Clinical Chemistry
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Clinical Chemistry 43: 1622-1629, 1997;
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(Clinical Chemistry. 1997;43:1622-1629.)
© 1997 American Association for Clinical Chemistry, Inc.


Articles

Multicenter evaluation of a homogeneous assay for HDL-cholesterol without sample pretreatment

Matthias Nauck1,a, Winfried März1, Jochen Jarausch2, Christa Cobbaert3, Anja Sägers4, Dirk Bernard5, Joris Delanghe5, Gunter Honauer6, Paul Lehmann2, Evelyn Oestrich7, Arnold von Eckardstein4, Stephan Walch7, Heinrich Wieland1 and Gerd Assmann4

1 University of Freiburg, Freiburg, Germany.

2 Evaluation Department, Boehringer Mannheim GmbH, Mannheim, Germany.

3 Academic Hospital Rotterdam, Rotterdam, The Netherlands.

4 University of Münster, Münster, Germany.

5 University of Gent, Gent, Belgium.

6 Kreiskrankenhaus Bruchsal, Bruchsal, Germany

7 Gemeinschaftspraxis Heidelberg, Heidelberg, Germany.
a Address correspondence to this author at: Department of Medicine, Division of Clinical Chemistry, University Hospital of Freiburg, Hugstetter Str. 55, 79106 Freiburg i. Br., Germany. Fax +49-761-270 3444.

We evaluated a new homogeneous assay for the measurement of HDL-cholesterol (HDL-C) in six European laboratories. The assay includes two reagents and is applicable to most autoanalyzers, which allows full automation. The total CVs of the new method ranged between 1.3% and 6.7%. Thereby determined HDL-C values were in good agreement with those obtained by precipitation with phosphotungstic acid/MgCl2 or by a combination of ultracentrifugation and precipitation (0.956< r <0.994). The assay was linear up to at least 1500 mg/L HDL-C. Hemoglobin did not interfere, whereas icteric samples with bilirubin >100 mg/L showed discrepancies between the homogeneous and the precipitation assay. Lipemia up to total triglyceride concentrations of 8000 mg/L did not interfere with the homogeneous HDL-C assay. The homogeneous HDL-C assay was easy to handle and produced similar results in all laboratories participating in this study. This method will significantly facilitate the screening of individuals at increased risk for cardiovascular disease.




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