Establishing reference intervals for hCG in postmenopausal women.

Abstract:

BACKGROUND:Plasma concentrations of human chorionic gonadotropin (hCG) have been shown to increase with age due to pituitary secretion. We previously recommended that an hCG cutoff of 14.0IU/L be used for women ≥55years of age. However, it remains unknown whether concentrations >14.0IU/L can be expected in women with advanced age. Our objectives were to establish plasma hCG reference intervals and correlate follicle stimulating hormone (FSH) and hCG concentrations in postmenopausal females ≥55years. METHODS:Residual plasma samples from 798 women ≥55years were utilized with 303, 269, and 226 samples belonging to the age groups 55-69, 70-84, and ≥85years, respectively. FSH and hCG were measured using the Abbott ARCHITECT. All positive hCG samples (hCG ≥5IU/L) were analyzed for potential heterophile antibody interference and 3 were excluded. Electronic medical records were reviewed and patients with malignancy were excluded. RESULTS:8% (56/666) of women age≥55years had plasma hCG ≥5IU/L. There were 19, 16, and 21 patients with hCG ≥5IU/L in the age groups 55-69, 70-84, and ≥85years, respectively. The highest hCG concentrations observed in each age group were: 55-69years maximum=11.7IU/L and 97.5th percentile=9.6IU/L; 70-84years maximum=18.09IU/L, 97.5th percentile=6.2IU/L; ≥85years maximum=11.1IU/L and 97.5th percentile=10.0IU/L, and the overall 97.5th percentile=8.5IU/L for all women ≥55years of age. Neither hCG nor FSH concentrations continued to increase with age in women ≥55years. CONCLUSIONS:The prevalence of positive hCG in women ≥55years is 8%. This study confirms our previously recommended cutoff of 14IU/L for women ≥55years of age. In women ≥55years of age, FSH concentrations do not predict hCG concentrations.

journal_name

Clin Biochem

journal_title

Clinical biochemistry

authors

Patel KK,Qavi AJ,Hock KG,Gronowski AM

doi

10.1016/j.clinbiochem.2016.11.017

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

234-237

issue

4-5

eissn

0009-9120

issn

1873-2933

pii

S0009-9120(16)30248-X

journal_volume

50

pub_type

杂志文章
  • Involvement of oxidative and nitrosative stress in promoting retinal vasculitis in patients with Eales' disease.

    abstract:OBJECTIVES:Eales' disease (ED) is an idiopathic retinal vasculitis condition, which affects retina of young adult males. The histopathological hallmark in ED is the adhesion of leukocytes to the endothelium and the infiltration of these cells into the retinal parenchyma. Phagocyte generated free radicals have been impl...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/s0009-9120(03)00058-4

    authors: Rajesh M,Sulochana KN,Punitham R,Biswas J,Lakshmi S,Ramakrishnan S

    更新日期:2003-07-01 00:00:00

  • Use of different chemical methods for acid phosphatase in cases of rape.

    abstract::Generally acid phosphatase (ACP) assay is used for testing cases of alleged rape. Comparison of three different chemical methods for Acid Phosphatase (Andersch's method with p-nitrophenyl-phosphate substrate and tartrate inhibitor (A-Tart), Roy's method with thymolphthalein phosphate substrate (R-TMP), and Babson's me...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/s0009-9120(77)92784-9

    authors: Pragay DA,Casey SJ,Gotthelf J

    更新日期:1977-10-01 00:00:00

  • Diagnostic implications of enumerating and reporting beta fraction(s) for the detection of beta-migrating monoclonal immunoglobulins in serum protein electrophoresis.

    abstract:BACKGROUND:Modern serum protein electrophoresis (SPE) resolves serum proteins in 6 major fractions, splitting beta (B) into beta1 (B1) and beta2 (B2). Beta-migrating monoclonal immunoglobulins (B-MC) commonly integrate into normal-looking peak shape(s) but may increase the fraction value, forming the basis for reflex t...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/j.clinbiochem.2018.01.021

    authors: Chan PC,Lem-Ragosnig B,Chen J

    更新日期:2018-03-01 00:00:00

  • Signaling for ethanol-induced apoptosis and repair in vitro.

