Laboratory medicine最新文献_第8页

TP53 mutations in myeloid neoplasms: implications for accurate laboratory detection, diagnosis, and treatment. 骨髓性肿瘤中的 TP53 基因突变：对实验室准确检测、诊断和治疗的影响。

Laboratory medicine Pub Date : 2024-11-04 DOI: 10.1093/labmed/lmae048

Linsheng Zhang, Brooj Abro, Andrew Campbell, Yi Ding

{"title":"TP53 mutations in myeloid neoplasms: implications for accurate laboratory detection, diagnosis, and treatment.","authors":"Linsheng Zhang, Brooj Abro, Andrew Campbell, Yi Ding","doi":"10.1093/labmed/lmae048","DOIUrl":"10.1093/labmed/lmae048","url":null,"abstract":"Genetic alterations that affect the function of p53 tumor suppressor have been extensively investigated in myeloid neoplasms, revealing their significant impact on disease progression, treatment response, and patient outcomes. The identification and characterization of TP53 mutations play pivotal roles in subclassifying myeloid neoplasms and guiding treatment decisions. Starting with the presentation of a typical case, this review highlights the complicated nature of genetic alterations involving TP53 and provides a comprehensive analysis of TP53 mutations and other alterations in myeloid neoplasms. Currently available methods used in clinical laboratories to identify TP53 mutations are discussed, focusing on the importance of establishing a robust testing protocol within clinical laboratories to ensure the delivery of accurate and reliable results. The treatment implications of TP53 mutations in myeloid neoplasms and clinical trial options are reviewed. Ultimately, we hope that this review provides valuable insights into the patterns of TP53 alterations in myeloid neoplasms and offers guidance to establish practical laboratory testing protocols to support the best practices of precision oncology.","PeriodicalId":94124,"journal":{"name":"Laboratory medicine","volume":" ","pages":"686-699"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141602393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The safety and efficacy of transfusing red blood cells stored for different durations: a systematic review and meta-analysis of randomized controlled trials. 输注储存不同时间的红细胞的安全性和有效性：随机对照试验的系统回顾和荟萃分析。

Laboratory medicine Pub Date : 2024-11-04 DOI: 10.1093/labmed/lmae049

Fu Cheng, Dongmei Yang, Jie Chen, Li Qin, Bin Tan

{"title":"The safety and efficacy of transfusing red blood cells stored for different durations: a systematic review and meta-analysis of randomized controlled trials.","authors":"Fu Cheng, Dongmei Yang, Jie Chen, Li Qin, Bin Tan","doi":"10.1093/labmed/lmae049","DOIUrl":"10.1093/labmed/lmae049","url":null,"abstract":"Objective: The aim of this work was to resolve the uncertainty of whether transfusion of fresher red blood cells (RBCs) is better or not with regard to the safety and efficacy.Methods: This systematic review was performed in accordance with our protocol registered on PROSPERO (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022379183).Results: After a literature search, 13,247 records were identified, and 26 randomized controlled trials (RCTs) involving 53,859 participants were eligible and included in this review. The results in our review suggested that there was no significant effect of fresher vs older RBCs on mortality (relative risk [RR] = 1.04; 95% CI, 0.99-1.09; P = .39; I2 = 0%), transfusion reactions (RR = 0.87; 95% CI, 0.57-1.33; P = .64; I2 = 0%). However, the transfusion of fresher RBCs might increase the risk of nosocomial infection (RR = 1.11; 95% CI, 1.02-1.20; P = .02; I2 = 0%), whereas there was no significant difference in the fresh vs old subgroup (RR = 0.87; 95% CI, 0.68 to 1.12; P = .28; I2 = 0%).Conclusion: Our study updated and reinforced the evidence of previously published systematic reviews that support the safety and efficiency of current practice of issuing the oldest available RBCs in the blood bank inventory.","PeriodicalId":94124,"journal":{"name":"Laboratory medicine","volume":" ","pages":"776-784"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141602392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of an anemia diagnostic management team on follow-up test ordering by primary care providers. 贫血诊断管理团队对初级医疗服务提供者后续测试订单的影响。

