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Comprehensive assessment of biotin interference in immunoassays
Jieli Li1, Elizabeth A Wagar1, Qing H Meng1
1Department of Laboratory Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Summary
Biotin, a common supplement, can interfere with immunoassay tests, causing inaccurate clinical results. Be cautious when interpreting abnormal lab values in patients taking biotin supplements.
Area of Science:
- Clinical Chemistry
- Biochemistry
- Laboratory Medicine
Background:
- Biotinylated antibodies are common in immunoassays.
- Biotin is a popular dietary supplement.
- Biotin interference poses a growing challenge for clinical labs.
Purpose of the Study:
- To investigate the impact of biotin on immunoassay results.
- To identify specific analytes affected by biotin interference.
Main Methods:
- Prepared varying biotin concentrations in pooled patient serum.
- Analyzed analytes using sandwich and competitive immunoassays on the Roche Cobas 8000 e602 platform.
Main Results:
- Sandwich immunoassays showed falsely decreased results for some analytes.
- Competitive immunoassays showed falsely increased results for some analytes.
- Significant biotin interference observed in high-sensitivity troponin T, thyroid-stimulating hormone, follicle-stimulating hormone, triiodothyronine, and vitamin D assays.
Conclusions:
- Biotin significantly interferes with various immunoassays.
- Aberrant test results can occur in patients ingesting biotin.
- Clinicians must exercise caution when interpreting abnormal immunoassay results in biotin-supplemented patients.
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