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Shotgun-proteomics-based clinical testing for diagnosis and classification of amyloidosis

机译:基于弹蛋白质组学的临床测试对淀粉样变性病的诊断和分类

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摘要

Shotgun proteomics technology has matured in the research laboratories and is poised to enter clinical laboratories. However, the road to this transition is sprinkled with major technical unknowns such as long-term stability of the platform, reproducibility of the technology and clinical utility over traditional antibody-based platforms. Further, regulatory bodies that oversee the clinical laboratory operations are unfamiliar with this new technology. As a result, diagnostic laboratories have avoided using shotgun proteomics for routine diagnostics. In this perspectives article, we describe the clinical implementation of a shotgun proteomics assay for amyloid subtyping, with a special emphasis on standardizing the platform for better quality control and earning clinical acceptance. This assay is the first shotgun proteomics assay to receive regulatory approval for patient diagnosis. The blueprint of this assay can be utilized to develop novel proteomics assays for detecting numerous other disease pathologies.
机译:gun弹枪蛋白质组学技术已在研究实验室中成熟,并准备进入临床实验室。但是,这种过渡之路充满了主要的技术未知因素,例如平台的长期稳定性,技术的可再现性以及与基于传统抗体的平台相比的临床实用性。此外,监督临床实验室操作的监管机构不熟悉这项新技术。结果,诊断实验室避免了使用shot弹枪蛋白质组学进行常规诊断。在此观点文章中,我们描述了用于淀粉样蛋白亚型的shot弹枪蛋白质组学测定法的临床实施,特别着重于标准化平台以实现更好的质量控制并赢得临床认可。该测定法是第一种获得监管机构批准用于患者诊断的shot弹枪蛋白质组学测定法。该测定法的蓝图可用于开发新颖的蛋白质组学测定法,以检测多种其他疾病。

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