Anyplex II HPV28 detection and Anyplex II HPV HR detection assays are highly concordant with other commercial assays for detection of high-risk HPV genotypes in women with high grade cervical abnormalities.
OBJECTIVE
to evaluate the performance of Anyplex II HPV28 and HPV HR Detection assays against the EuroArray HPV, Cobas 4800 HPV (Cobas), HPV Amplicor (Amp), Linear Array HPV (LA) and Hybrid Capture 2 (HC2) in detection of high-risk HPV (HR-HPV) from liquid-based cervical cytology samples.


METHODS
cervical specimens from 404 women undergoing management of high-grade cytological abnormality were evaluated by Anyplex II HPV28 and HPV HR Detection assays for detection of HR-HPV genotypes and prediction of histologically-confirmed cervical intraepithelial neoplasia grade 2 or higher (≥CIN2). The results were compared to EuroArray, HC2, Cobas, Amp, and LA.


RESULTS
specimens were evaluated from 404 women with an average age of 30 years, including 336 with a histological diagnosis of ≥ CIN2 and 68 with ≤ CIN1. Concordance of HR-HPV detection between Anyplex II HPV28 and other genotyping assays was 94.79 % (κ = 0.84; EuroArray) and 97.27 % (κ = 0.91; LA); and between Anyplex II HPV HR and other HR-HPV detection assays was 86.35 % (κ = 0.62; HC2), 96.03 % (κ = 0.87; Cobas) and 96.77 % (κ = 0.89; Amp). Using HR-HPV detection for prediction of ≥ CIN2 by Anyplex II HPV28 and HPV HR, sensitivity (90.18, 95 % CI 86.48-93.14; 90.77, 95 % CI 87.16-93.65) and specificity (both 67.16, 95 % CI 54.60-78.15) were not significantly different to the other HPV assays tested, with one exception. Both Anyplex assays had significantly higher sensitivity than HC2 (p < 0.0001), with a specificity of 96 % (p > 0.05) of HC2 in this high-risk population.


CONCLUSIONS
both Anyplex II HPV detection assays were concordant with other commercial assays for HR-HPV detection, with comparable sensitivity and specificity for ≥ CIN2 detection.
Regional HPV Lab Net Reference Laboratory, Department of Microbiology and Infectious Diseases, The Royal Women's Hospital, Parkville, 3052, Victoria, Australia. Alyssa.Cornall@mcri.edu.au.|Murdoch Childrens Research Institute, Parkville, 3052, Victoria, Australia. Alyssa.Cornall@mcri.edu.au.|Department of Obstetrics and Gynecology, University of Melbourne, Parkville, 3052, Victoria, Australia. Alyssa.Cornall@mcri.edu.au.
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AM
Cornall
Regional HPV Lab Net Reference Laboratory, Department of Microbiology and Infectious Diseases, The Royal Women's Hospital, Parkville, 3052, Victoria, Australia.|Murdoch Childrens Research Institute, Parkville, 3052, Victoria, Australia.
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M
Poljak
Regional HPV Lab Net Reference Laboratory, Department of Microbiology and Infectious Diseases, The Royal Women's Hospital, Parkville, 3052, Victoria, Australia.|Murdoch Childrens Research Institute, Parkville, 3052, Victoria, Australia.|Department of Obstetrics and Gynecology, University of Melbourne, Parkville, 3052, Victoria, Australia.
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SM
Garland
Regional HPV Lab Net Reference Laboratory, Department of Microbiology and Infectious Diseases, The Royal Women's Hospital, Parkville, 3052, Victoria, Australia.|Murdoch Childrens Research Institute, Parkville, 3052, Victoria, Australia.
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Phillips
Department of Obstetrics and Gynecology, University of Melbourne, Parkville, 3052, Victoria, Australia.|Oncology and Dysplasia Unit, Royal Women's Hospital, Parkville, 3052, Victoria, Australia.
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Tan
Regional HPV Lab Net Reference Laboratory, Department of Microbiology and Infectious Diseases, The Royal Women's Hospital, Parkville, 3052, Victoria, Australia.|Murdoch Childrens Research Institute, Parkville, 3052, Victoria, Australia.
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Machalek
Department of Obstetrics and Gynecology, University of Melbourne, Parkville, 3052, Victoria, Australia.|Oncology and Dysplasia Unit, Royal Women's Hospital, Parkville, 3052, Victoria, Australia.
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MA
Quinn
Regional HPV Lab Net Reference Laboratory, Department of Microbiology and Infectious Diseases, The Royal Women's Hospital, Parkville, 3052, Victoria, Australia.|Murdoch Childrens Research Institute, Parkville, 3052, Victoria, Australia.|Department of Obstetrics and Gynecology, University of Melbourne, Parkville, 3052, Victoria, Australia.
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Tabrizi
D000328:Adult; D005260:Female; D005838:Genotype; D006801:Humans; D025202:Molecular Diagnostic Techniques / Q000379:methods*; D027383:Papillomaviridae / Q000145:classification* / Q000235:genetics / Q000302:isolation & purification*; D030361:Papillomavirus Infections / Q000175:diagnosis* / Q000821:virology; D012680:Sensitivity and Specificity; D002578:Uterine Cervical Dysplasia / Q000821:virology*