C187

Diagnostics for the early detection and management of hepatitis C infection

Early detection of HCV infection is vital in order to provide consolidated care of acute and chronic infection, and adequate treatment of drug response monitoring is crucial to overall therapy success. Patients undergoing a peginterferon alfa-2a and ribavirin therapy can be monitored precisely by real-time PCR measurement. The novel Elecsys anti-HCV II immunoassay on cobas e modules allows the early qualitative detection of antibodies against HCV. The updated assay delivers enhanced convenience, specificity, increased reliability and consistency for improved efficiency in screening patients as well as blood donors. Following the identification of HCV antibodies, testing for HCV RNA, which is a crucial marker in the management of hepatitis C, confirms the infection and facilitates prediction of treatment response. Sensitive HCV RNA qualitative and quantitative tests to measure viral load and predict drug response are available on the COBAS AmpliPrep/COBAS TaqMan fully automated platform.
Read more

ELISA for sarcopenia

Sarcopenia is defined as the loss of skeletal muscle mass and strength that can occur with advancing age. The current diagnosis of the disease is by dual-emission X-ray absorptiometry (DXA) scan, which measures lean body mass (LBM) in combination with functional tests. This cumbersome technique provides no information on the underlying cause of the loss of LBM. A novel biomarker is now available to identify the subgroup of patients (40%), whose sarcopenia is caused by excessive neurotrypsin activity. The NTCAF ELISA test has initially been developed for research purposes to aid the development of a treatment for the condition and could have potential as a companion diagnostic.
Read more

C01 pn

Automated rotary microtome

A fully automated rotary microtome with four mechanised cutting modes, the Thermo Scientific HM355S delivers exceptional quality sections across an extensive range of specimen types. Concern for operator safety is integral to the design with an obvious Emergency Stop, manual and electronic braking mechanisms and a unique double-tap start function ensuring only intentional operation, protecting both the user and the specimen from accidental damage. The long 72mm vertical cutting stroke, large wraparound waste tray, programmable cutting window and memory positioning all contribute in streamlining workflow and improving sectioning efficiency, for specimens up to SuperMega cassette size.
Read more

C189

Mass spectrometer for routine quantitation

A new triple quadrupole system is available that delivers 10x better sensitivity than triple quadrupole systems in the same mid-level class. The TripleQuad 4500 system with industry-leading ruggedness is designed to be the new ‘workhorse’ mass spectrometer. With the option of QTRAP technology, which increases full-scan sensitivity by 100x over basic triple quadrupoles by incorporating the Linear Accelerator Trap, unmatched levels of confidence in results are provided. To simplify the adoption of this next generation of LC/MS/MS technology, bundled solution packages (Accelerated Lab Integration Packages) are offered consisting of the mass spectrometer, but also the standards, software, training, validation services and a liquid chromatography (LC) system, including the new Eksigent ekspert ultra 100 and 100-XL systems. These are analytical flow rate LC systems. With the new 4500 series, laboratory analysts are able to significantly improve results for a variety of applications, including clinical research, forensic toxicology, protein identification, peptide quantitation and bioanalysis.
Read more

C190

Cryptosporidium/Giardia enzyme immunoassay

Cryptosporidiosis is routinely diagnosed by microscopic analysis of stool samples using organic dyes, or by immunostaining with direct fluorescent antibody, and it can be difficult to detect. Similarly, Giardia lamblia infection is frequently misdiagnosed, relying on poorly performing antigen-based testing. A new enzyme immunoassay (EIA) for the qualitative detection of Cryptosporidium and G. lamblia antigens in human faecal specimens from patients displaying gastrointestinal symptoms, the Prolisa Cryptosporidium/Giardia EIA kit offers precise results with high sensitivity and excellent specificity, enabling accurate diagnosis of infection. This convenient, rapid and easy-to-use method of detecting Cryptosporidium and G. lamblia is supplied in a 96-well test size consisting of detachable stripwells. This assay uses monoclonal anti-Cryptosporidium and anti-G. lamblia antibodies to ensure excellent sensitivity and specificity for high value diagnostic results. It can be performed manually as well as on most automated platforms for increased workflow flexibility.
Read more

C208

Rheumatoid Factor (RF)/IgG absorbent reagent

Specifically designed for IVD manufacturers for use in conjunction with immunodiagnostic assays, Binding Site’s RF/IgG absorbent reagent is distinctively formulated to remove both IgG and RF-IgM molecules from human serum. In principle, the reagent effectively prevents these components from non-specific binding within the test sample. This eliminates certain interference effects found with some immunodiagnostic assays that are aimed at quantitatively determining human antigen-specific IgM immunoglobulin concentrations, as found in various diagnostic disease states. As such, the RF/IgG Absorbent Reagent serves to enhance overall specificity by reducing both the number of false positive test results from native IgG components and the number of false negative test results from native RF-IgM components. The reagent demonstrates outstanding performance characteristics in routine use, and is available as a ready-to-use, fully liquid stable product offered in a number of convenient, operator-oriented packaging configurations, including bulk-sized formats.
Read more

