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Forensic Science International: Genetics

Elsevier BV

Preprints posted in the last 30 days, ranked by how well they match Forensic Science International: Genetics's content profile, based on 26 papers previously published here. The average preprint has a 0.01% match score for this journal, so anything above that is already an above-average fit.

1
Molecular Clock Dating of Ancient Environmental DNA Reveals Damage Beyond Deamination

Lemmon-Kishi, M.; Pipes, L.; De Sanctis, B.; Nielsen, R.

2026-07-07 bioinformatics 10.64898/2026.07.03.735781 medRxiv
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Ancient environmental DNA (aeDNA) from permafrost, lake, cave, and marine sediments provides a rich source of genetic data that captures broad perspectives of past biodiversity. Accurate dating is crucial for discovering ecologically relevant patterns from aeDNA, and molecular clock dating would allow for sample ages to be estimated from the recovered genetic material itself instead of the geological components. However, the fragmented and damaged nature of short-read ancient DNA (aDNA) from multiple taxonomic sources poses significant challenges and has limited this dating approach for aeDNA. Here we developed ratePlacer, a phylogeny-based method for analyzing aeDNA that can combine information from many short reads in a sample while accounting for DNA damage to provide maximum likelihood estimates of sample ages. Simulations demonstrate that ratePlacer accurately dates samples even under the fragmented, damaged conditions characteristic of aeDNA and outperforms Bayesian tip-dating approaches for taxonomically mixed samples commonly found in aeDNA. Yet age estimates from re-dating Kap Kobenhavn varied across taxa, highlighting the difficulty of molecular clock dating in aeDNA. This dating also revealed elevated G[->]T and C[->]A mismatches consistent with oxidative damage. These patterns reveal aDNA damage beyond deamination and that remains understudied, suggesting that aeDNA should be carefully evaluated in genomic and evolutionary analyses. The new dating method, ratePlacer, extends molecular clock dating of aDNA from single-specimen to pooled environmental DNA data, where traditional methods struggle.

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Towards a Robust cell-free DNA Isolation Protocol for NGS Applications in a Clinical Molecular Diagnostics Setting

Apweiler, M.; Broche, J.; Loitz, M.; Hackenbruch, L.; Ossowski, S.; Schroeder, C.; Schmit, K. J.

2026-06-24 health systems and quality improvement 10.64898/2026.06.15.26355337 medRxiv
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Cell-free DNA (cfDNA), released from apoptotic and necrotic cells into body fluids, represents a non-invasive source of genetic information for disease prediction, diagnosis, and monitoring. However, its low physiological abundance makes cfDNA highly susceptible to pre-analytical influences. In particular, genomic DNA (gDNA) released from lysed white blood cells (WBCs) can contaminate plasma and compromise downstream cfDNA analyses. This study evaluated the impact of different blood collection tubes and isolation methods on cfDNA stability and yield. Blood samples from 13 healthy donors were collected using cfDNA-stabilizing tubes (Cell-Free DNA BCT, Streck; S-Monovette cfDNA Exact, Sarstedt) and stored at room temperature for 1, 5, or 10 days before plasma isolation. CfDNA was extracted using either a magnetic bead-based method or a silica column-based approach. DNA quantity and quality were assessed by fluorometric quantification, automated fragment analysis, and gene-specific quantitative PCR. Streck-based workflows maintained stable cfDNA yields and characteristic mononucleosomal fragmentation profiles across all storage times. In contrast, Sarstedt tubes showed reduced cfDNA concentrations after 5 days and a pronounced increase at 10 Days, accompanied by high-molecular weight DNA patterns consistent with WBC lysis. These trends were largely independent of the extraction method. Overall, the results demonstrate that blood collection tube chemistry critically influences cfDNA integrity during delayed processing. Streck tubes, particularly when combined with QIAamp, provided the most robust and reproducible workflow for routine molecular diagnostics, whereas Sarstedt tubes produced physiologically implausible results after extended storage.

3
AutopsyPrint: A novel tool for translating ballistic and sharp force injury trajectory findings into 3D printable models

Parsons, C. E.; Thomsen, A. H.; Petersen, M. V.

2026-07-13 forensic medicine 10.64898/2026.07.10.26357738 medRxiv
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When autopsy findings are presented on two-dimensional paper-based models, there is an inherent reduction of spatial information, which the viewer must infer from simplified anatomical and geometrical representations. Multiple diagrams representing trajectory angles must be integrated into a complete mental model, introducing potential for errors in viewer understanding. 3D models can address these issues but have shown limited adoption in forensic autopsy reporting given the technical competences and software required to produce them. Here, we present AutopsyPrint, a workflow and open web-based tool for generating 3D printable body models annotated with wound trajectories. The tool supports marking different wound types, including ballistic and stab wounds, on male and female bodies, which can be posed to accommodate a diversity of trajectories. Based on our testing, we present a set of suggested workflow steps and parameters based to facilitate standardization of the 3D models produced, balancing between precision and print time and materials. To ensure accessibility, the tool runs fully in the user's browser, and all annotated data is stored locally. By making AutopsyPrint open access, we intend to build practical experience with model creation, to ultimately advance the use of 3D models in the field.

