Performance evaluation of an in-house human immunodeficiency virus type-1 protease-reverse transcriptase genotyping assay in Cameroon

被引:43
作者
Fokam, J. [2 ,3 ]
Salpini, R. [1 ]
Santoro, M. M. [1 ]
Cento, V. [1 ]
D'Arrigo, R. [4 ]
Gori, C. [4 ]
Perno, C. F. [1 ,4 ]
Colizzi, V. [1 ,2 ]
Nanfack, A. [2 ]
Gwom, L. C. [2 ,3 ]
Cappelli, G. [2 ,5 ]
Takou, D. [2 ]
机构
[1] Univ Roma Tor Vergata, Dept Expt Med & Biochem Sci, I-00133 Rome, Italy
[2] CIRCB Chantal BIYA Int Res Ctr Res HIV AIDS Prev, Yaounde, Cameroon
[3] Univ Yaounde, Fac Med & Biomed Sci, Yaounde, Cameroon
[4] IRCSS L Spallanzani, Rome, Italy
[5] CNR, Rome, Italy
关键词
ANTIRETROVIRAL DRUG-RESISTANCE; HIV GENETIC DIVERSITY; SYSTEM; INFECTION; SURVEILLANCE; DIAGNOSIS; THERAPY; IMPACT;
D O I
10.1007/s00705-011-0982-3
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Most commercial HIV-1 genotyping assays are hampered by high cost in resource-limited settings. Moreover, their performance might be influenced over time by HIV genetic heterogeneity and evolution. An in-house genotyping protocol was developed, and its sequencing performance and reproducibility were compared to that of ViroSeq (TM). One hundred ninety plasma samples from HIV-1-infected subjects in Cameroon, a resource-limited setting with a high HIV genetic variability, were processed for pol gene sequencing with an in-house protocol, ViroSeq (TM), or both. Only non-B subtypes were found. The in-house sequencing performance was 98.7% against 92.1% with ViroSeq (TM). Among 36 sequence pairs obtained using both assays, the overall rate of discordant amino acid positions was negligible (0.24%). With its high sensitivity and reproducibility, as well as its affordable cost (about half of ViroSeq (TM): 92 a,not sign vs. 217 a,not sign), this in-house assay is a suitable alternative for HIV-1 genotyping in resource-limited and/or in high-genetic-diversity settings.
引用
收藏
页码:1235 / 1243
页数:9
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