Rapid automated enzyme immunoassay of serum amyloid A.

Abstract:

:Serum amyloid A (SAA), a sensitive acute-phase protein, is the precursor of AA fibrils in reactive amyloidosis. However, SAA is poorly immunogenic, and development and standardization of immunoassays of this protein have been difficult. We established an automated polyclonal/monoclonal microparticle capture enzyme immunoassay, standardized with the World Health Organization prospective reference standard for SAA. A stabilized concentrate of SAA was used for controls and calibrators. The assay range was 1-750 mg/L with CVs < 7% throughout. Plasma and serum gave identical results and no interferences were observed. Linear regression against radial immunodiffusion assay gave a slope of 1.04 (95% confidence interval 0.99-1.10), intercept of -9 mg/L (95% confidence interval -14-3), and residual SD (SEE) of 20 for samples containing < or = 200 mg/L (n = 173). In 105 apparently healthy adults the mean (SD) SAA concentration was 3.7 (3.6) mg/L, the median was 3.0 mg/L, and the range, 0.7-26.4 mg/L. In clinical acute-phase sera, values up to 2200 mg/L were seen. This method will facilitate measurement and investigation of SAA in clinical practice generally and in AA amyloidosis.

journal_name

Clin Chem

journal_title

Clinical chemistry

authors

Wilkins J,Gallimore JR,Tennent GA,Hawkins PN,Limburg PC,van Rijswijk MH,Moore EG,Pepys MB

subject

Has Abstract

pub_date

1994-07-01 00:00:00

pages

1284-90

issue

7 Pt 1

eissn

0009-9147

issn

1530-8561

journal_volume

40

pub_type

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