Validation and development of an immunonephelometric assay for the determination of alpha-1 antitrypsin levels in dried blood spots from patients with COPD

OBJECTIVE: To validate and develop an immunonephelometric assay for the determination of alpha-1 antitrypsin (AAT) levels in dried blood spots from COPD patients in Brazil. METHODS: We determined AAT levels in serum samples and dried blood spots from 192 COPD patients. For the preparation of dr...

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Main Authors: Laura Russo Zillmer, Rodrigo Russo, Beatriz Martins Manzano, Ivan Ivanaga, Oliver Augusto Nascimento, Altay Alves Lino de Souza, Gildo Santos Junior, Francisco Rodriguez, Marc Miravitlles, Jose Roberto Jardim
Format: Article
Language:English
Published: Sociedade Brasileira de Pneumologia e Tisiologia 2013-09-01
Series:Jornal Brasileiro de Pneumologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132013000500547&lng=en&tlng=en
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author Laura Russo Zillmer
Rodrigo Russo
Beatriz Martins Manzano
Ivan Ivanaga
Oliver Augusto Nascimento
Altay Alves Lino de Souza
Gildo Santos Junior
Francisco Rodriguez
Marc Miravitlles
Jose Roberto Jardim
author_facet Laura Russo Zillmer
Rodrigo Russo
Beatriz Martins Manzano
Ivan Ivanaga
Oliver Augusto Nascimento
Altay Alves Lino de Souza
Gildo Santos Junior
Francisco Rodriguez
Marc Miravitlles
Jose Roberto Jardim
author_sort Laura Russo Zillmer
collection DOAJ
description OBJECTIVE: To validate and develop an immunonephelometric assay for the determination of alpha-1 antitrypsin (AAT) levels in dried blood spots from COPD patients in Brazil. METHODS: We determined AAT levels in serum samples and dried blood spots from 192 COPD patients. For the preparation of dried blood spots, a disk (diameter, 6 mm) was placed into a tube, eluted with 200 µL of PBS, and stored overnight at 4ºC. All of the samples were analyzed by immunonephelometry in duplicate. We used the bootstrap resampling method in order to determine a cut-off point for AAT levels in dried blood spots. RESULTS: The correlation coefficient between the AAT levels in serum samples and those in dried blood spots was r = 0.45. For dried blood spots, the cut-off value was 2.02 mg/dL (97% CI: 1.45-2.64 mg/dL), with a sensitivity, specificity, positive predictive value, and negative predictive value of 100%, 95.7%, 27.2%, and 100%, respectively. CONCLUSIONS: This method for the determination of AAT levels in dried blood spots appears to be a reliable screening tool for patients with AAT deficiency.
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spelling doaj.art-454679f1ace2431d9a348c23533b1f9d2022-12-21T19:44:09ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-37562013-09-0139554755410.1590/S1806-37132013000500004S1806-37132013000500547Validation and development of an immunonephelometric assay for the determination of alpha-1 antitrypsin levels in dried blood spots from patients with COPDLaura Russo ZillmerRodrigo RussoBeatriz Martins ManzanoIvan IvanagaOliver Augusto NascimentoAltay Alves Lino de SouzaGildo Santos JuniorFrancisco RodriguezMarc MiravitllesJose Roberto JardimOBJECTIVE: To validate and develop an immunonephelometric assay for the determination of alpha-1 antitrypsin (AAT) levels in dried blood spots from COPD patients in Brazil. METHODS: We determined AAT levels in serum samples and dried blood spots from 192 COPD patients. For the preparation of dried blood spots, a disk (diameter, 6 mm) was placed into a tube, eluted with 200 µL of PBS, and stored overnight at 4ºC. All of the samples were analyzed by immunonephelometry in duplicate. We used the bootstrap resampling method in order to determine a cut-off point for AAT levels in dried blood spots. RESULTS: The correlation coefficient between the AAT levels in serum samples and those in dried blood spots was r = 0.45. For dried blood spots, the cut-off value was 2.02 mg/dL (97% CI: 1.45-2.64 mg/dL), with a sensitivity, specificity, positive predictive value, and negative predictive value of 100%, 95.7%, 27.2%, and 100%, respectively. CONCLUSIONS: This method for the determination of AAT levels in dried blood spots appears to be a reliable screening tool for patients with AAT deficiency.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132013000500547&lng=en&tlng=enDeficiencia de alfa 1-antitripsinaNefelometria e turbidimetriaDoenca pulmonar obstrutiva cronica
spellingShingle Laura Russo Zillmer
Rodrigo Russo
Beatriz Martins Manzano
Ivan Ivanaga
Oliver Augusto Nascimento
Altay Alves Lino de Souza
Gildo Santos Junior
Francisco Rodriguez
Marc Miravitlles
Jose Roberto Jardim
Validation and development of an immunonephelometric assay for the determination of alpha-1 antitrypsin levels in dried blood spots from patients with COPD
Jornal Brasileiro de Pneumologia
Deficiencia de alfa 1-antitripsina
Nefelometria e turbidimetria
Doenca pulmonar obstrutiva cronica
title Validation and development of an immunonephelometric assay for the determination of alpha-1 antitrypsin levels in dried blood spots from patients with COPD
title_full Validation and development of an immunonephelometric assay for the determination of alpha-1 antitrypsin levels in dried blood spots from patients with COPD
title_fullStr Validation and development of an immunonephelometric assay for the determination of alpha-1 antitrypsin levels in dried blood spots from patients with COPD
title_full_unstemmed Validation and development of an immunonephelometric assay for the determination of alpha-1 antitrypsin levels in dried blood spots from patients with COPD
title_short Validation and development of an immunonephelometric assay for the determination of alpha-1 antitrypsin levels in dried blood spots from patients with COPD
title_sort validation and development of an immunonephelometric assay for the determination of alpha 1 antitrypsin levels in dried blood spots from patients with copd
topic Deficiencia de alfa 1-antitripsina
Nefelometria e turbidimetria
Doenca pulmonar obstrutiva cronica
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132013000500547&lng=en&tlng=en
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