Considerations for quality assurance of multiplex malaria antigen detection assays with large sample sets

Abstract Multiplex assays for malaria antigen detection can gather data from large sample sets, but considerations for the consistency and quality assurance (QA) of mass testing lack evaluation. We present a QA framework for a study occurring November 2019 to March 2020 involving 504 assay plates de...

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Autores principales: Rachel Alvarado, Lotus L. van den Hoogen, Nnaemeka C. Iriemenam, Oluwaseun O. Akinmulero, Andrew N. Thomas, Israel Tamunonengiyeofori, Evbuomwan Erasogie, Achugbu C. Chimaoge, Ayuba B. Dawurung, Mudiaga K. Esiekpe, Mary U. Okoli, Nwando Mba, Abiodun Ogunniyi, Alash’le Abimiku, Mark Maire, Orji O. Bassey, McPaul Okoye, Mahesh Swaminathan, Stacie M. Greby, Nnaemeka Ndodo, Chikwe Ihekweazu, Ado Abubakar, Laura Steinhardt, Eric Rogier
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/77e06d2e66de421ea35fbe36e6f0ff2c
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spelling oai:doaj.org-article:77e06d2e66de421ea35fbe36e6f0ff2c2021-12-02T17:14:23ZConsiderations for quality assurance of multiplex malaria antigen detection assays with large sample sets10.1038/s41598-021-92723-w2045-2322https://doaj.org/article/77e06d2e66de421ea35fbe36e6f0ff2c2021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92723-whttps://doaj.org/toc/2045-2322Abstract Multiplex assays for malaria antigen detection can gather data from large sample sets, but considerations for the consistency and quality assurance (QA) of mass testing lack evaluation. We present a QA framework for a study occurring November 2019 to March 2020 involving 504 assay plates detecting four Plasmodium antigens: pan-Plasmodium aldolase and lactate dehydrogenase (LDH), histidine-rich protein 2 (HRP2), P. vivax LDH (PvLDH). Controls on each plate included buffer blank, antigen negative blood, and 4-point positive dilution curve. The blank and negative blood provided consistently low signal for all targets except for pAldolase, which showed variability. Positive curve signals decreased throughout the 5-month study duration but retained a coefficient of variation (CV) of < 5%, with the exception of HRP2 in month 5 (CV of 11%). Regression fittings for inter-plate control signals provided mean and standard deviations (SDs), and of 504 assay plates, 6 (1.2%) violated the acceptable deviation limits and were repeated. For the 40,272 human blood samples assayed in this study, of 161,088 potential data points (each sample × 4 antigens), 160,641 (99.7%) successfully passed quality checks. The QA framework presented here can be utilized to ensure quality of laboratory antigen detection for large sample sets.Rachel AlvaradoLotus L. van den HoogenNnaemeka C. IriemenamOluwaseun O. AkinmuleroAndrew N. ThomasIsrael TamunonengiyeoforiEvbuomwan ErasogieAchugbu C. ChimaogeAyuba B. DawurungMudiaga K. EsiekpeMary U. OkoliNwando MbaAbiodun OgunniyiAlash’le AbimikuMark MaireOrji O. BasseyMcPaul OkoyeMahesh SwaminathanStacie M. GrebyNnaemeka NdodoChikwe IhekweazuAdo AbubakarLaura SteinhardtEric RogierNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Rachel Alvarado
Lotus L. van den Hoogen
Nnaemeka C. Iriemenam
Oluwaseun O. Akinmulero
Andrew N. Thomas
Israel Tamunonengiyeofori
Evbuomwan Erasogie
Achugbu C. Chimaoge
Ayuba B. Dawurung
Mudiaga K. Esiekpe
Mary U. Okoli
Nwando Mba
Abiodun Ogunniyi
Alash’le Abimiku
Mark Maire
Orji O. Bassey
McPaul Okoye
Mahesh Swaminathan
Stacie M. Greby
Nnaemeka Ndodo
Chikwe Ihekweazu
Ado Abubakar
Laura Steinhardt
Eric Rogier
Considerations for quality assurance of multiplex malaria antigen detection assays with large sample sets
description Abstract Multiplex assays for malaria antigen detection can gather data from large sample sets, but considerations for the consistency and quality assurance (QA) of mass testing lack evaluation. We present a QA framework for a study occurring November 2019 to March 2020 involving 504 assay plates detecting four Plasmodium antigens: pan-Plasmodium aldolase and lactate dehydrogenase (LDH), histidine-rich protein 2 (HRP2), P. vivax LDH (PvLDH). Controls on each plate included buffer blank, antigen negative blood, and 4-point positive dilution curve. The blank and negative blood provided consistently low signal for all targets except for pAldolase, which showed variability. Positive curve signals decreased throughout the 5-month study duration but retained a coefficient of variation (CV) of < 5%, with the exception of HRP2 in month 5 (CV of 11%). Regression fittings for inter-plate control signals provided mean and standard deviations (SDs), and of 504 assay plates, 6 (1.2%) violated the acceptable deviation limits and were repeated. For the 40,272 human blood samples assayed in this study, of 161,088 potential data points (each sample × 4 antigens), 160,641 (99.7%) successfully passed quality checks. The QA framework presented here can be utilized to ensure quality of laboratory antigen detection for large sample sets.
format article
author Rachel Alvarado
Lotus L. van den Hoogen
Nnaemeka C. Iriemenam
Oluwaseun O. Akinmulero
Andrew N. Thomas
Israel Tamunonengiyeofori
Evbuomwan Erasogie
Achugbu C. Chimaoge
Ayuba B. Dawurung
Mudiaga K. Esiekpe
Mary U. Okoli
Nwando Mba
Abiodun Ogunniyi
Alash’le Abimiku
Mark Maire
Orji O. Bassey
McPaul Okoye
Mahesh Swaminathan
Stacie M. Greby
Nnaemeka Ndodo
Chikwe Ihekweazu
Ado Abubakar
Laura Steinhardt
Eric Rogier
author_facet Rachel Alvarado
Lotus L. van den Hoogen
Nnaemeka C. Iriemenam
Oluwaseun O. Akinmulero
Andrew N. Thomas
Israel Tamunonengiyeofori
Evbuomwan Erasogie
Achugbu C. Chimaoge
Ayuba B. Dawurung
Mudiaga K. Esiekpe
Mary U. Okoli
Nwando Mba
Abiodun Ogunniyi
Alash’le Abimiku
Mark Maire
Orji O. Bassey
McPaul Okoye
Mahesh Swaminathan
Stacie M. Greby
Nnaemeka Ndodo
Chikwe Ihekweazu
Ado Abubakar
Laura Steinhardt
Eric Rogier
author_sort Rachel Alvarado
title Considerations for quality assurance of multiplex malaria antigen detection assays with large sample sets
title_short Considerations for quality assurance of multiplex malaria antigen detection assays with large sample sets
title_full Considerations for quality assurance of multiplex malaria antigen detection assays with large sample sets
title_fullStr Considerations for quality assurance of multiplex malaria antigen detection assays with large sample sets
title_full_unstemmed Considerations for quality assurance of multiplex malaria antigen detection assays with large sample sets
title_sort considerations for quality assurance of multiplex malaria antigen detection assays with large sample sets
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/77e06d2e66de421ea35fbe36e6f0ff2c
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