Monitoring cyclosporine in liver-transplant recipients: effects of clinical status on the performance of two monoclonal antibody-based methods.

Abstract:

:The characteristics of the Abbott selective fluorescence polarization immunoassay for cyclosporine in whole blood (TDXSP) were compared with the Incstar radioimmunoassay by using kit standards (INCSP) or TDXSP standards (INCTDX) with samples from adult (48) and pediatric (24) liver-transplant recipients and a further 32 control specimens. The TDXSP assay was faster, less labor intensive, and more precise at higher concentrations; it gave results a median of 5 micrograms/L lower than INCSP values, irrespective of biliary T-tube status, patient's age, or severity of cholestasis in nine patients, comparisons being made for serum bilirubin more than eight times normal or less than 50 mumol/L. However, both assays overestimated INCTDX values by approximately 10%. There was a progressive increase in the ratio of TDXSP to both INCSP and INCTDX results in 57 samples stratified in relation to serum bilirubin concentrations. Cross-reactivity of TDXSP with cyclosporine metabolites M1 (23%) or M17 (12%) was greater than for INCSP (15% and 5%, respectively) or INCTDX (22% and 4%, respectively), but the converse was true with M21 (2% for TDXSP vs 4% and 8%, respectively). Some overestimation of cyclosporine whole-blood concentrations (relative to INCTDX results) may be detected with either the TDXSP (because of cross-reactivity with metabolites) or the INCSP assays (probably because of matrix effects). The similar magnitude of these overestimations suggests that alternative factors such as speed, precision, and cost may influence which method one selects for use in routine monitoring.

journal_name

Clin Chem

journal_title

Clinical chemistry

authors

Tredger JM,Gonde CE,Williams R

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

108-13

issue

1

eissn

0009-9147

issn

1530-8561

journal_volume

38

pub_type

杂志文章
  • Genotype-specific signal generation based on digestion of 3-way DNA junctions: application to KRAS variation detection.

    abstract:BACKGROUND:Genotyping methods that reveal single-nucleotide differences are useful for a wide range of applications. We used digestion of 3-way DNA junctions in a novel technology, OneCutEventAmplificatioN (OCEAN) that allows sequence-specific signal generation and amplification. We combined OCEAN with peptide-nucleic-...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2006.068817

    authors: Amicarelli G,Adlerstein D,Shehi E,Wang F,Makrigiorgos GM

    更新日期:2006-10-01 00:00:00

  • Role of biomarkers in identifying and understanding environmentally induced disease.

    abstract::Establishing associations between environmental agents and disease presents challenges to both epidemiologists and toxicologists, particularly in cases of complex gene-environment interactions and when there is a long latency between exposure and disease. Biologic markers, physiological signals that reflect exposure, ...

    journal_title:Clinical chemistry

    pub_type: 杂志文章,评审

    doi:

    authors: Silbergeld EK,Davis DL

    更新日期:1994-07-01 00:00:00

  • Reappraisal of the uroporphyrinogen I synthase assay, and a proposed modified method.

    abstract::Problems encountered in the uroporphyrinogen I synthase assay were found to be due to the Triton reagent, slit-width and excitation wavelength settings of the spectrophotofluorometer, and leg-phase in the enzyme reaction. Of Triton X-100 from four suppliers, only three were found suitable. Differences in enzyme activi...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Chamberlain BR,Buttery JE

    更新日期:1980-08-01 00:00:00

  • Use of values for calcium and protein in serum, and of a derived index obtained from a probability population sample.

    abstract::We measured serum protein and calcium concentrations in 2340 individuals between 10 and 96 years of age from 900 families chosen by probability methods to give a representative population. These values were used to calculate an index, based on a regression analysis of serum protein on calcium, which was then treated a...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Kelly A,Munan L,PetitClerc C,Ho KP,Billon B

    更新日期:1976-10-01 00:00:00

  • Proenzyme forms of prostate-specific antigen in serum improve the detection of prostate cancer.

    abstract:INTRODUCTION:Pro or precursor forms of prostate-specific antigen (PSA) have emerged as potentially important diagnostic serum markers for prostate cancer detection. Immunoassays were developed to measure specific proPSA forms containing propeptides of 2, 4, and 7 amino acids [(-2)proPSA, (-4)proPSA, and (-7)proPSA, res...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2003.026823

    authors: Mikolajczyk SD,Catalona WJ,Evans CL,Linton HJ,Millar LS,Marker KM,Katir D,Amirkhan A,Rittenhouse HG

    更新日期:2004-06-01 00:00:00

  • Laboratory computing--process and information management supporting high-quality, cost-effective healthcare.

