that we designate as ‘‘liquid sampling’’. As depicted in Fig. 1d when a paper strip is saturated with liquid, microdrops are formed at the surface. The number and shape of these drops depends on the porosity of the paper and the specific liquid-to-vapour interface. In conventional paper microfluidics, the equilibrium of these drops is merely governed by the surface tension and viscosity of the sample. However, when a thoroughly soaked paper strip is spun, the centrifugal force causes an accumulation of liquid at the outer edge of the strip. Once a sufficient volume of liquid sample has amassed, the surface tension is overcome and liquid drops are released from the membrane (Fig. 1e). The appearance Fig. 1 Schematic of forces controlling the hydrodynamics on the hybrid paper-polymer lab-on-a-disc platform. The red arrow corresponds to the centrifugal force and the green arrow shows the capillary force. a When the capillary force is higher than the centrifugal force the liquid wicks from ‘‘wet’’ areas to ‘‘dry’’ areas even if these ‘‘dry’’ areas are positioned radially inwards. b When the capillary force and the centrifugal force are at balance the flow stalls. c When the centrifugal is higher than the capillary, the liquid is transported outwards towards the perimeter of the disc. This outward liquid movement causes a visible change in the colour of the ‘‘wet’’ areas of the paper. d When a paper strip is saturated with liquid, the formation of microdrops on the paper surface is distinguishable. e When the paper element saturated with the liquid is subjected to centrifugal force, the accumulation of microdroplets at the edge is observed. At a certain droplet size, the centrifugal force overcomes surface tension between the droplet and the paper surface and the saturated paper strip starts to leak by issuing droplets (colour figure online) creating a ‘‘wet’’ area at the outer end of the paper segment. In general, the centrifugal force is radially outbound while capillary action drives liquid to the ‘‘dry’’ areas of siphon strip. Depending on the balance of forces, the following scenarios can occur: 1. 2. 3. At low rotational frequencies, capillarity prevails. Liquid will be absorbed by the paper and thus move inbounds and towards dry paper areas of the disc (Fig. 1a). If centrifugal and capillary forces balance at a certain threshold-frequency (Hwang et al. 2011), the liquid meniscus will remain at rest (Fig. 1b). Beyond the threshold frequency, the dominant centrifugal force drives the liquid outwards. It is critical to note that at sufficiently elevated frequencies, a certain fraction of the liquid can be expelled from the paper (Godino et al. 2012a, b) (Fig. 1c). 123 Microfluid Nanofluid of the droplets, the dropping mechanism and the process of continuous liquid extraction depend on the frequency of rotation as well as on the intrinsic characteristics of the liquid and the paper type. We will describe an accurate metering of water-based and plasma samples through modulation of rotational frequency. strips (layer 4) are individually placed in each of the patterned siphon channels. After placing such individual paper strips in the corresponding siphon channels, layers 5 and 6 are stacked and sealed to complete the disc assembly. Figure 2b shows a picture of the final devices containing shaped paper segments in the siphon channel to provide centrifugo-capillary valving. 3 Experimental methods 3.2 Assay and reagents 3.1 Disc fabrication For visualization and demonstration of the system fluidics, various dilutions of food colour ink (Goodall’s, Ireland) in DI water were used. Once established, a commercial assay kit (Triglyceride Colorimetric Assay Kit, No. 10010303, Cayman Chemical, USA) was integrated for the direct determination of triglycerides. The manufacturer specifically recommended the kit for the detection of triglycerides in plasma. The triglycerides presented in blood are catalysed by four consecutive enzymatic reactions, starting with hydrolysis by lipase and giving quinoneimine dye (brilliant purple colour) as a final product of the fourth enzymatic reaction. The enzymatic mixture (Lipoprotein Lipase, Glycerol Kinase, Glycerol Phosphate Oxidase and Peroxidase) and sodium phosphate buffer are included in the standard colorimetric Cayman kit No. 10010303. Human blood samples were collected using ethical practices from a healthy volunteer into BD Vacutainer K3EDTA tubes (BD, USA) with pre-stored anti-coagulant. The blood was used within 24 h after extraction. Standard CAD software was used for the microfluidic design of a centrifugo-pneumatic cascade. Figure 2a shows the multi-layer sketch of the 120-mm-diameter disc. The hybrid paper-polymer device is composed of polymeric adhesive