Reference Standards

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    文章类型: Journal Article
    静脉内给药的人免疫球蛋白产品(IVIG)中抗D抗体的水平由欧洲药典规定的直接血凝方法控制(Ph。欧尔.)需要2种对照参考试剂。世界卫生组织(WHO)阳性对照国际参考试剂(IRR;02/228)的标称滴度为8,定义了最高可接受滴度,而阴性对照制剂(02/226)的标称滴度<2。工作参考制剂(04/132和04/140)随后被确立为用于Ph的生物参考制剂(BRP)。欧尔.,并由美国食品和药物管理局(USFDA)和国家生物标准与控制研究所(NIBSC)分发。由于3家机构的这些工作参考准备工作的库存减少,组织了一项联合国际研究,以建立统一的替代批次。16个实验室为研究提供了数据,以评估阳性和阴性候选替代批次(分别为13/148和12/300)与WHO阳性和阴性对照IRR以及当前的工作参考制剂(BRP)。结果表明,候选参考制剂(13/148和12/300)与相应的IRR和当前的BRP没有区别。候选制剂13/148和12/300由博士通过。欧尔.作为免疫球蛋白(抗D抗体测试)BRP批次2和免疫球蛋白(抗D抗体测试阴性对照)BRP批次2,标称血凝滴度分别为8和<2。同样的材料也被采用作为NIBSC和美国FDA的参考制剂,从而确保全面协调。
    The level of anti-D antibodies in human immunoglobulin products for intravenous administration (IVIG) is controlled by the direct haemagglutination method prescribed by the European Pharmacopoeia (Ph. Eur.) that requires 2 control reference reagents. The World Health Organization (WHO) positive control International Reference Reagent (IRR; 02/228) with a nominal titre of 8 defines the highest acceptable titre, while the negative control preparation (02/226) has a nominal titre of <2. Working reference preparations (04/132 and 04/140) were subsequently established as Biological Reference Preparations (BRPs) for the Ph. Eur., and for distribution by the United States Food and Drug Administration (US FDA) and the National Institute for Biological Standards and Control (NIBSC). Due to diminishing stocks of these working reference preparations across the 3 institutions, a joint international study was organised to establish harmonised replacement batches. Sixteen laboratories contributed data to the study to evaluate positive and negative candidate replacement batches (13/148 and 12/300, respectively) against the WHO positive and negative control IRRs and the current working reference preparations (BRPs). The results show that the candidate reference preparations (13/148 and 12/300) are indistinguishable from the corresponding IRRs and current BRPs. The candidate preparations 13/148 and 12/300 were adopted by the Ph. Eur. Commission as Immunoglobulin (anti-D antibodies test) BRP batch 2 and Immunoglobulin (anti-D antibodies test negative control) BRP batch 2 with nominal haemagglutination titres of 8 and <2, respectively. The same materials were also adopted as NIBSC and US FDA reference preparations, thus ensuring full harmonisation.
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  • 文章类型: Journal Article
    散装罐乳中蓝舌病的血清学监测是一种有效且具有成本效益的方法,可在未接种疫苗的游离地区早期检测蓝舌病病毒的入侵。此外,标准化和可靠的试剂的可用性以及具有高灵敏度和特异性的完善的诊断程序对于监测目的至关重要.然而,没有可用的散装罐奶蓝舌病毒血清学监测参考材料。这项研究显示了在官方实验室中实施市售蓝舌乳ELISA测试的参考材料的生产和表征,以及评估增加抗体水平低的样品灵敏度的程序。这个程序,基于牛奶蛋白质浓度,使我们能够显著提高ELISA测试的分析灵敏度,这对来自牛群内流行率低的农场的牛奶样品或散装罐牛奶样品池很有用。这里生产的标准化牛奶参考材料,以及提高分析灵敏度的评估程序,可以作为工具,以确保在蓝舌未接种疫苗的免费地区的官方实验室进行准确的诊断。
    The serological surveillance of bluetongue in bulk tank milk is an efficient and cost-effective method for the early detection of bluetongue virus incursions in unvaccinated free areas of the disease. In addition, the availability of standardized and reliable reagents and refined diagnostic procedures with high sensitivity and specificity are essential for surveillance purposes. However, no available reference materials for bluetongue virus serological surveillance in bulk tank milk exist. This study shows the production and characterization of reference material for the implementation of a commercially available bluetongue milk ELISA test in official laboratories, as well as the evaluation of a procedure to increase the sensitivity in samples with low levels of antibodies. This procedure, based on milk protein concentration, allowed us to notably increase the ELISA test\'s analytical sensitivity, which is useful for milk samples from farms with low within-herd prevalence or pools of bulk tank milk samples. The standardized milk reference material produced here, together with the evaluated procedure to improve analytical sensitivity, could be applied as tools to ensure an accurate diagnosis by official laboratories in bluetongue unvaccinated free areas.
