Analytical characterization of the APTIMA® HPV Assay

ABSTRACT Background Human papillomavirus (HPV) testing has improved the sensitivity for the detection of cervical pre-cancer and cancer as compared to Pap testing. Several HPV tests are commercially available and most target the DNA from 13 or 14 high-risk HPV types. The APTIMA® HPV Assay however, d...

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Veröffentlicht in:Journal of clinical virology 2009-07, Vol.45, p.S39-S47
Hauptverfasser: Dockter, Janel, Schroder, Astrid, Eaton, Barbara, Wang, Ann, Sikhamsay, Nathan, Morales, Liezel, Giachetti, Cristina
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container_end_page S47
container_issue
container_start_page S39
container_title Journal of clinical virology
container_volume 45
creator Dockter, Janel
Schroder, Astrid
Eaton, Barbara
Wang, Ann
Sikhamsay, Nathan
Morales, Liezel
Giachetti, Cristina
description ABSTRACT Background Human papillomavirus (HPV) testing has improved the sensitivity for the detection of cervical pre-cancer and cancer as compared to Pap testing. Several HPV tests are commercially available and most target the DNA from 13 or 14 high-risk HPV types. The APTIMA® HPV Assay however, detects HPV E6/E7 mRNA from 14 high-risk types of HPV: 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68. Objective To determine the analytical performance characteristics of the APTIMA HPV Assay. Study Design Analytical sensitivity, analytical specificity, reproducibility, and the effect of potentially interfering substances was determined for the APTIMA HPV Assay on both the DTS (semi-automated) and TIGRIS DTS (fully automated) systems. Results The 95% detection limit for both systems was between 17 and 488 copies/reaction, depending on the HPV type. The assay did not cross-react with normal flora and opportunistic organisms that may be found in cervical samples, or low-risk HPV types. Spermicides, anti-fungal and anti-itch medications, whole blood, glacial acetic acid, and most lubricants did not interfere with assay performance. Those lubricants containing polyquaternium 15 did interfere with assay performance. Inter-instrument, inter-operator, inter-lot, and inter-run signal variability were 99% of the data. Intra-run variability was
doi_str_mv 10.1016/S1386-6532(09)70007-1
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Several HPV tests are commercially available and most target the DNA from 13 or 14 high-risk HPV types. The APTIMA® HPV Assay however, detects HPV E6/E7 mRNA from 14 high-risk types of HPV: 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68. Objective To determine the analytical performance characteristics of the APTIMA HPV Assay. Study Design Analytical sensitivity, analytical specificity, reproducibility, and the effect of potentially interfering substances was determined for the APTIMA HPV Assay on both the DTS (semi-automated) and TIGRIS DTS (fully automated) systems. Results The 95% detection limit for both systems was between 17 and 488 copies/reaction, depending on the HPV type. The assay did not cross-react with normal flora and opportunistic organisms that may be found in cervical samples, or low-risk HPV types. Spermicides, anti-fungal and anti-itch medications, whole blood, glacial acetic acid, and most lubricants did not interfere with assay performance. Those lubricants containing polyquaternium 15 did interfere with assay performance. Inter-instrument, inter-operator, inter-lot, and inter-run signal variability were &lt;10% for &gt;99% of the data. Intra-run variability was &lt;15%, except for those samples with concentrations at or below the 95% detection limit of the assay. Conclusions: Based upon the analytical sensitivity, analytical specificity, and low variability, the APTIMA HPV Assay showed excellent performance and robustness.</description><identifier>ISSN: 1386-6532</identifier><identifier>EISSN: 1873-5967</identifier><identifier>DOI: 10.1016/S1386-6532(09)70007-1</identifier><identifier>PMID: 19651368</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Allergy and Immunology ; analytical sensitivity ; analytical specificity reproducibility ; APTIMA® HPV Assay ; Automation ; Cervix Uteri - virology ; E6/E7 mRNA ; Female ; Gene Expression Profiling - methods ; HPV ; Human papillomavirus ; Humans ; Infectious Disease ; Oncogene Proteins, Viral - biosynthesis ; Oncogene Proteins, Viral - genetics ; Papillomaviridae - pathogenicity ; Papillomavirus Infections - virology ; Reagent Kits, Diagnostic ; Reproducibility of Results ; RNA, Messenger - biosynthesis ; RNA, Messenger - genetics ; RNA, Viral - biosynthesis ; RNA, Viral - genetics ; Sensitivity and Specificity ; Uterine Cervical Neoplasms - diagnosis</subject><ispartof>Journal of clinical virology, 2009-07, Vol.45, p.S39-S47</ispartof><rights>Elsevier B.V.