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Material-specific quarantine durations for SARS-CoV-2 inactivation on musical instruments and music-related materials

Pastorino, B.; Touret, F.; Creton, M.; Viala, R.; Morand, J. C.; Reyre, F.; Jousserand, M.; Billecard, F.; Charrel, R. N. C.

2026-07-01 microbiology 10.64898/2026.07.01.735763 medRxiv
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The COVID-19 pandemic has imposed a reevaluation of safety protocols across various sectors, including the arts. This study addresses a critical gap in understanding SARS-CoV-2 persistence on materials commonly associated with musical instruments and scores, such as alloys, varnishes, reeds, and paper. While previous research has explored viral survival on various surfaces, limited data exists for materials specific to musical contexts. In this work, we investigate the efficacy of quarantine as a non-destructive method for inactivating SARS-CoV-2 on 16 materials, including brass, silver plating, ABS plastic, ebonite, and various varnishes and paper types. Results revealed significant variability in viral persistence across materials. Non-porous surfaces like metals and ABS plastic cleared infectivity within 3 days, while porous materials such as reeds and music scores required up to 7 days. Gold-plated brass and certain varnishes showed intermediate persistence, with infectivity clearing after 4 days. These findings are in agreement with prior studies indicating that SARS-CoV-2 survival is highly dependent on surface composition, with porous and organic-coated materials retaining viable virus longer due to reduced environmental stress. Our results highlight the feasibility of stratified quarantine protocols based on material type, offering practical guidelines for musicians and institutions and provides critical insights for mitigating SARS-CoV-2 transmission risks in musical settings.

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Spatial Variability in Soil Necrobiome Communities has a Negligible Effect on Postmortem Interval Estimation

Hewett, L.; Rimok, C.; Thompson, K. A.; Forbes, S. L.; Shafer, A. B. A.

2026-07-08 microbiology 10.64898/2026.07.07.737041 medRxiv
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Microbial succession can be used to estimate the postmortem interval (PMI); however, the impact of spatial variability within the cadaver decomposition island (CDI) is not well understood. This study examined spatial variation in necrobiome communities where soil samples were collected over time and across spatial locations from the CDIs of two human body donors. Microbial communities were characterized using 16S rRNA sequencing and statistical modelling of variation and PMI were conducted. Necrobiome community metrics showed no significant differences across anatomical sampling sites within the CDI at a single timepoint. Temporal modelling identified 11 taxa with significant relationships to PMI in one donor, with spatial sampling having a minimal impact on the PMI relationships. Non-linear approaches also identified taxa with likely PMI signals in the second donor. These findings demonstrate that opportunistic sampling can capture robust linear and non-linear PMI signals in later decomposition stages.

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Metabarcoding replicate detection frequency tracks ddPCR copy number for cod and herring eDNA in ancient marine sediments

Banos Lara, E.; Holman, L. E.; Knudsen, S. W.; Bohmann, K.

2026-07-08 genetics 10.64898/2026.07.03.736335 medRxiv
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1. Detecting environmental DNA (eDNA) from rare or low-abundance aquatic species remains a major challenge, particularly when it is highly degraded, present at low concentrations, and dominated by DNA from non-target taxa. These challenges are further amplified in sedimentary ancient DNA (sedaDNA) studies, where thousands of years can degrade eDNA further, making the detection and quantitative interpretation of weak biological signals difficult. 2. Metabarcoding is commonly used to produce high-throughput community-level data from eDNA but is inherently compositional and influenced by amplification biases. Nonetheless, metabarcoding read abundance or PCR replicate detection frequency are increasingly used as proxies for relative DNA concentration, but their quantitative interpretation has rarely been evaluated against independent measures of absolute DNA abundance. 3. We used droplet digital PCR (ddPCR) to quantify mitochondrial DNA from Atlantic cod (Gadus morhua) and Atlantic herring (Clupea harengus) in 136 ancient eDNA extracts from Icelandic marine sediment cores spanning the last three millennia. We compared ddPCR copy number estimates with metabarcoding (18S) derived relative abundance and detection frequency, and evaluated whether temporal DNA trends corresponded with proxy reconstructed sea surface temperature (SST) variability. 4. We found that ddPCR-measured fish sedaDNA abundance was positively correlated with the proportion of metabarcoding PCR replicates for both Atlantic cod and Atlantic herring. Moreover, temporal trends in Atlantic herring DNA abundance were consistent with proxy reconstructed SST variability, supporting the ecological relevance of the molecular signal. 5. Overall, our results show that ddPCR-derived DNA concentrations and metabarcoding PCR replicate detection frequency capture consistent patterns in low-abundance fish sedaDNA from marine sediments. The observed agreement between approaches supports the use of PCR replicate detection frequency as a semi-quantitative proxy for low-abundance sedaDNA.

