DOI QR코드

DOI QR Code

Application of HTB-SiHa Cells Transfected with a Recombinant Plasmid for External Quality Assessment of Chlamydia trachomatis PCR

  • Zhang, Kuo (National Center for Clinical Laboratories, Beijing Hospital) ;
  • Huo, Hong (Department of Clinical Laboratory, Beijing Chaoyang Hospital Affiliated to the Capital University of Medical Sciences) ;
  • Sun, Yu (National Center for Clinical Laboratories, Beijing Hospital) ;
  • Wang, Lunan (National Center for Clinical Laboratories, Beijing Hospital) ;
  • Zhang, Rui (National Center for Clinical Laboratories, Beijing Hospital) ;
  • Lin, Guigao (National Center for Clinical Laboratories, Beijing Hospital) ;
  • Xie, Jiehong (National Center for Clinical Laboratories, Beijing Hospital) ;
  • Wang, Qingtao (Department of Clinical Laboratory, Beijing Chaoyang Hospital Affiliated to the Capital University of Medical Sciences) ;
  • Li, Jinming (National Center for Clinical Laboratories, Beijing Hospital)
  • Received : 2013.12.23
  • Accepted : 2014.06.24
  • Published : 2014.09.01

Abstract

Background: The participation of laboratories in external quality assessment (EQA) programs is required for the quality assurance of nucleic acid amplification of Chlamydia trachomatis. This study aimed to construct a new quality control (QC) material applicated in EQA of C. trachomatis PCR. Methods: A QC material-HTB-SiHa cells transfected with a recombinant plasmid containing the cryptic plasmid sequence-was constructed for C. trachomatis PCR detection, and four different panels, each consisting of 4 positive samples with serial dilution of the constructed QC material and 1 negative sample, were distributed by the National Center for Clinical Laboratories among four groups of 275, 268, 317, and 304 participants across China from 2011 through 2012. A total of eight commercial kits were used for C. trachomatis PCR detection in participants. Results: Nine laboratories reported false-positive results (0.9%). As the series dilution increased, the correct reporting of the data sets decreased; the lowest correct rate was 96.3% in the weakest positive samples (104 copies/mL). Eight laboratories reported false-positive results, and 42 laboratories reported false-negative results in the EQA detection of C. trachomatis. No significant differences were observed in the detection of the constructed C. trachomatis positive samples (97.9%, 98.5%, 100%, 98.5%; P=0.36) and negative samples (100%, 99.0%, 100%, 99.0%; P=0.764) using four commercial kits commonly used in China. Conclusions: The results of the EQA study indicated that the constructed material provides a noninfectious, stable control material with sufficient volume for PCR detection of C. trachomatis.

