Lack of specificity of cyclosporine immunoassays: Results of a College of American Pathologists study

Steven J. Soldin, Bernard W. Steele, David L. Witte, Edward Wang, Ronald J. Elin

Research output: Contribution to journalArticle

49 Scopus citations

Abstract

Objective. - To evaluate the cross-reactivity of the 6 most abundant cyclosporine A (CsA) metabolites in commonly used assays for CsA. Design. - Whole blood samples containing either only 62 ng/mL CsA (A) or 62 ng/mL CsA and between 49 and 86 ng/mL of 1 of the 6 most abundant CsA metabolites (B) were lyophilized. One sample of A and 1 of B were mailed to each of the laboratories participating in the College of American Pathologists Proficiency Testing Program quarterly during a 3-year period (1999-2001). Method means and coefficients of variation were calculated for each mailing. Results. - The study showed significant cross-reactivity of metabolites in all the immunoassay systems studied. Overall degree of interference decreased from Abbott TDx polyclonal > Abbott TDx monoclonal > DiaSorin > Syva EMIT. High-performance liquid chromatography methods gave results close to those found using mass spectrometric techniques. Conclusions. - Significant metabolite interference was found to occur with the immunoassay systems studied.

Original languageEnglish (US)
Pages (from-to)19-22
Number of pages4
JournalArchives of Pathology and Laboratory Medicine
Volume127
Issue number1
StatePublished - Jan 1 2003

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Medical Laboratory Technology

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