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A Pubic Hair Is 172 Times More Pubic Than a Scalp Hair

Ogata, N.; MATSUDA, T.

2026-07-01 bioengineering 10.64898/2026.06.25.734686 medRxiv
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Human hair is a common contaminant in GMP-controlled manufacturing environments, and its identification is important for contamination source investigation and corrective action. Because human hair can originate from multiple body sites, it is often necessary to determine not only the species of origin but also the anatomical source of the hair. Conventional forensic approaches distinguish scalp hair from body hair by microscopic examination of cuticle patterns, medullary structure, cross-sectional morphology, and pigment distribution. However, these methods depend on examiner expertise, are difficult to apply to damaged specimens, and provide limited quantitative information. In this study, we developed a proteomics-based approach for distinguishing scalp hair from pubic hair using identical sample preparation and analytical workflows. Comparative proteomic analysis identified keratin-associated proteins KAP 4-3 and KAP 9-6 as enriched in scalp hair, whereas cuticular keratins Ha7 and Ha8 were strongly enriched in pubic hair. Amino acid composition analysis further revealed that scalp hair-enriched proteins were highly cysteine-rich, consistent with sulfur-rich cross-linking matrix proteins, whereas pubic hair-enriched proteins exhibited characteristics of structural keratin filaments. These results demonstrate that proteomic signatures can provide a quantitative and objective means of determining the anatomical origin of human hair and may contribute to contamination source tracing in GMP manufacturing and forensic investigations.

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Systematic benchmarking of multi-modal approaches for tumor-naive ctDNA detection and quantification

Qi, T.; Odinokov, D.; Lakshmanan, L. N.; Grachet, N. G.; Lou, M.; Saelee, S.; Garcia-Montoya, G.; Mun, W. P.; Rahman, R. C.; Asgharian, H.; Yi, A. T. X.; Pyone, N. H. Y.; Wang, L. Y.; Tan, G. T.; Carrie, H.; Lim, A.; Ting, L. Y.; Hsia, A. G. H.; Yean, P. P. S.; Ngo, S.; Snyder, J.; Kaur, H.; Tan, A.; Yap, Y. S.; Tan, D. S.; Tan, I. B. H.; Penkler, J.-A.; Utiramerur, S.; Kumar, D.; Skanderup, A. J.

2026-06-24 bioinformatics 10.64898/2026.06.19.733293 medRxiv
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Longitudinal monitoring of circulating tumor DNA (ctDNA) has emerged as a promising framework for characterizing treatment response dynamics in cancer. Scalable tumor-naive approaches for quantifying ctDNA often involve whole-genome sequencing (WGS) or DNA methylation profiling, but their comparative performance and capacity for complementary integration remain poorly understood. Here we systematically benchmarked tumor-naive WGS- and methylation-based ctDNA quantification methods using plasma from 150 patients with colorectal, lung and breast cancer. Using paired high-depth WGS and EM-seq data, we generated 40,000 in silico samples and evaluated detection accuracy, limits of detection (LoD) and quantification (LoQ) across cancer types and sequencing depths (0.1x-30x). We further assessed single- and multimodal method combinations, identifying conditions under which integrated approaches enhance analytical performance for detection and quantification relative to single modalities. This benchmark delineates key performance trade-offs and provides a practical framework to support method development and guide future research applications in ctDNA-based biomarker studies.

9
Distance-to-optimum biological drift as a new framework for interpreting routine laboratory results: a benchmark against Reference Change Values across 62 routine biomarkers

Bezier, C.; Rolland, J.; Boutin, R.; Gruson, D.

2026-07-06 biochemistry 10.64898/2026.07.06.736744 medRxiv
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Background: We propose the biological drift framework for the interpretation of biological test results: a z-score-like framework based on optimized and personalized reference populations and a distance-to-optimum drift metric for longitudinal interpretation relative to an estimated individual optimum. We benchmarked biological drifts against Reference Change Values (RCVs), which are used to interpret serial laboratory results by defining the minimum change expected to exceed normal within-subject biological variation CVi. Objectives: To benchmark biological drifts against the classical biological-variation framework and assess their consistency with RCV thresholds across routine biomarkers. Methods: For 62 routine biomarkers, biological drift levels were compared with RCVs after transformation to test the consistency between the two frameworks. Results: Severe biological drifts mostly exceeded the 95% RCV threshold, indicating changes unlikely to be explained by short-term biological variation alone. In contrast, moderate drifts reached the 95% RCV threshold for approximately one in two biomarkers, suggesting that many moderate distance-to-optimum deviations may remain within expected variability, particularly for biomarkers with large within-subject variation CVi. Results are particularly interesting for the follow-up of people with diabetes and for the management of thyroid and hepatic disorders. Conclusions: Biological drifts derived from optimized personalized reference populations are broadly consistent with the RCV framework for identifying biologically meaningful deviations from the optimum and may therefore be relevant for the monitoring of certain biomarkers across several medical conditions in clinical practice.

