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2.
Arch Endocrinol Metab ; 61(5): 460-463, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28977165

RESUMO

Measuring thyroid hormones is an important aspect for the study of metabolism and for monitoring diseases in both human and animal models. The traditional method for hormone measurement in rats is the radioimmunoassay (RIA). However, the RIA is associated with some practical disadvantages, including the use of radioactive material, the need for specialized equipment and expert staff, the short shelf-life of kits according to the half-life of the radioisotope and high costs. The objective of this study was to develop a new cost-effective method for measuring TSH levels in rats that avoids the use of radioactive material. We developed an in-house competitive immunoassay using a reference standard, polyclonal antibody produced in rabbits and biotinylated antigen. This method was tested in 64 Wistar rats that were divided into a control group (n = 41) and a group with hypothyroidism (n = 23). Our assay demonstrated an analytical sensitivity of 0.24 ng/mL (n = 12) and an intra-assay coefficient of variation (CV) of 8.9% for sera with TSH levels of 1.5 ng/mL and 13.2% for sera with TSH levels of 17.5 ng/mL (n = 14). The inter-assay CV was 13.5% for sera with TSH levels of 1.4 ng/mL and 14.5% for TSH levels of 18.2 ng/mL (n = 5). The analysis of mean TSH levels in control rats (5.06 ± 0.5701) and hypothyroid rats (51.09 ± 5.136) revealed a statistically significant difference (p < 0.001) between the groups. This method showed good sensitivity, can be automated and is low-cost compared with RIA. Our method offers a viable alternative for TSH measurement in rats.


Assuntos
Imunoensaio/métodos , Doenças da Glândula Tireoide/diagnóstico , Tireotropina/sangue , Animais , Análise Custo-Benefício , Imunoensaio/economia , Masculino , Coelhos , Ratos , Ratos Wistar , Sensibilidade e Especificidade , Doenças da Glândula Tireoide/sangue
3.
Arch. endocrinol. metab. (Online) ; 61(5): 460-463, Sept.-Oct. 2017. graf
Artigo em Inglês | LILACS | ID: biblio-887594

RESUMO

ABSTRACT Measuring thyroid hormones is an important aspect for the study of metabolism and for monitoring diseases in both human and animal models. The traditional method for hormone measurement in rats is the radioimmunoassay (RIA). However, the RIA is associated with some practical disadvantages, including the use of radioactive material, the need for specialized equipment and expert staff, the short shelf-life of kits according to the half-life of the radioisotope and high costs. The objective of this study was to develop a new cost-effective method for measuring TSH levels in rats that avoids the use of radioactive material. We developed an in-house competitive immunoassay using a reference standard, polyclonal antibody produced in rabbits and biotinylated antigen. This method was tested in 64 Wistar rats that were divided into a control group (n = 41) and a group with hypothyroidism (n = 23). Our assay demonstrated an analytical sensitivity of 0.24 ng/mL (n = 12) and an intra-assay coefficient of variation (CV) of 8.9% for sera with TSH levels of 1.5 ng/mL and 13.2% for sera with TSH levels of 17.5 ng/mL (n = 14). The inter-assay CV was 13.5% for sera with TSH levels of 1.4 ng/mL and 14.5% for TSH levels of 18.2 ng/mL (n = 5). The analysis of mean TSH levels in control rats (5.06 ± 0.5701) and hypothyroid rats (51.09 ± 5.136) revealed a statistically significant difference (p < 0.001) between the groups. This method showed good sensitivity, can be automated and is low-cost compared with RIA. Our method offers a viable alternative for TSH measurement in rats.


Assuntos
Animais , Masculino , Coelhos , Ratos , Doenças da Glândula Tireoide/diagnóstico , Imunoensaio/métodos , Tireotropina/sangue , Doenças da Glândula Tireoide/sangue , Imunoensaio/economia , Sensibilidade e Especificidade , Análise Custo-Benefício , Ratos Wistar
4.
J Clin Endocrinol Metab ; 101(2): 653-8, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26647152

RESUMO

CONTEXT: Calcitonin (CT) is a sensitive marker of medullary thyroid carcinoma (MTC) and is used for primary diagnosis and follow-up after thyroidectomy. However, persistently elevated CT is observed even after complete surgical removal without evidence of a recurrent or persistent tumor. OBJECTIVE: To investigate the presence of assay interference in the serum CT of MTC patients who are apparently without a structural disease. PATIENTS AND METHODS: We studied three index MTC cases for CT assay interference and 14 patients with metastatic MTC. The CT level was measured using an immunofluorometric assay. Screening for assay interference was performed by determination of CT levels before and after serum treatment with polyethylene glycol. Additionally, samples were analyzed by chromatography on ultra-performance liquid chromatography and protein A-Sepharose. RESULTS: Patients with biochemical and structural disease showed CT mean recovery of 84.1% after polyethylene glycol treatment, whereas patients suspected of interference showed recovery from 2-7%. The elution profile on UPLC showed that the immunometric CT from these three patients behaved like a high molecular mass aggregate (>300 kDa). Additionally, when these samples were applied to the protein A-Sepharose, CT immunoreactivity was retained on the column and was only released after lowering the pH. CONCLUSIONS: For the first time, our results show the presence of a novel pitfall in the CT immunoassay: "macrocalcitonin." Its etiology, frequency, and meaning remain to be defined, but its recognition is of interest and can help clinicians avoid unnecessary diagnostic investigations and treatment during the follow-up of MTC.


Assuntos
Calcitonina/sangue , Carcinoma Neuroendócrino/sangue , Neoplasias da Glândula Tireoide/sangue , Adolescente , Adulto , Idoso , Carcinoma Neuroendócrino/genética , Carcinoma Neuroendócrino/cirurgia , Cromatografia Líquida de Alta Pressão , Reações Falso-Positivas , Feminino , Bócio Nodular/sangue , Humanos , Imunoensaio , Iodeto Peroxidase/sangue , Masculino , Pessoa de Meia-Idade , Mutação/genética , Metástase Neoplásica , Precursores de Proteínas , Proteínas Proto-Oncogênicas c-ret/sangue , Proteínas Proto-Oncogênicas c-ret/genética , Tireoglobulina/análise , Neoplasias da Glândula Tireoide/genética , Neoplasias da Glândula Tireoide/cirurgia , Tireoidectomia , Adulto Jovem
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