Radioimmunoassay of cortisone in serum, urine, and saliva to assess the status of the cortisol-cortisone shuttle.

Abstract:

:We have developed a new assay for cortisone (E) in serum, saliva, and urine involving Celite chromatography followed by RIA with 125I-labeled E and scintillation proximity assay. The chromatography step separates cortisol (F) from E, and in combination with their RIAs, permits assessment of the status of the F-E shuttle. We report the results of basal, postcorticotropin (ACTH), and postdexamethasone E and F concentrations and their circadian fluctuations in the serum, saliva, and urine of healthy volunteers. The serum and urine F/E ratios were increased in patients with ectopic ACTH secretion, whereas in adrenal adenoma and Cushing disease only the urinary ratio was increased. In chronic renal insufficiency this ratio was increased in serum (23.5 +/- 3.9) but diminished in saliva (0.38 +/- 0.11), and in apparent mineralocorticoid excess the ratios were high in serum (44.3 +/- 9.3) and urine (5.35 +/- 0.85) compared with those of healthy subjects (serum 9.8 +/- 3.5, urine 0.52 +/- 0.29, saliva 0.52 +/- 0.29).

journal_name

Clin Chem

journal_title

Clinical chemistry

authors

Morineau G,Boudi A,Barka A,Gourmelen M,Degeilh F,Hardy N,al-Halnak A,Soliman H,Gosling JP,Julien R,Brerault JL,Boudou P,Aubert P,Villette JM,Pruna A,Galons H,Fiet J

subject

Has Abstract

pub_date

1997-08-01 00:00:00

pages

1397-407

issue

8 Pt 1

eissn

0009-9147

issn

1530-8561

journal_volume

43

pub_type

杂志文章
  • Determination of tamoxifen and four metabolites in serum by low-dispersion liquid chromatography.

    abstract::In this assay of tamoxifen and four metabolites in human serum, the serum samples are deproteinized with an equal volume of acetonitrile, then injected into a small (0.21 X 2 cm) precolumn packed with 5-micron-diameter octadecylsilane (ODS) particles. The samples are concentrated on-column by equilibrating the column ...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Lien EA,Ueland PM,Solheim E,Kvinnsland S

    更新日期:1987-09-01 00:00:00

  • Quality-control (QC) performance measures and the QC planning process.

    abstract::Numerous outcome measures can be used to characterize and compare the performance of alternative quality-control (QC) strategies. The performance measure traditionally used in the QC planning process is the probability of rejecting an analytical run when a critical out-of-control error condition exists. Another perfor...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Parvin CA

    更新日期:1997-04-01 00:00:00

  • Evaluating Rapid Rule-out of Acute Myocardial Infarction Using a High-Sensitivity Cardiac Troponin I Assay at Presentation.

    abstract:BACKGROUND:Low concentrations of cardiac troponin (cTn) have been recommended for rapid rule-out of acute myocardial infarction (AMI). We examined the Beckman Coulter Access high-sensitivity cardiac troponin I (hs-cTnI) assay to identify a single test threshold that can safely rule out AMI. METHODS:This analysis used ...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2017.283887

    authors: Greenslade J,Cho E,Van Hise C,Hawkins T,Parsonage W,Ungerer J,Tate J,Pretorius C,Than M,Cullen L

    更新日期:2018-05-01 00:00:00

  • Diagnosis and monitoring of hepatic injury. II. Recommendations for use of laboratory tests in screening, diagnosis, and monitoring.

    abstract:PURPOSE:To review information on the use of laboratory tests in screening, diagnosis, and monitoring of acute and chronic hepatic injury. DATA SOURCES AND STUDY SELECTION:A MEDLINE search was performed for key words related to hepatic diseases, including acute hepatitis, chronic hepatitis, alcoholic hepatitis, cirrhos...

    journal_title:Clinical chemistry

    pub_type: 杂志文章,评审

    doi:

    authors: Dufour DR,Lott JA,Nolte FS,Gretch DR,Koff RS,Seeff LB

    更新日期:2000-12-01 00:00:00

  • Analytical problems facing the development of electrochemical transducers for in vivo drug monitoring: an overview.

    abstract::Even though significant progress has been made in the development of electrodes for the in vivo detection of catecholamines, oxygen, and various cations, there has been little research on the feasibility of continuously monitoring drugs in whole blood by electrochemical sensing devices. Electroanalytical problems asso...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Pinkerton TC,Lawson BL

    更新日期:1982-09-01 00:00:00

  • Creatine kinase: stability, inactivation, reactivation.

