Table 1.
Diagnostic modalities for targeting sepsis therapies.
Method | Advantage | Challenges |
---|---|---|
RNA | ||
qPCR | Targeted quantification of key genes, fast, easy interpretation | Limited to a few genes |
Microarray | High throughput analysis of larger groups of genes (1000s) | Time consuming assay and data analysis |
RNA sequencing | Comprehensive analysis of very large groups of gene transcripts (10,000s) | Time consuming assay and data analysis |
Proteins | ||
Lateral flow test | Fast (minutes), simple | Limited to a single protein, not quantifiable |
ELISA | Many commercial options for large number of proteins, no interactions between reagents | Time consuming assay |
Multiplex platforms | Smaller sample volumes, faster data acquisition vs. ELISA, can simultaneously study proteins from many different pathways | Many platforms, many reagent manufacturers, optimisation of sample dilutions, complex analysis |
O-link | High throughput, high sensitivity | Relative concentration values |
Lipids & metabolites | ||
Mass spectrometry | Sensitive and specific detection of metabolites | Expensive, time consuming, complex analyses |
ELISA | Easy to perform | Single lipids, challenges with sample preparation due to lipid half-lives |
Cells | ||
Flow cytometry | Unaltered imaging of cells, ability to study function and phenotype of specific circulating cells | Time consuming, complex protocols and data analysis |
Functional responses | Ability to study cell function outside the human body | Time consuming Not standardised (antigens, stimulation duration, read-out) |