2
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Xu W, Zhang L, Qian X, Sun N, Tu X, Zhou D, Zheng X, Chen J, Xie Z, He T, Qu S, Wang Y, Yang K, Su K, Feng S, Ju B. A deep learning framework for hepatocellular carcinoma diagnosis using MS1 data. Sci Rep 2024; 14:26705. [PMID: 39496730 PMCID: PMC11535524 DOI: 10.1038/s41598-024-77494-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Accepted: 10/22/2024] [Indexed: 11/06/2024] Open
Abstract
Clinical proteomics analysis is of great significance for analyzing pathological mechanisms and discovering disease-related biomarkers. Using computational methods to accurately predict disease types can effectively improve patient disease diagnosis and prognosis. However, how to eliminate the errors introduced by peptide precursor identification and protein identification for pathological diagnosis remains a major unresolved issue. Here, we develop a powerful end-to-end deep learning model, termed "MS1Former", that is able to classify hepatocellular carcinoma tumors and adjacent non-tumor (normal) tissues directly using raw MS1 spectra without peptide precursor identification. Our model provides accurate discrimination of subtle m/z differences in MS1 between tumor and adjacent non-tumor tissue, as well as more general performance predictions for data-dependent acquisition, data-independent acquisition, and full-scan data. Our model achieves the best performance on multiple external validation datasets. Additionally, we perform a detailed exploration of the model's interpretability. Prospectively, we expect that the advanced end-to-end framework will be more applicable to the classification of other tumors.
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Affiliation(s)
- Wei Xu
- College of Basic Medical Science, Zhejiang Chinese Medical University, 548 Binwen Rd, Hangzhou, 310053, China
- Key Laboratory of Chinese Medicine Rheumatology of Zhejiang Province, 548 Binwen Rd, Hangzhou, 310053, China
| | - Liying Zhang
- SanOmics AI Co., Ltd, Lingping District, Hangzhou, 311103, China
| | - Xiaoliang Qian
- SanOmics AI Co., Ltd, Lingping District, Hangzhou, 311103, China
| | - Nannan Sun
- SanOmics AI Co., Ltd, Lingping District, Hangzhou, 311103, China
| | - Xiao Tu
- College of Basic Medical Science, Zhejiang Chinese Medical University, 548 Binwen Rd, Hangzhou, 310053, China
- Key Laboratory of Zhejiang Province, Management of Kidney Disease, Hangzhou, 310000, China
| | - Dengfeng Zhou
- SanOmics AI Co., Ltd, Lingping District, Hangzhou, 311103, China
| | - Xiaoping Zheng
- Pathology Department, Shulan (Hangzhou) Hospital, Hangzhou, China
| | - Jia Chen
- School of Life Sciences, Key Laboratory of Structural Biology of Zhejiang Province, Westlake University, Hangzhou, 310024, China
- The Biomedical Research Core Facility, Mass Spectrometry and Metabolomics Core Facility, Westlake University, Hangzhou, 310024, China
| | - Zewen Xie
- SanOmics AI Co., Ltd, Lingping District, Hangzhou, 311103, China
| | - Tao He
- SanOmics AI Co., Ltd, Lingping District, Hangzhou, 311103, China
| | - Shugang Qu
- SanOmics AI Co., Ltd, Lingping District, Hangzhou, 311103, China
| | - Yinjia Wang
- The First People's Hospital of Kunming, Intensive Care Unit, Kunming, 650032, China.
| | - Keda Yang
- Key Laboratory of Artificial Organs and Computational Medicine in Zhejiang Province, Shulan International Medical College, Zhejiang Shuren University, Hangzhou, 310015, China.
| | - Kunkai Su
- The First Affiliated Hospital, State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, Zhejiang University School of Medicine, 79 Qingchun Road, Hangzhou, 310013, China.
| | - Shan Feng
- School of Life Sciences, Key Laboratory of Structural Biology of Zhejiang Province, Westlake University, Hangzhou, 310024, China.
- The Biomedical Research Core Facility, Mass Spectrometry and Metabolomics Core Facility, Westlake University, Hangzhou, 310024, China.
| | - Bin Ju
- SanOmics AI Co., Ltd, Lingping District, Hangzhou, 311103, China.
- Innovative Institute of Basic Medical Sciences, Zhejiang University, Hangzhou, 310022, Zhejiang, China.
