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目的 :建立荧光偏振免疫分析 (FPIA)检测环孢霉素 (Cyclosporine)进行治疗药物监测(TDM)方法 ,为临床器官移植抗排斥反应及多种自身免疫性疾病的治疗服务。方法 :用定标、质控、回收率、精密度、抗干扰等对FPIA进行评价 ,并对用药达稳态浓度后肾移植患者的肝素抗凝全血中的环孢霉素血药浓度进行测定。结果 :定标、质控均符合实验要求 ,平均回收率为96.6% ,平均SD为 5.85 ,CV %为 2 .1 ,高胆红素、血红蛋白、甘油三酯以及高、低总蛋白等对FPIA的干扰误差均 <1 0 %。肾移植患者无药物中毒反应和排斥反应 ,环孢霉素血药浓度平均值为 1 52 .5μg/L。结论 :荧光偏振免疫分析法测定环孢霉素血药浓度具有较高的特异性和稳定性 相似文献
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结合量子点与胶体金颗粒优良的光学性能,利用抗体识别技术,基于人IgG修饰的量子点与羊抗人IgG修饰的胶体金之间的荧光共振能量转移效应,建立了一种新型免疫分析方法用于人IgG的检测.这种方法操作简便,实验条件温和,特异性好,安全可靠. 相似文献
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Nafija Serdarevic Pradeep Dabla Adina Elena Stanciu 《Indian journal of clinical biochemistry : IJCB》2021,36(2):151
Recent studies have shown that there are systematic differences among total and free prostate-specificantigen (PSA) immunoassays. In this study we analyzedintermethod differences in total PSA (tPSA) and free PSA(fPSA) measurement using ARCHITECT i2000SR (Abbott Diagnostics) and COBAS E601 (Roche Diagnostics). A number of 160 blood samples were tested for tPSA and 50 samples for fPSA (selecting only sampleswith tPSA: 4.1–10.0 μg/L). Passing–Bablok regression analysis was used to compare the two analytical methods fortPSA, fPSA and percentage of fPSA (%fPSA). A strong correlation was noticed between ARCHITECT i2000SR and COBAS E601 for tPSA, fPSA and %fPSA (r between 0.94 and 0.99). Concentrations of tPSA and fPSA measured by COBAS E601 were higher thanthose measured by ARCHITECT i2000SR with a bias of 0.8 μg/L for tPSA and 0.14 μg/L for fPSA. Analyzing therelative difference between methods for fPSA and %fPSA, COBAS E601 exceed a 10% relative difference limit. Our study confirms that there are differences in measured concentrations of tPSA and fPSA byvarious commercial methods. Because clinical judgment on subsequent diagnostic procedures, such as prostatebiopsy, is based on tPSA and fPSA results, tests harmonization should be a priority. 相似文献
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Prishni Gupta Pratishtha Agrawal Neha Rani Verma Seema Shah Suprava Patel Rachita Nanda Eli Mohapatra 《Indian journal of clinical biochemistry : IJCB》2021,36(3):345
The incidence of autoimmune disorders that includes the connective tissue diseases has seen a rise in India in recent times. Antinuclear antibodies, the telltale sign of systemic autoimmune response, thus can be used as a screening tool and also to support the diagnosis of systemic autoimmune disease. The present retrospective cross- sectional analysis aimed to study the antinuclear antibodies profile (patterns and specific antibody reactivity) amongst suspected cases of auto-immune disorders at a tertiary care teaching hospital. The study retrieved and reviewed reports of 644 patients sent for ANA testing by indirect immunofluorescence assay over a period of 1 year by different specialty departments. Positive samples were further processed for anti-ds-DNA antibody and antibodies to extractable nuclear antigen. Data collected was statistically analysed. ANA pattern positivity was observed in 31% of cases and a positive antibody reactivity was seen in 66% of them. Female predominance (82%) was noted in both pattern positivity and antibody reactivity. High levels of pattern positivity and antibody reactivity was found in the young adults (45.9%). Amongst the ANA patterns, the nuclear homogenous pattern was found the commonest. The common antibodies associated with this pattern were anti-dsDNA and U1 Sm/RNP antibodies. A stronger fluorescence intensity on initial screening showed a higher confirmation rate for specific antibodies on immunoassay. High occurrence of positive ANA patterns in autoimmune disorders suggests its utilization as a screening tool for them and would also play an adjuvant to the diagnosis. Early knowledge about future autoimmunity will earn better prognostic achievements through better treatment interventions. 相似文献
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