A controlled evaluation of filter paper use during staining of sputum smears for tuberculosis microscopy.

Background: Some sputum smear microscopy protocols recommend placing filter paper over sputum smears during staining for Mycobacterium tuberculosis (TB) . We found no published evidence assessing whether this is beneficial. We aimed to evaluate the effect of filter paper on sputum smear microscopy results. Methods: Sputum samples were collected from 30 patients with confirmed pulmonary TB and 4 healthy control participants. From each sputum sample, six smears (204 smears in total) were prepared for staining with Ziehl-Neelsen (ZN), auramine or viability staining with fluorescein diacetate (FDA). Half of the slides subjected to each staining protocol were randomly selected to have Whatman grade 3 filter paper placed over the dried smears prior to stain application and removed prior to stain washing. The counts of acid-fast bacilli (AFB) and precipitates per 100 high-power microscopy fields of view, and the proportion of smear that appeared to have been washed away were recorded. Statistical analysis used a linear regression model adjusted by staining technique with a random effects term to correct for between-sample variability.   Results: The inclusion of filter paper in the staining protocol significantly decreased microscopy positivity independent of staining with ZN, auramine or FDA (p=0.01). Consistent with this finding, there were lower smear grades in slides stained using filter paper versus without (p=0.04), and filter paper use reduced AFB counts by 0.28 logarithms (95% confidence intervals, CI=0.018, 0.54, p=0.04) independent of staining technique. In all analyses, auramine was consistently more sensitive with higher AFB counts versus ZN (p=0.001), whereas FDA had lower sensitivity and lower AFB counts (p<0.0001). Filter paper use was not associated with the presence of any precipitate (p=0.5) or the probability of any smear washing away (p=0.6) during the staining process. Conclusions: Filter paper reduced the sensitivity of AFB microscopy and had no detectable beneficial effects so is not recommended.

Exploring Contact Toxicity of Essential Oils against Sitophilus zeamais through a Meta-Analysis Approach.

Sitophilus zeamais is a primary pest of maize. Our aim was to perform a qualitative review and meta-analyses with 56 scientific articles published from 1 January 2000 to 1 October 2022 dealing with direct (topical application) and indirect (impregnation of essential oils, EOs, onto filter paper or maize grains) contact toxicity of EOs against S. zeamais. Three independent meta-analyses of single means of LD50 (direct contact) and LC50 (indirect contact) were conducted using a random effect model. Essential oils more frequently evaluated were those belonging to Asteraceae, Apiaceae, Lamiaceae, Myrtaceae, Piperaceae, and Rutaceae. The LC50 global mean values were 33.19 µg/insect (CI95 29.81-36.95) for topical application; 0.40 µL/cm2 (CI95 0.25-0.65) for filter paper indirect contact; and 0.50 µL/g maize (CI95 0.27-0.90) for maize grains indirect contact. The species Carum carvi, Salvia umbratica, Ilicium difengpi, Periploca sepium, Cephalotaxus sinensis, Murraya exotica, Rhododendron anthopogonoides, Ruta graveolens, Eucalyptus viminalis, Ocotea odorifera, Eucalyptus globulus, Eucalyptus dunnii, Anethum graveolens, Ilicium verum, Cryptocarya alba, Azadirachta indica, Chenopodium ambrosioides, Cupressus semperivens, Schinus molle, Piper hispidinervum, Mentha longifolia, and Croton pulegiodorus showed LC50 or LD50 values lower than the global means, indicating good insecticidal properties. Our results showed that EOs have great potential to be used as bioinsecticides against S. zeamais.

Evaluation of filter paper to transport oro/nasopharyngeal samples to detect SARS-CoV-2 by RT-qPCR.

PURPOSE: To evaluate filter paper as a means to transport oro/nasopharyngeal samples from laboratories with few resources for SARS-CoV-2 detection by RT-qPCR in a central laboratory that usually performs this technique as routine. METHODS: A total of 40 specimens were evaluated in parallel by RT-qPCR carried out after RNA extraction using two different protocols: direct RNA extraction (Protocol A - reference method) and RNA extraction after impregnation in filter paper (Protocol B). RESULTS: The RT-qPCR for SARS-CoV-2 using Protocol B presented 97.22% (35/36) of agreement for SARS-CoV-2-positive samples when compared to the reference method (Protocol A), even for specimens with low viral load (increased Ct values). Noteworthy, three clinical specimens which were categorized as inconclusive by Protocol A presented amplification of both N1 and N2 targets using Protocol B, presenting positive results for SARS-CoV-2. CONCLUSION: The use of filter paper to transport oro/nasopharyngeal clinical samples presented very satisfactory results to detect SARS-CoV-2 by RT-qPCR. In addition, it proved to be a feasible and sensitive approach, being able to generate the detection of SARS-CoV-2 even at low concentrations, without presenting false-negative results.

