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Title: External quality assessment scheme for hiv-1 drug-resistance genotyping in thailand
Authors: Siriphan Saeng-Aroon
Nonglak Saipradit
Ruangchai Loket
Nattapong Klamkhai
Ratrawee Boonmuang
Pavita Kaewprommal
Korrakot Prommajan
Naokazu Takeda
Somnuek Sungkanuparph
Tatsuo Shioda
Somchai Sangkitporn
Kazushi Motomura
Osaka University
Mahidol University
National Institutes of Health, Bethesda
Thailand National Science and Technology Development Agency
Osaka Institute of Public Health
Thailand-Japan Research Collaboration Center on Emerging and Re-emerging Infections (RCC-ERI)
Keywords: Immunology and Microbiology;Medicine
Issue Date: 1-Dec-2018
Citation: AIDS Research and Human Retroviruses. Vol.34, No.12 (2018), 1028-1035
Abstract: © 2018, Mary Ann Liebert, Inc. The efficacy of antiretroviral (ARV) therapy can be compromised by the emergence and transmission of HIV-1 drug-resistant strains. HIV-1 drug-resistance (DR) genotypic testing thus plays an important role in the selection of optimal treatment regimens for HIV-infected individuals. Given the complexities of the testing procedures and the variety of approaches used, there is considerable potential for results to vary between laboratories. In Thailand, the national External Quality Assessment (EQA) scheme assesses the DR genotype testing performance of laboratories. Here, we evaluated the performance of laboratories in nucleotide sequencing and compared drug-resistance-associated mutations (DRMs) in the HIV-1 protease (PR) and reverse transcriptase (RT) genes during 2010-2015. The EQA samples in the 12 panels showed predominance for the CRF01-AE (85%) and subtype B (15%). Fourteen laboratory datasets were generated: eight using TruGene (TG), two using ViroSeq (VS), and four using in-house (IH) assays. All IH and VS laboratories had penalty scores <7, whereas five of the eight TG laboratories had fluctuating penalty scores. Moreover, seven and six TG laboratories could not amplify the two identical samples, 10B and 10E samples, or the CRF01-AE. Our findings demonstrate the requirement for laboratory participation in the ongoing EQA program and the optimization of kit assays using CRF01-AE samples. Our results also indicate that one advantage of participation is that the laboratories can monitor and investigate the source of laboratory errors.
ISSN: 19318405
Appears in Collections:Scopus 2018

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