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Augmenting immunogenicity workflows with AI and real-world evidence: failure points, tools, and a closed-loop operational blueprint. 利用人工智能和真实世界证据增强免疫原性工作流程:故障点、工具和闭环操作蓝图。
IF 1.8 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2026-01-13 DOI: 10.1080/17576180.2026.2614302
Ahmad Z Al Meslamani, Anan S Jarab, Eman Merghani Ali Mohammed

Immunogenicity undermines the safety and effectiveness of biologics and emerging modalities. Routine workflows are constrained by drug/target interference in binding assays, matrix and dilution biases in functional assays, fragile cellular/innate readouts, and the difficulty of translating titers into patient-level risk. Advances in artificial intelligence (AI) and real-world evidence (RWE) offer practical remedies. This narrative review searched five search engines and databases and included evidence from published original research, reviews, and regulatory data, and reports between 2022 and 2025. It identifies common failure locations and links them to practical AI and RWE solutions. We outline the regulatory and data underpinnings for decision-grade RWE, provide a closed-loop blueprint, and summarize recent developments in T- and B-cell epitope prediction, neoantigen prioritization, and pharmacovigilance/NLP pipelines for case deduplication and normalization: Define laboratory panels and computable phenotypes, map multi-source data to a common model, deduplicate, train transparent internally validated models, externally validate across distributed networks, route outputs to clinic/lab actions, and continuously monitor for drift with auditable updates. AI-augmented RWE can replace assay-centric snapshots in immunogenicity assessment with a learning system that focusses on clinically significant ADA/NAb effects, targets limited laboratory resources, speeds up signal verification, and enhances post-market vigilance.

免疫原性破坏了生物制剂和新兴模式的安全性和有效性。常规工作流程受到以下因素的限制:结合分析中的药物/靶标干扰、功能分析中的基质和稀释偏差、脆弱的细胞/先天读数以及将滴度转化为患者水平风险的困难。人工智能(AI)和现实世界证据(RWE)的进步提供了切实可行的补救措施。这篇叙述性综述检索了5个搜索引擎和数据库,包括来自已发表的原始研究、综述、监管数据和2022年至2025年间的报告的证据。它可以识别常见的故障位置,并将其与实际的AI和RWE解决方案联系起来。我们概述了决策级RWE的监管和数据基础,提供了一个闭环蓝图,并总结了T和b细胞表位预测、新抗原优先排序和药物警戒/NLP管道的最新进展,用于病例重复和规范化。定义实验室面板和可计算表型,将多源数据映射到公共模型,重复数据删除,训练透明的内部验证模型,跨分布式网络进行外部验证,将输出路由到诊所/实验室操作,并通过可审计的更新持续监控漂移。人工智能增强RWE可以用一个专注于临床意义的ADA/NAb效应的学习系统取代以检测为中心的免疫原性评估快照,针对有限的实验室资源,加速信号验证,并增强上市后的警惕性。
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引用次数: 0
FALCON-qPCR: a new method for the quantification of oxidative lesions in mitochondrial DNA. FALCON-qPCR:一种定量线粒体DNA氧化损伤的新方法。
IF 1.8 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2026-01-12 DOI: 10.1080/17576180.2025.2608757
Veronica Bazzani, Eve Harding, Szymon Balinski, Mara Equisoain Redin, Dario Alessi, Pierfrancesco Del Mestre, Walter Baratta, Daniela Cesselli, Antonio Paolo Beltrami, Michał Turek, Umberto Baccarani, Carlo Vascotto

Accurate quantification of oxidative mitochondrial DNA (mtDNA) lesions remains technically challenging due to the limitations of existing assays, which often require large sample inputs, multi-day workflows, and offer limited sensitivity. Here we introduce FALCON-qPCR (Fpg-assisted Long-PCR), a streamlined, high-sensitivity method for quantifying oxidative damage in mtDNA. FALCON-qPCR couples digestion with formamidopyrimidine [fapy]-DNA glycosylase (Fpg) to long-range PCR and qPCR-based normalization, enabling precise lesion quantification from as few as 10,000 cells (~300 ng total DNA) within a single day. The assay provides a robust dynamic range and reproducibility across diverse biological systems, including human cell lines, hepatocellular carcinoma biopsies, and Caenorhabditis elegans. Compared with established methods, FALCON-qPCR exhibits markedly higher sensitivity in detecting mtDNA damage induced by hydrogen peroxide, antimycin A, and rotenone. Its performance was further demonstrated in assessing mitochondrial toxicity of ruthenium-based compounds, highlighting its potential for pharmacological screening. By integrating enzymatic lesion recognition with quantitative amplification in a unified workflow, FALCON-qPCR eliminates the need for mitochondrial isolation. This methodological advance provides a rapid, accurate, and scalable platform for studying oxidative DNA damage, with broad applicability in mitochondrial research and translational toxicology.