Evaluation of filter paper as a means of transporting inactivated Gram-negative non-fermentative bacteria and Haemophilus spp. for identification using the MALDI-TOF MS system.

This study aimed to evaluate the filter paper as a means to transport inactivated Gram-negative non-fermentative (GNNF) bacteria and Haemophilus spp. for analysis using MALDI-TOF MS. A total of 133 isolates were evaluated and the analysis of each isolate was performed directly from original bacterial colony and in filter paper after the processing. To evaluate the agreement between the identification performed directly from the colony and after impregnation in filter paper, we assign the scores: >2·3 as excellent (E); 2·0 to 2·3 as very good (VG); 1·7-1·99 as good (G); <1·7 as unidentified (U). The divergences were classified as: Minor Divergence, Intermediate Divergence and Major Divergence. A total of 80 isolates transported in the filter paper disks presented full category concordance; 39 isolates presented Minor Divergence; 4 isolates present Intermediate Divergence; 4 isolates present Major Divergence and 6 isolates present better results after impregnation in filter paper. The proposed methodology of bacteria transportation presented a sensitivity of 96·9% and a specificity of 100%. The filter paper as a means to transport and storage of inactivated GNNF and Haemophilus spp. may be considered a potential tool for faster, more accurate, biosafe and less-expensive identification.

Evaluation of the use of dry blood spots for progesterone determination in ewes / Avaliação do uso de manchas secas de sangue para dosagem de progesterona em ovinos

The use of dried blood spots on filter paper has been shown to be a practical alternative in several studies with humans and animals, enabling a simple means of storing and transporting viable blood samples for various laboratory analyses. However, its applicability in the measurement of progesterone in animals is scarce. Thus, the objective of this study was to evaluate the feasibility of using dried blood spots for the measurement of progesterone in sheep. In total, 38 blood samples from 6 sheep were dripped onto filter paper, and the remainder of each sample was separated into serum. The progesterone levels in the serum samples and in the dry drops were measured by enzyme immunoassay and subsequently correlated. The levels of progesterone in the serum and dry spots showed a high correlation between the matrices (R2 = 0.9694). In conclusion, this study demonstrated the feasibility of using samples of dried sheep blood spots for the measurement of progesterone, and the storage and transport technique can be applied in the field.

O uso de manchas secas de sangue em papel filtro tem se demonstrado uma alternativa prática em vários estudos com humanos e animais, possibilitando um meio simples de armazenamento e transporte de amostras de sangue viáveis para várias análises laboratoriais. Entretanto, sua aplicabilidade na dosagem de progesterona em animais é escassa. Deste modo, o objetivo deste estudo foi avaliar a viabilidade do uso de manchas secas de sangue para a dosagem de progesterona em ovinos. Assim, 38 amostras de sangue de 6 ovelhas foram gotejadas em papel filtro e o restante de cada amostra foi separado o soro. Os níveis de progesterona nas amostras de soro e nas gotas secas foram mensurados por enzimaimunoensaio e posteriormente correlacionados. Os níveis de progesterona no soro e nas manchas secas apresentaram uma alta correlação entre as matrizes (R2=0,9694). Em conclusão, este estudo demonstrou a viabilidade do uso de amostras de manchas secas de sangue de ovino para a dosagem de progesterona, podendo a técnica de armazenamento e transporte ser aplicada a campo.

IgG Avidity in Samples Collected on Filter Paper: Importance of The Early Diagnosis of Congenital Toxoplasmosis / Avidez de IgG em amostras coletadas em papel filtro: Importância no diagnóstico precoce da toxoplasmose congênita

Abstract Objective The purpose of the present study is to standardize and evaluate the use of the immunoglobulin G (IgG) antibody avidity test on blood samples from newborns collected on filter paper to perform the heel test aiming at its implementation in ongoing programs. Methods Blood samples from newborns were collected on filter paper simultaneously with the heel prick test. All samples were subjected to immunoglobulin M IgM and IgG enzyme-linked immunosorbent assays (ELISA). Peripheral blood was collected again in the traditional way and on filter paper from newborns with high IgG levels (33). Three types of techniques were performed, the standard for measuring IgG in serum, adapted for filter paper and the technique of IgG avidity in serum and on filter paper. The results of the avidity test were classified according to the Rahbari protocol. Results Among the 177 samples, 17 were collected in duplicate from the same child, 1 of peripheral blood and 1 on filter paper. In this analysis, 1 (5.88%) of the 17 samples collected in duplicate also exhibited low IgG avidity, suggesting congenital infection. In addition, the results obtained from serum and filter paper were in agreement, that is, 16 (94.12%) samples presented high avidity, with 100% agreement between the results obtained from serum and from filter paper. Conclusion The results of the present study indicate that the avidity test may be another valuable method for the diagnosis of congenital toxoplasmosis in newborns.

