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Advances in Clinical Chemistry

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https://www.readbyqxmd.com/read/28057190/preface
#1
EDITORIAL
Gregory S Makowski
No abstract text is available yet for this article.
2017: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/28057189/vitamin-d-testing-where-are-we-and-what-is-on-the-horizon
#2
N Heureux
Vitamin D testing is part of laboratory practice since more than 30 years but has become a routine parameter only recently, due to a highly increasing amount of research in the field resulting in new clinical applications. Vitamin D actually represents a family of molecules of which 25OH Vitamin D and 1,25(OH)2 Vitamin D, under their D3 and D2 forms, are the most important to date. Physical detection methods and immunoassays exist for both molecules and are being reviewed and discussed. New developments in the measurement of C3-epi-25OH Vitamin D, 24,25(OH)2 Vitamin D, and free/bioavailable 25OH Vitamin D are also presented...
2017: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/28057188/hydrogen-sulfide-as-a-double-faced-compound-one-with-pro-and-antioxidant-effect
#3
B Olas
Hydrogen sulfide (H2S), like other gasotransmitters such as nitric oxide (NO(•)) and carbon monoxide (CO), acts as a signaling molecule in various biological systems. It may also regulate the oxidative stress observed in several diseases sometimes associated with changes of H2S concentration. This chapter describes the "double face" of hydrogen sulfide as both an antioxidant and a prooxidant in biological systems. One proposed mechanism by which H2S exerts its antioxidative effects is its ability to modulate the concentration of glutathione, which is a very important physiological antioxidant...
2017: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/28057187/challenges-in-laboratory-detection-of-unusual-substance-abuse-issues-with-magic-mushroom-peyote-cactus-khat-and-solvent-abuse
#4
A Dasgupta
Drug abuse is a worldwide problem. Although commonly abused drugs can be identified during routine urine drug testing, less commonly abused drugs may escape detection. These less commonly abused drugs not only include some designer drugs such as synthetic cannabinoid but also include abuse of psychedelic magic mushroom (active ingredients: psilocybin and psilocin), peyote cactus (active ingredient: mescaline), and khat plants (active ingredient: cathinone). Moreover, solvent and glue abuse is gaining popularity among teenagers and young adults which may even cause fatality...
2017: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/28057186/identification-of-genomic-somatic-variants-in-cancer-from-discovery-to-actionability
#5
G L Fawcett, A Karina Eterovic
The perfect method to discover and validate actionable somatic variants in cancer has not yet been developed, yet significant progress has been made toward this goal. There have been huge increases in the throughput and cost of deoxyribonucleic acid (DNA) and ribonucleic acid (RNA) sequencing technologies that have led to the burgeoning possibility of using sequencing data in clinical settings. Discovery of somatic mutations is relatively simple and has been improved recently due to laboratory methods optimization, bioinformatics algorithms development, and the expansion of various databases of population genomic information...
2017: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/28057185/urine-exosomes-an-emerging-trove-of-biomarkers
#6
J M Street, E H Koritzinsky, D M Glispie, R A Star, P S T Yuen
Exosomes are released by most cells and can be isolated from all biofluids including urine. Exosomes are small vesicles formed as part of the endosomal pathway that contain cellular material surrounded by a lipid bilayer that can be traced to the plasma membrane. Exosomes are potentially a more targeted source of material for biomarker discovery than unfractionated urine, and provide diagnostic and pathophysiological information without an invasive tissue biopsy. Cytoplasmic contents including protein, mRNA, miRNA, and lipids have all been studied within the exosomal fraction...
2017: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/28057184/advances-in-cardiac-biomarkers-of-acute-coronary-syndrome
#7
A K Saenger, N Korpi-Steiner
Acute coronary syndrome (ACS) encompasses a pathophysiological spectrum of cardiovascular diseases, all of which have significant morbidity and mortality. ACS was once considered an acute condition; however, new treatment strategies and improvements in biomarker assays have led to ACS being an acute and chronic disease. Cardiac troponin is the preferred biomarker for the diagnosis of myocardial infarction, and there is considerable interest and efforts toward development and implementation of high-sensitivity cardiac troponin (hs-cTn) assays worldwide...
2017: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/27717420/preface
#8
Gregory S Makowski
No abstract text is available yet for this article.
2016: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/27717419/autoimmunity-in-crohn-s-disease-a-putative-stratification-factor-of-the-clinical-phenotype
#9
D Roggenbuck, D Reinhold, D C Baumgart, P Schierack, K Conrad, M W Laass
Inflammation in inflammatory bowel diseases (IBD) has been linked to a loss of tolerance to self-antigens suggesting the existence of autoantibodies in specific disease phenotypes. However, the lack of clearly defined autoantigenic targets has slowed down research. Genome-wide association studies have identified an impressive number of immune-related susceptibility loci for IBD with no clearly discernible pattern among them. Growing evidence supports the hypothesis that innate immune responses to a low-diversity and impaired gut microbiota may be of key importance in initiating and perpetuating chronic inflammation in IBD...
2016: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/27717418/advances-in-blood-typing
#10
N Quraishy, S Sapatnekar
The clinical importance of blood group antigens relates to their ability to evoke immune antibodies that are capable of causing hemolysis. The most important antigens for safe transfusion are ABO and D (Rh), and typing for these antigens is routinely performed for patients awaiting transfusion, prenatal patients, and blood donors. Typing for other blood group antigens, typically of the Kell, Duffy, Kidd, and MNS blood groups, is sometimes necessary, for patients who have, or are likely to develop antibodies to these antigens...
