We have developed a rapid diffusion immunoassay that allows measurement of
small molecules down to subnanomolar concentrations in <1 min. This competi
tive assay is based on measuring the distribution of a labeled probe molecu
le after it diffuses for a short time from one region into another region c
ontaining antigen-specific antibodies. The assay was demonstrated in the T-
sensor, a simple microfluidic device that places two fluid streams in conta
ct and allows interdiffusion of their components. The model analyte was phe
nytoin, a typical small drug molecule. Clinically relevant levels were meas
ured in blood diluted from 10- to 400-fold in buffer containing the labeled
antigen. Removal of cells from blood samples was not necessary. This assay
compared favorably with fluorescence polarization immunoassay (FPIA) measu
rements. Numerical simulations agree well with experimental results and pro
vide insight for predicting assay performance and limitations. The assay is
homogeneous, requires <1 mul of reagents and sample, and is applicable to
a wide range of analytes.