Fully automated assay of glycohemoglobin with the Abbott IMx analyzer: novel approaches for separation and detection.

Abstract:

:We describe a novel assay for measuring glycohemoglobin directly from anticoagulated whole blood with the Abbott IMx analyzer. The glycohemoglobin is labeled with a soluble polyanionic affinity reagent and the anionic complex is then captured with a cationic solid-phase matrix. Glycohemoglobin is quantified by measuring the quenching by heme of the static fluorescence from an added fluorophore. The assay is standardized to report both percent total glycohemoglobin (%GHb) and percent hemoglobin A1c (%HbA1c). Glucose, bilirubin, triglycerides, labile fraction, and hemoglobin variants do not interfere in the assay. Within- and between-run CVs are approximately 4-5%, with total CVs of approximately 6.5%. Highly significant linear correlations (r > 0.97) were obtained in comparison studies with two major assay methodologies. The time to obtain one result is approximately 10 min (including assay of a control), 56 min for 22 results. We describe the development, standardization, and validation of this new method.

journal_name

Clin Chem

journal_title

Clinical chemistry

authors

Wilson DH,Bogacz JP,Forsythe CM,Turk PJ,Lane TL,Gates RC,Brandt DR

subject

Has Abstract

pub_date

1993-10-01 00:00:00

pages

2090-7

issue

10

eissn

0009-9147

issn

1530-8561

journal_volume

39

pub_type

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