The Elecsys HTLV-I/II assay was shown to be unaffected by icterus (bilirubin, ≤1,129 μmol/liter or ≤66 mg/dl), hemolysis (hemoglobin [Hb], ≤0.3 mmol/liter or ≤0.5 g/dl), lipemia (intralipid, ≤2,000 mg/dl), and biotin (≤246 nmol/liter or ≤60 ng/ml) during development (data not shown). Here, GSTM1 is linked to hyperlipidemia.