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- Title
Development of a novel, hemolysis-resistant reagent for assessment of α-amylase in biological fluids.
- Authors
Ronda, Luca; Mozzarelli, Andrea; Aloe, Rosalia; Lippi, Giuseppe
- Abstract
Background: Although the assessment of α-amylase is an essential part of the diagnostic workout of several pancreatic and extra-pancreatic disorders, its enzymatic activity is significantly reduced in the presence of cell-free hemoglobin such as in samples with spurious hemolysis, due to chemical and spectrophotometric interference. We developed a new reagent that provides reliable results on hemolyzed biological specimens. Methods: All tests were performed on Beckman Coulter AU5822. Intra-assay imprecision was assessed on three serum samples with low, intermediate and high α-amylase concentration. Linearity was assessed by serially diluting two samples with low and high values of α-amylase. The comparison with commercial reagent was performed on 40 serum samples. Hemolysis studies were carried out by mechanically hemolysis of 20 lithium-heparin samples. Results: The intra-assay imprecision was comprised between 1.3% and 2.2%. The linearity was excellent (r=0.998), and highly significant agreement was observed with the commercial assay (r=1.00; mean bias -3.8%). Although a significant correlation between non-hemolyzed and hemolyzed specimens was found with both assays (p<0.001), a much greater agreement was observed with the experimental method (r=0.997 vs. 0.818). No measurement exceeded the total allowable error with the experimental assay, whereas the threshold was exceeded in 85% of samples using the commercial method. Conclusions: The clinical applications of the experimental reagent include α-amylase assessment in hemolyzed samples, in urine and other biological fluids contaminated with lysed erythrocytes, or in patients under frequent transfusions and hemoglobin-based blood substitutes therapy. The formulation of this reagent could be adapted for other clinical chemistry or immunochemistry assays.
- Subjects
BETA-amylase; BLOOD substitutes; HEMOLYSIS &; hemolysins; HEMOGLOBINS; BIOLOGICAL fluid dynamics
- Publication
Clinical Chemistry & Laboratory Medicine, 2013, Vol 51, Issue 7, p1409
- ISSN
1434-6621
- Publication type
Article
- DOI
10.1515/cclm-2012-0376