    abstract:OBJECTIVES:To evaluate whether caspases are involved in ethanol (EtOH)-induced apoptosis and if polyenylphosphatidylcholine (PPC) affects apoptosis, in vitro in Hep G2 cells. METHODS:Cells were treated with 100 mmol/L EtOH for 24 h and with 2 doses of 100 mmol/L EtOH (1/24 h) in the presence of absence of 20 mmol/L of...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/s0009-9120(01)00218-1

    authors: Katz GG,Shear NH,Malkiewicz IM,Valentino K,Neuman MG

    更新日期:2001-05-01 00:00:00

  • Optimizing protein precipitation efficiency for assessing the contribution of low molecular weight compounds to serum antioxidant capacity.

    abstract:UNLABELLED:Antioxidant capacity testing is commonly used in clinical investigations to provide an estimate of in vitro antioxidant capacity of biosamples. Although beneficial to measure the synergistic contribution of all compounds with antioxidant functionality, assessing the capacity of non-protein fractions or small...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/j.clinbiochem.2014.06.021

    authors: Crowe KM

    更新日期:2014-10-01 00:00:00

  • Do wine polyphenols modulate p53 gene expression in human cancer cell lines?

    abstract:BACKGROUND:The p53 gene is an established tumor suppressor and an inducer of apoptosis. We here attempt to determine whether the putative anticarcinogenic properties attributed to red wine and its polyphenolic constituents depend, at least in part, upon their ability to modulate p53 expression in cancer cells. METHODS...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/s0009-9120(01)00246-6

    authors: Soleas GJ,Goldberg DM,Grass L,Levesque M,Diamandis EP

    更新日期:2001-07-01 00:00:00

  • Comparison of fluorescent immunoassay (FIA) and enzyme-multiplied immunoassay technique (EMIT) for measurement of serum carbamazepine concentration.

    abstract::The recently developed fluorescent immunoassay (FIA) for measuring serum carbamazepine concentration is compared to the established enzyme-multiplied-immunoassay-technique (EMIT). The Accuracy, precision and simplicity of these methods are comparable. The sensitivity of FIA is approximately eight times greater than th...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/s0009-9120(82)96854-0

    authors: Carl GF,Smith DB,Dunn LP

    更新日期:1982-12-01 00:00:00

  • Serum retinol binding protein 4 in patients with familial partial lipodystrophy.

    abstract:OBJECTIVE:To determine Retinol Binding Protein 4 (RBP4) levels in patients with Familial Partial Lipodystrophy (FPLD). METHODS:Ten patients with FPLD and a control group (9 patients) were selected to participate in the study. RESULTS:RBP4-log levels were lower in patients with FPLD in comparison to control group (1.5...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/j.clinbiochem.2009.03.006

    authors: Godoy-Matos AF,Moreira RO,MacDowell R,Bendet I,Mory PB,Moises RS

    更新日期:2009-07-01 00:00:00

  • Plasma and urine betaine and dimethylglycine variation in healthy young male subjects.

    abstract:OBJECTIVES:We aimed to compare the individuality (within subject consistency) of plasma and urine betaine and N,N-dimethylglycine. DESIGN AND METHODS:In two separate groups of 8 males (ages 19 to 40), plasma (10) and urine (6) samples were collected either over a single day or over an 8 week period. The individuality ...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/j.clinbiochem.2009.02.001

    authors: Lever M,Atkinson W,Slow S,Chambers ST,George PM

    更新日期:2009-05-01 00:00:00

  • Alpha-1-antitrypsin molecular testing in Canada: A seven year, multi-centre comparison.

    abstract:BACKGROUND:Laboratory confirmation of alpha-1-antitrypsin (A1AT) deficiency may be achieved by multiple methods. Here, we compare the relative comprehensiveness and efficiency of pathogenic variant (PV) detection of four different protocols utilized at different diagnostic centres in Canada. METHODS:Diagnostic results...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.clinbiochem.2020.05.001

    authors: Mattman A,Gilfix BM,Chen SX,DeMarco ML,Kyle BD,Parker ML,Agbor TA,Jung B,Selvarajah S,Barakauskas VE,Vaags AK,Estey MP,Nelson TN,Speevak MD