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5
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Yi X, Zhu J, Liu W, Peng L, Lu C, Sun P, Huang L, Nie X, Huang S, Guo T, Zhu Y. Proteome Landscapes of Human Hepatocellular Carcinoma and Intrahepatic Cholangiocarcinoma. Mol Cell Proteomics 2023; 22:100604. [PMID: 37353004 PMCID: PMC10413158 DOI: 10.1016/j.mcpro.2023.100604] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 04/12/2023] [Accepted: 06/20/2023] [Indexed: 06/25/2023] Open
Abstract
Liver cancer is among the top leading causes of cancer mortality worldwide. Particularly, hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (CCA) have been extensively investigated from the aspect of tumor biology. However, a comprehensive and systematic understanding of the molecular characteristics of HCC and CCA remains absent. Here, we characterized the proteome landscapes of HCC and CCA using the data-independent acquisition (DIA) mass spectrometry (MS) method. By comparing the quantitative proteomes of HCC and CCA, we found several differences between the two cancer types. In particular, we found an abnormal lipid metabolism in HCC and activated extracellular matrix-related pathways in CCA. We next developed a three-protein classifier to distinguish CCA from HCC, achieving an area under the curve (AUC) of 0.92, and an accuracy of 90% in an independent validation cohort of 51 patients. The distinct molecular characteristics of HCC and CCA presented in this study provide new insights into the tumor biology of these two major important primary liver cancers. Our findings may help develop more efficient diagnostic approaches and new targeted drug treatments.
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Affiliation(s)
- Xiao Yi
- Center for ProtTalks, Westlake Laboratory of Life Sciences and Biomedicine, Key Laboratory of Structural Biology of Zhejiang Province, School of Life Sciences, Westlake University, Hangzhou, Zhejiang, China; Institute of Basic Medical Sciences, Westlake Institute for Advanced Study, Hangzhou, Zhejiang, China
| | - Jiang Zhu
- Center for Stem Cell Research and Application, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China; Key laboratory of Biological Targeted Therapy, The Ministry of Education, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Wei Liu
- Westlake Omics (Hangzhou) Biotechnology Co, Ltd, Hangzhou, Zhejiang, China
| | - Li Peng
- Department of Pathology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Cong Lu
- Center for Stem Cell Research and Application, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China; Key laboratory of Biological Targeted Therapy, The Ministry of Education, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Ping Sun
- Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Lingling Huang
- Westlake Omics (Hangzhou) Biotechnology Co, Ltd, Hangzhou, Zhejiang, China
| | - Xiu Nie
- Department of Pathology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Shi'ang Huang
- Center for Stem Cell Research and Application, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China; Key laboratory of Biological Targeted Therapy, The Ministry of Education, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Tiannan Guo
- Center for ProtTalks, Westlake Laboratory of Life Sciences and Biomedicine, Key Laboratory of Structural Biology of Zhejiang Province, School of Life Sciences, Westlake University, Hangzhou, Zhejiang, China; Institute of Basic Medical Sciences, Westlake Institute for Advanced Study, Hangzhou, Zhejiang, China.
| | - Yi Zhu
- Center for ProtTalks, Westlake Laboratory of Life Sciences and Biomedicine, Key Laboratory of Structural Biology of Zhejiang Province, School of Life Sciences, Westlake University, Hangzhou, Zhejiang, China; Institute of Basic Medical Sciences, Westlake Institute for Advanced Study, Hangzhou, Zhejiang, China.
