Rapid Quantum Magnetic IL-6 Point-of-Care Assay in Patients Hospitalized with COVID-19.

Rapid Quantum Magnetic IL-6 Point-of-Care Assay in Patients Hospitalized with COVID-19.
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DOI:
10.3390/diagnostics12051164
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发表时间:
2022-05-07
期刊:
Diagnostics (Basel, Switzerland)
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白细胞介素 - 6(IL - 6)与多种危及生命的疾病进程相关。开发一种能够即时、准确检测IL - 6浓度的即时检验平台,可能会成为改善IL - 6介导疾病患者临床管理的宝贵工具。利用一个包含35名因新冠肺炎住院患者样本的现有生物样本库,一种新型量子磁传感平台被用于测定血浆IL - 6浓度。通过QDTI10x测量的IL - 6水平与Luminex检测法之间呈现出强相关性(r = 0.70,p值 < 0.001),QDTI80x与Luminex之间也是如此(r = 0.82,p值 < 0.001)。为了验证在IL - 6测量准确性方面QDTI不劣于Luminex,选取了两个临床参数:入住重症监护病房的需求和机械插管的需求。针对这些临床结果,对两种检测方法所测量的IL - 6浓度进行了比较。结果表明,两种检测方法的预测性能具有可比性,且相关系数显著。结论:简而言之,QDTI检测法有望作为一种潜在工具,用于IL - 6介导疾病患者的快速临床决策。它还可以降低医疗成本,并推动未来针对不同临床场景的各类生物分子即时检验的发展。
Interleukin-6 (IL-6) has been linked to several life-threatening disease processes. Developing a point-of-care testing platform for the immediate and accurate detection of IL-6 concentrations could present a valuable tool for improving clinical management in patients with IL-6-mediated diseases. Drawing on an available biobank of samples from 35 patients hospitalized with COVID-19, a novel quantum-magnetic sensing platform is used to determine plasma IL-6 concentrations. A strong correlation was observed between IL-6 levels measured by QDTI10x and the Luminex assay (r = 0.70, p-value < 0.001) and between QDTI80x and Luminex (r = 0.82, p-value < 0.001). To validate the non-inferiority of QDTI to Luminex in terms of the accuracy of IL-6 measurement, two clinical parameters—the need for intensive care unit admission and the need for mechanical intubation—were chosen. IL-6 concentrations measured by the two assays were compared with respect to these clinical outcomes. Results demonstrated a comparative predictive performance between the two assays with a significant correlation coefficient. Conclusion: In short, the QDTI assay holds promise for implementation as a potential tool for rapid clinical decision in patients with IL-6-mediated diseases. It could also reduce healthcare costs and enable the development of future various biomolecule point-of-care tests for different clinical scenarios.
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