Navigating the New Norm: The FDA's Final Rule on Laboratory Developed Tests (LDTs) and Its Impact on Clinical Laboratory Operations
Clinical Microbiology Newsletter,
Год журнала:
2024,
Номер
unknown
Опубликована: Сен. 1, 2024
Язык: Английский
Deciphering Microbiota of Acute Upper Respiratory Infections: A Comparative Analysis of PCR and mNGS Methods for Lower Respiratory Trafficking Potential
Advances in respiratory medicine,
Год журнала:
2023,
Номер
91(1), С. 49 - 65
Опубликована: Фев. 2, 2023
Although
it
is
clinically
important
for
acute
respiratory
tract
(co)infections
to
have
a
rapid
and
accurate
diagnosis,
critical
that
medicine
understands
the
advantages
of
current
laboratory
methods.
In
this
study,
we
tested
nasopharyngeal
samples
(n
=
29)
with
commercially
available
PCR
assay
compared
results
those
hybridization-capture-based
mNGS
workflow.
Detection
criteria
positive
was
Ct
<
35
>40%
target
coverage,
median
depth
1X
RPKM
>
10.
A
high
degree
concordance
(98.33%
PPA
100%
NPA)
recorded.
However,
yielded
positively
29
additional
microorganisms
(23
bacteria,
4
viruses,
2
fungi)
beyond
PCR.
We
then
characterized
each
method
into
three
phenotypic
categories
using
IDbyDNA
Explify®
Platform
(Illumina®
Inc,
San
Diego,
CA,
USA)
consideration
infectivity
trafficking
potential
lower
region.
The
findings
are
significant
providing
comprehensive
yet
relevant
microbiology
profile
upper
infection,
especially
in
immunocompromised
or
immunocompetent
comorbidity
cases
where
traditional
syndromic
approaches
fail
identify
pathogenicity.
Accordingly,
technology
can
be
used
supplement
syndrome-based
tests,
data
quickly
effectively
phenotypically
potential,
clinical
(co)infection,
comorbid
consideration-with
promise
reduce
morbidity
mortality.
Язык: Английский
Evaluation of next generation sequencing approaches for SARS-CoV-2
Heliyon,
Год журнала:
2023,
Номер
9(11), С. e21101 - e21101
Опубликована: Окт. 19, 2023
Within
public
health
control
strategies
for
SARS-CoV-2,
whole
genome
sequencing
(WGS)
is
essential
tracking
viral
spread
and
monitoring
the
emergence
of
variants
which
may
impair
effectiveness
vaccines,
diagnostic
methods,
therapeutics.
In
this
manuscript
different
SARS-CoV-2
WGS
including
metagenomic
shotgun
(SG),
library
enrichment
by
myBaits®
Expert
Virus-SARS-CoV-2
(Arbor
Biosciences),
nCoV-2019
protocol,
ampliseq
approach
Swift
Amplicon®
Panel
kit
(Swift
Illumina
COVIDSeq
Test
(Illumina
Inc.),
were
evaluated
in
order
to
identify
best
terms
results,
labour,
costs.
The
analysis
revealed
that
Inc.)
choice
a
cost-effective,
time-consuming
production
consensus
sequences.
Язык: Английский
SARS-CoV-2 Next Generation Sequencing (NGS) data from clinical isolates from the East Texas Region of the United States
Data in Brief,
Год журнала:
2023,
Номер
49, С. 109312 - 109312
Опубликована: Июнь 16, 2023
The
SARS-CoV-2
virus
has
evolved
throughout
the
pandemic
and
is
likely
to
continue
evolving
into
new
variants.
Some
of
these
variants
may
affect
functional
properties,
including
infectivity,
interactions
with
host
immunity,
disease
severity.
And
compromised
vaccine
efficacy
an
emerging
concern
every
viral
variant.
Next-generation
sequencing
(NGS)
emerged
as
tool
choice
for
discovering
understanding
transmission
dynamics
SARS-CoV-2.