    abstract::I determined the in vitro biological half-lives or decay constants for creatine kinase isoenzymes at various temperatures. Values at 37 degrees C are consistent with values reported by others in vivo, which suggests that in vivo irreversible inactivation is primarily thermal. Reversible inactivation appears to be an o...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Morin LG

    更新日期:1977-01-01 00:00:00

  • Performance characteristics of a novel tandem mass spectrometry assay for serum testosterone.

    abstract:BACKGROUND:Commercial immunoassays for testosterone (Te) may give inaccurate results for samples from women and children, leading to misdiagnosis and inappropriate treatment. We developed a sensitive and specific tandem mass spectrometric assay for measurement of Te at the concentrations encountered in women and childr...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2005.052167

    authors: Kushnir MM,Rockwood AL,Roberts WL,Pattison EG,Bunker AM,Fitzgerald RL,Meikle AW

    更新日期:2006-01-01 00:00:00

  • Improved column-chromatographic isolation of glycosylated hemoglobin S.

    abstract::We investigated glycosylated hemoglobin S by means of chromatography on Bio-Rex 70. The selected elution conditions were similar to those described by Trivelli et al. (N Engl J Med 284: 353-357, 1971), except for modified ionic strength and accurate temperature control. This enabled us to isolate a minor hemoglobin fr...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Cirotto C,Allegrucci M,Cartechini MG,Compagnucci P,Santeusanio F,Bolli G

    更新日期:1985-04-01 00:00:00

  • Liquid-chromatographic measurement of taurine in cerebrospinal fluid of normal individuals and patients with meningitis.

    abstract::Taurine was measured in cerebrospinal fluid by reacting it with fluorescamine to form a fluorescent derivative, followed by separation on a reversed-phase column and fluorometric detection and evaluation. The assay is rapid (17 min) and sensitive to as little as 1 mumol/L. The mean value for 27 cerebrospinal fluid sam...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Shihabi ZK,White JP

    更新日期:1979-08-01 00:00:00

  • Lp-PLA2: a new kid on the block.

    abstract:BACKGROUND:Atherosclerosis is a systemic disease with focal rupture of vulnerable plaque responsible for major clinical events. Several population-based studies indicate an association between lipoprotein-associated phospholipase A2 (Lp-PLA2) and cardiovascular events. Lp-PLA2 is emerging as a biomarker that may be a p...

    journal_title:Clinical chemistry

    pub_type: 杂志文章,评审

    doi:10.1373/clinchem.2006.070672

    authors: Zalewski A,Nelson JJ,Hegg L,Macphee C

    更新日期:2006-09-01 00:00:00

  • Steroid characteristics of mineralocorticoid adrenocortical hypertension.

    abstract::Adrenocortical causes of hypertension are established by examining the mineralocorticoid hormones produced in the zona glomerulosa and zona fasciculata. In the zona glomerulosa, aldosterone excess leads to hypertension, hypokalemia, and suppressed plasma renin activity, with increased concentrations of urinary aldoste...

    journal_title:Clinical chemistry

    pub_type: 杂志文章,评审

    doi:

    authors: Biglieri EG,Kater CE

    更新日期:1991-10-01 00:00:00

  • A systematic approach to materials handling in clinical laboratories.

    abstract::I describe the automation/mechanization of several areas of sample processing at SmithKline Beecham Clinical Laboratories. By analyzing and implementing new systems for conveyance and sorting of incoming specimens, specimen processing, within-laboratory specimen delivery, specimen storage and retrieval, and client res...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Nabb DP

    更新日期:1990-09-01 00:00:00

  • Alanine aminopeptidase in serum: automated optimized assay, and effects of age, sex, smoking, and alcohol consumption in a selected population.

    abstract::In the diagnosis of chronic (as opposed to acute) liver diseases, combinations of indicators are needed to improve specificity. Alanine aminopeptidase (AAP; microsomal aminopeptidase, EC 3.4.11.2) activity in serum reportedly is a very sensitive indicator of intrahepatic cholestasis and biliary obstruction; it is also...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Mueller PW,Phillips DL,Steinberg KK

    更新日期:1987-03-01 00:00:00

  • Semi-solid surface fluorometric analysis of glucose.

    abstract::We describe an enzymatic fluorometric method for determining glucose concentrations in blood samples by analysis on a semi-solid surface (silicone-rubber pads). The method is an adaptation of existing spectrophotometric procedures based on the sequential coupling reactions with glucose-6-phosphate dehydrogenase and NA...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Kiang SW,Kuan JW,Guilbault GG

