Short-term biological variation of serum glial fibrillary acidic protein

Serum glial fibrillary acidic protein (GFAP) is an emerging biomarker for intracerebral diseases and is approved for clinical use in traumatic brain injury. GFAP is also being investigated for several other applications, where the GFAP changes are not always outstanding. It is thus essential for the...

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Veröffentlicht in:Clinical chemistry and laboratory medicine 2022-10, Vol.60 (11), p.1813-1819
Hauptverfasser: Christensen, Silje Hovden, Hviid, Claus Vinter Bødker, Madsen, Anne Tranberg, Parkner, Tina, Winther-Larsen, Anne
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container_end_page 1819
container_issue 11
container_start_page 1813
container_title Clinical chemistry and laboratory medicine
container_volume 60
creator Christensen, Silje Hovden
Hviid, Claus Vinter Bødker
Madsen, Anne Tranberg
Parkner, Tina
Winther-Larsen, Anne
description Serum glial fibrillary acidic protein (GFAP) is an emerging biomarker for intracerebral diseases and is approved for clinical use in traumatic brain injury. GFAP is also being investigated for several other applications, where the GFAP changes are not always outstanding. It is thus essential for the interpretation of GFAP to distinguish clinical relevant changes from natural occurring biological variation. This study aimed at estimating the biological variation of serum GFAP.Apparently healthy subjects (n=33) had blood sampled for three consecutive days. On the second day, blood was also drawn every third hour from 9 AM to 9 PM. Serum GFAP was measured by Single Molecule Array (Simoa™). Components of biological variation were estimated in a linear mixed-effects model.The overall median GFAP value was 92.5 pg/mL (range 34.4–260.3 pg/mL). The overall within– (CVI) and between-subject variations (CVG) were 9.7 and 39.5%. The reference change value was 36.9% for an increase. No day-to-day variation was observed, however semidiurnal variation was observed with increasing GFAP values between 9 AM and 12 PM (p
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GFAP is also being investigated for several other applications, where the GFAP changes are not always outstanding. It is thus essential for the interpretation of GFAP to distinguish clinical relevant changes from natural occurring biological variation. This study aimed at estimating the biological variation of serum GFAP.Apparently healthy subjects (n=33) had blood sampled for three consecutive days. On the second day, blood was also drawn every third hour from 9 AM to 9 PM. Serum GFAP was measured by Single Molecule Array (Simoa™). Components of biological variation were estimated in a linear mixed-effects model.The overall median GFAP value was 92.5 pg/mL (range 34.4–260.3 pg/mL). The overall within– (CVI) and between-subject variations (CVG) were 9.7 and 39.5%. The reference change value was 36.9% for an increase. 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source De Gruyter journals
subjects Biological variation
Biomarkers
Blood
depressive disorder
Diurnal variations
Glial fibrillary acidic protein
Head injuries
individual
nervous system diseases
Proteins
Traumatic brain injury
Variation
title Short-term biological variation of serum glial fibrillary acidic protein
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