and paper substrates all manufactured using rapid prototyping technologies. The polymeric substrates, 1.5-mm thick poly(methylmethacrylate) (PMMA) (Radionics, Ireland), corresponding to layers 1, 3 and 6 in Fig. 2a, were patterned using a CO2 laser ablation system (Zing 16 Laser, Epilog, USA). Layers 2 and 4 correspond to the 86-lm thick, double-sided pressure sensitive adhesive layers (PSA, Adhesive Research, Ireland) used for bonding. Such PSA layers were contoured using a standard knife plotter (ROBO Pro cutter/ plotter, Graphtec, USA). To pattern the siphon areas, chromatographic paper (Whatman type 1, General Electric Healthcare, USA) is fixed on a layer of the double-sided PSA and then cut using a standard knife plotter. Utilizing established polymer lamination techniques, the polymeric and adhesive layers were consecutively stacked/aligned and irreversibly bonded. Once layers 1, 2 and 3 are assembled, paper-siphon Fig. 2 a 3D schematic of the disc used for the final application of detection of triglycerides in blood. All the discs used in this work consist of a 5-layer stack: three layers of PMMA and two layers of double-side pressure sensitive adhesive (PSA). The Whatman Chr 1 paper siphons with adhesive on the back are positioned between layer 123 3.3 Instrumental set-up We performed our experiments on a centrifugal test stand with features described earlier (Grumann et al. 2005). The 3 and layer 1. b Picture of the assembled disc used for the final detection. As mentioned, the paper-siphon strips are placed between the two polymeric layers to allow the transport of plasma between the blood sedimentation chamber and the final detection chamber Microfluid Nanofluid set-up uses a computer-controlled motor (Faulhaber Minimotor SA, Switzerland) to rotate the discs. A sensitive camera with ls-scale exposure time (Sensicam qe, PCO, Germany) was mounted on a motorized, 129 zoom lens (Navitar, USA) for high-resolution imaging of microfluidic processes on the spinning disc. Colorimetric measurements were carried out on the Nanodrop 2000c spectrophotometer (Thermo Fisher Scientific Inc., USA). 4 Results and discussion The results and discussion section is divided in two sections. First, we present fundamental microfluidic functionalities achieved by integrating paper strips: siphoning and liquid sampling. Second, as a demonstration of the advantages of the hybrid device, we show a colorimetric detection of triglycerides in blood based on a bioassay consisting of plasma separation from whole blood, plasma metering, enzymatic reaction and incubation. 4.1 Active flow control using centrifugal paper microfluidics 4.1.1 Paper-based siphoning In our novel paper siphon, capillarity comes purely from the natural wicking of (dry) paper. To prime the siphon, we first tested the wicking distance as a function of the spinning frequency. Paper strips were radially aligned on a polymeric disc. Liquid was loaded from an outer position relative to the dry paper areas (Fig. 3a). The disc is spun and the wicking distance is recorded as a function of the spin speed (Fig. 3b). As expected, when increasing the rotational frequency, absorption through capillary action is suppressed (Hwang et al. 2011). At a certain threshold frequency, absorption and centrifugal forces are balanced and no liquid movement is observed (Fig. 3b). In the present design, the threshold frequency is *3,500 rpm. Beyond this spin speed, liquid motion completely stalls. For frequencies lower than 3,500 rpm, absorption towards the centre of rotation can take place. In this centrifugal absorption paper siphon, a paper strip defines the siphon channel as shown in Fig. 3c. For siphon priming, the strip must first be saturated with liquid. Spinning below the threshold frequency leads to increasing liquid absorption. The dotted red arrow in Fig. 3c indicates the pathway for the liquid along the paper-siphon channel during this phase. Once the liquid reaches the crest point, both capillary and centrifugal forces act in the same direction, thus pulling the liquid radially outwards. The time to complete radially inward wetting between points A and B in Fig. 3c increases with the frequency of rotation. The paper siphon operates akin to the capillarity-primed, hydrophilic open-channel siphon. Its operation is governed by the geometry (e.g. width of the siphon), shape, thickness and absorption properties of the paper substrate. Establishing control over the priming mechanism is the first step in demonstrating siphoning. To complete an extraction protocol, liquid samples must be siphoned from inner to outer chambers located further downstream. Figure 3d shows the full sequence of liquid extraction from a paper-siphon at 750 rpm in more detail. First, the