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  • 文章类型: Journal Article
    EuroBioTox联盟生产了蓖麻毒素(CRM-LS-1)的认证参考材料,以标准化该生物毒素的分析。这项研究建立了蓖麻毒素CRM-LS-1的N-聚糖结构和比例,包括其基因座和占有率。将聚糖谱与来自不同制剂和其他品种和同工型的蓖麻毒素进行了比较。在CRM-LS-1中鉴定出总共15种不同的寡聚体或寡聚体结构。毛甘露糖主要存在于A链内,而寡甘露糖构成B链的主要聚糖类型。此外,阐明了新的一级结构变体E138和D138和A链的四个不同的C末端以及两个B链变体V250和F250。虽然所有品种的CRM-LS-1和蓖麻毒蛋白同工型D和E的所有变体中的聚糖比例和基因座相似,发现了同工型D和E以及氨基酸变体的不同化学计量。蓖麻毒素关于聚糖谱和氨基酸序列变异的这种详细的物理化学表征产生了对这种蛋白质毒素的分子特征的前所未有的了解。在不同品种中发现的可变属性呈现特征基序,并可能允许区分生物毒素的起源,这在分子法医分析中很重要。总之,我们深入的CRM-LS-1表征数据结合对其他品种的分析,对于已知的蓖麻毒素变体具有代表性.
    A certified reference material of ricin (CRM-LS-1) was produced by the EuroBioTox consortium to standardise the analysis of this biotoxin. This study established the N-glycan structures and proportions including their loci and occupancy of ricin CRM-LS-1. The glycan profile was compared with ricin from different preparations and other cultivars and isoforms. A total of 15 different oligomannosidic or paucimannosidic structures were identified in CRM-LS-1. Paucimannose was mainly found within the A-chain and oligomannose constituted the major glycan type of the B-chain. Furthermore, the novel primary structure variants E138 and D138 and four different C-termini of the A-chain as well as two B-chain variants V250 and F250 were elucidated. While the glycan proportions and loci were similar among all variants in CRM-LS-1 and ricin isoforms D and E of all cultivars analysed, a different stoichiometry for isoforms D and E and the amino acid variants were found. This detailed physicochemical characterization of ricin regarding the glycan profile and amino acid sequence variations yields unprecedented insight into the molecular features of this protein toxin. The variable attributes discovered within different cultivars present signature motifs and may allow discrimination of the biotoxin\'s origin that are important in molecular forensic profiling. In conclusion, our data of in-depth CRM-LS-1 characterization combined with the analysis of other cultivars is representative for known ricin variants.
