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NULISA: a proteomic liquid biopsy platform with attomolar sensitivity and high multiplexing
NULISA: a proteomic liquid biopsy platform with attomolar sensitivity and high multiplexing
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NULISA: a proteomic liquid biopsy platform with attomolar sensitivity and high multiplexing
NULISA: a proteomic liquid biopsy platform with attomolar sensitivity and high multiplexing

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NULISA: a proteomic liquid biopsy platform with attomolar sensitivity and high multiplexing
NULISA: a proteomic liquid biopsy platform with attomolar sensitivity and high multiplexing
Journal Article

NULISA: a proteomic liquid biopsy platform with attomolar sensitivity and high multiplexing

2023
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Overview
The blood proteome holds great promise for precision medicine but poses substantial challenges due to the low abundance of most plasma proteins and the vast dynamic range of the plasma proteome. Here we address these challenges with NUcleic acid Linked Immuno-Sandwich Assay (NULISA™), which improves the sensitivity of traditional proximity ligation assays by ~10,000-fold to attomolar level, by suppressing assay background via a dual capture and release mechanism built into oligonucleotide-conjugated antibodies. Highly multiplexed quantification of both low- and high-abundance proteins spanning a wide dynamic range is achieved by attenuating signals from abundant targets with unconjugated antibodies and next-generation sequencing of barcoded reporter DNA. A 200-plex NULISA containing 124 cytokines and chemokines and other proteins demonstrates superior sensitivity to a proximity extension assay in detecting biologically important low-abundance biomarkers in patients with autoimmune diseases and COVID-19. Fully automated NULISA makes broad and in-depth proteomic analysis easily accessible for research and diagnostic applications. Unlocking the blood proteome requires exquisite sensitivity and multiplexing to detect low and high abundance proteins simultaneously. Here the authors describe a 200-plex immunoassay with attomolar sensitivity to detect important low abundance proteins in inflammatory diseases and COVID-19.