Open Access Article
Juliette Lajoux
a,
Mohamadou Sya,
Loïc J. Charbonnière
*b,
Joan Goetz†
a and
Susana Brun†
*a
aPoly-Dtech, 204 Avenue de Colmar, 67100 Strasbourg, France. E-mail: susana.brun@poly-dtech.com
bPluridisciplinary Hubert Curien Institute (IPHC, UMR 7178, CNRS/Université de Strasbourg), 25 rue Becquerel, 67087 Strasbourg, France. E-mail: l.charbonn@unistra.fr
First published on 28th October 2025
Prostate cancer is one of the most common cancers in men, with the PSA (prostate-specific antigen) test serving as a cornerstone for its monitoring and early detection. This study describes the development and evaluation of an innovative quantitative lateral flow assay (LFA) utilizing luminescence from Bright-Dtech™ lanthanide nanoparticles to enhance the sensitivity and accuracy of PSA measurement. The optimized LFA demonstrated high sensitivity and reproducibility, with a detection limit of 15 pg mL−1 in buffer (120 pg mL−1 in 1
:
8 diluted serum), and a quantifiable range of 0.155 to 27.5 ng mL−1 in buffer (1.24 to 221 ng mL−1 in 1
:
8 diluted serum). This method was successfully applied for PSA detection in clinical serum samples, and it showed excellent correlation with a quantitative diagnostic reference method. The developed LFA offers a significant advancement in quantitative PSA testing, providing a rapid and cost-effective in vitro diagnostic solution. Furthermore, it showcases the potential of Bright-Dtech™ technology in lateral flow test design. With exceptional brightness and long luminescence lifetime, lanthanide nanoparticles effectively address key challenges in LFA sensitivity and quantification, paving the way for broader applications in diagnostic testing.
Lanthanide nanoparticles are distinguished by their unique optical properties, including intense luminescence and long luminescence lifetimes.5,6 These properties allow tracking of nanoparticle luminescence through time-resolved fluorescence (TRF). This method significantly reduces background noise from the biological environment, enabling more specific detection of nanoparticle fluorescence while retaining high-intensity signals and improving the signal-to-noise ratio.7,8
Bright-Dtech™ lanthanide nanoparticles overcome the limitations of conventional markers, such as organic dyes, by offering several advantages. These include enhanced brightness, a high molar absorption coefficient, up to 70% luminescence quantum yield, easy coupling with proteins or nucleic acids, availability in multiple colours for multiplexing, biocompatibility and excellent photostability.9
Harnessing the enhanced specificity and sensitivity of these nanoparticles, LFAs utilizing lanthanide nanoparticles as detection probes hold considerable potential for a variety of diagnostic applications.
In this study, we demonstrate a proof of concept for the utilization of Bright-Dtech™ nanoparticles in a quantitative LFA designed to detect prostate-specific antigen (PSA), one of the most impactful cancer biomarkers. PSA is a glycoprotein produced by the prostate gland,10,11 existing in both complexed and free forms in the bloodstream.12 This study focused on total PSA (tPSA), encompassing both forms. Elevated PSA levels are associated with increased cancer risk, making PSA a valuable marker in assessing patient health.13 A PSA level exceeding 4 ng mL−1 is associated with a 25% probability of prostate cancer and is widely recognized as the clinical threshold for diagnostic tests.10
PSA testing plays a crucial role in early detection, assessment, and monitoring of prostate cancer progression. However, traditional assays, such as enzyme-linked immunosorbent assays (ELISAs), are time-consuming, require specialized equipment, and depend on trained personnel, limiting their accessibility in resource-limited settings.14,15 Alternative formats such as lateral flow assays (LFAs) could potentially offer faster and more accessible testing. Although these approaches may still rely on dedicated readers, for example, TRF devices, the growing availability of compact and user-friendly TRF readers makes them increasingly compatible with decentralized use. In this context, the development of quantitative and sensitive LFA methods could contribute to expanding PSA testing beyond centralized laboratories.
By conjugating Bright-Dtech™ nanoparticles with PSA-specific antibodies, we aim to demonstrate the feasibility of this approach for precise and quantitative analyte detection. We evaluate the optimized test's performance in terms of sensitivity, repeatability, reproducibility and accuracy across a relevant concentration range for PSA.
By establishing proof of concept for this sensitive and quantitative LFA utilizing lanthanide nanoparticles luminescence, this study paves the way for advancements in rapid and accurate disease diagnostics. These findings hold significant implications for early prostate cancer detection and improved patient monitoring in clinical settings.
