Development of a biomarker signature using grating-coupled fluorescence plasmonic microarray for diagnosis of MIS-C
Multisystem inflammatory syndrome in children (MIS-C) is a rare but serious condition that can develop 4–6 weeks after a school age child becomes infected by SARS-CoV-2. To date, in the United States more than 8,862 cases of MIS-C have been identified and 72 deaths have occurred. This syndrome typic...
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Frontiers Media S.A.
2023-03-01
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Series: | Frontiers in Bioengineering and Biotechnology |
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Online Access: | https://www.frontiersin.org/articles/10.3389/fbioe.2023.1066391/full |
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author | Michele Maltz-Matyschsyk Clare K. Melchiorre Katherine W. Herbst Alexander H. Hogan Alexander H. Hogan Kristina Dibble Brandon O’Sullivan Joerg Graf Aishwarya Jadhav David A. Lawrence David A. Lawrence William T. Lee William T. Lee Kyle J. Carson Justin D. Radolf Juan C. Salazar Juan C. Salazar Michael A. Lynes Connecticut Children’s COVID Collaborative |
author_facet | Michele Maltz-Matyschsyk Clare K. Melchiorre Katherine W. Herbst Alexander H. Hogan Alexander H. Hogan Kristina Dibble Brandon O’Sullivan Joerg Graf Aishwarya Jadhav David A. Lawrence David A. Lawrence William T. Lee William T. Lee Kyle J. Carson Justin D. Radolf Juan C. Salazar Juan C. Salazar Michael A. Lynes Connecticut Children’s COVID Collaborative |
author_sort | Michele Maltz-Matyschsyk |
collection | DOAJ |
description | Multisystem inflammatory syndrome in children (MIS-C) is a rare but serious condition that can develop 4–6 weeks after a school age child becomes infected by SARS-CoV-2. To date, in the United States more than 8,862 cases of MIS-C have been identified and 72 deaths have occurred. This syndrome typically affects children between the ages of 5–13; 57% are Hispanic/Latino/Black/non-Hispanic, 61% of patients are males and 100% have either tested positive for SARS-CoV-2 or had direct contact with someone with COVID-19. Unfortunately, diagnosis of MIS-C is difficult, and delayed diagnosis can lead to cardiogenic shock, intensive care admission, and prolonged hospitalization. There is no validated biomarker for the rapid diagnosis of MIS-C. In this study, we used Grating-coupled Fluorescence Plasmonic (GCFP) microarray technology to develop biomarker signatures in pediatric salvia and serum samples from patients with MIS-C in the United States and Colombia. GCFP measures antibody-antigen interactions at individual regions of interest (ROIs) on a gold-coated diffraction grating sensor chip in a sandwich immunoassay to generate a fluorescent signal based on analyte presence within a sample. Using a microarray printer, we designed a first-generation biosensor chip with the capability of capturing 33 different analytes from 80 μL of sample (saliva or serum). Here, we show potential biomarker signatures in both saliva and serum samples in six patient cohorts. In saliva samples, we noted occasional analyte outliers on the chip within individual samples and were able to compare those samples to 16S RNA microbiome data. These comparisons indicate differences in relative abundance of oral pathogens within those patients. Microsphere Immunoassay (MIA) of immunoglobulin isotypes was also performed on serum samples and revealed MIS-C patients had several COVID antigen-specific immunoglobulins that were significantly higher than other cohorts, thus identifying potential new targets for the second-generation biosensor chip. MIA also identified additional biomarkers for our second-generation chip, verified biomarker signatures generated on the first-generation chip, and aided in second-generation chip optimization. Interestingly, MIS-C samples from the United States had a more diverse and robust signature than the Colombian samples, which was also illustrated in the MIA cytokine data. These observations identify new MIS-C biomarkers and biomarker signatures for each of the cohorts. Ultimately, these tools may represent a potential diagnostic tool for use in the rapid identification of MIS-C. |
first_indexed | 2024-04-09T20:14:59Z |
format | Article |
id | doaj.art-110a005d844644f789de78439dd2827d |
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issn | 2296-4185 |
language | English |
last_indexed | 2024-04-09T20:14:59Z |
publishDate | 2023-03-01 |
publisher | Frontiers Media S.A. |
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series | Frontiers in Bioengineering and Biotechnology |
spelling | doaj.art-110a005d844644f789de78439dd2827d2023-03-31T09:31:55ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852023-03-011110.3389/fbioe.2023.10663911066391Development of a biomarker signature using grating-coupled fluorescence plasmonic microarray for diagnosis of MIS-CMichele Maltz-Matyschsyk0Clare K. Melchiorre1Katherine W. Herbst2Alexander H. Hogan3Alexander H. Hogan4Kristina Dibble5Brandon O’Sullivan6Joerg Graf7Aishwarya Jadhav8David A. Lawrence9David A. Lawrence10William T. Lee11William T. Lee12Kyle J. Carson13Justin D. Radolf14Juan C. Salazar15Juan C. Salazar16Michael A. Lynes17Connecticut Children’s COVID CollaborativeDepartment of Molecular and Cell Biology, University of Connecticut, Storrs, CT, United StatesDepartment of Molecular and Cell Biology, University of Connecticut, Storrs, CT, United StatesConnecticut Children’s Medical