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Testosterone Measured by 10 Immunoassays and by Isotope-Dilution Gas Chromatography–Mass Spectrometry in Sera from 116 Men, Women, and Children

Taieb, Joëlle, Mathian, Bruno, Millot, Françoise, Patricot, Marie-Claude, Mathieu, Elisabeth, Queyrel, Nicole, Lacroix, Isabelle, Somma-Delpero, Claude, Boudou, Philippe·2003·Clinical Chemistry

Abstract

Background: Commercially available testosterone immunoassays give divergent results, especially at the low concentrations seen in women. We compared immunoassays and a nonimmunochemical method that could quantify low testosterone concentrations. Methods: We measured serum testosterone in 50 men, 55 women, and 11 children with use of eight nonisotopic immunoassays, two isotopic immunoassays, and isotope-dilution gas chromatography–mass spectrometry (ID/GC-MS). Results: Compared with ID/GC-MS, 7 of the 10 immunoassays tested overestimated testosterone concentrations in samples from women; mean immunoassay results were 46% above those obtained by ID/GC-MS. The immunoassays underestimated testosterone concentrations in samples from men, giving mean results 12% below those obtained by ID/GC-MS. In women, at concentrations of 0.6–7.2 nmol/L, 3 of the 10 immunoassays gave positive mean differences >2.0 nmol/L (range, −0.7 to 3.3 nmol/L) compared with ID/GC-MS; in men at concentrations of 8.2–58 nmol/L, 3 of the 10 immunoassays tested gave mean differences >4.0 nmol/L (range, −4.8 to 2.6 nmol/L). Conclusion: None of the immunoassays tested was sufficiently reliable for the investigation of sera from children and women, in whom very low (0.17 nmol/L) and low (<1.7 nmol/L) testosterone concentrations are expected.

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Metadata

Authors
Taieb, J., Mathian, B., Millot, F., Patricot, M.-C., Mathieu, E., Queyrel, N., Lacroix, I., Somma-Delpero, C., & Boudou, P.
Venue
Clinical Chemistry
Published
2003-08-01
Volume
49
Issue
8
Pages
1381-1395
ISSN
  • 0009-9147 (ISSN-L)
  • 1530-8561
OpenAlex
W2119682509
Cited by
640
References
48
FWCI
16.07
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Testosterone Measured by 10 Immunoassays and by Isotope-Dilution Gas Chromatography–Mass Spectrometry in Sera from 116 Men, Women, and Children. https://app.cochat.ai/papers/10.1373/49.8.1381
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Taieb, J., Mathian, B., Millot, F., Patricot, M.-C., Mathieu, E., Queyrel, N., Lacroix, I., Somma-Delpero, C., & Boudou, P. (2003). Testosterone Measured by 10 Immunoassays and by Isotope-Dilution Gas Chromatography–Mass Spectrometry in Sera from 116 Men, Women, and Children. Clinical Chemistry. https://doi.org/10.1373/49.8.1381

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