Clinical Chemistry, Vol 21, 255-257, Copyright © 1975 by the American Association for Clinical Chemistry

pH Measurement Problems Affecting Assay of Carcinoembryonic Antigen

¹ Division of Laboratory Medicine, Departments of Pathology and Medicine, Washington University School of Medicine, and Barnes Hospital, St. Louis, Mo. 63110.

Measurement with combination pH electrodes of the pH of the dilute buffers used in a commercial kit (CEA-Roche) for assay of carcinoembryonic antigen resulted in pH values 0.1 to 0.3 unit lower than pH values measured on an electrode system with a capillary junction. If the pH values of these buffers were adjusted, based on such measurements, an error in the assay of 0.2 to 0.6 ng/ml in the 1.5-3.0 ng/ml range would result. We recommend that the pH of dialyzed samples and of the working ethylenediaminetetraacetate and ammonium acetate-acetic acid buffers be monitored with pH electrodes that have a capillary junction between sample and saturated KCl, as is true of most blood-pH instruments. We also recommend use of a 1 mol/liter rather than 2.5 mol/liter stock ammonium acetate-acetic acid buffer, because of the closer similarity of the pH of buffers at this molarity to those at 0.01 mol/liter.