Drug and lipid analysis systems Flashcards
Homogeneous competitive binding immunoassays
Alcohol dehydrogenase-based
Colourimetric
Automated assays performed in the core lab with a quick TAT
Most common automated assay
Homogeneous competitive protein binding immunoassays
FPIA uses
plane polarized light
[drug] is inversely realted to the amt of polarization
PETIA uses
antibody bound drug-linked particles that form insoluble aggregates that cause light to scatter
[drug] is inversely realted to the amt of particle aggregation
EMIT uses
drug-linked enzyme becomes bound to antibody and inactivated
residual enzyme is proportional to the concentration of the drug in the patient sample
NAD and alcohol dehydrogenase enzyme are added as reagents
NADH absorbance at 340 nm is measured and related to ethanol concentration in the specimen
Alcohol dehydrogenase-based automated test for alcohol
False positives for Alcohol dehydrogenase-based automated test for alcohol result from
NADH being released in liver failure
Cholesterol and triglyceride test reagents are used to quantitate concentrations by use of a timed enzymatic end-point method w/ color measurement at 520 or 560 nm
Automated lipid measurement methods
HDL automated lipid measurement
detergent solubilizes only HDL, releases it for subsequent enzyme reactions, and blocks other lipoproteins from interfering
LDL automated lipid measurement
not available, use Friedewald equation
Stationary phase of GC
rubbery silicone polymer
mobile phase of GC
carrier gas
Separation of components is based on
Ability to vaporize
Polar functional groups
Resolution of GC is
better than HPLC
Disadvantages to FC
low throughput
labor intensive