Effects of bilirubin photoisomers on the measurement of direct bilirubin by the bilirubin oxidase method

Background We occasionally encounter increases in direct bilirubin value on reanalysis of the surplus serum collected in the past from a neonate with indirect hyperbilirubinemia. But the details of this phenomenon are unclear. We evaluated the change of direct bilirubin and the relation of bilirubin...

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Veröffentlicht in:Annals of clinical biochemistry 2018-03, Vol.55 (2), p.276-280
Hauptverfasser: Okada, Hitoshi, Kawada, Kou, Itoh, Susumu, Ozaki, Miyo, Kakutani, Isami, Arai, Takeshi, Koyano, Kosuke, Yasuda, Saneyuki, Iwase, Takashi, Murao, Koji, Kusaka, Takashi
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container_end_page 280
container_issue 2
container_start_page 276
container_title Annals of clinical biochemistry
container_volume 55
creator Okada, Hitoshi
Kawada, Kou
Itoh, Susumu
Ozaki, Miyo
Kakutani, Isami
Arai, Takeshi
Koyano, Kosuke
Yasuda, Saneyuki
Iwase, Takashi
Murao, Koji
Kusaka, Takashi
description Background We occasionally encounter increases in direct bilirubin value on reanalysis of the surplus serum collected in the past from a neonate with indirect hyperbilirubinemia. But the details of this phenomenon are unclear. We evaluated the change of direct bilirubin and the relation of bilirubin photoisomer of the serum exposed to room light. Methods Surplus serum samples from neonates with indirect hyperbilirubinemia were exposed to room light for 24 h. The bilirubin fraction assay of samples was performed by the bilirubin oxidase method (Nescauto and Aqua-auto Kainos reagent) and high-performance liquid chromatography. Results Direct bilirubin increased significantly from 0.61 to 2.36 mg/dL. The respective ratios of bilirubin photoisomers before and after exposure were as follows: cyclobilirubin (0.007 to 0.29) and (EZ)-bilirubin (0.018 to 0.041) increased significantly, (ZZ)-bilirubin decreased 0.84 to 0.55 significantly. The difference of the cyclobilirubin concentration was most closely associated with those of the direct bilirubin concentration. Conclusion Direct bilirubin value was increased after exposure to the room light, and increase in direct bilirubin was significantly correlated by cyclobilirubin increase in the serum samples from neonates with indirect hyperbilirubinemia.
doi_str_mv 10.1177/0004563217716474
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But the details of this phenomenon are unclear. We evaluated the change of direct bilirubin and the relation of bilirubin photoisomer of the serum exposed to room light. Methods Surplus serum samples from neonates with indirect hyperbilirubinemia were exposed to room light for 24 h. The bilirubin fraction assay of samples was performed by the bilirubin oxidase method (Nescauto and Aqua-auto Kainos reagent) and high-performance liquid chromatography. Results Direct bilirubin increased significantly from 0.61 to 2.36 mg/dL. The respective ratios of bilirubin photoisomers before and after exposure were as follows: cyclobilirubin (0.007 to 0.29) and (EZ)-bilirubin (0.018 to 0.041) increased significantly, (ZZ)-bilirubin decreased 0.84 to 0.55 significantly. The difference of the cyclobilirubin concentration was most closely associated with those of the direct bilirubin concentration. Conclusion Direct bilirubin value was increased after exposure to the room light, and increase in direct bilirubin was significantly correlated by cyclobilirubin increase in the serum samples from neonates with indirect hyperbilirubinemia.</description><identifier>ISSN: 0004-5632</identifier><identifier>EISSN: 1758-1001</identifier><identifier>DOI: 10.1177/0004563217716474</identifier><identifier>PMID: 28656812</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Bilirubin - blood ; Chromatography, High Pressure Liquid ; Humans ; Hyperbilirubinemia, Neonatal - blood ; Hyperbilirubinemia, Neonatal - therapy ; Infant, Newborn ; Isomerism ; Light ; Oxidoreductases Acting on CH-CH Group Donors - metabolism</subject><ispartof>Annals of clinical biochemistry, 2018-03, Vol.55 (2), p.276-280</ispartof><rights>The Author(s) 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-32936069e2dce10520e94979f9684f35c6a211afec0d4d4e07f3a2410bd44bf13</citedby><cites>FETCH-LOGICAL-c403t-32936069e2dce10520e94979f9684f35c6a211afec0d4d4e07f3a2410bd44bf13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0004563217716474$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0004563217716474$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,777,781,21801,27906,27907,43603,43604</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28656812$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okada, Hitoshi</creatorcontrib><creatorcontrib>Kawada, Kou</creatorcontrib><creatorcontrib>Itoh, Susumu</creatorcontrib><creatorcontrib>Ozaki, Miyo</creatorcontrib><creatorcontrib>Kakutani, Isami</creatorcontrib><creatorcontrib>Arai, Takeshi</creatorcontrib><creatorcontrib>Koyano, Kosuke</creatorcontrib><creatorcontrib>Yasuda, Saneyuki</creatorcontrib><creatorcontrib>Iwase, Takashi</creatorcontrib><creatorcontrib>Murao, Koji</creatorcontrib><creatorcontrib>Kusaka, Takashi</creatorcontrib><title>Effects of bilirubin photoisomers on the measurement of direct bilirubin by the bilirubin oxidase method</title><title>Annals of clinical biochemistry</title><addtitle>Ann Clin Biochem</addtitle><description>Background We occasionally encounter increases in direct bilirubin value on reanalysis of the surplus serum collected in the past from a neonate with indirect hyperbilirubinemia. 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But the details of this phenomenon are unclear. We evaluated the change of direct bilirubin and the relation of bilirubin photoisomer of the serum exposed to room light. Methods Surplus serum samples from neonates with indirect hyperbilirubinemia were exposed to room light for 24 h. The bilirubin fraction assay of samples was performed by the bilirubin oxidase method (Nescauto and Aqua-auto Kainos reagent) and high-performance liquid chromatography. Results Direct bilirubin increased significantly from 0.61 to 2.36 mg/dL. The respective ratios of bilirubin photoisomers before and after exposure were as follows: cyclobilirubin (0.007 to 0.29) and (EZ)-bilirubin (0.018 to 0.041) increased significantly, (ZZ)-bilirubin decreased 0.84 to 0.55 significantly. The difference of the cyclobilirubin concentration was most closely associated with those of the direct bilirubin concentration. Conclusion Direct bilirubin value was increased after exposure to the room light, and increase in direct bilirubin was significantly correlated by cyclobilirubin increase in the serum samples from neonates with indirect hyperbilirubinemia.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>28656812</pmid><doi>10.1177/0004563217716474</doi><tpages>5</tpages></addata></record>
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subjects Bilirubin - blood
Chromatography, High Pressure Liquid
Humans
Hyperbilirubinemia, Neonatal - blood
Hyperbilirubinemia, Neonatal - therapy
Infant, Newborn
Isomerism
Light
Oxidoreductases Acting on CH-CH Group Donors - metabolism
title Effects of bilirubin photoisomers on the measurement of direct bilirubin by the bilirubin oxidase method
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