Troponin I (cTnI) fragments immunoreactivity and the development of high-sensitivity diagnostic assays for the associated diagnosis of acute myocardial infarction

ABSTRACT Among the cardiovascular diseases (CVD), acute myocardial infarction (AMI) is currently considered the most common cause of death and disability worldwide. Several laboratory tests have been developed for the detection of cardiac injury, including troponins that are considered the gold stan...

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Main Authors: Raíssa M. Teixeira, Ricardo David Couto
Format: Article
Language:English
Published: Sociedade Brasileira de Patologia Clínica 2017-10-01
Series:Jornal Brasileiro de Patologia e Medicina Laboratorial
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442017000500305&tlng=en
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author Raíssa M. Teixeira
Ricardo David Couto
author_facet Raíssa M. Teixeira
Ricardo David Couto
author_sort Raíssa M. Teixeira
collection DOAJ
description ABSTRACT Among the cardiovascular diseases (CVD), acute myocardial infarction (AMI) is currently considered the most common cause of death and disability worldwide. Several laboratory tests have been developed for the detection of cardiac injury, including troponins that are considered the gold standard marker (surrogate biomarker) of myocardial injury. The high specificity of troponin for cardiomyocyte necrosis is related to a single unique peptide sequence present in troponin at the cardiac muscle. As a result, studies are currently focused on the development of troponin (hs-cTnI) determination tests with high diagnostic sensitivity value. These diagnostic tests aim to detect increasingly lower serum concentrations of cTnI biomarkers, from the detection of peptide fragments that are released after structural biochemical changes. This article discusses the differences between troponin fragments immunoreactivity to the development of cTnI determination tests, such as the high-sensitivity tests, which arise with the proposal of guaranteeing greater efficiency in the AMI associated diagnosis.
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spelling doaj.art-3ee6c68899f2489da50f52c27a95520e2022-12-21T17:22:46ZengSociedade Brasileira de Patologia ClínicaJornal Brasileiro de Patologia e Medicina Laboratorial1678-47742017-10-0153530530810.5935/1676-2444.20170048Troponin I (cTnI) fragments immunoreactivity and the development of high-sensitivity diagnostic assays for the associated diagnosis of acute myocardial infarctionRaíssa M. TeixeiraRicardo David CoutoABSTRACT Among the cardiovascular diseases (CVD), acute myocardial infarction (AMI) is currently considered the most common cause of death and disability worldwide. Several laboratory tests have been developed for the detection of cardiac injury, including troponins that are considered the gold standard marker (surrogate biomarker) of myocardial injury. The high specificity of troponin for cardiomyocyte necrosis is related to a single unique peptide sequence present in troponin at the cardiac muscle. As a result, studies are currently focused on the development of troponin (hs-cTnI) determination tests with high diagnostic sensitivity value. These diagnostic tests aim to detect increasingly lower serum concentrations of cTnI biomarkers, from the detection of peptide fragments that are released after structural biochemical changes. This article discusses the differences between troponin fragments immunoreactivity to the development of cTnI determination tests, such as the high-sensitivity tests, which arise with the proposal of guaranteeing greater efficiency in the AMI associated diagnosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442017000500305&tlng=enacute coronary syndrometroponin Iimmunodominant epitopes
spellingShingle Raíssa M. Teixeira
Ricardo David Couto
Troponin I (cTnI) fragments immunoreactivity and the development of high-sensitivity diagnostic assays for the associated diagnosis of acute myocardial infarction
Jornal Brasileiro de Patologia e Medicina Laboratorial
acute coronary syndrome
troponin I
immunodominant epitopes
title Troponin I (cTnI) fragments immunoreactivity and the development of high-sensitivity diagnostic assays for the associated diagnosis of acute myocardial infarction
title_full Troponin I (cTnI) fragments immunoreactivity and the development of high-sensitivity diagnostic assays for the associated diagnosis of acute myocardial infarction
title_fullStr Troponin I (cTnI) fragments immunoreactivity and the development of high-sensitivity diagnostic assays for the associated diagnosis of acute myocardial infarction
title_full_unstemmed Troponin I (cTnI) fragments immunoreactivity and the development of high-sensitivity diagnostic assays for the associated diagnosis of acute myocardial infarction
title_short Troponin I (cTnI) fragments immunoreactivity and the development of high-sensitivity diagnostic assays for the associated diagnosis of acute myocardial infarction
title_sort troponin i ctni fragments immunoreactivity and the development of high sensitivity diagnostic assays for the associated diagnosis of acute myocardial infarction
topic acute coronary syndrome
troponin I
immunodominant epitopes
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442017000500305&tlng=en
work_keys_str_mv AT raissamteixeira troponinictnifragmentsimmunoreactivityandthedevelopmentofhighsensitivitydiagnosticassaysfortheassociateddiagnosisofacutemyocardialinfarction
AT ricardodavidcouto troponinictnifragmentsimmunoreactivityandthedevelopmentofhighsensitivitydiagnosticassaysfortheassociateddiagnosisofacutemyocardialinfarction