title: How high is the true fibrinogen content of fibrinogen standards?
abstract: A number of tests are available to measure plasma fibrinogen. Of these, the determination of the thrombin induced rate of plasma clotting is the most widely used in a clinical laboratory. Quantitative fibrinogen assays are calibrated with commercially available standards. There exists no internationally recognized standard against which the manufacturers could calibrate their fibrinogen preparations and lyophilized normal plasmas. In the present study, the amount of clottable material was determined in ten commercially available fibrinogen standards. Following clotting with thrombin, the fibrin clots were extensively washed with citrated saline and subjected to nitrogen analysis. The proportions of intact and partially degraded fibrinogens in each standard were determined by SDS-polyacrylamide gel electrophoresis of the washed clots. Knowing the amino acid composition and the relative proportions of these fractions, the nitrogen contents of the clots were converted to fibrinogen. More than 30% deviation from the declared values was observed in three standards, in one of them even 80%. Our results indicate that fibrinogen standards of markedly differing quality are commercially available and that an accurate, international standard for fibrinogen assay should be established.
authors.affiliation: Central Hematology Laboratory, Inselspital, Bern, Switzerland.
authors.forename: M
authors.initials: M
authors.lastname: Furlan
authors.forename: R
authors.initials: R
authors.lastname: Felix
authors.forename: N
authors.initials: N
authors.lastname: Escher
authors.forename: B
authors.initials: B
authors.lastname: Lämmle
mesh_terms: D001777:Blood Coagulation; D002138:Calibration; D004591:Electrophoresis, Polyacrylamide Gel; D005337:Fibrin / Q000302:isolation & purification; D005340:Fibrinogen / Q000032:analysis* / Q000592:standards; D006801:Humans; D009584:Nitrogen / Q000032:analysis; D012015:Reference Standards
chemical_list: D005337:Fibrin; D005340:Fibrinogen; D009584:Nitrogen