Establishment of Reference Intervals for Serum Protein Electrophoresis of Apparently Healthy Adults in Addis Ababa, Ethiopia.

Journal: International journal of general medicine

Volume: 15

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of National Clinical Chemistry Reference Laboratory, Ethiopian Public Health Institute, Addis Ababa, Ethiopia. Department of Medical Laboratory Sciences, Wollo University, Dessie, Ethiopia. Food Science and Nutrition Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia. National Capacity Building Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia. Department of Medical Laboratory, Yekatit General Hospital, Addis Ababa, Ethiopia. Department of Medical Laboratory, Saint Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia. Department of Medical Laboratory Sciences, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia.

Abstract summary 

Even though several factors affect reference intervals (RIs), company-derived values are currently in use in many laboratories worldwide. However, few or no data are available regarding serum proteins RIs, especially in resource-limited countries such as Ethiopia.To establish RIs for serum protein electrophoresis of apparently healthy adults in Addis Ababa, Ethiopia.A cross-sectional study was conducted on a total of 297 apparently healthy adults from April to October 2019 in four selected sub-cities (Akaki, Kirkos, Arada, and Yeka) of Addis Ababa, Ethiopia. Laboratory analysis of collected samples was performed using the Capillarys 2 Flex Piercing analyzer, while statistical analysis was conducted using SPSS version 23 and Med-Calc software. The Mann-Whitney test was used to check partitions. A non-parametric method of reference range establishment was performed as per CLSI guideline EP28A3C.The established RIs were: albumin 53.83-64.59%, 52.24-63.55%; alpha-1 globulin 3.04-5.40%, 3.44-5.60%; alpha-2 globulin 8.0-12.67%, 8.44-12.87%; and beta-1 globulin 5.01-7.38%, 5.14-7.86%. Moreover, the albumin to globulin ratios were 1.16-1.8 and 1.09-1.74 for males and females, respectively. The combined RIs for beta-2 globulin and gamma globulin were 2.54-4.90% and 12.40-21.66%, respectively.The established reference interval for serum protein fractions revealed gender-specific differences, except for beta-2 globulin and gamma globulin.

Authors & Co-authors:  Bikila Demiraw D Lejisa Tadesse T Tolcha Yosef Y Bashea Chala C Meles Mehari M Getahun Tigist T Ashebir Genet G Habtu Wossene W Challa Feyissa F Mohammed Ousman O Kassaw Melkitu M Kebede Adisu A G/Egzeabher Letebrhan L Befekadu Endalkachew E Wolde Mistire M Tsegaye Aster A

Study Outcome 

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Statistics
Citations :  Clark R, Katzmann JA, Wiegert E, et al. Rapid capillary electrophoretic analysis of human serum proteins: qualitative comparison with high-throughput agarose gel electrophoresis. J Chromatogr A. 1996;744:205–213. doi:10.1016/0021-9673(96)00190-2
Authors :  16
Identifiers
Doi : 10.2147/IJGM.S376450
SSN : 1178-7074
Study Population
Males
Mesh Terms
Other Terms
Addis Ababa;Ethiopia;reference interval;serum protein electrophoresis
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
New Zealand