Is the thrombopoietin assay useful for differential diagnosis of thrombocytopenia? Analysis of a cohort of 160 patients with thrombocytopenia and defined platelet life span.

Abstract:

BACKGROUND:Thrombopoietin (TPO), the major hormone controlling platelet production, has been measured in thrombocytopenias with discordant results. The aim of our work was to assess the value of the TPO assay for differential diagnosis of thrombocytopenias in a large cohort of patients classified according to the results of their platelet isotopic study. METHODS:We measured TPO (R&D Systems) in serum of 160 thrombocytopenic patients referred to our department for platelet life span isotopic studies. We classified patients as follows: (a) idiopathic or autoimmune thrombocytopenia group (ITP; patients with increased platelet destruction and shortened platelet life span; n = 67); (b) pure genetic thrombocytopenia group (patients with decreased platelet production, normal platelet life span, and without bone marrow aplasia; n = 55); (c) bone marrow aplasia group (BM; patients with decreased platelet production, normal platelet life span, and bone marrow aplasia; n = 13). RESULTS:In patients with pure genetic thrombocytopenia, TPO (median, 55 ng/L) was not different from TPO in patients with ITP (median, 58 ng/L) or controls (n = 54; median, 51 ng/L). Only in patients with bone marrow aplasia was TPO significantly higher (median, 155 ng/L) and negatively correlated to the platelet count (r(2) = 0.5014). CONCLUSIONS:Although the median serum TPO is increased in thrombocytopenia with decreased platelet production from bone marrow aplasia, it does not differentiate patients with pure genetic thrombocytopenia from those with ITP.

journal_name

Clin Chem

journal_title

Clinical chemistry

authors

Gouin-Thibault I,Cassinat B,Chomienne C,Rain JD,Najean Y,Schlageter MH

subject

Has Abstract

pub_date

2001-09-01 00:00:00

pages

1660-5

issue

9

eissn

0009-9147

issn

1530-8561

journal_volume

47

pub_type

杂志文章
  • Angiotensin-converting enzyme determination in plasma during therapy with converting enzyme inhibitor: two methods compared.

    abstract::For normal and above-normal concentrations of angiotensin-converting enzyme (ACE; EC 3.4.15.1) activity in plasma, results of a manual fluorometric method [with hippuryl-histidyl-leucine (HHL), 5 mmol/L, as substrate] correlated well with those of an automated spectrophotometric method [with 3-(2-furylacryloyl)-L-phen...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Gorski TP,Campbell DJ

    更新日期:1991-08-01 00:00:00

  • Development and evaluation of a urine protein expert system.

    abstract::Based on the quantitative determination of creatinine, total protein, albumin, alpha 1-microglobulin, IgG, alpha 2-macroglobulin, and N-acetyl-beta, D-glucosaminidase in urine in combination with a test strip screening, the findings of hematuria, leukocyturia, and proteinuria can be assigned to prerenal, renal, or pos...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Ivandić M,Hofmann W,Guder WG

    更新日期:1996-08-01 00:00:00

  • Polymorphisms in inflammatory genes and the risk of ischemic stroke and transient ischemic attack: results of a multilocus genotyping assay.

    abstract:BACKGROUND:Single-nucleotide polymorphisms (SNPs) in inflammation-related genes have been linked to an increased risk of ischemic stroke. Most of these SNP results have not been replicated, however, and metaanalyses of the effects of inflammation-related genes are rare. We investigated 49 SNPs in 34 genes previously re...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2008.112151

    authors: Greisenegger S,Zehetmayer S,Bauer P,Endler G,Ferrari J,Lang W,Janisiw M,Steiner L,Cheng S,Lalouschek W,Mannhalter C

    更新日期:2009-01-01 00:00:00

  • Acyclic adenine nucleoside phosphonates in plasma determined by high-performance liquid chromatography with fluorescence detection.

    abstract::9-(2-Phosphonylmethoxyethyl)adenine (PMEA), (S)-9-(3-hydroxy-2-phosphonylmethoxypropyl)adenine (HPMPA), and (R,S)-9-(3-fluoro-2-phosphonylmethoxypropyl)adenine (FPMPA) are selective antiviral agents with activity against a broad spectrum of DNA viruses and retroviruses. A highly sensitive method has been developed to ...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Naesens L,Balzarini J,De Clercq E

    更新日期:1992-04-01 00:00:00

  • A computerized classification technique for screening for the presence of breath biomarkers in lung cancer.

    abstract::A simple computer-based screening technique has been developed for classifying human expired air components into 16 chemical classes, based on empirical formulas. The sort procedure was developed to simplify the screening of the composition of expired air samples by sorting all components into chemical classes and cla...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: O'Neill HJ,Gordon SM,O'Neill MH,Gibbons RD,Szidon JP