由于现有检测方法的局限性,氧化线粒体DNA (mtDNA)病变的准确定量在技术上仍然具有挑战性,这些检测方法通常需要大量的样本输入,需要多天的工作流程,并且灵敏度有限。在这里,我们介绍了FALCON-qPCR (fp辅助长pcr),这是一种流线型的、高灵敏度的mtDNA氧化损伤定量方法。FALCON-qPCR将甲酰胺嘧啶-DNA糖基化酶(Fpg)酶切与远程PCR和基于qpcr的归一化相结合,能够在一天内从少至10,000个细胞(约300 ng总DNA)中精确定量病变。该分析提供了一个强大的动态范围和可重复性在不同的生物系统,包括人类细胞系,肝细胞癌活检,秀丽隐杆线虫。与已建立的方法相比,FALCON-qPCR检测过氧化氢、抗霉素A和鱼藤酮诱导的mtDNA损伤的灵敏度明显更高。在评估钌基化合物的线粒体毒性方面,进一步证明了其性能,突出了其在药理学筛选方面的潜力。通过在统一的工作流程中整合酶损伤识别和定量扩增,FALCON-qPCR消除了对线粒体分离的需要。这一方法的进步为研究DNA氧化损伤提供了一个快速、准确和可扩展的平台,在线粒体研究和翻译毒理学中具有广泛的适用性。
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引用次数: 0
A simple, sensitive and rapid bioanalytical method for quantifying cannabidiol (CBD), 7-OH-CBD and 7-COOH-CBD in human plasma. 一种简便、灵敏、快速定量人血浆中大麻二酚(CBD)、7-OH-CBD和7-COOH-CBD的生物分析方法。
IF 1.8 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2026-01-09 DOI: 10.1080/17576180.2026.2612921
Nattapon Jaisupa, Michael Ashton, Sofia Birgersson

Background: Reliable methods for measuring plasma concentrations of cannabidiol (CBD) and its metabolites are essential for pharmacokinetic studies. Several methods have been published, some involve complex procedures. This study aimed to develop a simple yet robust method for quantitating CBD, 7-OH-CBD and 7-COOH-CBD in human plasma.

Research design and methods: Sample preparation was evaluated using various solvent systems. Analytical parameters were examined and optimized. The method was validated for sensitivity, accuracy, precision, selectivity, specificity, carryover, dilution integrity, long-term stability, freeze-thaw stability and recovery.

Results: A simple protein precipitation method using acetonitrile provided optimal sample preparation. All analytes were quantified in negative ionization mode, with complete separation achieved on a C18 column within 3.5 minutes using an isocratic mobile phase. The method met all validation criteria. Analytes remained stable under long-term storage at -30°C, through freeze-thaw cycles and at refrigerated temperatures, although 7-COOH-CBD showed a slight decrease after two months at refrigerated temperatures.

Conclusion: This study presents a simple, rapid and robust bioanalytical method for the simultaneous quantification of CBD and its major metabolites across clinically relevant plasma concentrations. The method's reliability and efficiency make it highly suitable for routine clinical use and pharmacokinetic applications.

