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10.1016/j.ebiom.2021.103465

http://scihub22266oqcxt.onion/10.1016/j.ebiom.2021.103465
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34229274!8253671!34229274
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suck abstract from ncbi


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pmid34229274      EBioMedicine 2021 ; 69 (ä): 103465
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  • A mass spectrometry-based targeted assay for detection of SARS-CoV-2 antigen from clinical specimens #MMPMID34229274
  • Renuse S; Vanderboom PM; Maus AD; Kemp JV; Gurtner KM; Madugundu AK; Chavan S; Peterson JA; Madden BJ; Mangalaparthi KK; Mun DG; Singh S; Kipp BR; Dasari S; Singh RJ; Grebe SK; Pandey A
  • EBioMedicine 2021[Jul]; 69 (ä): 103465 PMID34229274show ga
  • BACKGROUND: The COVID-19 pandemic caused by severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) has overwhelmed health systems worldwide and highlighted limitations of diagnostic testing. Several types of diagnostic tests including RT-PCR-based assays and antigen detection by lateral flow assays, each with their own strengths and weaknesses, have been developed and deployed in a short time. METHODS: Here, we describe an immunoaffinity purification approach followed a by high resolution mass spectrometry-based targeted qualitative assay capable of detecting SARS-CoV-2 viral antigen from nasopharyngeal swab samples. Based on our discovery experiments using purified virus, recombinant viral protein and nasopharyngeal swab samples from COVID-19 positive patients, nucleocapsid protein was selected as a target antigen. We then developed an automated antibody capture-based workflow coupled to targeted high-field asymmetric waveform ion mobility spectrometry (FAIMS) - parallel reaction monitoring (PRM) assay on an Orbitrap Exploris 480 mass spectrometer. An ensemble machine learning-based model for determining COVID-19 positive samples was developed using fragment ion intensities from the PRM data. FINDINGS: The optimized targeted assay, which was used to analyze 88 positive and 88 negative nasopharyngeal swab samples for validation, resulted in 98% (95% CI = 0.922-0.997) (86/88) sensitivity and 100% (95% CI = 0.958-1.000) (88/88) specificity using RT-PCR-based molecular testing as the reference method. INTERPRETATION: Our results demonstrate that direct detection of infectious agents from clinical samples by tandem mass spectrometry-based assays have potential to be deployed as diagnostic assays in clinical laboratories, which has hitherto been limited to analysis of pure microbial cultures. FUNDING: This study was supported by DBT/Wellcome Trust India Alliance Margdarshi Fellowship grant IA/M/15/1/502023 awarded to AP and the generosity of Eric and Wendy Schmidt.
  • |Animals[MESH]
  • |Antigens, Viral/chemistry/immunology[MESH]
  • |Automation, Laboratory/methods/standards[MESH]
  • |COVID-19 Serological Testing/*methods/standards[MESH]
  • |Chlorocebus aethiops[MESH]
  • |Coronavirus Nucleocapsid Proteins/chemistry/immunology[MESH]
  • |Humans[MESH]
  • |Immunoassay/*methods/standards[MESH]
  • |Machine Learning[MESH]
  • |Mass Spectrometry/*methods/standards[MESH]
  • |Phosphoproteins/chemistry/immunology[MESH]


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