Stability of Bio-Intact (1–84) Parathyroid Hormone ex Vivo in Serum and EDTA Plasma from Hemodialysis Patients

Autor: Joanna L. Wood, Edmund J. Lamb, Paul E. Stevens, Teresa K. Teal
Rok vydání: 2004
Předmět:
Zdroj: Clinical Chemistry. 50:1713-1714
ISSN: 1530-8561
0009-9147
Popis: Measurement of circulating parathyroid hormone (PTH) is used in the differential diagnosis of disorders of calcium metabolism. Many samples come from patients with end-stage renal disease (ESRD), in whom PTH is used as an indicator of bone turnover (1). The instability of PTH in serum or plasma ex vivo has long been a concern. Use of EDTA-containing tubes for sample collection (2)(3)(4) reportedly improves stability, presumably as a result of protease inhibition (5). Several manufacturers recommend EDTA plasma for PTH measurement, but no information is available on the stability of PTH in ESRD samples measured with newer assays. The new full-length (also called “whole molecule” or “Bio-Intact”) PTH assays appear to recognize only forms containing the N-terminal serine. They are thought not to cross-react with truncated C-terminal fragments of PTH, in particular PTH(7–84), that increase in ESRD and cross-react in older assays. …
Databáze: OpenAIRE