Startseite Medizin Commutability evaluation of glycated albumin candidate EQA materials
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Commutability evaluation of glycated albumin candidate EQA materials

  • Rui Wu , Huijuan Zhou , Xiaerbanu Nizhamnuding , Anqi Pan , Hao Zheng , Jiangtao Zhang , Haijian Zhao , Jing Wang , Tianjiao Zhang EMAIL logo und Chuanbao Zhang ORCID logo EMAIL logo
Veröffentlicht/Copyright: 28. Mai 2025

Abstract

Objectives

In clinical practice, glycated albumin (GA), as a key biomarker reflecting the level of blood glucose control in the short and medium term, has been widely used in the diagnosis and efficacy monitoring of diabetes. However, the consistency of GA results between different detection systems remains one of the current challenges in laboratory medicine. we evaluated the commutability of 10 evaluated samples to identify candidate EQA materials for GA measurement.

Methods

According to the Clinical and Laboratory Standards Institute (CLSI) document EP14-A3 and the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) commutability evaluation program, we used the established isotope dilution liquid chromatography-tandem mass spectrometry (ID LC-MS/MS) method for serum glycated albumin determination as the comparative method, and six different commercial kits used enzyme assay as the evaluating method. A total of 40 clinical sample serums, 9 pregnancy sample serums, and 10 evaluated samples were analyzed.

Results

For the CLSI approach, pooled serum samples (cRM1-3) at medium concentrations (cRM2) are commutable in 5/6 kits. For the IFCC approach, none of samples commutable.

Conclusions

The commutability evaluation results of the two approaches were different, and the cRM2 has commutability in most enzymatic kits. It can be a commutable material for the EQA project.


Corresponding authors: Tianjiao Zhang and Chuanbao Zhang, National Center for Clinical Laboratories, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital/ National Center of Gerontology, Beijing, P.R. China; and Chinese Academy of Medical Sciences, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, P.R. China, E-mail: (T. Zhang), (C. Zhang)
Rui Wu and Huijuan Zhou contributed equally to this work.

Award Identifier / Grant number: 2022YFF0710305

  1. Research ethics: Exempt of ethical declarations.

  2. Informed consent: Not applicable.

  3. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  4. Use of Large Language Models, AI and Machine Learning Tools: None declared.

  5. Conflict of interest: The authors state no conflict of interest.

  6. Research funding: National Key Research and Development Program of China (2022YFF0710305).

  7. Data availability: Not applicable.

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Supplementary Material

This article contains supplementary material (https://doi.org/10.1515/cclm-2025-0507).


Received: 2025-01-28
Accepted: 2025-05-12
Published Online: 2025-05-28
Published in Print: 2025-09-25

© 2025 Walter de Gruyter GmbH, Berlin/Boston

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