A rapid and reliable liquid chromatography/mass spectrometry method for SARS-CoV-2 analysis from gargle solutions and saliva

Anal Bioanal Chem. 2021 Nov;413(26):6503-6511. doi: 10.1007/s00216-021-03614-y. Epub 2021 Aug 24.

Abstract

We describe a rapid liquid chromatography/tandem mass spectrometry (LC-MS/MS) method for the direct detection and quantitation of SARS-CoV-2 nucleoprotein in gargle solutions and saliva. The method is based on a multiple-reaction monitoring (MRM) mass spectrometry approach with a total cycle time of 5 min per analysis and allows the detection and accurate quantitation of SARS-CoV-2 nucleoprotein as low as 500 amol/μL. We improved the sample preparation protocol of our recent piloting SARS-CoV-2 LC-MS study regarding sensitivity, reproducibility, and compatibility with a complementary reverse transcriptase quantitative polymerase chain reaction (RT-qPCR) analysis of the same sample. The aim of this work is to promote diagnostic tools that allow identifying and monitoring SARS-CoV-2 infections by LC-MS/MS methods in a routine clinical environment.

Keywords: Liquid chromatography; Mass spectrometry; Multiple-reaction monitoring; SARS-CoV-2; Triple quadrupole.

Publication types

  • Evaluation Study

MeSH terms

  • COVID-19 / diagnosis*
  • COVID-19 Testing / economics
  • COVID-19 Testing / methods*
  • Chromatography, Liquid / economics
  • Chromatography, Liquid / methods
  • Coronavirus Nucleocapsid Proteins / analysis
  • Coronavirus Nucleocapsid Proteins / isolation & purification
  • Humans
  • Limit of Detection
  • Phosphoproteins / analysis
  • Phosphoproteins / isolation & purification
  • Reproducibility of Results
  • SARS-CoV-2 / isolation & purification*
  • Saliva / virology*
  • Specimen Handling
  • Tandem Mass Spectrometry / economics
  • Tandem Mass Spectrometry / methods*
  • Time Factors

Substances

  • Coronavirus Nucleocapsid Proteins
  • Phosphoproteins
  • nucleocapsid phosphoprotein, SARS-CoV-2