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Comparison of serum testosterone and estradiol measurements in 3174 European men using platform immunoassay and mass spectrometry; relevance for the diagnostics in aging men
Open accessAbstract
Background: The limitations of serum testosterone and estradiol (E 2) measurements using non-extraction platform immunoassays (IAs) are widely recognized. Switching to more specific mass spectrometry (MS)-based methods has been advocated, but directly comparative data on the two methods are scarce. Methods: We compared serum testosterone and E 2 measurements in a large sample of middle-aged/elderly men using a common platform IA and a gas chromatography (GC)–MS method, in order to assess their limitations and advantages, and to diagnose male hypogonadism. Of subjects from the European Male Aging Study (n=3174; age 40–79 years), peripheral serum testosterone and E 2 were analyzed using established commercial platform IAs (Roche Diagnostics E170) and in-house GC–MS methods. Results: Over a broad concentration range, serum testosterone concentration measured by IA and MS showed high correlation (R=0.93, P<0.001), which was less robust in the hypogonadal range (<11 nmol/l; R=0.72, P<0.001). The IA/MS correlation was weaker in E 2 measurements (R=0.32, P<0.001, at E 2 <40.8 pmol/l, and R=0.74, P<0.001, at E 2 >40.8 pmol/l). Using MS as the comparator method, IA ascertained low testosterone compatible with hypogonadism (<11 nmol/l), with 75% sensitivity and 96.3% specificity. The same parameters with IA for the detection of low E 2 (<40.7 pmol/l) were 13.3 and 99.3%, and for high E 2 (>120 pmol/l) 88.4 and 88.6%. Conclusion: A validated platform IA is sufficient to detect subnormal testosterone concentrations in the diagnosis of male hypogonadism. The IA used for E 2 measurements showed poor correlation with MS and may only be suitable for the detection of high E 2 in men.
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Metadata
- Authors
- Huhtaniemi, I. T., Tajar, A., Lee, D. M., O'Neill, T. W., Finn, J. D., Bartfai, G., Boonen, S., Casanueva, F. F., Giwercman, A., Han, T. S., Kula, K., Labrie, F., Lean, M. E. J., Pendleton, N., Punab, M., Silman, A. J., Vanderschueren, D., Forti, G., Wu, F. C. W., & _, _.
- Venue
- European Journal of Endocrinology
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-06
- Volume
- 166
- Issue
- 6
- Pages
- 983-991
- ISSN
- 0804-4643 (ISSN-L)
- 1479-683X
- OpenAlex
- W2167929578
- Cited by
- 201
- References
- 13
- FWCI
- 13.58
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Huhtaniemi, I. T., Tajar, A., Lee, D. M., O'Neill, T. W., Finn, J. D., Bartfai, G., Boonen, S., Casanueva, F. F., Giwercman, A., Han, T. S., Kula, K., Labrie, F., Lean, M. E. J., Pendleton, N., Punab, M., Silman, A. J., Vanderschueren, D., Forti, G., Wu, F. C. W., & _, _. (2012). Comparison of serum testosterone and estradiol measurements in 3174 European men using platform immunoassay and mass spectrometry; relevance for the diagnostics in aging men. European Journal of Endocrinology. https://doi.org/10.1530/eje-11-1051
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