背景:测定大麻二酚(CBD)及其代谢物的血浆浓度的可靠方法对药代动力学研究至关重要。已经发表了几种方法,其中一些涉及复杂的程序。本研究旨在建立一种简单而可靠的定量测定人血浆中CBD、7-OH-CBD和7-COOH-CBD的方法。研究设计和方法:采用不同的溶剂体系对样品制备进行了评价。对分析参数进行了考察和优化。验证了该方法的灵敏度、准确度、精密度、选择性、特异性、携带性、稀释完整性、长期稳定性、冻融稳定性和回收率。结果:简单的乙腈蛋白沉淀法是最佳的样品制备方法。所有分析物在负电离模式下定量,在C18柱上使用等压流动相在3.5分钟内完全分离。该方法符合所有验证标准。在-30°C、冻融循环和冷藏温度下,分析物在长期储存中保持稳定,尽管7-COOH-CBD在冷藏温度下两个月后略有下降。结论:本研究提供了一种简单、快速、可靠的生物分析方法,可同时定量CBD及其主要代谢物在临床相关血浆浓度中的含量。该方法可靠、高效,非常适合临床常规应用和药代动力学研究。
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引用次数: 0
Highlights of the 16th Japan Bioanalysis Forum symposium. 第16届日本生物分析论坛研讨会亮点。
IF 1.8 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2026-01-09 DOI: 10.1080/17576180.2026.2613122
Naohito Yamada, Makoto Niwa, Hisanori Hara, Tsubasa Ibushi, Noriyuki Koyama, Takashi Miyayama, Masanori Nagata, Yohei Ohashi, Tomofumi Ohyama, Takeshi Okuzono, Eiichi Shimada, Hiroyuki Shimizu, Makoto Takahashi, Yuki Takamatsu, Ken-Ichi Yamamoto, Chie Fukunaga, Hideki Harada, Ryosuke Ide, Tsuyoshi Kawahara, Hironosuke Kurisu, Masayoshi Mizuochi, Yoshihiro Nakase, Tomohiro Oka, Yukihiro Otsuka, Makoto Yamazaki, Kento Yasui

The 16th Japan Bioanalysis Forum (JBF) Symposium was held from March 3 to 5, 2025, at the Himeji Culture and Convention Center (Arcrea Himeji). The theme for the symposium was 'Bioanalyst Network: Spread and Circulation of Knowledge.' This theme symbolizes our commitment, based on the principle at the JBF foundation to provide a platform for discussion and interaction among bioanalysts in academia, industry, and government. It aims to restore the interaction among bioanalysts that has diminished during the Coronavirus disease 2019 (COVID-19) pandemic, and to discuss and share knowledge about rapidly evolving scientific technologies and the extensive insights of bioanalysis under regulatory. The symposium discussed a wide range of topics, including the latest mass spectrometric techniques, immunogenicity assessment, antibody - drug conjugate evaluation, biomarkers, ICH-M10, ICH-S12, data integrity, reliability assurance, and the interactive discussion program 'iDG,' inviting domestic and overseas experts. Approximately 400 attendees from various fields, including pharmaceutical companies, contract research organizations (CROs), academia, and regulators, gathered in person.

第16届日本生物分析论坛(JBF)研讨会于2025年3月3日至5日在姬路文化会议中心(Arcrea Himeji)举行。研讨会的主题是“生物分析网络:知识的传播和流通”。这一主题象征着我们的承诺,基于JBF基金会的原则,为学术界、工业界和政府的生物分析学家提供一个讨论和互动的平台。它旨在恢复在2019冠状病毒病(COVID-19)大流行期间减少的生物分析师之间的相互作用,并讨论和分享有关快速发展的科学技术和监管下生物分析的广泛见解的知识。研讨会讨论了广泛的主题,包括最新的质谱技术,免疫原性评估,抗体-药物偶联物评价,生物标志物,ICH-M10, ICH-S12,数据完整性,可靠性保证,以及互动讨论程序“iDG”,邀请了国内外专家。来自制药公司、合同研究组织(cro)、学术界和监管机构等各个领域的约400名与会者齐聚一堂。
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引用次数: 0
Streamlined neutralizing antibody assay development: overcoming serum interference, utilization of DOE and automation. 流线型中和抗体检测的发展:克服血清干扰,DOE的利用和自动化。
IF 1.8 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2026-01-08 DOI: 10.1080/17576180.2025.2608560
Kelly Ngoc Pham, Nazneen Bano, Leonard J Rubinstein, James Schiller, Wolfgang Seghezzi, Faye Vazvaei-Smith, Weifeng Xu

Objective: This study detailed the troubleshooting and optimization of a challenging neutralizing antibody (NAb) assay using a previously published PEG precipitation, Acid Dissociation, and Biotin-drug as Assay Drug (PABAD) method to overcome high drug interference.

Materials and methods: A strong NAb positive control, PC3, showed poor recovery in the PABAD workflow. A PABAD-compatible PC, PC31 was selected among different anti-idiotype antibodies with varied kinetic profiles. A three-tier Design of Experiment (DOE) approach was applied to optimize assay conditions. Centrifugation-based Bluewasher protocols were also established to automate the handling of PEG pellets.

Results: The reason for the poor performance of PC3 with the PABAD method was identified, and a sensitive NAb assay was successfully developed using PC31.

