Detection of low-molecular-weight proteins in urine by dipsticks

Autor: Larry Clark, Todd K. Cast, Michael J. Pugia, James A. Profitt, David J. Newman, Lucia D'Mello, John A. Lott
Rok vydání: 2002
Předmět:
Zdroj: Clinica Chimica Acta. 326:177-183
ISSN: 0009-8981
DOI: 10.1016/s0009-8981(02)00304-2
Popis: Background : Testing of urines with dipsticks for proteinuria, glycosuria, etc., is common practice. A deficiency with currently available dipsticks is their lack of chemical sensitivity and underestimation of low-molecular-weight proteins such as light chains. Methods : We experimented with a number of dyes that gave an easily recognized color change on dipsticks for various low-molecular-weight proteins such as α-1-glycoprotein, α-1- and β-2-microglobulin, and kappa and lambda light chains. We were successful in formulating a dye for impregnating dipsticks that gave a color change with low-molecular-weight proteins. Results : Most dipsticks will measure proteins down to about 1 g/l. Our composite of two dyes (described here as the “TPR” dipsticks) gave reproducible results for protein concentrations of ≥300 mg/l, and detected low-molecular proteins. The TPR reagent is resistant to interferences from many compounds; also, the protein results are not altered in a given urine at a pH between 5 and 8. Conclusions : We have developed a dipstick that detects low-molecular-weight proteins. The dipsticks are easy to use and are suitable for outpatient or point-of-care testing. The precision of the dipsticks is satisfactory and is only marginally lower than quantitative spectrophotometric methods using pyrogallol red (PYR).
Databáze: OpenAIRE