Proteoform Analysis to Fulfill Unmet Clinical Needs and Reach Global Standardization of Protein Measurands in Clinical Chemistry Proteomics.

Clin Lab Med

Department of Clinical Chemistry and Laboratory Medicine, Leiden University Medical Center (LUMC), PO Box 9600, Leiden 2300 RC, The Netherlands.

Published: September 2018

AI Article Synopsis

Article Abstract

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.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.cll.2018.05.001DOI Listing

Publication Analysis

Top Keywords

protein measurands
8
proteoform analysis
4
analysis fulfill
4
fulfill unmet
4
unmet clinical
4
clinical reach
4
reach global
4
global standardization
4
protein
4
standardization protein
4

Similar Publications

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 PDF
Article Synopsis
  • The study examines the effectiveness of reference intervals (RIs) in clinical decision-making while accounting for analytical biases in Dutch laboratories for three different measurements: creatinine, hemoglobin, and ferritin.
  • Data was collected from quality assessments and reported RIs, which were compared to harmonized RIs to evaluate their consistency with analytical bias.
  • Results indicated a lack of consistency in routinely used RIs and their analytical bias, highlighting that adopting harmonized RIs could improve inter-laboratory decision-making and reduce misinterpretations in patient diagnoses.
View Article and Find Full Text PDF
Article Synopsis
  • - Copeptin is a peptide that responds quickly to stress and is produced alongside arginine vasopressin (AVP), but it has a longer half-life and is more stable than AVP, making it a valuable alternative for measuring the body's stress response.
  • - Unlike AVP, copeptin levels are less affected by food intake but can drop with small amounts of oral fluid, which helps provide accurate diagnostic information in various medical conditions, especially those related to body fluid regulation.
  • - Copeptin has proven diagnostic utility for conditions like polyuria-polydipsia syndrome, showing high sensitivity and specificity in differentiating causes of AVP resistance and providing more accurate diagnoses compared to traditional methods.
View Article and Find Full Text PDF

Accounting for differences between serum and plasma: An indirect approach to derive reference intervals for total protein, albumin, and globulin.

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 PDF

A simple method to overcome paraproteinemic interferences in chemistry and immunoassays.

Lab 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.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!