Laboratory medicine Pub Date : 2024-11-04 DOI: 10.1093/labmed/lmae036

Julie Soder, Christopher Zahner, Jose H Salazar

{"title":"Impact of an anemia diagnostic management team on follow-up test ordering by primary care providers.","authors":"Julie Soder, Christopher Zahner, Jose H Salazar","doi":"10.1093/labmed/lmae036","DOIUrl":"10.1093/labmed/lmae036","url":null,"abstract":"Background: Anemia is a complex condition with diverse causes and poses diagnostic challenges amid the expanding landscape of laboratory testing. Implementation of an anemia diagnostic management team (DMT) can aid health care providers in navigating this complexity.Methods: This quasi-experimental study assessed the impact of an anemia DMT on laboratory test ordering by primary care providers for anemic patients. This study included adult patients (≥18 years) with anemia (hemoglobin <12.0 g/dL for nonpregnant women, hemoglobin <13.0 g/dL for men) presenting to a family medicine clinic. Cases reviewed by the DMT (n = 100) were compared with a control group (n = 95).Results: The DMT recommended additional testing for 76 patients. Significantly more patients in the DMT group underwent follow-up tests compared with controls (59% vs 34%; P < .001). Moreover, the DMT group underwent a higher mean number of tests per patient (1.70 ± 2.2 vs 0.95 ± 1.9; P = .01).Conclusion: Implementation of an anemia DMT influenced follow-up testing patterns in anemic patients, potentially enhancing diagnostic thoroughness and patient care.","PeriodicalId":94124,"journal":{"name":"Laboratory medicine","volume":" ","pages":"713-716"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A positive correlation of serum SFRP1 levels with the risk of developing type 2 diabetes mellitus: a case-control study. 血清 SFRP1 水平与罹患 2 型糖尿病的风险呈正相关：一项病例对照研究。

Laboratory medicine Pub Date : 2024-11-04 DOI: 10.1093/labmed/lmae030

Ahmed Salim Najm Alhilfi, Reza Afrisham, Alireza Monadi Sefidan, Reza Fadaei, Nariman Moradi, Lotfollah Saed, Nahid Einollahi

{"title":"A positive correlation of serum SFRP1 levels with the risk of developing type 2 diabetes mellitus: a case-control study.","authors":"Ahmed Salim Najm Alhilfi, Reza Afrisham, Alireza Monadi Sefidan, Reza Fadaei, Nariman Moradi, Lotfollah Saed, Nahid Einollahi","doi":"10.1093/labmed/lmae030","DOIUrl":"10.1093/labmed/lmae030","url":null,"abstract":"Objective: Secreted frizzled-related protein 1 (SFRP1) is an adipokine whose production is significantly altered in metabolic disorders. Considering the relationship between dysfunction of Wnt/β-catenin signaling and metabolic disorders as well as the inhibitory effects of SFRP1 on this signaling pathway, the present work aimed to investigate the correlation between serum SFRP1 levels and type 2 diabetes mellitus (T2DM) and its developing risk factors for the first time.Methods: This case-control study measured serum levels of SFRP1, tumor necrosis factor (TNF)-α, interleukin (IL)-6, adiponectin, and fasting insulin using enzyme-linked immunosorbent assay kits in 80 T2DM patients and 80 healthy individuals. Biochemical parameters were determined using the AutoAnalyzer instrument.Results: The T2DM group had higher levels of SFRP1 compared with the controls (146.8100 ± 43.61416 vs 81.9531 ± 32.78545 pg/mL; P < .001). There was a positive correlation between SFRP1 and insulin (r = 0.327, P = .003), TNF-α (r = 0.420, P < .001) as well as homeostatic model assessment for insulin resistance (r = 0.328, P = .003) in the T2DM group. In addition, 10-unit changes in SFRP1 levels showed the risk of T2DM in both the unadjusted (odds ratio [OR] [95% CI] = 1.564 [1.359-1.800]) and adjusted models accounting for age, gender, and body mass index (OR [95% CI] = 1.564 [1.361-1.799]; P < .001). A cut-off value of SFRP1 (105.83 pg/mL) was identified to distinguish between the T2DM patients and the healthy subjects, with sensitivity of 75.0% and specificity of 80.0%.Conclusion: According to our research, there was a significant and positive link between the amount of SFRP1 and the likelihood of developing T2DM as well as the related factors like insulin resistance index and TNF-α. These results indicated that SFRP1 might have a potential role in the development of T2DM.","PeriodicalId":94124,"journal":{"name":"Laboratory medicine","volume":" ","pages":"739-744"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141159358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Absolute CD4 count and percentage values among Libyan patients with HIV by single-platform flow cytometry. 通过单平台流式细胞术测量利比亚艾滋病毒感染者的 CD4 绝对计数和百分比值。

