[Serum levels of IgG, IgA, IgM, transferrin and haptoglobin. III. Results obtained with monoclonal immunoglobulins].

This study is the third part of a multicenter evaluation carried out with ten analysers. Five proteins (IgG, IgA, IgM, transferrin, haptoglobin) were assayed in three sera, each containing one monoclonal Ig (IgG, IgA, or IgM). The expected agreement was not obtained with these particular sera, except in the case of haptoglobin.

[Serum determination of IgG, IgA, IgM, transferrin and haptoglobin. I. Attempt at normalization of results].

This study demonstrates the advantages and limitations of normalizing results for five serum proteins (IgG, IgA, IgM, transferrin and haptoglobin), analysed in liquid phase on ten different systems (open clinical chemistry and dedicated protein analysers). Seven sets of results from normal and pathological sera (without monoclonal proteins) were compared using: - calibrators supplied by each manufacturer; - - serial dilutions of a single stabilized pool of liquid serum. In addition to validating the quality of the stabilised serum, we have been able to identify: - significant variations in results using different analytical systems for the same sample; - a major reduction in these variations, often greater than 50%, through normalization using a common serum pool.

Toward a global approach of biochemistry in hospitals.

This article summarizes three different presentations delivered at the CRESGE congress by three members of GREBIO, a reflection group about biochemistry; created in the Paris hospitals, this group was concerned with these problems at a time of great technological change. Physicians, biochemists and administrators have been working in GREBIO for 7 years, with the methodological assistance of management from the School of Mines; they used new approaches, and careful investigations on the field and proposed analyses sometimes upsetting but always enriching the questionings. Starting from these results, briefly described, GREBIO proposed the creation of an observatory for biochemistry, that could take into account both the complexity and diversity in the laboratories.