    abstract::One currently observes many healthcare institutions rushing to reengineer and install information systems with the expectation of achieving enhanced efficiency, competitiveness, and, it is hoped, higher patient satisfaction resulting from timely, high-quality care. Unfortunately, information system concepts, design, a...

    journal_title:Clinical chemistry

    pub_type: 杂志文章,评审

    doi:

    authors: Buffone GJ,Moreau DR

    更新日期:1995-09-01 00:00:00

  • Composition of serum very-low-density and high-density lipoproteins in diabetes.

    abstract::We examined the cholesterol/protein ratio and the apoprotein composition of serum lipoproteins in a randomly selected population of maturity-onset diabetics and in a group of nondiabetics of similar age. We found no differences in cholesterol distribution between the groups as a whole, but diabetics with above-normal ...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Gabor J,Spain M,Kalant N

    更新日期:1980-08-01 00:00:00

  • Targeted massively parallel sequencing of maternal plasma DNA permits efficient and unbiased detection of fetal alleles.

    abstract:BACKGROUND:Massively parallel sequencing has recently been used in noninvasive prenatal diagnosis. The current costs of this technology are still relatively expensive, however, and sample throughput is still relatively low when it is used as a molecular diagnostic tool. Rather than nonselectively sequencing the genome,...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2010.154336

    authors: Liao GJ,Lun FM,Zheng YW,Chan KC,Leung TY,Lau TK,Chiu RW,Lo YM

    更新日期:2011-01-01 00:00:00

  • IgG heavy-chain subclass typing of myeloma paraproteins by isoelectric focusing immunoblot analysis.

    abstract::The objective of this study was to develop a clinical laboratory method for subclass typing of human immunoglobulin G (IgG) paraproteins. Serum proteins were isoelectrically focused (IEF) in a mini-gel and passively blotted by capillary diffusion onto untreated nitrocellulose. Unreacted sites on the nitrocellulose wer...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Fasullo FJ Jr,Fritsche HA Jr,Liu FJ,Hamilton RG

    更新日期:1989-03-01 00:00:00

  • [13C]Nandrolone excretion in trained athletes: interindividual variability in metabolism.

    abstract:BACKGROUND:Nandrolone is one of the most abused anabolic steroids, and its use in doping is increasing, as revealed by numerous positive cases during recent years in various sports. Different authors have reported the possible natural production of nandrolone metabolites in humans, and some of these authors argued that...

    journal_title:Clinical chemistry

    pub_type: 临床试验,杂志文章

    doi:10.1373/clinchem.2003.022848

    authors: Baume N,Avois L,Schweizer C,Cardis C,Dvorak J,Cauderay M,Mangin P,Saugy M

    更新日期:2004-02-01 00:00:00

  • Distribution and correlates of C-reactive protein concentrations among adult US women.

    abstract:BACKGROUND:Understanding the distribution of C-reactive protein (CRP) concentration among adult women in the US helps to establish the magnitude of women at increased risk for cardiovascular disease. METHODS:We examined the distribution and correlates of CRP, using data from 2205 women >or=20 years of age from the Nat...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2003.027359

    authors: Ford ES,Giles WH,Mokdad AH,Myers GL

    更新日期:2004-03-01 00:00:00

  • Buprenorphine and norbuprenorphine in hair of pregnant women and their infants after controlled buprenorphine administration.

    abstract:BACKGROUND:Buprenorphine is under investigation as a pharmacotherapeutic agent for treating opioid dependence in pregnant women. We hypothesized that there would be a relationship between the cumulative maternal dose of buprenorphine during pregnancy and the concentration of buprenorphine and norbuprenorphine in matern...

    journal_title:Clinical chemistry

    pub_type: 临床试验,杂志文章

    doi:10.1373/clinchem.2007.091413

    authors: Goodwin RS,Wilkins DG,Averin O,Choo RE,Schroeder JR,Jasinski DR,Johnson RE,Jones HE,Huestis MA

    更新日期:2007-12-01 00:00:00

  • Radioimmunoassay for detecting hepatitis B core antigen in serum from patients with chronic hepatitis B infection.

    abstract::The core antigen component of hepatitis B virus (HBV), HBcAg, may be used as a marker of viral replication. We describe a radioimmunoassay for HBcAg in serum, and compare results with those by other similar methods. Samples are centrifuged over a sucrose gradient containing 2-mercaptoethanol, and the resulting pellets...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Quiroga JA,González O,Carreño V,Mora I,Porres JC,Gutiez J,Hernández-Guío C

    更新日期:1985-06-01 00:00:00

  • Evaluation of Ciba Corning ACS:180 automated immunoassay system.

