RESUMO
Background The importance of the standardisation of immunoassays for autoantibodies has been widely discussed. The appropriate use of certified reference materials (CRM) could contribute to a more accurate diagnosis and follow-up of a series of diseases such as small vessel-associated vasculitis. This is a systemic autoimmune disorder during which two autoantibodies can be present, MPO ANCA IgG and PR3 ANCA IgG. Results from different commercially available immunoassays used for PR3 ANCA IgG measurement can vary significantly. Therefore the potential for improvement using a suitable certified reference material was assessed and led to the development of a CRM. Methods Thirty clinical samples were evaluated using 10 immunoassays. The correlation between results from these assays was assessed in a pairwise manner. Feasibility studies were conducted in order to find a reference material format most suitable for the preparation of a CRM. Results The evaluation of two sets of 30 clinical samples with 10 assays showed that differences between assays can result in different interpretations for individual clinical samples. Most of the samples had the same result classification in all assays. However, six of the samples tested led to inconsistent results. Conclusions The correlation between results from clinical samples was systematically good for combinations of eight of those assays. Therefore, it should be possible to improve the comparability of results using a commutable CRM for calibration. Based on these studies, a final format for the CRM was selected and eventually produced and certified for its PR3 ANCA IgG content.
Assuntos
Anticorpos Anticitoplasma de Neutrófilos/imunologia , Análise Química do Sangue/normas , Certificação/normas , Imunoensaio/normas , Imunoglobulina G/imunologia , Vasculite do Sistema Nervoso Central/imunologia , Anticorpos Anticitoplasma de Neutrófilos/sangue , Humanos , Imunoglobulina G/sangue , Valores de Referência , Vasculite do Sistema Nervoso Central/sangue , Vasculite do Sistema Nervoso Central/diagnósticoRESUMO
Este trabajo es el octavo de una serie dedicada a los procedimientos de referencia para la medición de las concentraciones de actividad catalítica de las enzimas a 37 ºC y a la certificación de las preparaciones de referencia. Otras partes se refieren a: Parte 1. El concepto de los procedimientos de referencia para la medición de las concentraciones de la actividad catalítica de las enzimas; Parte 2. Procedimiento de referencia para la medición de la concentración catalítica de creatina quinasa; Parte 3: Procedimiento de referencia para la medición de la concentración catalítica de lactato deshidrogenasa; Parte 4. Procedimiento de referencia para la medición de la concentración catalítica de alanin aminotransferasa; Parte 5. Procedimiento de referencia para la medición de la concentración catalítica de aspartato aminotransferasa; Parte 6. Procedimiento de referencia para la medición de la concentración catalítica de gamma-glutamiltransferasa; Parte 7. Certificación de cuatro materiales de referencia para la determinación de la actividad enzimática de gamma-glutamiltransferasa, lactato deshidrogenasa, alanin aminotransferasa y creatina quinasa a 37 ºC. El procedimiento que se describe aquí se deduce a partir del método de referencia de la IFCC a 30 ºC descrito previamente. Las diferencias se tabulan y comentan en Clin Chem Lab Med 2006; 44: 1146-55.
RESUMO
Extraction conditions for the determination of tributyltin (TBT) in sediment samples have been developed further. The analytical procedure is based on spiking with isotopically labelled analyte, pressurised liquid extraction (PLE) with a hexane/tropolone mixture, Grignard derivatization and quantification by GC-MS. It was applied to two unknown sediment samples as part of an intercomparison exercise of the Comité Consultatif pour la Quantité de Matière (CCQM). The detection limit was approximately 1.5 ng/g TBT as Sn, while the repeatability and intermediate precision (as the coefficient of variation) were 1.9% and 3.2%, respectively. The expanded uncertainty was 6.2% (coverage factor k = 2), and the accuracy was confirmed by measurement of a certified reference material.