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A combined approach of MALDI-TOF Mass Spectrometry and multivariate analysis as a potential tool for the detection of SARS-CoV-2 virus in nasopharyngeal swabs
Journal of Virological Methods ( IF 3.1 ) Pub Date : 2020-10-09 , DOI: 10.1016/j.jviromet.2020.113991
María Florencia Rocca 1 , Jonathan Cristian Zintgraff 1 , María Elena Dattero 2 , Leonardo Silva Santos 3 , Martín Ledesma 4 , Carlos Vay 5 , Mónica Prieto 1 , Estefanía Benedetti 2 , Martín Avaro 2 , Mara Russo 2 , Fabiane Manke Nachtigall 6 , Elsa Baumeister 2
Affiliation  

Coronavirus disease 2019, known as COVID-19, is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The early, sensitive and specific detection of SARS-CoV-2 virus is widely recognized as the critical point in responding to the ongoing outbreak. Currently, the diagnosis is based on molecular real time RT-PCR techniques, although their implementation is being threatened due to the extraordinary demand for supplies worldwide. That is why the development of alternative and / or complementary tests becomes so relevant. Here, we exploit the potential of mass spectrometry technology combined with machine learning algorithms, for the detection of COVID-19 positive and negative protein profiles directly from nasopharyngeal swabs samples. According to the preliminary results obtained, accuracy = 67.66%, sensitivity = 61.76%, specificity = 71.72%, and although these parameters still need to be improved to be used as a screening technique, mass spectrometry-based methods coupled with multivariate analysis showed that it is an interesting tool that deserves to be explored as a complementary diagnostic approach due to the low cost and fast performance. However, further steps, such as the analysis of a large number of samples, should be taken in consideration to determine the applicability of the method developed.



中文翻译:

MALDI-TOF 质谱和多变量分析的组合方法作为检测鼻咽拭子中 SARS-CoV-2 病毒的潜在工具

2019 年冠状病毒病,称为 COVID-19,是由严重急性呼吸系统综合症冠状病毒 2 (SARS-CoV-2) 引起的。SARS-CoV-2 病毒的早期、灵敏和特异性检测被广泛认为是应对持续爆发的关键点。目前,诊断基于分子实时 RT-PCR 技术,尽管由于全球对供应的巨大需求,它们的实施受到威胁。这就是替代和/或补充测试的开发变得如此重要的原因。在这里,我们利用质谱技术与机器学习算法相结合的潜力,直接从鼻咽拭子样本中检测 COVID-19 阳性和阴性蛋白质谱。根据得到的初步结果,准确率=67.66%,灵敏度=61.76%,特异性 = 71.72%,虽然这些参数仍需要改进才能用作筛选技术,但基于质谱的方法与多变量分析相结合表明它是一种有趣的工具,值得作为一种补充诊断方法进行探索,因为低成本和快速性能。但是,应考虑进一步的步骤,例如分析大量样品,以确定所开发方法的适用性。

更新日期:2020-10-11
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