Comparison of the use of 6-thioguanine riboside versus 6-thioguanine as calibration standard to monitor 6-thioguanine nucleotides in red blood cells

Roselyne Boulieu , Antoine Tourlonias , Magali Larger
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Abstract

The analytical methods reported to evaluate 6-Thioguanine nucleotides (6-TGNs) level in red blood cells (RBC) are based on the conversion of 6-TGNs to 6-Thioguanine (6-TG) using 6-thioguanine as calibration standard.

Using the LC-DAD method previously reported by Dervieux and Boulieu in 1998 to determine 6-TGNs, we evaluated the use of 6-Thioguanine Riboside (6-TGR) as standard instead of the base 6-TG for the monitoring of 6-TGNs in RBC from patients with IBD.

Our results show that 6-TGN values measured in RBC from 30 patients were significantly (p < 0,00001) higher when 6-TGR was used as calibration standard compared to 6-TG. The difference observed may be explained by the presence of ribose in the chemical structure of 6-TGR contrary to 6-TG. This difference in 6-TGN values was also observed in external quality control assay using 6-TGR versus 6-TG calibration standard.

The use of the nucleoside 6-TGR as calibrator constitutes a better reflection of the chemical reaction which occurs in RBC compared to 6-TG. This preliminary observation suggests that the choice of calibration standard to monitor 6-TGNs may have a significant impact on the values measured in patients and laboratory should be aware of this potential pitfall.

使用6-硫鸟嘌呤核苷与6-硫鸟嘌呤作为校准标准物监测红细胞中6-硫鸟嘌呤核苷酸的比较
据报道,评估红细胞(RBC)中6-硫鸟嘌呤核苷酸(6-TGN)水平的分析方法是基于使用6-硫鸟氨酸作为校准标准将6-TGN转化为6-TG。使用之前由Dervieux和Boulieu在1998年报道的LC-DAD方法来测定6-TGN,我们评估了使用6-硫鸟嘌呤核苷(6-TGR)作为标准品而不是基础6-TG来监测IBD患者红细胞中的6-TGN。观察到的差异可以通过与6-TG相反的6-TGR的化学结构中存在核糖来解释。在使用6-TGR与6-TG校准标准的外部质量控制测定中也观察到6-TGN值的这种差异。与6-TG相比,使用核苷6-TGR作为校准器更好地反映了在RBC中发生的化学反应。这一初步观察结果表明,选择校准标准来监测6-TGN可能会对患者的测量值产生重大影响,实验室应该意识到这一潜在的缺陷。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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