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qPCR Guru, a free browser-based platform, strengthens microRNA analyses using full-curve Cq estimation

Singh, A.;Singh, O.;Sarkar, M.;Coultous, R.;Stice, S.

2026-06-23 Molecular Biology 10.64898/2026.06.21.733609 medRxiv
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Quantitative PCR (qPCR) depends on reliable quantification cycle (Cq) estimation from amplification curves, which are not always well-behaved. We developed qPCR Guru to provide a complete analysis pipeline including data quality assessment, relative quantification, standard-curve diagnostics, and dual-method Cq evaluation. The latter compares the conventional instrument-derived threshold ("Reported") Cq versus the full-curve five-parameter logistic (5PL) second-derivative-maximum ("Fit") Cq and automatically flags curve-shape abnormalities and disagreement between the two estimates. On high-expressing targets (mRNA and microRNA), the two methods showed strong convergence, confirming general-purpose performance. On low-expressing targets, such as serum microRNA, baseline artifacts and biphasic amplification result in threshold miscalls that standard instrument analysis does not flag. Fit Cq restored replicate-concordant values where Reported Cq split the technical replicates by 17-20 cycles, recovered MIQE-compliant amplification efficiencies lost to biphasic miscalls (from 74% to 102% and 387% to 98%), and lowered within-group variability by 48% and 68% in feline and bovine samples, respectively. Together, these results demonstrate that full-curve estimation, with integrated curve-level diagnostics, strengthens qPCR analyses against threshold miscalls. ARTICLE HIGHLIGHTSO_LIqPCR Guru is a free, browser-based platform that provides a complete analysis pipeline and facilitates side-by-side comparisons of an instruments threshold (Reported) Cq and a full-curve (Fit) Cq, from the five-parameter logistic fitting with second-derivative-maximum (SDM/cpD2). C_LIO_LIFor every well the application automatically flags curve-shape abnormalities and disagreement between the two Cq estimates. C_LIO_LIOn clean, high-expressing mRNA and microRNA targets, the two estimators (Reported Cq and Fit Cq) were strongly concordant and produced equivalent relative quantification with comparable precision. C_LIO_LIIn low-expressing serum microRNA, baseline artifacts and biphasic amplification produced threshold Cq miscalls of up to [~]20 cycles and were detected by curve-shape flags and/or method disagreement. C_LIO_LIThe full-curve Cq estimate recovered replicate-concordant values, restored MIQE-compliant amplification efficiencies, and reduced within-group variability in serum microRNA. C_LI

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Development of Shelf-Stable Reagents and Assay Kits for Bioluminescence Applications using the Capillary-Assisted Vitrification Platform Stabilization Technology

Shank-Retzlaff, M.; Radford, S.; Peris-Taverner, Y.; Dibble, M.; Corn, K.; Zhu, T.; Martello, S.; Mayeau, M.; Ladd, A.; Renu, S.; Chunduri, T.; Jadhav, A.; Dart, M.; Rafat, M.; Bronsart, L.

2026-07-13 biochemistry 10.64898/2026.07.11.737891 medRxiv
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Luminescence is a powerful method for detecting trace analytes and monitoring biological processes. However, most bioluminescence reagents, including luciferase and its substrates, are sensitive to temperature, limiting their useable shelf lives, and resulting in inconsistent performance. Enhancing the stability of these reagents could improve data quality, simplify workflows, and address cold chain storage issues. In this study, we demonstrate the application of the platform stabilization technology, capillary-assisted vitrification (CAV), as a tool to stabilize different luciferases and their substrates, and the application of the stabilized reagents in both in vitro and in vivo bioluminescent assays. We demonstrate that CAV-stabilized reagents can be stored and shipped ambiently, maintain consistent performance over time, and are suitable for use in cell viability quantification, tumor monitoring, in vivo imaging, microbial detection, and immunoassays. Additionally, different reagents can be co-formulated to make ready-to-use assay kits that can also be shipped and stored ambiently. Our results demonstrate that CAV stabilization is a viable alternative to traditional storage methods, with broad potential to improve bioluminescence workflows.

