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Virology

Multilaboratory Comparison of Hepatitis C Virus Viral Load Assays

A. M. Caliendo, A. Valsamakis, Y. Zhou, B. Yen-Lieberman, J. Andersen, S. Young, A. Ferreira-Gonzalez, G. J. Tsongalis, R. Pyles, J. W. Bremer, N. S. Lurain
A. M. Caliendo
1Emory University School of Medicine, Atlanta, Georgia
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  • For correspondence: acalien@emory.edu
A. Valsamakis
2The Johns Hopkins Medical Institutions, Baltimore, Maryland
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Y. Zhou
3Harvard School of Public Health, Boston, Massachusetts
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B. Yen-Lieberman
4Cleveland Clinic Foundation, Cleveland, Ohio
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J. Andersen
3Harvard School of Public Health, Boston, Massachusetts
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S. Young
5Tricore Reference Laboratories, Albuquerque, New Mexico
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A. Ferreira-Gonzalez
6Virginia Commonwealth University, Richmond, Virginia
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G. J. Tsongalis
7Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire
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R. Pyles
8University of Texas Medical Branch, Galveston, Texas
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J. W. Bremer
9Division of AIDS Viral Quality Assurance Laboratory Viral Quality Assessment Laboratory, Rush University Medical Center, Chicago, Illinois
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N. S. Lurain
9Division of AIDS Viral Quality Assurance Laboratory Viral Quality Assessment Laboratory, Rush University Medical Center, Chicago, Illinois
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DOI: 10.1128/JCM.44.5.1726-1732.2006
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  • FIG. 1.
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    FIG. 1.

    Linear range of the viral load assays. (A) Bayer bDNA assay by laboratory; (B) Roche Monitor assay by laboratory (samples with a viral load greater than 5.0 log10 IU/ml were diluted 1:100 and retested); (C) Roche RT-PCR assay by laboratory; (D) Abbott RT-PCR by laboratory.

  • FIG. 2.
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    FIG. 2.

    Plot of the mean residual values for the viral load assays. Mean residual values are expressed as viral load minus the nominal concentration. Values are expressed as the means of all laboratories.

  • FIG. 3.
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    FIG. 3.

    Plot of the standard deviations (SD) for the viral load assays. The standard deviations have been calculated across all laboratories at tested log10 nominal HCV RNA values.

  • FIG. 4.
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    FIG. 4.

    Agreement plots between the Bayer bDNA and Abbott RT-PCR assays. The dotted line represents the mean difference for the samples.

  • FIG. 5.
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    FIG. 5.

    Agreement plots between the Bayer bDNA and Roche RT-PCR assays. The dotted line represents the mean difference for the samples.

Tables

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  • TABLE 1.

    Sensitivity and specificity of the viral load assays

    AssayNo. positive/no. tested at the following sample concn (log10 IU/ml):
    01.01.52.02.53.0
    Bayer bDNA2/280/283/2813/28
    Bayer TMA1/77/77/77/77/77/7
    Roche Monitor0/2813/2822/2827/28
    Abbott RT-PCR1/2828/2828/2826/26a27/27b28/28
    Roche RT-PCR0/2828/2828/2828/2828/2828/28
    • ↵ a Two invalid specimens.

    • ↵ b One invalid specimen.

  • TABLE 2.

    Mean viral load values for the different assays (results are expressed as means for all laboratories)

    Nominal concn (log10 IU/ml)Viral load (log10 IU/ml) by assay
    Roche MonitoraBayer bDNARoche RT-PCRAbbott RT-PCR
    1.01.170.99
    1.51.961.59
    2.02.512.17
    2.52.872.59
    3.02.863.323.16
    4.04.173.954.194.25
    4.54.61
    5.05.03
    5.55.585.395.655.63
    6.06.145.876.196.17
    6.56.596.326.696.68
    7.07.06—b7.197.30
    • ↵ a Samples with a viral load of greater than 5.0 log10 IU/ml were diluted 1:100 and retested.

    • ↵ b —, Eighteen of 28 samples were >6.89 log10 IU/ml.

  • TABLE 3.

    Mean viral load values and standard deviations for the 89 clinical specimens

    AssayMean viral load (SD) (log10 IU/ml) and P by genotype
    Genotype 1 (n = 28)Genotype 2 (n = 25)Genotype 3 (n = 29)Genotype 4 (n = 7)
    Bayer bDNA5.71 (0.86)5.70 (0.96)5.50 (0.77)5.23 (0.41)
    Abbott RT-PCR6.50 (1.09), P < 0.00016.31 (1.30), P < 0.00016.46 (0.72), P < 0.00015.31 (0.40), P = 0.42
    Roche RT-PCR6.53 (1.01), P < 0.00016.47 (1.14), P < 0.00015.78 (0.95), P < 0.0045.08 (0.72), P = 0.36
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Multilaboratory Comparison of Hepatitis C Virus Viral Load Assays
A. M. Caliendo, A. Valsamakis, Y. Zhou, B. Yen-Lieberman, J. Andersen, S. Young, A. Ferreira-Gonzalez, G. J. Tsongalis, R. Pyles, J. W. Bremer, N. S. Lurain
Journal of Clinical Microbiology May 2006, 44 (5) 1726-1732; DOI: 10.1128/JCM.44.5.1726-1732.2006

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Multilaboratory Comparison of Hepatitis C Virus Viral Load Assays
A. M. Caliendo, A. Valsamakis, Y. Zhou, B. Yen-Lieberman, J. Andersen, S. Young, A. Ferreira-Gonzalez, G. J. Tsongalis, R. Pyles, J. W. Bremer, N. S. Lurain
Journal of Clinical Microbiology May 2006, 44 (5) 1726-1732; DOI: 10.1128/JCM.44.5.1726-1732.2006
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KEYWORDS

Hepacivirus
virology

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