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6
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Sun Y, Selvarajan S, Zang Z, Liu W, Zhu Y, Zhang H, Chen W, Chen H, Li L, Cai X, Gao H, Wu Z, Zhao Y, Chen L, Teng X, Mantoo S, Lim TKH, Hariraman B, Yeow S, Alkaff SMF, Lee SS, Ruan G, Zhang Q, Zhu T, Hu Y, Dong Z, Ge W, Xiao Q, Wang W, Wang G, Xiao J, He Y, Wang Z, Sun W, Qin Y, Zhu J, Zheng X, Wang L, Zheng X, Xu K, Shao Y, Zheng S, Liu K, Aebersold R, Guan H, Wu X, Luo D, Tian W, Li SZ, Kon OL, Iyer NG, Guo T. Artificial intelligence defines protein-based classification of thyroid nodules. Cell Discov 2022; 8:85. [PMID: 36068205 PMCID: PMC9448820 DOI: 10.1038/s41421-022-00442-x] [Citation(s) in RCA: 35] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Accepted: 06/28/2022] [Indexed: 01/21/2023] Open
Abstract
Determination of malignancy in thyroid nodules remains a major diagnostic challenge. Here we report the feasibility and clinical utility of developing an AI-defined protein-based biomarker panel for diagnostic classification of thyroid nodules: based initially on formalin-fixed paraffin-embedded (FFPE), and further refined for fine-needle aspiration (FNA) tissue specimens of minute amounts which pose technical challenges for other methods. We first developed a neural network model of 19 protein biomarkers based on the proteomes of 1724 FFPE thyroid tissue samples from a retrospective cohort. This classifier achieved over 91% accuracy in the discovery set for classifying malignant thyroid nodules. The classifier was externally validated by blinded analyses in a retrospective cohort of 288 nodules (89% accuracy; FFPE) and a prospective cohort of 294 FNA biopsies (85% accuracy) from twelve independent clinical centers. This study shows that integrating high-throughput proteomics and AI technology in multi-center retrospective and prospective clinical cohorts facilitates precise disease diagnosis which is otherwise difficult to achieve by other methods.
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Affiliation(s)
- Yaoting Sun
- Westlake Laboratory of Life Sciences and Biomedicine, Key Laboratory of Structural Biology of Zhejiang Province, School of Life Sciences, Westlake University, Hangzhou, Zhejiang, China.,Institute of Basic Medical Sciences, Westlake Institute for Advanced Study, Hangzhou, Zhejiang, China.,Research Center for Industries of the Future, Westlake University, No.18 Shilongshan Road, Hangzhou, Zhejiang, China
| | - Sathiyamoorthy Selvarajan
- Department of Anatomical Pathology, Division of Pathology, Singapore General Hospital, Singapore, Singapore
| | - Zelin Zang
- School of Engineering, Westlake University, No.18 Shilongshan Road, Hangzhou, Zhejiang, China
| | - Wei Liu
- Westlake Omics (Hangzhou) Biotechnology Co., Ltd., No.1 Yunmeng Road, Hangzhou, Zhejiang, China
| | - Yi Zhu
- Westlake Laboratory of Life Sciences and Biomedicine, Key Laboratory of Structural Biology of Zhejiang Province, School of Life Sciences, Westlake University, Hangzhou, Zhejiang, China.,Institute of Basic Medical Sciences, Westlake Institute for Advanced Study, Hangzhou, Zhejiang, China.,Research Center for Industries of the Future, Westlake University, No.18 Shilongshan Road, Hangzhou, Zhejiang, China
| | - Hao Zhang
- Department of Thyroid Surgery, the First Hospital of China Medical University, Shenyang, Liaoning, China
| | - Wanyuan Chen
- Cancer Center, Department of Pathology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China
| | - Hao Chen
- Westlake Omics (Hangzhou) Biotechnology Co., Ltd., No.1 Yunmeng Road, Hangzhou, Zhejiang, China
| | - Lu Li
- Westlake Laboratory of Life Sciences and Biomedicine, Key Laboratory of Structural Biology of Zhejiang Province, School of Life Sciences, Westlake University, Hangzhou, Zhejiang, China.,Institute of Basic Medical Sciences, Westlake Institute for Advanced Study, Hangzhou, Zhejiang, China.,Research Center for Industries of the Future, Westlake University, No.18 Shilongshan Road, Hangzhou, Zhejiang, China
| | - Xue Cai
- Westlake Laboratory of Life Sciences and Biomedicine, Key Laboratory of Structural Biology of Zhejiang Province, School of Life Sciences, Westlake University, Hangzhou, Zhejiang, China.,Institute of Basic Medical Sciences, Westlake Institute for Advanced Study, Hangzhou, Zhejiang, China.,Research Center for Industries of the Future, Westlake University, No.18 Shilongshan Road, Hangzhou, Zhejiang, China
| | - Huanhuan Gao
- Westlake Laboratory of Life Sciences and Biomedicine, Key Laboratory of Structural Biology of Zhejiang Province, School of Life Sciences, Westlake University, Hangzhou, Zhejiang, China.,Institute of Basic Medical Sciences, Westlake Institute for Advanced Study, Hangzhou, Zhejiang, China.,Research Center for Industries of the Future, Westlake University, No.18 Shilongshan Road, Hangzhou, Zhejiang, China
