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Journal of Clinical Microbiology, Jan 1997, 187-192, Vol 35, No. 1
A Hawkins, F Davidson and P Simmonds
The accuracy of different methods for the quantitation of hepatitis C virus
in plasma was measured with samples from individuals infected with
different genotypes and by using RNA transcripts of predetermined
concentrations. Highly reproducible results were observed upon repeat
testing of samples by both the original version of the Chiron branched- DNA
(bDNA) assay (Quantiplex RNA assay; bDNA-1) and the currently available
version (Quantiplex HCV RNA 2.0 assay; bDNA-2). A greater variability was
observed in the Roche Monitor assay (correlation coefficient of 0.537,
compared with 0.942 and 0.964 for the bDNA-1 and bDNA-2 assays,
respectively). Significant differences in the efficiency of detection of
genotypes 1, 2, and 3 were observed for the bDNA-1 and Roche Monitor
assays, whereas the bDNA-2 assay and nested PCR at limiting dilution were
able to quantify genotypes with equal sensitivity. By quantifying RNA
transcripts of different genotypes, the sensitivities of the Roche Monitor
assay for sequences of the type 2 and type 3 transcripts were estimated to
be 11 and 8% of those achieved for genotype 1. When correction factors
based upon these results and those from quantitation of circulating viral
RNA sequences in samples from blood donors were used, the genotype-specific
differences in virus load in samples from blood donors were no longer
observed, consistent with previous studies with corrected values from the
bDNA-1 assay. These results suggest that many of the previous studies
evaluating the effect of genotype and virus load on the response to
interferon using methods such as the Roche Monitor assay and other
competitive PCR methods require reinterpretation. Differences in efficiency
of quantitation should be taken into account in future investigations of
the relationship between genotype and virus load.
Copyright © 1997 by the American Society for Microbiology. All rights reserved.
Comparison of plasma virus loads among individuals infected with hepatitis C virus (HCV) genotypes 1, 2, and 3 by quantiplex HCV RNA assay versions 1 and 2, Roche Monitor assay, and an in-house limiting dilution method
Department of Medical Microbiology, University of Edinburgh, United Kingdom.
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