title: Clinical performance of the novel DiaSorin LIAISON(®) XL murex: HBsAg Quant, HCV-Ab, HIV-Ab/Ag assays.
abstract: BACKGROUND
  The fully automated and closed LIAISON(®)XL platform was developed for reliable detection of infection markers like hepatitis B virus (HBV) surface antigen (HBsAg), hepatitis C virus (HCV) antibodies (Ab) or human immunodeficiency virus (HIV)-Ag/Ab. To date, less is known about the diagnostic performance of this system in direct comparison to the common Abbott ARCHITECT(®) platform.
  
  
  OBJECTIVE
  We compared the diagnostic performance and usability of the DiaSorin LIAISON(®)XL with the commonly used Abbott ARCHITECT(®) system.
  
  
  METHODS
  The qualitative performance of the above mentioned assays was compared in about 500 sera. Quantitative tests were performed for HBsAg-positive samples from patients under therapy (n=289) and in vitro expressed mutants (n=37). For HCV-Ab, a total number of 155 selected samples from patients chronically infected with different HCV genotypes were tested.
  
  
  RESULTS
  The concordance between both systems was 99.4% for HBsAg, 98.81% for HCV-Ab, and 99.6% for HIV-Ab/Ag. The quantitative LIAISON(®)XL murex HBsAg assay detected all mutants in comparable amounts to the HBsAg wild type and yielded highly reliable HBsAg kinetics in patients treated with antiviral drugs. Dilution experiments using the 2nd International Standard for HBsAg (WHO) showed a high accuracy of this test. HCV-Ab from patients infected with genotypes 1-3 were equally detected in both systems. Interestingly, S/CO levels of HCV-Ab from patients infected with genotype 3 seem to be relatively low using both systems.
  
  
  CONCLUSIONS
  The LIAISON(®)XL platform proved to be an excellent system for diagnostics of HBV, HCV, and HIV with equal performance compared to the ARCHITECT(®) system.
authors.affiliation: Institute of Virology, University Hospital Essen, University Duisburg-Essen, Hufelandstr. 55, 45122 Essen, Germany.
authors.forename: Adalbert
authors.initials: A
authors.lastname: Krawczyk
authors.affiliation: DiaSorin Deutschland GmbH, Von-Hevesy-Str. 3, 63128 Dietzenbach, Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Hintze
authors.affiliation: Institute of Virology, University Hospital Essen, University Duisburg-Essen, Hufelandstr. 55, 45122 Essen, Germany.
authors.forename: Jessica
authors.initials: J
authors.lastname: Ackermann
authors.affiliation: Institute of Virology, University Hospital Essen, University Duisburg-Essen, Hufelandstr. 55, 45122 Essen, Germany.
authors.forename: Birgit
authors.initials: B
authors.lastname: Goitowski
authors.affiliation: Department of Gastroenterology and Hepatology, University Hospital Essen, University Duisburg-Essen, Hufelandstr. 55, 45122 Essen, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Trippler
authors.affiliation: Institute of Virology, University Hospital Essen, University Duisburg-Essen, Hufelandstr. 55, 45122 Essen, Germany.
authors.forename: Nico
authors.initials: N
authors.lastname: Grüner
authors.affiliation: Institute of Virology, University of Cologne, Fürst-Pückler-Str. 56, 50935 Köln, Germany.
authors.forename: Maria
authors.initials: M
authors.lastname: Neumann-Fraune
authors.affiliation: Institute of Virology, University Hospital Essen, University Duisburg-Essen, Hufelandstr. 55, 45122 Essen, Germany; Institute of Virology, University of Cologne, Fürst-Pückler-Str. 56, 50935 Köln, Germany.
authors.forename: Jens
authors.initials: J
authors.lastname: Verheyen
authors.affiliation: Institute of Virology, University Hospital Essen, University Duisburg-Essen, Hufelandstr. 55, 45122 Essen, Germany. Electronic address: melanie.fiedler@uni-due.de.
authors.forename: Melanie
authors.initials: M
authors.lastname: Fiedler
mesh_terms: D057205:Automation, Laboratory / Q000379:methods; D019411:Clinical Laboratory Techniques / Q000379:methods*; D015483:HIV Antibodies / Q000097:blood; D015488:HIV Antigens / Q000097:blood; D015658:HIV Infections / Q000175:diagnosis*; D006509:Hepatitis B / Q000175:diagnosis*; D006514:Hepatitis B Surface Antigens / Q000097:blood; D006526:Hepatitis C / Q000175:diagnosis*; D018937:Hepatitis C Antibodies / Q000097:blood; D006801:Humans; D007118:Immunoassay / Q000379:methods
chemical_list: D015483:HIV Antibodies; D015488:HIV Antigens; D006514:Hepatitis B Surface Antigens; D018937:Hepatitis C Antibodies
keywords: Ab; Ag; CLIA; ETV; HBV; HBsAg; HBsAg mutants; HBsAg quantification; HCV; HIV; IFN; LIAISON(®) XL; Murex; S/CO; TDF; antibody; antigen; chemiluminescence immunoassay; entecavir; hepatitis B virus; hepatitis B virus surface antigen; hepatitis C virus; human immunodeficiency virus; interferon; signal-to-cutoff-ratio; tenofovir