Keywords

Acknowledgement

Supported by : National Natural Science Foundation of China

References

  1. Mårdh PA, Tchoudomirova K, Elshibly S, Hellberg D. Symptoms and signs in single and mixed genital infections. Int J Gynaecol Obstet 1998; 63:145-52. https://doi.org/10.1016/S0020-7292(98)00140-4
  2. Stamm WE. Chlamydia trachomatis infections: progress and problems. J Infect Dis 1999;179(S2):S380-3. https://doi.org/10.1086/513844
  3. Tait IA, Duthie SJ, Taylor-Robinson D. Silent upper genital tract chlamydial infection and disease in women. Int J STD AIDS 1997;8:329-31. https://doi.org/10.1258/0956462971920037
  4. Taylor BD and Haggerty CL. Management of Chlamydia trachomatis genital tract infection: screening and treatment challenges. Infect Drug Resist 2011;4:19-29.
  5. Bachmann LH, Johnson RE, Cheng H, Markowitz L, Papp JR, Palella FJ Jr, et al. Nucleic acid amplification tests for diagnosis of Neisseria gonorrhoeae and Chlamydia trachomatis rectal infections. J Clin Microbiol 2010;48:1827-32. https://doi.org/10.1128/JCM.02398-09
  6. Ossewaarde JM, Rieffe M, Rozenberg-Arska M, Ossenkoppele PM, Nawrocki RP, van Loon AM. Development and clinical evaluation of a polymerase chain reaction test for detection of Chlamydia trachomatis. J Clin Microbiol 1992;30:2122-8.
  7. Ridgway GL, Mumtaz G, Robinson AJ, Franchini M, Carder C, Burczak J, et al. Comparison of the ligase chain reaction with cell culture for the diagnosis of Chlamydia trachomatis infection in women. J Clin Pathol 1996;49:116-9. https://doi.org/10.1136/jcp.49.2.116
  8. Schepetiuk S, Kok T, Martin L, Waddell R, Higgins G. Detection of Chlamydia trachomatis in urine samples by nucleic acid tests: comparison with culture and enzyme immunoassay of genital swab specimens. J Clin Microbiol 1997;35:3355-7.
  9. Shattock RM, Patrizio C, Simmonds P, Sutherland S. Detection of Chlamydia trachomatis in genital swabs: comparison of commercial and in house amplification methods with culture. Sex Transm Infect 1998;74: 289-93. https://doi.org/10.1136/sti.74.4.289
  10. Van Dyck E, Ieven M, Pattyn S, Van Damme L, Laga M. Detection of Chlamydia trachomatis and Neisseria gonorrhoeae by enzyme immunoassay, culture, and three nucleic acid amplification tests. J Clin Microbiol 2001;39:1751-6. https://doi.org/10.1128/JCM.39.5.1751-1756.2001
  11. Watson EJ, Templeton A, Russell I, Paavonen J, Mardh PA, Stary A, et al. The accuracy and efficacy of screening tests for Chlamydia trachomatis: a systematic review. J Med Microbiol 2002;51:1021-31.
  12. Le Roy C, Papaxanthos A, Liesenfeld O, Mehats V, Clerc M, Bébéar C, et al. Swabs (dry or collected in universal transport medium) and semen can be used for the detection of Chlamydia trachomatis using the cobas 4800 system. J Med Microbiol 2013;62:217-22. https://doi.org/10.1099/jmm.0.048652-0
  13. Mahony JB, Luinstra KE, Sellors JW, Jang D, Chernesky MA. Confirmatory polymerase chain reaction testing for Chlamydia trachomatis in first-void urine from asymptomatic and symptomatic men. J Clin Microbiol 1992;30:2241-5.
  14. Mania-Pramanik J, Donde UM, Maitra A. Use of polymerase chain reaction (PCR) for detection of Chlamydia trachomatis infection in cervical swab samples. Indian J Dermatol Venereol Leprol 2001;67:246-50.
  15. Xiong L, Kong F, Zhou H, Gilbert GL. Use of PCR and reverse line blot hybridization assay for rapid simultaneous detection and serovar identification of Chlamydia trachomatis. J Clin Microbiol 2006;44:1413-8. https://doi.org/10.1128/JCM.44.4.1413-1418.2006
  16. Bandea CI, Kubota K, Brown TM, Kilmarx PH, Bhullar V, Yanpaisarn S, et al. Typing of Chlamydia trachomatis strains from urine samples by amplification and sequencing the major outer membrane protein gene (omp1). Sex Transm Infect 2001;77:419-22. https://doi.org/10.1136/sti.77.6.419
