The analysis of carbohydrate-deficient transferrin, marker of chronic alcoholism, using capillary electrophoresis

Clin Chem Lab Med. 2003 Jun;41(6):739-46. doi: 10.1515/CCLM.2003.113.

Abstract

Carbohydrate-deficient transferrin (CDT) is currently considered to be the best available marker for the diagnosis of chronic alcoholism. A large variety of methods have been developed, demonstrating the need for standardisation. Commercially available anion-exchange chromatographic-based assays are easy to use and require no specialised, expensive instruments. However, these methods cannot identify genetic transferrin variants or the carbohydrate-deficient glycoprotein syndrome. In 1989, a capillary isoelectric focusing method was developed for quantitative measurement of CDT. Despite the optimal resolution, this method is not easily applied in a clinical routine environment due to the complexity of analysis. Capillary electrophoresis in a polymer network using coated capillaries allowed full resolution of the sialoforms of human transferrin. The drawbacks due to an expensive and time-consuming sample preparation were eliminated when a method in neat serum was developed. Capillary zone electrophoresis allowed full resolution of the transferrin isoforms with a high analytical performance in a short analysis time thanks to a strong electroosmotic flow. Genetic transferrin variants were easily detected, avoiding false-positive results. Also, using capillary zone electrophoresis, it was shown that CDT is a suitable marker of chronic alcohol abuse detection in transferrin CD (common/cathodal) variants.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Alcoholism / blood*
  • Biomarkers / blood
  • Chromatography, High Pressure Liquid / methods
  • Chromatography, Ion Exchange / methods
  • Electrophoresis, Capillary / instrumentation
  • Electrophoresis, Capillary / methods*
  • Humans
  • Isoelectric Focusing / methods
  • Time Factors
  • Transferrin / analogs & derivatives*
  • Transferrin / analysis*

Substances

  • Biomarkers
  • Transferrin
  • carbohydrate-deficient transferrin