Prior to a study of the pathophysiological significance of chronic
atrophic gastritis and hypergastrinemia, we evaluated a new radioimmunoassay kit for serum total
gastrin (Diagnostic Products Corp.). The mean intra-assay CV ranged from 2 to 5% (2386 patients' samples in 47 assay runs done during four months). Total CVs for two controls ranged from 4 to 10%. Within-assay bias was 5%.
Oleate decreased the values, indicating that intravenous
heparin, which releases endothelial
lipase, causing in vitro lipolysis, should be avoided if
indwelling catheters are used for sampling, e.g., during provocation tests for
gastrin release. Of three other commercial kits examined, two were affected by
oleate. Other
anions such as
heparin and
EDTA also affected the assay. Values for
gastrin in heparinized plasma from surgical patients representing a variety of disorders agreed well with results obtained by a reference laboratory. We confirm the usefulness of this assay for discriminating clinical situations and conclude that
ligand assays, besides those for thyroid assessment, should be assessed for interference from
nonesterified fatty acids. Preliminary data also suggest a marked age dependence of serum
gastrin concentration.