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肾移植和心脏移植受者中环孢素血药浓度的监测——高效液相色谱法与Incstar CYCLO-Trac SP放射免疫分析法的比较

Monitoring of blood levels of cyclosporine in renal and cardiac transplant recipients--comparison of HPLC to Incstar CYCLO-Trac SP RIA.

作者信息

Loo J C, Gallicano K D, McGilveray I J, Beaudoin N, Jindal S L

机构信息

Bureau of Drug Research, Tunney's Pasture, Ottawa, Ontario, Canada.

出版信息

Clin Biochem. 1991 Feb;24(1):49-53. doi: 10.1016/0009-9120(91)90189-l.

DOI:10.1016/0009-9120(91)90189-l
PMID:2060132
Abstract

Cyclosporine in whole blood samples from renal and cardiac transplant recipients was measured by high-performance liquid chromatography (HPLC) and by CYCLO-Trac SP specific radioimmunoassay (RIA). The fresh samples assayed by RIA were remeasured in a second laboratory after storage at -20 degrees C for two to six months and good interlaboratory agreement was obtained on the 59 samples assayed (y = 0.926x + 14.8 micrograms/L, r = 0.982). The calibration curve for RIA was not influenced by fresh whole blood, hemolyzed whole blood or serum matrix from normal volunteers. However, comparison of the RIA results from patient samples with those from an HPLC procedure showed that RIA values averaged about double those measured by HPLC. The difference is attributable to differences between the blood matrix of transplant and nontransplant subjects, rather than exclusively to the apparent nonspecific nature of the antibody.

摘要

采用高效液相色谱法(HPLC)和CYCLO-Trac SP特异性放射免疫分析法(RIA)对肾移植和心脏移植受者全血样本中的环孢素进行测定。通过RIA分析的新鲜样本在-20℃储存两至六个月后,在第二个实验室重新测定,对测定的59个样本获得了良好的实验室间一致性(y = 0.926x + 14.8微克/升,r = 0.982)。RIA的校准曲线不受正常志愿者新鲜全血、溶血全血或血清基质的影响。然而,将患者样本的RIA结果与HPLC方法的结果进行比较发现,RIA值平均约为HPLC测定值的两倍。这种差异归因于移植和非移植受试者血液基质的差异,而不仅仅是抗体明显的非特异性性质。

相似文献

1
Monitoring of blood levels of cyclosporine in renal and cardiac transplant recipients--comparison of HPLC to Incstar CYCLO-Trac SP RIA.肾移植和心脏移植受者中环孢素血药浓度的监测——高效液相色谱法与Incstar CYCLO-Trac SP放射免疫分析法的比较
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Isolation of cross-reacting compounds to Incstar Cyclo-Trac SP RIA in blood samples obtained from cardiac allograft patients on cyclosporine therapy.从接受环孢素治疗的心脏移植患者采集的血样中分离与Incstar Cyclo-Trac SP放射免疫分析发生交叉反应的化合物。
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引用本文的文献

1
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Clin Pharmacokinet. 1996 Feb;30(2):107-40. doi: 10.2165/00003088-199630020-00003.
2
Primary care of the renal transplant patient.肾移植患者的初级护理。
J Gen Intern Med. 1994 Jan;9(1):29-37. doi: 10.1007/BF02599140.
3
Prevention and management of graft-versus-host disease. Practical recommendations.移植物抗宿主病的预防与管理。实用建议。
Drugs. 1993 May;45(5):668-76. doi: 10.2165/00003495-199345050-00004.
4
A review of assay methods for cyclosporin. Clinical implications.
Clin Pharmacokinet. 1992 Sep;23(3):173-90. doi: 10.2165/00003088-199223030-00002.