Evaluation of two, commercial, multi-dye, nucleic acid amplification technology tests, for HBV/HCV/HIV-1/HIV-2 and B19V/HAV, for screening blood and plasma for further manufacture

Vox Sang. 2013 Jan;104(1):19-29. doi: 10.1111/j.1423-0410.2012.01635.x. Epub 2012 Aug 1.

Abstract

Background: The cobas TaqScreen MPX Test, version 2.0, a multiplex, multi-dye nucleic acid amplification technology (NAT) test from Roche was evaluated by two European Blood Banks, the German Red Cross Blood Donor Service, Frankfurt, Germany and Centro de Hemoterapia y Hemodonación de Castilla y León, Valladolid, Spain. In addition, the cobas TaqScreen DPX Test was evaluated for the simultaneous detection and quantitation of parvovirus B19 and the detection of hepatitis A virus (HAV).

Study design and methods: The performances of the two tests were evaluated regarding the analytical sensitivity, the reproducibility of the tests using samples containing low concentrations of each virus and cross-contamination using samples containing high titres of virus.

Results: The analytical sensitivity of the MPX Test, version 2.0, obtained by the German Red Cross Blood Donor Service was 1·1, 3·9 and 43·3 IU/ml for HBV, HCV and HIV-1, respectively. The comparable analytical sensitivity at Centro de Hemoterapia y Hemodonación de Castilla y León was 3·5, 17·6 and 50·6 IU/ml for HBV, HCV and HIV-1, respectively. The analytical sensitivity of the DPX test determined by the German Red Cross Blood Donor Service was 0·6 and 3·8 IU/ml for HAV and B19.

Conclusion: These multiplex and multi-dye blood screening assays represent a flexible NAT screening system for mini-pools between 6 and 96 samples per pool and fulfil all requirements of the European Pharmacopoeia for HCV and B19V testing of plasma for fractionation. The inclusion of a new multi-dye technology means discriminatory assays are no longer required for either test thus improving workflow, turn-around time and minimize the risk of obtaining a reactive result for which the virus cannot be identified.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Blood Banks
  • Blood Donors
  • Blood Safety*
  • Europe
  • Genotype
  • HIV Infections / diagnosis*
  • HIV Infections / virology
  • HIV-1 / genetics
  • HIV-2 / genetics
  • Hepacivirus / genetics
  • Hepatitis A / diagnosis
  • Hepatitis A / virology
  • Hepatitis A virus / genetics
  • Hepatitis B / diagnosis*
  • Hepatitis B / virology
  • Hepatitis B virus / genetics
  • Hepatitis C / diagnosis*
  • Hepatitis C / virology
  • Humans
  • Mass Screening
  • Nucleic Acid Amplification Techniques*
  • Parvovirus B19, Human / genetics
  • Reproducibility of Results