Measurement of serum digitoxin in patients by radioimmunoassay using specific antiserum

Clin Chim Acta. 2001 Dec;314(1-2):245-7. doi: 10.1016/s0009-8981(01)00635-0.

Abstract

Introduction: Digitoxin is used to treat patients with heart failure.

Methods: A radioimmunoassay procedure for the specific determination for digitoxin in serum was developed using the antiserum (antiserum (A)) raised against digitoxin 3'-hemisuccinate-BSA conjugate.

Results: The intra- and interassay variability were <10% in the range of 5-100 ng/ml. The specificities of antiserum (A) and the commercial anti-digitoxin antiserum (antiserum (B)) were assessed by cross-reactivity studies with various related compounds. Antiserum (A) was highly specific for digitoxin. Mean digitoxin concentrations in serum samples (n=34) from digitalized patients by RIA using these antisera were 10.0 and 12.4 ng/ml, respectively.

Conclusion: This RIA using antiserum (A) measure unmetabolized digitoxin and may be applicable for pharmacokinetic studies.

MeSH terms

  • Animals
  • Antibodies / analysis
  • Antibody Specificity
  • Cardiotonic Agents / blood*
  • Cardiotonic Agents / immunology
  • Cross Reactions
  • Digitoxigenin / blood
  • Digitoxin / blood*
  • Digitoxin / immunology
  • Heart Failure / blood
  • Humans
  • Rabbits / immunology
  • Radioimmunoassay
  • Reproducibility of Results
  • Serum Albumin, Bovine / chemistry

Substances

  • Antibodies
  • Cardiotonic Agents
  • Digitoxigenin
  • Serum Albumin, Bovine
  • Digitoxin