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Technical Briefs |
1
Institute of Radiology,
2
Department of Cardiology,
3
Department of Dermatology, and
4
Department of Cardiac Surgery, University of Luebeck Medical School, 23538 Luebeck, Germany
5
Institute of Clinical Chemistry, Municipal Hospital, 18435 Stralsund, Germany
a address correspondence to this author at: Institut fuer Radiologie, Medizinische Universitaet zu Luebeck, Ratzeburger Allee 160, 23538 Luebeck, Germany. Fax 49-451-500-6190, e-mail missler@medinf.mu-luebeck.de
S-100 protein concentrations in serum are considered a quantitative marker of the extent of damage to the central nervous system (CNS) (1)(2)(3), including possible cerebral injury following procedures such as coronary artery bypass surgery (4)(5). There are 19 S-100 proteins, of which S-100A1 and S-100B are the most prevalent (6). S-100A1 and S-100B form dimeric proteins that previously were labeled S-100a (S-100A1-B), S-100b (S-100B-B), and S-100a0 (S-100A1-A1) (7)(8)(9). Initial studies of S-100 protein reported that this protein is present only in the CNS (7), but later studies found various concentrations of S-100A1 and S-100B in tissues outside the CNS, including the heart and aorta (10). At present, there are questions about the subtype specificity of S-100 assays, about which subtype of S-100 is associated with different clinical entities, and how the results obtained using various assays compare. To answer these questions, we used the Sangtec 100® LIA and the immunofluorometric (IFMA) S-100 assay to analyze purified recombinant monomeric S-100 proteins, purified dimeric S-100 proteins isolated from bovine brain, and blood samples from patients with various CNS diseases, malignant melanoma, or post cardiac surgery and compared the results.
Serum (Sangtec 100 LIA) or heparinized plasma (IFMA S-100)
samples were drawn from 218 patients (141 males, 77 females; ages,
1689 years; mean, 55.4 ± 16.2 years) and 121 healthy blood
donors (64 males, 57 females; ages, 1865 years; mean, 37.8 ±
12.7 years). The study was approved by the local Research Ethics
Committee, and all subjects gave informed consent to the procedure. One
hundred four of the patients suffered from CNS disease: subarachnoid
hemorrhage (n = 41), intracerebral hemorrhage (n = 17), head
trauma (n = 19), ischemic cerebral infarction
References
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