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The Analysis of Carbohydrate-Deficient Transferrin, Marker of Chronic Alcoholism, Using Capillary Electrophoresis

  • Birgitte Wuyts and Joris R. Delanghe
Published/Copyright: June 1, 2005
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Clinical Chemistry and Laboratory Medicine (CCLM)
From the journal Volume 41 Issue 6

Abstract

Carbohydrate-deficient transferrin (CDT) is currently considered to be the best available marker for the diagnosis of chronic alcoholism. A large variety of methods have been developed, demonstrating the need for standardisation. Commercially available anion-exchange chromatographic-based assays are easy to use and require no specialised, expensive instruments. However, these methods cannot identify genetic transferrin variants or the carbohydrate-deficient glycoprotein syndrome. In 1989, a capillary isoelectric focusing method was developed for quantitative measurement of CDT. Despite the optimal resolution, this method is not easily applied in a clinical routine environment due to the complexity of analysis. Capillary electrophoresis in a polymer network using coated capillaries allowed full resolution of the sialoforms of human transferrin. The drawbacks due to an expensive and time-consuming sample preparation were eliminated when a method in neat serum was developed. Capillary zone electrophoresis allowed full resolution of the transferrin isoforms with a high analytical performance in a short analysis time thanks to a strong electroosmotic flow. Genetic transferrin variants were easily detected, avoiding false-positive results. Also, using capillary zone electrophoresis, it was shown that CDT is a suitable marker of chronic alcohol abuse detection in transferrin CD (common/cathodal) variants.

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Published Online: 2005-06-01
Published in Print: 2003-06-17

Copyright © 2003 by Walter de Gruyter GmbH & Co. KG

Articles in the same Issue

  1. Editorial
  2. Biomedical Applications of Capillary Electrophoresis
  3. Capillary Electrophoresis – A High Performance Analytical Separation Technique
  4. The Analysis of Carbohydrate-Deficient Transferrin, Marker of Chronic Alcoholism, Using Capillary Electrophoresis
  5. Capillary Electrophoresis of Hemoglobin
  6. Capillary Electrophoresis for the Determination of Organic Acidurias in Body Fluids: A Review
  7. Separation of Serum Proteins by Automated Capillary Zone Electrophoresis
  8. Is Capillary Electrophoresis a Method of Choice for Systematic Toxicological Analysis?
  9. Capillary Zone Electrophoresis of Serum Proteins: Effects of Changed Analytical Conditions
  10. Type-Specific Detection of Human Papillomaviruses in a Routine Laboratory Setting – Improved Sensitivity and Specificity of PCR and Sequence Analysis Compared to Direct Hybridisation
  11. Identification of Lipoproteins of Intestinal Origin in Human Atherosclerotic Plaque
  12. Molecular Cloning, Sequencing and Functional Expression of Porcine Thyrotropin (TSH) Receptor cDNA
  13. Are Results of Fibrinogen Measurements Transferable?
  14. Comparison of Several Point-of-Care Testing (POCT) Glucometers with an Established Laboratory Procedure for the Diagnosis of Type 2 Diabetes Using the Discordance Rate. A New Statistical Approach
  15. Association between Increased Serum Cholesterol and Signs of Depressive Mood
  16. Report from the Second European Symposium on Clinical Laboratory and in vitro Diagnostic Industry. Physiological Reference Values: A Shared Business? Barcelona, 67 February 2003
  17. Meetings and Awards
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