Isolation of RNA from residual BD SurePath liquid-based cytology specimens and detection of HPV E6/E7 mRNA using the PreTectt HPV-Proofer assay

J Virol Methods. 2008 Dec;154(1-2):220-2. doi: 10.1016/j.jviromet.2008.08.002. Epub 2008 Sep 20.

Abstract

Infection with high-risk human papillomavirus (HPV) is known to be associated directly with the development of cervical cancer. Recent data suggests that the detection of E6/E7 mRNA from high-risk HPV types may serve as a better diagnostic method for detecting the presence of cervical pre-cancer than HPV DNA testing. This report details a commercially available nucleic acid isolation protocol which can be used to isolate reproducibly RNA from residual BD SurePath liquid-based cytology specimens stored for up to 28 days, and have demonstrated the quality and quantity of mRNA is sufficient for detection with the NorChip PreTect HPV-Proofer assay. Of the 242 specimens tested in this study, 236 (97.5%) tested positive for U1A internal control gene expression. HPV type 16, 18, 31, 33 or 45 mRNA was detected in 16/20 (80%) of the analyzed high-grade squamous intraepithelial lesion (HSIL) specimens, with a low frequency of HPV mRNA detected in the normal lesions (3%). The presence of HPV E6 expression in a subset of HPV positive specimens was also detected by real-time RT-PCR. These findings confirm that RNA of sufficient quality can be isolated from residual BD SurePath cervical cytology specimens for use in downstream NASBA and RT-PCR-based assays.

MeSH terms

  • Female
  • Humans
  • Oncogene Proteins, Viral / genetics*
  • Papillomaviridae / genetics*
  • Papillomavirus Infections / diagnosis*
  • RNA, Messenger / isolation & purification*
  • RNA, Viral / isolation & purification*
  • Specimen Handling / methods
  • Vaginal Smears

Substances

  • Oncogene Proteins, Viral
  • RNA, Messenger
  • RNA, Viral