Fully automated assay of glycohemoglobin with the Abbott IMx analyzer: novel approaches for separation and detection

Clin Chem. 1993 Oct;39(10):2090-7.

Abstract

We describe a novel assay for measuring glycohemoglobin directly from anticoagulated whole blood with the Abbott IMx analyzer. The glycohemoglobin is labeled with a soluble polyanionic affinity reagent and the anionic complex is then captured with a cationic solid-phase matrix. Glycohemoglobin is quantified by measuring the quenching by heme of the static fluorescence from an added fluorophore. The assay is standardized to report both percent total glycohemoglobin (%GHb) and percent hemoglobin A1c (%HbA1c). Glucose, bilirubin, triglycerides, labile fraction, and hemoglobin variants do not interfere in the assay. Within- and between-run CVs are approximately 4-5%, with total CVs of approximately 6.5%. Highly significant linear correlations (r > 0.97) were obtained in comparison studies with two major assay methodologies. The time to obtain one result is approximately 10 min (including assay of a control), 56 min for 22 results. We describe the development, standardization, and validation of this new method.

Publication types

  • Comparative Study

MeSH terms

  • Autoanalysis / methods*
  • Autoanalysis / standards
  • Autoanalysis / statistics & numerical data
  • Bilirubin / blood
  • Blood Glucose / metabolism
  • Fetal Hemoglobin / analysis
  • Fluorescence Polarization
  • Glycated Hemoglobin / analysis*
  • Hemoglobin C / analysis
  • Hemoglobin, Sickle / analysis
  • Humans
  • Immunoassay / methods*
  • Immunoassay / standards
  • Immunoassay / statistics & numerical data
  • Immunoenzyme Techniques
  • Quality Control
  • Reference Values
  • Sensitivity and Specificity
  • Triglycerides / blood

Substances

  • Blood Glucose
  • Glycated Hemoglobin A
  • Hemoglobin, Sickle
  • Triglycerides
  • Hemoglobin C
  • Fetal Hemoglobin
  • Bilirubin