    更新日期:1988-08-01 00:00:00

  • Use of natriuretic peptides to guide and monitor heart failure therapy.

    abstract:BACKGROUND:Plasma B-type cardiac natriuretic peptides reflect cardiac structure and function and have proven roles in assisting in the diagnosis of acute heart failure. They are independent prognostic indicators across the full spectrum of cardiovascular disease. Serial changes in plasma B-type cardiac natriuretic pept...

    journal_title:Clinical chemistry

    pub_type: 杂志文章,评审

    doi:10.1373/clinchem.2011.165704

    authors: Richards AM,Troughton RW

    更新日期:2012-01-01 00:00:00

  • Overtraining in neural networks that interpret clinical data.

    abstract::Backpropagation neural networks are a computer-based pattern-recognition method that has been applied to the interpretation of clinical data. Unlike rule-based pattern recognition, backpropagation networks learn by being repetitively trained with examples of the patterns to be differentiated. We describe and analyze t...

    journal_title:Clinical chemistry

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Astion ML,Wener MH,Thomas RG,Hunder GG,Bloch DA

    更新日期:1993-09-01 00:00:00

  • Oxygen toxicity related to exposure to lead.

    abstract::We evaluated superoxide dismutase (EC 1.15.1.1) and glutathione peroxidase (EC 1.11.1.9) activities in the erythrocytes of lead-exposed and nonexposed workers from distinct industries localized in the State of São Paulo, Brazil. Concentrations of either lead or protoporphyrin IX, or both, in blood were used to indicat...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Monteiro HP,Abdalla DS,Arcuri AS,Bechara EJ

    更新日期:1985-10-01 00:00:00

  • Glial Fibrillary Acidic Protein Serum Levels Distinguish between Intracerebral Hemorrhage and Cerebral Ischemia in the Early Phase of Stroke.

    abstract:BACKGROUND:Recent studies have suggested that glial fibrillary acidic protein (GFAP) serum concentrations distinguish between intracerebral hemorrhage (ICH) and ischemic stroke (IS) shortly after symptom onset. In this prospective multicenter trial we validated GFAP in an independent patient cohort and assessed the qua...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2016.263335

    authors: Luger S,Witsch J,Dietz A,Hamann GF,Minnerup J,Schneider H,Sitzer M,Wartenberg KE,Niessner M,Foerch C,BE FAST II and the IGNITE Study Groups.

    更新日期:2017-01-01 00:00:00

  • Automated enhanced latex agglutination assay for rheumatoid factors in serum.

    abstract::This improved assay of rheumatoid factors in serum, described here for use with the Baker "Encore" centrifugal analyzer, is efficient, with 250-sample throughput per hour; reproducible, with between-batch CV = 5% and within-batch CV = 2% (mid-assay range); and results correlate well (r = 0.9) with those by other metho...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Winkles JW,Lunec J,Gray L

    更新日期:1989-02-01 00:00:00

  • Measurement of free and free-plus-peptide hydroxyproline fractions in plasma.

    abstract::Plasma hydroxyproline fractions--free-plus-peptide and free--were determined by a method involving centrifugal ultrafiltration and the procedure of Kivirikko et al. [Anal. Biochem. 19, 249 (1967)]. Within- and between-day precision (CV) for the combined fractions was 4--5% and 2.8--6%, respectively. Mean analytical re...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Husdan H,Leung M,Oreopoulos D,Rapoport A

    更新日期:1978-02-01 00:00:00

  • Relation of lipoprotein(a) in 11- to 19-year-old adolescents to parental cardiovascular heart disease.

    abstract::We studied several risk factors in relation to parental cardiovascular heart disease: total cholesterol, triglycerides, high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol, apolipoprotein (apo) A-I, apo B, and lipoprotein(a) [Lp(a)] were determined in 322 serum samples (43 from subjec...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Vella JC,Jover E

    更新日期:1993-03-01 00:00:00

  • Sensitive and selective liquid-chromatographic assay of fluoxetine and norfluoxetine in plasma with fluorescence detection after precolumn derivatization.

    abstract::We determined fluoxetine (Prozac) and its major metabolite norfluoxetine in plasma by liquid chromatography with fluorescence detection. After liquid-liquid extraction from 1 mL of plasma, the extract was derivatized at room temperature with dansyl chloride, and the highly fluorescent derivatives were chromatographed ...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Suckow RF,Zhang MF,Cooper TB

    更新日期:1992-09-01 00:00:00

  • A homogeneous fluorescent immunoassay for human immunoglobulin M.

    abstract::We describe a homogeneous substrate-labeled fluorescent immunoassay for human IgM. In this competitive-binding method we use a fluorogenic substrate for Escherichia coli beta-galactosidase, N-(6-aminohexyl)-7-beta-galactosyl-coumarin-3-carboxamide, which is covalently coupled to IgM. The fluorescence emission intensit...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Worah D,Yeung KK,Ward FE,Carrico RJ

