title: Determination of total homocysteine in plasma: comparison of the Abbott IMx immunoassay with high performance liquid chromatography.
abstract: OBJECTIVE
  The aim of this study was to compare the performance of a commercially available IMx immunoassay with that of a reversed-phase high performance liquid chromatography (HPLC) method for measuring plasma total homocysteine (tHcy).
  
  
  METHODS
  The levels of tHcy before and after oral methionine loading (ML) were measured in 135 healthy subjects and 39 patients scheduled for routine tHcy determination. The IMx method uses fluorescence polarization immunoassay (FPIA) technology. The HPLC-method includes derivatization with ABD-F and post-column fluorescence detection.
  
  
  RESULTS
  The imprecision was very low with both methods for both normal (11 mmol/L) and high (29 mmol/L) tHcy levels. The within and between-run coefficients of variation were < 5%. Both methods were able to discriminate between similar concentrations of tHcy both at normal and moderately high levels. There was a good correlation between measurements obtained with the two methods (r = 0.985, p = 0.001). The mean levels of tHcy measured with the IMx assay tended to be slightly higher than those with the HPLC both in the fasting state (mean difference = 0.8 mmol/L) and after ML (5.3 mmol/L). However only the difference in post-ML levels was statistically significant (p < 0.001). The percentage of patients with hyperhomocysteinemia identified with the two methods was similar.
  
  
  CONCLUSIONS
  The IMx method compares well with an established HPLC method for measurement of fasting tHcy plasma levels.
authors.affiliation: Department of Internal Medicine, Angelo Bianchi Bonomi Hemophilia and Thrombosis Center, University of Milan, via Pace 9, 20122 Milan, Italy. maddalenal.zighetti@tiscalinet.it
authors.forename: Maddalena Loredana
authors.initials: ML
authors.lastname: Zighetti
authors.forename: Veena
authors.initials: V
authors.lastname: Chantarangkul
authors.forename: Armando
authors.initials: A
authors.lastname: Tripodi
authors.forename: Pier Mannuccio
authors.initials: PM
authors.lastname: Mannucci
authors.forename: Marco
authors.initials: M
authors.lastname: Cattaneo
mesh_terms: D000328:Adult; D002851:Chromatography, High Pressure Liquid; D005188:False Negative Reactions; D005215:Fasting / Q000097:blood; D005260:Female; D006710:Homocysteine / Q000097:blood*; D006801:Humans; D020138:Hyperhomocysteinemia / Q000097:blood / Q000150:complications / Q000175:diagnosis*; D007118:Immunoassay; D008297:Male; D008715:Methionine; D008875:Middle Aged; D010777:Photochemistry; D011933:Reagent Kits, Diagnostic; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D019851:Thrombophilia / Q000209:etiology; D013927:Thrombosis / Q000097:blood
chemical_list: D011933:Reagent Kits, Diagnostic; D006710:Homocysteine; D008715:Methionine