Resumo Objetivo O objetivo do presente estudo é padronizar e avaliar a utilização do teste de avidez de anticorpos imunoglobulina G (IgG) em amostras de sangue de recémnascidos (RNs) coletadas em papel filtro para a realização do teste do pezinho visando a implementação nos programas já vigentes. Métodos Foram coletadas amostras de sangue de recém-nascidos em papel filtro simultaneamente ao teste do pezinho. Em todas as amostras, foram realizados os testes imunoenzimáticos (ELISA) imunoglobulina M (IgM) e IgG. Dos RNs que apresentaram altos índices de IgG (33), foi novamente coletado sangue periférico da forma tradicional e em papel filtro. Foram realizadas técnicas padrão para a dosagem de IgG em soro, adaptadas para papel filtro, e a técnica de avidez de IgG em soro e em papel filtro. Os valores obtidos para o teste de avidez foram classificados de acordo com o protocolo de Rahbari. Resultados Dentre as 177 recoletas, em 17 amostras foi realizada a coleta simultânea de sangue periférico e papel filtro da mesma criança. Nesta análise, 1 (5,88%) das 17 amostras coletadas em duplicata obteve também baixa avidez de IgG, sugerindo infecção congênita da criança, e houve concordância entre os resultados obtidos em soro e em papel filtro: 16 (94,12%) das amostras apresentaram alta avidez, com concordância de 100% entre os resultados obtidos em soro e em papel filtro. Conclusão Os dados do presente trabalho evidenciam que o teste de avidez poderá ser mais um método valioso a ser utilizado no diagnóstico da toxoplasmose congênita em RNs.

Evaluation of filter paper to transport inactivated bacteria to detect carbapenem resistance genes by multiplex real-time PCR using high-resolution melting.

Infections caused by resistant microorganisms are a complex global public health challenge, and the way to combat the increase of resistance is the development of more modern and faster techniques for resistance detection. This study aimed to evaluate the transport of inactivated bacteria impregnated in a filter paper disk to detect carbapenem resistance genes by multiplex real-time PCR (qPCR) using high-resolution melting (HRM). A total of 88 isolates of 10 different species of Enterobacterales harboring well-characterized carbapenem resistance genes were evaluated. A full 10-µL loop of fresh growth of bacteria were impregnated in a filter paper disk, which was left at room temperature for 2 days in order to simulate the time spent in transportation. Bacterial inactivation was performed with 70% ethanol at 15 min. Afterwards, the DNA was extracted from the paper disks for further analysis by qPCR HRM. The time of 15 min in 70% ethanol was enough to inactivate all the isolates tested. It was possible to correctly identify the presence of the carbapenem resistance gene by HRM qPCR in 87 isolates (98.87%) that were transported in the filter paper disks. Our results indicated that it is possible to use filter paper to transport inactivated bacteria and to identify carbapenem resistance genes by qPCR HRM. This alternative tends to facilitate the access to this technology by many laboratories which do not have the qPCR equipment.

DNA Recovery Using Ethanol-Based Liquid Medium from FTA Card-Stored Samples for HPV Detection.

