Université de Franche-Comté, CNRS, Chrono-Environnement, Besançon, France.
CHU Besançon, Centre National de Référence Papillomavirus, Besançon, France.
J Med Virol. 2024 Oct;96(10):e29961. doi: 10.1002/jmv.29961.
Cervical cancer screening is a cornerstone of cervical cancer elimination. Detection of high-risk human papillomavirus (hrHPV) is recommended as the first step in screening provided that the assay used has been adequately validated. The Sansure® Human Papillomavirus DNA Diagnostic Kit is a new assay designed to detect HPV16, HPV18 and 13 other HPV in aggregate. The study aimed to evaluate the intra- and interlaboratory reproducibility of the assay according to international guidelines. Five hundred and fifty cervical residual cell samples from women attending cervical cancer screening were selected from the biobank of the HPV National Reference Centre in Belgium and used in this study. After DNA extraction, HPV was tested using the Sansure® Human Papillomavirus DNA Diagnostic Kit. The lower 95% confidence limit around the general reproducibility of this assay should be greater than or equal to 87%, with κ ≥ 0.50. Five hundred and thirty-three samples had valid results. The Sansure® Human Papillomavirus DNA Diagnostic Kit demonstrated an excellent intra-laboratory reproducibility of 93.8% (95% confidence interval [CI]: 91.4-95.7, κ = 0.85). The interlaboratory reproducibility was 93.4 (95% CI: 91.0-95.4, κ = 0.84). Intra and interlaboratory reproducibility were also excellent at the genotype level. Excluding HPV53 single infection samples from the analyses also resulted in excellent agreement. These data show that the Sansure® Human Papillomavirus DNA Diagnostic Kit is highly reproducible.
宫颈癌筛查是宫颈癌消除的基石。建议在充分验证检测方法的前提下,将检测高危型人乳头瘤病毒(hrHPV)作为筛查的第一步。本研究旨在根据国际指南评估该检测方法的实验室内和实验室间重复性。桑瑞斯®人乳头瘤病毒 DNA 诊断试剂盒是一种新的检测方法,用于检测 HPV16、HPV18 和其他 13 种 HPV 的总和。从 HPV 国家参考中心的生物库中选择了来自参加宫颈癌筛查的女性的 550 例宫颈残留细胞样本用于本研究。在提取 DNA 后,使用桑瑞斯®人乳头瘤病毒 DNA 诊断试剂盒检测 HPV。该检测方法的总体重复性的下限 95%置信区间应大于或等于 87%,κ值≥0.50。533 个样本有有效结果。桑瑞斯®人乳头瘤病毒 DNA 诊断试剂盒显示出极好的实验室内重复性,为 93.8%(95%置信区间:91.4-95.7,κ=0.85)。实验室间重复性为 93.4%(95%置信区间:91.0-95.4,κ=0.84)。在基因型水平上,实验室内和实验室间的重复性也非常好。将 HPV53 单一感染样本排除在分析之外也得到了很好的一致性。这些数据表明,桑瑞斯®人乳头瘤病毒 DNA 诊断试剂盒具有高度的可重复性。