Abstract
We investigated the performances of HbA1c determination by a latex enhanced turbidimetric immunoassay using the specific monoclonal antibodies (Unimate, Roche) against the β‐N‐terminal fragments. The coefficients of variation ranges from 1.7 to 3.8% within assay (n = 30) and from 3.9 to 4.9% between assay (n = 20).
The assay was linear from 2.5 to 14.9% of HbA1c. No interferences was found from fetal, carbamylated, or variant (S) hemoglobins and from labile Schiff adduct with glucose. The following relationship was derived from fresh sample comparison between HPLC (Diamat‐BioRad) (x) and immunoassay (y) method: y = 0.971 x + 0.87%, r = 0.98, n = 115. The immunoassay provides a highly precise and specific method for HbA1c. J. Clin. Lab. Anal. 13:5–8, 1999. © 1999 Wiley‐Liss, Inc.
Keywords: HbA1c, glycemic balance control, glycated hemoglobin‐labile fraction, fetal hemoglobin, latex enhanced immunoassay
REFERENCES
- 1. Bruns DE. Standardization, calibration, and the care of diabetic patients (editorial). Clin Chem 1992;38:2263–2264. [PubMed] [Google Scholar]
- 2. The Diabetes Control and Complications Trial Research Group . The effect of intensive treatment of diabetes on the development and progression of long‐term complications in insulin‐dependent diabetes mellitus. N Engl J Med 1993;329:977–986. Medline [DOI] [PubMed] [Google Scholar]
- 3. Nathan DM. Long‐term complications of diabetes mellitus. N Engl J Med 1993;328:1676–1685. Medline [DOI] [PubMed] [Google Scholar]
- 4. Hoelzel W, Miedema K. Development of a reference system for the international standardization of HbA1c/glycohemoglobin determination. JIFCC 1996;9:62–68. [PubMed] [Google Scholar]
- 5. Abraham EC, Huff TA, Cope ND, Wilson JB, Bramsome ED Jr, Hisman THJ. Determination of glycosilated hemoglobins (HbA1) with a new minicolumn procedure: Suitability of the technique for the clinical management of diabetes mellitus. Diabetes 1978;27:931–937. Medline [DOI] [PubMed] [Google Scholar]
- 6. Menard L, Dempsey ME, Blankstein LA, Aleyassine H, Wacks M, Soeldner JS. Quantitative determination of glycosilated hemoglobin HbA1 by agar gel electrophoresis. Clin Chem 1980;26:1598–1602. Medline [PubMed] [Google Scholar]
- 7. Standing SJ, Taylor RP. Glycated haemoglobin: An assessment of high capacity liquid chromatography and immunoassay methods. Ann Clin Biochem 1992;29:494–505. Medline [DOI] [PubMed] [Google Scholar]
- 8. Wilson DH, Bogacz JP, Forsythe CM, et al. Fully automated assay for glycohemoglobin with the Abbott IMx analyzer: Novel approaches for separation and detection. Clin Chem 1993;39:2090–2097. Medline [PubMed] [Google Scholar]
- 9. Garry John W, Gray MR, Bates DL, Beacham JL. Enzyme immunoassay: A new technique for the estimation Hemoglobin A1c . Clin Chem 1993;39:663–666. Medline [PubMed] [Google Scholar]
- 10. Cully M, Burns G, Engel WD, et al. Homogeneous immunoturbidrimetric determination of hemoglobin HbA1c [Abstract]. Boehringer Mannheim, East Sussex, UK, 1992.
- 11. Altman DG, Bland JM. Measurement in medicine: The analysis of comparison studies. Statistician 1983;32:307–317. [Google Scholar]
- 12. Hollis S. Analysis of method comparison studies. JIFCC 1997;9:8–12. [DOI] [PubMed] [Google Scholar]
- 13. Lytken Larsen M, Fraser CG, Petersen PH. A comparison of analytical goals for haemoglobin A1c assays derived using different strategies. Ann Clin Biochem 1991;28:272–278. Medline [DOI] [PubMed] [Google Scholar]
- 14. Weykamp CW, Pendens TJ, Siebelder CWM, Muskiet FAJ, van der Slik W. Interference of carbamylated and acetylated hemoglobins in assays of glycohemoglobin by HPLC, electrophoresis, affinity chromatogrphy, and enzyme immunoassay. Clin Chem 1993;39:138–142. Medline [PubMed] [Google Scholar]
- 15. Garry WJ. Hemoglobin A1c measurement: New precise immunoassay method involving parlicle agglutination. Clin Chem 1996;42:1874–1875. Medline [PubMed] [Google Scholar]
- 16. Holownia P, Bishop E, Newman DJ, Jonh WG, Price CP. Adaptation of latex‐enhanced assay for percent glycohemoglobin to a Dade Dimension analyzer. Clin Chem 1996;43:76–84. [PubMed] [Google Scholar]