INTRODUCTION: Alternative methods of dry storage and transportation may be a viable alternative to the use of liquid storage medium for cervical samples, especially for screening programs in places with few resources. OBJECTIVE: The objective of this study is to verify the viability and efficacy of human papillomavirus DNA (HPV-DNA) detection in cervical cell samples collected and stored on a Flinders Technology Associates (FTA) card (Whatman Indicating FTA® Elute Micro Card) and subsequently recovered in ethanol-based liquid medium and to compare the results to those obtained using samples stored directly in ethanol-based liquid medium. STUDY DESIGN: Thirty-four women submitted to ETZ (excision of the transformation zone of the cervix) were included in this study. Before ETZ, 2 samples of exfoliated cervical cells were collected from each woman by a doctor and stored in ethanol-based liquid medium and on an FTA card. DNA recovery from FTA samples was performed using ethanol-based liquid medium. Detection of HPV-DNA in the samples was performed using the Cobas® 4800 HPV Test Platform. RESULTS AND CONCLUSIONS: The HPV-DNA detection positivity rates were 70.6% for the samples collected directly in liquid medium and 64.7% for the samples stored on the FTA card, with high detection accuracy in the DNA samples recovered from the FTA card (area under the curve = 0.958; 95% confidence interval = 0.890-1.000). The concordance between the results obtained using the 2 storage media was 94.1% (Kappa = 0.866). These preliminary results suggest that collection of cervical material on an FTA card may be an alternative to storage in liquid medium since the liquid medium has some limitations. In addition, DNA recovery from the card using ethanol-based liquid medium streamlines the workflow in the laboratory and reduces the cost associated with reagents, thereby facilitating access to the HPV test in places with few resources and potentially improving cervical cancer screening.

PCR performance for the diagnosis of cutaneous leishmaniasis caused by Leishmania viannia complex using biopsy samples, compared with exudate samples from skin lesions on filter paper.

BACKGROUND: Cutaneous leishmaniasis (CL) is generally diagnosed by molecular methods, including PCR, using biopsy samples, skin scrapings and clinical exudates. In this study, we assessed the PCR performance for diagnosis of CL using skin of biopsy samples vs PCR of skin lesion exudate samples on filter paper and compared the diagnostic concordance of PCR using both sampling methods. METHODS: We assessed the PCR performance using 80 skin biopsy samples and 80 filter paper samples containing exudates from skin lesions obtained from 74 patients with clinical suspicion of CL in Cusco, Peru. RESULTS: : PCR using skin biopsy samples had superior diagnostic accuracy compared with filter paper PCR (62.5% [50/80] vs 38.7% [31/80], respectively; p˂0.005) and the diagnostic concordance between both sampling methods was 'moderate' (kappa coefficient=0.50, 95% CI 0.98 to 1.0). CONCLUSIONS: PCR using biopsy samples remains the standard for diagnosis of CL.

Avaliação de diferentes métodos de preservação do fungo Phoma Dimorpha / Evaluation of different methods of preservation of Phoma dimorpha fungus

Frente a necessidade de preservação e a manutenção de materiais biológicos, dentre eles fungos com potencial para controle biológico, para o desenvolvimento biotecnológico e científico, que vêm ganhando destaque no cenário mundial. Sendo necessário a adequação de métodos de preservação que além de garantia a sobrevivência destes microrganismos permitam a conservação de suas características morfológicas, fisiológicas e genéticas, no entanto, não existe um método ideal ou universal para a conservação de materiais biológicos. Diante desta necessidade o presente trabalho teve como objetivo de avaliar a eficácia e viabilidade de três métodos de preservação de isolados do fungo Phomadimorpha (repicagens periódicas, Castellani e fragmentos de papel-filtro), em dois períodos de avaliação, seis e doze meses após o armazenamento. Estudou-se a eficácia e viabilidade, através do crescimento micelial do fungo em meio de cultivo contendo batata-dextrose-ágar. Houve variabilidade entre os métodos de preservação do isolado do fungo P. dimorpha para o crescimento micelial, eficácia do método e índice de velocidade do crescimento micelial, nos dois períodos de avaliação, após seis e doze meses de armazenamento. O método de preservação em fragmento de papel filtro mostrou-se como o mais eficaz na preservação do isolado do fungo P. dimorpha nos dois períodos de avaliação, após seis e doze meses de armazenamento, sendo ideal para obter o maior o crescimento micelial, eficácia do método e índice de velocidade do crescimento micelial.

Facing the need for preservation and maintenance of biological materials, among them fungi with potential for biological control, for biotechnological and scientific development, which are gaining prominence in the world scenario. It is necessary to adapt preservation methods that besides guaranteeing the survival of these microorganisms allow the conservation of their morphological, physiological and genetic characteristics, however, there is no ideal or universal method for the conservation of biological materials. In view of this need, the present work had the objective of evaluating the efficacy and feasibility of three methods for the preservation of Phoma dimorpha (periodic transfer, Castellani and filter paper fragments) isolates in two evaluation periods, six and twelve months after the storage. Efficacy and viability were studied by mycelial growth of the fungus in a culture medium containing potato-dextrose-agar. There was variability between the preservation methods of the P. dimorpha fungus isolate for mycelial growth, method efficacy and mycelial growth rate index, in the two evaluation periods, after six and twelve months of storage. The filter paper fragment preservation method was the most effective in reserving the P. dimorpha fungus isolate in the two evaluation periods, after six and twelve months of storage, being ideal to obtain the highest mycelial growth, efficacy of the method and mycelial growth rate index.

