Microchemical analytical techniques of potential clinical interest

Microchemical techniques with the capability of single-cell analysis will become increasingly important in clinical laboratory practice. One of the current moves underway in this direction is determination of enzyme activities of cells by microscale spectrophotometry and spectrophotofluorometry for prenatal diagnosis of inherited enzyme deficiencies. Three less-common microanalytical techniques are considered here that are of potential interest in laboratory medicine. The first is dilatometry, which provides a means for enzyme or substrate assay involving measurement of the change in volume or density accompanying chemical reaction in solution. In this connection, the measurement of specific gravity itself to obtain certain chemical information is also of interest. The second of these techniques is the use of spectrophotometry to measure oxygen uptake for functional assays of cells. The third is the use of luminometry in a general system of analysis for determination of many important biochemical substances and activities. Each of these techniques can be used for microscale analysis without sacrifice of precision or accuracy; each is relatively simple, instrumentally ant technically, and could be automated.