Conclusions: The poor recovery of PC3 was not due to incompatibility with the PABAD method, but rather to its non-specific interaction with serum factors. Once a specific NAb PC was identified, the NAb assay was successfully developed using PABAD, demonstrating a broad application of the method. DOE-assisted assay development cut the development time by half and meaningfully improved the assay sensitivity. Finally, the implementation of the Bluewasher in the pellet wash further reduced assay variability and enhanced automation of the PABAD method.

目的:本研究详细介绍了一种具有挑战性的中和抗体(NAb)测定方法的故障排除和优化,该方法使用先前发表的PEG沉淀,酸解离和生物素药物作为测定药物(padad)方法来克服高药物干扰。材料和方法:强NAb阳性对照PC3在paad工作流程中恢复较差。从具有不同动力学特征的抗独特型抗体中选择了一种与pabad兼容的PC31。采用三层实验设计法(DOE)优化实验条件。还建立了基于离心机的Bluewasher协议,以自动处理PEG颗粒。结果:明确了PC3用paad法检测NAb效果不佳的原因,并利用PC31成功建立了灵敏的NAb检测方法。结论:PC3回收率较低并非与PABAD法不相容,而是与血清因子的非特异性相互作用所致。一旦确定了特定的NAb PC,使用PABAD成功开发了NAb分析,证明了该方法的广泛应用。doe辅助的检测开发将开发时间缩短了一半,并有意义地提高了检测灵敏度。最后,在颗粒洗涤中使用Bluewasher进一步降低了分析的可变性,提高了padad方法的自动化程度。
{"title":"Streamlined neutralizing antibody assay development: overcoming serum interference, utilization of DOE and automation.","authors":"Kelly Ngoc Pham, Nazneen Bano, Leonard J Rubinstein, James Schiller, Wolfgang Seghezzi, Faye Vazvaei-Smith, Weifeng Xu","doi":"10.1080/17576180.2025.2608560","DOIUrl":"https://doi.org/10.1080/17576180.2025.2608560","url":null,"abstract":"<p><strong>Objective: </strong>This study detailed the troubleshooting and optimization of a challenging neutralizing antibody (NAb) assay using a previously published PEG precipitation, Acid Dissociation, and Biotin-drug as Assay Drug (PABAD) method to overcome high drug interference.</p><p><strong>Materials and methods: </strong>A strong NAb positive control, PC3, showed poor recovery in the PABAD workflow. A PABAD-compatible PC, PC31 was selected among different anti-idiotype antibodies with varied kinetic profiles. A three-tier Design of Experiment (DOE) approach was applied to optimize assay conditions. Centrifugation-based Bluewasher protocols were also established to automate the handling of PEG pellets.</p><p><strong>Results: </strong>The reason for the poor performance of PC3 with the PABAD method was identified, and a sensitive NAb assay was successfully developed using PC31.</p><p><strong>Conclusions: </strong>The poor recovery of PC3 was not due to incompatibility with the PABAD method, but rather to its non-specific interaction with serum factors. Once a specific NAb PC was identified, the NAb assay was successfully developed using PABAD, demonstrating a broad application of the method. DOE-assisted assay development cut the development time by half and meaningfully improved the assay sensitivity. Finally, the implementation of the Bluewasher in the pellet wash further reduced assay variability and enhanced automation of the PABAD method.</p>","PeriodicalId":8797,"journal":{"name":"Bioanalysis","volume":" ","pages":"1-12"},"PeriodicalIF":1.8,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145916938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development and validation of a bioanalytical method to quantify povorcitinib in human skin with clinical application. 开发和验证一种生物分析方法,定量人体皮肤中的波沃西替尼的临床应用。
IF 1.8 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2026-01-08 DOI: 10.1080/17576180.2025.2612493
Zhiyin Xun, Lin Zhang, Hongjin Wen, Ryan McGee, Phillip Wang

Aim: Quantification of drug concentrations in human skin is essential for understanding mechanisms of action in dermatologic therapeutics but remains analytically challenging. The study aimed to develop and validate a standardized tissue homogenization and liquid chromatography - tandem mass spectrometry workflow for quantifying povorcitinib in human skin biopsies.

Materials & methods: Key skin homogenization parameters, including solvent composition, processing volume, and homogenate density, were systematically evaluated. Wet and dry homogenization approaches were compared. Following protein precipitation, samples were analyzed using liquid chromatography - tandem mass spectrometry.

