Development and evaluation of a secondary reference panel for BCR-ABL1 quantification on the International Scale

. 2016 Sep ; 30 (9) : 1844-52. [epub] 20160425

Jazyk angličtina Země Anglie, Velká Británie Médium print-electronic

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/pmid27109508

Molecular monitoring of chronic myeloid leukemia patients using robust BCR-ABL1 tests standardized to the International Scale (IS) is key to proper disease management, especially when treatment cessation is considered. Most laboratories currently use a time-consuming sample exchange process with reference laboratories for IS calibration. A World Health Organization (WHO) BCR-ABL1 reference panel was developed (MR(1)-MR(4)), but access to the material is limited. In this study, we describe the development of the first cell-based secondary reference panel that is traceable to and faithfully replicates the WHO panel, with an additional MR(4.5) level. The secondary panel was calibrated to IS using digital PCR with ABL1, BCR and GUSB as reference genes and evaluated by 44 laboratories worldwide. Interestingly, we found that >40% of BCR-ABL1 assays showed signs of inadequate optimization such as poor linearity and suboptimal PCR efficiency. Nonetheless, when optimized sample inputs were used, >60% demonstrated satisfactory IS accuracy, precision and/or MR(4.5) sensitivity, and 58% obtained IS conversion factors from the secondary reference concordant with their current values. Correlation analysis indicated no significant alterations in %BCR-ABL1 results caused by different assay configurations. More assays achieved good precision and/or sensitivity than IS accuracy, indicating the need for better IS calibration mechanisms.

3 Medizinische Klinik Medizinische Fakultät Mannheim Universität Heidelberg Mannheim Germany

Bergonie Institute Cancer Center Bordeaux INSERM U1218 University of Bordeaux Bordeaux France

Bristol Genetics Laboratory Bristol UK

CEINGE Biotecnologie Avanzate Naples Italy

Center of Molecular Biology and Gene Therapy Department of Internal Medicine Hematology and Oncology Masaryk University and University Hospital Brno Brno Czech Republic

Chair and Department of Hematology Jagiellonian University Kraków Poland

Clinique de Genetique Oncologique Service de genetique Hopital Erasme Brussels Belgium

Departement de Biopathologie Institut Paoli Calmettes Marseille France

Department of Clinical and Biological Sciences San Luigi Hospital University of Turin Orbassano Italy

Department of Clinical Medicine and Surgery University 'Federico II' of Naples Naples Italy

Department of Genetics and Molecular Pathology Centre for Cancer Biology SA Pathology Adelaide SA Australia

Department of Genetics Portuguese Oncology Institute Porto Portugal

Department of Hematology and Bone Marrow Transplantation Poznan University of Medical Sciences Poznan Poland

Department of Hematology and Molecular Diagnostics VU University Medical Center Amsterdam The Netherlands

Department of Hematology and Oncology Quest Diagnostics Nichols Institute San Juan Capistrano CA USA

Department of Hematology Hospital Universitario 12 de Octubre Universidad Complutense CNIO Madrid Spain

Department of Hematology Oncology Universitätsklinikum Jena Jena Germany

Department of Hematology University of Bari Bari Italy

Department of Laboratory Medicine Division of Medical and Chemical Laboratory Diagnostics Medical University of Vienna Vienna Austria

Department of Laboratory Medicine University Hospitals Leuven Leuven Belgium

Department of Molecular Genetics Institute of Hematology and Blood Transfusion Prague Czech Republic

Department of Oncology KUL Leuven Belgium

Department of Pathology and Knight Cancer Institute Oregon Health and Science University Portland OR USA

Department of Pathophysiology Semmelweis University Budapest Hungary

Department of Surgical Pathology Zealand University Hospital Roskilde Denmark

Division of Cancer Medicine Department of Pathology Peter MacCallum Cancer Centre East Melbourne VIC Australia

Division of Molecular Microbiology Children's Cancer Research Institute Vienna Austria

Faculty of Medicine University of Southampton Southampton UK

Faculty of Pharmacy and Biochemistry and University Hospital Center Zagreb University of Zagreb Zagreb Croatia

Fred Hutchinson Cancer Research Center Seattle WA USA

Genoptix Inc Carlsbad CA USA

Hematology Unit 1st Department of Internal Medicine Laiko Hospital University of Athens Athens Greece

Hematopathology Unit Hospital Clinic IDIBAPS Barcelona Spain

HMDS Leeds Teaching Hospitals Leeds UK

Imperial Molecular Pathology Hammersmith Hospital London UK

King's College Hospital London London UK

Laboratoire Hematologie Centre Hospitalier Universitaire de Bordeaux Universite Bordeaux Bordeaux France

Laboratorio de Biologia Tumoral Disciplina de Hematologia do HC FMUSP São Paulo Brazil

Laboratory of Molecular Biology Hematology Department and HCT Unit G Papanicolaou Hospital Thessaloniki Greece

Laboratory of Molecular Diagnostics Hungarian National Blood Transfusion Service Budapest Hungary

Laboratory of Molecular Pathology Oslo University Hospital Oslo Norway

MLL Munich Leukemia Laboratory Munich Germany

National Specialized Hospital for Active Treatment of Hematological Diseases Sofia Bulgaria

Novartis Pharmaceuticals Corporation East Hanover NJ USA

Pathology Department University Clinical Center Tuzla Tuzla Bosnia and Herzegovina

PathWest Laboratory Medicine WA Department of Haematology Fiona Stanley Hospital Perth WA Australia

Peking University People's Hospital Peking University Institute of Hematology Beijing China

School of Medicine University of Adelaide SA Adelaide Australia

School of Molecular and Biomedical Science University of Adelaide Adelaide SA Australia

School of Pharmacy and Medical Science University of South Australia Adelaide SA Australia

Seoul St Mary's Hospital Leukemia Research Institute The Catholic University of Korea Seoul Korea

Specialized Haematology Laboratory Department of Haematology University Medical Centre Ljubljana Ljubljana Slovenia

Wessex Regional Genetics Laboratory Salisbury NHS Foundation Trust Salisbury UK

West Midlands Regional Genetics Laboratory Birmingham UK

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