Skip to main content
Log in

An explanation of the noncorrespondence between assessment methods of cyclosporin

  • Original Articles
  • Published:
Transplant International

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Abbott LE, Pippenger CE (1985) Cyclosporine: its clinical utility, methods of analysis and TDM. Diagn Med 8: 36–42

    Google Scholar 

  2. Allan JC (1982) Learning about statistics. Macmillan, Johannesburg, pp 122–139

    Google Scholar 

  3. 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

    CAS  PubMed  Google Scholar 

  4. 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

  5. Cohen DJ (1985) Cyclosporine: clinical applications and monitoring methods. Lab Manag 1: 29–34

    CAS  Google Scholar 

  6. 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

    CAS  PubMed  Google Scholar 

  7. 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

    Article  CAS  PubMed  Google Scholar 

  8. 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

    Google Scholar 

  9. 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

    CAS  PubMed  Google Scholar 

  10. 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

    CAS  PubMed  Google Scholar 

  11. Marsden JT, Johnston A, Holt DW (1988) Monoclonal antibodies for the radioimmunoassay of cyclosporin. Transplant Proc 20: 319–322

    CAS  PubMed  Google Scholar 

  12. 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

    CAS  PubMed  Google Scholar 

  13. Ptachkinski RJ, Venkataramanan R, Burckart GJ (1986) Clinical pharmacokinetics of cyclosporin. Clin Pharmacokinet 11: 107–132

    Article  Google Scholar 

  14. Sandimmun-RIA-Kit brochure (1987) Sandoz, Basle, Switzerland

  15. Sandoz Ciclosporin-RIA-Kit brochure, 4th edn (1985) Sandoz, Basle, Switzerland

  16. 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

    CAS  PubMed  Google Scholar 

  17. Waters Associates QA-1 Application Brief 2013 (1985) Millipore Corp, Milford MA, USA

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

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

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02414531

Key words

Navigation