Currently, no consensus exists on assay formats, labels, or detection react
ions for nucleic acid assays. New labels continue to be developed and teste
d, and recent candidates include acetate kinase, firefly luciferase, and ge
nes for enzymes. An additional trend is toward nonamplification strategies
(e.g., branched chain and dendrimer type assays) as alternatives to the pop
ular PCR and related amplification strategies. The new wave of microanalyti
cal devices (microchips, with nanoliter to microliter internal volumes), ma
ssively parallel simultaneous test arrays, and the desire to produce hand-h
eld sensors present new challenges and requirements for nucleic acid detect
ion methods (e.g., analysis of large arrays of micrometer-sized spots of nu
cleic acid with high resolution). Here I review selected developments and n
ew directions in nucleic acid assays. (C) 1999 American Association for Cli
nical Chemistry.