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Clinical Chemistry 21: 387-391, 1975;
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Clinical Chemistry, Vol 21, 387-391, Copyright © 1975 by the American Association for Clinical Chemistry

Comparison of Clinical Assays for Serum Corticosteroids

Nai-Siang Jiang 1, Dwaine Machacek 1, and Orlando P. Wadel 1

1 Department of Laboratory Medicine, Mayo Clinic and Mayo Foundation, Rochester, Minn, 55901.

We compared results obtained by (a) chemical (spectrophotometric) and competitive protein-binding assays for serum corticosteroids, and (b) competitive proteinbinding and radioimmunoassay, with and without CCl4 extraction, for serum cortisol. The two corticosteroid methods gave identical results. Radioimmunoassay with and without a CCl4 extraction step gave identical results for cortisol. Competitive protein-binding assays for cortisol (with and without CCl4 extraction) and radioimmunoassay for cortisol gave similar results. Specimens with above-normal corticosterone or 11-deoxycortisol concentrations are an exception: only methods that included CCl4 extraction gave correct values for cortisol; methods without such an extraction step overestimated cortisol. The normal serum corticosteroid concentration (mean ± SD) was 175 ± 53 µg/liter for morning specimens, and 103 ± 40 µg/liter for specimens collected in the afternoon. For cortisol, the corresponding values were 162 ± 44 and 82 ± 29 µg/liter.


Key Words: inter-method comparison • normal values • radioimmunoassay • competitive binding assay • spectrophotometry • cortisol • 11-deoxycortisol • cross-reactivity of antiserum

Submitted on October 7, 1974
Accepted on December 20, 1974







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Copyright © 1975 by the American Association for Clinical Chemistry.