Chevaliez Stéphane, Bouvier-Alias Magali, Pawlotsky Jean-Michel
French National Reference Center for Viral Hepatitis B, C, and Delta, Department of Virology, Hôpital Henri Mondor, Université Paris 12, and INSERM U955, 94010 Créteil, France.
J Clin Microbiol. 2009 Jun;47(6):1726-32. doi: 10.1128/JCM.01300-08. Epub 2009 Apr 15.
Quantification of hepatitis C virus (HCV) RNA is essential for the everyday management of chronic hepatitis C therapy. "Real-time" PCR techniques are potentially more sensitive than classical PCR techniques, are not prone to carryover contamination, and have a consistently wider dynamic range of quantification. Thus, they are rapidly replacing other technologies for routine quantification of HCV RNA. We extensively evaluated the intrinsic characteristics and clinical performance of the m2000(sp)-m2000(rt) Abbott real-time PCR platform for HCV RNA quantification. The study shows that the m2000(sp)-m2000(rt) platform is sensitive, specific, and precise; that the results are reproducible; and that the platform has a broad dynamic range of quantification. When comparing HCV RNA levels measured in the same individuals with the m2000(sp)-m2000(rt) platform and the third-generation branched-DNA assay, a trend toward a modest overestimation of HCV RNA levels was observed in the m2000(sp)-m2000(rt) platform in all genotypes except genotype 5. The differences, however, were unlikely to have any impact in clinical practice. In conclusion, our study shows that the Abbott m2000 real-time PCR system for HCV RNA quantification is sensitive, specific, and precise; that the results are reproducible; and that the platform's broad dynamic range of quantification is well suited to HCV RNA monitoring in the clinical setting.
丙型肝炎病毒(HCV)RNA定量对于慢性丙型肝炎治疗的日常管理至关重要。“实时”PCR技术可能比传统PCR技术更灵敏,不易发生交叉污染,并且具有始终更宽的定量动态范围。因此,它们正在迅速取代其他技术用于HCV RNA的常规定量。我们广泛评估了用于HCV RNA定量的m2000(sp)-m2000(rt)雅培实时PCR平台的内在特性和临床性能。研究表明,m2000(sp)-m2000(rt)平台灵敏、特异且精确;结果具有可重复性;并且该平台具有广泛的定量动态范围。当用m2000(sp)-m2000(rt)平台和第三代分支DNA分析比较在同一个体中测得的HCV RNA水平时,除5型基因型外,在m2000(sp)-m2000(rt)平台中观察到HCV RNA水平有适度高估的趋势。然而,这些差异在临床实践中不太可能产生任何影响。总之,我们的研究表明,用于HCV RNA定量的雅培m2000实时PCR系统灵敏、特异且精确;结果具有可重复性;并且该平台广泛的定量动态范围非常适合临床环境中HCV RNA的监测。