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  • 文章类型: Journal Article
    菠菜(Spinaciaoleracea)是世界上最著名的蔬菜之一,富含各种健康益处的必需代谢产物。它是一种有潜力成为营养食品的有价值的植物来源。本研究旨在评估单一特征标记化合物,以建立HPLC-DAD方法的验证,该方法适用于使用菠菜样品开发营养食品。通过LC-Q-TOF/MS分析从菠菜样品如冻干菠菜(FDS)和菠菜提取物浓缩物(SEC)中鉴定出六种代谢物(1-6)。在六种代谢物中,3\',4\',5-三羟基-3-甲氧基-6,7-亚甲基二氧黄酮4'-葡糖苷酸(TMG)因其最高的丰度和高选择性而被选择为标记化合物。特异性,准确度,线性度精度,重复性,检测限(LOD),根据AOAC国际指南验证了菠菜样品(FDS和SEC)中TMG的定量限(LOQ)。通过在基峰强度(BPI)和紫外(UV)色谱图中监测标记化合物与菠菜样品的其他化合物的良好分离来确认特异性。TMG的校准曲线(15.625~500μg/mL)与LOD和LOQ值具有合理的线性关系(R2=0.999),分别。TMG的回收率对于FDS为93-101%,对于SEC为90-95%。日内和日间的精度分别小于3%和6%。因此,菠菜样品中TMG的HPLC-DAD验证方法(FDS和SEC)首先是根据AOAC和KFDA法规建立的,用于批准功能性食品中的功能性成分。
    Spinach (Spinacia oleracea) is one of the most famous vegetables worldwide, rich in essential metabolites for various health benefits. It is a valuable plant source that has the potential to be a nutraceutical. This study aimed to evaluate the single characteristic marker compound to establish the validation of HPLC-DAD methods applied to the development of a nutraceutical using spinach samples. Six metabolites (1-6) were identified from the spinach samples such as freeze-dried spinach (FDS) and spinach extract concentrate (SEC) by LC-Q-TOF/MS analysis. Among the six metabolites, 3\',4\',5-trihydroxy-3-methoxy-6,7-methylenedioxyflavone 4\'-glucuronide (TMG) was selected as a marker compound due to its highest abundance and high selectivity. The specificity, accuracy, linearity, precision, repeatability, limit of detection (LOD), and limit of quantification (LOQ) of TMG in the spinach samples (FDS and SEC) were validated according to AOAC international guideline. The specificity was confirmed by monitoring the well separation of the marker compound from other compounds of spinach samples in the base peak intensity (BPI) and ultraviolet (UV) chromatogram. The calibration curve of TMG (15.625~500 μg/mL) had reasonable linearity (R2 = 0.999) considered with LOD and LOQ values, respectively. Recovery rate of TMG was 93-101% for FDS and 90-95% for SEC. The precision was less than 3 and 6% in the intraday and interday. As a result, the HPLC-DAD validation method of TMG in the spinach samples (FDS and SEC) was first established with AOAC and KFDA regulations for approving functional ingredients in functional foods.
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  • 文章类型: Journal Article
    背景:癌症疫苗的探索已经产生了大量的研究,导致不同的信息收集。癌症疫苗数据的异质性严重阻碍了有效的整合和分析。虽然CanVaxKB是670多种手动注释癌症疫苗的开创性数据库,区分数据库很重要,靠自己,不提供本体中的结构化关系和标准化定义。认识到这一点,我们扩大了疫苗本体论(VO),包括CanVaxKB中最初未涵盖的癌症疫苗,增强VO系统定义和关联癌症疫苗的能力。
    结果:首先开发了一种本体设计模式(ODP),并将其应用于语义表示各种癌症疫苗,捕获其关联的实体和关系。通过应用ODP,我们生成了表格格式的癌症疫苗模板,并将其转换为RDF/OWL格式,用于生成VO中的癌症疫苗术语.“12MP疫苗”被用作癌症疫苗的实例以证明ODP的应用。VO还重用参考本体术语来表示诸如癌症疾病和疫苗宿主等实体。开发了描述逻辑(DL)和SPARQL查询脚本,用于根据不同疫苗的特征查询癌症疫苗,并证明了VO表示的多功能性。此外,本体论建模用于说明癌症疫苗相关概念和研究,以进行深入的癌症疫苗分析。癌症疫苗特异性VO视图,称为“CVO,“生成了\”,它包含928类,包括704种癌症疫苗。CVOOWL文件可在http://purl上公开获得。obolibrary.org/obo/vo/cvo.猫头鹰,用于共享和应用程序。
    结论:为了促进标准化,一体化,和癌症疫苗数据分析,我们将疫苗本体论(VO)扩展到系统建模和代表癌症疫苗.我们还开发了一个管道,以自动将癌症疫苗和相关术语纳入VO。这不仅丰富了数据的标准化和集成化,而且还利用本体论建模来加深对癌症疫苗信息的分析,为研究人员和临床医生带来最大利益。
    背景:VO-cancerGitHub网站是:https://github.com/vaccineontology/VO/tree/master/CVO。
    BACKGROUND: The exploration of cancer vaccines has yielded a multitude of studies, resulting in a diverse collection of information. The heterogeneity of cancer vaccine data significantly impedes effective integration and analysis. While CanVaxKB serves as a pioneering database for over 670 manually annotated cancer vaccines, it is important to distinguish that a database, on its own, does not offer the structured relationships and standardized definitions found in an ontology. Recognizing this, we expanded the Vaccine Ontology (VO) to include those cancer vaccines present in CanVaxKB that were not initially covered, enhancing VO\'s capacity to systematically define and interrelate cancer vaccines.
