Evidence map›Paper›PMID 37170190›Full record

ArticleClinical proteomics2023

The rapid detection of procalcitonin in septic serum using immunoaffinity MALDI chips.

Josef Dvorak, Jana Novakova, Lucie Kraftova, Vendula Studentova, Martin Matejovic, Jaroslav Radej, Thomas Karvunidis, Jan Horak, Marcela Kralovcova, Jaroslav Hrabak and 4 more

Open access · goldAbstract read
In one paragraph

Article in Clinical proteomics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

0 citing papers in PubMed, 7 citations in OpenAlex.

No citing paper in PubMed yet.

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

14 authors at 3 institutions in 1 country.

Josef DvorakDepartment of Biochemistry, Faculty of Science, Charles University, Prague, Czech Republic.
Jana NovakovaInstitute of Microbiology, The Czech Academy of Science, Prague, Czech Republic.
Lucie KraftovaBiomedical Center, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Vendula StudentovaBiomedical Center, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Martin MatejovicBiomedical Center, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Jaroslav RadejBiomedical Center, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Thomas KarvunidisBiomedical Center, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Jan HorakBiomedical Center, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Marcela KralovcovaDepartment of Internal Medicine, Faculty of Medicine in Pilsen, Pilsen University Hospital, Charles University, Pilsen, Czech Republic.
Jaroslav HrabakBiomedical Center, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Zuzana KalaninovaDepartment of Biochemistry, Faculty of Science, Charles University, Prague, Czech Republic.
Michael VolnyInstitute of Microbiology, The Czech Academy of Science, Prague, Czech Republic.
Petr NovakDepartment of Biochemistry, Faculty of Science, Charles University, Prague, Czech Republic.
Petr PompachDepartment of Biochemistry, Faculty of Science, Charles University, Prague, Czech Republic. petr.pompach@ibt.cas.cz.
Charles University · CZCzech Academy of Sciences, Institute of Microbiology · CZCzech Academy of Sciences, Institute of Biotechnology · CZ

Funding

Charles University Grant Agency 384021Czech Academy of Sciences RVO61388971European Regional Development Fund-Project "UP CIISB " CZ.02.1.01/0.0/0.0/18_046/0015974Medical Research Foundation of the Czech Republic NV19-05-00541MEYS CR LM2018127National Recovery Plan LX22NPO5103
6 · The paper itself

Abstract

backgroundSepsis is a common worldwide health condition with high mortality. It is caused by a dysregulated immune response to the pathogen. Severe infections resulting in sepsis can be also determined by monitoring several bloodstream biomarkers, one of them being pro-hormone procalcitonin (PCT). PCT concentration in the bloodstream correlates well with sepsis and in severe cases increases up to a thousand times from the healthy physiological values in a short time. In this study, we developed a rapid technique for PCT detection by MALDI-TOF mass spectrometry, that uses in-situ enrichment directly on the specialized immuno MALDI chips that are utilized as MALDI plates. The method's ability to detect PCT was confirmed by comparing the results with LC-MS bottom-up workflow. The new method detects intact PCT by its m/z and uncovers its alternations in septic serum.

methodsThe MALDI chips used for the detection of PCT were prepared by ambient ion soft landing of anti-PCT antibody on an ITO glass slide. The chips were used for the development of the rapid MALDI-TOF MS method. A parallel method based on affinity enrichment on magnetic beads followed by LC-MS/MS data-dependent peptide microsequencing was used to prove PCT presence in the sample. All samples were also tested by ELISA to determine PCT concentration prior to analyzing them by mass spectrometry methods.

resultsThe MALDI chip method was optimized using recombinant PCT spiked into the human serum. The PCT detection limit was 10 ng/mL. The optimized method was used to analyze 13 sera from patients suffering sepsis. The PCT results were confirmed by LC-MS/MS. The measurement of the intact PCT by the MALDI chip method revealed that sera of patients with severe sepsis have other forms of PCT present, which show post-processing of the primary sequence by cleavage of PCT, resulting in the formation of N and C termini fragments.

conclusionsProcalcitonin from human serum was successfully enriched and detected using immunoaffinity MALDI chips. The intact PCT was characterized in 13 septic patients. The method is more specific compared to non-MS-based immunoaffinity techniques and allows observation of different variants of PCT in septic patients.

Indexed as

ImmunoaffinityIon soft landingMALDI-TOFProcalcitoninSepsis

Identifiers

PMID37170190
PMCPMC10176672
OpenAlexW4376134156

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.