Clinical Chemistry
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Clinical Chemistry 44: 1008-1013, 1998;
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Right arrow Endocrinology and Metabolism
(Clinical Chemistry. 1998;44:1008-1013.)
© 1998 American Association for Clinical Chemistry, Inc.


Endocrinology and Metabolism

Immunoradiometric assay for the N-terminal fragment of proatrial natriuretic peptidein human plasma

Yoshito Numata1,a, Keiji Dohi1, Ayako Furukawa1, Shino Kikuoka1, Hidehisa Asada1, Takahiro Fukunaga1, Yasushi Taniguchi1, Kazuyuki Sasakura1, Tetsuo Tsuji1, Ken Inouye1, Michihiro Yoshimura2, Hiroshi Itoh3, Masashi Mukoyama3, Hirofumi Yasue2, and Kazuwa Nakao3

1 Diagnostic Science Division, Shionogi & Company, Ltd., 2-5-1 Mishima, Settsu-shi, Osaka 566, Japan.

2 Division of Cardiology, Kumamoto University of Medicine School, Kumamoto 860, Japan.

3 Department of Medicine and Clinical Science, Kyoto University Graduate School of Medicine, Kyoto 606, Japan.
a Author for correspondence. Fax 06-319-4109; e-mail yoshito.numata{at}shionogi.co.jp.

Recently, the N-terminal fragment of proatrial natriuretic peptide (N-terminal proANP) has been proposed as a marker of chronic congestive heart failure. In this study, we established a two-step immunoradiometric assay using monoclonal antibodies and synthetic N-terminal proANP (1–67) as a standard. It allows us to measure plasma N-terminal proANP in only 4 h without prior extraction. The detection limit of this assay was 15 pmol/L for a 100 µL sample of plasma. Within-run CVs ranged from 1.7% to 2.9% and between-run CVs ranged from 4.2% to 5.1%. The dilution curves of plasma samples showed good linearity and analytical recovery was 89–104%. The mean (±SD) N-terminal proANP in plasma of 33 healthy subjects was 188 (±71) pmol/L and 1030 (±411) pmol/L in 25 patients with heart failure. Our immunoradiometric assay is rapid and precise enough for routine determination of N-terminal proANP in human plasma.




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