Publications by authors named "Jonathan D Posner"

Article Synopsis
  • Isothermal nucleic acid amplification tests (NAATs) are efficient for point-of-care (POC) diagnostics of infectious diseases, offering advantages over traditional PCR tests in terms of speed and cost.
  • Despite the progress in using paper-based devices for POC NAATs, challenges like integrating liquid components and low detection limits restrict their commercial viability.
  • This study presents a coin cell-based vibration mixing platform that enhances the performance of recombinase polymerase amplification (RPA) for detecting HIV-1 DNA and RNA, achieving improved detection sensitivity and reduced reaction time without needing extra heating.
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Article Synopsis
  • * The new assay developed combines duplexed reverse transcriptase recombinase polymerase amplification with MS2 bacteriophage as a process control, allowing for internal verification of the testing steps.
  • * This assay provides highly sensitive detection of SARS-CoV-2 with results in under 25 minutes, visual readout options, and requires minimal equipment, making it more accessible and reducing the chances of false negatives.
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Sufficient drug concentrations are required for efficacy of antiretroviral drugs used in HIV care and prevention. Measurement of nucleotide analogs, included in most HIV medication regimens, enables monitoring of short- and long-term adherence and the risk of treatment failure. The REverSe TRanscrIptase Chain Termination (RESTRICT) assay rapidly infers the concentration of intracellular nucleotide analogs based on the inhibition of DNA synthesis by HIV reverse transcriptase enzyme.

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  • * New direct-acting antivirals (DAAs) have high cure rates in under 12 weeks, but access to HCV RNA testing is limited to certain labs, creating a need for more decentralized testing options.
  • * A new rapid and accurate HCV RNA detection assay using reverse transcription recombinase polymerase amplification (RT-RPA) shows 100% sensitivity and specificity, making it a promising option for point-of-care testing and improving access to treatment.
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Article Synopsis
  • * Traditional quantitative PCR is the primary method for qNAATs, but there's a push for developing simpler, point-of-care (POC) solutions suitable for various settings, especially in low-resource areas.
  • * This study introduces a new method using recombinase polymerase amplification (RPA) on paper membranes, allowing for rapid quantification of HIV nucleic acids in under 20 minutes, with a mobile phone system that captures and processes images to analyze results.
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Article Synopsis
  • * A new assay directly measures the concentration of Tenofovir diphosphate (TFV-DP) to provide a more accurate assessment of patients’ adherence to treatment using reverse transcription isothermal amplification.
  • * This assay, which can yield results in under an hour and doesn't require complex equipment, could enhance adherence monitoring in low-resource settings, ultimately improving patient compliance with their HIV therapies.
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Article Synopsis
  • Quantitative nucleic acid amplification tests (qNAATs) are essential for monitoring viral loads in infections like HIV and SARS-CoV-2, where viral load indicates disease status.
  • * Traditional quantitative PCR is the standard method, but there's a push for point-of-care (POC) qNAATs, especially in outpatient clinics and lower-resource settings.
  • * This study introduces a new method using recombinase polymerase amplification (RPA) on paper membranes, allowing for rapid quantification of HIV-1 DNA and RNA in under 20 minutes, with a mobile phone system for image capture and processing.
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Introduction: Interdisciplinary academic teams perform better when competent in teamwork; however, there is a lack of best practices of how to introduce and facilitate the development of effective learning and functioning within these teams in academic environments.

Methods: To close this gap, we tailored, implemented, and evaluated team science training in the year-long Engineering Innovation in Health (EIH) program at the University of Washington (UW), a project-based course in which engineering students across several disciplines partner with health professionals to develop technical solutions to clinical and translational health challenges. EIH faculty from the UW College of Engineering and the Institute of Translational Health Sciences' (ITHS) Team Science Core codeveloped and delivered team science training sessions and evaluated their impact with biannual surveys.

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The link between particulate matter (PM) air pollution and negative health effects is well-established. Air pollution was estimated to cause 4.9 million deaths in 2017 and PM was responsible for 94% of these deaths.

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Article Synopsis
  • * There are challenges in improving access to HIV testing in low- and middle-income countries due to high costs and complicated testing procedures, particularly the RNA extraction process.
  • * A new microfluidic paper-based device (μPAD) has been developed for easy RNA extraction and HIV detection in serum, using cost-effective materials and techniques to deliver quick results in just 45 minutes.
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  • * The FDA’s CLIA-waiver allows simple and low-risk testing in laboratories, leading to the deployment of various NAT systems since 2015, enhancing infectious disease detection capabilities.
  • * This review discusses the regulatory processes by the FDA and WHO for NATs, as well as the technological advancements and challenges, aiming to inform future developments and commercialization strategies.
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Objective: Maintaining adequate drug adherence is crucial to ensure the HIV prevention benefits of pre-exposure prophylaxis (PrEP). We developed an enzymatic assay for rapidly measuring tenofovir-diphosphate (TFV-DP) concentrations-a metabolite that indicates long-term PrEP adherence.

Setting: The study was conducted at the Madison HIV Clinic at Harborview Medical Center in Seattle.

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Many motile cells exhibit migratory behaviors, such as chemotaxis (motion up or down a chemical gradient) or chemokinesis (dependence of speed on chemical concentration), which enable them to carry out vital functions including immune response, egg fertilization, and predator evasion. These have inspired researchers to develop self-propelled colloidal analogues to biological microswimmers, known as active colloids, that perform similar feats. Here, we study the behavior of half-platinum half-gold (Pt/Au) self-propelled rods in antiparallel gradients of hydrogen peroxide fuel and salt, which tend to increase and decrease the rods' speed, respectively.

