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Letters |
Department of Thyroid, Metabolic,, and Cardiovascular Diagnostics R/D, Abbott Laboratories, Abbott Park, IL 60064
a Author for correspondence. Fax 847-938-7920; e-mail David.Wilson@add.ssw.com.
To the Editor:
A recent report by Apple et al. (1) presented the
performance characteristics of the AxSYM Troponin I (cTnI) assay, which
included method comparison data with the Dade-Behring Stratus,
Behring Opus, and Beckman Access cTnI assays. In commenting on the
absolute differences in measured cTnI between methods (2- to 100-fold),
the authors spoke of the need for unified rationale for antibody
selection in assays for cTnI. Indeed, this has been a topic of
substantial discussion in the recent literature in view of the large
differences observed between cTnI methods [e.g., see Ref.
(2)]. Most recently, Shi et al. (3) added to
earlier results of Katrukha et al. (4) on cTnI degradation.
In both reports, degradation of cTnI and differential
epitope specificities between commercial methods were cited as
significant contributors to between-method variation. Both studies also
indicated that the C-terminal portion of the molecule is labile to
proteolytic degradation, whereas the N-terminal half of the
References
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