Urine Metabolites Enable Fast Detection of COVID-19 Using Mass Spectrometry

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Moura, Alexandre Varao ; de Oliveira, Danilo Cardoso ; Silva, Alex Ap R. ; da Rosa, Jonas Ribeiro ; Dias Garcia, Pedro Henrique ; Godoy Sanches, Pedro Henrique ; Garza, Kyana Y. ; Macedo Mendes, Flavio Marcio ; Lambert, Mayara ; Gutierrez, Junier Marrero ; Granado, Nicole Marino ; dos Santos, Alicia Camacho ; de Lima, Iasmim Lopes ; de Oliveira Negrini, Lisamara Dias ; Antonio, Marcia Aparecida ; Eberlin, Marcos N. ; Eberlin, Livia S. ; Porcari, Andreia M.

• Tipo de documento: Artigo Científico
• Fonte: METABOLITES; v. 12, n. 11, p. 18-pg., 2022-11-01.

Resumo

The COVID-19 pandemic boosted the development of diagnostic tests to meet patient needs and provide accurate, sensitive, and fast disease detection. Despite rapid advancements, limitations related to turnaround time, varying performance metrics due to different sampling sites, illness duration, co-infections, and the need for particular reagents still exist. As an alternative diagnostic test, we present urine analysis through flow-injection-tandem mass spectrometry (FIA-MS/MS) as a powerful approach for COVID-19 diagnosis, targeting the detection of amino acids and acylcarnitines. We adapted a method that is widely used for newborn screening tests on dried blood for urine samples in order to detect metabolites related to COVID-19 infection. We analyzed samples from 246 volunteers with diagnostic confirmation via PCR. Urine samples were self-collected, diluted, and analyzed with a run time of 4 min. A Lasso statistical classifier was built using 75/25% data for training/validation sets and achieved high diagnostic performances: 97/90% sensitivity, 95/100% specificity, and 95/97.2% accuracy. Additionally, we predicted on two withheld sets composed of suspected hospitalized/symptomatic COVID-19-PCR negative patients and patients out of the optimal time-frame collection for PCR diagnosis, with promising results. Altogether, we show that the benchmarked FIA-MS/MS method is promising for COVID-19 screening and diagnosis, and is also potentially useful after the peak viral load has passed. (AU)

• Processo FAPESP: 21/03305-3 - Avaliação do perfil de aminoácidos e acilcarnitinas em voluntários com infecção por SARS-CoV-2
• Beneficiário: Danilo Cardoso de Oliveira
• Modalidade de apoio: Bolsas no Brasil - Iniciação Científica