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10.1016/j.jcv.2025.105850

http://scihub22266oqcxt.onion/10.1016/j.jcv.2025.105850
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40784197!ä!40784197

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suck abstract from ncbi


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pmid40784197      J+Clin+Virol 2025 ; 180 (ä): 105850
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  • Comparison of diagnostic performances of HDV-RNA quantification assays used in clinical practice: Results from a national quality control multicenter study #MMPMID40784197
  • Salpini R; Piermatteo L; Caviglia GP; Bertoli A; Brunetto MR; Bruzzone B; Callegaro A; Caudai C; Cavallone D; Chessa L; Coghe F; Coppola N; Cuomo N; D'Anna S; Di Stefano M; Facchetti F; Farina C; Ferraro D; Franchin E; Francisci D; Galli S; Garbuglia AR; Gennari W; Ghisetti V; Lampertico P; Lo Caputo S; Marascio N; Menzo S; Micheli V; Niro GA; Olivero A; Paba P; Palermo CI; Palmieri O; Paolucci S; Pisaturo M; Pollicino T; Raffa G; Santantonio T; Torre G; Turriziani O; Uzzau S; Uceda Renteria SC; Vatteroni M; Zazzi M; Craxi A; Ceccherini-Silberstein F; Svicher V; Arosio M; Bastianelli S; Gentile A; Giardina FAM; Gidari A; Govoni R; Ibba G; Loglio A; Lombardi A; Mascarella C; Maggi F; Matera G; Mazzei C; Milia MG; Quirino A; Raddi A; Scioscia R; Tagliazucchi S; Totaro M; Valaperta R
  • J Clin Virol 2025[Aug]; 180 (ä): 105850 PMID40784197show ga
  • INTRODUCTION: A reliable quantification of hepatitis D virus (HDV) RNA is of paramount importance for monitoring patients under antiviral therapy. This quality control study compares the diagnostic performances of quantitative HDV-RNA assays used in clinical practice. METHODS: Two HDV-RNA sample panels were quantified in 30 centers by RoboGene (N = 9 laboratories), EurobioPlex (N = 7), RealStar (N = 4), AltoStar (N = 1), Bosphore (N = 3), Bosphore-on-InGenius (N = 1), Dia.Pro (N = 2), Nuclear-Laser-Medicine (N = 1) and 3 in-house assays. Panel A and B comprised 8 serial dilutions of WHO/HDV standard (range: 0.5-5.0 log10 IU/ml) and 20 clinical samples (range: 0.5-6.0 log10 IU/ml), respectively. The following parameters were determined: sensitivity by 95 % LOD (limit of detection), precision by intra- and inter-run CV (coefficient of variation), accuracy by the differences between expected-observed HDV-RNA, linearity by linear regression analysis. RESULTS: 95 % LOD varied across assays and centers underlining heterogeneous sensitivities: AltoStar had the lowest 95 % LOD (3 IU/ml) followed by RealStar (10 [min-max: 3-316] IU/ml), Bosphore-on-InGenius (10 IU/ml), RoboGene (31 [3-316] IU/ml), Nuclear-Laser-Medicine (31 IU/ml) and EuroBioplex (100 [100-316] IU/ml). Moreover, 6 assays (RoboGene, EurobioPlex, RealStar, AltoStar, Nuclear-Laser-Medicine and In-house) showed <0.5 log10 IU/ml differences between expected and observed HDV-RNA for all dilutions while other assays had >1 log10 IU/ml underestimations. RealStar, Bosphore-on-InGenius and EurobioPlex had the highest precision (mean intra-run CV < 20 %). Inter-run CV was higher for all assays, with CVs < 25 % for RealStar, AltoStar, Nuclear-Laser-Medicine and EurobioPlex. Seven assays (RoboGene/AltoStar/RealStar/EurobioPlex/Nuclear-Laser-Medicine/In-house) showed a good linearity (R(2) > 0.90), but for HDV-RNA < 1000 IU/ml only Bosphore-on-InGenius, AltoStar, RealStar and Robogene showed a R(2) > 0.85. CONCLUSIONS: This study underlines heterogeneous sensitivities (inter- and intraassays), that could hamper proper HDV-RNA quantification, particularly at low viral loads. This raises the need to improve the diagnostic performance of most assays for properly identifying virological response to anti-HDV drugs.
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