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69 protocols using 903 protein saver card

1

Quantifying Antiretroviral Pharmacokinetics

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Ethylenediaminetetraacetic acid blood samples were collected at weeks 12, 24, and 48; and 50 microlitres of whole blood was pipetted onto Whatman 903 Proteinsaver cards which were dried overnight and then stored in airtight freezer-safe bags at -80°C. An indirect method for quantifying TFV-DP was used, which has been validated at the Division of Clinical Pharmacology, University of Cape Town.18 (link) It consists of solid phase separation of tenofovir and TFV-DP, enzyme dephosphorylation of TFV-DP to tenofovir, and then high-performance liquid chromatography with tandem mass spectrometry to detect tenofovir.18 (link) Dolutegravir trough concentrations were sampled 12±2 hours after the last dose for participants on supplemental dolutegravir, and 24±4 hours for participants receiving TLD only.17 (link) Dolutegravir concentrations in plasma were analysed by liquid-liquid extraction in a method validated by the Division of Clinical Pharmacology, University of Cape Town.19 (link) For TFV-DP concentrations, the lower limit of quantification (LLQ) is 16.6 fmol/punch and for dolutegravir concentrations the LLQ is 0.03 μg/mL. Viral loads were measured using Abbott Realtime® HIV-1 polymerase chain reaction assay (Abbott Molecular, Des Plaines, IL), which is able to quantify virus ribonucleic acid over a range of 20 to 107 copies/mL.
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2

Dried Blood Spot Protocol for Quantification

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DBS standards and QCs were prepared by carefully spotting exactly 50 μL of whole blood standards and QCs on each circle of Whatman 903 Protein Saver Cards. DBMS standards and QCs were similarly prepared by spotting 30 μL of breast milk standards and QCs. Spotted cards were left to dry at room temperature overnight and stored with dessicant sachets in ziplock bags at −80 °C.
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3

Quantifying TFV-DP in Dried Blood Spots

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For analysis of TFV-DP from DBS, 25 uL of whole blood were pipetted five times onto Whatman 903 Protein Saver cards. After spotting, the cards were allowed to dry for at least 2 hours (and up to overnight) prior to being stored at −80o C.13 (link),19 (link) TFV-DP concentrations in DBS were assayed from a 3-mm punch using a previously-validated LC-MS/MS method. 13 (link),19 (link)
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4

Dried Blood Spot Collection Protocol

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The day of blood sampling, the participants were allowed to take their usual drug therapies and had no dietary restrictions. Whole blood was collected using finger puncture, while the patient was sitting in a quiet environment, followed by deposit of a drop of blood (20 μL) on a blotting paper (Whatman 903 protein saver cards™) and dried overnight at room temperature to obtain dried blood spot. Then, the blot spots were stored at room temperature and shipped to the Laboratory of Biochemistry of Timone Hospital for analysis.
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5

Dried Blood Spot Biomarker Analysis

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Patients gave blood samples at first presentation and at standard follow-ups (3, 6, and 12 weeks postoperatively and all further visits). Blood was captured using Whatman 903 Protein saver cards, creating dried blood spots (DBS) by lancet finger pricks. Protein cards were stored in a −20°C freezer until assay. Human DBS were sampled (3.1 mm punch in duplicate, 250 μL of sample diluent, and extracted overnight at 4°C), before assay per previously published procedure,21 (link) resulting in measurements in pg/mL. Biomarker performance metrics were measured including each patient’s peak CXM value, the time-to-peak CXM, and “ΔCXM,” which was defined as the peak CXM subtracted from their initial “injury” CXM value.
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6

Dried Blood Spot Collection and Storage

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Using 1.8-mm lancets, up to 4 drops of blood were collected from participants and applied to Whatman 903 Protein Saver Cards. The cards were kept on drying racks inside plastic boxes to allow them to dry for at least 4 hours. The cards were subsequently stored in individual, sealed plastic bags with a 5 g silica gel desiccant sachet to protect against humidity and a humidity-monitoring card for up to 2 weeks. Humidity monitoring cards were checked daily. DBS samples were transported to Centers for Disease Control and Prevention (CDC) laboratories in the United States, where they were stored at −20°C until testing.
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7

Dried Blood Spot Extraction Protocol

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Dried blood spot extraction was adapted from a previously reported method.16 (link) Dried blood spot was prepared by depositing 10 μL of parasitized whole blood onto Whatman 903 protein saver cards. The spots were allowed to air-dry for a minimum of 4 hours, removed using a 6-mm biopsy punch, and placed in 2-mL microcentrifuge tubes (one spot per tube). Next, 200 μL of phosphate-buffered saline (PBS) with 0.1% Tween-20 (PBST) was added to each tube. The tubes were vortexed at 3,200 rpm for 10 minutes and then placed in a mini-centrifuge for 30–60 seconds. The supernatant was removed and saved for analysis.
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8

Breast Milk Protein Saver Card Spotting

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STDs and QCs were prepared by carefully spotting 30 μL of spiked
and well mixed breast milk on each circle of Whatman 903 Protein Saver cards.
Spotted cards were left to dry at room temperature overnight and stored with
desiccant sachets in ziplock bags. QC samples for stability testing were stored
at room temperature, -40 °C and -80 °C.
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9

Dried Blood Spot Collection and Analysis

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Dried blood spots will be collected using a single heel/finger prick at the enrollment and week 4 follow-up visits (Table 5). Less than 0.5 mL of blood will be collected from all enrolled children for a dried blood spot on Whatman® 903 protein saver cards, which will be used for eventual descriptive seroepidemiology of preexisting immunity against Shigella and description of immune responses to infection [47 ]. Cards will be fully dried at room temperature for a minimum of 2 hours, then placed in a plastic bag and refrigerated at 4°C for long-term storage.
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10

Malaria Surveillance in Northern Brazil

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Samples and survey data were collected continuously from March 2016 to September 2018 in Boa Vista and Pacaraima. In Rorainópolis samples were collected in a single survey in 2018. Patients were approached for their willingness to participate in the study as they exited the malaria testing post after they had a routine malaria diagnosis by microscopy. The participants were recruited if they were coming from the health post where they had come to seek a malaria diagnosis and if they consented to participate in the study. All malaria positive patients were treated with antimalarial drugs, according to the Brazilian national therapeutic guidelines for malaria. Written informed consent was obtained from all participants. Consented individuals were asked to complete a questionnaire which was used to collect demographic data and travel history. Information about the patient’s country of residence, occupation, where the patient had lived in the last 15 days, whether they had travelled out of Brazil in the last 30 days and their travel destination. A 10 ml venous blood sample was obtained from each participating individual from which thin and thick blood smears and dried blood spots (DBS; Whatman 903 Protein Saver Cards) were prepared.
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