1.The Role of the Signal-to-Cutoff Ratio in Automated Anti-HCV Chemiluminescent Immunoassays by Referring to the Nucleic Acid Amplification Test and the Recombinant Immunoblot Assay.
Moon Suk CHOI ; Kyunghoon LEE ; Yun Ji HONG ; Eun Young SONG ; Dal Sik KIM ; Junghan SONG
Annals of Laboratory Medicine 2018;38(5):466-472
BACKGROUND: Following discontinuation of the recombinant immunoblot assay (RIBA), the only available supplementary test for the detection of hepatitis C virus (HCV) is the nucleic acid amplification test (NAAT). However, the NAAT does not adequately detect past HCV. Consequently, it is hard to distinguish between past HCV infection and biological false positivity with an anti-HCV result alone. We assessed the diagnostic performance of two immunoassays: the ARCHITECT anti-HCV chemiluminescent microparticle immunoassay (CMIA; Abbott Diagnostics, Wiesbaden, Germany) and the Access HCV Ab PLUS chemiluminescent immunoassay (CIA; Bio-Rad, Marnes-la-Coquette, France). We also explored an optimized algorithm to determine the anti-HCV results. METHODS: We tested 126,919 patients and 44,556 individuals who underwent a medical checkup. RIBA and NAAT were conducted for samples that tested anti-HCV-positive using CMIA and CIA. We assessed the optimal signal-to-cutoff (S/CO) ratio in HCV-positive samples. RESULTS: In total, 1,035 blood samples tested anti-HCV-positive. Of these, RIBA was positive in 512, indeterminate in 160, and negative in 363 samples. One hundred sixty-five samples were NAAT-positive. Diagnostic sensitivity and positive predictive value (PPV) were 96.7% and 52.1%, respectively, for CMIA, and 94.7% and 72.3%, respectively, for CIA. The optimal S/CO ratio was 5.2 for CMIA and 2.6 for CIA at 95% PPV. In total, 286 samples tested positive in CMIA and 444 in CIA, while 443 samples tested positive in both assays. CONCLUSIONS: It is hard to determine anti-HCV positivity based on the S/CO ratio alone. However, this study elucidated the role of the S/CO ratio by using the NAAT and RIBA.
Hepacivirus
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Humans
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Immunoassay*
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Nucleic Acid Amplification Techniques*
2.Progress in rolling circle amplification in biological detection.
Zhongxu ZHAN ; Ju LIU ; Bolu CHEN ; Yizhou TANG ; Guanhua CHEN ; Hengyi XU
Chinese Journal of Biotechnology 2019;35(7):1206-1213
Rolling circle amplification is a rapid, sensitive and isothermal single-stranded DNA amplification technique that can be used with staining or probes to amplify the detection signal. This technology has been widely used in biological detection and other aspects. The present paper introduces how to design rolling circle amplification, summarize its application in the detection of pathogens, nucleic acid tumor markers, proteins, biological small biomolecules, and viruses in recent years and prospects for future development.
DNA, Single-Stranded
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Nucleic Acid Amplification Techniques
3.Optimization of SRAP & ISSR technology and its application in the identification of seeds of Brassica oleracea L.
Chong LIU ; Cai-Lin GE ; Yun-Ying REN ; Jin-Xiu CHEN ; Xiao-Feng YANG ; Tian-Yue BO
Chinese Journal of Biotechnology 2006;22(4):657-661
In this study, the molecular marker technology of SRAP and ISSR were applied in rapid identification of seeds from eight species of Brassica oleracea L. Firstly, using the genomic DNA of cabbage as template, SRAP and ISSR reaction systems were optimized through testing every factor, respectively, that affects PCR amplification. Then, using the optimized reaction systems, 30 SRAP primer pairs and 15 ISSR primers were applied to amplify genomic DNA of cabbage, savoy, purple cabbage, borecole, cauliflower, broccoli, Brussels sprouts, and kohlrabi The results showed that high polymorphisms were exhibited among the eight species of Brassica oleracea L. by SRAP primer pairs of M3-E5 and M4-E5, as well as ISSR primers of 844 and 888, especially primer 844 which can identify all eight materials efficiently.
Brassica
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genetics
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Nucleic Acid Amplification Techniques
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methods
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Polymorphism, Genetic
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Repetitive Sequences, Nucleic Acid
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Seeds
;
genetics
4.Current status of laboratory testing for HIV in the Philippines.