Avaliação de diferentes métodos de preservação do fungo Phoma Dimorpha / Evaluation of different methods of preservation of Phoma dimorpha fungus

Frente a necessidade de preservação e a manutenção de materiais biológicos, dentre eles fungos com potencial para controle biológico, para o desenvolvimento biotecnológico e científico, que vêm ganhando destaque no cenário mundial. Sendo necessário a adequação de métodos de preservação que além de garantia a sobrevivência destes microrganismos permitam a conservação de suas características morfológicas, fisiológicas e genéticas, no entanto, não existe um método ideal ou universal para a conservação de materiais biológicos. Diante desta necessidade o presente trabalho teve como objetivo de avaliar a eficácia e viabilidade de três métodos de preservação de isolados do fungo Phomadimorpha (repicagens periódicas, Castellani e fragmentos de papel-filtro), em dois períodos de avaliação, seis e doze meses após o armazenamento. Estudou-se a eficácia e viabilidade, através do crescimento micelial do fungo em meio de cultivo contendo batata-dextrose-ágar. Houve variabilidade entre os métodos de preservação do isolado do fungo P. dimorpha para o crescimento micelial, eficácia do método e índice de velocidade do crescimento micelial, nos dois períodos de avaliação, após seis e doze meses de armazenamento. O método de preservação em fragmento de papel filtro mostrou-se como o mais eficaz na preservação do isolado do fungo P. dimorpha nos dois períodos de avaliação, após seis e doze meses de armazenamento, sendo ideal para obter o maior o crescimento micelial, eficácia do método e índice de velocidade do crescimento micelial.(AU)

Facing the need for preservation and maintenance of biological materials, among them fungi with potential for biological control, for biotechnological and scientific development, which are gaining prominence in the world scenario. It is necessary to adapt preservation methods that besides guaranteeing the survival of these microorganisms allow the conservation of their morphological, physiological and genetic characteristics, however, there is no ideal or universal method for the conservation of biological materials. In view of this need, the present work had the objective of evaluating the efficacy and feasibility of three methods for the preservation of Phoma dimorpha (periodic transfer, Castellani and filter paper fragments) isolates in two evaluation periods, six and twelve months after the storage. Efficacy and viability were studied by mycelial growth of the fungus in a culture medium containing potato-dextrose-agar. There was variability between the preservation methods of the P. dimorpha fungus isolate for mycelial growth, method efficacy and mycelial growth rate index, in the two evaluation periods, after six and twelve months of storage. The filter paper fragment preservation method was the most effective in reserving the P. dimorpha fungus isolate in the two evaluation periods, after six and twelve months of storage, being ideal to obtain the highest mycelial growth, efficacy of the method and mycelial growth rate index.(AU)

La impronta como método no invasivo de toma de muestra para el diagnóstico molecular de la leishmaniosis cutánea en población militar de colombia / The imprint as a non-invasive method of sampling for the molecular diagnosis of cutaneous leishmaniasis in colombia's military population / In print como método não invasivo de coleta de amostra para o diagnóstico molecular da leishmaniose cutânea em população militar da colômbia

Resumen Teniendo en cuenta que los métodos tradicionales de toma de muestra y diagnóstico para la leishmaniosis cutánea presentan limitaciones, como el frotis directo, cuya sensibilidad depende de la pericia del profesional, el aspirado de lesión que puede ser usado para detección de parásitos en lámina, su ADN o para cultivos es demorado y exigente, y la biopsia de la lesión que es invasiva y dolorosa se comparó con el método de impronta en papel filtro de la lesión ulcerativa contra el método tradicional de aspirado mediante la técnica de POR convencional utilizando como blanco una región del ADN del kinetoplasto del parásito. En el presente trabajo, la por obtuvo una sensibilidad para impronta del 90,07% comparado con el aspirado, el 86,3%, que, además, por ser un método de toma de muestra no invasivo, con pocas exigencias para el transporte, se puede tomar directamente en el área de operaciones a muy bajo costo, resulta ser beneficioso para ser usado en los pacientes con leishmaniosis cutánea del Ejército Nacional de Colombia, que se encuentran en las diferentes áreas de operaciones.