| | - Zhicheng Wu
- Westlake Laboratory of Life Sciences and Biomedicine, Key Laboratory of Structural Biology of Zhejiang Province, School of Life Sciences, Westlake University, Hangzhou, Zhejiang, China.,Institute of Basic Medical Sciences, Westlake Institute for Advanced Study, Hangzhou, Zhejiang, China.,Research Center for Industries of the Future, Westlake University, No.18 Shilongshan Road, Hangzhou, Zhejiang, China
| | - Yongfu Zhao
- Department of General Surgery, The Second Hospital of Dalian Medical University, Dalian, Liaoning, China
| | - Lirong Chen
- Department of Pathology, The Second Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
| | - Xiaodong Teng
- Department of Pathology, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
| | - Sangeeta Mantoo
- Department of Anatomical Pathology, Division of Pathology, Singapore General Hospital, Singapore, Singapore
| | - Tony Kiat-Hon Lim
- Department of Anatomical Pathology, Division of Pathology, Singapore General Hospital, Singapore, Singapore
| | - Bhuvaneswari Hariraman
- Department of Head and Neck Surgery, National Cancer Center Singapore, Singapore, Singapore
| | - Serene Yeow
- Division of Medical Sciences, National Cancer Center Singapore, Singapore, Singapore
| | - Syed Muhammad Fahmy Alkaff
- Department of Anatomical Pathology, Division of Pathology, Singapore General Hospital, Singapore, Singapore
| | - Sze Sing Lee
- Division of Medical Sciences, National Cancer Center Singapore, Singapore, Singapore
| | - Guan Ruan
- Westlake Omics (Hangzhou) Biotechnology Co., Ltd., No.1 Yunmeng Road, Hangzhou, Zhejiang, China
| | - Qiushi Zhang
- Westlake Omics (Hangzhou) Biotechnology Co., Ltd., No.1 Yunmeng Road, Hangzhou, Zhejiang, China
| | - Tiansheng Zhu
- Westlake Laboratory of Life Sciences and Biomedicine, Key Laboratory of Structural Biology of Zhejiang Province, School of Life Sciences, Westlake University, Hangzhou, Zhejiang, China.,Institute of Basic Medical Sciences, Westlake Institute for Advanced Study, Hangzhou, Zhejiang, China.,Research Center for Industries of the Future, Westlake University, No.18 Shilongshan Road, Hangzhou, Zhejiang, China
| | - Yifan Hu
- Westlake Omics (Hangzhou) Biotechnology Co., Ltd., No.1 Yunmeng Road, Hangzhou, Zhejiang, China
| | - Zhen Dong
- Westlake Laboratory of Life Sciences and Biomedicine, Key Laboratory of Structural Biology of Zhejiang Province, School of Life Sciences, Westlake University, Hangzhou, Zhejiang, China.,Institute of Basic Medical Sciences, Westlake Institute for Advanced Study, Hangzhou, Zhejiang, China.,Research Center for Industries of the Future, Westlake University, No.18 Shilongshan Road, Hangzhou, Zhejiang, China
| | - Weigang Ge
- Westlake Omics (Hangzhou) Biotechnology Co., Ltd., No.1 Yunmeng Road, Hangzhou, Zhejiang, China
| | - Qi Xiao
- Westlake Laboratory of Life Sciences and Biomedicine, Key Laboratory of Structural Biology of Zhejiang Province, School of Life Sciences, Westlake University, Hangzhou, Zhejiang, China.,Institute of Basic Medical Sciences, Westlake Institute for Advanced Study, Hangzhou, Zhejiang, China.,Research Center for Industries of the Future, Westlake University, No.18 Shilongshan Road, Hangzhou, Zhejiang, China
| | - Weibin Wang
- Department of Surgical Oncology, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
| | - Guangzhi Wang
- Department of General Surgery, The Second Hospital of Dalian Medical University, Dalian, Liaoning, China
| | - Junhong Xiao
- Department of General Surgery, The Second Hospital of Dalian Medical University, Dalian, Liaoning, China
| | - Yi He
- Department of Urology, The Second Hospital of Dalian Medical University, Dalian, Liaoning, China
| | - Zhihong Wang
- Department of Thyroid Surgery, the First Hospital of China Medical University, Shenyang, Liaoning, China
| | - Wei Sun
- Department of Thyroid Surgery, the First Hospital of China Medical University, Shenyang, Liaoning, China
| | - Yuan Qin
- Department of Thyroid Surgery, the First Hospital of China Medical University, Shenyang, Liaoning, China
| | - Jiang Zhu
- Department of Ultrasound, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China
| | - Xu Zheng
- Liaoning Laboratory of Cancer Genetics and Epigenetics and Department of Cell Biology, College of Basic Medical Sciences, Dalian Medical University, Dalian, Liaoning, China
| | - Linyan Wang
- Department of Ophthalmology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China
| | - Xi Zheng
- Cancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education, Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang, China), The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China
| | - Kailun Xu
- Cancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education, Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang, China), The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China