Center, Hartford, CT, United StatesConnecticut Children’s Medical Center, Hartford, CT, United StatesUniversity of Connecticut Health Center, Farmington, CT, United StatesDepartment of Molecular and Cell Biology, University of Connecticut, Storrs, CT, United StatesDepartment of Molecular and Cell Biology, University of Connecticut, Storrs, CT, United StatesDepartment of Molecular and Cell Biology, University of Connecticut, Storrs, CT, United StatesWadsworth Center, New York State Department of Health, Albany, NY, United StatesWadsworth Center, New York State Department of Health, Albany, NY, United StatesUniversity at Albany School of Public Health, Rensselaer, NY, United StatesWadsworth Center, New York State Department of Health, Albany, NY, United StatesUniversity at Albany School of Public Health, Rensselaer, NY, United StatesWadsworth Center, New York State Department of Health, Albany, NY, United StatesUniversity of Connecticut Health Center, Farmington, CT, United StatesConnecticut Children’s Medical Center, Hartford, CT, United StatesUniversity of Connecticut Health Center, Farmington, CT, United StatesDepartment of Molecular and Cell Biology, University of Connecticut, Storrs, CT, United StatesMultisystem inflammatory syndrome in children (MIS-C) is a rare but serious condition that can develop 4–6 weeks after a school age child becomes infected by SARS-CoV-2. To date, in the United States more than 8,862 cases of MIS-C have been identified and 72 deaths have occurred. This syndrome typically affects children between the ages of 5–13; 57% are Hispanic/Latino/Black/non-Hispanic, 61% of patients are males and 100% have either tested positive for SARS-CoV-2 or had direct contact with someone with COVID-19. Unfortunately, diagnosis of MIS-C is difficult, and delayed diagnosis can lead to cardiogenic shock, intensive care admission, and prolonged hospitalization. There is no validated biomarker for the rapid diagnosis of MIS-C. In this study, we used Grating-coupled Fluorescence Plasmonic (GCFP) microarray technology to develop biomarker signatures in pediatric salvia and serum samples from patients with MIS-C in the United States and Colombia. GCFP measures antibody-antigen interactions at individual regions of interest (ROIs) on a gold-coated diffraction grating sensor chip in a sandwich immunoassay to generate a fluorescent signal based on analyte presence within a sample. Using a microarray printer, we designed a first-generation biosensor chip with the capability of capturing 33 different analytes from 80 μL of sample (saliva or serum). Here, we show potential biomarker signatures in both saliva and serum samples in six patient cohorts. In saliva samples, we noted occasional analyte outliers on the chip within individual samples and were able to compare those samples to 16S RNA microbiome data. These comparisons indicate differences in relative abundance of oral pathogens within those patients. Microsphere Immunoassay (MIA) of immunoglobulin isotypes was also performed on serum samples and revealed MIS-C patients had several COVID antigen-specific immunoglobulins that were significantly higher than other cohorts, thus identifying potential new targets for the second-generation biosensor chip. MIA also identified additional biomarkers for our second-generation chip, verified biomarker signatures generated on the first-generation chip, and aided in second-generation chip optimization. Interestingly, MIS-C samples from the United States had a more diverse and robust signature than the Colombian samples, which was also illustrated in the MIA cytokine data. These observations identify new MIS-C biomarkers and biomarker signatures for each of the cohorts. Ultimately, these tools may represent a potential diagnostic tool for use in the rapid identification of MIS-C.https://www.frontiersin.org/articles/10.3389/fbioe.2023.1066391/fullCOVID-19MIS-Cdiagnosticbiomarkersmicroarray |
spellingShingle | Michele Maltz-Matyschsyk Clare K. Melchiorre Katherine W. Herbst Alexander H. Hogan Alexander H. Hogan Kristina Dibble Brandon O’Sullivan Joerg Graf Aishwarya Jadhav David A. Lawrence David A. Lawrence William T. Lee William T. Lee Kyle J. Carson Justin D. Radolf Juan C. Salazar Juan C. Salazar Michael A. Lynes Connecticut Children’s COVID Collaborative Development of a biomarker signature using grating-coupled fluorescence plasmonic microarray for diagnosis of MIS-C Frontiers in Bioengineering and Biotechnology COVID-19 MIS-C diagnostic biomarkers microarray |
title | Development of a biomarker signature using grating-coupled fluorescence plasmonic microarray for diagnosis of MIS-C |
title_full | Development of a biomarker signature using grating-coupled fluorescence plasmonic microarray for diagnosis of MIS-C |
title_fullStr | Development of a biomarker signature using grating-coupled fluorescence plasmonic microarray for diagnosis of MIS-C |
title_full_unstemmed | Development of a biomarker signature using grating-coupled fluorescence plasmonic microarray for diagnosis of MIS-C |
title_short | Development of a biomarker signature using grating-coupled fluorescence plasmonic microarray for diagnosis of MIS-C |
title_sort | development of a biomarker signature using grating coupled fluorescence plasmonic microarray for diagnosis of mis c |
topic | COVID-19 MIS-C diagnostic biomarkers microarray |
url | https://www.frontiersin.org/articles/10.3389/fbioe.2023.1066391/full |
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