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Cas12a-Targeted Multiplexed Nanopore Sequencing

Rueegg, A. B.; Gehrold, R.; Agathos, K.; Chun, S.; Baur, A.; Pelczar, P.

2026-07-07 molecular biology 10.64898/2026.07.06.736710 medRxiv
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Targeted long read sequencing (LRS) of native genomic DNA (gDNA) using Oxford Nanopore Technologies (ONT) is an economically and computationally accessible method for sequencing selected genomic regions without the limitations associated with amplification-based approaches. At present, efficiency, multiplexing, and scalability remain key challenges for existing targeted LRS. We have developed Cas12a-Targeted Multiplexed Nanopore Sequencing (CTM-nSeq), which combines Cas12a-targeting, DNA fragment enrichment, and optimized adapter ligation using T7 DNA ligase. Unlike previously established protocols, CTM-nSeq is compatible with the latest ONT flow cell chemistry. Performing CTM-nSeq on a single sample with an R10.4 MinION flow cell routinely yields hundreds of on-target reads. Furthermore, CTM-nSeq enables targeting of multiple loci and is the first targeted ONT sequencing method, allowing reliable, barcode-assisted multiplexing. CTM-nSeq is an efficient and accessible method for sequencing native gDNA and analysing DNA methylation, repeat expansions, and sequence integrity. As such, CTM-nSeq has a wide range of analytical and diagnostic applications.

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Analytical Performance and 99th Percentile Upper Reference Limit of the Novel SPINCHIP High-Sensitivity Cardiac Troponin I Point-of-Care Assay

MacKenzie, J.; Aakre, K. M.; Paus, D.; Broughton, M. N.; Storvold, G. L.; Olberg, A.; Stenmark, S.; Booij, B. B.; Scott, S.; Michel-Busseret, S.; Octave, L.; Tveit, A.; Lyngbakken, M. N.; Nilsson, J.; Rosjo, H.

2026-07-20 emergency medicine 10.64898/2026.07.17.26357157 medRxiv
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BACKGROUND In line with International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) recommendations for high-sensitivity cardiac troponin assays, analytical validation and reference limit assessments are required to confirm that an assay meets performance criteria. This study evaluated the analytical performance and established the 99th percentile upper reference limit (URL) for the SPINCHIP High-Sensitivity Cardiac Troponin I (SPINCHIP hs-cTnI) point-of-care assay. METHODS Analytical performance characteristics, including the limit of blank (LoB), limit of detection (LoD), and limit of quantification (LoQ), were assessed. Additionally, 1,053 plasma samples and 1,055 whole-blood samples were used to determine the URL. Imprecision around the 99th percentile URL was evaluated as part of the analytical validation. High-sensitivity criteria were assessed by confirming measurable cTnI in [&ge;]50% of healthy individuals (n=432 plasma; n=431 whole blood) and achieving imprecision <10% at the 99th percentile (plasma, n=960; whole blood, n=480). RESULTS SPINCHIP hs-cTnI demonstrated a LoB of 0.3 ng/L; LoDs of 0.8 ng/L (plasma) and 0.9 ng/L (whole blood); and LoQs of 1.1 ng/L (plasma) and 1.4 ng/L (whole blood). The analytical measuring range was 1.1-9,000 ng/L. Imprecision at the common 99th percentile URL (14 ng/L) was 5.8%; for men (URL=16 ng/L) 5.6% and for women (URL=10 ng/L) 6.3%. Greater than 85.2% (94.0% and 76.1% in men and women, respectively) of healthy individuals showed measurable cTnI above the LoD. CONCLUSIONS The SPINCHIP hs-cTnI assay meets the IFCC high-sensitivity requirements, demonstrating <10% imprecision at the 99th percentile, reliable low-concentration precision and cTnI detection in more than half of healthy individuals.

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Recommendations for the ethical and accurate use of population descriptors: a trainee-led survey of early-career researchers

Sharma, J.; Maldonado, B.; Ungar, R. A.; Adimoelja, A.; Flores, J.; Gjorgjieva, T.; Jones, K.; Khan, A.; Xue, D.; Patel, R.; Caggiano, C.

2026-07-07 genetics 10.64898/2026.07.01.735829 medRxiv
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Despite the importance of population descriptors in human genomics research, many scientists struggle to translate evolving ethical guidelines into their computational workflows. To characterize this gap between recommendations and implementation, we conducted a mixed-methods survey of early-career researchers to assess how they understand and implement the landmark 2023 NASEM report on the use of population descriptors in human genetics research. We show that while exposure to the report fosters ethical awareness, fundamental misconceptions about race and ancestry persist across academic disciplines, and trainees face structural bottlenecks, including legacy data constraints and a lack of technical confidence. To address this gap, we offer actionable, stakeholder-specific recommendations across the research lifecycle ranging from decision-support tools to "bring-your-own-data" workshops to leadership from academic journals, scientific societies, and trainee mentors. Ultimately, we argue that to promote scientific rigor and reduce bias in genetic discoveries, the scientific ecosystem must invest in the infrastructure necessary to empower the next generation of researchers.

