Evaluation of a novel semi-automated HPLC procedure for whole blood cyclosporin A confirms equivalence to adjusted monoclonal values from Abbott TDx

Roberts, Norman B, Dutton, John, Higgins, Gerald and Allars, Lesley (2005) Evaluation of a novel semi-automated HPLC procedure for whole blood cyclosporin A confirms equivalence to adjusted monoclonal values from Abbott TDx. Clinical Chemistry and Laboratory Medicine, 43 (2). pp. 228-36. ISSN 1434-6621

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Abstract

The problem in the measurement of cyclosporin (CyA) is that the widely used immuno-based assays suffer from interference by metabolites present in unpredictable excess. To resolve this, the consensus view has been to develop more specific and robust procedures for the measurement of CyA alone in order to give values similar to those obtained by HPLC. We developed an alternative strategy based on Abbott poly- and monoclonal assays to derive an adjusted monoclonal value as an equivalent measurement to HPLC. We have now evaluated a recently developed semi-automated HPLC procedure and used it to test the validity of the adjusted monoclonal value. The automated HPLC procedure with online clean-up was optimised for the separation of CyA and internal standard CyD. The assay was simple to use, precise and gave good recovery of cyclosporin from whole blood. Comparisons with the more specific immunoassays Abbott AxSym and EMIT showed close agreement, whereas Abbott monoclonal values indicated up to 20% positive bias. In contrast, the adjusted monoclonal values gave good agreement with HPLC. Data obtained from HPLC linked to tandem mass spectrometry (MS) indicated closer agreement with Abbott monoclonal values than expected, suggesting some positive bias with MS. The benefit of using an adjusted monoclonal value is that a result equivalent to HPLC is obtained, as well as an indication of the concentration of metabolites from the Abbott polyclonal measurement.

Item Type: Article
Uncontrolled Keywords: antibodies,antibodies, monoclonal,automation,chromatography, high pressure liquid,cyclosporine,cyclosporins,gas chromatography-mass spectrometry,immunoassay,immunosuppressive agents,reagent kits, diagnostic,reference standards,reproducibility of results,spectrometry, mass, electrospray ionization
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: Pure Connector
Date Deposited: 12 Nov 2014 16:44
Last Modified: 21 Apr 2020 23:35
URI: https://ueaeprints.uea.ac.uk/id/eprint/50898
DOI: 10.1515/CCLM.2005.039

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