在西班牙人口的尿液中甲基马龙酸的生物变异
Maria Santes Berto1, Sara Sanchez Asis1, Juan Robles Bauza1
1Department of Laboratory Medicine, Hospital Universitari Son Espases, Palma, Spain.
概括
尿中的甲基马龙酸 (MMA) 显示出高度的个性,使得参考变化值 (RCV) 在临床实践中对解释连续维生素B12缺乏生物标志物结果至关重要.
科学领域:
- 临床化学 临床化学
- 生物标记分析 生物标记分析
- 营养科学 营养科学
背景情况:
- 甲基马龙酸 (MMA) 是功能维生素B12缺乏的一个关键生物标志物.
- 准确解释MMA结果需要了解其生物变异 (BV).
- 没有确立的BV数据存在于通过质谱分析的尿液MMA.
研究的目的:
- 在健康个体中估计尿液MMA的人体内和人际变化系数 (CVw,CVg).
- 为了确定尿液MMA的个性指数 (II).
- 根据BV.V.定义尿液MMA的质量规格和参考变化值 (RCV).
主要方法:
- 在四周内,从34名健康志愿者每周收集尿液样本.
- 使用高性能液体染色学-并联质谱法 (HPLC-MS/MS) 量化MMA.
- 通过CV-ANOVA将MMA与尿液肌素进行正常化,并分析使用CV-ANOVA的变化.
主要成果:
- 估计的CVw为35.7%和CVg为67.7%.
- 计算出个性指数 (II) 的0.5.5.
- 确定了88.1%的参考变化值 (RCV).
结论:
- 尿MMA的高个性 (II=0.5) 表明RCV在评估连续患者结果方面优越.
- 这些发现增强了MMA作为维生素B12缺乏生物标志物的临床解释.
- 这些数据为尿液MMA测量设置分析性能规范提供了基础.
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