title: Multicenter evaluation of a homogeneous assay for HDL-cholesterol without sample pretreatment.
abstract: We evaluated a new homogeneous assay for the measurement of HDL-cholesterol (HDL-C) in six European laboratories. The assay includes two reagents and is applicable to most autoanalyzers, which allows full automation. The total CVs of the new method ranged between 1.3% and 6.7%. Thereby determined HDL-C values were in good agreement with those obtained by precipitation with phosphotungstic acid/MgCl2 or by a combination of ultracentrifugation and precipitation (0.956 < r < 0.994). The assay was linear up to at least 1500 mg/L HDL-C. Hemoglobin did not interfere, whereas icteric samples with bilirubin > 100 mg/L showed discrepancies between the homogeneous and the precipitation assay. Lipemia up to total triglyceride concentrations of 8000 mg/L did not interfere with the homogeneous HDL-C assay. The homogeneous HDL-C assay was easy to handle and produced similar results in all laboratories participating in this study. This method will significantly facilitate the screening of individuals at increased risk for cardiovascular disease.
authors.affiliation: University of Freiburg, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Nauck
authors.forename: W
authors.initials: W
authors.lastname: März
authors.forename: J
authors.initials: J
authors.lastname: Jarausch
authors.forename: C
authors.initials: C
authors.lastname: Cobbaert
authors.forename: A
authors.initials: A
authors.lastname: Sägers
authors.forename: D
authors.initials: D
authors.lastname: Bernard
authors.forename: J
authors.initials: J
authors.lastname: Delanghe
authors.forename: G
authors.initials: G
authors.lastname: Honauer
authors.forename: P
authors.initials: P
authors.lastname: Lehmann
authors.forename: E
authors.initials: E
authors.lastname: Oestrich
authors.forename: A
authors.initials: A
authors.lastname: von Eckardstein
authors.forename: S
authors.initials: S
authors.lastname: Walch
authors.forename: H
authors.initials: H
authors.lastname: Wieland
authors.forename: G
authors.initials: G
authors.lastname: Assmann
mesh_terms: D016477:Artifacts; D001322:Autoanalysis / Q000295:instrumentation / Q000379:methods; D001800:Blood Specimen Collection / Q000379:methods; D011232:Chemical Precipitation; D002784:Cholesterol / Q000097:blood; D008076:Cholesterol, HDL / Q000097:blood* / Q000302:isolation & purification; D008078:Cholesterol, LDL / Q000097:blood; D005060:Europe; D006454:Hemoglobins; D006801:Humans; D007202:Indicators and Reagents; D007753:Laboratories / Q000592:standards; D011786:Quality Control; D012016:Reference Values; D012044:Regression Analysis; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D014280:Triglycerides / Q000097:blood; D014461:Ultracentrifugation
chemical_list: D008076:Cholesterol, HDL; D008078:Cholesterol, LDL; D006454:Hemoglobins; D007202:Indicators and Reagents; D014280:Triglycerides; D002784:Cholesterol