Nonisotopic Detection and Typing of Human Papillomavirus DNA in Genital Samples by the Line Blot Assay
Open accessAbstract
The line blot assay, a gene amplification method that combines PCR with nonisotopic detection of amplified DNA, was evaluated for its ability to detect human papillomavirus (HPV) DNA in genital specimens. Processed samples were amplified with biotin-labeled primers for HPV detection (primers MY09, MY11, and HMB01) and for β-globin detection (primers PC03 and PC04). Amplified DNA products were hybridized by a reverse blot method with oligonucleotide probe mixtures fixed on a strip that allowed the identification of 27 HPV genotypes. The line blot assay was compared to a standard consensus PCR test in which HPV amplicons were detected with radiolabeled probes in a dot blot assay. Two hundred fifty-five cervicovaginal lavage specimens and cervical scrapings were tested in parallel by both PCR tests. The line blot assay consistently detected 25 copies of HPV type 18 per run. The overall positivity for the DNA of HPV types detectable by both methods was 37.7% (96 of 255 samples) by the line blot assay, whereas it was 43.5% (111 of 255 samples) by the standard consensus PCR assay. The sensitivity and specificity of the line blot assay reached 84.7% (94 of 111 samples) and 98.6% (142 of 144 samples), respectively. The agreement for HPV typing between the two PCR assays reached 83.9% (214 of 255 samples). Of the 37 samples with discrepant results, 33 (89%) were resolved by avoiding coamplification of β-globin and modifying the amplification parameters. With these modifications, the line blot assay compared favorably to an assay that used radiolabeled probes. Its convenience allows the faster analysis of samples for large-scale epidemiological studies. Also, the increased probe spectrum in this single hybridization assay permits more complete type discrimination.
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Co-amplification of β-globin with HPV DNA or the presence of multiple HPV types can result in competition for assay reagents and hamper assay performance.
“As previously reported with consensus PCR assays, the co-amplification of β-globin with HPV DNA or the presence of multiple HPV types can result in competition for assay reagents and hamper assay performance [21,22].”
From Comparative evaluation of Allplex HPV28 and Anyplex II HPV28 assays for high-risk HPV genotyping in cervical samples (2025) · cites this paper as [21]
The Results (page not available) report reduced HPV detection sensitivity with β-globin co-amplification and improved detection when it was avoided. The Discussion (page not available) says the line blot assay was less sensitive especially in samples with multiple HPV types. The paper does not establish competition for assay reagents as the mechanism for either effect. (LLM, conf=0.86)
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Mafi, S., Theuillon, F., Meyer, S., Woillard, J.-B., Dupont, M., Rogez, S., Alain, S., & Hantz, S. (2025) · PLOS ONE · doi:10.1371/journal.pone.0320978 · Cited by 9 · see citing works
“As previously reported with consensus PCR assays, the co-amplification of β-globin with HPV DNA or the presence of multiple HPV types can result in competition for assay reagents and hamper assay performance [21,22].”
- Authors
- Coutlée, F., Gravitt, P., Richardson, H., Hankins, C., Franco, E., Lapointe, N., Voyer, H., & The Canadian Women’s HIV Study Group
- Affiliations
- <!--label omitted: 1-->Départements de Microbiologie-Immunologie et de Pédiatrie, Université de Montréal,1
- <!--label omitted: 3-->Roche Molecular Systems, Alameda, California3
- McGill University (CA)
- Sante Montreal (CA)
- Centre Hospitalier Universitaire Sainte-Justine (CA)
- <!--label omitted: 2-->Centre de Recherche et Département de Microbiologie et Infectiologie, Centre Hospitalier de l’Université de Montréal, Campus Notre-Dame,2
- Venue
- Journal of Clinical Microbiology
- Publisher
- American Society for Microbiology
- Published
- 1999-06
- Volume
- 37
- Issue
- 6
- Pages
- 1852-1857
- ISSN
- 0095-1137 (ISSN-L)
- 1098-660X
- PMC
- PMC84968
- OpenAlex
- W2158855921
- Cited by
- 55
- References
- 0
- Citations by year
- 2025: 1 · 2022: 1 · 2021: 1 · 2017: 2 · 2013: 2 · 2012: 1
- FWCI
- 3.29
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Clinical Microbiology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Physical Sciences › Engineering › Biomedical Engineering › Biosensors and Analytical Detection
- Keywords
- human papillomavirus, HPV testing, HPV genotyping, nonisotopic detection, biotin-labeled primers, cervical specimens, cervicovaginal lavage, assay sensitivity and specificity
- MeSH terms
- Cervix Uteri, DNA, Viral, Female, Genetic Techniques, HeLa Cells, Humans, Therapeutic Irrigation, Sensitivity and Specificity, Vagina, Vaginal Smears, Reproducibility of Results, Polymerase Chain Reaction, Papillomaviridae
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