JP2009524069A - 低ヘモグロビン濃度細胞百分率および鉄欠乏の検出における使用方法 - Google Patents
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- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/72—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving blood pigments, e.g. haemoglobin, bilirubin or other porphyrins; involving occult blood
- G01N33/721—Haemoglobin
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- G—PHYSICS
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- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
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- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/80—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving blood groups or blood types or red blood cells
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Abstract
Description
本願は、2006年1月20日に出願された米国仮特許出願第60/760,520号の、米国特許法第119(e)条の下での利益を主張する。米国仮特許出願第60/760,520号は、その全体が本明細書中に参考として援用される。
本発明は、新しい診断パラメーターである低ヘモグロビン濃度細胞百分率を生成する方法、および鉄欠乏の検出において使用されるその方法に関する。
鉄欠乏(ID)は、世界中各地で最もよく見られる単一欠乏状態である。鉄欠乏により、罹患者は肉体労働を行うことができなくなり、また、小児における成長および学習の両方が損なわれるので、鉄欠乏は経済的に重要である。
Thomasら、Biochemical Markers and Hematologic Indices in the Diagnosis of Functional Iron Deficiency、Clinical Chemistry、第48巻、7号、1066〜1076頁、2002年 Revised European Best Practice Guidelines for the Management of Anaemia in Patients With Chronic Renal Failure、Locatelli, F.ら、Nephrology and Dyalisis Transplantation、第19巻、2004年5月(増刊第2号)、ガイドラインIII.2、ii22〜24頁 Revised European Best Practice Guidelines for the Management of Anaemia in Patients With Chronic Renal Failure、Locatelli, F.ら、Nephrology and Dyalisis Transplantation、第19巻、2004年5月(増刊第2号)、付録B、ii39〜41頁 Machin S.J.ら、Functional Iron Deficiency and New Red Cell Parameters on the Sysmex XE−2100、ISLH 2001 Industry−Sponsored Workshops, ISLH XIVth International Symposium、2001年 Thomas, C.ら、Anemia of Chronic Disease: Pathophysiology and Laboratory Diagnosis, Laboratory Hematology、2005年、11号、14〜23頁
1つの実施形態において、本発明は、低ヘモグロビン濃度細胞百分率(LHCC%)を血液分析装置で生成する方法に関する。この方法は、血液サンプルの第1のアリコートを血液希釈剤と混合して、第1のサンプル混合物を形成し、第1のサンプル混合物を血液分析装置で分析し、赤血球の平均赤血球容積(MCV)および赤血球濃度(RBC)を得ること;血液サンプルの第2のアリコートを試薬系と混合して、第2のサンプル混合物を形成し、第2のサンプル混合物を血液分析装置で分析し、血液サンプルのヘモグロビン濃度(Hgb)を得ること;得られたMCV、RBCおよびHgbを使用して平均赤血球ヘモグロビン濃度(MCHC)を得ること;得られたMCHCを使用して低ヘモグロビン濃度細胞百分率(LHCC%)を得ること;および血液サンプルのLHCC%を血液分析装置で報告することを含む。
本発明は、新しい診断パラメーターである低ヘモグロビン濃度細胞百分率(LHCC%)、および鉄欠乏の検出のために使用される方法を提供する。
LHCC%=1/(1+(EXP(d*(q−MCHC))))*100
(式中、dおよびqは定数である)
によって定義される平均赤血球ヘモグロビン濃度(MCHC)のシグモイド関数である。1つの例示的な実施形態において、dおよびqがそれぞれ1.8および30である。
強調LHCC%=SQRT((1−(1/(1+(EXP(d*(q−MCHC)))))))*100
(式中、dおよびqは定数である)
によって定義される強調LHCC%を提供する。1つの例示的な実施形態において、dおよびqがそれぞれ1.8および30である。
Claims (14)
- 血液サンプルの低ヘモグロビン濃度細胞百分率(LHCC%)を血液分析装置で生成する方法であって、
(a)血液サンプルの第1のアリコートを血液希釈剤と混合して、第1のサンプル混合物を形成し、前記第1のサンプル混合物を前記血液分析装置で分析し、赤血球の平均赤血球容積(MCV)および赤血球濃度(RBC)を得ること;
(b)前記血液サンプルの第2のアリコートを試薬系と混合して、第2のサンプル混合物を形成し、前記第2のサンプル混合物を前記血液分析装置で分析し、前記血液サンプルのヘモグロビン濃度(Hgb)を得ること;
(c)前記MCV、前記RBCおよび前記Hgbを使用して平均赤血球ヘモグロビン濃度(MCHC)を得ること;
(d)前記MCHCの関数として前記低ヘモグロビン濃度細胞百分率(LHCC%)を得ること;および
(e)前記血液サンプルの前記LHCC%を前記血液分析装置で報告すること
を含む方法。 - 前記LHCC%が前記MCHCのシグモイド関数である、請求項1に記載の方法。
- 前記LHCC%が、下記の式:
LHCC%=1/(1+(EXP(d*(q−MCHC))))*100
(式中、dおよびqは定数である)
によって定義される、請求項1に記載の方法。 - 前記dおよびqがそれぞれ1.8および30である、請求項3に記載の方法。
- 前記LHCC%が、下記の式:
強調LHCC%=SQRT((1−(1/(1+(EXP(d*(q−MCHC)))))))*100
(式中、dおよびqは定数である)
によって定義される強調LHCC%である、請求項1に記載の方法。 - 前記dおよびqがそれぞれ1.8および30である、請求項5に記載の方法。
- 前記低ヘモグロビン濃度細胞百分率(LHCC%)が低色素性赤血球百分率と線形相関する、請求項1に記載の方法。
- 前記低ヘモグロビン濃度細胞百分率(LHCC%)が前記MCHCの非線形リスケーリングによって得られる、請求項1に記載の方法。
- 鉄欠乏を検出する方法であって、
(a)血液サンプルを血液分析装置で分析し、赤血球の平均赤血球ヘモグロビン濃度(MCHC)を得る工程;
