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Clinical Chemistry 21: 119-124, 1975;
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Clinical Chemistry, Vol 21, 119-124, Copyright © 1975 by the American Association for Clinical Chemistry

Nature of Materials in Serum That Interfere in the Glucose Oxidase—Peroxidase—o-Dianisidine Method for Glucose, and Their Mode of Action

Walter J. Blaedel 1 and James M. Uhl 1

1 Department of Chemistry, University of Wisconsin, Madison, Wis. 53706.

Separation of blood serum on Sephadex G-100 reveals three fractions that interfere with the glucose oxidase— peroxidase method for serum glucose when o-dianisidine is used as the chromogen. A low-molecular-weight fraction containing primarily uric acid, a fraction containing protein with a molecular weight of about 40 000, and a fraction of even higher molecular weight (sim 500 000) each interfered with glucose recovery when glucose was measured by this procedure. The uric acid fraction and the isolated 40 000 molecular weight fraction interfere by competing with o-dianisidine for hydrogen peroxide in the peroxidase-catalyzed color-formation step. The high-molecular-weight fraction not only interferes with the peroxidase reaction, but also with the glucose oxidase reaction itself. These agents cause values to be low by as much as 20% in the manual determination of glucose in normal serum if their interference is not recognized.


Key Words: interference by uric acid and high-molecular-weight materials • interfering material in urine

Submitted on July 25, 1974
Accepted on October 21, 1974







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Copyright © 1975 by the American Association for Clinical Chemistry.