</rights><rights>2009 Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c449t-664d9f785db17627283737a388efae3214cf3509b641968053332460855b9b093</citedby><cites>FETCH-LOGICAL-c449t-664d9f785db17627283737a388efae3214cf3509b641968053332460855b9b093</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S1386-6532(09)70007-1$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,782,786,3554,27933,27934,46004</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19651368$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dockter, Janel</creatorcontrib><creatorcontrib>Schroder, Astrid</creatorcontrib><creatorcontrib>Eaton, Barbara</creatorcontrib><creatorcontrib>Wang, Ann</creatorcontrib><creatorcontrib>Sikhamsay, Nathan</creatorcontrib><creatorcontrib>Morales, Liezel</creatorcontrib><creatorcontrib>Giachetti, Cristina</creatorcontrib><title>Analytical characterization of the APTIMA® HPV Assay</title><title>Journal of clinical virology</title><addtitle>J Clin Virol</addtitle><description>ABSTRACT Background Human papillomavirus (HPV) testing has improved the sensitivity for the detection of cervical pre-cancer and cancer as compared to Pap testing. Several HPV tests are commercially available and most target the DNA from 13 or 14 high-risk HPV types. The APTIMA® HPV Assay however, detects HPV E6/E7 mRNA from 14 high-risk types of HPV: 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68. Objective To determine the analytical performance characteristics of the APTIMA HPV Assay. Study Design Analytical sensitivity, analytical specificity, reproducibility, and the effect of potentially interfering substances was determined for the APTIMA HPV Assay on both the DTS (semi-automated) and TIGRIS DTS (fully automated) systems. Results The 95% detection limit for both systems was between 17 and 488 copies/reaction, depending on the HPV type. The assay did not cross-react with normal flora and opportunistic organisms that may be found in cervical samples, or low-risk HPV types. Spermicides, anti-fungal and anti-itch medications, whole blood, glacial acetic acid, and most lubricants did not interfere with assay performance. Those lubricants containing polyquaternium 15 did interfere with assay performance. Inter-instrument, inter-operator, inter-lot, and inter-run signal variability were &lt;10% for &gt;99% of the data. Intra-run variability was &lt;15%, except for those samples with concentrations at or below the 95% detection limit of the assay. Conclusions: Based upon the analytical sensitivity, analytical specificity, and low variability, the APTIMA HPV Assay showed excellent performance and robustness.</description><subject>Allergy and Immunology</subject><subject>analytical sensitivity</subject><subject>analytical specificity reproducibility</subject><subject>APTIMA® HPV Assay</subject><subject>Automation</subject><subject>Cervix Uteri - virology</subject><subject>E6/E7 mRNA</subject><subject>Female</subject><subject>Gene Expression Profiling - methods</subject><subject>HPV</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>Infectious Disease</subject><subject>Oncogene Proteins, Viral - biosynthesis</subject><subject>Oncogene Proteins, Viral - genetics</subject><subject>Papillomaviridae - pathogenicity</subject><subject>Papillomavirus Infections - virology</subject><subject>Reagent Kits, Diagnostic</subject><subject>Reproducibility of Results</subject><subject>RNA, Messenger - biosynthesis</subject><subject>RNA, Messenger - genetics</subject><subject>RNA, Viral - biosynthesis</subject><subject>RNA, Viral - genetics</subject><subject>Sensitivity and Specificity</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><issn>1386-6532</issn><issn>1873-5967</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctO3DAUhi1UBHToI4CyqugicBzfN1TRqAUkECOVdms5zokwZBJqZ5CmD9WH6JM1c0FIbFj5LL7_P9Z3CDmicEqByrMflGmZS8GKEzBfFAConO6QA6oVy4WR6sM4vyD75GNKDwBUMK72yD41UlAm9QERZefa5RC8azN_76LzA8bwxw2h77K-yYZ7zMrZ3dVN-e9vdjn7lZUpueUh2W1cm_DT9p2Qn9-_3U0v8-vbi6tpeZ17zs2QS8lr0ygt6ooqWahCM8WUY1pj45AVlPuGCTCV5OOPNAjGWMElaCEqU4FhE_J50_sU-98LTIOdh-SxbV2H_SJZqYTgwNm7YAFaFwDFCIoN6GOfUsTGPsUwd3FpKdiVWLsWa1fWLBi7FmvpmDveLlhUc6xfU1uTI_B1A-Do4zlgtMkH7DzWIaIfbN2Hd1ecv2nwbehWl3nEJaaHfhHHWyVLbRpzm5JVB5h1A2X_ASCjmTo</recordid><startdate>20090701</startdate><enddate>20090701</enddate><creator>Dockter, Janel</creator><creator>Schroder, Astrid</creator><creator>Eaton, Barbara</creator><creator>Wang, Ann</creator><creator>Sikhamsay, Nathan</creator><creator>Morales, Liezel</creator><creator>Giachetti, Cristina</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>H94</scope><scope>M7N</scope><scope>7X8</scope></search><sort><creationdate>20090701</creationdate><title>Analytical characterization