Comparison of anti-hepatitis D virus (HDV) ETI-AB-DELTAK-2 assay and the novel LIAISON® XL MUREX anti-HDV assay in the diagnosis of HDV infection

Diagn Microbiol Infect Dis. 2019 Dec;95(4):114873. doi: 10.1016/j.diagmicrobio.2019.114873. Epub 2019 Jul 26.

Abstract

Hepatitis B/D virus infection leads to severe liver disease. HDV infection is not routinely investigated since the diagnosis is based on enzyme immunoassays (EIAs), which are not available in all laboratories. This study investigates the performance of new automated assay for anti HDV Ab detection: LIAISON® XL Murex anti-HDV. HBsAg-positive samples were evaluated for HDV serology using the ETI-AB-DELTAK-2 and the new LIAISON® XL Murex with a concordance of 97.5% and 2.42% discordant results. The discordant specimens reacted negatively with EIA and positively with the new test. Dilutions of HDV-purified antibodies and HDV-positive samples were tested with both assays, showing a lower detection limit for the new assay. In conclusion, LIAISON® XL Murex showed a good concordance with the reference method and allowed a more rapid HDV detection. This new diagnostic tool may be useful for a more efficient approach to the HDV diagnosis and evaluation of HDV epidemiology.

Keywords: Anti-HDV antibodies; CLIA; EIA; HBV; HDV.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Automation, Laboratory
  • Female
  • Hepatitis Antibodies / blood*
  • Hepatitis B Surface Antigens / blood
  • Hepatitis D / diagnosis*
  • Hepatitis Delta Virus / immunology*
  • Hepatitis Delta Virus / isolation & purification*
  • Humans
  • Immunoenzyme Techniques / methods*
  • Immunoenzyme Techniques / standards
  • Luminescent Measurements
  • Male
  • Middle Aged
  • Sensitivity and Specificity
  • Serologic Tests
  • Young Adult

Substances

  • Hepatitis Antibodies
  • Hepatitis B Surface Antigens