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25 protocols using architect hbsag assay

1

Hemodialysis Patients' Viral Infection

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This descriptive cross-sectional study was carried out in Tripoli, the largest city in the North of Lebanon and the second Lebanese city after the capital Beirut, during July 2016. It includes a total of 171 patients undergoing regular HD in three different hospital HD units: Al Nini (n = 69), Orange Nassau (n = 49) and Al Islami (n = 53). Socio-demographic data of each patient were collected using a questionnaire survey listing their age, sex, educational level and source of drinking water. Patient’s medical records were also used to collect information concerning the onset of starting, frequency and duration of HD as well as possible infections by hepatitis B and C viruses (HBV and HCV). HBV infection was diagnosed by the detection of hepatitis B surface antigen (HBs Ag) using Architect HBsAg assay (Abbott), Vidas HBsAg Ultra (bioMérieux), and ADVIA Centaur HBsAg (Siemens) at Al Nini, Orange Nassau and Al Islami hospitals, respectively. In a similar respective order, infection by HCV was diagnosed by the detection of anti HCV antibodies using Architect anti-HCV assay (IgG/IgM, Abbott), VIDAS anti-HCV assay (IgG, bioMérieux) and ADVIA Centaur HCV assay (IgG, Siemens).
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2

Comprehensive HBV Serological Profiling

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Samples taken at each time point (weeks 0, 12, 24, 48, and 72) were analyzed. The serum qAnti-HBc level was measured using a newly developed double-sandwich immunoassay (Wantai, China) that was calibrated using WHO standards (NIBSC, UK). The HBsAg levels were quantified with the Architect HBsAg assay (Abbott Laboratories; range, 0.05-250 IU/mL). The serum HBV DNA level was measured with the CobasTaqman HBV Kit (Roche Diagnostics; lower limit of quantification, 12 IU/mL). HBeAg and Anti-HBe were detected using an Architect assay (Abbott Laboratories). Aminotransferases were measured according to standard procedures locally at the time of sampling. The HBV genotype was assessed by sequencing.
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3

HBV DNA and HBsAg Quantification

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Serum HBV DNA was tested with a polymerase chain reaction HBV assay with a lower limit of detection (LLOD) of 1000 copies/mL (Daan Gene Co, Ltd.; Sun Yat-sen University; Guangzhou, China). Serum HBsAg was quantified using the ARCHITECT HBsAg assay (range 0.05–250 IU/mL; Abbott Laboratories, Chicago, Il, USA).
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4

Quantifying Hepatitis B Viral Markers

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Standard of care virological parameters were analyzed by the local laboratory of the respective center. HBV DNA levels were determined using either the COBAS AmpliPrep/COBAS TaqMan (Roche Diagnostics, Mannheim, Germany) or the Aptima HBV Quant Assay running on the fully automated Panther® system, following the manufacturer’s protocol (Hologic, Marlborough, MA, USA). The lower limit of quantification (LLOQ) is 20 IU/mL (1.3 log IU/mL); undetectable HBV DNA levels were set to 0.1 IU/mL (−1 log IU/mL) for statistical analyses. For the assessment of HBsAg level the ARCHITECT HBsAg assay (Abbott, North Chicago, IL, USA) with a LLOD of 0.05 IU/mL was used. Undetectable levels of HBsAg were set to 0.1 IU/mL (−1 log IU/mL) for statistical analyses. HBcrAg was measured by using the Lumipulse® G HBcrAg Immunoreaction assay (Lumipulse® G Fujirebio-Europe (LLOD 2 log U/mL, linear range ≥ 3 log U/mL)) according to the manufacturer’s protocol. HBcrAg comprises three proteins encoded by the precore/core gene of the HBV genome (HBeAg, HBcAg and the 22-kDa precore protein [p22cr/PreC]). For statistical analysis, HBcrAg levels < 2 log U/mL were calculated as 2 log U/mL.
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5

Quantification of HBsAg using ARCHITECT Assay

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HBsAg was quantified as previously described [4 (link)], using ARCHITECT HBsAg assay (Abbott, Chicago, IL, USA) according to manufacturer's instructions.
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6