Laboratory medicine Pub Date : 2024-11-04 DOI: 10.1093/labmed/lmae046

Yosra Lamami, Abdulmunem M Abulayha, Salah Altabal, Mohamed Elbasir, Abdulrhman S Elbnnani, Laila Aghil, Fawzi Ebrahim, Adam Elzagheid

{"title":"Absolute CD4 count and percentage values among Libyan patients with HIV by single-platform flow cytometry.","authors":"Yosra Lamami, Abdulmunem M Abulayha, Salah Altabal, Mohamed Elbasir, Abdulrhman S Elbnnani, Laila Aghil, Fawzi Ebrahim, Adam Elzagheid","doi":"10.1093/labmed/lmae046","DOIUrl":"10.1093/labmed/lmae046","url":null,"abstract":"Background: Single-platform flow cytometry technology together with CD45-gating is becoming the method of choice for absolute CD4 T cell enumeration. Immunological assessment of HIV patients by monitoring CD4 can provide valuable information on antiviral treatment response and disease progression.Methods: A total of 97 HIV-positive individuals were recruited from 2 hospitals in Tripoli, Libya, and 14 healthy blood donors. The HIV-infected individuals were classified by CD4+ count into HIV-positive (>200 cells/µL) or AIDS (≤200 cells/µL) groups. CD4+ and CD8+ cell counts were determined and compared among the groups and with similar published data.Results: The mean ± SD CD4+ cell counts were 1106 ± 442.8 cells/µL in healthy individuals, 460 ± 219.7 cells/µL in the HIV-positive group, and 78 ± 64.3 cells/µL in the AIDS group. The mean ± SD CD4+/CD8+ ratio was 1.6 ± 0.58, 0.4 ± 0.22, and 0.1 ± 0.1, respectively. CD4+ counts in Libyan healthy adults might be higher than those reported in several studies in other regions, whereas CD4+ counts in Libyan AIDS patients seem lower.Conclusion: Reference values for T lymphocyte counts in Libyan healthy individuals should be investigated more extensively, and the reasons why Libyan AIDS patients seem to have such lower CD4+ counts should be examined.","PeriodicalId":94124,"journal":{"name":"Laboratory medicine","volume":" ","pages":"763-767"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of quantitative and qualitative anti-dsDNA assays. 抗dsDNA定量和定性检测方法的比较。

Laboratory medicine Pub Date : 2024-11-04 DOI: 10.1093/labmed/lmae035

Rajeevan Selvaratnam, Pooja Srivastava, Danyel H Tacker, Jennifer Thebo, Sarah E Wheeler

{"title":"Comparison of quantitative and qualitative anti-dsDNA assays.","authors":"Rajeevan Selvaratnam, Pooja Srivastava, Danyel H Tacker, Jennifer Thebo, Sarah E Wheeler","doi":"10.1093/labmed/lmae035","DOIUrl":"10.1093/labmed/lmae035","url":null,"abstract":"Objective: In evaluation of systemic lupus erythematosus (SLE), anti-double-stranded DNA antibodies (anti-dsDNA) play a significant role in diagnosis, monitoring SLE activity, and assessing prognosis. However, evaluations of the performance and limitations for recently developed methods for anti-dsDNA assessment are sparse.Methods: Specimens used for antinuclear antibody testing (n = 129) were evaluated for anti-dsDNA assay comparability across 4 medical centers in the United States. The methods compared were Werfen Quanta Lite dsDNA, Zeus Scientific dsDNA Enzyme Immunoassay, Bio-Rad multiplex immunoassay (MIA) dsDNA, ImmunoConcepts Crithidia, and Bio-Rad Laboratories Crithidia.Results: For quantitative anti-dsDNA measurements, Spearman's correlation coefficient was highest between Zeus and Werfen (ρ = 0.86; CI, 0.81-0.90; P < .0001). Comparison of MIA to Werfen or Zeus yielded similar results to each other (ρ = 0.58; CI, 0.44-0.68; P < .0001; and ρ = 0.59; CI, 0.46-0.69; P < .0001, respectively), but lower than the correlation between Zeus and Werfen. Positive concordance between assays ranged from 31.4% to 97.1%, and negative concordance between assays ranged from 58.5% to 100%. The detection of anti-dsDNA in those with SLE diagnosis ranged from 50.9% to 77.4% for quantitative assays and 15.1% to 24.5% for Crithidia assays.Conclusion: Current quantitative anti-dsDNA assays are not interchangeable for patient follow-up. Crithidia-based assays demonstrate high negative concordance and lack positive concordance among the methods.","PeriodicalId":94124,"journal":{"name":"Laboratory medicine","volume":" ","pages":"732-738"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laboratory testing consolidation and total laboratory automation improves service efficiency and effectiveness: a study of a medical center in Taiwan. 实验室检验合并和实验室全面自动化提高了服务效率和效益：台湾一家医疗中心的研究。

