A double-monoclonal immunoenzymometric assay for alpha 1-fetoprotein modified for increased analytical precision.

Abstract:

:We modified a one-step, two-site, double monoclonal immunoenzymometric assay (Abbott Laboratories) for serum alpha1-fetoprotein (AFP) to increase its sensitivity and improve test precision at the low end. We increased sample size, incubation interval, and reaction time and temperature, and decreased the final reaction volume. Interassay CVs for the modified method ranged from 6.2 to 8.0% for mean concentrations of AFP in serum of 5.2 to 34.2 micrograms/L--substantially better than those for the unmodified monoclonal method--and agreed well with those of the comparison method (modified Abbott polyclonal immunoenzymometric assay). AFP values by the modified monoclonal procedure (y) correlated well with results by the polyclonal method (x): y = 0.983x + 1.84 micrograms/L (r = 0.927, n = 59). The detection limit of the modified monoclonal test was 0.2 microgram/L, as compared with 1.0 and 1.4 micrograms/L, respectively, for the modified polyclonal and the unmodified monoclonal procedures. We recommend using the modified monoclonal method for monitoring cancer patients with low tumor burden.

journal_name

Clin Chem

journal_title

Clinical chemistry

authors

Shahangian S,Fritsche HA Jr,Hughes JI

subject

Has Abstract

pub_date

1987-04-01 00:00:00

pages

583-6

issue

4

eissn

0009-9147

issn

1530-8561

journal_volume

33

pub_type

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