Results: Eighteen solvent systems and various processing volumes were evaluated, with three solvent mixtures producing homogeneous preparations. Limiting homogenization volumes to less than half tube capacity and using 20 mg/mL improved sample consistency. Povorcitinib stability under acidic and thermal conditions was confirmed. Comparable performance was observed between wet and dry homogenization methods, and a dry workflow was validated.

Conclusions: This study provides the first systemic evaluation of human skin homogenization parameters and a direct comparison of wet and dry approaches. The validated dry homogenization method enabled accurate and reproducible quantification of povorcitinib in skin biopsies from a phase I clinical study and offers a robust framework for quantifying a broad range of analytes in human skin tissues.Clinical trial registration: https://www.clinicaltrials.gov/study/NCT06505265 [clinicaltrials.gov] identifier is NCT06505265.

目的:人体皮肤中药物浓度的定量对于理解皮肤治疗中的作用机制至关重要,但在分析上仍然具有挑战性。该研究旨在开发和验证一种标准化的组织均质化和液相色谱-串联质谱工作流程,用于定量人体皮肤活检中的povorcitinib。材料与方法:系统地评估了关键的皮肤均质参数,包括溶剂组成、处理量和均质液密度。比较了干湿均质方法。蛋白质沉淀后,样品用液相色谱-串联质谱分析。结果:对18种溶剂体系和不同的炮制量进行了评价,其中3种溶剂混合物可生产均质制剂。限制均质体积小于半管容量和使用20mg /mL提高样品一致性。证实了Povorcitinib在酸性和热条件下的稳定性。在湿均质和干均质方法之间观察到可比较的性能,并验证了干均质工作流程。结论:本研究首次对人体皮肤均质参数进行了系统评价,并对湿法和干法进行了直接比较。经过验证的干均质化方法能够在I期临床研究中准确和可重复地定量povorcitinib的皮肤活检,并为定量人体皮肤组织中广泛的分析物提供了一个强大的框架。临床试验注册:https://www.clinicaltrials.gov/study/NCT06505265 [clinicaltrials.gov]标识符:NCT06505265。
{"title":"Development and validation of a bioanalytical method to quantify povorcitinib in human skin with clinical application.","authors":"Zhiyin Xun, Lin Zhang, Hongjin Wen, Ryan McGee, Phillip Wang","doi":"10.1080/17576180.2025.2612493","DOIUrl":"https://doi.org/10.1080/17576180.2025.2612493","url":null,"abstract":"<p><strong>Aim: </strong>Quantification of drug concentrations in human skin is essential for understanding mechanisms of action in dermatologic therapeutics but remains analytically challenging. The study aimed to develop and validate a standardized tissue homogenization and liquid chromatography - tandem mass spectrometry workflow for quantifying povorcitinib in human skin biopsies.</p><p><strong>Materials & methods: </strong>Key skin homogenization parameters, including solvent composition, processing volume, and homogenate density, were systematically evaluated. Wet and dry homogenization approaches were compared. Following protein precipitation, samples were analyzed using liquid chromatography - tandem mass spectrometry.</p><p><strong>Results: </strong>Eighteen solvent systems and various processing volumes were evaluated, with three solvent mixtures producing homogeneous preparations. Limiting homogenization volumes to less than half tube capacity and using 20 mg/mL improved sample consistency. Povorcitinib stability under acidic and thermal conditions was confirmed. Comparable performance was observed between wet and dry homogenization methods, and a dry workflow was validated.</p><p><strong>Conclusions: </strong>This study provides the first systemic evaluation of human skin homogenization parameters and a direct comparison of wet and dry approaches. The validated dry homogenization method enabled accurate and reproducible quantification of povorcitinib in skin biopsies from a phase I clinical study and offers a robust framework for quantifying a broad range of analytes in human skin tissues.<b>Clinical trial registration:</b> https://www.clinicaltrials.gov/study/NCT06505265 [clinicaltrials.gov] identifier is NCT06505265.</p>","PeriodicalId":8797,"journal":{"name":"Bioanalysis","volume":" ","pages":"1-12"},"PeriodicalIF":1.8,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145931952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mitigating ADA matrix interferences: semiquantitative double immunoprecipitation for anti-bevacizumab antibody in plasma. 减轻ADA基质干扰:血浆中抗贝伐单抗抗体的半定量双免疫沉淀。
IF 1.8 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2026-01-05 DOI: 10.1080/17576180.2025.2608563
Yu Gus Hui, Fang Wang, Jian Wu, Emmalyn Dupree, M Shane Woolf, Kumar Shah, Moucun Yuan, William R Mylott

Background: Hybrid LC - MS/MS methodology offers orthogonal ADA quantitation but is limited by endogenous immunoglobulin matrix interference challenges.