    RESULTS: An ontology design pattern (ODP) was first developed and applied to semantically represent various cancer vaccines, capturing their associated entities and relations. By applying the ODP, we generated a cancer vaccine template in a tabular format and converted it into the RDF/OWL format for generation of cancer vaccine terms in the VO. \'12MP vaccine\' was used as an example of cancer vaccines to demonstrate the application of the ODP. VO also reuses reference ontology terms to represent entities such as cancer diseases and vaccine hosts. Description Logic (DL) and SPARQL query scripts were developed and used to query for cancer vaccines based on different vaccine\'s features and to demonstrate the versatility of the VO representation. Additionally, ontological modeling was applied to illustrate cancer vaccine related concepts and studies for in-depth cancer vaccine analysis. A cancer vaccine-specific VO view, referred to as \"CVO,\" was generated, and it contains 928 classes including 704 cancer vaccines. The CVO OWL file is publicly available on: http://purl.obolibrary.org/obo/vo/cvo.owl , for sharing and applications.
    CONCLUSIONS: To facilitate the standardization, integration, and analysis of cancer vaccine data, we expanded the Vaccine Ontology (VO) to systematically model and represent cancer vaccines. We also developed a pipeline to automate the inclusion of cancer vaccines and associated terms in the VO. This not only enriches the data\'s standardization and integration, but also leverages ontological modeling to deepen the analysis of cancer vaccine information, maximizing benefits for researchers and clinicians.
    BACKGROUND: The VO-cancer GitHub website is: https://github.com/vaccineontology/VO/tree/master/CVO .
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  • 文章类型: English Abstract
    OBJECTIVE: To assess the adequacy of linear function of calibration according to GOST R ISO 11095-2007 for ethanol mass concentration measurement using internal reference materials (RMs).
    METHODS: An experiment on calibration in accordance with the GOST R ISO 11095-2007 National standard of the RF was carried out using internal RMs, namely aqueous solutions of ethanol at different concentrations. Measurements were performed for two subbands of ethanol concentrations at RMs: 0.15-1.05 and 1.0-7.0 mg/ml - according to the certified methodology.
    RESULTS: The graphs of the calibration\'s functions based on experimental data are consistent with the assumption of the calibration function\'s linearity, as well as the assumption of the standard deviation\'s constance of residues is equitable for two subbands of RMs.
    CONCLUSIONS: Proven linear models in the calibration experiment may be recommended for use in the ethanol mass concentration measurement.
    UNASSIGNED: Оценка адекватности линейной функции калибровки по ГОСТ Р ИСО 11095-2007 для измерения массовой концентрации этанола с применением внутренних образцов сравнения (Reference Material, RM).
    UNASSIGNED: Проведен эксперимент по калибровке в соответствии с Национальным стандартом РФ ГОСТ Р ИСО 11095-2007 с применением внутренних RM — водных растворов этанола в разных концентрациях. Измерения выполняли для двух поддиапазонов концентраций этанола на RM: 0,15—1,05 и 1,0—7,0 мг/мл — в соответствии с аттестованной методикой.
    UNASSIGNED: Графики функций калибровки, построенные по экспериментальным данным, согласуются с предположением о линейности функции калибровки, а также предположение о постоянстве стандартного отклонения остатков является справедливым для двух поддиапазонов RM.
    UNASSIGNED: Подтвержденные линейные модели в ходе эксперимента по калибровке могут быть рекомендованы к применению на практике для измерения массовой концентрации этанола.
