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胎儿血红蛋白和不稳定糖化血红蛋白对糖化血红蛋白测量的干扰。

Interference of fetal hemoglobin and labile glycosylated hemoglobin with measurements of glycosylated hemoglobin.

作者信息

Yatscoff R W, Tevaarwerk G J, Clarson C L, Warnock L M

出版信息

Clin Chem. 1983 Mar;29(3):543-5.

PMID:6186416
Abstract

We examined the effect of fetal hemoglobin and labile glycosylated hemoglobin on a number of diverse methods used to measure glycosylated hemoglobin. Samples were supplemented with various amounts of cord blood to give proportions of fetal hemoglobin ranging from 1 to 20% of total hemoglobin concentration. Procedures in which the separation of hemoglobin A1 from the major hemoglobin A fraction is based on differences in ionic properties (cation-exchange chromatography and electrophoresis) are subject to interference by fetal hemoglobin, whereas procedures that base the quantitation on other properties (colorimetry and affinity column chromatography) are not. The same procedures that are affected by the presence of fetal hemoglobin are also subject to interference by labile glycosylated hemoglobin. We conclude that the affinity chromatographic and colorimetric methods may give a more nearly accurate determination of glycosylated hemoglobin.

摘要

我们研究了胎儿血红蛋白和不稳定糖化血红蛋白对多种用于测量糖化血红蛋白的不同方法的影响。向样本中添加不同量的脐带血,以使胎儿血红蛋白占总血红蛋白浓度的比例在1%至20%之间。基于离子性质差异(阳离子交换色谱法和电泳法)从主要血红蛋白A组分中分离血红蛋白A1的方法会受到胎儿血红蛋白的干扰,而基于其他性质(比色法和亲和柱色谱法)进行定量的方法则不受影响。受胎儿血红蛋白存在影响的相同方法也会受到不稳定糖化血红蛋白的干扰。我们得出结论,亲和色谱法和比色法可能会更准确地测定糖化血红蛋白。

相似文献

1
Interference of fetal hemoglobin and labile glycosylated hemoglobin with measurements of glycosylated hemoglobin.胎儿血红蛋白和不稳定糖化血红蛋白对糖化血红蛋白测量的干扰。
Clin Chem. 1983 Mar;29(3):543-5.
2
Determination of glycosylated adult and foetal haemoglobins by affinity chromatography.通过亲和色谱法测定成人及胎儿糖化血红蛋白
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Recent advances in glycosylated hemoglobin measurements.
Crit Rev Clin Lab Sci. 1984;21(3):187-228. doi: 10.3109/10408368409165782.
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Comparison of column chromatographic, colorimetric and electrophoretic methods for determination of glycosylated hemoglobin (HbA1).用于测定糖化血红蛋白(HbA1)的柱色谱法、比色法和电泳法的比较
Clin Biochem. 1982 Dec;15(6):302-7. doi: 10.1016/s0009-9120(82)96870-9.
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[False high levels glycosylated hemoglobin in 2 diabetic patients with persistence of fetal hemoglobin].2例持续性胎儿血红蛋白的糖尿病患者糖化血红蛋白假性高水平
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Glycosylated fetal hemoglobin. Correlation with hyperglycemia and birth weight in infants of diabetic mothers.
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Effects of whole blood storage on results for glycosylated hemoglobin as measured by ion-exchange chromatography, affinity chromatography, and colorimetry.全血储存对通过离子交换色谱法、亲和色谱法和比色法测定的糖化血红蛋白结果的影响。
Clin Chem. 1983 Jun;29(6):1113-5.
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Measurement of glycosylated haemoglobins and glycosylated plasma proteins in maternal and cord blood using an affinity chromatography method.
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Glycosylated haemoglobin in the fetus: chemistry, laboratory measurements and future clinical implications.胎儿糖化血红蛋白:化学、实验室检测及未来临床意义
Diabetes Metab Rev. 1994 Apr;10(1):45-62. doi: 10.1002/dmr.5610100105.

引用本文的文献

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2
Enhanced estimation of glycated haemoglobin.糖化血红蛋白的强化检测
Med Biol Eng Comput. 1996 Nov;34(6):498-500. doi: 10.1007/BF02523859.
3
Glycated haemoglobin values: problems in assessing blood glucose control in diabetes mellitus.
糖化血红蛋白值:评估糖尿病患者血糖控制情况的问题。
BMJ. 1994 Oct 15;309(6960):983-6. doi: 10.1136/bmj.309.6960.983.
4
Fetal haemoglobin levels in adult type 1 (insulin-dependent) diabetic patients.成年1型(胰岛素依赖型)糖尿病患者的胎儿血红蛋白水平
Diabetologia. 1993 Feb;36(2):129-32. doi: 10.1007/BF00400693.
5
Assessing blood glucose control in diabetes mellitus. Variant haemoglobin may affect measurements.评估糖尿病患者的血糖控制情况。变异血红蛋白可能会影响测量结果。
BMJ. 1995 Mar 18;310(6981):740; author reply 741. doi: 10.1136/bmj.310.6981.740b.
6
Increased prevalence of fetal haemoglobin in type 1 (insulin-dependent) diabetes mellitus.1型(胰岛素依赖型)糖尿病中胎儿血红蛋白患病率增加。
Diabetologia. 1989 Apr;32(4):227-30. doi: 10.1007/BF00285288.
7
Diagnostic confusion in diabetes with persistence of fetal haemoglobin.患有持续性胎儿血红蛋白的糖尿病患者的诊断困惑
BMJ. 1992 Sep 12;305(6854):635-7. doi: 10.1136/bmj.305.6854.635.