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Article Synopsis
  • * The study introduces a paper-based device that simplifies nucleic acid purification from whole blood using isotachophoresis, requiring minimal user involvement and no moving parts.
  • * This new device efficiently extracts and purifies nucleic acids from large blood samples in just 30 minutes, paving the way for more accessible point-of-care diagnostics, especially in low- and middle-income countries.
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Analysis of particulate matter (PM) is important for the assessment of human exposures to potentially harmful agents, notably combustion-generated PM. Specifically, polycyclic aromatic hydrocarbons (PAHs) found in ultrafine PM have been linked to cardiovascular diseases and carcinogenic and mutagenic effects. In this study, we quantify the presence and concentrations of PAHs with lower molecular weight (LMW, 126 < MW < 202) and higher molecular weight (HMW, 226 < MW < 302), i.

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Article Synopsis
  • Ongoing research is focused on developing simple, low-cost nucleic acid amplification tests (NATs) for effective diagnosis in resource-limited clinical settings.
  • Traditional NAT methods often use guanidinium salts to inactivate ribonucleases (RNases) that can degrade RNA in blood samples, but alternatives are being explored.
  • The study found that using high concentrations of proteinase K alone is insufficient for RNase inactivation in serum, but combining it with detergents like SDS can achieve complete RNase inactivation, potentially improving NATs for detecting blood-borne pathogens.
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The inhalation of particulate matter (PM) is a significant health risk associated with reduced life expectancy due to increased cardio-pulmonary disease and exacerbation of respiratory diseases such as asthma and pneumonia. PM originates from natural and anthropogenic sources including combustion engines, cigarettes, agricultural burning, and forest fires. Identifying the source of PM can inform effective mitigation strategies and policies, but this is difficult to do using current techniques.

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Article Synopsis
  • Poor adherence to pre-exposure prophylaxis (PrEP) and antiretroviral therapy (ART) can result in HIV acquisition and drug-resistant infections, highlighting the need for effective adherence monitoring.
  • Traditional drug-level measurement methods, like liquid chromatography/mass spectrometry, are complex and costly, making them impractical for everyday clinical use.
  • The REstrict assay offers a rapid and affordable alternative for measuring drug levels, using innovative techniques to assess adherence to PrEP and ART, potentially improving patient outcomes.
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The global public health community has set ambitious treatment targets to end the HIV/AIDS pandemic. With the notable absence of a cure, the goal of HIV treatment is to achieve sustained suppression of an HIV viral load, which allows for immunological recovery and reduces the risk of onward HIV transmission. Monitoring HIV viral load in people living with HIV is therefore central to maintaining effective individual antiretroviral therapy as well as monitoring progress toward achieving population targets for viral suppression.

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Article Synopsis
  • Nucleic acid amplification tests (NAATs) are highly accurate for diagnosing infectious diseases but typically require complex setups that limit their use in resource-poor areas.
  • The authors present a new rapid point-of-care (POC) NAAT that integrates sample preparation and amplification without the need for advanced equipment, using paper-based technology.
  • This innovative method can quickly detect low levels of nucleic acids in serum and whole blood, providing results in under 20 minutes and making it suitable for immediate patient care in low-resource environments.
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Functional characterization of individual cells within heterogeneous tissue preparations is challenging. Here, we report the development of a versatile imaging method that assesses single cell responses of various endpoints in real time, while identifying the individual cell types. Endpoints that can be measured include (but are not limited to) ionic flux (calcium, sodium, potassium and hydrogen), metabolic responsiveness (NAD(P)H, mitochondrial membrane potential), and signal transduction (HO and cAMP).

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Inhalation of multiwalled carbon nanotubes (MWCNTs) during their manufacture or incorporation into various commercial products may cause lung inflammation, fibrosis, and oxidative stress in exposed workers. Some workers may be more susceptible to these effects because of differences in their ability to synthesize the major antioxidant and immune system modulator glutathione (GSH). Accordingly, in this study we examined the influence of GSH synthesis and gender on MWCNT-induced lung inflammation in C57BL/6 mice.

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As lab-on-a-chip health diagnostic technologies mature, there is a push to translate them from the laboratory to the clinic. For these diagnostics to achieve maximum impact on patient care, scientists and engineers developing the tests should understand the analytical and clinical statistical metrics that determine the efficacy of the test. Appreciating and using these metrics will benefit test developers by providing consistent measures to evaluate analytical and clinical test performance, as well as guide the design of tests that will most benefit clinicians and patients.

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Shape of engineered nanomaterials (ENMs) can be used as a design handle to achieve controlled manipulation of physicochemical properties. This tailored material property approach necessitates the establishment of relationships between specific ENM properties that result from such manipulations (e.g.

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Nucleic acid amplification tests are the gold standard for many infectious disease diagnoses due to high sensitivity and specificity, rapid operation, and low limits of detection. Despite the advantages of nucleic acid amplification tests, they currently offer limited point-of-care (POC) utility due to the need for complex instruments and laborious sample preparation. We report the development of the Nucleic Acid Isotachophoresis LAMP (NAIL) diagnostic device.

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