liquid wicks the paper siphon (Fig. 3d-1). Once the siphon strip is completely saturated, we observe the droplet formation on the paper surface (Fig. 3d-2). Continued centrifugation causes the further accumulation of liquid at the edge of the paper to increase the stress on the droplets. At a certain point, droplets fall off the paper (Fig. 3d-3) and are collected in the outer reservoir machined into the polymer disc. It is important to note that the viscosity and surface tension of the liquid affect the siphoning procedure. More viscous solutions will be slower to prime the siphon. If wicking is slowed, the accumulation of liquid at the edge of the siphon takes longer and dropping at the outer edge is hardly achieved. Therefore, the extraction protocol is optimized for each type of liquid sample. 4.1.2 Liquid sampling Using the extraction protocol for paper-based siphoning, we show in this section some metering protocols for processing water-based solutions and for human plasma. The differences in viscosity and surface tension (plasma viscosity ranges between 1.10 and 1.35 mPa s at 37 C) (Bascurt and Meiselman 2003; Lowe and Barbebel 1988) require bespoke extraction parameters, i.e. spin frequency and extraction time. For an aqueous solution, we use a continuous extraction mode; at constant frequency, the liquid moves through the paper siphon, accumulates at the edge of the strip and drops out to the following collecting chamber. In the case of plasma, we chose a pumping extraction mode where at a low spinning frequency the human plasma is absorbed through the paper siphon. After certain accumulation time, the frequency is drastically increased to allow expulsion of the plasma from the paper strip. For both the continuous and pumping mode, the protocol consists of optimizing the extraction parameters (for instance, time and frequency) while keeping the volume constant to a discrete metering step of 2 lL. 4.1.2.1 Continuous mode In this sampling mode, the same frequency is used for transporting the liquid between the chambers (Fig. 4a from point A to B) through the paper 123 Microfluid Nanofluid Fig. 3 a Schematic showing wicking distance and time at a certain frequency of rotation. In the set-up, the paper is held radially to the centre of the disc and the liquid volume is in a position radially outwards with respect to the ‘‘dry’’ areas of the paper. b Results showing the liquid wicking distance versus time for a range of frequencies of rotation. c Schematic representation of the siphon valving principle. Certain amount of liquid is moved from position A (initial chamber) to position B (collecting chamber). Capillary force allows the liquid motion from ‘‘wet’’ areas to ‘‘dry’’ areas, before the siphon crest point, centrifugal and capillary force counteract while after the crest point both forces push the liquid to the outer edge of the disc. d Pictures depicting liquid-ink extraction. The pictures correspond to the lowest part of the paper-siphon channel, close to the position B (collecting chamber). Step 1: To wet the paper, the frequency of rotation is reduced below the threshold frequency, in this specific case the disc was spun at 750 rpm. Step 2: Once the paper strip is fully saturated, continued rotation forms drops on the paper surface. Step 3: Continuous accumulation of the liquid at the edge of the siphon strip increasing the size of the drops. The larger mass means the drops are more affected by centrifugal force. After a certain period, the centrifugal force overcomes the surface tension and the process of liquid extraction begins siphon and for the continuous droplet generation from the paper siphon. In order to optimize the continuous liquid sampling, we study the effect of two parameters: the width of the paper strip and the frequency of rotation. It should be noted that the outward chamber (B) possesses a 10-lL capacity where each measuring mark corresponds to 2-lL increments to enable visual inspection of the metering while extracting the liquid. Figure 4b shows the dependence between the time and the width of the paper strip to meter 8 lL of diluted, water-based ink at a fixed spin rate of 750 rpm. The time was recorded in 2-lL metering steps for each width. We concluded that the time for metering 8 lL decreases with the width of the paper strip. At constant ratio between centrifugal and capillary forces, the increase in paper width results in higher flow rates of sample. Using the wider paper-siphon strips, accumulation of sufficient liquid at the edge of the paper siphon to trigger the extraction is achieved faster. Moreover, as the crest of the channel is kept at the same position for the different paper widths, for the wider siphon there are shorter liquid pathways from