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Latex agglutination test for ferritin measurement
Nobuo Kotajima1, Miki Ishizaka, Setsuko Oshitani
1Department of Clinical Laboratory Medicine and Clinical Laboratory Center, Gunma University School of Medicine, Gunma, Japan. kotajima@showa.gunma-u.ac.jp
Journal of Clinical Laboratory Analysis
|November 14, 2003
Summary
This study validates a latex agglutination (LA) test for measuring ferritin, a key indicator for iron deficiency anemia and siderosis. The new LA assay offers accurate, rapid, and convenient ferritin measurement on general chemistry analyzers.
Area of Science:
- Clinical Chemistry
- Hematology
- Immunodiagnostics
Background:
- Ferritin is a critical biomarker for diagnosing iron deficiency anemia and siderosis.
- Accurate and efficient ferritin measurement is essential for clinical practice.
- Existing methods may require specialized equipment or longer turnaround times.
Purpose of the Study:
- To evaluate the clinical utility of a novel reagent for ferritin measurement using a latex agglutination (LA) test.
- To assess the performance of the LA test on general chemistry analyzers.
- To determine the reliability and accuracy of the LA assay for ferritin quantification.
Main Methods:
- Evaluation of intra-assay and inter-assay coefficients of variation (CV).
- Assessment of linearity, effective sensitivity, prozone effect, and interference.
- Correlation analysis with the enzyme immunoassay (EIA) method and C-reactive protein.
- Comparison with liver-related biochemical parameters (AST, ALT) in patients with liver dysfunction.
Main Results:
- Excellent precision with intra-assay CV (0.8-3.4%) and inter-assay CV (0.0-0.7%).
- Demonstrated linearity up to 1100 ng/mL with an effective sensitivity of 4.0 ng/mL.
- Significant positive correlation with C-reactive protein (r=0.586, P<0.001) and parallel variation with liver parameters (AST, ALT).
Conclusions:
- The latex agglutination (LA) assay system provides accurate ferritin measurement across a wide range.
- This assay is suitable for diagnosing conditions including cancer, siderosis, and iron deficiency anemia.
- The LA test offers rapid, convenient, and simultaneous measurement of iron deficiency anemia markers on general chemistry analyzers.