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      Volatile fingerprinting of human respiratory viruses from cell culture

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          Abstract

          Volatile metabolites are currently under investigation as potential biomarkers for the detection and identification of pathogenic microorganisms, including bacteria, fungi, and viruses. Unlike bacteria and fungi, which produce distinct volatile metabolic signatures associated with innate differences in both primary and secondary metabolic processes, viruses are wholly reliant on the metabolic machinery of infected cells for replication and propagation. In the present study, the ability of volatile metabolites to discriminate between respiratory cells infected and uninfected with virus, in vitro, was investigated. Two important respiratory viruses, namely respiratory syncytial virus (RSV) and influenza A virus (IAV), were evaluated. Data were analyzed using three different machine learning algorithms (random forest (RF), linear support vector machines (linear SVM), and partial least squares-discriminant analysis (PLS-DA)), with volatile metabolites identified from a training set used to predict sample classifications in a validation set. The discriminatory performances of RF, linear SVM, and PLS-DA were comparable for the comparison of IAV-infected versus uninfected cells, with area under the receiver operating characteristic curves (AUROCs) between 0.78 and 0.82, while RF and linear SVM demonstrated superior performance in the classification of RSV-infected versus uninfected cells (AUROCs between 0.80 and 0.84) relative to PLS-DA (0.61). A subset of discriminatory features were assigned putative compound identifications, with an overabundance of hydrocarbons observed in both RSV- and IAV-infected cell cultures relative to uninfected controls. This finding is consistent with increased oxidative stress, a process associated with viral infection of respiratory cells.

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          Community-acquired pneumonia requiring hospitalization among U.S. children.

          Incidence estimates of hospitalizations for community-acquired pneumonia among children in the United States that are based on prospective data collection are limited. Updated estimates of pneumonia that has been confirmed radiographically and with the use of current laboratory diagnostic tests are needed.
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            Youden Index and optimal cut-point estimated from observations affected by a lower limit of detection.

            The receiver operating characteristic (ROC) curve is used to evaluate a biomarker's ability for classifying disease status. The Youden Index (J), the maximum potential effectiveness of a biomarker, is a common summary measure of the ROC curve. In biomarker development, levels may be unquantifiable below a limit of detection (LOD) and missing from the overall dataset. Disregarding these observations may negatively bias the ROC curve and thus J. Several correction methods have been suggested for mean estimation and testing; however, little has been written about the ROC curve or its summary measures. We adapt non-parametric (empirical) and semi-parametric (ROC-GLM [generalized linear model]) methods and propose parametric methods (maximum likelihood (ML)) to estimate J and the optimal cut-point (c *) for a biomarker affected by a LOD. We develop unbiased estimators of J and c * via ML for normally and gamma distributed biomarkers. Alpha level confidence intervals are proposed using delta and bootstrap methods for the ML, semi-parametric, and non-parametric approaches respectively. Simulation studies are conducted over a range of distributional scenarios and sample sizes evaluating estimators' bias, root-mean square error, and coverage probability; the average bias was less than one percent for ML and GLM methods across scenarios and decreases with increased sample size. An example using polychlorinated biphenyl levels to classify women with and without endometriosis illustrates the potential benefits of these methods. We address the limitations and usefulness of each method in order to give researchers guidance in constructing appropriate estimates of biomarkers' true discriminating capabilities. Copyright 2008 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim
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              Innate immune recognition: mechanisms and pathways.

              The innate immune system is an evolutionarily ancient form of host defense found in most multicellular organisms. Inducible responses of the innate immune system are triggered upon pathogen recognition by a set of pattern recognition receptors. These receptors recognize conserved molecular patterns shared by large groups of microorganisms. Recognition of these patterns allows the innate immune system not only to detect the presence of an infectious microbe, but also to determine the type of the infecting pathogen. Pattern recognition receptors activate conserved host defense signaling pathways that control the expression of a variety of immune response genes.
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                Author and article information

                Journal
                J Breath Res
                J Breath Res
                jbr
                JBROBW
                Journal of Breath Research
                IOP Publishing
                1752-7155
                1752-7163
                April 2018
                01 March 2018
                : 12
                : 2
                : 026015
                Affiliations
                [1 ]Thayer School of Engineering, Dartmouth College, Hanover, NH, 03755, United States of America, Jane.E.Hill@ 123456dartmouth.edu
                [2 ]Geisel School of Medicine, Dartmouth College, Hanover, NH, 03755, United States of America
                [3 ]Dartmouth-Hitchcock Medical Center, Lebanon, NH, 03756, United States of America
                Author information
                https://orcid.org/0000-0002-8235-9409
                https://orcid.org/0000-0003-1896-5348
                Article
                jbraa9eef aa9eef JBR-100709.R1
                10.1088/1752-7163/aa9eef
                5912890
                29199638
                868df41d-6f0f-4ace-a396-75c55059f1f0
                © 2018 IOP Publishing Ltd

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                : 27 September 2017
                : 28 November 2017
                : 04 December 2017
                Page count
                Pages: 15
                Funding
                Funded by: Hitchcock Foundation https://doi.org/10.13039/100001170
                Funded by: Burroughs Wellcome Fund https://doi.org/10.13039/100000861
                Award ID: Grant#1014106
                Funded by: Center for Scientific Review https://doi.org/10.13039/100005440
                Award ID: Project # 1R21AI12107601
                Categories
                Paper
                Custom metadata
                1752-7163/18/026015+15$33.00
                yes

                virus,vocs,metabolomics,comprehensive two-dimensional gas chromatography,gc×gc,mass spectrometry

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