Abstract Taking into account that the traditional methods of sampling and diagnosis for cutaneous leishmaniasis , have limitations, such as direct smear, whose sensitivity depends on the professional's expertise, the lesion aspiration that can be used to detect parasites in the lamina, DNA or cultures takes a long time and is demanding, and the biopsy of the lesion that is invasive and painful were compared with the imprinting method on the filter paper of the ulcerative lesion against the traditional method of aspiration by means of the conventional PCR technique using as a target a DNA region of the parasite kinetoplast. In this present work, PCR obtained an imprinting sensitivity of 90.07% compared to the aspirate of 86.3%, which, besides being a non-invasive sampling method, with few transport requirements, it can be taken directly in the area of operations at a very low cost, which turns out to be beneficial to be used in patients with cutaneous leishmaniasis of the National Army of Colombia, who are in different operations areas.

Resumo Considerando que os métodos tradicionais de coleta de amostra e diagnóstico para a leishmaniose cutânea apresentam limitações, como exame direto de esfregaços, cuja sensibilidade depende da perícia do profissional, o raspado de lesão que pode ser usado para a detecção de parasitas em lâmina, seu DNA ou para culturas é demorado e exigente, e a biopsia da lesão que é invasiva e dolorosa, comparou-se com o método in print em papel filtro da lesão ulcerativa contra o método tradicional de aspirado mediante a técnica de PCR convencional utilizando como alvo uma região do DNA do cinetoplasto do parasita. No presente trabalho, a PCR obteve uma sensibilidade para in print de 90,07% comparado com o aspirado, 86,3%, que, além disso, por ser um método de coleta de amostra não invasivo, com poucas exigências para o transporte, pode ser coletado diretamente na área de operações a muito baixo custo, resulta ser benéfico para ser usado nos pacientes com leishmaniose cutânea do Exército Nacional da Colômbia, que se encontram nas diferentes áreas de operações.

Optimization of kidney dysfunction prediction in diabetic kidney disease using targeted metabolomics.

AIMS: Metabolomics have been used to evaluate the role of small molecules in human disease. However, the cost and complexity of the methodology and interpretation of findings have limited the transference of knowledge to clinical practice. Here, we apply a targeted metabolomics approach using samples blotted in filter paper to develop clinical-metabolomics models to detect kidney dysfunction in diabetic kidney disease (DKD). METHODS: We included healthy controls and subjects with type 2 diabetes (T2D) with and without DKD and investigated the association between metabolite concentrations in blood and urine with eGFR and albuminuria. We also evaluated performance of clinical, biochemical and metabolomic models to improve kidney dysfunction prediction in DKD. RESULTS: Using clinical-metabolomics models, we identified associations of decreased eGFR with body mass index (BMI), uric acid and C10:2 levels; albuminuria was associated to years of T2D duration, A1C, uric acid, creatinine, protein intake and serum C0, C10:2 and urinary C12:1 levels. DKD was associated with age, A1C, uric acid, BMI, serum C0, C10:2, C8:1 and urinary C12:1. Inclusion of metabolomics increased the predictive and informative capacity of models composed of clinical variables by decreasing Akaike's information criterion, and was replicated both in training and validation datasets. CONCLUSIONS: Targeted metabolomics using blotted samples in filter paper is a simple, low-cost approach to identify outcomes associated with DKD; the inclusion of metabolomics improves predictive capacity of clinical models to identify kidney dysfunction and DKD-related outcomes.

Effects of drying and storage conditions on the stability of TSH in blood spots

ABSTRACT Objective To evaluate the influence of sample drying and storage temperature on TSH stability in neonatal screening. Subjects and methods Blood samples from 29 adult volunteers as a surrogate for neonatal blood (10 with normal TSH, 9 with overt hypothyroid and 10 with subclinical hypothyroidism) were spotted on filter paper and dried at 22°C or 35°C for 3 hours. The samples were then stored at 22°C, -4°C, or -20°C, and TSH measurements were performed at day 0 (D0), D7, D30, D60, D180, and D360 of storage. Results The drying temperature did not interfere with TSH measurement on D0. TSH values remained stable up to D30 when stored at 22°C and were stable up to D60 when stored in a refrigerator or freezer. Samples stored at 22°C had a greater decrease in TSH values than samples stored in a refrigerator or a freezer. Conclusions Freezer storage is not advantageous compared to storage in the refrigerator. At the end of one year, if confirmation of the initial result is required, a reduction of TSH concentrations should be taken into account.

Coupling of the ring-oven-based preconcentration technique and surface-enhanced Raman spectroscopy: Application for the determination of purine bases in DNA.