    abstract::We evaluated the technical performance of the Ciba Corning ACS:180 automated immunoassay system for the following analytes: thyroid-stimulating hormone, free thyroxine, luteinizing hormone, follicle-stimulating hormone, prolactin, human chorionic gonadotropin, carcino-embryonic antigen, and prostate-specific antigen. ...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Mora-Brugués J,Gascón-Roche N,Rodríguez-Espinosa J,Cortés-Rius M,González-Sastre F

    更新日期:1994-03-01 00:00:00

  • Serum ionized calcium and corrected total calcium in borderline hyperparathyroidism.

    abstract::We studied 25 borderline-hyperparathyroidism patients whose total serum calcium concentration was within normal limits (reference range: 2.25--2.75 mmol/liter) but whose concentrations of serum ionized calcium were above normal (reference range: 1.03--1.23 mmol/liter). Their hyperparathyroidism was histopathologically...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Larsson L,Ohman S

    更新日期:1978-11-01 00:00:00

  • Immunoenzymometric determination of trypsin/alpha 1-protease inhibitor complex in plasma of rats with experimental pancreatitis.

    abstract::The currently available radioimmunoassays of trypsin measure total immunoreactive trypsin (EC 3.1.1.7), which includes both trypsinogen and alpha 1-protease inhibitor-bound trypsin. Hitherto, the only way to differentiate these two forms of trypsin has been to fractionate them on a gel-filtration column. We describe h...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Fletcher TS,Tsukamoto H,Largman C

    更新日期:1986-09-01 00:00:00

  • An optimized continuous-monitoring procedure for semiautomated determination of serum acid phosphatase activity.

    abstract::A continuous-monitoring method for measuring acid phosphatase activity with alpha-naphthyl phosphate as the substrate was critically evaluated and modified. Using partially purified prostatic acid phosphatase, we show that certain conditions for the assay must be satisfied to ensure linearity. These conditions include...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Bais R,Edwards JB

    更新日期:1976-12-01 00:00:00

  • Analysis of the physicochemical state of C-reactive protein in different preparations including 2 certified reference materials.

    abstract:BACKGROUND:Standardization of clinical measurements of C-reactive protein (CRP) is based on the availability of reference materials. The serum protein reference material ERM-DA470 was used as a calibrant for various commercially available immunoassays but has now been exhausted. The recently released ERM-DA470k/IFCC wa...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2010.147124

    authors: Rzychon M,Zegers I,Schimmel H

    更新日期:2010-09-01 00:00:00

  • Direct determination of sulfate conjugates of 17-oxosteroids in urine by liquid chromatography.

    abstract::We describe a new liquid-chromatographic method with fluorescence detection for direct simultaneous determination of four urinary sulfate conjugates of 17-oxosteroids (17OS), without use of solvolysis or enzymatic hydrolysis. The 17OS sulfates in urine samples are extracted with benzene as ion pairs in the presence of...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Nishikaze O,Iwata J

    更新日期:1986-05-01 00:00:00

  • Abbott TDx monoclonal antibody assay evaluated for measuring cyclosporine in whole blood.

    abstract::We report here the evaluation of the Abbott TDx assay with a monoclonal antibody for selectively quantifying cyclosporine (CsA) in whole blood. Over the clinically relevant concentration ranges, results with this assay demonstrated within- and between-run CVs of less than 2.5% and 5%, respectively; sensitivity of 25 m...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Yatscoff RW,Copeland KR,Faraci CJ

    更新日期:1990-11-01 00:00:00

  • Quantification of bone alkaline phosphatase in serum by precipitation with wheat-germ lectin: a simplified method and its clinical plausibility.

    abstract::We report an easy, rapid method for quantifying bone isoenzyme of alkaline phosphatase (EC 3.1.3.1., ALP) in serum. The original method described by Rosalki and Ying Foo (Clin Chem 1984;30:1182-6) was somewhat simplified. In contrast to their results, we found that bone ALP is precipitated quantitatively by wheat-germ...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Behr W,Barnert J

    更新日期:1986-10-01 00:00:00

  • Determination of cyclosporine concentrations with monoclonal antibodies.

    abstract::We measured cyclosporine in whole blood from normal volunteers administered single oral doses of the drug and from two renal-transplant patients on immunosuppressive maintenance therapy, by liquid chromatography (I) and by radioimmunoassay with use of nonspecific polyclonal (II), specific monoclonal (III), and nonspec...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Schran HF,Rosano TG,Hassell AE,Pell MA

    更新日期:1987-12-01 00:00:00

  • A method for direct estimation of imprecision profiles, with reference to immunoassay data.

    abstract::A three-parameter model for directly estimating imprecision profiles from replicated immunoassay results is compared with a six-parameter indirect profile model obtained by the usual method of combining error in the raw response measurements with the slope of the standard curve. Direct estimation is likely to be less ...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Sadler WA,Smith MH,Legge HM

