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Here, we introduce a power-free biodosimetry platform integrating one-step reverse transcription recombinase polymerase amplification (RT-RPA) with vertical flow immunoassay (VFI) for the multiplex detection of two radiation-responsive transcripts (CDKN1A and DDB2) and housekeeping gene (MRPS5) from fingerstick blood. One-step RT-RPA showed optimal efficiency at 36 \u00b0C for 20 min, comparable to two-step RT-RPA and standard PCR. This temperature could be provided by the human body, where the axilla delivered a stable heat source (36.2 \u00b0C) with minimal interindividual variability across a range of environmental conditions (from 4 to 42 \u00b0C), supporting amplification comparable to thermocycler-based reactions. Amplified products were detected using a capillary-driven VFI platform. The assay demonstrated strong specificity, uniform signal distribution, and reproducibility with intra- and interassay coefficient of variation below 10% and 15%, respectively, across all three transcripts. When applied to ex vivo X-ray irradiated blood samples (1 and 2 Gy), a dose-dependent increase in CDKN1A and DDB2 signals was observed. Receiver operating characteristic analysis demonstrated that discrimination between sham- and 1 Gy-irradiated was not significant, whereas the assay distinguished sham- from 2 Gy-irradiated with area under the curve values of 0.82 (95% CI = [0.66\u20130.98]; p = 0.0052) and 0.89 (95% CI = [0.76\u20131.00]; p = 0.0006) for CDKN1A and DDB2, yielding sensitivity\/specificity of 84.62%\/69.23% and 92.31%\/84.62%, respectively. These findings supported the feasibility of the body-heat one-step RT-RPA VFI as a rapid, equipment-free, field-deployable triage tool for large-scale radiation biodosimetry.<\/jats:p>","DOI":"10.1021\/acs.analchem.6c03074","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T08:02:23Z","timestamp":1787126543000},"page":"25121-25132","source":"Crossref","is-referenced-by-count":0,"title":["Point-of-Care\nRadiation Biodosimetry via a Body-Heated\nReverse Transcription-Recombinase Polymerase Amplification Coupled\nto a Paper-Based Vertical Flow Immunoassay"],"prefix":"10.1021","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4907-5252","authenticated-orcid":true,"given":"Ashkan","family":"Khanishayan","sequence":"first","affiliation":[{"name":"University of Arizona , , 475 North Fifth Street , , ,","place":["Phoenix, Arizona, United States, 85004"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0383-6332","authenticated-orcid":true,"given":"Jerome","family":"Lacombe","sequence":"additional","affiliation":[{"name":"University of Arizona , , 475 North Fifth Street , , ,","place":["Phoenix, Arizona, United States, 85004"]},{"name":"University of Arizona , , 425 N Fifth Street , , ,","place":["Phoenix, Arizona, United States, 85004"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmine Pramila","family":"Devadhasan","sequence":"additional","affiliation":[{"name":"University of Arizona , , 475 North Fifth Street , , ,","place":["Phoenix, Arizona, United States, 85004"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7372-0610","authenticated-orcid":true,"given":"Alexander Jarrett","family":"Summers","sequence":"additional","affiliation":[{"name":"University of Arizona , , 475 North Fifth Street , , ,","place":["Phoenix, Arizona, United States, 85004"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew W.","family":"Barrett","sequence":"additional","affiliation":[{"name":"University of Arizona , , 475 North Fifth Street , , ,","place":["Phoenix, Arizona, United States, 85004"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Helton","sequence":"additional","affiliation":[{"name":"University of Arizona , , 475 North Fifth Street , , ,","place":["Phoenix, Arizona, United States, 85004"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederic","family":"Zenhausern","sequence":"additional","affiliation":[{"name":"University of Arizona , , 475 North Fifth Street , , ,","place":["Phoenix, Arizona, United States, 85004"]},{"name":"University of Arizona , , 425 N Fifth Street , , ,","place":["Phoenix, Arizona, United States, 85004"]},{"name":"The University of Arizona , , , ,","place":["Tucson, Arizona, United States, 85721"]},{"name":"HonorHealth Research Institute , , ,","place":["Scottsdale, Arizona, United States, 85258"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"316","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"issue":"6","key":"2026090306462170200_cit1","doi-asserted-by":"publisher","first-page":"925","DOI":"10.1080\/09553002.2021.1928784","article-title":"Transcriptomics\nfor radiation biodosimetry: progress and challenges","volume":"99","author":"Amundson","year":"2023","journal-title":"Int. 