Deciphering
genome
enabled
epidemiological
survivance
forecast
altered
etiologically.
Clinical
presentations
infection
are
influenced
by
comorbidities
such
age,
immune
status,
diabetes,
infecting
Thus,
clinical
management
differ
For
example,
some
monoclonal
antibody
treatments
variant-specific,
vaccines
less
efficacious
against
omicron
delta
Consequently,
determining
local
outbreaks
monitoring
Variants
Concern
(VOC)
one
primary
strategies
pandemic's
containment.
Although
next-generation
a
gold
standard
genomic
surveillance
variant
discovery,
assays
not
approved
diagnosis
decision-making.
Advanta
Genetics,
Texas,
USA,
optimized
Illumina
COVID-seq
protocol
reduce
cost
without
compromising
accuracy
validated
COVID-Seq
assay
Laboratory
Developed
Test
(LDT)
according
guidelines
prescribed
College
American
Pathologists
(CAP)
Improvement
Amendments
(CLIA).
whole
was
sequenced
in
(n
=
161)
samples
from
East
Texas
region
using
MiniSeq®
instrument
analyzed
baseSpace
(https://basespace.illumina.com)
bioinformatics
pipeline.
Briefly,
library
prepared
COVIDSeq
research
use
only
(RUO)
kit,
individual
libraries
were
normalized
DNA
concentration
measured
Qubit
Flex
Fluorometer,
pooled
on
Instrument.
application
used
QC,
FASTQ
generation,
assembly,
identification
This
shotgun
project
been
deposited
at
GISAID.
Язык: Английский
Optimization of the Illumina COVIDSeq™ protocol for decentralized, cost-effective genomic surveillance
Practical Laboratory Medicine,
Год журнала:
2023,
Номер
34, С. e00311 - e00311
Опубликована: Фев. 1, 2023
A
decentralized
surveillance
system
to
identify
local
outbreaks
and
monitor
SARS-CoV-2
Variants
of
Concern
is
one
the
primary
strategies
for
pandemic's
containment.
Although
next-generation
sequencing
(NGS)
a
gold
standard
genomic
variant
discovery,
technology
still
cost-prohibitive
sequencing,
particularly
in
small
independent
labs
with
limited
resources.
We
have
optimized
Illumina
COVIDSeq™
protocol
MiniSeq
instrument
reduce
cost
without
compromising
accuracy.
slashed
library
preparation
by
half
using
50%
recommended
reagents
at
each
step
normalizing
libraries
before
pooling
achieve
uniform
coverage.
Reagent-only
(∼$43.27/sample)
analysis
this
normalized
input
on
instruments
comparable
what
achieved
high
throughput
such
as
NextSeq
NovaSeq.
Using
modified
protocol,
we
tested
153
clinical
samples,
90%
coverage
was
142/153
samples
analyzed
study.
The
lineage
correctly
assigned
all
(152/153)
except
one.
This
can
help
laboratories
constrained
resources
contribute
COVID-19
post-vaccination
era.
Язык: Английский
Design, Immunogenicity and Preclinical Efficacy of the ChAdOx1.COVconsv12 Pan-Sarbecovirus T-Cell Vaccine
Vaccines,
Год журнала:
2024,
Номер
12(9), С. 965 - 965
Опубликована: Авг. 26, 2024
During
the
COVID-19
pandemic,
antibody-based
vaccines
targeting
SARS-CoV-2
spike
glycoprotein
were
focus
for
development
because
neutralizing
antibodies
associated
with
protection
against
infection
pre-clinically
and
in
humans.
While
deploying
these
spike-based
saved
millions
of
lives
worldwide,
it
has
become
clear
that
immunological
mechanisms
severe
disease
are
multifaceted
involve
non-neutralizing
antibody
components.
Here,
we
describe
a
novel
pan-sarbecovirus
T-cell
vaccine,
ChAdOx1.COVconsv12,
designed
to
complement
broaden
vaccines.
The
vaccine
immunogen
COVconsv12
employs
two
regions
viral
proteome
most
conserved
among
sarbecoviruses,
which
delivered
by
replication-deficient
vector
ChAdOx1.