Laboratory medicine Pub Date : 2024-11-04 DOI: 10.1093/labmed/lmae044

Chih-Wei Tseng, Ying-Chun Li, Herng-Sheng Lee, Yang-Ming Tseng

{"title":"Laboratory testing consolidation and total laboratory automation improves service efficiency and effectiveness: a study of a medical center in Taiwan.","authors":"Chih-Wei Tseng, Ying-Chun Li, Herng-Sheng Lee, Yang-Ming Tseng","doi":"10.1093/labmed/lmae044","DOIUrl":"10.1093/labmed/lmae044","url":null,"abstract":"Background: Test consolidation and total laboratory automation (TLA) were implemented in a core laboratory with a high volume of specimens in a medical center in Taiwan to reduce the costs of laboratory services and improve laboratory workflow and performance.Methods: Using a retrospective research approach, 5 stat and 7 routine tests were used to analyze the in-laboratory to report turnaround time (IR-TAT). Mean, SD, medium, 90th percentile, outlier percentage of IR-TAT, full-time equivalents, productivity, tube touch moment (TTM), and financial impact were determined and compared pre- and post-TLA.Results: The mean IR-TAT of overall stat chemical tests for inpatient and outpatient were 32.8% and 11.9% reductions, respectively. The productivity of each medical technologist increased by 32.4% per month, and there was a reduction of 5 medical technologists compared with the number required to complete the same tests before consolidation. The TTM of staff per year post-TLA decreased by 74.1% tube touches.Conclusion: The efficiency of laboratory services was improved by consolidation to the core laboratory along with TLA implementation coupled with logic rules such as delta-check and autoverification. Effectiveness was improved as measured by an increase in productivity, labor reduction, staff safety, and cost reduction.","PeriodicalId":94124,"journal":{"name":"Laboratory medicine","volume":" ","pages":"677-685"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lipidomic analysis of serum exosomes identifies a novel diagnostic marker for type 2 diabetes mellitus. 血清外泌体的脂质体分析发现了一种新型的 2 型糖尿病诊断标记物。

Laboratory medicine Pub Date : 2024-11-04 DOI: 10.1093/labmed/lmae039

Ling Zhang, Ting Lu, Baocheng Zhou, Yaoxiang Sun, Liyun Wang, Guohong Qiao, Tingting Yang

{"title":"Lipidomic analysis of serum exosomes identifies a novel diagnostic marker for type 2 diabetes mellitus.","authors":"Ling Zhang, Ting Lu, Baocheng Zhou, Yaoxiang Sun, Liyun Wang, Guohong Qiao, Tingting Yang","doi":"10.1093/labmed/lmae039","DOIUrl":"10.1093/labmed/lmae039","url":null,"abstract":"Background: Type 2 diabetes mellitus (T2DM) intricately involves disrupted lipid metabolism. Exosomes emerge as carriers of biomarkers for early diagnosis and monitoring. This study aims to identify lipid metabolites in serum exosomes for T2DM diagnosis.Methods: Serum samples were collected from newly diagnosed T2DM patients and age and body mass index-matched healthy controls. Exosomes were isolated using exosome isolation reagent, and untargeted/targeted liquid chromatography-tandem mass spectrometry (LC-MS/MS) was used to identify and validate altered lipid metabolites. Receiver operating characteristic curve analysis was used to evaluate the diagnostic value of candidate lipid metabolites.Results: Serum exosomes were successfully isolated from both groups, with untargeted LC-MS/MS revealing distinct lipid metabolite alterations. Notably, phosphatidylethanolamine (PE) (22:2(13Z,16Z)/14:0) showed stable elevation in T2DM-serum exosomes. Targeted LC-MS/MS confirmed significant increase of PE (22:2(13Z,16Z)/14:0) in T2DM exosomes but not in serum. PE (22:2(13Z,16Z)/14:0) levels not only positively correlated with hemoglobin A1C levels and blood glucose levels, but also effectively distinguished T2DM patients from healthy individuals (area under the curve = 0.9141).Conclusion: Our research sheds light on the importance of serum exosome lipid metabolites in diagnosing T2DM, providing valuable insights into the complex lipid metabolism of diabetes.","PeriodicalId":94124,"journal":{"name":"Laboratory medicine","volume":" ","pages":"724-731"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnostic value of serum STIP1 in HCC and AFP-negative HCC. 血清 STIP1 对 HCC 和 AFP 阴性 HCC 的诊断价值。