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UV inactivation of bacteria and viruses on surfaces: mechanistic insights and testing method comparisons

Ma, B.; Seyedi, S.; Linden, K.

2026-06-24 microbiology 10.64898/2026.06.23.734141 medRxiv
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Germicidal UV devices offer a promising solution to mitigate surface-mediated pathogen transmission, providing effective disinfection without material corrosion. This study evaluated the surface inactivation kinetics of two bacteria and two bacteriophages using a low-pressure (LP) mercury UV lamp (254 nm) and a filtered krypton chloride (KrCl*) excimer lamp (222 nm). Three deposition methods (Spray, Spread, and Pipette) and two extraction methods (Swab and Elute) were compared. The UV dose response on surfaces followed a two-region non-linear model due to shielding from dried deposition constituents, primarily through UV absorption. KrCl* excimer exhibited similar bacterial inactivation but slightly lower viral inactivation than LP UV lamp (maximum inactivation [~] 1 log lower), but its safety profile makes it compelling in occupied spaces. Compared to aqueous conditions, bacteria were more UV sensitive on surfaces, whereas viruses were more resistant. The deposition methods affected the inactivation results, with the Spray method resulting in higher bacteria inactivation. While the extraction methods had limited effect on inactivation efficacy, the Swab method provided higher inactivation detection limits ([~] 2 log higher) and more consistent extraction efficiency. This study provides mechanistic insights into the effects of deposition conditions, UV wavelengths, and microbial characteristics on UV surface disinfection and contributes to standardization of testing methods. TOC Graphic O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=104 SRC="FIGDIR/small/734141v1_ufig1.gif" ALT="Figure 1"> View larger version (24K): org.highwire.dtl.DTLVardef@11db511org.highwire.dtl.DTLVardef@15aa3faorg.highwire.dtl.DTLVardef@1c39ac9org.highwire.dtl.DTLVardef@e726ed_HPS_FORMAT_FIGEXP M_FIG C_FIG

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GPCR-Based Machine Olfaction On Urine Scent Surpasses PSA at Predicting Prostate Cancer

Mershin, A.; Guest, C.; Stefanou, N.; Harris, R.; rotteveel, A.; Johnson, S.; Kung, K. C.; Kountouri, Z.; Kivell, H.; Zan, E.; Gluck, C.; Anjum, I.; Teasdale, F.; Dowse, C.; Leslie, T.; Colda, A.; Zhang, S.; Ong, K.; Liang, P. P.; Kotsis, A.