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  • 文章类型: Journal Article
    背景:氯化石蜡(CPs)是由于其毒性而被归类为持久性有机污染物的工业化学品,坚持和倾向于远距离运输,生物累积和生物放大。尽管几十年来一直是环境关注的主题,CP的分析方法仍然难以达到足够的准确性。在对CP量化产生负面影响的问题中,缺乏完善的标准,作为纯物质和基质(认证)参考材料(CRM),发挥了重要作用。这项研究的重点是提供矩阵CRM作为质量控制工具,以提高CP测量结果的可比性。
    结果:我们介绍了ERM®-CE100的认证过程,这是第一种具有短链和中链氯化石蜡质量分数认证值的鱼类参考材料(短链氯化石蜡和MCCP,分别)。认证是根据ISO17034:2016和ISO指南35:2017进行的,价值分配步骤是通过对具有CP分析能力的实验室进行比较,并根据不同的分析原理应用程序。在确认CRM的同质性和稳定性后,为短链氯化石蜡分配了两个认证值,取决于使用的校准物:31±9μgkg-1和23±7μgkg-1。MCCP认证值为44±17μgkg-1。所有指定的值都是相对于CRM中的湿重,该CRM是作为鱼酱生产的,以增强与常规生物群样品的相似性。
    鱼组织ERM-CE100是第一个商业上可用于分析CP的矩阵CRM,使分析实验室能够提高测量的准确性和计量可追溯性。认证的CP值基于气相和液相色谱以及各种质谱技术获得的结果,因此,为使用不同分析方法和设备的实验室提供了广泛的有效性。
    BACKGROUND: Chlorinated paraffins (CPs) are industrial chemicals categorised as persistent organic pollutants because of their toxicity, persistency and tendency to long-range transport, bioaccumulation and biomagnification. Despite having been the subject of environmental attention for decades, analytical methods for CPs still struggle reaching a sufficient degree of accuracy. Among the issues negatively impacting the quantification of CPs, the unavailability of well-characterised standards, both as pure substances and as matrix (certified) reference materials (CRMs), has played a major role. The focus of this study was to provide a matrix CRM as quality control tool to improve the comparability of CPs measurement results.
    RESULTS: We present the process of certification of ERM®-CE100, the first fish reference material assigned with certified values for the mass fraction of short-chain and medium-chain chlorinated paraffins (SCCPs and MCCPs, respectively). The certification was performed in accordance with ISO 17034:2016 and ISO Guide 35:2017, with the value assignment step carried out via an intercomparison of laboratories of demonstrated competence in CPs analysis and applying procedures based on different analytical principles. After confirmation of the homogeneity and stability of the CRM, two certified values were assigned for SCCPs, depending on the calibrants used: 31 ± 9 μg kg-1 and 23 ± 7 μg kg-1. The MCCPs certified value was established as 44 ± 17 μg kg-1. All assigned values are relative to wet weight in the CRM that was produced as a fish paste to enhance similarity to routine biota samples.
    UNASSIGNED: The fish tissue ERM-CE100 is the first matrix CRM commercially available for the analysis of CPs, enabling analytical laboratories to improve the accuracy and the metrological traceability of their measurements. The certified CPs values are based on results obtained by both gas and liquid chromatography coupled with various mass spectrometric techniques, offering thus a broad validity to laboratories employing different analytical methods and equipment.
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  • 文章类型: Journal Article
    实时定量PCR(qRT-PCR)已广泛应用于鱼类基因表达的研究,准确的归一化至关重要。在这项研究中,我们的目的是鉴定各种组织中最稳定表达的基因,不同的发育阶段,和虾青素治疗组中的Lutjanus红翅目。十二个候选基因(EEF1A,CYB5R3,DLD,IDH3A,通过qRT-PCR检查MRPL17,MRPL43,NDUFS7,PABPC1,PAGR1,PFDN2,PSMC3和RAB10)。我们使用geNorm和NormFinder来评估它们的稳定性。结果表明,RAB10和PFDN2在不同组织和虾青素治疗组中表现出相对稳定的表达模式,而NDUFS7和MRPL17被证明是各个发育阶段中最可靠的参考基因组合。通过评估两个靶基因的表达进一步验证了这些选择的基因的稳定性,CRADD和CAPNS1,跨越发展阶段,增强NDUFS7的可靠性,因为它在这些阶段与全转录组表达模式密切相关。本研究结果将有助于研究人员在今后的黄翅目qRT-PCR分析中获得更准确的结果。
    Quantitative real-time PCR (qRT-PCR) has been widely employed for the study of gene expression in fish, and accurate normalization is crucial. In this study, we aimed to identify the most stably expressed genes in various tissues, different developmental stages, and within astaxanthin treatment groups in Lutjanus erythropterus. Twelve candidate genes (EEF1A, CYB5R3, DLD, IDH3A, MRPL17, MRPL43, NDUFS7, PABPC1, PAGR1, PFDN2, PSMC3, and RAB10) were examined via qRT-PCR. We employed geNorm and NormFinder to assess their stability. The results revealed that RAB10 and PFDN2 exhibited relatively stable expression patterns across different tissue and astaxanthin treatment groups, while NDUFS7 and MRPL17 proved to be the most reliable reference gene combinations across various developmental stages. The stability of these selected genes was further validated by assessing the expression of two target genes, CRADD and CAPNS1, across developmental stages, reinforcing the reliability of NDUFS7 as it closely aligned with transcriptome-wide expression patterns at these stages. The present results will help researchers to obtain more accurate results in future qRT-PCR analysis in L. erythropterus.
