RAPID FETAL LUNG MATURITY TESTING: COMMERCIAL VERSUS NBD-PHOSPHATIDYLCHOLINE ASSAY

We compared the TDx Fetal Lung Maturity test and the fluorescence polarization method using l-palmitoyl-2{6-[(7- nitro-2,l,3-benzoxadiazol-4-yl)amino]caproyl}phosphatidylcholine (NBD-phosphatidylcholine). Using 76 paired human amniotic fluid samples, the fluorescence polarization values of the two m...

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Veröffentlicht in:Obstetrics and gynecology (New York. 1953) 1992-12, Vol.80 (6), p.1048-1053
Hauptverfasser: Ashwood, Edward R, Palmer, Stephen E, Lenke, Roger R
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container_end_page 1053
container_issue 6
container_start_page 1048
container_title Obstetrics and gynecology (New York. 1953)
container_volume 80
creator Ashwood, Edward R
Palmer, Stephen E
Lenke, Roger R
description We compared the TDx Fetal Lung Maturity test and the fluorescence polarization method using l-palmitoyl-2{6-[(7- nitro-2,l,3-benzoxadiazol-4-yl)amino]caproyl}phosphatidylcholine (NBD-phosphatidylcholine). Using 76 paired human amniotic fluid samples, the fluorescence polarization values of the two methods were found to have a strong nonlinear correlation (r2=0.946). Both assays can be completed in less than 1 hour, have excellent precision (between- day variation less than 2%), and indicate the amount of surfactant phospholipid relative to albumin. The FLM assay is calibrated with surfactant/albumin standards; therefore, the reported results (in mg/g) correlate inversely with polarization of NBD-phosphatidylcholine. Strong correlations were seen for both assays with the lecithinsphingomyelin ratio and phosphatidylglycerol. The correlations indicate that the recommended reference range for FLM will have more false predictions of immaturity than the NBD-phosphatidylcholine assay. (Obstet Gynecol 1992;801048-53)
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Using 76 paired human amniotic fluid samples, the fluorescence polarization values of the two methods were found to have a strong nonlinear correlation (r2=0.946). Both assays can be completed in less than 1 hour, have excellent precision (between- day variation less than 2%), and indicate the amount of surfactant phospholipid relative to albumin. The FLM assay is calibrated with surfactant/albumin standards; therefore, the reported results (in mg/g) correlate inversely with polarization of NBD-phosphatidylcholine. Strong correlations were seen for both assays with the lecithinsphingomyelin ratio and phosphatidylglycerol. The correlations indicate that the recommended reference range for FLM will have more false predictions of immaturity than the NBD-phosphatidylcholine assay. 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source MEDLINE; Journals@Ovid Complete
subjects Albumins - analysis
Amniotic Fluid - chemistry
Biological and medical sciences
Fetal Organ Maturity
Fluorescence Polarization - instrumentation
Fluorescent Dyes
Gynecology. Andrology. Obstetrics
Lung - embryology
Management. Prenatal diagnosis
Medical sciences
Phosphatidylcholines - analysis
Phosphatidylglycerols - analysis
Pregnancy. Fetus. Placenta
Prenatal Diagnosis - instrumentation
Prenatal Diagnosis - methods
Pulmonary Surfactants - analysis
Sphingomyelins - analysis
Time Factors
title RAPID FETAL LUNG MATURITY TESTING: COMMERCIAL VERSUS NBD-PHOSPHATIDYLCHOLINE ASSAY
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