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Table 1 Comparison of proteomic technologies for biomarker discovery in PAH

From: Protein biomarkers in pulmonary arterial hypertension: advances, clinical relevance, and translational challenges

Feature

LC-MS (Liquid chromatography-mass spectrometry)

Olink (Antibody-based proximity extension assay)

SOMAscan (Aptamer-based assay)

Technology principle

Mass spectrometry-based, peptide separation and identification

Dual antibody recognition with DNA barcode amplification

Aptamer binding with slow off-rate modified nucleic acids (SOMAmers)

Detection type

Untargeted & targeted

Targeted

Targeted

Sensitivity

High (variable for low-abundance proteins)

Very high

Very high for medium/high-abundance proteins; lower for low-abundance proteins compared to Olink.

Specificity

High

Very high (antibody dependent)

High (aptamer dependent)

Sample preparation

Complex

Simple

Simple

Throughput capability

Medium (dozens to hundreds of proteins)

High (dozens to hundreds per panel; up to thousands with multiple panels)

Very high (up to ~ 7000 proteins)

Reproducibility

Variable (influenced by sample preparation)

High

High

Cost

High (equipment-intensive)

Moderate to high

High

Advantages

Accurate quantification, novel protein identification

High sensitivity, specificity, minimal sample use

Broad proteome coverage, very high multiplexing capability

Limitations

Complexity, lower throughput

Dependent on antibody availability

Dependent on aptamer availability