Pairing Data Independent Acquisition and High-Resolution Full Scan for Fast Urinary Tract Infection Diagnosis

BackgroundRapid and accurate identification of urinary tract infection (UTI) pathogens is critical for effective treatment and combating antimicrobial resistance. Conventional culture-based diagnostics are slow, and standard tandem mass spectrometry workflows are resource-intensive. MethodsWe present a proof-of-concept workflow that integrates high-resolution data-independent acquisition (DIA) MS/MS on the Thermo Scientific Orbitrap Astral with MS1-only spectra from the Orbitrap Exploris 480. DIA data establish a reference panel of pathogen-specific peptides, which are then identified in MS1 spectra from urine samples. Machine learning models trained on these matched MS1 features were used to classify eight common uropathogens and non-infected controls across synthetic inoculations, pure cultures, and clinical patient samples. ResultsThe approach accurately distinguished bacterial species in both controlled inoculated samples and clinical patient samples, achieving a Matthews Correlation Coefficient (MCC) of 0.924 on held-out test data and 0.77 on patient samples. ConclusionsThis proof-of-concept demonstrates that pairing DIA-derived peptide panels with MS1-only data acquired on a cost-effective instrument suitable for routine analysis, enables rapid, culture-free identification of UTI pathogens. The method provides a scalable, high-throughput platform suitable for clinical applications and establishes a foundation for broader biomarker discovery and potential quantitative workflows.