    更新日期:1988-06-01 00:00:00

  • Distribution of CII and CIII peptides in lipoprotein classes: methods and clinical significance.

    abstract::We describe a method for measuring apolipoprotein (apo) C distribution between apo B-containing lipoprotein (apo B-LP) and non-apo B-LP. The procedure requires the precipitation of apo B-LP, the redissolution of the pellet, and the quantification of C peptides in the redissolved pellet. The ratio of apo C in non-apo B...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Graziani MS,Zanolla L,Righetti G,Marchetti C,Zanotto G,Lupo A

    更新日期:1994-02-01 00:00:00

  • Detection of biological threat agents by real-time PCR: comparison of assay performance on the R.A.P.I.D., the LightCycler, and the Smart Cycler platforms.

    abstract:BACKGROUND:Rapid detection of biological threat agents is critical for timely therapeutic administration. Fluorogenic PCR provides a rapid, sensitive, and specific tool for molecular identification of these agents. We compared the performance of assays for 7 biological threat agents on the Idaho Technology, Inc. R.A.P....

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2005.052522

    authors: Christensen DR,Hartman LJ,Loveless BM,Frye MS,Shipley MA,Bridge DL,Richards MJ,Kaplan RS,Garrison J,Baldwin CD,Kulesh DA,Norwood DA

    更新日期:2006-01-01 00:00:00

  • Polymorphisms in the interleukin-1 gene cluster in children and young adults with systemic meningococcemia.

    abstract:BACKGROUND:An association has been described between mortality in children with meningococcal disease and functional polymorphisms in the interleukin-1 (IL1) cluster. We undertook a multicenter study to evaluate associations of these polymorphisms in a Central European population. PATIENTS AND METHODS:The study involv...

    journal_title:Clinical chemistry

    pub_type: 杂志文章,多中心研究

    doi:10.1373/clinchem.2005.058537

    authors: Endler G,Marculescu R,Starkl P,Binder A,Geishofer G,Müller M,Zöhrer B,Resch B,Zenz W,Mannhalter C,Central European Meningococcal Genetic Study Group.

    更新日期:2006-03-01 00:00:00

  • Immunoluminometric assay for measurement of the C-terminal endothelin-1 precursor fragment in human plasma.

    abstract:BACKGROUND:Endothelin-1 (ET-1), a potent vasoconstrictor, is difficult to measure because of its instability and its binding to receptors and plasma proteins. We report a rapid, robust way to indirectly quantify ET-1 release by measuring the C-terminal ET-1 precursor fragment (CT-proET-1) without an extraction step. M...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2005.065581

    authors: Papassotiriou J,Morgenthaler NG,Struck J,Alonso C,Bergmann A

    更新日期:2006-06-01 00:00:00

  • Detection of restriction enzyme-digested target DNA by PCR amplification using a stem-loop primer: application to the detection of hypomethylated fetal DNA in maternal plasma.

    abstract:BACKGROUND:The discovery of cell-free fetal DNA in maternal plasma has opened up new possibilities for noninvasive prenatal diagnosis and monitoring. Among the fetal markers that have been described, methylation markers are sex and polymorphism independent. Methylation-sensitive restriction endonucleases are commonly u...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2007.092619

    authors: Tong YK,Chiu RW,Leung TY,Ding C,Lau TK,Leung TN,Lo YM

    更新日期:2007-11-01 00:00:00

  • Multimarker quantitative real-time PCR detection of circulating melanoma cells in peripheral blood: relation to disease stage in melanoma patients.

    abstract:BACKGROUND:Detection of melanoma cells in circulation may be important in assessing tumor progression. The objective of this study was to develop a specific, reliable multimarker quantitative real-time reverse transcription-PCR (qRT) assay for detecting melanoma cells in patients' blood. METHODS:We developed qRT assay...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2004.045096

    authors: Koyanagi K,Kuo C,Nakagawa T,Mori T,Ueno H,Lorico AR Jr,Wang HJ,Hseuh E,O'Day SJ,Hoon DS

    更新日期:2005-06-01 00:00:00

  • Contribution of CYP3A5 to the in vitro hepatic clearance of tacrolimus.

    abstract:BACKGROUND:Tacrolimus is metabolized predominantly to 13-O-demethyltacrolimus in the liver and intestine by cytochrome P450 3A (CYP3A). Patients with high concentrations of CYP3A5, a CYP3A isoenzyme polymorphically produced in these organs, require higher doses of tacrolimus, but the exact mechanism of this association...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2005.050047

    authors: Kamdem LK,Streit F,Zanger UM,Brockmöller J,Oellerich M,Armstrong VW,Wojnowski L

    更新日期:2005-08-01 00:00:00