2026-07-13 urology 10.64898/2026.07.10.26357731 medRxiv
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Objectives. To determine whether medical machine olfaction via tracking the activation of mammalian G-Protein Coupled odorant Receptors (GPCR) stabilized by proprietary co-polymers on a photonic MZI chip can be used to diagnose prostate cancer (PCa) via urine scent. Specifically, scent character is compared against the current diagnostic PCa screening gold-standard in the US: the serum level of prostate specific antigen (PSA). The device is an artificial nose sensor built on a commercial photonic platform that reads interchangeable Mach-Zehnder interferometer (MZI) chips. These chips were functionalized with a stabilised panel of mammalian olfactory G-protein-coupled receptors (GPCRs). These samples had been characterized into POSITIVE or CONTROL for PCa six to eight years prior by standard hospital diagnostic procedures and by trained medical detection dogs, then stored at -80 Celcius. A subset of 80 patients urine samples was subsequently thawed and used for training and testing the medical machine olfaction system of RealNose as an initial validation of the novel technology and methodological approach. We posed two primary research questions: (a) whether the cancer-associated odor profile would remain detectable by machine-based systems following long-term storage and with what accuracy could it be used to cluster (YES and AUC 0.79 from scent character alone), and (b) what technical and procedural requirements would be necessary to translate such a signal into a clinically useful diagnostic assay (more training samples (500 predicted to yield 0.93) and increased breadth of receptors per chip and/or more chips per device in next iteration seen as helpful). Design, setting, participants. Retrospective diagnostic-accuracy feasibility study on 80 biobanked urine samples (40 PCa, 40 non-cancer; 368 sensor runs; a subset of unknown Gleason grade) from a single UK NHS urology service, the same collection used to train canine detectors. Main outcome measures: Patient-level Receiver Operating Characteristic (ROC) area under the curve (AUC) under patient-grouped cross-validation with a fold-honest pooled-control reference (reconstructed from training-partition controls only); sensitivity, specificity and predictive values at pre-specified operating points; 1000-fold whole-procedure label-permutation significance; patient bootstrap 95% CIs; and leave-one-day-out / leave-one-chip-out generalisation. Results. An L2-regularised linear classifier when allowed to see between three and six chips outcome on a patient sample extracted within-instrument AUC 0.79 (95% CI 0.69 to 0.88; 1000-permutation p = 0.001) from urine scent alone, exceeding this cohort own serum prostate-specific antigen (PSA) discrimination (AUC 0.645; itself within the population range for PSA 0.67) and obtained without a blood draw (at the Youden point, sensitivity 0.75, specificity 0.78, PPV 0.77, NPV 0.76). Upon allowing PSA the total AUC rose to 0.82. This was not a plateau: AUC rose from chance at 30 training samples, passed the serum-PSA range at 40, and reached 0.79 at 80 patients (0.82 if PSA was included), with an inverse-power fit projecting 0.93 by n = 500 and 0.96 by n = 1000. The discriminant was a genuine multivariate receptor pattern, independent of patient age (Spearman 0.09; the cohort is not age-matched). So at least for these data, neither age, nor collection day, ambient humidity/temperature, or overall signal amplitude (sometimes thought of as intensity of smell) were predictive of prostate cancer status, yet the scent character was. Transfer to a new sensor chip fell to AUC 0.57 without calibration, meaning the remaining obstacles are hardware portability rather than signal existence: much as a detection dog acclimatizes to a new setting, the system improves with on-site calibration prior to use. Conclusions: A genuine, confound-controlled olfactory PCa signature is recoverable from 80 samples, surpasses this cohort serum PSA (0.645) and exceeds the population PSA range, and improves monotonically with training-set size. We present this as a small-sample feasibility benchmark, not yet a validated diagnostic; the dominant remaining factor is training-set size, and the path to clinical-utility and improved AUC is clearly found to be a larger, multi-site, age-matched, and ideally prospective training cohort. A transferable small-sample lesson is also reported: adaptive feature searches (evolutionary and self-calibrating-protocol handle search) artificially inflate cross-validation and collapse under whole-procedure permutation, whereas non-adaptive averaging survives, giving a robust scent signal obtainable from the headspace of urine samples and recordable by the RealNose device that keeps improving with expanding sample training set.

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Development and Analytical Validation of a Smartphone-Based Quantitative Lateral Flow Immunoassay for Serum Cystatin-C

LIAN, Y.; Zheng, R.; Yang, C.; Luo, L.; Zhang, N.; Lian, G.; Li, B.

2026-06-23 biochemistry 10.64898/2026.06.21.733583 medRxiv
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Cystatin-C is an important renal function biomarker, and conventional quantification requires centralized laboratory analyzers, which limits timely testing in primary care and resource-limited settings. To address this need, we developed and validated a simple, rapid, and quantitative smartphone-based (SP) lateral flow immunoassay (LFIA) for measuring serum Cystatin-C. The SP-LFIA platform consists of a colorimetric LFIA strip and a custom SP reader with uniform LED illumination and macro lens for image capture. Quantitative image analysis of the colorimetric signal is performed by a dedicated application using a pre-defined third order polynomial calibration model. Following systematic optimization, the assay demonstrated a wide quantitative range of 0.32-8.00 mg/L, with a limit of detection of 0.15 mg/L. Analytical validation conducted according to CLSI guidelines showed excellent precision, with intra- and inter-assay coefficients of variation below 10%, and no significant interference from bilirubin, triglycerides, hemoglobin, or rheumatoid factor. Accelerated stability testing confirmed robust strip performance after storage at 50 {degrees}C for 28 days. Method comparison using 100 clinical serum samples showed high agreement with a commercial PETIA reference method (R{superscript 2} = 0.993) and minimal bias. These results indicate that the developed smartphone-based LFIA provides a reliable, cost-effective, and practical tool for point-of-care Cystatin-C monitoring.

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Ontological Analysis of Brain Proteostasis Highlights the Sex-Dependent Trajectory of ApoE Isoform-Specific Regulation

Denos, A.; Jones, B.; Moran, N.; Smith, E.; Brown, K.; Earls, N.; Burlette, R.; Garrard, C.; Clark, E.; Coleman, E.; Elison, J.; Wells, J.; Matute, J.; Brown, J.; Sorensen, M.; Poulson, M.; Paymard, N.; Nielsen, C.; Tolley, D.; Vickers, E.; Daouahi, W.; Price, J. C.

