On Apr. 2, 2025, A team of Northwestern University scientists spanning disciplines announced they have developed new technology that could lead to the creation of a rapid point-of-care test for HIV infection competitive with traditional lab-based HIV testing in a fraction of the time and without the need for a stressful wait while results are processed or confirmed in a clinical laboratory.

HIV-diagnostic technology traditionally relied on the detection of HIV-specific antibodies that form several weeks after infection. This has limited their use in early detection, complicating patient care and HIV prevention efforts. Newer tests that detect both HIV antibodies and the p24 antigen (an earlier marker of HIV infection) are now the gold standard for diagnosis, but require clinical labs to run results, contributing to longer processing times, higher costs and the need for multiple patient visits.

The technology described in a study published in the journal Biosensors and Bioelectronics uses a nanomechanical platform and tiny cantilevers to detect multiple HIV antigens at high sensitivity in a matter of minutes. These silicon cantilevers are cheap and easy to mass produce and can be readily equipped with a digital readout. Built into a solar-powered device, this technology could be taken to hard-to-reach parts of the world where early detection remains a challenge to deliver fast interventions to vulnerable populations without waiting for a lab.

After proving its efficacy in testing for both the SARS-CoV-2 virus that causes COVID-19, and now HIV, the team is confident that the biosensor will continue to prove effective when testing for additional diseases. A potential next target, they say, could be measles, another infection in desperate need of point-of-care interventions as cases rise across multiple U.S. states.

To streamline diagnostics and enable immediate medical care, the team envisions developing a point-of-care test simultaneously detecting HIV, hepatitis B and hepatitis C antigens, acknowledging the higher prevalence of hepatitis co-infections in people living with HIV that can lead to severe liver complications if left untreated.