It
directs
T
cells
towards
epitopes
shared
sarbecoviruses
including
evolving
variants.
show
ChAdOx1.COVconsv12
induced
broad
responses
BALB/c
C57BL/6
mice.
In
Syrian
hamster
challenge
model,
alone
did
not
protect
infection,
but
when
co-administered
1/50th
ChAdOx1
nCoV-19
protective
dose,
faster
recovery
lower
oral
swab
load
observed.
Induction
CD8+
may
decrease
severity
extend
response
coverage
variants
match
known
(and
as
yet
unknown)
members
β-coronavirus
family.
Язык: Английский
Evaluation of Illumina® COVIDSeq™ as a tool for Omicron SARS-CoV-2 characterisation
Journal of Virological Methods,
Год журнала:
2023,
Номер
322, С. 114827 - 114827
Опубликована: Сен. 30, 2023
The
continued
emergence
and
transmission
of
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
variants
requires
ongoing
genetic
surveillance
to
support
public
health
responses.
expansion
reliable
next
generation
sequence
(NGS)
platforms
has
enabled
the
rapid
characterisation
constant
new
SARS-CoV-2
using
nasopharyngeal
swab
specimens.
Several
studies
have
assessed
ability
COVIDSeq
type
earlier
strains
(pre-Delta)
rapidly
successfully,
however,
there
is
limited
data
showing
suitability
against
Omicron
variants.
In
present
study,
we
evaluated
performance
Illumina
Assay
as
a
streamlined
amplicon-based
NGS
platform
for
detection
typing
Our
results
demonstrate
high
sequencing
approach,
with
good
repeatability,
reproducibility
sensitivity
samples
approaching
CT
31.
approach
was
100%
concordant
previously
characterized
by
methods.
quick
library
preparation
process
throughput
kit
made
it
ideal
reflex
testing,
total
time
required
analysis
approximately
two
days.
This
study
demonstrates
effectiveness
versatility
method
SARS-CoV-2,
providing
foundation
further
research
development
custom-designed
amplicon
panels
targeting
different
microorganisms.
Язык: Английский
Deciphering microbiota of acute upper respiratory infections: a comparative analysis of PCR and mNGS methods for lower respiratory trafficking potential
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2023,
Номер
unknown
Опубликована: Янв. 5, 2023
Abstract
Although
it
is
clinically
important
for
acute
respiratory
tract
(co)infections
to
have
rapid
and
accurate
diagnosis,
critical
that
medicine
understand
the
advantages
of
current
laboratory
methods.
In
this
study
we
tested
nasopharyngeal
samples
(n=29)
with
a
commercially
available
PCR
assay
compared
results
hybridization
capture-based
mNGS
workflow.
Detection
criteria
positive
was
Ct<35
>40%
target
coverage,
median
depth
1X
RPKM>10.
A
high
degree
concordance
(98.33%
PPA
100%
NPA)
recorded.
However,
yielded
29
additional
microorganisms
(23
bacteria,
4
viruses,
2
fungi)
beyond
PCR.
We
then
characterize
each
method
into
three
phenotypic
categories
using
IDbyDNA
Explify®
Platform
consideration
infectivity
trafficking
potential
lower
region.
The
findings
are
significant
providing
comprehensive
yet
relevant
microbiology
profile
upper
infection,
especially
in
immunocompetent
cases
or
where
traditional
syndromic
approaches
fail
identify
pathogenicity.
Accordingly,
technology
can
be
used
supplement
syndromic-based
tests
data
quickly
effectively
phenotypically
characterized
potential,
clinical
(co)infection,
comorbid
consideration—with
promise
reduce
morbidity
mortality.
Highlights
What
main
findings?
there
between
methodologies,
workflow
able
detect
versus
Identified
were
rapidly
groups
potential.
implication
finding?
provide
infection
Deciphering
microbiota
grouping
has
tool
better
manage
complex
cases.
Язык: Английский