title: Comparison of a new microbiological assay with a standard high-performance liquid chromatographic method for determination of vitamin B6 in serum.
abstract: BACKGROUND
  A high-performance liquid chromatographic (HPLC) assay for vitamin B6 in human serum was compared with a novel microbiological assay (ID-Vit) that uses microtitre plates precoated with a specific microorganism, thus avoiding numerous problems associated with the use of stock cultures utilized by common other microbial assay mit B6.
  
  
  METHODS
  Data obtained using HPLC were compared with 1D-Vit results in 170 healthy individuals and in 68 patients with coronary artery disease (CAD, 37 with acute coronary syndrome [ACS], 31 with stable CAD). Regression and Bland-Altman analysis were performed. Homocysteine in CAD patients was measured by HPLC.
  
  
  RESULTS
  The ID-Vit assay correlated well with the HPLC assay (Pearson's r = 0.89 [p < 0.0001] in healthy and 0.82 [p < 0.001] in CAD individuals). Bland-Altman analyses revealed good agreement between the results of both methods in both cohorts, with > or = 95% of all values grouping within the lines of agreement. In CAD patients, mean homocysteine values did not differ between stable CAD and ACS and were normal. Thirty-seven percent of CAD patients had estimated glomerular filtration rates (GFR) below 60 mL/min/1.73m2. GFR correlated inversely with homocysteine levels (r = -0.80, p < 0.001) whereas neither HPLC nor ID-Vit values for B6 did.
  
  
  CONCLUSIONS
  ID-Vit assay and the HPLC standard are in very good agreement. The new assay can easily be automated and is less laborious than common microbiological assays. The lack of correlation between B6 vitamin and homocysteine can be accounted for by the fact that mean vitamin B6 in our CAD patients was in the normal range and that a relevant percentage of patients had chronic renal disease.
authors.forename: Stefan Marcel
authors.initials: SM
authors.lastname: Loitsch
authors.forename: Kerstin Christina
authors.initials: KC
authors.lastname: Reuter
authors.forename: G M
authors.initials: GM
authors.lastname: Oremek
authors.forename: Robert
authors.initials: R
authors.lastname: Wetzstein
authors.forename: Karl
authors.initials: K
authors.lastname: Stangl
authors.forename: Franz Paul
authors.initials: FP
authors.lastname: Armbruster
authors.forename: Thomas Bernd
authors.initials: TB
authors.lastname: Dschietzig
authors.forename: Jürgen
authors.initials: J
authors.lastname: Stein
mesh_terms: D000293:Adolescent; D000328:Adult; D015374:Biosensing Techniques / Q000379:methods*; D002851:Chromatography, High Pressure Liquid / Q000379:methods*; D005260:Female; D006710:Homocysteine / Q000097:blood; D006801:Humans; D007676:Kidney Failure, Chronic / Q000097:blood; D008297:Male; D008875:Middle Aged; D011933:Reagent Kits, Diagnostic / Q000382:microbiology; D012044:Regression Analysis; D015203:Reproducibility of Results; D012441:Saccharomyces cerevisiae; D025101:Vitamin B 6 / Q000097:blood*; D055815:Young Adult
chemical_list: D011933:Reagent Kits, Diagnostic; D006710:Homocysteine; D025101:Vitamin B 6