    更新日期:2020-07-01 00:00:00

  • Batch to batch imprecision in the affinity chromatography assay of glycated hemoglobin.

    abstract::An affinity chromatographic method (AC) was compared with ion exchange chromatography (IEC) for determination of glycated hemoglobin (gHb). In vitro, increasing glucose concentration produced no change on AC-determined gHb. gHb measurement by AC was highly correlated with mean blood glucose (r = 0.96). Mean values of ...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/s0009-9120(86)80010-8

    authors: Wettre S,von Schenck H

    更新日期:1986-12-01 00:00:00

  • Biochemistry and clinical chemistry of vitamin B12 transport and the related diseases.

    abstract::This review focusses on research performed by the author and coworkers. The absorption, turnover and excretion of cobalamin and the pathogenesis of cobalamin deficiency states are described and the laboratory tests used to diagnose these states are discussed. Topics dealt with in detail include: overall turnover, dail...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章,评审

    doi:10.1016/s0009-9120(84)90279-0

    authors: Gräsbeck R

    更新日期:1984-04-01 00:00:00

  • Creatine kinase (CK) isoenzyme activities in cardiac surgery.

    abstract::Creatine kinase (CK) isoenzymes were determined on 15 patients undergoing open heart surgery with bypass. The study was performed to examine the relationship between the hypothermia under which the surgery is conducted and the appearance of CK isoenzymes in the serum both during and after surgery. All patients showed ...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/s0009-9120(82)96822-9

    authors: Devine JE,Spatz LA

    更新日期:1982-12-01 00:00:00

  • Observed relationship between ratios HDL-cholesterol/total cholesterol and apolipoprotein A1/apolipoprotein B.

    abstract::Epidemiological evidence suggests that the ratio HDL-cholesterol (HDL-C)/total cholesterol (TC) or apolipoprotein A1 (apo A1)/apolipoprotein B (apo B) are good indicators of coronary heart disease risk. In investigating the distribution of these ratios in the typical population served by our routine laboratory, we ana...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/0009-9120(92)80004-z

    authors: Kuyl JM,Mendelsohn D

    更新日期:1992-10-01 00:00:00

  • Oxidative enzymes of polymorphonuclear leucocytes and plasma fibrinogen, ceruloplasmin, and copper levels in Behçet's disease.

    abstract::This study was performed to investigate the antioxidant mechanisms of polymorphonuclear leucocytes (PMN) in active stage of Behçet's Disease. PMN activities of myeloperoxidase (p < 0.02), superoxide dismutase (p < 0.001), catalase (p < 0.005), and glutathione peroxidase (p < 0.005) were significantly lower in the pati...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/0009-9120(94)90046-9

    authors: Doğan P,Tanrikulu G,Soyuer U,Köse K

    更新日期:1994-10-01 00:00:00

  • Identification of a complex between fibronectin and aggrecan G3 domain in synovial fluid of patients with painful meniscal pathology.

    abstract:OBJECTIVES:We previously described a panel of four cytokines biomarkers in knee synovial fluid for acute knee pain associated with meniscal pathology. The cytokine biomarkers included interferon gamma (IFN-gamma), interleukin 6 (IL-6), monocyte chemotactic protein 1 (MCP-1), and macrophage inflammatory protein-1 beta (...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/j.clinbiochem.2010.04.069

    authors: Scuderi GJ,Woolf N,Dent K,Golish SR,Cuellar JM,Cuellar VG,Yeomans DC,Carragee EJ,Angst MS,Bowser R,Hanna LS

    更新日期:2010-07-01 00:00:00

  • Fluorometric and time-resolved immunofluorometric assays for protein-tyrosine phosphatase activity.

