Hopfer S M, Ziebka L, Sunderman F W, Sporn J R, Greenberg B R
Department of Laboratory Medicine, University of Connecticut Medical School, Farmington 06032.
Ann Clin Lab Sci. 1989 Nov-Dec;19(6):389-96.
An improved technique is described for analysis of platinum (Pt) concentrations in plasma and urine by electrothermal atomic absorption spectrophotometry (EAAS). The method is intended for use in therapeutic monitoring of cancer patients treated with platinum-containing antitumor drugs. Samples (0.1 ml) of plasma, urine, or Pt standards are diluted to two ml with a matrix solution that contains diammonium edetate, ammonium dihydrogen phosphate, ammonium hydroxide, and octoxynol detergent. Concentrations of Pt in the diluted samples are determined directly by EAAS analysis with Zeeman background correction. Standard additions are unnecessary; Pt concentrations are read from a calibration chart of peak heights, which is linear up to 1.6 mg per liter. The detection limit is 0.02 mg of Pt per liter. Day-to-day precision (coefficient of variation, based on 21 consecutive runs) ranges from 4.2 to 11.7 percent, depending upon the Pt concentration in the plasma and urine specimens. Recovery of Pt added to plasma and urine specimens averages 103 +/- 8 and 99 +/- 6 percent, respectively. Concentrations of Pt are stable in plasma and urine specimens stored at 4 degrees C or -20 degrees C for four weeks. Analyses of Pt concentrations in serial plasma and urine specimens from cancer patients receiving cisplatin chemotherapy demonstrate the clinical utility of the technique.
本文描述了一种改进的技术,用于通过电热原子吸收分光光度法(EAAS)分析血浆和尿液中的铂(Pt)浓度。该方法旨在用于接受含铂抗肿瘤药物治疗的癌症患者的治疗监测。将血浆、尿液或铂标准品的样品(0.1 ml)用含有乙二胺四乙酸二铵、磷酸二氢铵、氢氧化铵和辛基酚聚氧乙烯醚洗涤剂的基质溶液稀释至2 ml。通过带有塞曼背景校正的EAAS分析直接测定稀释样品中Pt的浓度。无需进行标准加入;Pt浓度从峰高校准图中读取,该校准图在高达1.6 mg/升时呈线性。检测限为0.02 mg Pt/升。根据血浆和尿液标本中的Pt浓度,日常精密度(基于连续21次运行的变异系数)范围为4.2%至11.7%。添加到血浆和尿液标本中的Pt回收率分别平均为103±8%和99±6%。在4℃或-20℃下储存四周的血浆和尿液标本中,Pt浓度稳定。对接受顺铂化疗的癌症患者的系列血浆和尿液标本中Pt浓度的分析证明了该技术的临床实用性。