Fully Automated Intact PINP A fully automated magnetic particle chemiluminescent assay for intact amino-terminal propeptide of type I procollagen (PINP). The assay can be used to quantitatively measure intact PINP in human serum or plasma as an indicator of osteoblastic activity in bone. IDS-iSYS Intact PINP is to be used as an aid in the management of osteoporosis treatment. A consensus group from the International Osteoporosis Foundation (IOF) recommends the use of bone turnover markers for monitoring of anti-resorptive agents and prediction of fracture risk in postmenopausal osteoporosis1. The amino-terminal propeptide of type I procollagen (PINP) is probably the most specific and sensitive marker of bone formation2. PINP is a particular useful marker for monitoring the efficacy of osteoporosis therapy with anabolic agents3,4 but it is also one of the best bone turnover markers for monitoring the efficacy of anti-resorptive therapy5,6. The IOF and the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) experts recommend that s-PINP and s-CTX are used as reference analytes for bone turnover markers in observational and intervention studies7. Features and Benefits Detects only trimeric “intact PINP” isoform – which provides an accurate bone formation indicator in renal impaired patients5. Excellent correlation to existing Intact PINP RIA method – eliminates costly radioactive licensing and waste disposal. Combining the Intact PINP with the established IDS-iSYS CTX-I (CrossLaps®) assays from a single sample tube – provides an effective tool in the monitoring of osteoporosis treatment and identifying patients at increased risk7-9. Specifications Format Calibrators Controls Limit of Quantitation* Dynamic Range Specificity Minimum Sample Volume Sample Type Reagent Stability Calibration Stability Time to 1st Result Precision* Automated acridinium ester magnetic particle chemiluminescence Lyophilised, 2 each of 2 concentration levels, 1 mL Lyophilised, 2 each of 3 concentration levels, 1 mL <1.0 ng/mL 2 - 230 ng/mL Intact PINP 100% rat/mouse PINP <0.01% PIINP <0.03% N-MID® Osteocalcin <0.02% 20 μL plus dead volume Human serum (including serum collected in serum separator tubes) Human plasma (collected in potassium EDTA, lithium heparin, sodium heparin, or ammonium heparin) The IDS-iSYS PINP assay reagent cartridge may be stored on-board the IDS-iSYS System for a maximum of 7 days; 28 days after opening at 2 - 8 °C The calibration of IDS-iSYS PINP assay is stable for a maximum of 3 days 34 minutes Mean Mean Within Run Total** Sample ID N (ng/mL) (nmol/L) SD %CV SD %CV 1 2 3 * Representative data; results in individual laboratories may vary from these data. ** Total is an accumulation of within run, between run and between day. 80 80 80 14.3 44.6 101 16.8 64.5 186 0.4 1.3 3.0 2.6 3.0 3.0 0.6 2.4 4.5 4.2 5.3 4.4 Method Comparison IDS-iSYS vs. Orion UniQ Intact PINP RIA IDS-iSYS vs. Orion UniQ Intact PINP RIA - Renal Impaired Samples 250 y = 0.86x -1.9 r = 0.98 n = 363 200 IDS-iSYS Intact PINP (ng/mL) IDS-iSYS Intact PINP (ng/mL) 250 150 100 50 0 y = 0.83x - 0.5 r = 0.99 n = 68 200 150 100 50 0 0 50 100 150 200 0 250 50 Orion UniQ Intact PINP RIA (ng/mL) 100 150 200 250 Orion UniQ Intact PINP RIA (ng/mL) A total of 363 samples were compared against Orion UniQ Intact PINP RIA. Linear regression analysis was performed on the comparative data. The IDS-iSYS PINP assay has good correlation against the Orion UniQ Intact PINP RIA. In healthy individuals, the circulating PINP form is predominantly the trimeric intact with almost non-detectable monomers. Under certain conditions, especially in haemodialysis patients, the proportion of monomeric form is elevated5. 68 renal impaired samples were compared against the Intact PINP assays. Good correlation was observed between the Intact PINP methods. Total PINP vs. Orion UniQ Intact PINP RIA - Renal Impaired Samples Total PINP vs. IDS-iSYS Intact PINP - Renal Impaired Samples 400 400 300 Total PINP (ng/mL) 300 Total PINP (ng/mL) y = 2.00x - 20.4 r = 0.94 n = 68 y = 1.71x - 24.5 r = 0.95 n = 68 200 100 100 0 200 0 50 100 150 200 Orion UniQ Intact PINP RIA (ng/mL) 0 250 0 50 100 150 200 250 IDS-iSYS Intact PINP (ng/mL) The same 68 renal impaired samples were compared against Intact PINP and automated Total PINP assay. The comparison studies indicated the automated Total PINP method give higher values than Intact PINP Ordering Information Product Name Description IDS-iSYS Intact PINP IDS-iSYS Intact PINP Reagent Pack: Control Set: Code 100 tests 3 levels IS-4000 IS-4030 Contact Details United Kingdom: Nordic: Immunodiagnostic Systems Limited (IDS Ltd) 10 Didcot Way, Boldon Business Park, Boldon, Tyne & Wear, NE35 9PD, UK Tel: +44 (0) 191 519 0660 Fax: +44 (0) 191 519 0760 Email: [email protected] www.idsplc.com Immunodiagnostic Systems Nordic a/s (IDS Nordic a/s) Marielundvej 30, 2. Sal, 2730 Herlev, Denmark Tel: +45 44 84 0091 Email: [email protected] www.idsplc.com United States of America: References Immunodiagnostic Systems Inc (IDS Inc) 8425 N. 90th Street, Suite 8, Scottsdale, AZ 85258, USA Tel: 480.278.8333 Fax: 480.836.7437 Email: [email protected] www.idsplc.com Germany: Immunodiagnostic Systems GmbH (IDS GmbH) Mainzer Landstrasse 49, 60329, Frankfurt am Main, Germany Tel: +49 (0) 69 3085 5025 Fax: +49 (0) 69 3085 5125 Email: [email protected] www.idsplc.com France: Immunodiagnostic Systems France SAS 153 avenue d’Italie, 75013, Paris, France Tél: +33 (0)1 40 77 04 50 Fax: +33 (0)1 40 77 04 55 Email: [email protected] www.idsplc.com 1. 2. 3. 4. 5. 6. 7. 8. 9. Delmas PD et al. Osteoporos Int 2000; 11(6):S2–S17. Melkko et al. Clin Chem 1996; 42:947-954. Chen et al. J Bone Miner Res 2005; 20:962-970. Finkelstein JS et al. J Clin Endocrinol Metab 2006; 91:2882-2887. Koivula et al. Ann Clin Biochem 2010; 47 (1), 67. Burnett-Bowie S et al. J Clin Endocrinol Metab 2009; 94:2915-21. S. Vasikaran et al. Osteoporos Int 2010; 22(2):391-420. Reginster J-Y et al. Bone 2004; 34:344-351. Scariano J et al. Clin Biochem 2001; 34:639-644. IS-4000TSIntl Issue: 1 Date: 28.03.11 Visit www.idsplc.com for an extended range of IDS-iSYS assays
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