2016: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/27717417/tandem-mass-spectrometry-of-sphingolipids-applications-for-diagnosis-of-sphingolipidoses
#11
L Kuchař, B Asfaw, J Rybová, J Ledvinová
In recent years, mass spectrometry (MS) has become the dominant technology in lipidomic analysis. It is widely used in diagnosis and research of lipid metabolism disorders including those characterized by impairment of lysosomal functions and storage of nondegraded-degraded substrates. These rare diseases, which include sphingolipidoses, have severe and often fatal clinical consequences. Modern MS methods have contributed significantly to achieve a definitive diagnosis, which is essential in clinical practice to begin properly targeted patient care...
2016: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/27717416/microvesicles-in-autoimmune-diseases
#12
M-L Liu, K J Williams, V P Werth
During apoptosis or activation, cells can release a subcellular structure, called a membrane microvesicle (also known as microparticle) into the extracellular environment. Microvesicles bud-off as a portion of cell membrane with its associated proteins and lipids surrounding a cytosolic core that contains intracellular proteins, lipids, and nucleic acids (DNA, RNA, siRNA, microRNA, lncRNA). Biologically active molecules on the microvesicle surface and encapsulated within can act on recipient cells as a novel mode of intercellular communication...
2016: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/27717415/monitoring-oxygen-status
#13
J G Toffaletti, C R Rackley
Although part of a common "blood gas" test panel with pH and pCO2, the pO2, %O2Hb, and related parameters are independently used to detect and monitor oxygen deficits from a variety of causes. Measurement of blood gases and cooximetry may be done by laboratory analyzers, point of care testing, noninvasive pulse oximetry, and transcutaneous blood gases. The specimen type and mode of monitoring oxygenation that are chosen may be based on a combination of urgency, practicality, clinical need, and therapeutic objectives...
2016: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/27717414/overview-of-laboratory-testing-and-clinical-presentations-of-complement-deficiencies-and-dysregulation
#14
A Frazer-Abel, L Sepiashvili, M M Mbughuni, M A V Willrich
Historically, complement disorders have been attributed to immunodeficiency associated with severe or frequent infection. More recently, however, complement has been recognized for its role in inflammation, autoimmune disorders, and vision loss. This paradigm shift requires a fundamental change in how complement testing is performed and interpreted. Here, we provide an overview of the complement pathways and summarize recent literature related to hereditary and acquired angioedema, infectious diseases, autoimmunity, and age-related macular degeneration...
2016: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/27645820/preface
#15
EDITORIAL
Gregory S Makowski
No abstract text is available yet for this article.
2016: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/27645819/therapeutic-drug-monitoring-of-mycophenolic-acid
#16
A Dasgupta
Mycophenolic acid (MPA) is an immunosuppressant requiring therapeutic drug monitoring. Although immunoassays are commercially available, there is significant positive bias using this approach when compared to high-performance liquid chromatography or LC combined with mass spectrometry (LC/MS) or tandem mass spectrometry (LC/MS/MS). Positive bias is due to variable cross-reactivity of MPA acyl glucuronide with antibodies traditionally used in immunoassay formats. As can be expected, the magnitude of bias varies considerably...
2016: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/27645818/adulterants-in-urine-drug-testing
#17
S Fu
Urine drug testing plays an important role in monitoring licit and illicit drug use for both medico-legal and clinical purposes. One of the major challenges of urine drug testing is adulteration, a practice involving manipulation of a urine specimen with chemical adulterants to produce a false negative test result. This problem is compounded by the number of easily obtained chemicals that can effectively adulterate a urine specimen. Common adulterants include some household chemicals such as hypochlorite bleach, laundry detergent, table salt, and toilet bowl cleaner and many commercial products such as UrinAid (glutaraldehyde), Stealth® (containing peroxidase and peroxide), Urine Luck (pyridinium chlorochromate, PCC), and Klear® (potassium nitrite) available through the Internet...
2016: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/27645817/critical-care-glucose-point-of-care-testing
#18
S N Narla, M Jones, K L Hermayer, Y Zhu
Maintaining blood glucose concentration within an acceptable range is a goal for patients with diabetes mellitus. Point-of-care glucose meters initially designed for home self-monitoring in patients with diabetes have been widely used in the hospital settings because of ease of use and quick reporting of blood glucose information. They are not only utilized for the general inpatient population but also for critically ill patients. Many factors affect the accuracy of point-of-care glucose testing, particularly in critical care settings...
2016: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/27645816/omics-in-reproductive-medicine-application-of-novel-technologies-to-improve-the-ivf-success-rate
#19
R D Nerenz
Treatment for many infertile couples often consists of in vitro fertilization (IVF) but an estimated 70% of IVF cycles fail to produce a live birth. In an attempt to improve the live birth rate, the vast majority of IVF cycles performed in the United States involve the transfer of multiple embryos, a practice that increases the risk of multiple gestation pregnancy. This is a concern because multiple gestation pregnancies are associated with an increased incidence of maternal and fetal complications and significant cost associated with the care of preterm infants...
2016: Advances in Clinical Chemistry
https://www.readbyqxmd.com/read/27645815/extracellular-vesicles-in-molecular-diagnostics-an-overview-with-a-focus-on-cns-diseases
#20
B R Hirshman, R T Kras, J C Akers, B S Carter, C C Chen
All known cells continuously release nanoscale lipid membrane-enclosed packets. These packets, termed extracellular vesicles (EVs), bear the signature of their cells of origin. These vesicles can be detected in just about every type of biofluid tested, including blood, urine, and cerebrospinal fluid. The majority comes from normal cells, but disease cells also release them. There is a great interest in collecting and analyzing EVs in biofluids as diagnostics for a wide spectrum of central nervous system diseases...
2016: Advances in Clinical Chemistry
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