Gastrointestinal symptoms and fecal shedding of SARS-CoV-2 RNA suggest prolonged gastrointestinal infection natarajan2022gastrointestinal

Fecal samples were collected from 113 participants “in a randomized controlled study of Peg-interferon lambda-1a versus a placebo control for the treatment of mild to moderate COVID-19.” A total of 7,563 measurements were taken for 679 samples using seven distinct assays; assays were typically run in duplicates.

Samples were initially collected using OMNIGene GUT collection tubes (OG) but subsequently replaced with Zymo DNA/RNA shield fecal collection tubes (ZY) because of better performance. There are consequently 14 analytes following the naming convention {target gene E, RdRP, N1, or N2}-{genomic RNA (gRNA) or subgenomic RNA (sgRNA)}-{quantification method RT-qPCR or ddPCR}-{collection tube OG or ZY}.

The reference event for temporal offsets in days is the day of enrollment.

Analytes

E-gRNA-RT-qPCR-OG

Concentration of genomic RNA of the E gene quantified using RT-qPCR for a sample collected using the OMNIGene GUT collection tube.

gamma shifted for E-gRNA-RT-qPCR-OG

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: stool
Units: gc/mL
Gene target: E
Participants: 108
Negative samples: 493
Positive samples (not quantifiable): 0
Quantifiable samples: 163
Limit of quantification: unknown
Limit of detection: 1000

E-gRNA-RT-qPCR-ZY

Concentration of genomic RNA of the E gene quantified using RT-qPCR for a sample collected using the Zymo DNA/RNA shield fecal collection tube.

exponential for E-gRNA-RT-qPCR-ZY

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: stool
Units: gc/mL
Gene target: E
Participants: 104
Negative samples: 488
Positive samples (not quantifiable): 0
Quantifiable samples: 214
Limit of quantification: unknown
Limit of detection: 1000

RdRP-gRNA-RT-qPCR-OG

Concentration of genomic RNA of the RdRp gene quantified using RT-qPCR for a sample collected using the OMNIGene GUT collection tube.

exponential for RdRP-gRNA-RT-qPCR-OG

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: stool
Units: gc/mL
Gene target: RdRP
Participants: 108
Negative samples: 553
Positive samples (not quantifiable): 0
Quantifiable samples: 103
Limit of quantification: unknown
Limit of detection: 1000

RdRP-gRNA-RT-qPCR-ZY

Concentration of genomic RNA of the RdRp gene quantified using RT-qPCR for a sample collected using the Zymo DNA/RNA shield fecal collection tube.

gamma shifted for RdRP-gRNA-RT-qPCR-ZY

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: stool
Units: gc/mL
Gene target: RdRP
Participants: 104
Negative samples: 534
Positive samples (not quantifiable): 0
Quantifiable samples: 168
Limit of quantification: unknown
Limit of detection: 1000

N1-gRNA-RT-qPCR-OG

Concentration of genomic RNA of the N1 gene quantified using RT-qPCR for a sample collected using the OMNIGene GUT collection tube.

exponential for N1-gRNA-RT-qPCR-OG

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: stool
Units: gc/mL
Gene target: N1
Participants: 108
Negative samples: 376
Positive samples (not quantifiable): 0
Quantifiable samples: 280
Limit of quantification: unknown
Limit of detection: 1000

N1-gRNA-RT-qPCR-ZY

Concentration of genomic RNA of the N1 gene quantified using RT-qPCR for a sample collected using the Zymo DNA/RNA shield fecal collection tube.

exponential for N1-gRNA-RT-qPCR-ZY

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: stool
Units: gc/mL
Gene target: N1
Participants: 104
Negative samples: 404
Positive samples (not quantifiable): 0
Quantifiable samples: 298
Limit of quantification: unknown
Limit of detection: 1000

N2-gRNA-RT-qPCR-OG

Concentration of genomic RNA of the N2 gene quantified using RT-qPCR for a sample collected using the OMNIGene GUT collection tube.

exponential for N2-gRNA-RT-qPCR-OG

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: stool
Units: gc/mL
Gene target: N2
Participants: 108
Negative samples: 429
Positive samples (not quantifiable): 0
Quantifiable samples: 227
Limit of quantification: unknown
Limit of detection: 1000

N2-gRNA-RT-qPCR-ZY

Concentration of genomic RNA of the N2 gene quantified using RT-qPCR for a sample collected using the Zymo DNA/RNA shield fecal collection tube.

exponential for N2-gRNA-RT-qPCR-ZY

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: stool
Units: gc/mL
Gene target: N2
Participants: 104
Negative samples: 459
Positive samples (not quantifiable): 0
Quantifiable samples: 243
Limit of quantification: unknown
Limit of detection: 1000

N1-gRNA-ddPCR-OG

Concentration of genomic RNA of the N1 gene quantified using ddPCR for a sample collected using the OMNIGene GUT collection tube.

gamma shifted for N1-gRNA-ddPCR-OG

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: stool
Units: gc/mL
Gene target: N1
Participants: 108
Negative samples: 185
Positive samples (not quantifiable): 0
Quantifiable samples: 154
Limit of quantification: unknown
Limit of detection: 1000

N1-gRNA-ddPCR-ZY

Concentration of genomic RNA of the N1 gene quantified using ddPCR for a sample collected using the Zymo DNA/RNA shield fecal collection tube.

exponential for N1-gRNA-ddPCR-ZY

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: stool
Units: gc/mL
Gene target: N1
Participants: 104
Negative samples: 154
Positive samples (not quantifiable): 0
Quantifiable samples: 197
Limit of quantification: unknown
Limit of detection: 1000

E-gRNA-ddPCR-OG

Concentration of genomic RNA of the E gene quantified using ddPCR for a sample collected using the OMNIGene GUT collection tube.

exponential for E-gRNA-ddPCR-OG

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: stool
Units: gc/mL
Gene target: E
Participants: 92
Negative samples: 103
Positive samples (not quantifiable): 0
Quantifiable samples: 58
Limit of quantification: unknown
Limit of detection: 1000

E-gRNA-ddPCR-ZY

Concentration of genomic RNA of the E gene quantified using ddPCR for a sample collected using the Zymo DNA/RNA shield fecal collection tube.

exponential for E-gRNA-ddPCR-ZY

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: stool
Units: gc/mL
Gene target: E
Participants: 75
Negative samples: 41
Positive samples (not quantifiable): 0
Quantifiable samples: 79
Limit of quantification: unknown
Limit of detection: 1000

N1-sgRNA-RT-qPCR-OG

Concentration of sub-genomic RNA of the N1 gene quantified using RT-qPCR for a sample collected using the OMNIGene GUT collection tube.

gamma shifted for N1-sgRNA-RT-qPCR-OG

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: stool
Units: gc/mL
Gene target: N1
Participants: 108
Negative samples: 569
Positive samples (not quantifiable): 0
Quantifiable samples: 49
Limit of quantification: unknown
Limit of detection: 1000

N1-sgRNA-RT-qPCR-ZY

Concentration of sub-genomic RNA of the N1 gene quantified using RT-qPCR for a sample collected using the Zymo DNA/RNA shield fecal collection tube.

exponential for N1-sgRNA-RT-qPCR-ZY

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: stool
Units: gc/mL
Gene target: N1
Participants: 101
Negative samples: 405
Positive samples (not quantifiable): 0
Quantifiable samples: 137
Limit of quantification: unknown
Limit of detection: 1000