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100 (Fig. 1A). After overnight incubation at 4 °C, the conjugated nanoparticles were centrifugated, resuspended in coupling buffer, and subsequently diluted to the working concentration in migration buffer. These conjugates were afterward used in downstream applications. Conjugation efficiency was assessed by quantifying mouse IgG levels with a TR-FRET assay kit before and after the conjugation procedure, to determine the proportion of antibodies bound to the nanoparticles (Fig. S4). The measurement was based on the residual antibody concentration in the supernatant after coupling.
To manufacture the LFA strips, the test line was printed with the mouse anti-human PSA monoclonal antibody (mAb2), while the control line was printed with the anti-mouse IgG polyclonal antibody. Since the interaction time between the different components of the reaction is short, the position of the lines on the membrane is important and must remain constant. In this study, the two lines were separated by a distance of 5 mm and the printing onto the nitrocellulose membrane was performed at a speed of 4.8 mm s−1 and a flow rate of 1.5 μL cm−1. Then, the nitrocellulose membrane was dried overnight at room temperature to ensure stability.
The assembly consisted of an absorbent pad (1.8 cm), printed and dried nitrocellulose membrane (2.5 cm) and sample pad (2.3 cm) adhered to a self-adhesive backing (6 cm), overlapping by 1–2 mm for efficient capillary flow. Finally, the assembly was cut into 4 mm-wide strips using the strip cutter.
After drying overnight at room temperature, strip images were captured using the Western blot module of the SpectraMax iD5 microplate reader in time-resolved fluorescence mode, which was originally designed for the analysis of Western blot gels. The excitation and emission wavelengths were set to 350 and 616 nm, respectively (Fig. 1A), with an excitation time of 0.05 ms, a delay time of 0.05 ms, and an integration time of 0.8 ms. The fluorescence intensities of nanoparticles at the test and control lines were quantified using the ImageJ software (National Institute of Health, Bethesda, MD). The “gel analysis” tool was applied to convert band intensities into peaks and the area under the curve of each peak was calculated to determine the T/C (test/control) signal ratio and so, determining assay performance.
Data modelling was performed using SoftMax Pro Software (Molecular Devices, Sunnyvale, CA), fitting results to a 5-parameter logistic (5PL) curve. This allowed determination of key analytical parameters, including limit of detection (LOD), lower limit of quantification (LLOQ) and the upper limit of quantification (ULOQ). The LOD, defined as the lowest detectable concentration, is normally calculated as 3 standard deviations (SD) above the blank (negative) control signal. Since no non-specific signal was observed in blank controls, the lowest detected concentration was used instead. The LLOQ and ULOQ were calculated as 10 SD above the lowest concentration value detected and 3 SD below the maximal signal before the plateau, respectively.16 The dynamic range, corresponding to the interval between LLOQ and ULOQ was established as the quantifiable concentration range for PSA.
The potential cross-reactivity of the assay was evaluated using recombinant human kallikrein-2 (hK2), a structural homologue of PSA and frequent source of analytical interference. hK2 was spiked into human serum either alone or together with PSA at a 10× molar excess. Specificity was assessed through three complementary experiments: (A) cross-reactivity, (B) interference/competition, and (C) spike-and-recovery, as described in the SI.
For LFA testing, 75 μL of 8-fold diluted serum (i.e., 1 volume of serum +7 volumes of buffer) was added to 5 μL of conjugated nanoparticles into the well. Each sample was analysed in triplicate, and the results are presented as mean values. The recovery rates and clinical applicability of the LFA test were assessed by comparing the results to those obtained with BIOGROUP-CAB's reference method.
The analytical performances of the test were evaluated through a calibration curve, prepared with serial dilutions of PSA in the migration buffer. Fig. 2A shows LFA strips images captured with a smartphone under UV light. An increased red brightness in T line could be clearly observed at very low PSA concentration of 0.14 ng mL−1 (white star), based on unanimous visual detection by five individuals using the naked eye, which can be considered as the LOD for visual qualitative detection using our assay.
The same test results were also quantified by a reader under excitation with a 350 nm flash lamp. Fig. 2B–D shows LFA strips image captured with the reader, the fluorescence signal intensity at control and test lines position, and the graph generated with SoftMax Pro software by plotting the T/C signal using a 5PL model, respectively. The resulting calibration curve demonstrated a dose–response relationship, increasing with PSA concentrations, as evidenced by a progressive intensification of the test line. Signal saturation was observed at 100 ng mL−1 of PSA.