Laboratory medicine Pub Date : 2024-11-04 DOI: 10.1093/labmed/lmae033

Haiqing Sun, Ning Liu, Jinli Lou

{"title":"Diagnostic value of serum STIP1 in HCC and AFP-negative HCC.","authors":"Haiqing Sun, Ning Liu, Jinli Lou","doi":"10.1093/labmed/lmae033","DOIUrl":"10.1093/labmed/lmae033","url":null,"abstract":"Objective: This study aimed to investigate the diagnostic value of stress-induced phosphoprotein 1 (STIP1) in serum for hepatocellular carcinoma (HCC) and alpha-fetoprotein (AFP)-negative HCC (ANHC).Methods: In this study, serum samples were collected from 158 HCC patients and 63 non-HCC patients. Logistic regression analysis was performed to identify independent risk factors associated with HCC and ANHC. The diagnostic values of each index for HCC and ANHC were analyzed using receiver operating characteristic (ROC) curve analysis.Results: The STIP1, des-γ-carboxy prothrombin (DCP), and AFP levels were higher in the HCC groups than in the non-HCC groups (P < .05). Age, DCP, STIP1, and hepatitis B virus infection were independent predictors of HCC (P < .05). The diagnostic value of STIP1 for HCC was higher than that of DCP. Additionally, age, STIP1, and hepatitis B virus infection were independent predictors for ANHC patients. The ROC curve exhibited an area under the curve value of 0.919 for STIP1, with a diagnostic cutoff value of 68.5 U/mL. Moreover, 36 ANHC patients and 19 AFP-negative non-HCC patients were included to validate the diagnostic model. A total of 20 patients had STIP1 levels greater than 68.5 U/mL, resulting in diagnostic accuracy of 67.3%, sensitivity of 55.6%, and specificity of 89.5%.Conclusion: STIP1 demonstrates excellent diagnostic value for HCC and ANHC.","PeriodicalId":94124,"journal":{"name":"Laboratory medicine","volume":" ","pages":"700-707"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interference of hemoglobin variants with HbA1c measurements by six commonly used HbA1c methods. 血红蛋白变体对 HbA1c 测量的干扰：6 种常用 HbA1c 测量方法与 IFCC 参考方法的比较。

Laboratory medicine Pub Date : 2024-11-04 DOI: 10.1093/labmed/lmae034

Mingyang Li, Song Ge, Xin Shu, Xiongjun Wu, Haiyan Liu, Anping Xu, Ling Ji

{"title":"Interference of hemoglobin variants with HbA1c measurements by six commonly used HbA1c methods.","authors":"Mingyang Li, Song Ge, Xin Shu, Xiongjun Wu, Haiyan Liu, Anping Xu, Ling Ji","doi":"10.1093/labmed/lmae034","DOIUrl":"10.1093/labmed/lmae034","url":null,"abstract":"Background: Glycated hemoglobin, or hemoglobin A1c (HbA1c), serves as a crucial marker for diagnosing diabetes and monitoring its progression. We aimed to assess the interference posed by common Hb variants on popular HbA1c measurement systems.Methods: A total of 63 variant and nonvariant samples with target values assigned by the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC)-calibrated methods were included. We assessed 6 methods for measuring HbA1c in the presence of HbS, HbC, HbD, HbE, and fetal hemoglobin (HbF): 2 cation-exchange high-performance liquid chromatography (HPLC) methods (Bio-Rad D-100 and HLC-723 G8), a capillary electrophoresis (CE) method (Sebia Capillarys 3 TERA), an immunoassay (Roche c501), an enzyme assay system (Mindray BS-600M), and a boronate affinity method (Primus Premier Hb9210).Results: The HbA1c results for nonvariant samples from the 6 methods were in good agreement with the IFCC-calibrated method results. The Bio-Rad D-100, Capillarys 3, Mindray BS-600M, Premier Hb9210, and Roche c501 showed no interference from HbS, HbC, HbD, and HbE. Clinically significant interference was observed for the HLC-723 G8 standard mode. Elevated HbF levels caused significant negative biases for all 6 methods, which increased with increasing HbF concentration.Conclusion: Elevated levels of HbF can severely affect HbA1c measurements by borate affinity, immunoassays, and enzyme assays.","PeriodicalId":94124,"journal":{"name":"Laboratory medicine","volume":" ","pages":"708-712"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0