Interference in a radioimmunoassay for human thyrotropin
Abstract
Abnormally high plasma thyrotropin values were found by radioimmunoassay in some patients when an antiserum to porcine thyrotropin was used, normal results being obtained with an antiserum raised to human thyrotropin. These discrepancies were found in some subjects with no biochemical or clinical evidence of hypothyroidism and occasionally in sera from patients with unequivocal hyperthyroidism. We found a substance in serum that cross reacts with the anti-porcine antiserum, is stable on repeated freezing and thawing, and is independent of the 125I-labeled tracer preparation. It is unlikely that this substance is a separation-stage artefact related to immunoglobulins. Its apparent molecular weight (gel filtration) is 114 000, as compared with apparent molecular weights for standard thyrotropin and endogenous thyrotropin (as found in idiopathic hypothyroidism) of 34 700 and 38 000, respectively. We believe the substance is a normal serum constituent that is present in large quantities in a minority of subjects. Apparently unrelated to TSH, its exact chemical nature remains unidentified.
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Such interference has been recognised in immunoassays for cholecystokinin, parathyroid hormone, thyrotropic hormone, glucagon, secretin, angiotensin, growth hormone, vasoactive intestinal peptide, gonadotrophins and gonadotrophin-releasing hormone, all of which were resolved by sample extraction.
“Such interference has also been recognised in immunoassays for cholecystokinin 80, parathyroid hormone 81, thyrotropic hormone 82, glucagon 83, secretin 84, 85, angiotensin 86, growth hormone 87, vasoactive intestinal peptide 88, gonadotrophins 89 and gonadotrophin‐releasing hormone 90, all of which were resolved by sample extraction.”
From Measuring Oxytocin and Vasopressin: Bioassays, Immunoassays and Random Numbers (2016) · cites this paper as [82]
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“Such interference has also been recognised in immunoassays for chole-cystokinin (80), parathyroid hormone (81), thyrotropic hormone (82), glucagon (83), secretin (84,85), angiotensin (86), growth hormone (87), vasoactive intestinal peptide (88), gonadotrophins (89) and gonadotrophin-releasing…”
BackgroundGendrel, D., Feinstein, M.-C., Grenier, J., Roger, M., Ingrand, J., Chaussain, J., Canlorbe, P., & Job, J. C. (1981) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-52-1-62 · Cited by 46 · see citing works
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Hunter, W. M., Bennie, J., Kellett, H. A., Micklem, L. R., Scott, A., & James, K. (1984) · Annals of Clinical Biochemistry International Journal of Laboratory Medicine · doi:10.1177/000456328402100408 · Cited by 13 · see citing works
Evaluation of thyroid function in patients with thyroid hormone autoantibodies
Sakata, S., Komaki, T., Ogawa, T., Takuno, H., Matsui, I., Sarui, H., KOJIMA, N., Takamatsu, J., & Miura, K. (1993) · Clinica Chimica Acta · doi:10.1016/0009-8981(93)90194-9 · Cited by 7 · see citing works
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- Authors
- Spencer, C. A., & Challand, G. S.
- ORCID
- Spencer, C A
- Venue
- Clinical Chemistry
- Publisher
- Oxford University Press (OUP)
- Published
- 1977-03-01
- Volume
- 23
- Issue
- 3
- Pages
- 584-588
- ISSN
- 0009-9147 (ISSN-L)
- 1530-8561
- OpenAlex
- W1953998315
- Cited by
- 13
- References
- 0
- Citations by year
- 2016: 1
- FWCI
- 0.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Clinical Chemistry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Health Sciences › Medicine › Physiology › Clinical Laboratory Practices and Quality Control
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Keywords
- thyroid-stimulating hormone, hyperthyroidism, hypothyroidism, molecular weight, immunoglobulins
- MeSH terms
- Animals, Antibody Specificity, Humans, Hypothyroidism, Molecular Weight, Radioimmunoassay, Swine, Thyrotropin
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