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Real time hr hpv assay

Manufactured by Abbott
Sourced in Germany

The Real Time HR HPV assay is a laboratory diagnostic product designed to detect and identify high-risk human papillomavirus (HPV) DNA in clinical samples. The assay utilizes real-time PCR technology to provide qualitative detection of 14 high-risk HPV genotypes.

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6 protocols using real time hr hpv assay

1

High-Risk HPV Genotyping Using Abbott Real-Time Assay

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Subsequent hr-HPV genotyping was performed using the Abbott Real-Time hr-HPV assay according to the manufacturer’s instructions (Abbott GmbH & Co. KG, Wiesbaden, Germany).22 (link) The Abbott Real Time hr-HPV assay qualitatively detects DNA from 14 different hr-HPV genotypes using a modified GP5+/6+ primer mix consisting of three forward primers and two reverse primers that target the conserved L1 region of HPV and an internal control primer pair that targets a human β-globin sequence. The assay provides specific probes that are differentially labeled to qualitatively detect HPV-16 and HPV-18, and an evaluation of the human beta-globin internal control. Probes for hr-HPV genotypes HPV-31, HPV-33, HPV-35, HPV-39, HPV-45, HPV-51, HPV-52, HPV-56, HPV-58, HPV-59, HPV-66 and HPV-68 are labeled with the same dye, and the presence of any one or combination of these genotypes is reported as “other hr-HPV” detected.22 (link) Ten known hr-HPV-positive and 10 hr-HPV-negative control samples were genotyped according to a previously published protocol to validate the assay.21 (link)
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2

Comparative Evaluation of HPV Detection

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Abbott Real Time HR HPV assay was applied to compare the proposed approach with an established high throughput method [27 (link)]. The main disadvantages are the high cost of the kits, commercial unavailability in many countries and requirement for special equipment. The Abbott platform automatically extracts and detects DNA of known 14 HR HPV genotypes using modified GP5+/6+ primer mix consisting of three forward primers and two reverse primers targeting the conserved L1 region. The assay provides specific probes that are differentially labelled qualitatively for the detection of HPV-16 and -18, and an evaluation of the human beta-globin internal control [27 (link)]. All 134 cervical specimens were thus analysed through Abbott Real Time HR HPV assay for comparison and validation.
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3

Paraffin Removal and DNA Extraction

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Tissue sections of 20-μm thicknesses were then incubated in xylene within 24 hr after arrival in the laboratory and left overnight to ensure complete removal of paraffin wax, based on a previously published protocol.21 (link) All 126 specimens had adequate tissue volume for optimal nucleic acid extraction (DNA), and tissues remained intact after sectioning. Tissue adequacy refers to the amount of epithelium with which histological evaluation of invasive cervical cancer can be rendered accurately for diagnosis. After tissue rehydration, samples were centrifuged at 3,500 rpm, enzymatically digested with proteinase K and transferred into an Abbott Real-Time hr-HPV assay (Abbott GmbH & Co. KG, Wiesbaden, Germany) reaction vessel for DNA isolation using the mSample Preparation System DNA kit with the Abbott m2000sp instrument according to the manufacturer’s instructions.22 (link)
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4

HPV Genotyping by Real-Time PCR

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HPV16/18-DNA was detected by PCR amplification. For high-risk genotypes, we used the Abbott Realtime HR HPV assay running on the m2000sp instrument (Abbott, Wiesbaden, Germany). The analytical sensitivity depends on the subtype: 500 copies per assay for 16, 18, 35, 39, 45, 51, 59, 66, 68; 2000 copies per assay for 31, 33, 52, 56, and 5000 copies per assay for 58, according to the manufacturer. Three forward and two reverse primers target a conserved L1 region. The endogenous human beta globin gene controls for sufficient cell number in the sample, nucleic acid extraction, and amplification efficiency. Tissue samples that were positive for p16 and HPV16/18 DNA were considered HPV positive.
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5

High-Risk HPV mRNA Detection Assay

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Samples that tested positive for hr-HPV DNA with the Abbott m2000 system were tested for hr-HPV E6/E7 messenger ribonucleic acid (mRNA) using the APTIMA® HPV assay (Hologic Gen-Probe, Inc., San Diego, Canada). This assay is an in vitro nucleic acid amplification test for the qualitative detection of hr-HPV E6/E7 viral mRNA of the same 14 h-HPV types detected by the Abbott RealTime HR HPV assay. An aliquot of 1 mL of each Thin Prep PreservCyt vial was diluted into 2.9 mL of APTIMA specimen transport media and tested according to the manufacturer's instructions. The assay incorporated an internal control (IC) to monitor nucleic acid capture, amplification, and detection, as well as operator or instrument errors. The results were interpreted as negative, positive, or invalid if the run or IC failed. The results did not discriminate between the 14 h-HPV types, with the detection of any of the 14 h-HPV types showing a positive result.
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6

Automated HPV Detection and Genotyping

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The Abbott RealTime HR HPV assay (Abbott Molecular GmbH & Co. KG, Wiesbaden, Germany) is a qualitative fully automated assay detecting 14 h-HPV types (16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66 and 68) from ThinPrep PreservCyt collected samples. The assay genotypes only HPV-16 and HPV-18, while the other 12 h-HPV types were reported as a pooled result “Other hr-HPV”. Hr-HPV DNA extraction, amplification, and genotyping were conducted according to the manufacturer's instructions.
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