Key analytical parameters were derived, including LOD, LLOQ and ULOQ. The resulting calibration curve demonstrated a R2 of 1.00, confirming the model's suitability for PSA quantification. Notably, no blank (non-specific binding) signal was detected, highlighting the test's specificity but necessitating alternative LOD determination methods. Therefore, to calculate the LOD, we applied the approach commonly used in qualitative tests, which identifies the lowest PSA concentration capable of producing a detectable signal distinguishable from the blank.17 The lowest detectable PSA concentration was 15 pg mL−1 (yellow star in Fig. 2B) reflecting the strong performance of the developed test. The LLOQ and ULOQ were 0.155 ng mL−1 and 27.5 ng mL−1, respectively, defining a dynamic range suitable for precise PSA quantification (Table S1). These sensitivities surpass the clinical threshold of 4 ng mL−1, enabling accurate PSA detection even in diluted samples. Such precision supports early cancer detection and patient monitoring.
The test also demonstrated robust repeatability and reproducibility, with intra-assay and inter-assay coefficients of variation (CV) below 10% and 15%, respectively, at three different concentrations of PSA tested in 4 replicates (Table 1).
| Dose (ng mL−1) | Intra-assay CV% | Inter-assay CV% |
|---|---|---|
| Abbreviation: CV%, coefficient of variation percentage. | ||
| 35 | 6% | 11% |
| 10 | 8% | 11% |
| 2 | 8% | 15% |
Given the structural homology between PSA and human kallikrein-2 (hK2), we evaluated potential cross-reactivity and interference. As shown in supplementary information (Fig. S5), hK2 spiked into human serum at 10× molar excess generated no measurable signal (≤0.5% cross-reactivity) and did not alter PSA quantification. Spike-and-recovery experiments confirmed that PSA recovery remained within the predefined 80–120% acceptance range even in the presence of high hK2.
Taken together, these results confirm that the assay provides consistent and reproducible PSA quantification with robust specificity.
| Sample # | SIEMENS reference method [PSA, ng mL−1] | This work [PSA, ng mL−1] | % recovery |
|---|---|---|---|
| 1 | <4 | <LOD | — |
| 2 | 5.4 | 6.1 | 112% |
| 3 | 38.8 | 37.3 | 96% |
| 4 | 4.9 | 5.5 | 113% |
| 5 | 22.9 | 24.9 | 109% |
| 6 | 28.64 | 31.4 | 110% |
| 7 | <4 | <LOD | — |
| 8 | 95.5 | 98.2 | 103% |
| 9 | 23 | 25.5 | 111% |
| 10 | 5.0 | 5.7 | 114% |
| 11 | 5.4 | 6.2 | 114% |
To assess and provide insights into the accuracy and reliability of the LFA test for clinical applications, statistical analyses were performed. The Passing–Bablok regression analysis (Fig. 3A) showed an intercept of 0.17 (95% CI: −0.3387 to 0.05873), a slope of 1.0849 (95% CI: 1.0204 to 1.1272), and a R2 of 0.998 with a p < 0.0001, indicating a close agreement between the reference and new methods for PSA measurement. The slope near 1 suggests that the new method's measurements are almost equivalent to the reference method and the positive intercept indicates a very small bias in the new method. The Bland–Altman analysis (Fig. 3B) further confirmed this, revealing a mean bias of 1.02 ng mL−1 and a mean relative bias of 4.9%, indicating a small but consistent deviation between the two methods below 10%. The findings suggest that while the new method is highly correlated with the reference method, the observed bias is acceptable within the context of clinical applications and demonstrates the assay's potential for detecting PSA directly in serum without compromising accuracy or consistency.
