Technical Assistance - Siemens Immulite Homocysteine 2000 User Manual

Homocysteine
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factor for vascular disease. New Eng J Med
1991;324:1149-55. 5) Deloughery TG, Evans A,
Sadeghi A,et al. Common mutation in
methylenetetrahydrofolate reductase:
Correlation with homocysteine metabolism and
late-onset vascular disease. Circulation
1996;94:3074-78. 6) Bostom AG, Selhub J.
Homocysteine and arteriosclerosis: Subclinical
and clinical disease associations. Circulation
1999;99:2361-63. 7) Boushey CJ, Beresford
SAA, et al. A quantitative assessment of plasma
homocysteine as a risk factor for vascular
disease. JAMA 1995;274(13):1049-57. 8)
Guttormsen AB, Svarstad E, et al. Elimination of
homocysteine in subjects with end-stage renal
failure. Irish J Med Sci 1995;164:8. 9) Bostom
AG, Lathrop, L. Hyper-homocysteinemia in end-
stage renal disease (ESDR): Prevalence,
etiology and potential relationship to arterio-
sclerotic outcomes. Kidney Int 1997;52:10-20.
10) Refsum H, Ueland PM. Clinical significance
of pharmacological modulation of homocysteine
metabolism. TIPS 1990;11:411-16. 11) Ueland
PM, Refsum H, Stabler SP, et al. Total
homocysteine in plasma or serum: Methods and
clinical applications. Clin Chem 1993;39:1764-
79. 12) Nehler MR, Taylor LM, Porter JM.
Homocysteine as a risk factor for
atherosclerosis: A Review. Cardiovasc Pathol
1997;6:1-9.

Technical Assistance

In the United States, contact Siemens
Medical Solutions Diagnostics Technical
Services department.
Tel: 800.372.1782 or 973.927.2828
Fax: 973.927.4101. Outside the United
States, contact your National Distributor.
The Quality System of Siemens Medical
Solutions Diagnostics is certified to
ISO 13485:2003.
Tables and Graphs
Precision (µmol/L)
Within-Run
3
4
Mean
SD
1
3.94
0.29
2
9.88
0.47
3
11.1
0.38
4
25.9
1.06
6
1
2
Total
5
CV
SD
CV
7.4%
0.41
10.4%
4.8%
0.75
7.6%
3.4%
0.46
4.1%
4.1%
1.31
5.1%
Specificity (µmol/L)
1
Compound
Adenosine
S-adenosyl-L-methionine
Cystathionine
L-Cysteine
Glutathione
ND: Not detectable.
Linearity (µmol/L)
1
Dilution
Observed
5
1
8 in 8
19.2
4 in 8
9.47
2 in 8
4.94
1 in 8
2.11
2
8 in 8
25.2
4 in 8
13.8
2 in 8
6.15
1 in 8
3.34
3
8 in 8
31.6
4 in 8
15.7
2 in 8
7.44
1 in 8
3.37
4
8 in 8
47.5
4 in 8
24.2
2 in 8
11.5
1 in 8
4.91
Recovery (µmol/L)
1
Solution
Observed
1
7.41
A
13.3
B
20.2
C
34.4
2
9.96
A
14.7
B
22.6
C
36.2
3
13.3
A
16.9
B
26.0
C
32.0
IMMULITE 2000 Homocysteine (PIL2KHO-14, 2007-11-20)
Amount
2
Added
% Cross
µmol/L
reactivity
5000
500
0.6%
500
6.1%
100000
100000
4
2
3
Expected
%O/E
9.60
99%
4.80
103%
2.40
88%
12.6
110%
6.30
98%
3.15
106%
15.8
99%
7.90
94%
3.95
85%
23.7
102%
11.9
97%
5.94
83%
2
3
Expected
%O/E
13.3
100%
19.5
104%
32.0
108%
15.7
94%
22.0
103%
34.5
105%
18.9
89%
25.1
104%
37.6
85%
3
ND
ND
ND
4
4

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