chamber A to chamber B, so the edge of the strip is reached more quickly. The 6-mm wide paper siphons and strips were used in all experiments. The experimental conditions for extraction were optimized with respect to these structures. Figure 4c shows the effect of the frequency of rotation to meter 2 lL using a 6-mm wide paper siphon. As it is shown in Fig. 4c, at 1,500 rpm, there is an optimal frequency where the time necessary to meter 2 lL is minimum (42 ± 6 s). The metering process depends on two counteracting effects regarding of the rotational frequency. On the one hand, the frequency must be large enough to allow the collection and release of microdroplets at the edge of the paper strip. However, the elevated frequencies 123 Microfluid Nanofluid Fig. 4 a Schematic of the liquid-sampling principle. The red dotted arrow shows the pathway and the direction of the liquid motion on the paper siphon. Position A corresponds with the initial chamber where a liquid is loaded. Position B is the collection chamber. In our assay, the collection chamber has a 10-lL capacity with independent marks for 2-lL steps. b Time to meter 8-lL in 2-lL steps of DI diluted ink for several paper siphon widths: 2, 4, 5, 5.5 and 6 mm at 750 rpm. c Average time for metering 2 lL of DI diluted ink for different continuous pumping mode for 6 mm wide. d Average time for metering 2 lL of plasma using the discrete pumping mode. The disc is spun always during 30 s at 375 rpm and suddenly switched to high frequency for the necessary time to meter 2 lL of plasma (colour figure online) of rotation restrict the liquid movement through the inbound part prior to the crest of the paper-siphon channel where centrifugal and capillary forces counteract. All ‘‘new’’ liquid imbibing the paper experiences the centrifugal force up to the crest point and only then the centrifugal and capillary force start to act in parallel to jointly the liquid in the radial direction. Thus, there is an optimal frequency of rotation at which the time necessary to meter a certain amount of liquid is minimized. This frequency must be sufficiently high to enable the dropping effect and low enough to not drastically throttle the wicking process. The optimal frequency also depends on the geometry and dimensions of the paper siphon as well as the liquid characteristics, so it is always necessary to tailor these parameters for a new assay. For the results showed in Fig. 4c, there is an optimal frequency around 1,500 rpm. Moreover, the results showed in Fig. 4c present a proper trend despite of the considerable large errors at some frequencies probably due to the visual quantification of the metering. The associated sampling error is estimated to be around 0.5 lL due to the viability of visualizing marks in the metering chamber. This should be considered as an absolute error of the complete metering. 4.1.2.2 Pumping mode When using more viscous liquids, as the case of human plasma, there is not an optimal continuous metering frequency. More viscous liquids require increased frequencies of rotation to initiate the 123 Microfluid Nanofluid extraction process at the edge of the paper strip, so the wicking of ‘‘new’’ liquid sample through the siphon paper is reduced. In other words, the metering process in continuous mode for high viscous liquids is too slow. In this case, we use a pumping mode that alternates between two frequencies of rotation. By inducing a series of saturating (low frequency; wicking) and extracting (high frequency, dropping) phases, the required sample volume is ‘‘discretely pumped’’ through the paper siphon. So to extract certain amount of liquid V0, we perform N steps of smaller amount Vi, for example to meter a 10-lL sample volume we carry out N = 5 steps of Vi = 2 lL each. Such an alternating mechanism is necessary as it is not possible to extract high amount of liquid in a single cycle. Figure 4d shows the mean time for a standard extraction step of 2 lL of plasma for different extraction frequencies (high frequency). The low frequency part of the ‘‘pumping’’ cycle (absorption) was kept constant: 30 s at 375 rpm. However, for the first 2 lL extraction, it is necessary to spin the disc at 375 rpm for an extended period (around 5 min) in order to saturate the whole paper siphon with plasma. In the following cycle steps, the low frequency (absorption) is kept at 375 rpm for just 30 s. For extraction, the frequency is elevated again for a defined interval of time until reaching 2 lL of plasma. Figure 4d shows the average time for four ‘‘pumping’’ cycles of 2 lL metering of plasma each at different, elevated frequencies (extraction frequency). As Fig. 4d shows, there is a minimum extraction time at 2,250 rpm for metering 2 lL of plasma