(b)前記MCHCの関数として低ヘモグロビン濃度細胞百分率(LHCC%)を得る工程;
(c)前記LHCC%を所定の鉄欠乏基準と比較する工程;および
(d)前記LHCC%が前記所定の鉄欠乏基準を満たす場合に、鉄欠乏を示すことを報告する工程
を含む方法。 - 前記LHCC%が前記MCHCのシグモイド関数である、請求項9に記載の方法。
- 前記LHCC%が、下記の式:
LHCC%=1/(1+(EXP(d*(q−MCHC))))*100
(式中、dおよびqは定数である)
によって定義される、請求項9に記載の方法。 - 前記dおよびqがそれぞれ1.8および30である、請求項11に記載の方法。
- 前記LHCC%が、下記の式:
強調LHCC%=SQRT((1−(1/(1+(EXP(d*(q−MCHC)))))))*100
(式中、dおよびqは定数である)
によって定義される強調LHCC%である、請求項9に記載の方法。 - 前記dおよびqがそれぞれ1.8および30である、請求項13に記載の方法。
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US76052006P | 2006-01-20 | 2006-01-20 | |
US60/760,520 | 2006-01-20 | ||
PCT/US2007/060753 WO2007084977A2 (en) | 2006-01-20 | 2007-01-19 | Low hemoglobin concentration cell percentage and method of use in detection of iron deficiency |
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JP2008551541A Active JP4925364B2 (ja) | 2006-01-20 | 2007-01-19 | 鉄欠乏を検出する方法 |
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Cited By (3)
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JP2013541712A (ja) * | 2010-09-16 | 2013-11-14 | ザ ジェネラル ホスピタル コーポレイション | 診断のための赤血球動力学 |
US10955423B2 (en) | 2015-12-15 | 2021-03-23 | The General Hospital Corporation | Methods of estimating blood glucose and related systems |
US11293852B2 (en) | 2016-04-07 | 2022-04-05 | The General Hospital Corporation | White blood cell population dynamics |
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CA2574777C (en) * | 2004-07-23 | 2015-09-01 | Acceleron Pharma Inc. | Actrii receptor polypeptides, methods and compositions |
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WO2007084976A2 (en) * | 2006-01-20 | 2007-07-26 | Beckman Coulter, Inc. | Methods of detection of iron deficiency |
RS52537B (en) * | 2006-12-18 | 2013-04-30 | Acceleron Pharma Inc. | ACTIVIN-ACTRII ANTAGONISTS AND USES FOR ANEMIA TREATMENT |
US20100028332A1 (en) * | 2006-12-18 | 2010-02-04 | Acceleron Pharma Inc. | Antagonists of actriib and uses for increasing red blood cell levels |
US8895016B2 (en) * | 2006-12-18 | 2014-11-25 | Acceleron Pharma, Inc. | Antagonists of activin-actriia and uses for increasing red blood cell levels |
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JP2013541712A (ja) * | 2010-09-16 | 2013-11-14 | ザ ジェネラル ホスピタル コーポレイション | 診断のための赤血球動力学 |
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JP2018009992A (ja) * | 2010-09-16 | 2018-01-18 | ザ ジェネラル ホスピタル コーポレイション | 診断のための赤血球動力学 |
US9938557B2 (en) | 2010-09-16 | 2018-04-10 | The General Hospital Corporation | Red blood cell dynamics for administering treatment for iron-deficiency anemia |
US11319571B2 (en) | 2010-09-16 | 2022-05-03 | The General Hospital Corporation | Red blood cell dynamics for gastrointestinal evaluation |
US10955423B2 (en) | 2015-12-15 | 2021-03-23 | The General Hospital Corporation | Methods of estimating blood glucose and related systems |
US11293852B2 (en) | 2016-04-07 | 2022-04-05 | The General Hospital Corporation | White blood cell population dynamics |
US11885733B2 (en) | 2016-04-07 | 2024-01-30 | The General Hospital Corporation | White blood cell population dynamics |
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JP4925364B2 (ja) | 2012-04-25 |
JP4822562B2 (ja) | 2011-11-24 |
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EP1976541A4 (en) | 2010-03-03 |
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EP2016423B1 (en) | 2011-07-13 |
JP2012042488A (ja) | 2012-03-01 |
US7361512B2 (en) | 2008-04-22 |
WO2007084977A3 (en) | 2007-11-29 |
EP1976541B1 (en) | 2011-07-13 |
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