In clinical testing of protein markers, structure variants of the measurand are often not taken into account. This heterogeneous character of protein measurands in immunoassays often renders test standardization impossible. Consequently, test results from different methods can lead to underdiagnosis or overdiagnosis and, thus, undertreatment or overtreatment of patients. The systematic structural analysis of protein isoforms has been coined proteoform profiling and is performed through mass spectrometry-based proteomics strategies. Knowledge on proteoforms allows refining existing uni-marker tests and moreover has great potential to contribute to the urgent need for new tests to predict prognosis and severity of diseases.
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http://dx.doi.org/10.1016/j.cll.2018.05.001 | DOI Listing |
Background: CRP is a hepatic acute-phase reactant protein, which is primarily induced by the interleukin-6 action due to an inflammatory/infectious process. Precision is closeness of agreement between indications or measured quantity values obtained by replicate measurements on the same or similar objects under specified conditions. Precision goals should be stated as the maximum allowable imprecision, SD, and/or CV expressed as a percentage (% CV) at each analyte´s concentration to be tested.
View Article and Find Full Text PDFClin Chem
November 2024
Stichting Kwaliteitsbewaking Medische Laboratoria (SKML), Nijmegen, the Netherlands.
Crit Rev Clin Lab Sci
January 2025
Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Canada.
Clin Chim Acta
August 2024
Department of Laboratory Medicine, Yale School of Medicine, New Haven, CT, United States; Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, CT, United States. Electronic address:
Background: Observable quantitative variations exist between plasma and serum in routine protein measurements, often not reflected in standard reference intervals. In this study, we describe an indirect approach for estimating a combined reference interval (RI) (i.e.
View Article and Find Full Text PDFLab Med
November 2024
Drs. Tribedi & Roy Diagnostic Laboratory, Kolkata, India.
Background: Interferences on chemistry and immunoassay results due to paraproteinemia may lead to erroneous diagnoses and treatment. Such interferences are difficult to recognize and even more difficult to deal with. This report describes 1 such case where multiple measurands were affected and how the interferant was overcome.
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