    更新日期:1981-05-01 00:00:00

  • Clinical sensitivity and specificity of meconium fatty acid ethyl ester, ethyl glucuronide, and ethyl sulfate for detecting maternal drinking during pregnancy.

    abstract:BACKGROUND:We investigated agreement between self-reported prenatal alcohol exposure (PAE) and objective meconium alcohol markers to determine the optimal meconium marker and threshold for identifying PAE. METHODS:Meconium fatty acid ethyl esters (FAEE), ethyl glucuronide (EtG), and ethyl sulfate (EtS) were quantified...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2014.233718

    authors: Himes SK,Dukes KA,Tripp T,Petersen JM,Raffo C,Burd L,Odendaal H,Elliott AJ,Hereld D,Signore C,Willinger M,Huestis MA,Prenatal Alcohol in SIDS and Stillbirth (PASS) Network.

    更新日期:2015-03-01 00:00:00

  • HPLC for simultaneous quantification of total ceramide, glucosylceramide, and ceramide trihexoside concentrations in plasma.

    abstract:BACKGROUND:Simple, reproducible assays are needed for the quantification of sphingolipids, ceramide (Cer), and sphingoid bases. We developed an HPLC method for simultaneous quantification of total plasma concentrations of Cer, glucosylceramide (GlcCer), and ceramide trihexoside (CTH). METHODS:After addition of sphinga...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2006.079012

    authors: Groener JE,Poorthuis BJ,Kuiper S,Helmond MT,Hollak CE,Aerts JM

    更新日期:2007-04-01 00:00:00

  • Improved 63Ni radiochemical assay of free fatty acids in plasma.

    abstract::We have modified the 63Ni radiochemical method of Ho (Anal Biochem 1970;36:105) for determination of free fatty acids (FFA) in plasma. Extracting 1 or 0.1 mL of plasma with Dole's mixture (J Biol Chem 1960;235:2595) and washing the "heptane" layer with two volumes of isopropanol/water/dilute (0.5 mol/L) H2SO4 (25/25/1...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Barash H,Akov S

    更新日期:1987-01-01 00:00:00

  • Quantitative real-time PCR method for detection of B-lymphocyte monoclonality by comparison of kappa and lambda immunoglobulin light chain expression.

    abstract:BACKGROUND:An abnormal IgLkappa:IgLlambda ratio has long been used as a clinical criterion for non-Hodgkin B-cell lymphomas. As a first step toward a quantitative real-time PCR-based multimarker diagnostic analysis of lymphomas, we have developed a method for determination of IgLkappa:IgLlambda ratio in clinical sample...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/49.1.51

    authors: Ståhlberg A,Aman P,Ridell B,Mostad P,Kubista M

    更新日期:2003-01-01 00:00:00

  • Radioimmunoassay of cortisone in serum, urine, and saliva to assess the status of the cortisol-cortisone shuttle.

    abstract::We have developed a new assay for cortisone (E) in serum, saliva, and urine involving Celite chromatography followed by RIA with 125I-labeled E and scintillation proximity assay. The chromatography step separates cortisol (F) from E, and in combination with their RIAs, permits assessment of the status of the F-E shutt...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Morineau G,Boudi A,Barka A,Gourmelen M,Degeilh F,Hardy N,al-Halnak A,Soliman H,Gosling JP,Julien R,Brerault JL,Boudou P,Aubert P,Villette JM,Pruna A,Galons H,Fiet J

    更新日期:1997-08-01 00:00:00

  • Radioassay for cobalamin (vitamin B12) requiring no pretreatment of serum.

    abstract::We describe a radioassay for cobalamin (vitamin B12) in human serum or plasma that requires no boiling or other pretreatment of the sample. Normal chicken serum covalently coupled to magnetizable particles is used as the binding agent. The assay is performed at pH 12.9, at which pH all cobalamin in human serum is rele...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Houts TM,Carney JA

    更新日期:1981-02-01 00:00:00

  • Relative increase in creatine kinase MB isoenzyme during reperfusion after myocardial infarction is method dependent.

    abstract::We compared relative increases in creatine kinase (EC 2.7.3.2) MB isoenzyme (CK-MB) after reperfusion in myocardial infarction for four popular methods: electrophoresis, immunoinhibition, the "Magic Lite" (Ciba-Corning) system, and the Stratus (Dade). In a method comparison study, we confirmed that all four methods co...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Christenson RH,Clemmensen P,Ohman EM,Toffaletti J,Silverman LM,Grande P,Vollmer RT,Wagner GS

    更新日期:1990-08-01 00:00:00

  • Improved automated kinetic determination of uric acid in serum by use of uricase/catalase/aldehyde dehydrogenase.