| | - Yingkuan Shao
- Cancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education, Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang, China), The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China
| | - Shu Zheng
- Cancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education, Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang, China), The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China
| | - Kexin Liu
- Department of Clinical Pharmacology, College of Pharmacy, Dalian Medical University, Dalian, Liaoning, China
| | - Ruedi Aebersold
- Department of Biology, Institute of Molecular Systems Biology, ETH Zurich, Zurich, Switzerland.,Faculty of Science, University of Zurich, Zurich, Switzerland
| | - Haixia Guan
- Department of Endocrinology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, China
| | - Xiaohong Wu
- Department of Endocrinology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou, Zhejiang, China
| | - Dingcun Luo
- Department of Surgical Oncology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China
| | - Wen Tian
- Department of General Surgery, PLA General Hospital, Beijing, China
| | - Stan Ziqing Li
- School of Engineering, Westlake University, No.18 Shilongshan Road, Hangzhou, Zhejiang, China. .,Westlake Laboratory of Life Sciences and Biomedicine, Westlake University, Hangzhou, Zhejiang, China.
| | - Oi Lian Kon
- Division of Medical Sciences, National Cancer Center Singapore, Singapore, Singapore.
| | - Narayanan Gopalakrishna Iyer
- Department of Head and Neck Surgery, National Cancer Center Singapore, Singapore, Singapore. .,Division of Medical Sciences, National Cancer Center Singapore, Singapore, Singapore.
| | - Tiannan Guo
- Westlake Laboratory of Life Sciences and Biomedicine, Key Laboratory of Structural Biology of Zhejiang Province, School of Life Sciences, Westlake University, Hangzhou, Zhejiang, China. .,Institute of Basic Medical Sciences, Westlake Institute for Advanced Study, Hangzhou, Zhejiang, China. .,Research Center for Industries of the Future, Westlake University, No.18 Shilongshan Road, Hangzhou, Zhejiang, China.
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7
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Garza KY, Silva AAR, Rosa JR, Keating MF, Povilaitis SC, Spradlin M, Sanches PHG, Varão Moura A, Marrero Gutierrez J, Lin JQ, Zhang J, DeHoog RJ, Bensussan A, Badal S, Cardoso de Oliveira D, Dias Garcia PH, Dias de Oliveira Negrini L, Antonio MA, Canevari TC, Eberlin MN, Tibshirani R, Eberlin LS, Porcari AM. Rapid Screening of COVID-19 Directly from Clinical Nasopharyngeal Swabs Using the MasSpec Pen. Anal Chem 2021; 93:12582-12593. [PMID: 34432430 PMCID: PMC8409149 DOI: 10.1021/acs.analchem.1c01937] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Accepted: 08/06/2021] [Indexed: 12/25/2022]
Abstract
The outbreak of COVID-19 has created an unprecedent global crisis. While the polymerase chain reaction (PCR) is the gold standard method for detecting active SARS-CoV-2 infection, alternative high-throughput diagnostic tests are of a significant value to meet universal testing demands. Here, we describe a new design of the MasSpec Pen technology integrated to electrospray ionization (ESI) for direct analysis of clinical swabs and investigate its use for COVID-19 screening. The redesigned MasSpec Pen system incorporates a disposable sampling device refined for uniform and efficient analysis of swab tips via liquid extraction directly coupled to an ESI source. Using this system, we analyzed nasopharyngeal swabs from 244 individuals including symptomatic COVID-19 positive, symptomatic negative, and asymptomatic negative individuals, enabling rapid detection of rich lipid profiles. Two statistical classifiers were generated based on the lipid information acquired. Classifier 1 was built to distinguish symptomatic PCR-positive from asymptomatic PCR-negative individuals, yielding a cross-validation accuracy of 83.5%, sensitivity of 76.6%, and specificity of 86.6%, and validation set accuracy of 89.6%, sensitivity of 100%, and specificity of 85.3%. Classifier 2 was built to distinguish symptomatic PCR-positive patients from negative individuals including symptomatic PCR-negative patients with moderate to severe symptoms and asymptomatic individuals, yielding a cross-validation accuracy of 78.4%, specificity of 77.21%, and sensitivity of 81.8%. Collectively, this study suggests that the lipid profiles detected directly from nasopharyngeal swabs using MasSpec Pen-ESI mass spectrometry (MS) allow fast (under a minute) screening of the COVID-19 disease using minimal operating steps and no specialized reagents, thus representing a promising alternative high-throughput method for screening of COVID-19.
