Analytical performance evaluation of the Mindray enzymatic assay for hemoglobin A1c measurement. 2024

Mingyang Li, and Xiongjun Wu, and Weijie Xie, and Yu Zeng, and Hui Wang, and Han Chen, and Anping Xu, and Helu Liu, and Ling Ji
Department of Laboratory Medicine, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China.

Hemoglobin A1c (HbA1c) plays a crucial role in diabetes management. We aimed to evaluate the analytical performance of a new enzymatic method kit for HbA1c measurement. The performance of the enzymatic method, including precision, accuracy, and linearity, was evaluated. Moreover, the interference effect from conventional interferents, Hb derivatives, Hb variants, and common drugs were assessed. In addition, the agreement of HbA1c results was compared between enzymatic methods, cation-exchange high-performance liquid chromatography (HPLC), and immunoassays. The intra-assay, between-assay, and total precision of HbA1c were all lower than 2%. HbA1c showed good linearity within the range of 3.96-20.23%. The enzymatic assay yielded results consistent with the external quality control samples, with a bias of less than ± 6% from the target values. The enzymatic method showed no interference from bilirubin, intralipid, vitamin C, Hb derivatives, common Hb variants, as well as antipyretic analgesics and hypoglycemic drugs. The HbA1c results of the enzymatic assay showed good agreement and accuracy compared to those obtained from the HPLC method and the immunoassay. The enzymatic method kit performed on the BS-600M chemistry analyzer is a reliable and robust method for measuring HbA1c. It is suitable for routine practice in clinical chemistry laboratories.

UI MeSH Term Description Entries
D007118 Immunoassay A technique using antibodies for identifying or quantifying a substance. Usually the substance being studied serves as antigen both in antibody production and in measurement of antibody by the test substance. Immunochromatographic Assay,Assay, Immunochromatographic,Assays, Immunochromatographic,Immunoassays,Immunochromatographic Assays
D002851 Chromatography, High Pressure Liquid Liquid chromatographic techniques which feature high inlet pressures, high sensitivity, and high speed. Chromatography, High Performance Liquid,Chromatography, High Speed Liquid,Chromatography, Liquid, High Pressure,HPLC,High Performance Liquid Chromatography,High-Performance Liquid Chromatography,UPLC,Ultra Performance Liquid Chromatography,Chromatography, High-Performance Liquid,High-Performance Liquid Chromatographies,Liquid Chromatography, High-Performance
D003920 Diabetes Mellitus A heterogeneous group of disorders characterized by HYPERGLYCEMIA and GLUCOSE INTOLERANCE.
D006442 Glycated Hemoglobin Products of non-enzymatic reactions between GLUCOSE and HEMOGLOBIN (occurring as a minor fraction of the hemoglobin of ERYTHROCYTES.) It generally refers to glycated HEMOGLOBIN A. Hemoglobin A1c (Hb A1c) is hemoglobin A with GLYCATION on a terminal VALINE of the beta chain. Glycated hemoglobin A is used as an index of the average blood sugar level over a lifetime of erythrocytes. Fructated Hemoglobins,Glycohemoglobin,Glycohemoglobin A,Glycohemoglobins,Glycosylated Hemoglobin A,Hb A1c,HbA1,Hemoglobin A(1),Hemoglobin A, Glycosylated,Glycated Hemoglobin A,Glycated Hemoglobin A1c,Glycated Hemoglobins,Glycosylated Hemoglobin A1c,Hb A1,Hb A1a+b,Hb A1a-1,Hb A1a-2,Hb A1b,Hemoglobin, Glycated A1a-2,Hemoglobin, Glycated A1b,Hemoglobin, Glycosylated,Hemoglobin, Glycosylated A1a-1,Hemoglobin, Glycosylated A1b,A1a-1 Hemoglobin, Glycosylated,A1a-2 Hemoglobin, Glycated,A1b Hemoglobin, Glycated,A1b Hemoglobin, Glycosylated,Glycated A1a-2 Hemoglobin,Glycated A1b Hemoglobin,Glycosylated A1a-1 Hemoglobin,Glycosylated A1b Hemoglobin,Glycosylated Hemoglobin,Hemoglobin A, Glycated,Hemoglobin A1c, Glycated,Hemoglobin A1c, Glycosylated,Hemoglobin, Glycated,Hemoglobin, Glycated A1a 2,Hemoglobin, Glycosylated A1a 1,Hemoglobins, Fructated,Hemoglobins, Glycated
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D015203 Reproducibility of Results The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results. Reliability and Validity,Reliability of Result,Reproducibility Of Result,Reproducibility of Finding,Validity of Result,Validity of Results,Face Validity,Reliability (Epidemiology),Reliability of Results,Reproducibility of Findings,Test-Retest Reliability,Validity (Epidemiology),Finding Reproducibilities,Finding Reproducibility,Of Result, Reproducibility,Of Results, Reproducibility,Reliabilities, Test-Retest,Reliability, Test-Retest,Result Reliabilities,Result Reliability,Result Validities,Result Validity,Result, Reproducibility Of,Results, Reproducibility Of,Test Retest Reliability,Validity and Reliability,Validity, Face
D057075 Enzyme Assays Methods used to measure the relative activity of a specific enzyme or its concentration in solution. Typically an enzyme substrate is added to a buffer solution containing enzyme and the rate of conversion of substrate to product is measured under controlled conditions. Many classical enzymatic assay methods involve the use of synthetic colorimetric substrates and measuring the reaction rates using a spectrophotometer. Enzymatic Assays,Indirect Enzymatic Assays,Indirect Enzyme Assays,Assay, Enzymatic,Assay, Enzyme,Assay, Indirect Enzymatic,Assay, Indirect Enzyme,Assays, Enzymatic,Assays, Enzyme,Assays, Indirect Enzymatic,Assays, Indirect Enzyme,Enzymatic Assay,Enzymatic Assay, Indirect,Enzymatic Assays, Indirect,Enzyme Assay,Enzyme Assay, Indirect,Enzyme Assays, Indirect,Indirect Enzymatic Assay,Indirect Enzyme Assay