Acta Medica Philippina 2009;43(3):58-63
Prevalence of HIV infection in the Philippines remains low. This may be partly due to reliance on passive reporting for surveillance. The algorithm for laboratory testing for HIV infection has become more stringent in the sense that the screening assays are repeated in the confirmatory centers, before Western Blot is performed. This has been due to the high rate of false positives before 2005. Nucleic Acid Amplification testing (NAAT) has been performed routinely for blood banking purposes in other countries. In a few pilot studies, it has proven useful in identifying those cases in the early stage of the infection, which are missed on testing by antibody-based assays. The assay may prove useful in knowing whether false negatives happen with the current testing algorithm in the Philippines. Coupled with the detuned assay, identification of new cases may be critical for prevention of transmission, surveillance of cases, and early medical management if needed.
Hiv Infections ; Prevalence ; Philippines ; Blood Banks ; Blotting, Western ; Antibodies ; Nucleic Acid Amplification Techniques ; Algorithms ; Nucleic Acids
5.Laboratory Diagnosis of Clostridium difficile Infection in Korea: The First National Survey
Hae Sun CHUNG ; Jeong Su PARK ; Bo Moon SHIN
Annals of Laboratory Medicine 2019;39(3):317-321
In May 2015, we conducted a voluntary online survey on laboratory diagnostic assays for Clostridium difficile infection (CDI) across clinical microbiology laboratories in Korea. Responses were obtained from 66 laboratories, including 61 hospitals and five commercial laboratories. Among them, nine laboratories reported having not conducted CDI assays. The toxin AB enzyme immunoassay (toxin AB EIA), nucleic acid amplification test (NAAT), and C. difficile culture, alone or in combination with other assays, were used in 51 (89.5%), 37 (64.9%), and 37 (64.9%) of the remaining 57 laboratories, respectively, and 23 (40.4%) of the laboratories performed all three assays. Only one laboratory used the glutamate dehydrogenase assay. Nine laboratories used the toxin AB EIA as a stand-alone assay. The median (range) of examined specimens in one month for the toxin AB EIA, NAAT, and C. difficile culture was 160 (50–2,060), 70 (7–720), and 130 (9–750), respectively. These findings serve as valuable basic data regarding the current status of laboratory diagnosis of CDI in Korea, offering guidance for improved implementation.
Clinical Laboratory Techniques
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Clostridium difficile
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Clostridium
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Glutamate Dehydrogenase
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Immunoenzyme Techniques
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Korea
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Nucleic Acid Amplification Techniques
6.Molecular technology for identification of novel viruses.
Chinese Journal of Virology 2011;27(2):170-175
7.Genetic improvement of alpha-amylase producing Bacillus licheniformis by homolog-mediated alpha-amylase gene amplification.
Dandan NIU ; Guiyang SHI ; Zhengxiang WANG
Chinese Journal of Biotechnology 2009;25(3):375-380
Bacillus licheniformis alpha-amylase (BLA) is one of the most important enzymes involved in starch hydrolysis and many biotechnological processes. To improve the BLA productivity, an integrative plasmid pBL-amyL carrying amyL gene encoding a thermophilic alpha-amylase of B. licheniformis was constructed and transformed into B. licheniformis B0204, an industrial alpha-amylase producer. The transformants harboring different copies of amyL were developed on kanamycin by using homolog-mediated chromosomal amplification of alpha-amylase gene. The recombinants with different multiple copies of amyL integrated in the chromosome were identified by real-time PCR and evaluated by shake-flask fermentation. Recombinants harboring 2-5 multiple copies of amyL produced more alpha-amylase comparison to the parental strain B0204.
Bacillus
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enzymology
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genetics
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Gene Amplification
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Industrial Microbiology
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Nucleic Acid Amplification Techniques
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Transformation, Genetic
;
alpha-Amylases
;
biosynthesis
;
genetics
8.Evaluation of Artus HBV LC PCR kit using SLAN Real-time PCR.
