(L to R): Assistant Professor Yeo Kee Thai, Senior Marketing consultant, and Dr Genevieve Llanora from the Division of Neonatology at KKH, demonstrating how BLIPI works. Credit score: KK Girls’s and Youngsters’s Hospital
Researchers have developed a first-of-its-kind machine to profile the immune perform of newborns. Utilizing a single drop of blood, the BiophysicaL Immune Profiling for Infants (BLIPI) system gives real-time insights into newborns’ immune responses, enabling the early detection of extreme inflammatory circumstances and permitting for well timed interventions.
This crucial innovation addresses the pressing and unmet want for fast and minimally invasive diagnostic instruments to guard weak newborns, particularly these born prematurely.
Essential unmet want in new child care
Untimely infants are significantly weak to life-threatening circumstances equivalent to sepsis and necrotizing enterocolitis (NEC). New child sepsis—a bloodstream an infection occurring within the first weeks of life—is a significant world well being problem, inflicting as much as a million toddler deaths worldwide yearly.
NEC, a severe intestinal illness that causes extreme irritation, is without doubt one of the main causes of loss of life in untimely infants—as much as 50% of low beginning weight neonates who get NEC don’t survive. Infants can present imprecise signs, making prognosis of those circumstances difficult. Nevertheless, each circumstances can worsen quickly and require instant medical intervention for the very best probability of restoration.
Present diagnostic strategies to detect and stop these severe circumstances in newborns depend on giant blood samples—as much as 1 ml, a major amount of blood for a new child—and prolonged laboratory processes. This isn’t superb for newborns whose complete blood quantity could also be as little as 50 mL amongst very untimely infants lower than 28 weeks previous, which limits repeated or high-volume sampling and might probably result in anemia and different issues.
On the similar time, typical checks—equivalent to blood cultures or inflammatory panels—could take hours to days to return actionable outcomes, limiting immediate focused scientific interventions. The novel BLIPI machine addresses these challenges by requiring solely 0.05 ml of blood and delivering outcomes inside quarter-hour.
Revolutionizing new child care
In a examine, “Whole blood biophysical immune profiling of newborn infants correlates with immune responses”, revealed in Pediatric Analysis, researchers from the Essential Analytics for Manufacturing Customized-Drugs (CAMP) and Antimicrobial Resistance (AMR) interdisciplinary analysis teams (IRGs) of Singapore-MIT Alliance for Analysis and Know-how (SMART), MIT’s analysis enterprise in Singapore, and KK Girls’s and Youngsters’s Hospital (KKH), exhibit how BLIPI leverages microfluidic expertise to measure how immune cells change when preventing an infection by assessing their dimension and adaptability.
Not like typical checks that solely search for the presence of germs, BLIPI straight reveals how a child’s immune system is responding. The cell modifications that BLIPI detects align with normal checks medical doctors depend on, together with C-reactive protein (CRP) ranges, white blood cell counts, and immature-to-total neutrophil ratios. This testing format can shortly reveal whether or not a child’s immune system is preventing an an infection.
Within the examine, BLIPI was used to display 19 infants at a number of timepoints—eight full-term and 11 preterm—and confirmed clear variations in how immune cells regarded and behaved between the infants. Notably, when one untimely child developed a severe blood an infection, the machine was capable of detect important immune cell modifications. This reveals its potential in detecting infections early.
Only one drop of blood
BLIPI is a transportable machine that can provide outcomes on the ward or the neonatal intensive care items (NICUs), eradicating the necessity for transporting blood samples to the laboratory and making it simply implementable in resource-limited or rural well being care settings.
Considerably, BLIPI wants only one drop of blood, and 20 instances much less blood quantity than what present strategies require. These swift outcomes may help clinicians make well timed, life-saving selections in crucial conditions equivalent to sepsis or NEC, the place early remedy is significant.
“Our goal was to create a diagnostic tool that works within the unique constraints of neonatal care—minimal blood volume, rapid turnaround, and high sensitivity. BLIPI represents a major step forward by providing clinicians with fast, actionable immune health data using a non-invasive method, where it can make a real difference for newborns in critical care,” stated Dr. Kerwin Kwek, Analysis Scientist at SMART CAMP and SMART AMR, and co-lead writer of the examine.
“KKH cares for about two-thirds of all babies born weighing less than 1,500 grams in Singapore. These premature babies often struggle to fight infections with their immature immune systems,” stated Assistant Professor Yeo Kee Thai, Senior Marketing consultant on the Division of Neonatology at KKH, and senior writer of the examine.
“With BLIPI, a single prick to the baby’s finger or heel can give us rapid insights into the infant’s immune response within minutes. This allows us to tailor treatments more precisely and respond faster to give these fragile babies the best chance at a healthy start, not just in their early days, but throughout their lives.”
Future analysis will deal with bigger scientific trials to validate BLIPI’s diagnostic accuracy throughout various neonatal populations with totally different age teams and medical circumstances.
The researchers additionally plan to refine the machine’s design for widespread adoption in hospitals globally, bringing a much-needed diagnostic answer for weak infants at their cot aspect.
Past hospitals, pharmaceutical corporations and researchers may additionally leverage BLIPI in scientific trials to evaluate immune responses to neonatal therapies in real-time—a possible game-changer for analysis and improvement in pediatric drugs.
“BLIPI exemplifies our vision to bridge the gap between scientific innovation and clinical need. By leveraging microfluidic technologies to extract real-time immune insights from whole blood, we are not only accelerating diagnostics but also redefining how we monitor immune health in fragile populations. Our work reflects a new paradigm in point-of-care diagnostics: rapid, precise, and patient-centric,” stated Prof Jongyoon Han, co-lead Principal Investigator at SMART CAMP, Principal Investigator at SMART AMR, Professor at MIT and corresponding writer of the paper.
Extra data:
Kerwin Kwek Zeming et al, Entire blood biophysical immune profiling of new child infants correlates with immune responses, Pediatric Analysis (2025). DOI: 10.1038/s41390-025-03952-y
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First-of-its-kind machine makes use of single drop of blood to profile newborns’ immune perform (2025, Might 26)
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