Automated Diagnosis and Phenotyping of Tuberculosis Using Serum Metabolic Fingerprints

Bibliographic Details
Title: Automated Diagnosis and Phenotyping of Tuberculosis Using Serum Metabolic Fingerprints
Authors: Yajing Liu, Ruimin Wang, Chao Zhang, Lin Huang, Jifan Chen, Yiqing Zeng, Hongjian Chen, Guowei Wang, Kun Qian, Pintong Huang
Source: Advanced Science, Vol 11, Iss 39, Pp n/a-n/a (2024)
Publisher Information: Wiley, 2024.
Publication Year: 2024
Collection: LCC:Science
Subject Terms: diagnosis and phenotyping, drug resistant tuberculosis, nanoparticle enhanced laser desorption/ionization mass spectrometry, serum metabolic fingerprints, tuberculosis, Science
More Details: Abstract Tuberculosis (TB) stands as the second most fatal infectious disease after COVID‐19, the effective treatment of which depends on accurate diagnosis and phenotyping. Metabolomics provides valuable insights into the identification of differential metabolites for disease diagnosis and phenotyping. However, TB diagnosis and phenotyping remain great challenges due to the lack of a satisfactory metabolic approach. Here, a metabolomics‐based diagnostic method for rapid TB detection is reported. Serum metabolic fingerprints are examined via an automated nanoparticle‐enhanced laser desorption/ionization mass spectrometry platform outstanding by its rapid detection speed (measured in seconds), minimal sample consumption (in nanoliters), and cost‐effectiveness (approximately $3). A panel of 14 m z−1 features is identified as biomarkers for TB diagnosis and a panel of 4 m z−1 features for TB phenotyping. Based on the acquired biomarkers, TB metabolic models are constructed through advanced machine learning algorithms. The robust metabolic model yields a 97.8% (95% confidence interval (CI), 0.964‐0.986) area under the curve (AUC) in TB diagnosis and an 85.7% (95% CI, 0.806‐0.891) AUC in phenotyping. In this study, serum metabolic biomarker panels are revealed and develop an accurate metabolic tool with desirable diagnostic performance for TB diagnosis and phenotyping, which may expedite the effective implementation of the end‐TB strategy.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2198-3844
Relation: https://doaj.org/toc/2198-3844
DOI: 10.1002/advs.202406233
Access URL: https://doaj.org/article/ac95559ca4274e97bc8163d55676c0d7
Accession Number: edsdoj.95559ca4274e97bc8163d55676c0d7
Database: Directory of Open Access Journals
More Details
ISSN:21983844
DOI:10.1002/advs.202406233
Published in:Advanced Science
Language:English