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  • 文章类型: Journal Article
    背景:结核病(TB)患病率调查中患病率和诊断测试准确性的估计存在参考标准和验证偏差。前者归因于用于细菌学确认结核病的不完善的参考测试。后者仅在选择对任何TB相容症状或胸部X射线异常进行筛查呈阳性的参与者进行细菌学测试(验证)时发生。贝叶斯潜在类别分析(LCA)减轻了参考标准偏倚,但在结核病患病率调查中存在验证偏倚。这项工作旨在确定最佳实践方法,以同时减轻结核病患病率调查中肺结核患病率和诊断测试性能估计中的参考标准和验证偏差。
    方法:我们在夸祖鲁-纳塔尔省农村地区进行了一项基于社区的多发病率筛查研究,对9869名年龄≥15岁的参与者进行了二次分析,南非(Vukuzazi研究)。参与者有资格使用XpertUltra和培养进行细菌学测试,如果他们报告了任何主要的TB症状或胸部X光检查异常。我们以五种方式进行了贝叶斯LCA来处理未经验证的个体:(I)完整案例分析,(Ii)分析假设未经验证的个体如果进行细菌学测试将呈阴性,(iii)分析多重估算的数据集,并通过链式方程(MICE)对未验证的个体进行缺失的细菌学测试结果的估算,并在分析模型中同时填补缺失的细菌学测试结果,假设缺失的细菌学测试结果是(iv)随机缺失(MAR),和(v)非随机缺失(MNAR)。我们将(i)-(iii)的结果与基于XpertUltra和培养物的复合参考标准(CRS)的分析进行了比较。通过模拟,总体真实患病率为2.0%,我们评估了模型同时缓解两种偏差的能力.
    结果:基于模拟,在假设缺失数据为MAR和MNAR的情况下,同时对缺失的细菌学测试结果进行贝叶斯LCA,从而减轻了参考标准和验证偏差。基于CRS的分析和贝叶斯LCA假设未验证的结核病为阴性,只有当真正的总体患病率<3.0%时,才能减轻偏见。完整案例分析产生了有偏差的估计。在Vukuzazi研究中,在MAR和MNAR假设下,同时对缺失的细菌学测试结果进行贝叶斯LCA,产生的总体PTB患病率分别为0.9%(95%可信间隔(CrI):0.6-1.9)和0.7%(95%CrI:0.5-1.1),以及总体诊断测试灵敏度和特异性的实际估计,与95%CrI重叠。基于CRS的分析和BayesianLCA假设未验证的TB为阴性,分别产生0.7%(95%CrI:0.5-0.9)和0.7%(95%CrI:0.5-1.2)的总体PTB患病率,并具有总体诊断的现实估计测试灵敏度和特异性。与基于CRS的分析不同,使用MICE的多重估算数据的贝叶斯LCA减轻了这两种偏见。
    结论:研究结果表明,这些先进技术在减轻参考标准和验证偏差方面的有效性,增强社区筛查计划的稳健性。在现实的假设下,将缺失值估算为细菌学测试的阴性是合理的。
    BACKGROUND: Estimation of prevalence and diagnostic test accuracy in tuberculosis (TB) prevalence surveys suffer from reference standard and verification biases. The former is attributed to the imperfect reference test used to bacteriologically confirm TB disease. The latter occurs when only the participants screening positive for any TB-compatible symptom or chest X-ray abnormality are selected for bacteriological testing (verification). Bayesian latent class analysis (LCA) alleviates the reference standard bias but suffers verification bias in TB prevalence surveys. This work aims to identify best-practice approaches to simultaneously alleviate the reference standard and verification biases in the estimates of pulmonary TB prevalence and diagnostic test performance in TB prevalence surveys.