of the APTIMA® HPV Assay</title><author>Dockter, Janel ; Schroder, Astrid ; Eaton, Barbara ; Wang, Ann ; Sikhamsay, Nathan ; Morales, Liezel ; Giachetti, Cristina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c449t-664d9f785db17627283737a388efae3214cf3509b641968053332460855b9b093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Allergy and Immunology</topic><topic>analytical sensitivity</topic><topic>analytical specificity reproducibility</topic><topic>APTIMA® HPV Assay</topic><topic>Automation</topic><topic>Cervix Uteri - virology</topic><topic>E6/E7 mRNA</topic><topic>Female</topic><topic>Gene Expression Profiling - methods</topic><topic>HPV</topic><topic>Human papillomavirus</topic><topic>Humans</topic><topic>Infectious Disease</topic><topic>Oncogene Proteins, Viral - biosynthesis</topic><topic>Oncogene Proteins, Viral - genetics</topic><topic>Papillomaviridae - pathogenicity</topic><topic>Papillomavirus Infections - virology</topic><topic>Reagent Kits, Diagnostic</topic><topic>Reproducibility of Results</topic><topic>RNA, Messenger - biosynthesis</topic><topic>RNA, Messenger - genetics</topic><topic>RNA, Viral - biosynthesis</topic><topic>RNA, Viral - genetics</topic><topic>Sensitivity and Specificity</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dockter, Janel</creatorcontrib><creatorcontrib>Schroder, Astrid</creatorcontrib><creatorcontrib>Eaton, Barbara</creatorcontrib><creatorcontrib>Wang, Ann</creatorcontrib><creatorcontrib>Sikhamsay, Nathan</creatorcontrib><creatorcontrib>Morales, Liezel</creatorcontrib><creatorcontrib>Giachetti, Cristina</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical virology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dockter, Janel</au><au>Schroder, Astrid</au><au>Eaton, Barbara</au><au>Wang, Ann</au><au>Sikhamsay, Nathan</au><au>Morales, Liezel</au><au>Giachetti, Cristina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analytical characterization of the APTIMA® HPV Assay</atitle><jtitle>Journal of clinical virology</jtitle><addtitle>J Clin Virol</addtitle><date>2009-07-01</date><risdate>2009</risdate><volume>45</volume><spage>S39</spage><epage>S47</epage><pages>S39-S47</pages><issn>1386-6532</issn><eissn>1873-5967</eissn><abstract>ABSTRACT Background Human papillomavirus (HPV) testing has improved the sensitivity for the detection of cervical pre-cancer and cancer as compared to Pap testing. Several HPV tests are commercially available and most target the DNA from 13 or 14 high-risk HPV types. The APTIMA® HPV Assay however, detects HPV E6/E7 mRNA from 14 high-risk types of HPV: 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68. Objective To determine the analytical performance characteristics of the APTIMA HPV Assay. Study Design Analytical sensitivity, analytical specificity, reproducibility, and the effect of potentially interfering substances was determined for the APTIMA HPV Assay on both the DTS (semi-automated) and TIGRIS DTS (fully automated) systems. Results The 95% detection limit for both systems was between 17 and 488 copies/reaction, depending on the HPV type. The assay did not cross-react with normal flora and opportunistic organisms that may be found in cervical samples, or low-risk HPV types. Spermicides, anti-fungal and anti-itch medications, whole blood, glacial acetic acid, and most lubricants did not interfere with assay performance. Those lubricants containing polyquaternium 15 did interfere with assay performance. Inter-instrument, inter-operator, inter-lot, and inter-run signal variability were &lt;10% for &gt;99% of the data. Intra-run variability was &lt;15%, except for those samples with concentrations at or below the 95% detection limit of the assay. Conclusions: Based upon the analytical sensitivity, analytical specificity, and low variability, the APTIMA HPV Assay showed excellent performance and robustness.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>19651368</pmid><doi>10.1016/S1386-6532(09)70007-1</doi></addata></record>
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subjects Allergy and Immunology
analytical sensitivity
analytical specificity reproducibility
APTIMA® HPV Assay
Automation
Cervix Uteri - virology
E6/E7 mRNA
Female
Gene Expression Profiling - methods
HPV
Human papillomavirus
Humans
Infectious Disease
Oncogene Proteins, Viral - biosynthesis
Oncogene Proteins, Viral - genetics
Papillomaviridae - pathogenicity
Papillomavirus Infections - virology
Reagent Kits, Diagnostic
Reproducibility of Results
RNA, Messenger - biosynthesis
RNA, Messenger - genetics
RNA, Viral - biosynthesis
RNA, Viral - genetics
Sensitivity and Specificity
Uterine Cervical Neoplasms - diagnosis
title Analytical characterization of the APTIMA® HPV Assay
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