Clinical Chemistry
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Clinical Chemistry 44: 749-759, 1998;
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(Clinical Chemistry. 1998;44:749-759.)
© 1998 American Association for Clinical Chemistry, Inc.


Enzymes and Protein Markers

Serum protein electrophoresis by CZE 2000 clinical capillary electrophoresis system

Xavier Bossuyta, Gilberte Schiettekatte, Ann Bogaerts, and Norbert Blanckaert

a Address correspondence to this author at: Central Clinical Laboratory, Clinical Pathology Department, University Hospital Leuven, Kapucijnenvoer 33, B-3000 Leuven, Belgium. Fax 32 16 332896; e-mail xavier.bossuyt{at}uz.kuleuven.ac.be.

We compared the automated Paragon 2000 clinical capillary zone electrophoresis (CZE) system with two manual methods, agarose electrophoresis (AGE) and cellulose acetate electrophoresis (CAE). Reference intervals in healthy adults were determined for each method. When compared with AGE and CAE, CZE gave substantially higher reference values for the {alpha}1-globulin fraction. With CZE, within-run precision for fraction quantitation was between 0.5% (albumin) and 4.1% ({alpha}1-globulin). Total precision was between 0.8% (albumin) and 5.3% (ß-globulin). Data obtained from CZE showed poor linear correlation with results obtained by AGE but good linear correlation with data from CAE. Analysis of serum from patients with inter alia inflammation, nephrotic syndrome, or polyclonal gammopathy showed that clinical information obtained by CZE is comparable with information obtained by AGE and CAE. We conclude that CZE offers a clinically reliable alternative to AGE and CAE and has the advantages of automation, higher precision, and faster turnaround time.




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