NIH, National Cancer Institute, Division of Cancer Treatment and Diagnosis (DCTD) NIH - National Institutes of Health National Cancer Institute DCTD - Division of Cancer Treatment and Diagnosis

Modification of the EMIT immunoassay for the measurement of unbound mycophenolic acid in plasma.

Author(s): Rebollo N, Calvo MV, Martín-Suárez A, Domínguez-Gil A

Publication: Clin Biochem, 2011, Vol. 44, Page 260-3

PubMed ID: 20923675 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to validate a modified immunoassay for the analysis of free mycophenolic acid (fMPA) in ultrafiltrated plasma and determine the effects of ultrafiltration conditions.

Conclusion of Paper

The fMPA concentrations corresponded to the expected values when specimens were diluted with MPA-free calibrator 1, but when they were diluted with MPA-free ultrafiltered plasma, fMPA concentrations were higher than expected. Concentrations of fMPA in ultrafilered plasma were not affected by specimen volume, or centrifugation speed or duration, but significantly lower concentrations of fMPA were found when plasma ultrafiltration occurred at 23-26 degrees C instead of 37 degrees C.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of specimen dilution, ultrafiltration temperature, volume, and centrifugation speed (1000 x g versus 2000 x g) and duration (10, 20 30, 40, or 60 min) on levels of fMPA in ultrafiltered plasma.

    Summary of Findings:

    The fMPA concentrations corresponded to the expected values when specimens were diluted with MPA-free calibrator 1, but when they were diluted with MPA-free ultrafiltered plasma, fMPA concentrations were higher than expected. The authors report that the effect of dilution can be easily corrected mathematically. Concentrations of fMPA in ultrafilered plasma were not affected by specimen volume, or centrifugation speed or duration, but significantly lower concentrations of fMPA were found when plasma ultrafiltration occurred at 23-26 degrees C instead of 37 degrees C (p<0.05).

    Biospecimens
    Preservative Types
    • None (Fresh)
    Diagnoses:
    • Not specified
    • Other diagnoses
    Platform:
    AnalyteTechnology Platform
    Small molecule Immunoassay
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Preaquisition Diagnosis/ patient condition Post-transplant renal allograft
    Biospecimen Aliquots and Components Aliquot size/volume 0.5 mL
    1 mL
    Biospecimen Aliquots and Components Biospecimen components Diluted with MPA-free calibrator 1
    Diluted with MPA-free plasma
    Biospecimen Aliquots and Components Filtration Ultrafiltration at 37 degrees C
    Ultrafiltration at 23-26 degrees C
    Biospecimen Aliquots and Components Centrifugation Multiple durations compared
    Multiple speeds compared

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