    abstract::The enzymatic determination of serum uric acid by use of uricase, catalase, and aldehyde dehydrogenase according to Haeckel [J. Clin. Chem. Clin Biochem. 14, 101 (1976)] showed interferences from ethanol-converting enzymes, which are present in some patients' sera. We have identified these enzymes as alcohol dehydroge...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Bartl K,Brandhuber M,Ziegenhorn J

    更新日期:1979-04-01 00:00:00

  • Manual fluorometry of phenylalanine from blood specimens collected on filter paper: a modified procedure.

    abstract::In this manual fluorometric method, blood samples are used that have been impregnated on the filter paper, a convenient collection technique that is widely used to screen newborns for phenylketonuria. The modified procedure, based on the method of McCaman and Robins [J. Lab Clin. Med. 59, 885 (1962)], includes elution...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Wu JT,Wu LH,Ziter FA,Ash KO

    更新日期:1979-03-01 00:00:00

  • New noncompetitive immunoassays of small analytes.

    abstract::We developed a novel noncompetitive immunoassay format for monoepitopic analytes and describe here a model assay for triiodothyronine (T3), performed on Ciba Corning's ACS:180 analyzer. Acridinium ester (AE)-labeled bivalent anti-T3 was incubated with the sample, producing AE-anti-T3/T3 complexes and unreacted AE-anti...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Piran U,Riordan WJ,Livshin LA

    更新日期:1995-07-01 00:00:00

  • Rapid detection of leukemia cells by use of a complement-mediated cytolytic reaction and an imaging sensor system.

    abstract::We describe a system for detection of leukemia cells involving complement-mediated cytotoxic reaction and an image processing system, consisting of a charge-coupled-device image sensor, an image memory board, a personal computer, and a phase-contrast microscope. Then added to a cell suspension, monoclonal antibody spe...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Suzuki M,Tamiya E,Kataoka T,Tokunaga T,Karube I

    更新日期:1987-04-01 00:00:00

  • Use of cardiac troponin I to diagnose perioperative myocardial infarction in coronary artery bypass grafting.

    abstract::Cardiac troponin I (cTnI) is a regulatory protein unique to myocardium. We used a cardiospecific 30-min ELISA to measure cTnI in EDTA-plasma samples serially drawn from 28 patients before and after coronary artery bypass grafting (CABG)--26 elective and 2 salvage cases. The cTnI increase in 22 of the elective CABG pat...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Mair J,Larue C,Mair P,Balogh D,Calzolari C,Puschendorf B

    更新日期:1994-11-01 00:00:00

  • Expression of prostate-specific antigen and prostate-specific membrane antigen transcripts in blood cells: implications for the detection of hematogenous prostate cells and standardization.

    abstract::Circulating prostate cells can be detected in cancer patients by using reverse transcriptase-PCR (RT-PCR) assay for prostate-specific antigen (PSA) and prostate-specific membrane antigen (PSM) mRNA. A quality-control study involving a conventional RT-PCR assay was performed and, surprisingly, detected both transcripts...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Gala JL,Heusterspreute M,Loric S,Hanon F,Tombal B,Van Cangh P,De Nayer P,Philippe M

    更新日期:1998-03-01 00:00:00

  • Continuous-flow (Autoanalyzer I) analysis for plasma thiocyanate as an index to tobacco smoking.

    abstract::We describe a procedure for determining thiocyanate in plasma with a Technicon AutoAnalyzer I, modified with a 50-mm tubular flow cell to increase the sensitivity of thiocyanate detection. The procedure is suitable for distinguishing cigarette smokers from non-smokers, the mean for smokers being 151 (SD 43) micromol/L...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Dalferes ER Jr,Webber LS,Radhakrishnamurthy B,Berenson GS

    更新日期:1980-03-01 00:00:00

  • Analytical performance of EMIT cyclosporine assay evaluated.

    abstract::We evaluated the EMIT Cyclosporine Assay (Syva Co., Palo Alto, CA), using the Cobas-Mira analyzer to assess the precision, accuracy, and analytical recovery from whole-blood samples supplemented with cyclosporine. We also performed comparative analysis of whole-blood samples containing cyclosporine from liver and kidn...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Dasgupta A,Saldana S,Desai M

    更新日期:1991-12-01 00:00:00

  • Development of a novel immunoassay for the assessment of plasma Gas6 concentrations and their variation with hormonal status.

    abstract:BACKGROUND:Gas6 is a vitamin K-dependent antiapoptotic protein that has been implicated in cardiovascular pathophysiology. We report the development and validation of an ELISA for Gas6, and the variation of plasma Gas6 with hormonal status in a study designed to evaluate the effect of oral contraception on plasma marke...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2007.089102

    authors: Clauser S,Peyrard S,Gaussem P,Crespin M,Emmerich J,Aiach M,Borgel D

    更新日期:2007-10-01 00:00:00