Abstract

Article Pepsin pretreatment corrects underestimation of 25-hydroxyvitamin D measurement by an automated immunoassay in subjects with high vitamin D binding protein levels was published on January 1, 2022 in the journal Clinical Chemistry and Laboratory Medicine (CCLM) (volume 60, issue 1).

Highlights

  • Vitamin D is well known for its health benefits

  • We investigated whether we could correct for the underestimation of 25(OH)D in subjects with high vitamin D-binding protein (VDBP) concentrations using pepsin pretreatment in combination with the Lumipulse G 25(OH)D automated immunoassay

  • Assay agreement of the Lumipulse immunoassay with our LC-MS/MS method was good in most subject groups (with a slope, intercept and correlation coefficient r of 0.87, −0.76, and 0.98 in healthy subjects; 0.90, 2.1, and 0.99 in dialysis patients; 0.82, 4.9, and 0.98 in liver fibrosis patients; and 0.87, 2.77, and 0.87 in ICU patients, respectively), with the exception of pregnant women (Figure 1A and B)

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Summary

Introduction

Vitamin D is well known for its health benefits. The majority of circulating 25-hydroxyvitamin D (25(OH)D) is bound with high avidity to vitamin D-binding protein (VDBP). Agreement with VDSP traceable LC-MS/MS methods was moderate to poor in other populations such as pregnant women [7], and 25(OH)D concentrations were underestimated with 11– 35%, depending on the patients tested [7, 8].

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