Egense J, Koch C J, Willems M
Department of Clinical Chemistry, Sønderborg Hospital, Denmark.
Scand J Clin Lab Invest. 1990 Oct;50(6):687-92. doi: 10.3109/00365519009089188.
In search for a secondary reference method for the determination of creatinine, the adsorption of creatinine to seven different commercial batches of Fuller's earth have been investigated. Mineralogical investigation of the batches broadly divided them into two subgroups with quite different cation exchange capacities (CEC): dominant smectitic with and without calcium carbonate and dominant palygorskitic with calcium carbonate. Adsorption experiments using 14C-creatinine show, for all Fuller's earth samples, an incomplete adsorption of creatinine. The amount of creatinine adsorbed depends on pH, temperature, concentration of cations as Ca2+ and Na+, and other conditions. Weakly acidic suspensions of Fuller's earth in the course of time change their ability to adsorb creatinine. Compared to a synthetic strong acidic cation exchanger, Fuller's earth is more selective to creatinine. Because of the sensitivity of the adsorption to the various experimental conditions a determination of creatinine in biological fluids using Fuller's earth is too variable. Therefore, we cannot recommend this procedure as a secondary reference method for the determination of creatinine.
为寻找一种用于测定肌酐的二级参考方法,研究了肌酐在七种不同商业批次的漂土上的吸附情况。对这些批次进行矿物学研究,大致将它们分为两个阳离子交换容量(CEC)差异很大的亚组:以蒙脱石为主且含或不含碳酸钙的,以及以坡缕缟石为主且含碳酸钙的。使用14C - 肌酐进行的吸附实验表明,对于所有漂土样品,肌酐的吸附均不完全。吸附的肌酐量取决于pH值、温度、Ca2 +和Na +等阳离子浓度以及其他条件。漂土的弱酸性悬浮液随着时间推移会改变其吸附肌酐的能力。与合成强酸性阳离子交换剂相比,漂土对肌酐的选择性更高。由于吸附对各种实验条件敏感,使用漂土测定生物体液中的肌酐变化太大。因此,我们不推荐将此方法作为测定肌酐的二级参考方法。