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Letters |
a Author for correspondence. Fax 714-961-3759; e-mail crblessum{at}beckman.com
Beckman Coulter, Inc., 200 S. Kraemer Blvd., P.O. Box 8000, Brea, CA 92822-8000
To the Editor:
We read with great interest the report "Interference of
Radio-opaque Agents in Clinical Capillary Zone Electrophoresis"
(1). A laboratory sent two similar patient samples for
our evaluation. Both patients had received intravenous sodium
meglumine ioxitalamate (Telebrix), a radio-opaque contrast material
that absorbs at 214 nm. The interfering substance was not visible on
agarose gels (Paragon® SPE), whereas the
capillary zone electrophoresis (CZE) results (Paragon
CZE® 2000) showed a peak in the alpha-2 zone,
which may be mistaken for a monoclonal protein (see Fig. 1
A). The anomalous peak was not removed by reaction with antisera
to any of the immunoglobulins.
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The samples were then desalted (D-Salt Dextran plastic desalting
columns, 5-kDa cutoff; Pierce). Several similar products are available.
After capillary electrophoresis, the desalted samples (see Fig. 1B
)
appeared normal with the questionable peak entirely removed, thus
confirming that the interfering substance was of low molecular weight
and, therefore, not a paraprotein. The desalting procedure was fast and
simple. Clinical laboratories that use CZE could easily use this method
to evaluate questionable samples.
Acknowledgments
This information was presented previously as part of a technical poster, "Detection of Non-Protein Peaks in Serum by Capillary Zone Electrophoresis", by C. Blessum, M. Andres, and N. Khatter, at the 12th International Symposium on Capillary Electrophoresis and Related Microscale Techniques, January 2328, 1999, in Palm Springs, CA.
References
The following articles in journals at HighWire Press have cited this article:
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X. Bossuyt, J. Verhaegen, G. Marien, and N. Blanckaert Effect of Sulfamethoxazole on Clinical Capillary Zone Electrophoresis of Serum Proteins Clin. Chem., February 1, 2003; 49(2): 340 - 341. [Full Text] [PDF] |
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X. Bossuyt and W. E. Peetermans Effect of Piperacillin-Tazobactam on Clinical Capillary Zone Electrophoresis of Serum Proteins Clin. Chem., January 1, 2002; 48(1): 204 - 205. [Full Text] [PDF] |
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D. F. Keren, R. Gulbranson, J. L. Carey, and J. C. Krauss 2-Mercaptoethanol Treatment Improves Measurement of an IgM{{kappa}} M-Protein by Capillary Electrophoresis Clin. Chem., July 1, 2001; 47(7): 1326 - 1327. [Full Text] [PDF] |
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M. L. Arranz-Pena, M. Gonzalez-Sagrado, A. M. Olmos-Linares, N. Fernandez-Garcia, and F. J. Martin-Gil Interference of Iodinated Contrast Media in Serum Capillary Zone Electrophoresis Clin. Chem., May 1, 2000; 46(5): 736 - 737. [Full Text] [PDF] |
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