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14 protocols using simoa nf light kit

1

Plasma Neurofilament Light Quantification

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Blood samples were drawn at the baseline visit and centrifuged to obtain plasma. Aliquots were stored at –80°C until the samples were shipped to Quanterix Corporation (113 Hartwell Avenue, Lexington, MA, USA, techsupport@quanterix.com) for analysis of pNfL utilizing the Simoa NF-light kit on the Quanterix Simoa HD-1 Analyzer. Concentrations of pNfL were measured, in units of pg/ml, in duplicate from each sample, that were blinded to demographic and clinical data. All samples tested were within the assay dynamic range with an average coefficient of variation of 3.9% (range from 0 to 15% for measurement.
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2

Quantification of Neurofilament Light in CSF and Serum

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NfL was measured in CSF and serum using the Simoa Nf-light kit and provided consumables in the Simoa SR-X Analyzer (Quanterix, Lexington, MA, USA).26 (link) The NfL assay was performed according to the manufacturer's instructions and protocol, as previously described.27 All samples were measured under blinded conditions at the Medical University of Vienna, Department of Neurology.
As sNfL concentrations increase with age and decrease with BMI under physiological conditions, we calculated age- and BMI-adjusted Z scores. This allows to quantify the deviation of each patient's individual sNfL value in comparison to control persons of the same age and BMI, based on a recently published reference database.19 (link) Z score >1.5 was defined as elevated (termed as ‘positive’), Z score ≤1.5 was defined as ‘negative’. A Z score >3 was considered as ‘high’, a Z score >1.5 and ≤3 was considered as ‘moderately elevated’.
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3

Quantification of Plasma Neurofilament Light

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Levels of plasma NfL were determined in plasma samples from n = 123 individuals using standardized service protocols and the Simoa™ NF-light® Kit (Quanterix) at PBL Assay Science (Piscataway, NJ, USA). Intra- and inter-assay variations were 4% and 9% respectively.
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4

Plasma Biomarker for Neurodegeneration

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To assess neurodegeneration, plasma samples were sent to PBL Assay Science (Piscataway, NJ, USA) and analyzed using the Simoa™ NF-Light® kit (Cat #103186, Quanterix, Billerica, MA, USA).
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5

Biomarker Measurements in Cerebrospinal Fluid

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CSF Aβ1–42, Aβ1–40, tTau, and pTau181 were measured using LUMIPULSE G1200 chemiluminescent ELISA (Fujirebio, Malvern, PA) directly from the cryovials without tube transfer. A CSF internal control was run on each day that samples were analyzed. The coefficients of variation were as follows: Aβ1–42 3.4%, Aβ1–40 2.7%, tTau 8%, and pTau181 1.8%. CSF NfL was measured with the Simoa NF-Light Kit using the SRX platform (Quanterix, Billerica, MA). Intra-assay coefficients of variation were 6.1% and 2.3%, and interassay coefficients of variation were <10% for quality control samples with clinically relevant low and high concentrations, respectively. CSF LRG1was measured by a solid-phase sandwich ELISA, Human LRG1 Assay Kit 27769 (IBL America, Minneapolis, MN). The plate was analyzed using a FilterMax F3 microplate reader (Molecular Devices, San Jose, CA). The intra-assay coefficient of variation was <10%, but the interassay coefficient of variation was 30% for the internal native CSF quality control sample due to individual preparation of controls. Hence, results were normalized across plates.
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6

Ultrasensitive SIMOA Assay for NFL

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Measurement of NFL concentration was performed in duplicates in all sera of included patients and HC. NFL concentration was analyzed using SIMOA Nf-light® kit in SR-X immunoassay analyzer, Simoa TM (Quanterix Corp, Boston, MA), which runs ultrasensitive paramagnetic bead-based enzyme-linked immunosorbent assays. Briefly, frozen samples and calibrator were equilibrated to room temperature and diluted with specific sample diluent. Calibrators, samples, detector, and beads were dispensed in each well and plates were incubated at 30 °C with shaking 800 revolutions per minute (rpm) for 30 min. After washing steps, 100 μl SBG was added to each well and plates were incubated at 30 °C with shaking 800 rpm for 10 min. After washing steps, beads were resuspended twice at 1000 rpm for 1 min. A final washing step was performed and plates were dried for 10 min before being transferred to the SR-X for reading.
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7

Serum Biomarkers in CIDP Diagnosis

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Blood samples were collected from patients with CIDP and HC, immediately centrifuged, and stored at −80°C until being analyzed in May and February 2021. Serum levels of CLP were measured using the fCAL turbo method? on a COBAS 8000 semi-automated analyses (Bühlmann Laboratories AG, Schönenbuch, Switzerland) according to the manufacturer's protocol (37 (link), 38 (link)). The fCAL turbo method? has been validated for accurate measurement of CLP levels in serum (37 (link)). sNfl concentrations were measured using SIMOA Nf-light kit® in SR-S immunoassay analyzer, SIMOA (Quanterix Corp., Boston, MA, USA) according to the manufacturer's protocol (39 (link)). SIMOA Nf-light kit® is an ultrasensitive paramagnetic bead-based enzyme-linked immunosorbent assay, is at least 125 times more sensitive than conventional immunoassays, and maintains a high analytical performance (40 (link)).
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8

Quantification of Neurofilament Light by Simoa

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For NfL measures, samples were thawed for 60 min at room temperature and were analysed by an investigator blinded to clinical data using the Simoa Nf-light kit in the Simoa HD-1 Analyser (Quanterix, Lexington, MA, USA), which runs ultrasensitive paramagnetic bead-based enzyme-linked immunosorbent assays [27 (link)]. For this protocol, briefly, thawed samples and calibrators were dispensed in provided 96-well plates as duplicates. Further sample processing (dilution, incubation, washing, shaking, resuspending and reading) was carried out in an automated manner as described elsewhere [28 (link)]. The sNfL assay was carried out according to the manufacturer’s instructions and protocol.
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9

Quantification of Neuroaxonal Damage in COVID-19

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Quantification of neurofilament light chain (NF-L) in CSF, a marker of neuroaxonal damage [42 (link)], was used as indicator of neuronal injury in COVID-19 and control subjects. CSF NFL was measured simultaneously in both COVID-19 and control samples using the Simoa™ NF-Light Kit (Quanterix Corporation, Lexington, MA, USA) on the Quanterix HD-X® platform. Acute phase reactants such as ferritin, C-reactive protein (CRP) and coagulation markers including D-dimer, fibrinogen and factor VIII, markers associated with disease severity in COVID-19 [[43] (link), [44] (link), [45] (link), [46] (link)] were also evaluated in CSF of COVID-19 and control subjects. Ferritin and hsCRP were measured on Roche Diagnostics Cobas c 701 and e 801 analyzers, respectively. Fibrinogen quantification used a clot-based assay (Siemens, Marburg Germany). D-dimer was measured by an immunoturbidimetric assay (Innovance D-Dimer, Siemens, Marburg, Germany). Factor VIII assessment used a chromogenic Assay (Chromogenix, Bedford, MA).
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10

Quantification of Neurofilament Light in CSF

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CSF was collected via the cisterna magna at the end of the in vivo imaging procedure and stored at − 80 °C. Upon analysis, samples were thawed and 12.5 × diluted in sample diluent provided with the kit. Neurofilament light (NfL) levels were measured using the Simoa™ NF-light® kit on a Simoa® HD-X analyser (Quanterix Corp., Billerica, MA, U.S.A.), according to the manufacturer’s instructions. During this run, CSF samples were automatically diluted another 4 times, resulting in a final dilution of 50 ×.
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