Methods: We developed a novel semi-quantitative LC-MS/MS isotyping assay for rabbit IgG/IgM immunogenicity in K2EDTA plasma using double immunoprecipitation with double acid dissociation.

Results and conclusions: As compared to single immunoprecipitation, double immunoprecipitation reduced endogenous IgG by ≥90% and IgM by >95% (W1B1) or >55% (W3B2), improved peak-area ratios, and achieved an LLOQ of 100 ng/mL, with acceptable accuracy and precision. Double immunoprecipitation plus acid dissociation mitigates matrix interference and enables robust semi-quantitative hybrid LC-MS/MS ADA isotyping in rabbit plasma.

背景:混合LC - MS/MS方法提供正交ADA定量,但受到内源性免疫球蛋白基质干扰的限制。方法:采用双酸解离双免疫沉淀法,建立了K2EDTA血浆中兔IgG/IgM免疫原性的半定量LC-MS/MS等分型方法。结果和结论:与单次免疫沉淀相比,双次免疫沉淀使内源性IgG降低≥90%,IgM降低>95% (W1B1)或>55% (W3B2),提高了峰面积比,LLOQ达到100 ng/mL,准确度和精密度可接受。双重免疫沉淀加酸解离减轻了基质干扰,并在兔血浆中实现了强大的半定量LC-MS/MS ADA杂交同型。
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引用次数: 0
Mass spectrometry approaches for monitoring therapeutic response in major depressive disorder. 质谱法监测重度抑郁症治疗反应。
IF 1.8 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-30 DOI: 10.1080/17576180.2025.2608564
Sacaia Alvim Santos Romani, Matheus Leonardo Dallaqua Silva, Gabriel Borges Ravaglia, Patrick Cesar Ferreira, Charles Daniel Dos Anjos Carvalho, Thales Fernando Dias Pereira, Alessandra Sussulini

Major depressive disorder (MDD) is a complex and disabling psychiatric condition, often chronic and recurrent, for which treatment selection remains largely guided by trial-and-error. Objective biomarkers capable of predicting and monitoring therapeutic response are urgently needed to enable personalized interventions and reduce exposure of the patients to ineffective treatments. Mass spectrometry (MS) has emerged as a central analytical technique, providing the sensitivity and specificity required to capture multi-parametric molecular signatures in biofluids such as plasma, serum, cerebrospinal fluid, and urine. In this context, this review summarizes the application of MS-based platforms to characterize molecular changes associated with treatment response in MDD and discusses how integrative multi-omics approaches can generate robust insights into treatment efficacy and resistance. We highlight current applications, discuss opportunities for MS-guided monitoring of therapeutic strategies, and outline how convergent molecular signatures may accelerate the development of clinically informative biomarkers for precision psychiatry in MDD.

