Evidence map›Paper›PMID 35365081›Full record

ArticleBMC infectious diseases2022

Comparison and development of a metagenomic next-generation sequencing protocol for combined detection of DNA and RNA pathogens in cerebrospinal fluid.

Hanfang Jiang, Zhihao Xing, Xiaorong Liu, Qiang Chai, Zefeng Xin, Chunqing Zhu, Ruihong Lin, Xuwen Deng, Dong Cui, HongDan Gao and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Hanfang Jiang *Institute of Pediatrics, Clinical Laboratory, Shenzhen Children's Hospital, Shenzhen, Guangdong, People's Republic of China.
Zhihao Xing *Institute of Pediatrics, Clinical Laboratory, Shenzhen Children's Hospital, Shenzhen, Guangdong, People's Republic of China.
Xiaorong Liu *Institute of Pediatrics, Clinical Laboratory, Shenzhen Children's Hospital, Shenzhen, Guangdong, People's Republic of China.
Qiang ChaiInstitute of Pediatrics, Shenzhen Children's Hospital, Shenzhen, Guangdong, People's Republic of China.
Zefeng XinInstitute of Pediatrics, Shenzhen Children's Hospital, Shenzhen, Guangdong, People's Republic of China.
Chunqing ZhuInstitute of Pediatrics, Clinical Laboratory, Shenzhen Children's Hospital, Shenzhen, Guangdong, People's Republic of China.
Ruihong LinInstitute of Pediatrics, Shenzhen Children's Hospital, Shenzhen, Guangdong, People's Republic of China.
Xuwen DengInstitute of Pediatrics, Shenzhen Children's Hospital, Shenzhen, Guangdong, People's Republic of China.
Dong CuiInstitute of Pediatrics, Shenzhen Children's Hospital, Shenzhen, Guangdong, People's Republic of China.
HongDan GaoMedical Technology, Bengbu Medical College, Bengbu, Anhui, People's Republic of China.
Dongli MaInstitute of Pediatrics, Shenzhen Children's Hospital, Shenzhen, Guangdong, People's Republic of China. ngs2016@126.com.
Shenzhen Children's Hospital · CNBengbu Medical College · CN

Funding

Development and Reform Commission of Shenzhen Municipality Grant 2019[986]Guangdong Basic and Applied Basic Research Foundation 2020A1515010246Guangdong Basic and Applied Basic Research Fund 2019A1515110665Health and Family Planning Commission of Shenzhen Municipality Grant SZLY2017016Science Technology and Innovation Commission of Shenzhen Municipality Grant JCYJ20170413094034978
6 · The paper itself

Abstract

backgroundThe purpose of this study was to evaluate different pretreatment, extraction, amplification, and library generation methods for metagenomic next-generation sequencing (mNGS) of cerebrospinal fluid (CSF) and to develop an efficient procedure for the simultaneous detection of DNA and RNA pathogens.

methodsWe generated thirteen mock CSF samples with four representative pathogens of encephalitis. Each sample was subjected to ten different methods by varying sample pretreatment/nucleic acid extraction (microbial DNA, total DNA, total NA, total RNA, Whole Transcriptome Amplification (WTA)) and library generation (Illumina or NEB). Negative extraction controls (NECs) were used for each method variation.

resultsWe found that the quality of mNGS sequencing reads was higher from the NEB kit for library generation. Microbial DNA and total RNA increased microbial deposition by depleting the host DNA. Methods total NA and total RNA can detect gram-positive, gram-negative, RNA and DNA pathogens. We applied mNGS, including total NA and NEB library generation, to CSF samples from five patients diagnosed with infectious encephalitis and correctly determined all pathogens identified in clinical etiological tests.

conclusionsOur findings suggested that total nucleic acid extraction combined with NEB library generation is the most effective mNGS procedure in CSF pathogen detection. The optimization of positive criteria and databases can improve the specificity and sensitivity of mNGS diagnosis.

trial registrationChinese Clinical Trial Registry, ChiCTR1800015425 (29/03/2018), https://www.chictr.org.cn/edit.aspx?pid=26292&htm=4 .

Indexed as

MetagenomicsRNADNAHigh-Throughput Nucleotide SequencingHumansSensitivity and SpecificityDNARNAEncephalitisMetagenomic diagnosisNext-generation sequencing

Identifiers

PMID35365081
PMCPMC8976360
OpenAlexW4220981237

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.