Department of Laboratory Medicine, Konkuk University School of Medicine, Seoul, Korea.
Department of Laboratory Medicine, Seoul Clinical Laboratories, Yongin, Korea.
Ann Lab Med. 2020 Jan;40(1):72-75. doi: 10.3343/alm.2020.40.1.72.
Accurate detection of fusion transcripts at and below molecular response (MR) 4 (0.01% International Scale [IS]) is required for disease monitoring in patients with chronic myeloid leukemia (CML). We evaluated the analytical performance of the QXDx BCR-ABL %IS (Bio-Rad, Hercules, CA, USA) droplet digital PCR (ddPCR) assay, which is the first commercially available ddPCR-based diagnostics product. In precision analysis, the %CV was 9.3% and 3.0%, with mean values of 0.031% IS and 9.4% IS, respectively. The assay was linear in the first order, ranging from 0.032% IS to 20% IS. The manufacturer-claimed limit of blank, limit of detection, and limit of quantification were verified successfully. There was a very strong correlation between the results of the QXDx BCR-ABL %IS ddPCR assay and the ipsogen BCR-ABL1 Mbcr IS-MMR (Qiagen, Hilden, Germany) real-time quantitative PCR assay (r=0.996). In conclusion, the QXDx BCR-ABL %IS ddPCR assay can provide reliable results for CML patients.
准确检测慢性髓性白血病 (CML) 患者在分子反应 (MR) 4 及以下水平(国际标准 [IS] 为 0.01%)的融合转录本,是疾病监测所必需的。我们评估了 QXDx BCR-ABL %IS(伯乐,美国加利福尼亚州赫拉克勒斯)液滴数字 PCR(ddPCR)检测的分析性能,这是首个市售的基于 ddPCR 的诊断产品。在精密度分析中,%CV 分别为 9.3%和 3.0%,平均值分别为 0.031%IS 和 9.4%IS。该检测呈一阶线性,范围从 0.032%IS 到 20%IS。制造商声称的空白限、检测限和定量限均得到成功验证。QDxDx BCR-ABL %IS ddPCR 检测与 ipsogen BCR-ABL1 Mbcr IS-MMR(凯杰,德国希尔德斯海姆)实时定量 PCR 检测的结果之间存在非常强的相关性(r=0.996)。总之,QDxDx BCR-ABL %IS ddPCR 检测可为 CML 患者提供可靠的结果。