Bioluminescence in Clinical and Point-of-Care Testing

Point-of-care testing (POCT) offers a transformative approach to diagnostics by enabling rapid and accurate results at or near the site of patient care. This is especially valuable in critical care, emergency settings, and resource-limited areas. However, one major limitation of POCT remains its ana...

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Main Authors: Sherwin Reyes, Raymarcos Rodriguez, Emre Dikici, Sylvia Daunert, Sapna Deo
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Biosensors
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Online Access:https://www.mdpi.com/2079-6374/15/7/422
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author Sherwin Reyes
Raymarcos Rodriguez
Emre Dikici
Sylvia Daunert
Sapna Deo
author_facet Sherwin Reyes
Raymarcos Rodriguez
Emre Dikici
Sylvia Daunert
Sapna Deo
author_sort Sherwin Reyes
collection DOAJ
description Point-of-care testing (POCT) offers a transformative approach to diagnostics by enabling rapid and accurate results at or near the site of patient care. This is especially valuable in critical care, emergency settings, and resource-limited areas. However, one major limitation of POCT remains its analytical sensitivity, particularly in detecting low concentrations of analytes. To address this, various innovations are being explored, including advanced sensors, signal amplification, and sensitive labels. Among these, bioluminescent proteins have gained attention for their high sensitivity, fast readout, minimal background interference, and simplified instrumentation. Bioluminescence—light emission from biochemical reactions—presents an ideal platform for enhancing POCT sensitivity. In parallel, metal–organic frameworks (MOFs), especially structures like ZIF-8, are emerging as valuable materials in biosensing. Their high porosity, tunable surface properties, and ability to host biomolecules make them excellent candidates for improving analyte capture and signal transduction. When integrated with bioluminescent systems, MOFs can stabilize proteins, concentrate targets, and enhance overall assay performance. This review highlights the role of bioluminescent proteins in medical diagnostics and their application in POCT platforms. We also discuss the potential synergy between MOFs and bioluminescence to overcome current sensitivity limitations. Finally, we examine existing challenges and strategies to optimize these technologies for robust, field-deployable diagnostic tools. By leveraging both the natural sensitivity of bioluminescence and the structural advantages of MOFs, next-generation POCT systems can achieve superior performance, driving forward diagnostic accessibility and patient care outcomes.
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spelling doaj-art-a683c8c0441a46bcbdbfac14941e51fc2025-08-20T03:08:10ZengMDPI AGBiosensors2079-63742025-07-0115742210.3390/bios15070422Bioluminescence in Clinical and Point-of-Care TestingSherwin Reyes0Raymarcos Rodriguez1Emre Dikici2Sylvia Daunert3Sapna Deo4Department of Biochemistry and Molecular Biology, University of Miami Miller School of Medicine, Miami, FL 33136, USADepartment of Biochemistry and Molecular Biology, University of Miami Miller School of Medicine, Miami, FL 33136, USADepartment of Biochemistry and Molecular Biology, University of Miami Miller School of Medicine, Miami, FL 33136, USADepartment of Biochemistry and Molecular Biology, University of Miami Miller School of Medicine, Miami, FL 33136, USADepartment of Biochemistry and Molecular Biology, University of Miami Miller School of Medicine, Miami, FL 33136, USAPoint-of-care testing (POCT) offers a transformative approach to diagnostics by enabling rapid and accurate results at or near the site of patient care. This is especially valuable in critical care, emergency settings, and resource-limited areas. However, one major limitation of POCT remains its analytical sensitivity, particularly in detecting low concentrations of analytes. To address this, various innovations are being explored, including advanced sensors, signal amplification, and sensitive labels. Among these, bioluminescent proteins have gained attention for their high sensitivity, fast readout, minimal background interference, and simplified instrumentation. Bioluminescence—light emission from biochemical reactions—presents an ideal platform for enhancing POCT sensitivity. In parallel, metal–organic frameworks (MOFs), especially structures like ZIF-8, are emerging as valuable materials in biosensing. Their high porosity, tunable surface properties, and ability to host biomolecules make them excellent candidates for improving analyte capture and signal transduction. When integrated with bioluminescent systems, MOFs can stabilize proteins, concentrate targets, and enhance overall assay performance. This review highlights the role of bioluminescent proteins in medical diagnostics and their application in POCT platforms. We also discuss the potential synergy between MOFs and bioluminescence to overcome current sensitivity limitations. Finally, we examine existing challenges and strategies to optimize these technologies for robust, field-deployable diagnostic tools. By leveraging both the natural sensitivity of bioluminescence and the structural advantages of MOFs, next-generation POCT systems can achieve superior performance, driving forward diagnostic accessibility and patient care outcomes.https://www.mdpi.com/2079-6374/15/7/422bioluminescencepoint-of-careclinical diagnosticsmetal organic frameworksencapsulation
spellingShingle Sherwin Reyes
Raymarcos Rodriguez
Emre Dikici
Sylvia Daunert
Sapna Deo
Bioluminescence in Clinical and Point-of-Care Testing
Biosensors
bioluminescence
point-of-care
clinical diagnostics
metal organic frameworks
encapsulation
title Bioluminescence in Clinical and Point-of-Care Testing
title_full Bioluminescence in Clinical and Point-of-Care Testing
title_fullStr Bioluminescence in Clinical and Point-of-Care Testing
title_full_unstemmed Bioluminescence in Clinical and Point-of-Care Testing
title_short Bioluminescence in Clinical and Point-of-Care Testing
title_sort bioluminescence in clinical and point of care testing
topic bioluminescence
point-of-care
clinical diagnostics
metal organic frameworks
encapsulation
url https://www.mdpi.com/2079-6374/15/7/422
work_keys_str_mv AT sherwinreyes bioluminescenceinclinicalandpointofcaretesting
AT raymarcosrodriguez bioluminescenceinclinicalandpointofcaretesting
AT emredikici bioluminescenceinclinicalandpointofcaretesting
AT sylviadaunert bioluminescenceinclinicalandpointofcaretesting
AT sapnadeo bioluminescenceinclinicalandpointofcaretesting