Barcoded NGS Assay for Massively Parallel Pathogen and Host Response Detection

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Solution Overview

Problem

Current COVID-19 diagnostic methods, particularly qPCR-based tests, face challenges in scalability and throughput, leading to bottlenecks in diagnosis and increased occupational hazards for healthcare workers due to slow diagnostic times and limited testing capacity.

Innovation Solution

A method using next-generation sequencing (NGS) with sample-specific barcoded indexes to detect SARS-CoV-2 viral gRNA and host transcriptional responses, involving the assembly of agnostic nucleic acid libraries, selective enrichment of pathogen-derived nucleic acids, and bioinformatic alignment to reference genomes, followed by machine-learning classification for infection status.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If qPCR-based fluorometric tests are used for SARS-CoV-2 detection, then diagnostic sensitivity is maintained, but testing capacity and throughput are limited

Engineering Contradiction:
Improvediagnostic sensitivityVSAvoidtesting capacity
Core Design Contradiction:
Measurement precisionVSProductivity

Solution Approach 1:

The patent segments the testing process by using individual patient barcodes to divide and track multiple patient samples within a single NGS run. Each patient's sample is tagged with a unique barcode, allowing the system to process many samples in parallel while maintaining individual identification and diagnostic accuracy, thus resolving the contradiction between maintaining sensitivity and increasing throughput.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent transitions from the traditional single-target qPCR dimension to a multi-dimensional NGS approach that simultaneously detects pathogen nucleic acids and host transcriptional responses. This dimensional expansion enables concurrent analysis of multiple targets and patients within a single test run, dramatically increasing testing capacity while preserving diagnostic sensitivity through comprehensive molecular profiling.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

2Measurement precision

If single-plex qPCR fluorometry is used, then diagnostic accuracy is ensured, but high throughput clinical diagnostics become inadequate

Engineering Contradiction:
Improvediagnostic accuracyVSAvoidthroughput
Core Design Contradiction:
Measurement precisionVSProductivity

Solution Approach 1:

The patent implements a universal NGS platform that performs multiple diagnostic functions simultaneously: detecting SARS-CoV-2 viral nucleic acids, identifying host transcriptional responses, and providing patient-specific barcode tracking. This multi-functionality allows a single test system to handle high-volume clinical diagnostics with maintained accuracy, as the same platform can process numerous samples through barcode-based multiplexing.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Solution Approach 2:

The patent merges pathogen detection and host response analysis into a single integrated NGS assay. By combining these previously separate diagnostic objectives into one simultaneous measurement process, the system achieves high throughput without sacrificing accuracy, as both pathogen presence and host physiological state are determined concurrently from the same nucleic acid sequencing data.

Inventive Principle:
Principle #5Merging (Combining)

3Productivity

If diagnostic testing is delayed, then testing capacity is conserved, but occupational hazard for healthcare workers increases

Engineering Contradiction:
Improvetesting capacityVSAvoidoccupational hazard
Core Design Contradiction:
ProductivityVSObject-affected harmful factors

Solution Approach 1:

The patent employs preliminary barcode assignment and sample tagging during the initial patient sampling phase. This preliminary organization of samples with unique identifiers enables rapid batch processing and immediate diagnostic results generation, eliminating delays that would otherwise expose healthcare workers to prolonged occupational hazards. The pre-established barcode system allows for efficient sample tracking and quick turnaround times.

Inventive Principle:
Principle #10Preliminary action

4Productivity

If multiplexed screening is implemented, then testing throughput increases, but detection complexity increases

Engineering Contradiction:
Improvetesting throughputVSAvoiddetection complexity
Core Design Contradiction:
ProductivityVSDevice complexity

Solution Approach 1:

The patent introduces patient-specific barcodes as intermediary elements that simplify the complexity of multiplexed detection. These barcodes serve as mediators between the complex NGS sequencing process and the diagnostic interpretation, enabling systematic organization and tracking of multiple patient samples. The barcode system acts as an intermediary layer that manages detection complexity while maintaining high throughput capability.

Inventive Principle:
Principle #24Intermediary (Mediator)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Enables rapid, scalable, and accurate SARS-CoV-2 testing at a population scale, allowing for simultaneous detection of pathogens and host responses, thereby improving diagnostic capacity and reducing delays in patient management.

Implementation Method 1

nucleic acid sequencing (NGS) with sample-specific barcoded indexes to detect SARS-CoV-2 viral gRNA and host transcriptional responses

Methodology Applied
Scientific EffectNucleic acid sequencing:

Data Source

PatentUS20230374592A1Massively paralleled multi-patient assay for pathogenic infection diagnosis and host physiology surveillance using nucleic acid sequencing
Publication Date: 2023.11.23 THE GOVERNMENT OF THE UNITED STATES OF AMERICA AS REPRESENTED BY THE SECRETARY DEPARTMENT OF HEALTH & HUMAN SERVICES
  • US20230374592A1 patent drawing
  • US20230374592A1 patent drawing
  • US20230374592A1 patent drawing

AI summary

The invention generally relates to detecting the presence of a pathogen in a sample, specifically severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and physiological effects on the host with prognostic value, by methods that can simultaneously detect the pathogen and a host's transcriptional response to infection by the pathogen.