    abstract:OBJECTIVE:To develop sensitive nonisotopic assays for protein-tyrosine phosphatase (PTP) activity. METHODS:The fluorometric assay is based on the fact that phosphotyrosine but not tyrosine forms highly fluorescent complexes with Tb3+. Thus, PTP activity can be followed by measuring the decrease of fluorescence due to ...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/0009-9120(95)02026-8

    authors: Galvan B,Christopoulos TK

    更新日期:1996-04-01 00:00:00

  • A modified procedure for determining metanephrines in urine.

    abstract::We have modified the procedure for determining total metanephrines in urine described by Gupta, Price and Keane(1) to shorten the time necessary for completion while allowing the technician time to perform other tests. The modification involves the extraction of interfering substances from urine. Instead of having to ...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/s0009-9120(76)80029-x

    authors: Fendley TW,Frings CS

    更新日期:1976-04-01 00:00:00

  • Reference interval estimation: Methodological comparison using extensive simulations and empirical data.

    abstract:OBJECTIVE:To statistically compare and evaluate commonly used methods of estimating reference intervals and to determine which method is best based on characteristics of the distribution of various data sets. DESIGN AND METHODS:Three approaches for estimating reference intervals, i.e. parametric, non-parametric, and r...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/j.clinbiochem.2017.07.005

    authors: Daly CH,Higgins V,Adeli K,Grey VL,Hamid JS

    更新日期:2017-12-01 00:00:00

  • Comparison of mycophenolic acid concentrations determined by a new PETINIA assay on the dimension EXL analyzer and a HPLC-UV method.

    abstract:OBJECTIVE:Mycophenolic acid requires routine therapeutic drug monitoring. We evaluated the suitability of a new PETINIA (particle enhanced turbidimetric inhibition immunoassay) assay on the Dimension EXL analyzer for monitoring of mycophenolic acid by comparing values obtained by this assay with a HPLC-UV method. DESI...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/j.clinbiochem.2012.11.025

    authors: Dasgupta A,Tso G,Chow L

    更新日期:2013-05-01 00:00:00

  • A convenient method for the determination of non-specific binding in commercially available solid phase iodine labeled radioimmunoassay kits.

    abstract::57Co-cyanocobalamin is substituted for iodine labeled antigen in three commercially available solid phase radioimmunoassay kits to evaluate the extent of non-specific binding by determination of the supernatant and residual fraction of unbound ligand and thus obtain a value for corrected binding throughout the range o...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/s0009-9120(78)90070-x

    authors: Carter P

    更新日期:1978-06-01 00:00:00

  • The importance of low level QC for high sensitivity troponin assays.

    abstract:BACKGROUND:With the advent of the new high-sensitivity troponin assays, it is becoming critical to measure troponin accurately to low concentrations. To ensure assay performance is acceptable, appropriate QC must be run. METHODS:In addition to the routine use of commercial QC material, we prepared pools of human QC ma...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/j.clinbiochem.2018.05.007

    authors: Hickman PE,Koerbin G,Badrick T,Oakman C,Potter JM

    更新日期:2018-08-01 00:00:00

  • How to best use high-sensitivity cardiac troponin in patients with suspected myocardial infarction.

    abstract::High-sensitivity cardiac troponin (hs-cTn) assays have been used clinically by thousands of physicians in many countries throughout the world since their clinical introduction seven years ago. In the early diagnosis of myocardial infarction (MI), beyond doubt the most important indication of hs-cTn assays, these simpl...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章,评审

    doi:10.1016/j.clinbiochem.2017.12.006

    authors: Twerenbold R,Boeddinghaus J,Nestelberger T,Wildi K,Rubini Gimenez M,Badertscher P,Mueller C

    更新日期:2018-03-01 00:00:00

  • The shift from fluoride/oxalate to acid citrate/fluoride blood collection tubes for glucose testing - the impact upon patient results.

    abstract:OBJECTIVES:To ascertain whether or not the change in blood collection tubes for plasma glucose from fluoride/oxalate to citrate/fluoride/EDTA has had an effect upon the glucose results. METHODS:Plasma glucose results from fasting patients from 2007 to 2012 were extracted from the laboratory information system. The dat...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/j.clinbiochem.2014.01.011

    authors: Norman M,Jones I

    更新日期:2014-05-01 00:00:00

  • Homozygous bisalbuminemia or homozygous mutant albumin?