重度抑郁症(MDD)是一种复杂且致残的精神疾病,通常是慢性和复发性的,其治疗选择在很大程度上仍然是由反复试验指导的。迫切需要能够预测和监测治疗反应的客观生物标志物,以实现个性化干预并减少患者对无效治疗的暴露。质谱(MS)已成为一种核心分析技术,它提供了捕获血浆、血清、脑脊液和尿液等生物流体中多参数分子特征所需的灵敏度和特异性。在此背景下,本文总结了基于质谱的平台在表征MDD治疗反应相关分子变化方面的应用,并讨论了综合多组学方法如何对治疗疗效和耐药性产生强有力的见解。我们强调了当前的应用,讨论了ms引导的治疗策略监测的机会,并概述了趋同分子特征如何加速MDD精确精神病学临床信息性生物标志物的发展。
{"title":"Mass spectrometry approaches for monitoring therapeutic response in major depressive disorder.","authors":"Sacaia Alvim Santos Romani, Matheus Leonardo Dallaqua Silva, Gabriel Borges Ravaglia, Patrick Cesar Ferreira, Charles Daniel Dos Anjos Carvalho, Thales Fernando Dias Pereira, Alessandra Sussulini","doi":"10.1080/17576180.2025.2608564","DOIUrl":"https://doi.org/10.1080/17576180.2025.2608564","url":null,"abstract":"<p><p>Major depressive disorder (MDD) is a complex and disabling psychiatric condition, often chronic and recurrent, for which treatment selection remains largely guided by trial-and-error. Objective biomarkers capable of predicting and monitoring therapeutic response are urgently needed to enable personalized interventions and reduce exposure of the patients to ineffective treatments. Mass spectrometry (MS) has emerged as a central analytical technique, providing the sensitivity and specificity required to capture multi-parametric molecular signatures in biofluids such as plasma, serum, cerebrospinal fluid, and urine. In this context, this review summarizes the application of MS-based platforms to characterize molecular changes associated with treatment response in MDD and discusses how integrative multi-omics approaches can generate robust insights into treatment efficacy and resistance. We highlight current applications, discuss opportunities for MS-guided monitoring of therapeutic strategies, and outline how convergent molecular signatures may accelerate the development of clinically informative biomarkers for precision psychiatry in MDD.</p>","PeriodicalId":8797,"journal":{"name":"Bioanalysis","volume":" ","pages":"1-12"},"PeriodicalIF":1.8,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145861799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Refined ADA testing strategy to overcome sRANKL interference in denosumab/FKS518 immunogenicity assessment. 改进ADA检测策略以克服denosumab/FKS518免疫原性评估中rankl的干扰。
IF 1.8 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-29 DOI: 10.1080/17576180.2025.2607080
Anna Lucia Buccarello, Adriano L Soares de Souza, Martin Ullmann, Corinne Petit-Frere

Background: Fresenius Kabi developed FKS518, a fully human monoclonal antibody biosimilar to denosumab, that inhibits osteoclast activation by targeting the receptor activator of nuclear factor kappa-Β ligand (RANKL). RANKL exists as a trimeric soluble protein (sRANKL) with high affinity for denosumab. Post-dose, sRANKL levels can rise due to drug-target complex accumulation, creating a risk of interference in bridging anti-drug antibodies (ADA) assays, particularly after acid dissociation.

Methods: We evaluated sRANKL interference in the ADA bridging assay and, to competitively block sRANKL, we introduced a specificity tier by adding osteoprotegerin (OPG). This approach enabled reanalysis of previously ADA-positive samples to confirm whether signals represented true ADA responses or artifacts caused by sRANKL interference.

Results: Acid dissociation significantly exacerbated target interference, resulting in ADA positivity rates of ~96-98% in clinical studies. Introducing a specificity tier corrected incidence to ≤3.9%. OPG incorporation did not change the minimum required dilution (MRD) of the assay and did not affect signals for negative/positive control, confirming assay integrity.

Discussion: These findings underscore the importance of early interference assessment and mitigation. A multi-tiered strategy, encompassing screening, confirmatory, and specificity tiers, provided a robust solution applicable to programs facing similar challenges.

