Abstract
Various methods of determining cyclosporin (CyA) levels in patients after kidney transplantation were compared. These included polyclonal antibody (pcAb-), specific and nonspecific monoclonal antibody (S- and NmcAb-) radioimmunoassays (RIA), and high performance liquid chromatography (HPLC). The results obtained by the various methods when compared showed some correlation but did not correspond. A probable explanation for part of this noncorrespondence is the presence of monoclonally crossreactive metabolites (CyA-M). Another reason was that the concentration of CyA in the standards supplied with the RIA kits was found to be higher than stated.
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References
Abbott LE, Pippenger CE (1985) Cyclosporine: its clinical utility, methods of analysis and TDM. Diagn Med 8: 36–42
Allan JC (1982) Learning about statistics. Macmillan, Johannesburg, pp 122–139
Charles BG, Norris RLG, Ravenscroft PJ (1988) A modified assay for cyclosporin in blood using solid-phase extraction with high performance liquid chromatography. Ther Drug Monit 10: 97–100
Cheung FE, Wong PY, Levy GA (1988) Detection of HPLC-resolved biliary cyclosporine-A metabolites by three different antibodies. 4th Asian-Pacific Congress of Clinical Biochemistry Abstracts Book, Hong Kong, Aug 1988, p 248
Cohen DJ (1985) Cyclosporine: clinical applications and monitoring methods. Lab Manag 1: 29–34
Frey BM, Appenzeller M, Gautschi K, Keller B, Vadas L, Wenk M, Frey FJ (1987) Measurements of cyclosporine A by RIA in different centres are not comparable. Transplant Proc 19: 1713–1714
Frey FJ, Harber FF, Frey BM (1988) Trough levels and concentration time curves of cyclosporine in patients undergoing renal transplantation. Clin Pharmacol Ther 43: 55–62
Frey BM, Speck RF, Frey FJ (1989) Cyclosporine kinetics in renal transplant patients as assessed by HPLC and RIA using monoclonal and polyclonal antibodies (abstract). Kidney Int 35: 514
Gibbons S, Grevel J, Reynolds K, Ried M, Rutzky LP, Kahan BD (1988) Comparison and correlation of assays for monitoring cyclosporine drug levels in renal transplant patients. Transplant Proc 20: 339–344
Holt DW, Johnston A, Marsden JT, Vernillet L, Keown PA, Rosano TG, Shaw LW, Rosenthales J (1988) Monoclonal antibodies for RIA of cyclosporine: a multicenter comparison of their performance with the Sandoz polyclonal RIA kit. Clin Chem 34: 1091–1096
Marsden JT, Johnston A, Holt DW (1988) Monoclonal antibodies for the radioimmunoassay of cyclosporin. Transplant Proc 20: 319–322
Oosthuizen MMJ, Lambrechts H, Randleff-Rasmussen GM, Myburgh JA (1989) Overestimation of cyclosporin A levels, using the polyclonal and monoclonal RIA, increased due to the accumulation of cross-reactive metabolites. Transplant Proc 21: 895–897
Ptachkinski RJ, Venkataramanan R, Burckart GJ (1986) Clinical pharmacokinetics of cyclosporin. Clin Pharmacokinet 11: 107–132
Sandimmun-RIA-Kit brochure (1987) Sandoz, Basle, Switzerland
Sandoz Ciclosporin-RIA-Kit brochure, 4th edn (1985) Sandoz, Basle, Switzerland
Shibata N, Minouchi T, Hayashi Y, Ono T, Shimakawa H (1987) Quantitative determination of cyclosporin A in whole blood and plasma by HPLC. Res Commun Chem Pathol Pharmacol 57: 261–271
Waters Associates QA-1 Application Brief 2013 (1985) Millipore Corp, Milford MA, USA
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Randleff-Rasmussen, G.M., Oosthuizen, M.M.J. & Myburgh, J.A. An explanation of the noncorrespondence between assessment methods of cyclosporin. Transplant Int 2, 181–186 (1989). https://doi.org/10.1007/BF02414531
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DOI: https://doi.org/10.1007/BF02414531