PMID- 20637687 OWN - NLM STAT- MEDLINE DCOM- 20101216 LR - 20191210 IS - 1873-5967 (Electronic) IS - 1386-6532 (Linking) VI - 49 IP - 1 DP - 2010 Sep TI - Improved HIV-1 RNA quantitation by COBAS AmpliPrep/COBAS TaqMan HIV-1 Test, v2.0 using a novel dual-target approach. PG - 41-6 LID - 10.1016/j.jcv.2010.06.004 [doi] AB - BACKGROUND: HIV-1 RNA viral load is a key parameter for reliable treatment monitoring of HIV-1 infection. Accurate HIV-1 RNA quantitation can be impaired by primer and probe sequence polymorphisms as a result of tremendous genetic diversity and ongoing evolution of HIV-1. A novel dual HIV-1 target amplification approach was realized in the quantitative COBAS AmpliPrep/COBAS TaqMan HIV-1 Test, v2.0 (HIV-1 TaqMan test v2.0) to cope with the high genetic diversity of the virus. OBJECTIVES AND STUDY DESIGN: The performance of the new assay was evaluated for sensitivity, dynamic range, precision, subtype inclusivity, diagnostic and analytical specificity, interfering substances, and correlation with the COBAS AmpliPrep/COBAS TaqMan HIV-1 (HIV-1 TaqMan test v1.0) predecessor test in patients specimens. RESULTS: The new assay demonstrated a sensitivity of 20 copies/mL, a linear measuring range of 20-10,000,000 copies/mL, with a lower limit of quantitation of 20 copies/mL. HIV-1 Group M subtypes and HIV-1 Group O were quantified within +/-0.3 log(10) of the assigned titers. Specificity was 100% in 660 tested specimens, no cross reactivity was found for 15 pathogens nor any interference for endogenous substances or 29 drugs. Good comparability with the predecessor assay was demonstrated in 82 positive patient samples. In selected clinical samples 35/66 specimens were found underquantitated in the predecessor assay; all were quantitated correctly in the new assay. CONCLUSIONS: The dual-target approach for the HIV-1 TaqMan test v2.0 enables superior HIV-1 Group M subtype coverage including HIV-1 Group O detection. Correct quantitation of specimens underquantitated in the HIV-1 TaqMan test v1.0 test was demonstrated. CI - Copyright (c) 2010 Elsevier B.V. All rights reserved. FAU - Sizmann, Dorothea AU - Sizmann D AD - Roche Diagnostics Ltd., Forrenstrasse, CH-6343 Rotkreuz, Switzerland. dorothea.sizmann@roche.com FAU - Glaubitz, Joachim AU - Glaubitz J FAU - Simon, Christian O AU - Simon CO FAU - Goedel, Sebastian AU - Goedel S FAU - Buergisser, Philippe AU - Buergisser P FAU - Drogan, Daniel AU - Drogan D FAU - Hesse, Martin AU - Hesse M FAU - Kroh, Michael AU - Kroh M FAU - Simmler, Pascale AU - Simmler P FAU - Dewald, Manuela AU - Dewald M FAU - Gilsdorf, Marion AU - Gilsdorf M FAU - Fuerst, Marion AU - Fuerst M FAU - Ineichen, Ralph AU - Ineichen R FAU - Kirn, Anette AU - Kirn A FAU - Pasche, Paul AU - Pasche P FAU - Wang, Zhijun AU - Wang Z FAU - Weisshaar, Sabrina AU - Weisshaar S FAU - Young, Karen AU - Young K FAU - Haberhausen, Gerd AU - Haberhausen G FAU - Babiel, Reiner AU - Babiel R LA - eng PT - Evaluation Study PT - Journal Article DEP - 20100715 PL - Netherlands TA - J Clin Virol JT - Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology JID - 9815671 RN - 0 (RNA, Viral) RN - 0 (Reagent Kits, Diagnostic) SB - IM MH - HIV Infections/*diagnosis/*virology MH - HIV-1/*genetics/isolation & purification MH - Humans MH - Polymerase Chain Reaction/*methods MH - RNA, Viral/*analysis MH - *Reagent Kits, Diagnostic MH - Sensitivity and Specificity MH - *Viral Load EDAT- 2010/07/20 06:00 MHDA- 2010/12/17 06:00 CRDT- 2010/07/20 06:00 PHST- 2010/03/10 00:00 [received] PHST- 2010/06/02 00:00 [revised] PHST- 2010/06/04 00:00 [accepted] PHST- 2010/07/20 06:00 [entrez] PHST- 2010/07/20 06:00 [pubmed] PHST- 2010/12/17 06:00 [medline] AID - S1386-6532(10)00229-5 [pii] AID - 10.1016/j.jcv.2010.06.004 [doi] PST - ppublish SO - J Clin Virol. 2010 Sep;49(1):41-6. doi: 10.1016/j.jcv.2010.06.004. Epub 2010 Jul 15.