Quantifying Hepatitis B Biomarkers

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Liver functions were measured with routine automated techniques [normal upper limit for both alanine aminotransferase (ALT) and aspartate aminotransferase (AST): 40 U/L]. Serum HBsAg titers were quantified using the Architect HBsAg assay (Abbott Laboratories, Abbott Park, IL, United States; range 0.05–250 IU/mL). Serum HBeAg titers were quantified using AXSYM HBe 2.0 (Abbott Laboratories; range 0.15–100 PEIU/mL). Serial dilutions were performed when HBsAg or HBeAg titers exceeded the reference range. Serum HBV-DNA levels were detected by a standard generic HBV-DNA assay (ACO Biotech Co. Ltd, Hangzhou, China; detection limit: 500 copies/mL) or COBAS TaqMan HBV Test (Roche Molecular Systems, Meylan, France; detection limit: 20 IU/mL).
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7

Comprehensive HBV Infection Assessment

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The status of HBV infection such as HBsAg, quantitative HBsAg (qHBsAg), hepatitis B e-antigen (HBeAg), anti-hepatitis B e-antibody (anti-HBe Ab) and HBV DNA were detected. The presence of HBsAg was determined using commercial assay kits (HBsAg, MEIA 3.0; Abbott, North Chicago, IL, USA). qHBsAg was quantified using ARCHITECT HBsAg assay (Abbott, Chicago, IL, USA) according to manufacturer's instructions. The lower limit of detection was 0.05 IU/ml. Serum HBeAg levels were measured by a microparticle enzyme immunoassay (AxSYM; Abbott). TheAxSYM assay result was based on the ratio of the sample (S) to the cut-off (Co) (S/Co ratio) for each sample and control. The positivity of HBeAg was defined as S/Co ratio ≧ 1.0 in accordance with the manufacturer's instructions. Serum HBV DNA levels were determined using a quantitative real-time PCR assay, the COBAS AmpliPrep-COBAS TaqMan HBV test (CAP-CTM; Roche Molecular Systems Inc., Branchburg, NJ, USA), with a lower detection limit of 12 IU/mL (70 copies/mL). Dilution was performed if HBV DNA levels were >106 copies/mL.
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8

Hepatitis B Virus Quantification Methods

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Serum HBsAg levels were measured using the Architect HBsAg assay (Abbott, Chicago, IL, United States), with a linear range of 0.05 to 250 IU/mL. Samples with levels higher than 250 IU/mL were retested at a series of dilutions according to the manufacturer’s instructions. Serum HBV DNA levels were determined using the Roche Cobas Amplicor [lower limit of detection (LLD): 60 IU/mL], the Roche Cobas TaqMan 48 analyzer (LLD: 29 IU/mL), the Roche Cobas AmpliPre/Cobas TagMan HBV Test, version 1.0 (LLD: 12 IU/mL), and the Roche Cobas AmpliPre/Cobas TagMan HBV Test, version 2.0 (LLD: 20 IU/mL). Baseline HBV DNA levels of serum samples collected from 22 patients (22/211, 10.4%) between December 2007 and October 2009 were measured by our in-house LightCycler real-time method, which was well correlated with results from the Roche Cobas Amplicor. HBV genotype was determined using melting curve analysis with LightCycler hybridization probes, as described previously[23 (link)].
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9

Hepatitis B Viral Load and Serological Markers

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HBV DNA was measured using a real-time PCR (Amplicor HBV Monitor Test, Roche Diagnostics, Mannheim, Germany). HBsAg and HBeAg levels were measured with the ARCHITECT HBsAg assay (Abbott Laboratories, Lake Forest, IL, USA) and AxSYM HBe 2.0 assay (Abbott), respectively. Anti-HBs and anti-HBe were determined by ARCHITECT qualitative assays (Abbott). Serum biochemical markers and alanine aminotransferase (ALT) were assayed using an Automatic Serum Analyzer (HITACHI 747, Japan).
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10

Comprehensive Hepatitis B Biomarker Assessment

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HBsAg, HBeAg and HBV DNA levels were measured at a central laboratory with the ARCHITECT HBsAg assay (Abbott Laboratories, Lake Forest, IL, USA), AxSYM HBe 2.0 assay (Abbott), and either a standard generic HBV DNA assay (ACON Biotech Co. Ltd, Hangzhou, China) or the COBAS TaqMan HBV Test (Roche Molecular Diagnostics, Pleasanton, CA, USA). Anti-HBs and anti-HBe were assessed by ARCHITECT qualitative assays (Abbott).Alanine aminotransferase (ALT) was measured using a Hitachi Model 7600 Series Automatic Analyzer (Hitachi, Tokyo, Japan).
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