In this paper, we present the advantages and limitations of the coupling of a ring-oven-based preconcentration technique and surface-enhanced Raman spectroscopy (SERS). Three different methods to promote analyte adsorption on gold nanoparticles using crystal violet as a probe molecule were assessed. The results showed significant improvements in sampling process, selectivity, sensitivity, repeatability (less than ± 10%), and detection limits (nanomolar level) using a sample volume as small as 300 µL. Finally, the standard addition method was successfully applied to the quantitative SERS detection of adenine and guanine in calf thymus DNA after ring-oven preconcentration with a calculated value of (G + C)/(A + T) close to the literature value. This work could therefore pave the way to quantifying a wide variety of biologically relevant compounds in real-world samples via the use of a biodegradable, low-cost and disposable paper platform for SERS.

Toxoplasma gondii survey in cats from two environments of the city of Rio de Janeiro, Brazil by Modified Agglutination Test on sera and filter-paper.

BACKGROUND: Toxoplasma gondii is a protozoan with a worldwide distribution, in warm-blood animals, including humans. Local conditions and environmental disturbances may influence transmission dynamics of a zoonotic agent. This study evaluates the epidemiology of T. gondii based on toxoplasmosis prevalence in two populations of cats living in distinct urbanization conditions in Rio de Janeiro, Brazil. METHODS: Among 372 domestic cats sampled, 265 were from a public shelter located downtown Rio and 107 from a relatively preserved wild environment in a residential area. Sera and eluates from dried blood spots were tested for detection of IgG antibodies against T. gondii by modified agglutination test (MAT). RESULTS: Antibodies to T. gondii were detected in 32/265 (12.08%) animals from the public shelter and in 4/107 (3.74%) cats from the residential area. Identical results were observed for sera and eluates. CONCLUSIONS: Filter paper provides a reliable accurate alternative storage option when conditions of sample collection and transportation in the field are unfavorable. The significantly lower prevalence in the residential area is discussed in terms of environmental, biological and behavioral features.

The Challenge of Diagnosis and Indication for Treatment in Fabry Disease

Abstract Fabry disease, caused by deficient alpha-galactosidase A lysosomal enzyme activity, remains challenging to health-care professionals. Laboratory diagnosis in males is carried out by determination of alpha-galactosidase A activity; for females, enzymatic activity determination fails to detect the disease in about two-thirds of the patients, and only the identification of a pathogenic mutation in the GLA gene allows for a definite diagnosis. The hurdle to be overcome in this field is to determine whether a mutation that has never been described determines a ''classic'' or ''nonclassic'' phenotype, because this will have an impact on the decision-making for treatment initiation. Besides the enzymatic determination and GLA gene mutation determination, researchers are still searching for a good biomarker, and it seems that plasma lyso-Gb3 is a useful tool that correlates to the degree of substrate storage in organs. The ideal time for treatment initiation for children and nonclassic phenotype remains unclear.

Molecular diagnosis of dengue virus infections in samples collected on filter paper / Diagnóstico molecular de infecciones por virus Dengue en muestras colectadas en papel de filtro

Dengue virus infections (DENV) are a severe public health problem due to the high rates of morbidity and mortality involved, and the fact that no clinical treatment or vaccines are available. In order to strengthen the laboratory diagnosis for surveillance systems in tropical countries with low resources, we report an optimized method using filter paper for blood spotting and subsequent molecular diagnosis of DENV serotypes. Control strains of all serotypes, as well as 35 whole blood patient samples dispensed on filter paper, were stored at room temperature for as long as 36 months. RT-PCR of 5’UTR-C fragment was amplified through adapted protocols to diagnose all dengue serotypes. Results showed amplification for all four viral serotypes, including control viral strains and 88.6 % of the samples. These results allowed determining the utility of filter paper for the preservation of samples regularly obtained from patients with clinical suspicion of dengue in settings where low resources do not permit an immediate analysis of the samples. Likewise, this study evidence the possibility of molecular diagnosis of DENV from multiple areas of the world where there are no laboratories with the capacity to confirm DENV cases.

