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Times of Inida
06 January 2011
By Pushpa Narayan

From Space Debris to Dying Coral Reefs—the Best Brains Have a Solution for Almost Everything These strips will help You in Early Diagnosis
Spike in Scientific Temper
Do you know if your adolescent son has been secretly smoking? Do you fear a HIV infection two days after unsafe sex with a stranger? Do you suspect that friend you met sometime ago could have given you TB? A simple home test kit, soon to be launched in India, will confirm it for you in just a few minutes.

On Wednesday, when the brain behind these dip strips, Dr Srinivas Pentyala, Director, Translational Research, Stony Brook Medical Centre, USA, spoke about his research on antibodies at the Indian Science Congress, many smiled.

"These are different strips for different diseases. But all these strips work on a simple principle just like pregnancy home test kits. They require a swab from the inner cheek or urine sample. The results are known in less than 10 minutes," said Dr Pentyala.

For instance, the smoking detection kit sold over the counter in the US pharmacies contains a strip that requires to be dipped in urine. "The nicotine in cigarettes breaks down into a chemical called cotinine. This cotinine stays in the blood stream for at least 12 days and is released through the urine.

The dip picks it up," he said. Similarly, in the HIV and TB test, a mucus swab is used. "This test can detect the infection in less than three days. In the conventional HIV ELISA test, we screen for antibodies. The antibody takes some weeks to develop. Here, it is the reverse. We use the antibodies to screen for the antigen. That way, we also minimise false positive," he said.

Dr Pentyala began researching on strip tests four years ago, when his hospital in New York was slapped with a legal notice by a woman. "She was in labour and junior anesthetists gave her an epidural injection to numb the pain. The needle went deeper and punctured the brain membrane. The cerebral spine fluid began to leak and soon the patient was paralysed below the hip," he said. When the issue came up for the audits, doctors said it could have been avoided if they had known there was a fluid leak. It was then that Dr Pentyala began his research.

Spike in Scientific Temper
"We identified a protein that was unique to cerebral spine fluid. We then developed the antibodies for this protein. It took us more than a year to complete this. This kit can also be used in emergency room to see if an accident victim, who has no visible head injury, has a skull fracture. "When there is skull fracture, the fluid leaks from then brain through, ears or nose. We can do the dip test and see if there is a fluid leak even before the CT or MRI scan. Also, doctor will start the patient on medicines like antibiotics to prevent infections," he said.

He warned that these test only supplement the existing diagnostics like ultrasound, CT scans, biopsy or ELISA. "It’s an indicator. There is also a one percent risk of false negatives," he said.

In India, Dr Pentyala said he has been talking to several companies for manufacturing these strips. "The manufacturing cost in the US is $1. And we sell the for $80. If we manufacture it in India, the cost will come down to 18. So, we will price it around 50 per strip," he said.

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