    abstract:INTRODUCTION:Bisalbuminemia is a genetic condition in which an albumin variant is found in serum in addition to normal albumin. METHODS AND MATERIALS:Serum protein electrophoresis using the Sebia HYDRASYS electrophoresis system was performed on an 84 year old male. RESULTS:Serum protein electrophoresis showed a singl...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/j.clinbiochem.2011.10.005

    authors: Kulkarni K,Rowe P,Christensen CL,Higgins T

    更新日期:2012-01-01 00:00:00

  • Characterization and mRNA expression analysis of a novel ARG1 splicing mutation causing hyperargininemia.

    abstract:OBJECTIVES:Biallelic mutations in the ARG1 gene result in an uncommon autosomal recessive inborn defect of the urea cycle known as hyperargininemia (OMIM #207800). ARG1 splicing mutations are not reported often, and they are probably related to a more severe phenotype than missense mutations. In this article, we descri...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/j.clinbiochem.2015.07.015

    authors: Villegas-Ruiz V,Campos-Garcia FJ,Contreras-Capetillo S,Moreno-Graciano CM,Maldonado-Solis FA,Maldonado-Solis MA,Zenteno JC

    更新日期:2015-12-01 00:00:00

  • Recent advances of liquid chromatography-(tandem) mass spectrometry in clinical and forensic toxicology - An update.

    abstract::Liquid chromatography (LC) coupled to mass spectrometry (MS) or tandem mass spectrometry (MS/MS) is a well-established and widely used technique in clinical and forensic toxicology as well as doping control especially for quantitative analysis. In recent years, many applications for so-called multi-target screening an...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章,评审

    doi:10.1016/j.clinbiochem.2016.07.010

    authors: Remane D,Wissenbach DK,Peters FT

    更新日期:2016-09-01 00:00:00

  • Effect of ischemic preconditioning on reactive oxygen species-mediated ischemia--reperfusion injury in the isolated perfused rat lung.

    abstract:OBJECTIVE:To investigate the protective effect of ischemic preconditioning (IP) in the early phase of reperfusion injury. DESIGN AND METHODS:Control rat lungs were subjected to 3 h of perfusion, whereas the lungs of the ischemia-then-reperfusion (I/R) group were subjected to 2 h of cold ischemia following 30 min of pe...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/j.clinbiochem.2005.04.002

    authors: Ucar G,Topaloglu E,Kandilci HB,Gümüsel B

    更新日期:2005-07-01 00:00:00

  • Haplotypes in the UGT1A1 gene and their role as genetic determinants of bilirubin concentration in healthy German volunteers.

    abstract:BACKGROUND:Genetic variations of UDP-glucuronyltransferase 1A1 (UGT1A1) influence the concentration of serum bilirubin. We investigated the association of four common polymorphisms including UGT1A1-53(TA)(n), and common haplotypes of the UGT1A1 gene with bilirubin levels in 218 Caucasian volunteers. METHODS:Total bili...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/j.clinbiochem.2009.08.011

    authors: Borucki K,Weikert C,Fisher E,Jakubiczka S,Luley C,Westphal S,Dierkes J

    更新日期:2009-11-01 00:00:00

  • Argininosuccinate synthetase gene is silenced by CpG methylation in children with phenylketonuria.

    abstract:OBJECTIVES:The concentration of tyrosine and the ratio of branch-amino acid to the aromatic amino acid in phenylketonuria (PKU) patients are much lower than that of normal people, which reveal that PKU patients have amino acid metabolism disorder. The aim of the present study was to investigate the arginine level in bl...

    journal_title:Clinical biochemistry

    pub_type: 杂志文章

    doi:10.1016/j.clinbiochem.2013.10.028

    authors: Li L,Jin C,Ye L,Shao G,Wang L,Lin M

    更新日期:2013-12-01 00:00:00