Comparison of three methods for the elimination of the labile fraction of HbA 1

Abstract

Three different procedures were used to remove the "labile" fraction in the chromatographic quantitation of hemoglobin A1 (HbA1) by a minicolumn assay: (a) preincubation of the erythrocytes at 37 degrees C in isotonic saline for 4 h, (b) preincubation in the presence of semicarbazide-aniline at pH 5.0 for 30 min, and (c) preincubation in acetate buffer at pH 5.5 for 30 min. The results show that the two latter methods are not only more rapid but are also slightly more effective. The use of the acetate buffer is preferred because this reagent is more easily prepared and also because the presence of semicarbazide and aniline did not markedly accelerate the dissociation of Hb pre-A1c at pH 5.5. The procedure relies simply on the greater instability of Schiff base in acidic solution. There is a significant correlation between the "labile" fraction and the plasma glucose concentration at sampling time. The results support the view that the elimination of the "labile" precursor is essential to preserve the utility of the assay.