1. A high throughput immuno-affinity mass spectrometry method for detection and quantitation of SARS-CoV-2 nucleoprotein in human saliva and its comparison with RT-PCR, RT-LAMP, and lateral flow rapid antigen test.
- Author
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Lane, Dan, Allsopp, Rebecca, Holmes, Christopher W., Slingsby, Oliver C., Jukes-Jones, Rebekah, Bird, Paul, Anderson, N. Leigh, Razavi, Morteza, Yip, Richard, Pearson, Terry W., Pope, Matt, Khunti, Kamlesh, Doykov, Ivan, Hällqvist, Jenny, Mills, Kevin, Skipp, Paul, Carling, Rachel, Ng, Leong, Shaw, Jacqui, and Gupta, Pankaj
- Subjects
IMMUNOAFFINITY chromatography ,DENSITOMETRY ,ANTIGEN analysis ,GENE amplification ,REVERSE transcriptase polymerase chain reaction ,MASS spectrometry ,LIQUID chromatography-mass spectrometry ,SARS-CoV-2 - Abstract
Many reverse transcription polymerase chain reaction (RT-PCR) methods exist that can detect SARS-CoV-2 RNA in different matrices. RT-PCR is highly sensitive, although viral RNA may be detected long after active infection has taken place. SARS-CoV-2 proteins have shorter detection windows hence their detection might be more meaningful. Given salivary droplets represent a main source of transmission, we explored the detection of viral RNA and protein using four different detection platforms including SISCAPA peptide immunoaffinity liquid chromatography-mass spectrometry (SISCAPA-LC-MS) using polyclonal capture antibodies. The SISCAPA-LC MS method was compared to RT-PCR, RT-loop-mediated isothermal amplification (RT-LAMP), and a lateral flow rapid antigen test (RAT) for the detection of virus material in the drool saliva of 102 patients hospitalised after infection with SARS-CoV-2. Cycle thresholds (Ct) of RT-PCR (E gene) were compared to RT-LAMP time-to-positive (TTP) (NE and Orf1a genes), RAT optical densitometry measurements (test line/control line ratio) and to SISCAPA-LC-MS for measurements of viral protein. SISCAPA-LC-MS showed low sensitivity (37.7 %) but high specificity (89.8 %). RAT showed lower sensitivity (24.5 %) and high specificity (100 %). RT-LAMP had high sensitivity (83.0 %) and specificity (100.0 %). At high initial viral RNA loads (<20 Ct), results obtained using SISCAPA-LC-MS correlated with RT-PCR (R
2 0.57, p-value 0.002). Detection of SARS-CoV-2 nucleoprotein in saliva was less frequent than the detection of viral RNA. The SISCAPA-LC-MS method allowed processing of multiple samples in <150 min and was scalable, enabling high throughput. [ABSTRACT FROM AUTHOR]- Published
- 2024
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