Relative viral load estimation from NGS data – is it possible?
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6 weeks ago
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Hello everyone,

I’m currently processing some samples using NGS with an HPV-STI kit (ChapterDx). The kit comes with its own analysis software and is quite straightforward — essentially it targets highly conserved amplicons for HPV genotypes and other STI-associated pathogens.

The final output for each run (192 multiplex samples per run) is a count table where I can see:

Total reads per sample

Total reads for the internal control (GAPDH)

Number of reads per pathogen

My impression is that this test is semi-quantitative, but mostly qualitative, as I haven’t found references where pathogen read counts are used as a statistically meaningful quantitative measure. So far, the kit seems to only support reporting pathogen presence/absence.

My question is: Would it be viable or make sense to calculate something like a relative viral load from these data? I’m not from a virology background, but I do know that true viral load experiments are usually more robust and account for multiple factors. My results currently look something like this: table_count

I’d just like to get more out of the data beyond simply reporting presence or absence.

Thanks in advance for any insights.

virology • 2.9k views
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So far, the kit seems to only support reporting pathogen presence/absence.

There may be a reason for that. Did you take a look at the methodology details. There may be some procedure in there (selective PCR/normalization across samples) that may prevent estimation of additional parameters you are thinking about.

A quick look at the kit shows that it simultaneously detects ~47 pathogens. It means that tube has primers for those. Perhaps there is not enough material in the master mix to allow for quantitative estimation.

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Would it be viable or make sense to calculate something like a relative viral load from these data?

No, not even semi-quant. Don't go down this path, it will lead to bad things.

edit: to clarify, don't use and abuse an assay for something it's not designed to do.

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