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Clinical Chemistry 43: 687-688, 1997;
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(Clinical Chemistry. 1997;43:687-688.)
© 1997 American Association for Clinical Chemistry, Inc.


Technical Briefs

Novel Reductant for Determination of Total Plasma Homocysteine

Brian M. Gilfix
David W. Blank
David S. Rosenblatt

1 Div. of Med. Genetics,
2 Div. of Clin. Biochem., Royal Victoria Hosp., 687 Pine Ave. W., Montreal, QC H3A 1A1, Canada;

Homocysteine (Hcy), increasingly being recognized as a risk factor for vascular disease (1), is found primarily in plasma in the form of homocystine and mixed disulfides, both protein-bound and unbound; total Hcy (tHcy) is the sum of all Hcy species obtained after quantitative reduction. Several methods are currently used to measure tHcy in plasma, including GC/MS, ion-exchange chromatography, and HPLC (2). In one of the most popular HPLC techniques, any homocystine and homocysteine-mixed disulfides present are reduced with tri-butyl phosphine (TBP) to Hcy, which is subsequently derivatized with ammonium 7-fluorobenzo-2-oxa-1,3-diazole-4-sulfonate (SBD-F) to produce a fluorescent product (3)(4).

TBP has a highly disagreeable odor and is poorly soluble in water so that it must be dissolved in dimethylformamide for use, both of which properties hinder the routine use of TBP in a clinical laboratory. Here, we call attention to a . . . [Full Text of this Article]


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