within 45 s. Similar to the continuous pumping mode, two following opposing effects explain the occurrence of a valley seen within this frequency range. On the one hand, the frequency must suffice to initiate the liquid extraction (dropping process). However, during this dropping process, the liquid ‘‘stored’’ in the paper siphon before the crest point is pushed backwards to the initial chamber. The higher the extraction frequency, the larger the amount of liquid displaced back to the loading chamber. This backward movement increases the wicking distance of the front of liquid before the crest point. In the pumping protocol, the time to saturate the paper siphon at low frequency is fixed to 30 s, so the longer the wicking distance the less amount of liquid wicked during this saturation time. Yet, using such a pumping protocol, it is possible to establish optimal conditions that in this case are: 30 s at 375 rpm and 45 s at 2,250 rpm for metering steps of 2 lL of plasma. 4.2 Colorimetric detection of triglycerides in whole blood The concept of paper-mediated siphoning and sampling in hybrid lab-on-a-disc enables the integration of a 123 colorimetric quantification of triglycerides in plasma filtered from a whole blood sample. The centrifugal integration and automation of the triglyceride colorimetric assay includes the following steps: blood separation, valving, plasma metering, mixing with the enzymatic reagents, incubation and colorimetric readout. Following the manufacturer’s specifications, 10 lL of plasma are mixed with 150 lL of enzymatic reaction and incubated for 15 min. Finally, the absorbance at 540 nm is measured by a commercial spectrophotometer (Nanodrop 2000). We use a disc configuration as the one showed in Fig. 2a containing a blood separation chamber, a paper-based siphoning channel and a reaction chamber where the colorimetric reaction takes place. Figure 5a–d shows the detection sequence. First, a 120-lL volume of undiluted whole blood is loaded to the separation chamber (Fig. 5a). In order to minimize its initial direct contact with the paper-siphon strip, the blood is first loaded by increasing the frequency in 15-rpm steps, up to 375 rpm, and centrifuged until the sedimentation chamber is half full. Then, the frequency is ramped up to 6,000 rpm where a pure plasma supernatant forms in less than 2 min (Fig. 5b). The lower part of the paper-strip siphoning channel has to stay permanently wet in order to extract a reproducible amount of plasma in the following sampling step. Once the pellet has formed (Fig. 5c), we decrease the frequency to 375 rpm for 5 min during which the plasma wicks and saturates the paper siphon. The point of saturation is estimated to be reached once the accumulation of a larger liquid volume at the outer siphon edge is observed. As previously mentioned, the plasma metering has to be carried out using the pumping mode. The 10-lL plasma volume is sampled in 2-lL increments, following the protocol as shown in Fig. 4d. So first 375 rpm frequency is kept during 5 min to ensure the whole paper siphoning channel is saturated with plasma (Fig. 5d). Afterwards, the frequency is increased to 2,250 rpm for 45 s for the first 2-lL extraction. Then, four pumping cycles resulting in extraction of 2 lL each are performed to retrieve the remaining 8 lL (30 s at 375 rpm and 45 s at 2,250 rpm). Finally, the 10 lL of plasma is mixed with 150 lL of enzymatic reagent and incubated over 15 min (Fig. 5e). Once the colour has developed the samples are removed and absorbance is measured at 540 nm. Despite the fact that the detection is carried out off-disc, there is a potential for integration of a detection unit has been well documented (Steigert et al. 2006, 2007; Czugala et al. 2012; Grumann et al. 2006). The triglyceride levels of six different samples of a female healthy volunteer (age group 25–35 years) were measured using the protocol described above. To determine absolute triglyceride content, the samples are compared Microfluid Nanofluid Fig. 5 a 120 lL of blood is loaded to the sedimentation chamber. In order to minimize the direct contact between the blood and the paper siphon, the blood is slowly loaded until approximately fill half of the sedimentation chamber (steps of 15 rpm up to 375 rpm). The rest of the loading occurs at 6,000 rpm, at a frequency high enough to pellet red blood cells at the bottom of the sedimentation chamber and to reduce the absorption by the siphon paper. b After 2 min at 6,000 rpm, the blood is separated between the cellular pellet at the bottom and the liquid phase (plasma). c The frequency is decreased to 375 rpm and the plasma is absorbed through the paper siphon, after 5 min the complete paper siphon is saturated of plasma. d Once the