| Detection method | LOD (ng mL−1) | Assay time (min) | Applicability on point-of-care | Ref. |
|---|---|---|---|---|
| Abbreviations: ELISA, enzyme-linked immunosorbent assay; NPs, nanoparticles; LFA, lateral flow assay; Eu, Europium; LOD, Limit of detection.a Siemens, “Atellica IM Prostate-Specific Antigen (PSA) Datasheet.” Available at: https://doclib.siemens-healthineers.com/rest/v1/view?document-id=939791 (accessed Dec. 17/2024).b Sigma-Aldrich, “Human PSA-total ELISA Kit Datasheet.” Available at: https://www.sigmaaldrich.com/deepweb/assets/sigmaaldrich/product/documents/380/803/rab0331ugrev0824-mk.pdf (accessed Dec. 17/2024).c Biogatelabs, “One Step PSA Rapid Test Datasheet.” Available at https://biogatelab.com/uploads/3/4/4/1/34413460/psa_triline_cassette.pdf (accessed Dec. 17/2024). | ||||
| Chemiluminescent two-sites sandwich immunoassay | 0.01 | 18 | NO | Siemens, datasheeta |
| ELISA | 0.008 | 90 | NO | Sigma-Aldrich, datasheetb |
| Gold NPs-based LFA | >4 | 20 | YES | Biogatelab, datasheetc |
| Quantum dots nanobeads-based LFA | 0.14–0.33 | 15 | YES | 10,18 |
| EuNPs-based LFA | 0.07–0.08 | 40 | YES | 19 |
| Bright-Dtech-based LFA | 0.015 | 20 | YES | This work |
Classical point-of-care methods, such as gold nanoparticle-based LFAs, provide rapid results (≈20 minutes). However, their semi-quantitative nature limits the precision of PSA measurements, making them less suitable for clinical scenarios requiring accurate quantification.
Luminescent nanoparticle-based methods have emerged as promising alternatives, combining high sensitivity with the practicality required for POCT. For example, LFA using quantum dot nanobeads18 or europium nanoparticles19 enable quantitative and sensitive PSA detection with LODs comparable to those achieved in this study. However, these assays are not yet commercially available, restricting their accessibility and widespread adoption.
In contrast, the LFA developed here achieves a LOD of 0.015 ng mL−1 offering sensitivity comparable to ELISA but with a significantly reduced assay time of just 20 minutes. This makes it highly practical for rapid diagnostic applications. Furthermore, Bright-Dtech™ nanoparticles are already commercially available, facilitating adoption by researchers and laboratories.
Lanthanide nanoparticles, such as those used in this study, offer additional advantages over other nanoparticles, such as quantum dots or gold NPs.20 These advantages include enhanced fluorescence intensity, superior stability, and improved signal detection, particularly in LFA formats. These properties make our LFA particularly well-suited for POCT environments, where sensitivity, robustness, and reliability are critical.
Validation studies, including the establishment of a standard curve, intra- and inter-assay evaluations, and analysis of clinical samples, confirmed the test's repeatability, reproducibility, and accuracy from very low PSA concentrations in 1
:
8 serum. While this study focuses primarily on the technical development and analytical performance of the assay, initial validation with clinical serum samples demonstrates promising applicability. Expanding the clinical study cohort is part of our future plans and will help further assess diagnostic performance across a wider range of PSA levels. The assay reliably quantifies PSA above 0.155 ng mL−1 (minimum quantifiable in 1
:
8 diluted serum of 1.24 ng mL−1) with an impressive LOD of 0.015 ng mL−1 (minimum detectable in 1
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8 diluted serum of 0.12 ng mL−1).
The developed test combines several advantages: it is quantitative, nearly as sensitive as conventional PSA detection methods (ELISA, chemiluminescent immunoassay), and offers a significant reduction in assay time (20 minutes versus several hours for traditional ELISA protocols, which often require 3–4 hours due to extended incubation and washing steps).
The developed test combines several advantages: it is quantitative, nearly as sensitive as conventional PSA detection methods (ELISA, chemiluminescent immunoassay), and offers a significant reduction in assay time (20 minutes versus several hours for traditional ELISA protocols, which often require 3–4 hours due to extended incubation and washing steps).
The use of Bright-Dtech™ nanoparticles, which are readily available on the market, enables the rapid and efficient development of ultra-sensitive quantitative LFA. This accessibility eliminates the need for extensive expertise in inorganic chemistry or nanotechnology to synthesize, characterize, and conjugate these signal reporters with bioreceptors, making the technology more accessible to researchers and laboratories.
Furthermore, recent advances in compact, portable TRF readers, including benchtop, battery-powered, and even smartphone-integrated devices, support the feasibility of deploying TRF-based LFAs in decentralized or point-of-care settings.
In conclusion, the integration of Bright-Dtech™ nanoparticle technology with lateral flow test platforms addresses key challenges in in vitro diagnostics. This approach provides a simple, rapid, and sensitive solution for analyte quantification, paving the way for improved patient care. The development of these tests has the potential to enhance disease monitoring, to enable earlier diagnosis, and thus to reduce the risk of mortality, disability, and the need for intensive treatments.
Footnote |
| † These authors contributed equally. |
| This journal is © The Royal Society of Chemistry 2025 |