Biochemical Factors Influencing Measurement of Cardiac Troponin I in Serum
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A. Katrukha
Abstract
Troponin I (cTnI), a sensitive and reliable marker of damaged cardiac tissue, is now widely used in clinics. But the existence of different cTnI assays with a wide variety of cut-off values and discrepancies between the results of measurements of one and the same sample by different assays is puzzling for clinicians. The most urgent issue at the moment is the development of the international standard, which can be used for the calibration of different assays, thus decreasing between assay biases. But another important item, which should be considered by manufacturers, is the standardisation of the epitopes of the antibodies used for the assay development. The importance of such standardisation originates from the complicated biochemical nature of cTnI. Here we briefly try to analyse the main factors that can influence antigen recognition by different antibodies and formulate principles of antibody selection for assay development.
Copyright © 1999 by Walter de Gruyter GmbH & Co. KG
Artikel in diesem Heft
- Author Index
- Contents
- Subject Index
- Strategies for Cardiac Marker Measurement
- Statistical Techniques for Evaluating the Diagnostic Utility of Laboratory Tests
- Magnesium in Disease: a Review with Special Emphasis on the Serum Ionized Magnesium
- Methods for Improving Clinical Trials
- Infrared Analysis of Urinary Stones: a Trial of Automated Identification
- Evaluation of a Direct α-Amylase Assay Using 2-Chloro-4-nitrophenyl-α-D-maltotrioside
- Accurate Platelet Counting in an Insidious Case of Pseudothrombocytopenia
- A New Liquid Homogeneous Assay for HDL Cholesterol Determination Evaluated in Seven Laboratories in Europe and the United States
- Tissue Release of Cardiac Markers: from Physiology to Clinical Applications
- The Specificity of Biochemical Markers of Cardiac Damage: a Problem Solved
- Biochemical Factors Influencing Measurement of Cardiac Troponin I in Serum
- The Sensitivity of Cardiac Markers: an Evidence-based Approach
- Risk Stratification and Therapeutic Decision Making in Patients with Acute Coronary Syndromes the Role of Cardiac Troponin T
- Cardiac Markers: Centralized or Decentralized Testing?
- EC4 European Syllabus for Post-Graduate Training in Clinical Chemistry. Version 2 – 1999
- Plasma Malondialdehyde and Obesity: Is there a Relationship?
- Reference Intervals: Are Interlaboratory Differences Appropriate?
- Lipoprotein Protocols. By J.M. Ordovas, editor
- Tietz Textbook of Clinical Chemistry. By C.A. Burtis and E.R. Ashwood, editors
Artikel in diesem Heft
- Author Index
- Contents
- Subject Index
- Strategies for Cardiac Marker Measurement
- Statistical Techniques for Evaluating the Diagnostic Utility of Laboratory Tests
- Magnesium in Disease: a Review with Special Emphasis on the Serum Ionized Magnesium
- Methods for Improving Clinical Trials
- Infrared Analysis of Urinary Stones: a Trial of Automated Identification
- Evaluation of a Direct α-Amylase Assay Using 2-Chloro-4-nitrophenyl-α-D-maltotrioside
- Accurate Platelet Counting in an Insidious Case of Pseudothrombocytopenia
- A New Liquid Homogeneous Assay for HDL Cholesterol Determination Evaluated in Seven Laboratories in Europe and the United States
- Tissue Release of Cardiac Markers: from Physiology to Clinical Applications
- The Specificity of Biochemical Markers of Cardiac Damage: a Problem Solved
- Biochemical Factors Influencing Measurement of Cardiac Troponin I in Serum
- The Sensitivity of Cardiac Markers: an Evidence-based Approach
- Risk Stratification and Therapeutic Decision Making in Patients with Acute Coronary Syndromes the Role of Cardiac Troponin T
- Cardiac Markers: Centralized or Decentralized Testing?
- EC4 European Syllabus for Post-Graduate Training in Clinical Chemistry. Version 2 – 1999
- Plasma Malondialdehyde and Obesity: Is there a Relationship?
- Reference Intervals: Are Interlaboratory Differences Appropriate?
- Lipoprotein Protocols. By J.M. Ordovas, editor
- Tietz Textbook of Clinical Chemistry. By C.A. Burtis and E.R. Ashwood, editors
