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Assessment of droplet digital polymerase chain reaction for measuring BCR-ABL1 in chronic myeloid leukaemia in an international interlaboratory study
S. Scott, A. Cartwright, S. Francis, L. Whitby, AP. Sanzone, A. Mulder, S. Galimberti, S. Dulucq, C. Mauté, C. Lauricella, M. Salmon, S. Rose, J. Willoughby, N. Boeckx, N. Pallisgaard, J. Maier, EO. Leibundgut, H. Zizkova, L. Ling Goh, C. Duong,...
Language English Country Great Britain
Document type Comparative Study, Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't
PubMed
34114218
DOI
10.1111/bjh.17521
Knihovny.cz E-resources
- MeSH
- Fusion Proteins, bcr-abl blood MeSH
- K562 Cells chemistry MeSH
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive blood MeSH
- HL-60 Cells chemistry MeSH
- Laboratories, Clinical MeSH
- Humans MeSH
- Linear Models MeSH
- Biomarkers, Tumor blood MeSH
- Reverse Transcriptase Polymerase Chain Reaction methods MeSH
- Reagent Kits, Diagnostic MeSH
- Reproducibility of Results MeSH
- Laboratory Proficiency Testing * MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Research Support, Non-U.S. Gov't MeSH
- Comparative Study MeSH
- Geographicals
- Asia MeSH
- Europe MeSH
- North America MeSH
Measurement of BCR activator of RhoGEF and GTPase -ABL proto-oncogene 1, non-receptor tyrosine kinase (BCR-ABL1) mRNA levels by reverse transcription quantitative polymerase chain reaction (RTqPCR) has been critical to treatment protocols and clinical trials in chronic myeloid leukaemia; however, interlaboratory variation remains a significant issue. Reverse transcriptase droplet digital PCR (RTddPCR) has shown potential to improve testing but a large-scale interlaboratory study is required to definitively establish this. In the present study, 10 BCR-ABL1-positive samples with levels ranging from molecular response (MR)1·0 -MR5·0 were tested by 23 laboratories using RTddPCR with the QXDX BCR-ABL %IS kit. A subset of participants tested the samples using RTqPCR. All 23 participants using RTddPCR detected BCR-ABL1 in all samples to MR4·0 . Detection rates for deep-response samples were 95·7% at MR4·5 , 78·3% at MR4·7 and 87·0% at MR5·0 . Interlaboratory coefficient of variation was indirectly proportional to BCR-ABL1 level ranging from 29·3% to 69·0%. Linearity ranged from 0·9330 to 1·000 (average 0·9936). When results were compared for the 11 participants who performed both RTddPCR and RTqPCR, RTddPCR showed a similar limit of detection to RTqPCR with reduced interlaboratory variation and better assay linearity. The ability to detect deep responses with RTddPCR, matched with an improved linearity and reduced interlaboratory variation will allow improved patient management, and is of particular importance for future clinical trials focussed on achieving and maintaining treatment-free remission.
Advanced Therapies National Institute for Biological Standards and Control Potters Bar UK
Clinical Research Division Fred Hutchinson Cancer Research Center Seattle WA USA
Department of Clinical and Experimental Medicine University of Pisa Pisa Italy
Department of Genomics Strand Life Sciences Bangalore India
Department of Haematology Inselspital Bern University Hospital Bern Switzerland
Department of Haematology Sheffield Teaching Hospitals NHS Foundation Trust Sheffield UK
Department of Laboratory Medicine ASST Grande Ospedale Metropolitano Niguarda Milan Italy
Department of Laboratory Medicine University Hospitals Leuven Leuven Belgium
Department of Molecular Genetics Institute of Hematology and Blood Transfusion Praha Czech Republic
Department of Oncology KU Leuven Leuven Belgium
Department of Pathology Division of Haematology Queen Mary Hospital Hong Kong Hong Kong
Department of Pathology The University of Hong Kong Hong Kong Hong Kong
Department of Surgical Pathology Zealand University Hospital Roskilde Denmark
Department of Transfusion Medicine University Hospital Leipzig Leipzig Germany
Digital Biology Group Bio Rad Pleasanton CA USA
Genetics and Molecular Biology National Institute of Hematology and Blood Transfusion Hanoi Vietnam
Haematology Laboratory Hôpital Saint Louis Paris France
Laboratory of Hematology University Hospital Centre Bordeaux Pessac France
Pathology Hong Kong Sanatorium and Hospital Hong Kong Hong Kong
Personalized Medicine Service Tan Tock Seng Hospital Singapore Singapore
University of Bordeaux INSERM U1218 Bordeaux France
University of Southampton School of Medicine Southampton UK
Wessex Regional Genetics Laboratory Salisbury District Hospital Salisbury UK
References provided by Crossref.org
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