paper siphon is saturated, the pumping mode protocol is carried out in order to extract 10 lL of plasma. There is a first switch to 2,250 rpm for 45 s where the first 2 lL are extracted. Afterwards, there are four complete cycles of 30 s waiting time (saturation) at 375 rpm and 45 s at 2,250 rpm where the rest 8 lL are extracted up to the required 10 lL of plasma. e The extracted 10 lL of plasma are mixed with 150 lL of enzymatic reaction, and after 15 min incubation, a bright purple colour develops. For colorimetric detection at 540 nm, we extract 2 lL from the disc and use a commercial spectrophotometer (Nanodrop 2000c). f Measurements of the triglyceride level (open circle), the six measurements correspond with the same person and different days. The calibration points (filled square) were measured loading 100 lL of different concentrations of triglycerides and using a continuous protocol for 10 lL (1,500 rpm for 210 s). The female human healthy range is highlighted with a grey rectangle from 35 to 135 mg dL-1. Scale bars 6 mm with the previously derived calibration curve (Fig. 5f) that was obtained from seven known dilutions of the triglyceride standard supplied with the kit. 100 lL of each dilution is loaded using the same disc configuration as for the triglycerides assay (Fig. 2b). However, in this case, for metering 10 lL through the siphon paper, we use the continuous mode protocol: five times the estimated time for metering 2 lL (spinning at 1,500 rpm during 210 s as shown in Fig. 4c once the paper strip was already wet). According to the manufacturer of the colorimetric kit, the healthy range regarding concentration of triglycerides in blood is 40–160 mg dL-1 for males and 35–135 mg dL-1 for females. Figure 5f highlights a grey rectangle spanning between 35 and 135 mg dL-1. The measurements displayed for our female volunteer are within the healthy range. The variation between the measured values representing the same volunteer is attributed to the normal, intra-day fluctuation of the biochemical composition of blood. Thus, the time of the day when a blood sample was drawn may affect the reading up to some extent. 5 Summary, conclusions and outlook In this work, we have combined the capillary imbibition inherent to paper with the rotationally controlled centrifugal field in order to significantly improve and extend control and precision of liquid handling in paper and to develop novel concept of fundamental LUOs in centrifugal platforms. Among the advantages of the here described system are the following: • Simplicity: The siphon channels are made of simple paper strips placed on the disc. 123 Microfluid Nanofluid • • • • • Cost: The substrate is paper, which is an extremely low-cost material and very appropriate for industrialscale manufacturing. Moreover, standard methods for siphon valving typically involve additional hydrophilization (coating) processes such as plasma treatment or chemical vapour deposition. For these back-end processes significant costs accrue. Long-term stable and tuneable hydrophilic properties: Capillary flow characteristics in paper are robust and long-term stable. This long-term stability of paper allows the storage of the microfluidic device over years without degradation under reasonable storage conditions. Moreover, the capillary properties of the paper siphon can be tuned just by changing the properties such as porosity, composition, thickness and imbibition behaviour of the paper. Flow control: The integration of paper strips allows bidirectional flow. Compared to conventional, stationary systems, the integration of paper strips introduces rotationally controlled bi-directional flow. Biocompatibility: Paper is a biocompatible material and widely used in commercial lateral flow assays. Other functionalities: The paper siphon can provide filtering tasks, e.g. for the plasma extraction, or to store dry reagents that may, for instance, be re-suspended with the sample. Based on this new siphoning mechanism, we developed a set of laboratory unit operations such as plasma extraction and metering to integrate and automate a colorimetric assay for the detection of triglycerides on an inexpensive lab-on-a-disc device. We envision paper fluidic elements may become important components (e.g. valves, filters and storage) of highly integrated centrifugal systems for processing various bioassays. Furthermore, we will expand the concept of centrifugal paper microfluidics towards increasingly complex assay protocols. Acknowledgments This work has been supported in part by the FP7 ENIAC programme CAJAL4EU, Enterprise Ireland under Grant No. IR/2010/0002 and the Science Foundation of Ireland (Grant No. 10/CE/B1821). 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