Las infecciones por virus Dengue (DENV) representan un grave problema de salud pública debido a las altas tasas de morbilidad y mortalidad que causan, además no cuentan con tratamiento clínico específico, ni vacuna. Con el fin de reforzar el diagnóstico de laboratorio para los sistemas de vigilancia epidemiológica en países tropicales con recursos económicos limitados, se optimizó una metodología utilizando papel de filtro para la recolección de muestras y el subsiguiente diagnóstico molecular de los serotipos de DENV. Se emplearon cepas controles correspondientes a todos los serotipos virales, así como 35 muestras de sangre total dispensadas en papel de filtro que fueron mantenidas a temperatura ambiente por 36 meses. Las muestras fueron analizadas mediante RT-PCR para la amplificación de la región del genoma correspondiente a 5´UTR-C de los DENV. Los resultados mostraron la amplificación de los mencionados fragmentos en 88,6% de las muestras analizadas, así como de las cepas controles. Estos resultados evidenciaron la utilidad del papel de filtro para conservación de muestras obtenidas de pacientes con sospecha clínica de dengue ubicados en zonas donde no es posible realizar análisis de laboratorio de forma inmediata, así como su uso para el diagnóstico molecular. De este modo se reforzaría la vigilancia en áreas, donde no hay laboratorios con capacidad para confirmar casos de DENV.

Cellophane and filter paper as cellulosic support for silver nanoparticles and its thermal decomposition catalysis.

Silver nanoparticles (AgNPs) have attracted great attention due to its optical, electrical and thermal properties. Cellulosic supports for these nanoparticles are of particular interest because of its availability, flexibility and biocompatibility. In this work, AgNPs were synthesized using two cellulosic materials, cellophane (CP) and filter paper (FP), as matrix support. Cellulosic materials were immersed in an aqueous solution of silver nitrate containing polyvinylpyrrolidone (PVP) and then reduced with hydroxylamine. The obtained nanocomposites (CP-AgNPs and FP-AgNPs) were characterized by Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (DRX) and scanning electron microscopy (SEM). AgNPs of near 15nm anchored onto cellulosic surfaces were detected. The thermal properties of these materials were investigated through thermogravimetry (TG). Their kinetic of thermal decomposition was studied by the Vyasovkin method of dynamic isoconvertion, which indicated a catalytic effect of AgNPs in the cellulose thermal decomposition reaction.

Blood collection on filter paper for HIV antibodies detection: experience of SampaCentro Project / Colheita de sangue em papel filtro para detecção de anticorpos anti-HIV: experiência do Projeto SampaCentro

Introduction: Blood samples collected on filter paper (dried blood spot [DBS]) is an immunoassay that has been used for antibodies screening. Objective: To evaluate the strategy of DBS blood collection for detection of HIV antibodies, evaluation of Q-Preven HIV 1 + 2 - DBS kit lot, and to analyze the stability of DBS samples. Methods: Blood collection on DBS was performed according to World Health Organization (WHO) recommendations. The evaluation of the kit lot for HIV antibodies detection was performed using delta (d) values from the results of 774 DBS samples from volunteers men who have sex with men (MSM) recruited in the central region of São Paulo city, Brazil. Results: DBS blood collection was performed without complications. The positive (5.26) and negative (5.23) delta values allowed to clearly differentiate HIV antibodies reactive and non-reactive samples. We observed good performance of the kit lot and samples were stable on DBS form. Conclusion: Blood collection on DBS is feasible for the study of MSM population and is suitable for laboratory routine. The overall performance of Q Preven HIV-1 + 2 - DBS kit was satisfactory, having reached the quality levels required for the development of this study. .

Introdução: As amostras de sangue colhidas em papel filtro (DBS) têm sido utilizadas na triagem de anticorpos por meio de imunoensaios. Objetivos: Avaliar a estratégia de colheita de sangue em DBS para detecção de anticorpos contra o vírus da imunodeficiência humana (HIV), verificar o lote do kit Q-Preven HIV 1+2 - DBS e analisar a estabilidade das amostras DBS. Métodos: A colheita de sangue em DBS foi realizada conforme recomendações da Organização Mundial da Saúde (OMS). A avaliação do lote do kit para detecção de anticorpos anti-HIV foi feita por meio do valor de delta a partir dos resultados das 774 amostras DBS provenientes de voluntários homens que fazem sexo com homens (HSH) recrutados na região central da cidade de São Paulo, Brasil. Resultados: A colheita de sangue em DBS foi realizada sem intercorrências. O indicador delta positivo (5,26) e negativo (5,23) permitiu discriminar com clareza amostras anti-HIV reagentes e não reagentes. O lote do kit apresentou bom desempenho e as amostras permaneceram estáveis na forma de DBS. Conclusão: A colheita de sangue em DBS mostrou-se factível para o estudo realizado com a população HSH e foi adequada para a rotina laboratorial. O desempenho global do kit Q-Preven HIV 1+2 - DBS foi satisfatório, com a qualidade requerida para o desenvolvimento deste estudo. .