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Prot."},{"issue":"6","key":"2026090306462170200_cit5","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1097\/HP.0b013e31829cf221","article-title":"Assessment of biodosimetry\nmethods for a mass-casualty radiological\nincident: medical response and management considerations","volume":"105","author":"Sullivan","year":"2013","journal-title":"Health Phys."},{"issue":"6","key":"2026090306462170200_cit6","doi-asserted-by":"publisher","first-page":"925","DOI":"10.1080\/09553002.2021.1928784","article-title":"Transcriptomics\nfor radiation biodosimetry: progress and challenges","volume":"99","author":"Amundson","year":"2023","journal-title":"Int. J. Radiat. Biol."},{"issue":"3\u20134","key":"2026090306462170200_cit7","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1159\/000534213","article-title":"The NIAID\/RNCP Biodosimetry Program: An Overview","volume":"163","author":"Satyamitra","year":"2024","journal-title":"Cytogenet. Genome Res."},{"issue":"sup1","key":"2026090306462170200_cit8","doi-asserted-by":"publisher","first-page":"S6","DOI":"10.1080\/09553002.2020.1820605","article-title":"Using biodosimetry to enhance the public health response to a nuclear\nincident","volume":"97","author":"Wathen","year":"2021","journal-title":"Int. J. Radiat. Biol."},{"issue":"1","key":"2026090306462170200_cit9","doi-asserted-by":"publisher","first-page":"78","DOI":"10.3390\/radiation2010006","article-title":"The potential of omics\nin biological dosimetry","volume":"2","author":"Hladik","year":"2022","journal-title":"Radiation"},{"issue":"1","key":"2026090306462170200_cit10","doi-asserted-by":"publisher","first-page":"13557","DOI":"10.1038\/s41598-018-31740-8","article-title":"Candidate protein markers for radiation biodosimetry\nin the hematopoietically humanized mouse model","volume":"8","author":"Lee","year":"2018","journal-title":"Sci. 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Bioelectron."},{"key":"2026090306462170200_cit21","doi-asserted-by":"publisher","first-page":"118352","DOI":"10.1016\/j.bios.2025.118352","article-title":"A portable multiplex\nvertical flow immunoassay platform for Tier\n1 biothreat detection in biofluids and environmental matrices","volume":"296","author":"Devadhasan","year":"2026","journal-title":"Biosens. Bioelectron."},{"key":"2026090306462170200_cit22","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1016\/j.talanta.2018.08.043","article-title":"based Vertical Flow\nImmunoassay (VFI) for detection of bio-threat\npathogens","volume":"191","author":"Chen","year":"2019","journal-title":"Talanta"},{"issue":"6","key":"2026090306462170200_cit23","doi-asserted-by":"publisher","first-page":"598","DOI":"10.1667\/rade-22-00206.1","article-title":"RENEB Inter-Laboratory\nComparison 2021: The Gene Expression Assay","volume":"199","author":"Abend","year":"2023","journal-title":"Radiat. 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Res."},{"key":"2026090306462170200_cit34","doi-asserted-by":"publisher","first-page":"1385","DOI":"10.12688\/f1000research.8841.2","article-title":"Finger stick\nblood collection for gene expression profiling and storage of tempus\nblood RNA tubes","volume":"5","author":"Rinchai","year":"2017","journal-title":"F1000Research"},{"issue":"1","key":"2026090306462170200_cit35","doi-asserted-by":"publisher","first-page":"617","DOI":"10.1186\/1471-2164-10-617","article-title":"Whole genome transcript profiling\nfrom fingerstick\nblood samples: a comparison and feasibility study","volume":"10","author":"Robison","year":"2009","journal-title":"BMC Genomics"},{"issue":"5","key":"2026090306462170200_cit36","doi-asserted-by":"publisher","first-page":"554","DOI":"10.1667\/rade-21-00213.1","article-title":"Development of biomarkers\nfor radiation biodosimetry and medical\ncountermeasures research: Current status, utility, and regulatory\npathways","volume":"197","author":"Satyamitra","year":"2022","journal-title":"Radiat Res"},{"issue":"1","key":"2026090306462170200_cit37","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1667\/rade-24-00157.1","article-title":"Establishment and Application of a New Radiation Biodosimetric\nMethod\nBased on the Quantitative RPA-SHERLOCK Amplification Technology","volume":"203","author":"Yao","year":"2024","journal-title":"Radiat. 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