2026-06-30 biochemistry 10.64898/2026.06.29.735293 medRxiv
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Apolipoprotein E (ApoE) is the strongest genetic predictor of Alzheimers disease (AD) risk, with ApoE4 increasing and ApoE2 decreasing risk relative to ApoE3. Using a global LC-MS proteomic approach, we integrated protein abundance and kinetics in Human-APOE knock-in mice for young (3-month) and aged (18-month) cohorts to quantify the changes in steady-state proteostasis. By mapping 6,052 identified proteins and 3,986 associated turnover rates into ontological groups, we observed that vesicle trafficking and mitochondrial dysregulation occur as early as 3 months in ApoE4 mice accompanied by hyperactive metabolism that eventually reduces with age. In contrast, young and old ApoE2 mice retain similar signatures to ApoE3 mice in metabolic, mitochondrial, cellular regulation, and membrane trafficking ontologies. We found that females had more isoform-induced ontological changes relative to ApoE3, providing insight into sex-dependent vulnerabilities. Our global proteomic approach for ApoE proteostasis crucially unifies independent literature observations while providing turnover kinetics to uncover the underlying mechanism behind abundance changes. Data are available via ProteomeXchange with identifier PXD079261. O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=189 SRC="FIGDIR/small/735293v1_ufig2.gif" ALT="Figure 1000"> View larger version (45K): org.highwire.dtl.DTLVardef@54c14borg.highwire.dtl.DTLVardef@5e490dorg.highwire.dtl.DTLVardef@df5b1org.highwire.dtl.DTLVardef@7d7717_HPS_FORMAT_FIGEXP M_FIG C_FIG O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=139 SRC="FIGDIR/small/735293v1_ufig1.gif" ALT="Figure 1001"> View larger version (48K): org.highwire.dtl.DTLVardef@115c4cdorg.highwire.dtl.DTLVardef@2baac8org.highwire.dtl.DTLVardef@d965e6org.highwire.dtl.DTLVardef@b0e49a_HPS_FORMAT_FIGEXP M_FIG C_FIG

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Fluorescently guided workflow with rationally engineered 5' ligation adapters for high-sensitivity and low-bias small RNA sequencing

Barnes, S. A.; Lovisek, D.; Dzurcaninova, N.; Carnecky, M.; Birova, S.; Cirkova, I.; Matyasovsky, J.; Szobi, A.; Cekan, P.

2026-07-08 molecular biology 10.64898/2026.06.23.733996 medRxiv
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MicroRNAs (miRNAs) act as key regulators of gene expression across diverse cellular processes, and their precise quantification can provide unique insight into disease pathogenesis. High-throughput sequencing allows for comprehensive small RNA profiling; however, standard commercial library preparation workflows are challenged by issues of low sensitivity and representational bias, limiting reliable profiling, especially in scenarios where samples are scarce. Several structural studies have shown that this bias primarily arises due to sequence and secondary structure variations between miRNAs and adapters during enzyme-catalyzed biochemical reactions. In this work, we propose a new approach to ligation adapter engineering using a bioinformatic analysis of the human miRNome to rationally design structure-forcing 5 adapters, that physically override localized, unpredictable structural variations during the intermediate ligation state. We show that this approach combined with a practical fluorescence-guided workflow, utilizing a fluorescently-labeled 3 adapter and novel Fluorescent Ligation Rulers (FLRs) to guide precise band excision, can minimize representational bias and increase the sensitivity of small RNA sequencing from low-input biological matrices. In comprehensive benchmarks using a synthetic panel, this method significantly reduced bias and outperformed alternative commercial protocols. Finally, we demonstrate that this workflow enhances biomarker detection and library quality in challenging clinical matrices, especially in cerebrospinal fluid. Overall, this protocol enables highly accurate miRNome characterization and is well-suited for biomarker discovery in challenging sample types.

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Sequential Penta-Omic Extraction Method Using Single Biospecimens of Post-mortem Human Brain

Lyon, S. P.; Ehrmann, B. M.; Webb, T. S.; Arciniega, C.; Herring, L. E.; Guo, S.; Parnham, S.; Scott, W. K.; Mieczkowski, P. A.; Macdonald, J. M.

2026-06-29 biochemistry 10.64898/2026.06.26.734872 medRxiv
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A multi-omic approach utilizing a single biospecimen is important to avoid intra-sample heterogeneity associated with testing multiple omic single-samples, and for more efficient use of small volumes of precious biopsies (<30 mg). This is especially true for the microanatomy of post-mortem human brain samples. Using post-mortem human brain biospecimens from the NIH NeuroBioBank, a penta-omic sequential extraction method is described, Simultaneous Metabolomic, Proteomic, Lipidomic - DNA, RNA Extraction (SiMPL-DREx). Each sequential omic extract was compared to those obtained by the gold standard single omic method. Preserving RIN is critical for brain and tissue banks, as it is a primary measure of tissue quality. For all five omic extracts, the tissue integrity numbers and omic profiles did not significantly differ from those obtained by the respective omic gold standard method. Unlike past multi-omic studies, this study quantified the relative solvent percentages and upstream losses for both the organic and aqueous phases, confirming an omics loss of under 5%.