Non-transferrin-bound iron assay system utilizing a conventional automated analyzer

Autor: Hiroki Tanaka, Naomi Iizuka, Motohiro Shindo, Mikihiro Fujiya, Daisuke Kato, Lynda Addo, Satoshi Ito, Mayumi Hatayama, Noriyasu Niizeki, Katsunori Sasaki, Yutaka Kohgo, Katsuya Ikuta, Yasumichi Toki, Junki Inamura, Yoshihiro Torimoto, Kotoe Shibusa
Rok vydání: 2014
Předmět:
Zdroj: Clinica Chimica Acta. 437:129-135
ISSN: 0009-8981
Popis: author
Iron is an essential metal in the body, but its excessive accumulation causes damage in various organs through free radical production. Iron homeostasis is therefore tightly regulated. However, when iron balance collapses, such as in prolonged transfusion, transferrin (Tf) is fully saturated and non-Tf-bound iron (NTBI) appears in the serum. Monitoring serum NTBI levels is therefore crucial in assessment of the clinical status of patients with iron overload, since NTBI is associated with cellular and organ damage. Several methods for NTBI determination have been reported, but these are extremely complicated and very few laboratories can quantify NTBI at present. In this study, we established a novel assay system utilizing automated analyzers that are widely used in clinical laboratories for diagnostic testing. In this assay, NTBI is chelated by nitrilotriacetic acid (NTA), after which the iron is reduced and transferred to nitroso-PSAP, a chromogen. The assay shows excellent linearity, reproducibility, and compatibility with HPLC, one of the most reliable conventional methods for NTBI quantification. Our novel method for NTBI measurement is high-throughput and may be a useful and powerful tool in study of the physiological and clinical importance of NTBI.
Databáze: OpenAIRE