    METHODS: We performed a secondary analysis of 9869 participants aged ≥15 years from a community-based multimorbidity screening study in a rural district of KwaZulu-Natal, South Africa (Vukuzazi study). Participants were eligible for bacteriological testing using Xpert Ultra and culture if they reported any cardinal TB symptom or had an abnormal chest X-ray finding. We conducted Bayesian LCA in five ways to handle the unverified individuals: (i) complete-case analysis, (ii) analysis assuming the unverified individuals would be negative if bacteriologically tested, (iii) analysis of multiply-imputed datasets with imputation of the missing bacteriological test results for the unverified individuals using multivariate imputation via chained equations (MICE), and simultaneous imputation of the missing bacteriological test results in the analysis model assuming the missing bacteriological test results were (iv) missing at random (MAR), and (v) missing not at random (MNAR). We compared the results of (i)-(iii) to the analysis based on a composite reference standard (CRS) of Xpert Ultra and culture. Through simulation with an overall true prevalence of 2.0%, we evaluated the ability of the models to alleviate both biases simultaneously.
    RESULTS: Based on simulation, Bayesian LCA with simultaneous imputation of the missing bacteriological test results under the assumption that the missing data are MAR and MNAR alleviate the reference standard and verification biases. CRS-based analysis and Bayesian LCA assuming the unverified are negative for TB alleviate the biases only when the true overall prevalence is <3.0%. Complete-case analysis produced biased estimates. In the Vukuzazi study, Bayesian LCA with simultaneous imputation of the missing bacteriological test results under the MAR and MNAR assumptions produced overall PTB prevalence of 0.9% (95% Credible Interval (CrI): 0.6-1.9) and 0.7% (95% CrI: 0.5-1.1) respectively alongside realistic estimates of overall diagnostic test sensitivity and specificity with substantially overlapping 95% CrI. The CRS-based analysis and Bayesian LCA assuming the unverified were negative for TB produced 0.7% (95% CrI: 0.5-0.9) and 0.7% (95% CrI: 0.5-1.2) overall PTB prevalence respectively with realistic estimates of overall diagnostic test sensitivity and specificity. Unlike CRS-based analysis, Bayesian LCA of multiply-imputed data using MICE mitigates both biases.
    CONCLUSIONS: The findings demonstrate the efficacy of these advanced techniques in alleviating the reference standard and verification biases, enhancing the robustness of community-based screening programs. Imputing missing values as negative for bacteriological tests is plausible under realistic assumptions.
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  • 文章类型: Journal Article
    探索稳定表达的基因作为参考对于从小细胞外囊泡(sEV)分离的miRNA的准确评估至关重要。在这项研究中,我们分析了训练数据集中血浆sEVmiRNA的小RNA测序(n=104),发现miR-140-3p是sEVmiRNA表达最稳定的候选参考.我们进一步证明,与其他两个参考miRNA相比,miR-140-3p在验证队列(n=46)中表达最稳定。miR-451a和miR-1228-3p,和常用的miRNA参考U6。最后,我们通过评估肺癌患者中关键miRNA的表达,比较了miR-140-3p和U6作为sEVmiRNA表达内参的能力,发现miR-140-3p更适合作为sEVmiRNA内参基因.一起来看,我们的数据表明miR-140-3p是血浆sEV的稳定内部参考miRNA,用于评估肺癌患者的miRNA表达谱.
    Exploration of a stably expressed gene as a reference is critical for the accurate evaluation of miRNAs isolated from small extracellular vesicles (sEVs). In this study, we analyzed small RNA sequencing on plasma sEV miRNAs in the training dataset (n = 104) and found that miR-140-3p was the most stably expressed candidate reference for sEV miRNAs. We further demonstrated that miR-140-3p expressed most stably in the validation cohort (n = 46) when compared to two other reference miRNAs, miR-451a and miR-1228-3p, and the commonly-used miRNA reference U6. Finally, we compared the capability of miR-140-3p and U6 as the internal reference for sEV miRNA expression by evaluating key miRNAs expression in lung cancer patients and found that miR-140-3p was more suitable as a sEV miRNA reference gene. Taken together, our data indicated miR-140-3p as a stable internal reference miRNA of plasma sEVs to evaluate miRNA expression profiles in lung cancer patients.
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