Skip to main content
Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1981 Aug;34(8):906–910. doi: 10.1136/jcp.34.8.906

Assay of serum immunoreactive trypsin in dried blood spots and the early detection of cystic fibrosis.

H C Ryley, P G Robinson, Y Yamashiro, D M Bradley
PMCID: PMC493977  PMID: 7276210

Abstract

Immunoreactive trypsin (IRT) content in blood spots from 17 cystic fibrosis (CF) children born between 1975-80 were assayed with reagents from two commercial radioimmunoassay kits. The manufacturers' procedures were modified to allow assay of blood spot IRT. Half of the CF samples had a significantly raised IRT content compared to normal blood spots. Of the blood spots from five children whose meconium screening gave negative results, three or five (depending on the kit used) had a raised IRT content. On the other hand, less than 50% of children initially detected by meconium screening had raised blood spot IRT values. In our hands, analysis of blood spots for IRT does not consistently identify the newborn with CF and offers no advantage over other screening methods.

Full text

PDF
906

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Crossley J. R., Elliott R. B., Smith P. A. Dried-blood spot screening for cystic fibrosis in the newborn. Lancet. 1979 Mar 3;1(8114):472–474. doi: 10.1016/s0140-6736(79)90825-0. [DOI] [PubMed] [Google Scholar]
  2. Geokas M. C., Largman C., Brodrick J. W., Johnson J. H. Determination of human pancreatic cationic trypsinogen in serum by radioimmunoassay. Am J Physiol. 1979 Jan;236(1):E77–E83. doi: 10.1152/ajpendo.1979.236.1.E77. [DOI] [PubMed] [Google Scholar]
  3. Kraemer R., Meier H. P., Hammerschlag P., Kaiser D., Sidiropoulos D. Neugeborenen-Screening in der zystischen Fibrose. Auswertung einer 4jährigen Studie in der Schweiz. Schweiz Med Wochenschr. 1977 Aug 6;107(31):1105–1109. [PubMed] [Google Scholar]
  4. Largman C., Brodrick J. W., Geokas M. C., Johnson J. H. Demonstration of human pancreatic anionic trypsinogen in normal serum by radioimmunoassay. Biochim Biophys Acta. 1978 Nov 1;543(4):450–454. doi: 10.1016/0304-4165(78)90299-4. [DOI] [PubMed] [Google Scholar]
  5. Prosser R., Owen H., Bull F., Parry B., Smerkinich J., Goodwin H. A., Dathan J. Screening for cystic fibrosis by examination of meconium. Arch Dis Child. 1974 Aug;49(8):597–601. doi: 10.1136/adc.49.8.597. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Ryley H. C., Neale L. M., Brogan T. D., Bray P. T. Screening for cystic fibrosis in the newborn by meconium analysis. Arch Dis Child. 1979 Feb;54(2):92–97. doi: 10.1136/adc.54.2.92. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Clinical Pathology are provided here courtesy of BMJ Publishing Group

RESOURCES