  17. Claas HC, Melchers WJ, de Bruijn IH, de Graaf M, van Dijk WC, Lindeman J, et al. Detection of Chlamydia trachomatis in clinical specimens by the polymerase chain reaction. Eur J Clin Microbiol Infect Dis 1990; 9:864-8. https://doi.org/10.1007/BF01967500
  18. Mahony JB, Luinstra KE, Sellors JW, Chernesky MA. Comparison of plasmid- and chromosome-based polymerase chain reaction assays for detecting Chlamydia trachomatis nucleic acids. J Clin Microbiol 1993; 31:1753-8.
  19. Palmer L and Falkow S. A common plasmid of Chlamydia trachomatis. Plasmid 1986;16:52-62. https://doi.org/10.1016/0147-619X(86)90079-X
  20. Land S, Tabrizi S, Gust A, Johnson E, Garland S, Dax EM. External quality assessment program for Chlamydia trachomatis diagnostic testing by nucleic acid amplification assays. J Clin Microbiol 2002;40:2893-6. https://doi.org/10.1128/JCM.40.8.2893-2896.2002
  21. Sevestre H, Mention J, Lefebvre JF, Eb F, Hamdad F. Assessment of Chlamydia trachomatis infection by Cobas Amplicor PCR and in-house LightCycler assays using PreservCyt and 2-SP media in voluntary legal abortions. J Med Microbiol 2009;58:59-64. https://doi.org/10.1099/jmm.0.000737-0
  22. Verkooyen RP, Noordhoek GT, Klapper PE, Reid J, Schirm J, Cleator GM, et al. Reliability of nucleic acid amplification methods for detection of Chlamydia trachomatis in urine: results of the first international collaborative quality control study among 96 laboratories. J Clin Microbiol 2003;41:3013-6. https://doi.org/10.1128/JCM.41.7.3013-3016.2003
  23. Notomi T, Ikeda Y, Okadome A, Nagayama A. The inhibitory effect of phosphate on the ligase chain reaction used for detecting Chlamydia trachomatis. J Clin Pathol 1998;51:306-8. https://doi.org/10.1136/jcp.51.4.306
  24. Betsou F, Beaumont K, Sueur JM, Orfila J. Construction and evaluation of internal control DNA for PCR amplification of Chlamydia trachomatis DNA from urine samples. J Clin Microbiol 2003;41:1274-6. https://doi.org/10.1128/JCM.41.3.1274-1276.2003
  25. Chalker VJ, Vaughan H, Patel P, Rossouw A, Seyedzadeh H, Gerrard K, et al. External quality assessment for detection of Chlamydia trachomatis. J Clin Microbiol 2005;43:1341-7. https://doi.org/10.1128/JCM.43.3.1341-1347.2005
  26. Unemo M, Rossouw A, James V, Jenkins C. Can the Swedish new variant of Chlamydia trachomatis (nvCT) be detected by UK NEQAS participants from seventeen European countries and five additional countries/regions in 2009? Euro Surveill 2009;14(19). pii: 19206.
  27. Lin JS, Jones WE, Yan L, Wirthwein KA, Flaherty EE, Haivanis RM, et al. Underdiagnosis of Chlamydia trachomatis infection. Diagnostic limitations in patients with low-level infection. Sex Transm Dis 1992;19:259-65. https://doi.org/10.1097/00007435-199209000-00004
  28. Goessens WH, Mouton JW, van der Meijden WI, Deelen S, van Rijsoort-Vos TH, Lemmens-den Toom N, et al. Comparison of three commercially available amplification assays, AMP CT, LCx, and COBAS AMPLICOR, for detection of Chlamydia trachomatis in first-void urine. J Clin Microbiol 1997;35:2628-33.
  29. Helinski DR. Plasmids as vectors for gene cloning. Basic Life Sci 1977;9:19-49.
  30. Meng S, Zhan S, Li J. Nuclease-resistant double-stranded DNA controls or standards for hepatitis B virus nucleic acid amplification assays. Virol J 2009;6:226. https://doi.org/10.1186/1743-422X-6-226
  31. Moncada J, Schachter J, Hook EW 3rd, Ferrero D, Gaydos C, Quinn TC, et al. The effect of urine testing in evaluations of the sensitivity of the Gen-Probe Aptima Combo 2 assay on endocervical swabs for Chlamydia trachomatis and neisseria gonorrhoeae: the infected patient standard reduces sensitivity of single site evaluation. Sex Transm Dis 2004; 31:273-7. https://doi.org/10.1097/01.OLQ.0000124611.73009.D5

Cited by

  1. Novel cost-effective quality control approach for the Cepheid Xpert CT/NG assay for the detection of Chlamydia Trachomatis and Neisseria Gonorrhoeae vol.125, pp.None, 2016, https://doi.org/10.1016/j.mimet.2016.04.010