1. Single-step PCR in molecular diagnosis of hepatitis C virus infection.
- Author
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Farma E, Boeri E, Bettini P, Repetto CM, McDermott J, Lillo FB, and Varnier OE
- Subjects
- Base Sequence, Colorimetry, DNA Primers genetics, Enzyme-Linked Immunosorbent Assay, Evaluation Studies as Topic, Humans, Molecular Probe Techniques, Polymerase Chain Reaction statistics & numerical data, Sensitivity and Specificity, Virology methods, Virology statistics & numerical data, Hepatitis C diagnosis, Hepatitis C virology, Polymerase Chain Reaction methods, RNA, Viral blood, RNA, Viral genetics
- Abstract
The diagnostic utility of two PCR systems and three PCR detection methods for hepatitis C virus (HCV) RNA was evaluated in serum samples. A nested PCR was considered the reference assay and was compared with two single-step PCR methods: the first is based on the detection of PCR products by liquid hybridization with a 32P-end-labeled probe, and the second is the Roche Amplicor colorimetric assay using microwell plate hybridization with a specific nucleic acid probe. Using the Pelicheck HCV RNA Eurohep genotype 1 proficiency panel, our laboratory achieved medium-high levels of performance with all three methods. The highest sensitivity was, however, observed with the isotopic single-step PCR (ss-PCR) method. The analytical sensitivity of ss-PCR with isotopic detection and ss-PCR with colorimetric detection was identical to that of nested PCR, with a 100% result concordance. Comparison of ss-PCR with enzyme-linked immunosorbent and RIBA assays in the analysis of clinical samples showed a high concordance. ss-PCR methods appear more suitable for diagnostic application. Nevertheless, HCV RNA PCR cannot be considered a screening assay; it should be requested in the presence of reactive serology or specific clinical symptomatology with altered liver parameters, and it is a potential tool for the follow-up of patients with HCV infection.
- Published
- 1996
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