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Relative viral load estimation from NGS data – is it possible?

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

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.

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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