Performance evaluation of the HepB Typer-Entecavir kit for detection of entecavir resistance mutations in chronic hepatitis B.
10.3350/cmh.2013.19.4.399
- Author:
Sang Hoon AHN
1
;
Ji Yong CHUN
;
Soo Kyung SHIN
;
Jun Yong PARK
;
Wangdon YOO
;
Sun Pyo HONG
;
Soo Ok KIM
;
Kwang Hyub HAN
Author Information
1. Department of Internal Medicine, Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article ; Evaluation Studies ; Research Support, Non-U.S. Gov't
- Keywords:
HBV;
Drug;
Resistance mutation;
Entecavir;
MALDI-TOF
- MeSH:
Adult;
Antiviral Agents/*therapeutic use;
Cross Reactions;
DNA, Viral/blood/standards;
Drug Resistance, Viral/*genetics;
Genotype;
Guanine/*analogs & derivatives/therapeutic use;
Hepatitis B virus/genetics;
Hepatitis B, Chronic/*drug therapy/genetics;
Humans;
Mutation;
Polymerase Chain Reaction/standards;
Reagent Kits, Diagnostic/*standards;
Reference Standards;
Sequence Analysis, DNA;
Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization/standards
- From:Clinical and Molecular Hepatology
2013;19(4):399-408
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND/AIMS: Molecular diagnostic methods have enabled the rapid diagnosis of drug-resistant mutations in hepatitis B virus (HBV) and have reduced both unnecessary therapeutic interventions and medical costs. In this study we evaluated the analytical and clinical performances of the HepB Typer-Entecavir kit (GeneMatrix, Korea) in detecting entecavir-resistance-associated mutations. METHODS: The HepB Typer-Entecavir kit was evaluated for its limit of detection, interference, cross-reactivity, and precision using HBV reference standards made by diluting high-titer viral stocks in HBV-negative human serum. The performance of the HepB Typer-Entecavir kit for detecting mutations related to entecavir resistance was compared with direct sequencing for 396 clinical samples from 108 patients. RESULTS: Using the reference standards, the detection limit of the HepB Typer-Entecavir kit was found to be as low as 500 copies/mL. No cross-reactivity was observed, and elevated levels of various interfering substances did not adversely affect its analytical performance. The precision test conducted by repetitive analysis of 2,400 replicates with reference standards at various concentrations showed 99.9% agreement (2398/2400). The overall concordance rate between the HepB Typer-Entecavir kit and direct sequencing assays in 396 clinical samples was 99.5%. CONCLUSIONS: The HepB Typer-Entecavir kit showed high reliability and precision, and comparable sensitivity and specificity for detecting mutant virus populations in reference and clinical samples in comparison with direct sequencing. Therefore, this assay would be clinically useful in the diagnosis of entecavir-resistance-associated mutations in chronic hepatitis B.
