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Serum amyloid A in healthy subjects: assessment of reference value using ELISA method.

Abstract
Serum amyloid A (SAA) is a family of acute-phase reactants. The rise of SAA concentration in blood circulation during the acute-phase response is a clinical marker of active inflammation. Despite its practical and analytical advantages, SAA measurement by enzyme-linked immunosorbent assay (ELISA) has been used mainly as a research tool rather than for the routine laboratory testing. This may be partly explained by the lack of robust reference data in the literature for the different commercially available immunoassays. Using the recommended procedures for the production of reference intervals published by the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC), we developed the SAA reference interval for a well-defined Italian healthy population and investigated the correlation among SAA and C-reactive protein (CRP), the commonly used acute-phase marker. After data normalization, the reference cutoff was calculated as 225 ng/ml. A good correlation between SAA and CRP was found (P < .05). No statistically significant differences was found between males and females when the means of SAA values were compared, suggesting that not gender-partitioned reference range is recommended for this analyte. This study allowed to define a widely accepted reference cutoff for the SAA detected by ELISA, responding to an unmet need of laboratory medicine.
AuthorsTeresa Carbone, Vito Pafundi, Carlo Schievano, Discianni Assunta, Maria Carmela Padula, Mara Giordano, Giuseppe Canora, Chiara Lazzari, Angela Anna Padula, Salvatore D'Angelo
JournalJournal of immunoassay & immunochemistry (J Immunoassay Immunochem) Vol. 42 Issue 2 Pg. 129-137 (Mar 04 2021) ISSN: 1532-4230 [Electronic] England
PMID33119992 (Publication Type: Journal Article)
Chemical References
  • Serum Amyloid A Protein
  • C-Reactive Protein
Topics
  • Adult
  • C-Reactive Protein (analysis, standards)
  • Enzyme-Linked Immunosorbent Assay (standards)
  • Female
  • Healthy Volunteers
  • Humans
  • Male
  • Reference Values
  • Serum Amyloid A Protein (analysis, standards)

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