Comparison of Cyclosporin G (Nva2-Cyclosporin) Concentrations Measuredin WholeBloodby Monoclonal Fluorescence Polarizationlmmunoassay, Monoclonal Radloimmunoassay, and HPLC

msra(1993)

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摘要
cyclosporin G (CsG) in renaltransplantpatients.We performeda three- way comparison ofthesetwo immunoassays and HPLC. Althoughthe two immunoassays agreed favorably,both the monoclonalfluorescencepolarizationimmunoassay and the monoclonalRIA yieldedhigherCsG resultsfor patients' specimens than did the liquid-chromatographic assay. The experimental data indicate that the observed differences are most likely due to the cross-reactivity of CsG metabolites in the immunoassays. IndexingTerms: intermethodcomparison . monitoringtherapy - immunosuppressant drugs . variation,sourceof nal antibodies
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cyclosporine,sandimmuner is currently the most widely used immunosuppressant drug for preventing rejection in organtransplant recip- ients.3 the narrow therapeutic range for csa,have made it essential to monitor the blood concentrations of this drug in trans- plantrecipients. consensusreports from several groups or conferences 1-3 have recommended that whole bloodbeusedas the spec,along with the extensive intra- and interpatient variability in pharmacokunetics of the drug,cyclosporina csa
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