Evidence map›Paper›PMID 41395844›Full record

ArticleLiver international : official journal of the International Association for the Study of the Liver2026

Performance of Elecsys Anti-HEV IgG and IgM Assays for the Detection of Acute, Recent or Past Hepatitis E Virus Infection.

Mathias Schemmerer, Lisa Sophie Pflüger, Tanja Schneider, Jie Lu, Korbinian Kienle, Kristin Maria Meyer-Schlinkmann, Annelies Mühlbacher, Johannes Polz, Harald Schennach, Qing Xie and 3 more

Abstract readMulticenter Study
In one paragraph

Article in Liver international : official journal of the International Association for the Study of the Liver, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Performance of Elecsys Anti-HEV IgG and IgM Assays for the Detection of Acute, Recent or Past Hepatitis E Virus Infection.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Mathias SchemmererNational Consultant Laboratory for HAV and HEV, Institute of Clinical Microbiology and Hygiene, University Medical Center Regensburg, Regensburg, Germany.
Lisa Sophie PflügerCenter for Diagnostics, Institute of Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0009-0009-1649-5312
Tanja SchneiderRoche Diagnostics GmbH, Penzberg, Germany.
Jie LuDepartment of Infectious Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Korbinian KienleRoche Diagnostics GmbH, Penzberg, Germany.
Kristin Maria Meyer-SchlinkmannMVZ Labor Krone eGbR, Studienzentrum Immunologie, Bad Salzuflen, Germany.
Annelies MühlbacherCentral Institute for Blood Transfusion and Immunology, Tirol Kliniken GmbH, Innsbruck, Austria.
Johannes PolzRoche Diagnostics GmbH, Penzberg, Germany.
Harald SchennachCentral Institute for Blood Transfusion and Immunology, Tirol Kliniken GmbH, Innsbruck, Austria.
Qing XieDepartment of Infectious Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID 0000-0002-2582-8803
Christian VoitenleitnerRoche Diagnostics International AG, Rotkreuz, Switzerland.
Jürgen WenzelNational Consultant Laboratory for HAV and HEV, Institute of Clinical Microbiology and Hygiene, University Medical Center Regensburg, Regensburg, Germany.
Marc LütgehetmannCenter for Diagnostics, Institute of Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-9468-7944

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsHepatitis E virus (HEV) is the leading cause of acute viral hepatitis. We evaluated the performance of the new automated Elecsys Anti-HEV IgG and Elecsys Anti-HEV IgM assays (Roche Diagnostics) in detecting acute, recent and past HEV infection.

methodsPerformance of the Elecsys assays relative to three commercially available CE-IVD anti-HEV assays was assessed in a large multinational cohort (six laboratories in Germany, Austria and China). Sensitivity testing included samples from patients with presumed acute (IgM: n = 707; IgG: n = 490) and recovered HEV infection (n = 156). Specificity testing included samples from asymptomatic blood donors (n = 5040), routine diagnostic samples (n = 2427), and pregnant women (n = 544). An in-house anti-HEV IgG neutralisation method was performed to resolve discrepant specificity sample results. Seroconversion sensitivity analysis was performed using nine commercial seroconversion panels (n = 119 samples).

resultsRelative sensitivity and specificity of the Elecsys assays were > 98.6% (95% CI: 92.2%-100%) and > 98.9% (98.4%-99.2%) for anti-HEV IgM and > 81.2% (79.3%-83.0%) for anti-HEV IgG in different cohorts, respectively. After confirming anti-HEV IgG in 680/696 discrepant samples by a neutralisation method, relative specificity of the Elecsys Anti-HEV IgG assay was > 99.4% (98.8%-99.7%). Evaluation of commercial seroconversion panels showed good overall agreement between the assays.

conclusionsThe Elecsys Anti-HEV IgG and IgM assays showed favourable overall performance when compared to three commercially available CE-IVD marked assays. Neutralisation data indicated higher sensitivity of the Elecsys Anti-HEV IgG assay than comparator assays in detecting past infections and lower IgG concentrations.

Indexed as

Hepatitis AntibodiesHepatitis EHepatitis E virusImmunoglobulin GImmunoglobulin MAdultAustriaChinaFemaleGermanyHumansMaleMiddle AgedPregnancySensitivity and SpecificitySeroconversionHepatitis AntibodiesImmunoglobulin GImmunoglobulin Mblood donorshepatitis antibodieshepatitis E virusseroconversionviremia

Identifiers

PMID41395844
PMCPMC12704027

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.