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Affiliation(s)
- Kyana Y. Garza
- Department of Chemistry, The University
of Texas at Austin, Austin, Texas 78712, United
States
| | - Alex Ap. Rosini Silva
- MS4Life Laboratory of Mass Spectrometry, Health
Sciences Postgraduate Program, São Francisco University,
Bragança Paulista, São Paulo 12916-900, Brazil
| | - Jonas R. Rosa
- MS4Life Laboratory of Mass Spectrometry, Health
Sciences Postgraduate Program, São Francisco University,
Bragança Paulista, São Paulo 12916-900, Brazil
| | - Michael F. Keating
- Department of Chemistry, The University
of Texas at Austin, Austin, Texas 78712, United
States
| | - Sydney C. Povilaitis
- Department of Chemistry, The University
of Texas at Austin, Austin, Texas 78712, United
States
| | - Meredith Spradlin
- Department of Chemistry, The University
of Texas at Austin, Austin, Texas 78712, United
States
| | - Pedro H. Godoy Sanches
- MS4Life Laboratory of Mass Spectrometry, Health
Sciences Postgraduate Program, São Francisco University,
Bragança Paulista, São Paulo 12916-900, Brazil
| | - Alexandre Varão Moura
- MS4Life Laboratory of Mass Spectrometry, Health
Sciences Postgraduate Program, São Francisco University,
Bragança Paulista, São Paulo 12916-900, Brazil
| | - Junier Marrero Gutierrez
- MS4Life Laboratory of Mass Spectrometry, Health
Sciences Postgraduate Program, São Francisco University,
Bragança Paulista, São Paulo 12916-900, Brazil
| | - John Q. Lin
- Department of Chemistry, The University
of Texas at Austin, Austin, Texas 78712, United
States
| | - Jialing Zhang
- Department of Chemistry, The University
of Texas at Austin, Austin, Texas 78712, United
States
| | - Rachel J. DeHoog
- Department of Chemistry, The University
of Texas at Austin, Austin, Texas 78712, United
States
| | - Alena Bensussan
- Department of Chemistry, The University
of Texas at Austin, Austin, Texas 78712, United
States
| | - Sunil Badal
- Department of Chemistry, The University
of Texas at Austin, Austin, Texas 78712, United
States
| | - Danilo Cardoso de Oliveira
- MS4Life Laboratory of Mass Spectrometry, Health
Sciences Postgraduate Program, São Francisco University,
Bragança Paulista, São Paulo 12916-900, Brazil
| | - Pedro Henrique Dias Garcia
- MS4Life Laboratory of Mass Spectrometry, Health
Sciences Postgraduate Program, São Francisco University,
Bragança Paulista, São Paulo 12916-900, Brazil
| | | | - Marcia Ap. Antonio
- Integrated Unit of Pharmacology and
Gastroenterology, UNIFAG, Bragança Paulista, Sao Paulo 12916-900,
Brazil
| | - Thiago C. Canevari
- School of Material Engineering and Nanotechnology,
MackMass Laboratory, Mackenzie Presbyterian University,
São Paulo, SP 01302-907, Brazil
| | - Marcos N. Eberlin
- School of Material Engineering and Nanotechnology,
MackMass Laboratory, Mackenzie Presbyterian University,
São Paulo, SP 01302-907, Brazil
| | - Robert Tibshirani
- Department of Biomedical Data Science, Stanford
University, Stanford, California 94305, United
States
| | - Livia S. Eberlin
- Department of Chemistry, The University
of Texas at Austin, Austin, Texas 78712, United
States
| | - Andreia M. Porcari
- MS4Life Laboratory of Mass Spectrometry, Health
Sciences Postgraduate Program, São Francisco University,
Bragança Paulista, São Paulo 12916-900, Brazil
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