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Anyplex II HPV28检测和Anyplex II HPV HR检测分析与其他用于检测高级别宫颈异常女性高危人乳头瘤病毒(HPV)基因型的商业分析高度一致。

Anyplex II HPV28 detection and Anyplex II HPV HR detection assays are highly concordant with other commercial assays for detection of high-risk HPV genotypes in women with high grade cervical abnormalities.

作者信息

Cornall A M, Poljak M, Garland S M, Phillips S, Tan J H, Machalek D A, Quinn M A, Tabrizi S N

机构信息

Regional HPV Lab Net Reference Laboratory, Department of Microbiology and Infectious Diseases, The Royal Women's Hospital, Parkville, 3052, Victoria, Australia.

Murdoch Childrens Research Institute, Parkville, 3052, Victoria, Australia.

出版信息

Eur J Clin Microbiol Infect Dis. 2017 Mar;36(3):545-551. doi: 10.1007/s10096-016-2831-5. Epub 2016 Nov 8.

Abstract

PURPOSE

to evaluate the performance of Anyplex II HPV28 and HPV HR Detection assays against the EuroArray HPV, Cobas 4800 HPV (Cobas), HPV Amplicor (Amp), Linear Array HPV (LA) and Hybrid Capture 2 (HC2) in detection of high-risk HPV (HR-HPV) from liquid-based cervical cytology samples.

METHODS

cervical specimens from 404 women undergoing management of high-grade cytological abnormality were evaluated by Anyplex II HPV28 and HPV HR Detection assays for detection of HR-HPV genotypes and prediction of histologically-confirmed cervical intraepithelial neoplasia grade 2 or higher (≥CIN2). The results were compared to EuroArray, HC2, Cobas, Amp, and LA.

RESULTS

specimens were evaluated from 404 women with an average age of 30 years, including 336 with a histological diagnosis of ≥ CIN2 and 68 with ≤ CIN1. Concordance of HR-HPV detection between Anyplex II HPV28 and other genotyping assays was 94.79 % (κ = 0.84; EuroArray) and 97.27 % (κ = 0.91; LA); and between Anyplex II HPV HR and other HR-HPV detection assays was 86.35 % (κ = 0.62; HC2), 96.03 % (κ = 0.87; Cobas) and 96.77 % (κ = 0.89; Amp). Using HR-HPV detection for prediction of ≥ CIN2 by Anyplex II HPV28 and HPV HR, sensitivity (90.18, 95 % CI 86.48-93.14; 90.77, 95 % CI 87.16-93.65) and specificity (both 67.16, 95 % CI 54.60-78.15) were not significantly different to the other HPV assays tested, with one exception. Both Anyplex assays had significantly higher sensitivity than HC2 (p < 0.0001), with a specificity of 96 % (p > 0.05) of HC2 in this high-risk population.

CONCLUSIONS

both Anyplex II HPV detection assays were concordant with other commercial assays for HR-HPV detection, with comparable sensitivity and specificity for ≥ CIN2 detection.

摘要

目的

评估Anyplex II HPV28和HPV HR检测法相对于EuroArray HPV、Cobas 4800 HPV(Cobas)、HPV Amplicor(Amp)、线性阵列HPV(LA)和杂交捕获2(HC2)在从液基宫颈细胞学样本中检测高危型人乳头瘤病毒(HR-HPV)方面的性能。

方法

对404名接受高级别细胞学异常处理的女性的宫颈标本进行Anyplex II HPV28和HPV HR检测法评估,以检测HR-HPV基因型并预测组织学确诊的2级或更高等级的宫颈上皮内瘤变(≥CIN2)。将结果与EuroArray、HC2、Cobas、Amp和LA进行比较。

结果

对404名平均年龄为30岁的女性的标本进行了评估,其中336名组织学诊断为≥CIN2,68名≤CIN1。Anyplex II HPV28与其他基因分型检测法之间HR-HPV检测的一致性为94.79%(κ=0.84;EuroArray)和97.27%(κ=0.91;LA);Anyplex II HPV HR与其他HR-HPV检测法之间的一致性为86.35%(κ=0.62;HC2)、96.03%(κ=0.87;Cobas)和96.77%(κ=0.89;Amp)。使用HR-HPV检测通过Anyplex II HPV28和HPV HR预测≥CIN2,敏感性(90.18,95%CI 86.48-93.14;90.77,95%CI 87.16-93.65)和特异性(均为67.16,95%CI 54.60-78.15)与其他测试的HPV检测法相比无显著差异,但有一个例外。两种Anyplex检测法的敏感性均显著高于HC2(p<0.0001),在这个高危人群中HC2的特异性为96%(p>0.05)。

结论

两种Anyplex II HPV检测法与其他用于HR-HPV检测的商业检测法一致,在检测≥CIN2方面具有可比的敏感性和特异性。

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