Evidence map›Paper›PMID 39770678›Full record

ArticleMicroorganisms2024

Effective Inhibitor Removal from Wastewater Samples Increases Sensitivity of RT-dPCR and Sequencing Analyses and Enhances the Stability of Wastewater-Based Surveillance.

Nico Linzner, Alexander Bartel, Vera Schumacher, José Horacio Grau, Emanuel Wyler, Henrike Preuß, Sonja Garske, Julia Bitzegeio, Elisabeth Barbara Kirst, Karsten Liere and 7 more

Abstract read
In one paragraph

Article in Microorganisms, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
  4. Article
  5. Article
  6. Article
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

17 authors.

Nico LinznerLaboratory of Berliner Wasserbetriebe, Berliner Wasserbetriebe, 13629 Berlin, Germany.
Alexander BartelUnit for Surveillance and Epidemiology of Infectious Diseases, State Office for Health and Social Affairs (SOHSA), 10559 Berlin, Germany.ORCID 0000-0002-1280-6138
Vera SchumacherLaboratory of Berliner Wasserbetriebe, Berliner Wasserbetriebe, 13629 Berlin, Germany.
José Horacio GrauAmedes Medizinische Dienstleistungen GmbH, 37081 Göttingen, Germany.ORCID 0000-0002-5328-3652
Emanuel WylerMax-Delbrück-Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin Institute for Medical Systems Biology (BIMSB), 10115 Berlin, Germany.ORCID 0000-0002-9884-1806
Henrike PreußLaboratory of Berliner Wasserbetriebe, Berliner Wasserbetriebe, 13629 Berlin, Germany.
Sonja GarskeUnit for Surveillance and Epidemiology of Infectious Diseases, State Office for Health and Social Affairs (SOHSA), 10559 Berlin, Germany.
Julia BitzegeioUnit for Surveillance and Epidemiology of Infectious Diseases, State Office for Health and Social Affairs (SOHSA), 10559 Berlin, Germany.
Elisabeth Barbara KirstMax-Delbrück-Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin Institute for Medical Systems Biology (BIMSB), 10115 Berlin, Germany.
Karsten LiereAmedes Medizinische Dienstleistungen GmbH, 37081 Göttingen, Germany.ORCID 0000-0003-1504-1449
Sebastian HoppeUnit for Surveillance and Epidemiology of Infectious Diseases, State Office for Health and Social Affairs (SOHSA), 10559 Berlin, Germany.
Tatiana A BorodinaMax-Delbrück-Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin Institute for Medical Systems Biology (BIMSB), 10115 Berlin, Germany.
Janine AltmüllerMax-Delbrück-Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin Institute for Medical Systems Biology (BIMSB), 10115 Berlin, Germany.
Markus LandthalerMax-Delbrück-Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin Institute for Medical Systems Biology (BIMSB), 10115 Berlin, Germany.ORCID 0000-0002-1075-8734
Martin MeixnerAmedes Medizinische Dienstleistungen GmbH, 37081 Göttingen, Germany.
Daniel SagebielUnit for Surveillance and Epidemiology of Infectious Diseases, State Office for Health and Social Affairs (SOHSA), 10559 Berlin, Germany.
Uta BöckelmannLaboratory of Berliner Wasserbetriebe, Berliner Wasserbetriebe, 13629 Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Wastewater-based surveillance (WBS) is a proven tool for monitoring population-level infection events. Wastewater contains high concentrations of inhibitors, which contaminate the total nucleic acids (TNA) extracted from these samples. We found that TNA extracts from raw influent of Berlin wastewater treatment plants contained highly variable amounts of inhibitors that impaired molecular analyses like dPCR and next-generation sequencing (NGS). By using dilutions, we were able to detect inhibitory effects. To enhance WBS sensitivity and stability, we applied a combination of PCR inhibitor removal and TNA dilution (PIR+D). This approach led to a 26-fold increase in measured SARS-CoV-2 concentrations, practically reducing the detection limit. Additionally, we observed a substantial increase in the stability of the time series. We define suitable stability as a mean absolute error (MAE) below 0.1 log

Indexed as

dPCRGermanyinhibitor removalinhibitors of molecular biology applicationsnoiserobustSARS-CoV-2sequencingtime series stabilitywastewater-based surveillance

Identifiers

PMID39770678
PMCPMC11728302

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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.