Related Publications

Mingyang Li, and Xiongjun Wu, and Weijie Xie, and Yu Zeng, and Hui Wang, and Han Chen, and Anping Xu, and Helu Liu, and Ling Ji
July 2014, Clinica chimica acta; international journal of clinical chemistry,
Mingyang Li, and Xiongjun Wu, and Weijie Xie, and Yu Zeng, and Hui Wang, and Han Chen, and Anping Xu, and Helu Liu, and Ling Ji
May 2024, Journal of diabetes science and technology,
Mingyang Li, and Xiongjun Wu, and Weijie Xie, and Yu Zeng, and Hui Wang, and Han Chen, and Anping Xu, and Helu Liu, and Ling Ji
January 2014, Clinical laboratory,
Mingyang Li, and Xiongjun Wu, and Weijie Xie, and Yu Zeng, and Hui Wang, and Han Chen, and Anping Xu, and Helu Liu, and Ling Ji
November 2017, Clinical laboratory,
Mingyang Li, and Xiongjun Wu, and Weijie Xie, and Yu Zeng, and Hui Wang, and Han Chen, and Anping Xu, and Helu Liu, and Ling Ji
January 2008, Annales de biologie clinique,
Mingyang Li, and Xiongjun Wu, and Weijie Xie, and Yu Zeng, and Hui Wang, and Han Chen, and Anping Xu, and Helu Liu, and Ling Ji
February 1995, Clinical biochemistry,
Mingyang Li, and Xiongjun Wu, and Weijie Xie, and Yu Zeng, and Hui Wang, and Han Chen, and Anping Xu, and Helu Liu, and Ling Ji
September 1999, Archives of pathology & laboratory medicine,
Mingyang Li, and Xiongjun Wu, and Weijie Xie, and Yu Zeng, and Hui Wang, and Han Chen, and Anping Xu, and Helu Liu, and Ling Ji
August 2014, Clinical chemistry,
Mingyang Li, and Xiongjun Wu, and Weijie Xie, and Yu Zeng, and Hui Wang, and Han Chen, and Anping Xu, and Helu Liu, and Ling Ji
March 2023, Annals of laboratory medicine,
Mingyang Li, and Xiongjun Wu, and Weijie Xie, and Yu Zeng, and Hui Wang, and Han Chen, and Anping Xu, and Helu Liu, and Ling Ji
January 1995, American clinical laboratory,
Copied contents to your clipboard!