    更新日期:1975-11-01 00:00:00

  • Determination of total cholesterol in serum by liquid chromatography-isotope dilution mass spectrometry.

    abstract::We have developed a liquid chromatography-isotope dilution mass spectrometry procedure to quantify total cholesterol in serum. A particle-beam interface was used for coupling the liquid chromatograph and the mass spectrometer. After electron impact ionization the ions m/z = 386 and m/z = 389 were used for selective io...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Kock R,Delvoux B,Greiling H

    更新日期:1997-10-01 00:00:00

  • Diagnostic value of thyrotropin concentrations in serum as measured by a sensitive immunoradiometric assay.

    abstract::A new, highly sensitive immunoradiometric thyrotropin (TSH) assay involving solid-phase-coupled monoclonal antibodies (Boots-Celltech Sucrosep IRMA-TSH) has been evaluated in a wide variety of patients with thyroidal and nonthyroidal illnesses and the results compared with those obtained by conventional diagnostic TSH...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Bassett F,Eastman CJ,Ma G,Maberly GF,Smith HC

    更新日期:1986-03-01 00:00:00

  • Comparison of enzyme immunoassay and gas chromatography for determination of carbamazepine and ethosuximide in human serum.

    abstract::Patients' sera were analyzed for carbamazepine and ethosuximide by enzyme immunoassay (x) and gas chromatography (y), and the results were compared. The correlation coefficients were: for carbamazepine, x vs. y 0.94 (n = 93); for ethosuximide, x vs. y 0.99 (n = 30). These results suggest that the two methods could be ...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Sun L,Szafir I

    更新日期:1977-09-01 00:00:00

  • The fiscal consequences of central vs distributed testing of glucose.

    abstract::We have compared the operational, medical, and fiscal consequences of performing urgent glucose testing at the bedside vs in the central laboratory. The turnaround time (TAT) with bedside testing was only 1-2 min shorter than that from the central laboratory, to which specimens are sent by pneumatic tube and from whic...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Winkelman JW,Wybenga DR,Tanasijevic MJ

    更新日期:1994-08-01 00:00:00

  • A tandem mass spectrometry triplex assay for the detection of Fabry, Pompe, and mucopolysaccharidosis-I (Hurler).

    abstract:BACKGROUND:We sought to develop a tandem mass spectrometry assay in which the enzymatic activities of 3 lysosomal enzymes (α-glucosidase, α-galactosidase A, and α-l-iduronidase) could be quantified in dried blood spots by using a single assay buffer. METHODS:A 3-mm dried blood spot punch was incubated in a single assa...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2010.152009

    authors: Duffey TA,Bellamy G,Elliott S,Fox AC,Glass M,Turecek F,Gelb MH,Scott CR

    更新日期:2010-12-01 00:00:00

  • Gas-chromatographic analysis for chlorpromazine and some of its metabolites in human serum, with use of a nitrogen detector.

    abstract::We describe a gas-chromatographic method for measuring chlorpromazine and its metabolites chlorpromazine sulfoxide, mono-N-desmethylchlorpromazine, and di-N-desmethylchlorpromazine at therapeutic concentrations in human serum, with use of a nitrogen detector. The compounds are extracted from serum at pH 10.5 into hexa...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Bailey DN,Guba JJ

    更新日期:1979-07-01 00:00:00

  • An "oncometer" of clinical measurement of colloid osmotic pressure of plasma.

    abstract::Measurement of colloid osmotic pressure complements measurements of pulmonary artery wedge pressure for assessing the risks of pulmonary edema and constitutes an increasingly important reference for purposes of guiding selection of colloid or crystalloid fluids in patients with acute cardiac disease. We describe a sim...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Bisera J,Weil MH,Michaels S,Bernardo A,Stein B

    更新日期:1978-09-01 00:00:00

  • Trace-element concentrations in human autopsy tissue.

    abstract::In this report on trace-element concentrations (As, Ca, Cd, Cl, Co, Cr, Cu, Fe, Hg, K, Mg, Mn, Mo, Na, Ni, Pb, Rb, Sb, Se, Zn) in human heart, liver, kidney, aorta, and rib obtained from 200 autopsied patients, we give special attention to sampling procedure, analysis technique, and various sources of error (autolysis...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Aalbers TG,Houtman JP,Makkink B

    更新日期:1987-11-01 00:00:00

  • History of clinical chemistry in a children's hospital (1914-1964).

    abstract::The historical development of a charitable children's hospital and the evolution of its clinical laboratory are presented. With the appearance of practical quantitative blood chemistry tests in the period between the two World Wars, applications to pediatrics were hampered by the need for ultramicro procedures then un...