背景:费森尤斯Kabi开发了FKS518,一种与denosumab类似的全人源单克隆抗体,通过靶向核因子κ κ -Β配体受体激活因子(RANKL)抑制破骨细胞活化。RANKL是一种对denosumab具有高亲和力的三聚体可溶性蛋白(sRANKL)。给药后,由于药物靶标复合物的积累,sRANKL水平可能升高,从而产生桥接抗药物抗体(ADA)测定的干扰风险,特别是在酸解离后。方法:我们在ADA桥接实验中评估了sRANKL的干扰,为了竞争性地阻断sRANKL,我们通过添加骨保护素(OPG)引入了特异性层。这种方法可以重新分析先前的ADA阳性样本,以确认信号是否代表真正的ADA响应或由sRANKL干扰引起的伪像。结果:酸解离显著加重靶干扰,临床研究中ADA阳性率达96 ~ 98%。引入特异性分级将发生率校正为≤3.9%。OPG掺入没有改变检测的最低要求稀释度(MRD),也没有影响阴性/阳性对照的信号,确认了检测的完整性。讨论:这些发现强调了早期干扰评估和缓解的重要性。多层策略,包括筛选,确认和特异性层,提供了一个强大的解决方案,适用于面临类似挑战的项目。
{"title":"Refined ADA testing strategy to overcome sRANKL interference in denosumab/FKS518 immunogenicity assessment.","authors":"Anna Lucia Buccarello, Adriano L Soares de Souza, Martin Ullmann, Corinne Petit-Frere","doi":"10.1080/17576180.2025.2607080","DOIUrl":"10.1080/17576180.2025.2607080","url":null,"abstract":"<p><strong>Background: </strong>Fresenius Kabi developed FKS518, a fully human monoclonal antibody biosimilar to denosumab, that inhibits osteoclast activation by targeting the receptor activator of nuclear factor kappa-Β ligand (RANKL). RANKL exists as a trimeric soluble protein (sRANKL) with high affinity for denosumab. Post-dose, sRANKL levels can rise due to drug-target complex accumulation, creating a risk of interference in bridging anti-drug antibodies (ADA) assays, particularly after acid dissociation.</p><p><strong>Methods: </strong>We evaluated sRANKL interference in the ADA bridging assay and, to competitively block sRANKL, we introduced a specificity tier by adding osteoprotegerin (OPG). This approach enabled reanalysis of previously ADA-positive samples to confirm whether signals represented true ADA responses or artifacts caused by sRANKL interference.</p><p><strong>Results: </strong>Acid dissociation significantly exacerbated target interference, resulting in ADA positivity rates of ~96-98% in clinical studies. Introducing a specificity tier corrected incidence to ≤3.9%. OPG incorporation did not change the minimum required dilution (MRD) of the assay and did not affect signals for negative/positive control, confirming assay integrity.</p><p><strong>Discussion: </strong>These findings underscore the importance of early interference assessment and mitigation. A multi-tiered strategy, encompassing screening, confirmatory, and specificity tiers, provided a robust solution applicable to programs facing similar challenges.</p>","PeriodicalId":8797,"journal":{"name":"Bioanalysis","volume":" ","pages":"1-12"},"PeriodicalIF":1.8,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145848658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving sensitivity and selectivity of human ACTH[1-39] quantitation using online size exclusion chromatography and antibody-free LC-HRMS. 利用在线粒径排除色谱和无抗体LC-HRMS提高人ACTH定量的灵敏度和选择性[1-39]。
IF 1.8 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-26 DOI: 10.1080/17576180.2025.2608756
B R Jones, L Shan, A Spytko, R Luo, A Ayala, J Wang, S Lowes

Background: Quantitation of adrenocorticotropic hormone (ACTH) in human plasma by clinical immunoassays is prone to selectivity challenges, whereas quantitation by mass spectrometry assays (MSA) is limited by sensitivity. The use of nano-liquid chromatography (nano-LC) addresses the MSA sensitivity gap but commonly suffers from poor robustness due to LC system backpressure issues, which is mitigated by incorporation of online size exclusion chromatography (SEC).

Research design and methods: An antibody-free, multidimensional nano-LC, high-resolution mass spectrometry method was designed and implemented to measure intact ACTH[1-39] in human plasma. Online SEC separation was performed at relatively high flow rates prior to trap and elute reversed phase separations at sub-µL/min flow rates. ACTH[1-39] was detected using a high-resolution orbitrap mass analyzer.

Results and conclusions: Nanoelectrospray allows measurement of ACTH[1-39] to a clinically relevant concentration of 3-5 pg/mL, with low bias and high precision across the concentration range interrogated. SEC reduces microfluidic backpressure effects commonly observed with the use of nano-LC for bioanalytical applications. Eliminating antibody capture reduces susceptibility to endogenous antibody interferences. This format can be readily adapted for multiplexed measurement of other low abundance peptide hormones in biological samples.

背景:临床免疫测定法定量人血浆促肾上腺皮质激素(ACTH)容易出现选择性挑战,而质谱测定法(MSA)的定量则受灵敏度限制。纳米液相色谱(nano-LC)的使用解决了MSA的灵敏度差距,但由于LC系统的背压问题,通常存在鲁棒性差的问题,这可以通过结合在线尺寸排除色谱(SEC)来缓解。研究设计与方法:设计并实现了一种无抗体、多维纳米lc、高分辨率质谱法测量人血浆中完整ACTH[1-39]。在线SEC分离以相对高的流速进行,然后以亚µL/min流速进行捕集器和洗脱液反相分离。采用高分辨率轨道阱质谱分析仪检测ACTH[1-39]。结果和结论:纳米电喷雾可以测量ACTH[1-39]至3-5 pg/mL的临床相关浓度,在所询问的浓度范围内具有低偏差和高精度。SEC减少了微流体背压效应,通常观察到使用纳米lc用于生物分析应用。消除抗体捕获降低了对内源性抗体干扰的易感性。这种格式可以很容易地适应于生物样品中其他低丰度肽激素的多路测量。
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