Minki KIM ; Dong Young LEE ; Yoon Hwan CHANG ; Jin Kyung LEE ; Seok Il HONG ; Young Joon HONG
Journal of Laboratory Medicine and Quality Assurance 2009;31(2):275-279
BACKGROUND: Real-time PCR has been widely used not only for quantification?of disease-related genes but also for detection of bacteria or viruses. In this study, we evaluated the performance of Artus HBV LC PCR kit (Qiagen, Hilden, Germany) using recently developed SLAN real-time PCR detection system (Shanghai Hongshi Medical Technology Co., Shanghai, China) to assess clinical relevance of the new instrument. METHODS: Precision, linearity and detection limit of Artus HBV LC PCR kit were evaluated using SLAN real-time PCR detection system. We also compared the SLAN real-time PCR detection system with LightCycler 1.5 (Roche Molecular System, Branchburg, NJ, USA) and ABI PRISM 7500 (Applied Biosystems, Foster City, CA, USA). WHO International Standard for HBV DNA Nucleic Acid Amplification Techniques (NIBSC code:97/750) and 40 HBV DNA positive sera were tested for this evaluation. RESULTS: Within-run and between-day coefficients of variation were 5.63%, 4.01% at 6.2x10(3) IU/mL and 1.12%, 0.80% at 2.1x10(1) IU/mL, respectively. Linearity was verified from 1.0x10(1) to 1.0x10(5) IU/mL (r(2)=1.000; slope=1.1412). Detection limit for HBV DNA was verified to be 7.54 IU/mL. It showed a good correlation with LightCycler 1.5 (r=0.9723) and ABI PRISM 7500 (r=0.9768). CONCLUSIONS: Artus HBV LC PCR kit using SLAN real-time PCR detection system showed a good precision, linearity and assay sensitivity. It correlated well with LightCycler 1.5 and ABI PRISM 7500. We conclude that it can be used in clinical laboratories for nucleic acid quantification.
Bacteria
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DNA
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Limit of Detection
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Nucleic Acid Amplification Techniques
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Polymerase Chain Reaction
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Real-Time Polymerase Chain Reaction
9.Applications and prospect of multiple displacement amplification in preimplantation genetic diagnosis.
Yin-feng ZHANG ; Hai-ning LUO ; Xiao-pei LI ; Yun-shan ZHANG
Chinese Journal of Medical Genetics 2012;29(4):431-434
Multiple displacement amplification (MDA) is a new technology for whole genome amplification (WGA), which can generate large amount of high-quality DNA and features high amplification efficiency and fidelity. MDA combined with conventional PCR techniques has been successfully applied for preimplantation genetic diagnosis, which has broaden latter's clinical applications.
Genome, Human
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Humans
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Nucleic Acid Amplification Techniques
;
methods
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Polymerase Chain Reaction
;
methods
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Preimplantation Diagnosis
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methods
10.The Correlation between the S/CO Ratio of Anti-HCV ELISA, and the Results of the RIBA and RNA Test.
Korean Journal of Blood Transfusion 2006;17(1):54-60
BACKGROUND: Recombinant immunoblot assay (RIBA) or RNA test is considered to be a supplemental test for confirming a HCV infection. A correlation has been reported between the signal-to-cutoff (S/CO) ratios of a third generation HCV enzyme-linked immunosorbent assay (ELISA) and a confirmed HCV infection. This study examined the results of an evaluation of domestic anti-HCV EIA and immunoblot kit (RIBA) in Korean donors. METHODS: A total of 375,576 donor samples were tested for anti-HCV using the LG third generation HCV ELISA (LG HCD 3.0 TMB, LGphD, Korea) and HCV RNA by NAT (Biomerieux/Roche RT-PCR, 24 pool). The anti-HCV repeat reactive samples were further tested by third generation RIBA (LG HCD Confirm, LGphD, Korea). A positive result by either the nucleic acid amplification test (NAT) or RIBA was interpreted as a confirmed HCV infection. RESULTS: There were 506 out of the 375,576 donor samples (0.13%) that were anti-HCV repeat reactive (RR) by routine screening ELISA. The confirmed HCV prevalence in the donors was 0.01% (RIBA 42/375,570, RNA 36/375,570). 443 samples from the 506 repeat reactive samples in ELISA (87.6%) showed a S/CO ratio <3.0 but did not show positivity in the RIBA and RNA test. The rate of RIBA positivity in the RR specimens was 8.3% (42/506). The RNA detection rate in the RIBA positive samples was 85.7%(36/42). All 36 samples showing a positive result in both the RIBA and RNA test showed a significantly high S/CO ratio, >3.6 (mean 4.40+/-0.80), compared with the negative group (mean 1.54+/-0.64). CONCLUSION: There was a good correlation between a high S/CO ratios and a confirmed HCV infection. In addition, samples showing a low S/CO ratio with an ID (Indeterminate) or negative RIBA result suggest a high probability of nonspecific reactivity in ELISA.
Enzyme-Linked Immunosorbent Assay*
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Humans
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Mass Screening
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Nucleic Acid Amplification Techniques
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Prevalence
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RNA*
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Tissue Donors