C204

Hepatitis C assay

Roche has extended its serology panel to include a new generation Elecsys anti-HCV II, optimising workflows, saving costs and providing accurate, rapid results.
With an estimated 216,000 individuals chronically infected in the UK alone, hepatitis C (HCV) remains a major public health problem, and HCV-related end stage liver disease and mortality continue to increase. It is thus necessary to sustain and enhance efforts to raise awareness, prevent new infections, increase diagnosis, and treat more individuals with infection. Due to the high rate of asymptomatic infections, clinical diagnosis of hepatitis C is difficult and screening assays are of major importance.This new assay can play an effective part in this strategy, as it is used to demonstrate the presence of antibodies against HCV during acute and chronic stages of disease, and after a passed infection. A hundred percent clinical sensitivity is provided for all known genotypes, leading to early detection of infection and patient-oriented decision making. With high specificity as demonstrated in blood donors (99.84%) and samples from clinical routine, pregnant women and dialysis patients, use of this assay increases laboratory testing efficiencies. To optimise workflows and provide operational cost savings, the ready-to-use liquid reagents have a long onboard stability of 31 days on all the company’s immunoassay platforms. The new assay complements the Roche serology assay menu that includes assays for Hepatitis A, Hepatitis B, Hepatitis C, HIV, TORCH, Herpes, Syphilis and other infectious diseases.
Read more

C205

Avidity tests to determine acute infections

A portfolio of avidity tests allows the discrimination of acute from past infections via the determination of the avidity of specific IgG antibodies. This is particularly relevant in pregnancy diagnostics, where an acute infection may pose a risk to the foetus. The avidity product range includes ELISA and indirect immunofluorescence tests (IIFT) for Toxoplasma gondii, rubella virus, Epstein-Barr virus, West Nile virus, cytomegalovirus, varicella zoster virus, measles virus and TBE virus infection status. All assays incorporate an incubation step with a urea solution, which destroys the weak bonds between low-avidity antibodies and the antigenic target, while leaving the stable bonds formed by high-avidity antibodies intact. Bound antibodies are then detected according to the usual ELISA or IIFT procedure. The detection of high-avidity antibodies is a reliable indication that an infection took place some time ago, whereas low-avidity antibodies indicate an acute infection. Avidity determination supplements the investigation of IgM antibodies, which is traditionally used to identify acute infections, but which has several limitations: IgM may be only transient or may not be reliably detected in an acute infection, or IgM may persist for months or years after recovery, making interpretation difficult. In these instances, avidity testing can clarify the diagnosis without the need to take a second sample from the patient.
Read more

C198

Image analysis platform

Combining fluorescence and brightfield analysis capabilities in a single platform, with precision cell modelling, Tissue IA 2.0 offers a superior solution for IHC biomarker quantification. A major challenge in research today is retrieval of quantitative, reproducible data from tissue-based IHC studies. This platform provides expert tools for researchers to extract the most from their studies. Powerful colour separation and multi-marker colocalisation functionality provides advanced insight and unbiased measurement of multiple antigen immunostaining in brightfield or fluorescent samples. Sophisticated cell modelling accurately detects and quantifies differential expression of staining in cellular compartments, providing detailed insight into cytoplasmic, membrane and nuclear biomarker localisation. The advanced dual staining capabilities enable cell cohorts at the molecular level to be identified. One marker can identify a population of interest and expression of a second can be quantified, providing exceptional analysis performance and greater understanding of slides. With high throughput batch analysis capacity, the platform will process whole slides, regions of interest or tissue microarray cores, and automatically integrate analysis results with a user’s slides.
Read more

C194

Monoclonal antibodies to Clostridia GDH

Clostridium difficile-associated diarrhoea (CDAD) is the leading cause of nosocomial diarrhoea. The spread of this bacterium is difficult to control due to its resistant spores that survive on many surfaces, so rapid detection is crucial to its control. Most rapid tests target the toxins (A & B) produced during the infection. Another diagnostic target is glutamate dehydrogenase (GDH), an enzyme produced and released during bacterial growth. Studies have shown that GDH detection together with toxin detection by EIA or PCR significantly improves assay specificity. Three new monoclonal antibodies to Clostridia GDH validated by ELISA are now available. These antibodies represent a new set of tools for rapid detection development.
Read more