    journal_title:Clinical chemistry

    pub_type: 历史文章,杂志文章

    doi:

    authors: Meites S

    更新日期:2000-07-01 00:00:00

  • Diagnosis of 5α-reductase 2 deficiency: is measurement of dihydrotestosterone essential?

    abstract:BACKGROUND:5α-Reductase 2 deficiency (5ARD) is a known cause of 46,XY disorders of sex development (DSD). Traditionally, the diagnosis relies on dihydrotestosterone (DHT) measurement, but the results are often equivocal, potentially leading to misdiagnosis. We reviewed alternative approaches for diagnosis of 5ARD. MET...

    journal_title:Clinical chemistry

    pub_type: 杂志文章,评审

    doi:10.1373/clinchem.2012.196501

    authors: Chan AO,But BW,Lee CY,Lam YY,Ng KL,Tung JY,Kwan EY,Chan YK,Tsui TK,Lam AL,Tse WY,Cheung PT,Shek CC

    更新日期:2013-05-01 00:00:00

  • Production and certification of an enzyme reference material for gamma-glutamyltransferase (CRM 319). Part 2: Certification campaign.

    abstract::We describe the process of certification for a gamma-glutamyltransferase reference material (CRM no. 319). Fifteen laboratories participated to this interlaboratory evaluation. All steps of the measurements were controlled in an effort to locate potential sources of variations. In particular, the exclusion of some dat...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Schiele F,Muller J,Colinet E,Siest G

    更新日期:1987-11-01 00:00:00

  • Erroneous results with routine laboratory testing for immunoglobulins due to interference from circulating immune complexes in a case of hyperviscosity syndrome associated with autoimmune disease.

    abstract::A patient with the hyperviscosity syndrome exhibited very high concentrations of intermediate to small circulating immune complexes (CIC), involving 40-50% of the IgG present, with IgG rheumatoid factor activity. We demonstrate that precipitation of CIC by polyethylene glycol in the reaction mixture caused interferenc...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Levinson SS,Perry M,Goldman J,Nathan LE

    更新日期:1988-04-01 00:00:00

  • Immunoradiometric assay for alpha gamma- and gamma gamma-enolase (neuron-specific enolase), with use of monoclonal antibodies and magnetizable polymer particles.

    abstract::Monoclonal antibodies were raised against neuron-specific enolase, gamma gamma-enolase, and used in an immunoradiometric assay (IRMA), with mono-disperse magnetizable particles as the solid phase. The assay's sensitivity was 0.4 microgram/L and the interassay coefficient of variation was less than 5% in the working ra...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Paus E,Nustad K

    更新日期:1989-10-01 00:00:00

  • Low- and High-renin Heart Failure Phenotypes with Clinical Implications.

    abstract:BACKGROUND:Blockade of the renin-angiotensin system (RAS) represents a main strategy in the therapy of heart failure with reduced ejection fraction (HFrEF), but the role of active renin concentration (ARC) for guiding therapy in the presence of an RAS blockade remains to be established. This study assessed angiotensin ...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2017.278705

    authors: Pavo N,Goliasch G,Wurm R,Novak J,Strunk G,Gyöngyösi M,Poglitsch M,Säemann MD,Hülsmann M

    更新日期:2018-03-01 00:00:00

  • Pharmacogenomics of tamoxifen therapy.

    abstract:BACKGROUND:Tamoxifen is a standard endocrine therapy for the prevention and treatment of steroid hormone receptor-positive breast cancer. CONTENT:Tamoxifen requires enzymatic activation by cytochrome P450 (CYP) enzymes for the formation of active metabolites 4-hydroxytamoxifen and endoxifen. As compared with the paren...

    journal_title:Clinical chemistry

    pub_type: 杂志文章,评审

    doi:10.1373/clinchem.2008.121756

    authors: Brauch H,Mürdter TE,Eichelbaum M,Schwab M

    更新日期:2009-10-01 00:00:00

  • Cardiac troponin-I is not expressed in fetal and healthy or diseased adult human skeletal muscle tissue.

    abstract::Cardiac troponin-I (cTnI) is not found in sera of patients with skeletal muscle disease in the absence of myocardial injury. It is not known, however, whether trace amounts of cTnI are expressed in regenerating human skeletal muscle, as has been observed with creatine kinase MB. Using immunohistochemical and biochemic...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Bodor GS,Porterfield D,Voss EM,Smith S,Apple FS

    更新日期:1995-12-01 00:00:00