{"id":7649,"date":"2016-01-29T14:21:00","date_gmt":"2016-01-29T05:21:00","guid":{"rendered":"https:\/\/www.arkray-adams-portal.com\/?p=7649"},"modified":"2025-11-04T10:44:19","modified_gmt":"2025-11-04T01:44:19","slug":"effects-of-hemoglobin-c-d-e-and-s-traits-on-measurements-of-hemoglobin-a1c-by-twelve-methods","status":"publish","type":"post","link":"https:\/\/www.arkray-adams-portal.com\/en_ph\/effects-of-hemoglobin-c-d-e-and-s-traits-on-measurements-of-hemoglobin-a1c-by-twelve-methods\/","title":{"rendered":"Effects of Hemoglobin C, D, E and S traits on Measurements of Hemoglobin A1c by Twelve Methods"},"content":{"rendered":"<div class=\"wp-block-group alignfull no-translate is-layout-constrained wp-block-group-is-layout-constrained\" data-no-translation=\"\" data-no-auto-translation=\"\">\n<div class=\"wp-block-group alignfull has-no-underline gutenify-section-d97765c0-0de4-11ef-8349-a98fb6e2acf9 is-layout-constrained wp-container-core-group-is-layout-6094b662 wp-block-group-is-layout-constrained\" style=\"margin-top:0;margin-bottom:0;padding-top:0;padding-right:0;padding-bottom:0;padding-left:0\">\n<div class=\"wp-block-cover alignfull banner gutenify-section-dd313970-0de4-11ef-8349-a98fb6e2acf9 has-background-color has-text-color has-link-color wp-elements-4f72ac078f33fb48038f81c459cf8ea7\" style=\"min-height:314px;aspect-ratio:unset;\"><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim-100 has-background-dim\" style=\"background-color:#6e6e6e\"><\/span><div class=\"wp-block-cover__inner-container is-layout-constrained wp-container-core-cover-is-layout-db9edeb8 wp-block-cover-is-layout-constrained\">\n<div style=\"height:72px\" aria-hidden=\"true\" class=\"wp-block-spacer gutenify-section-bed0b4d0-0de7-11ef-8349-a98fb6e2acf9\"><\/div>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-37389868 gutenify-section-09a8c7b0-0de6-11ef-8349-a98fb6e2acf9\"><\/div>\n\n\n\n<div style=\"height:14px\" aria-hidden=\"true\" class=\"wp-block-spacer gutenify-section-c8542960-0de7-11ef-8349-a98fb6e2acf9\"><\/div>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-3fb2f362 header-heading gutenify-section-b859f5f0-0de5-11ef-8349-a98fb6e2acf9\"><h2 class=\"uagb-heading-text\"><a href=\"https:\/\/www.arkray-adams-portal.com\/\" data-type=\"page\" data-id=\"69\"><span style=\"text-decoration: underline\">Home<\/span><\/a> &gt; <a href=\"https:\/\/www.arkray-adams-portal.com\/articles\/\" data-type=\"page\" data-id=\"1896\"><span style=\"text-decoration: underline\">Articles<\/span><\/a> &gt; <span class='articleTitle'>Effects of Hemoglobin C, D, E and S traits on Measurements of Hemoglobin A1c by Twelve Methods<\/span><\/h2><\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull gutenify-section-f9ea1980-11bb-11ef-b383-4f5b68d86aff is-layout-flow wp-block-group-is-layout-flow\" style=\"margin-top:5em;margin-bottom:5em;padding-top:0;padding-right:10%;padding-bottom:0;padding-left:10%\">\n<h2 class=\"wp-block-heading alignfull gutenify-section-ad620900-7710-11ef-bca1-554e3c758759\" style=\"font-size:35px\"><span class='articleTitle'>Effects of Hemoglobin C, D, E and S traits on Measurements of Hemoglobin A1c by Twelve Methods<\/span><\/h2>\n\n\n\n<div class=\"wp-block-group gutenify-section-21658500-7713-11ef-bca1-554e3c758759 is-content-justification-space-between is-nowrap is-layout-flex wp-container-core-group-is-layout-cb46ffcb wp-block-group-is-layout-flex\">\n<div class=\"wp-block-group gutenify-section-2112c690-7712-11ef-bca1-554e3c758759 is-vertical is-layout-flex wp-container-core-group-is-layout-fe9cc265 wp-block-group-is-layout-flex\">\n<div class=\"wp-block-group gutenify-section-bdb9e240-7711-11ef-bca1-554e3c758759 has-foreground-color has-text-color has-link-color wp-elements-47395a2ff851a088b41f58c60d64086c is-vertical is-layout-flex wp-container-core-group-is-layout-4b827052 wp-block-group-is-layout-flex\" style=\"font-size:15px\">\n<p class=\"link gutenify-section-2f41de50-7711-11ef-bca1-554e3c758759 has-primary-color has-text-color has-link-color wp-elements-3968136434ae267debc6effc86157d25\" style=\"font-size:15px\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26828530\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/26828530\/<\/a><\/p>\n\n\n\n<p class=\"gutenify-section-8ff82b50-7711-11ef-bca1-554e3c758759\" style=\"font-size:15px\">Received: December 8, 2015; accepted January 28, 2016;<\/p>\n\n\n\n<p class=\"gutenify-section-a7f44e50-7711-11ef-bca1-554e3c758759\" style=\"font-size:15px\">published online January 29, 2016<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-buttons gutenify-section-e18fecf0-7711-11ef-bca1-554e3c758759 is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button downloadPDF gutenify-section-e1dea930-7711-11ef-bca1-554e3c758759\"><a class=\"wp-block-button__link has-background-color has-text-color has-background has-link-color wp-element-button\" href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4966613\/pdf\/nihms-800650.pdf\" style=\"border-radius:5px;background-color:#666666;padding-top:5px;padding-right:20px;padding-bottom:5px;padding-left:20px\">Download PDF<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group gutenify-section-ff1f9030-7712-11ef-bca1-554e3c758759 is-vertical is-layout-flex wp-container-core-group-is-layout-4b827052 wp-block-group-is-layout-flex\">\n<p class=\"link gutenify-section-bfce9c00-7712-11ef-bca1-554e3c758759 has-secondary-color has-text-color has-link-color wp-elements-2c8a3fc0f33d100fefac56a3b73d1b94\"><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull gutenify-section-ad0f7b50-165c-11ef-bfd5-cfd4a0d06cdc has-background is-layout-flow wp-block-group-is-layout-flow\" style=\"background-color:#dfdfdf;margin-bottom:5em;padding-top:4%;padding-right:10%;padding-bottom:4%;padding-left:10%\">\n<div class=\"wp-block-uagb-advanced-heading uagb-block-ebd3e696 gutenify-section-9033f060-165c-11ef-bfd5-cfd4a0d06cdc\"><h2 class=\"uagb-heading-text\">Abstract<\/h2><\/div>\n\n\n\n<div class=\"wp-block-group alignfull has-no-underline gutenify-section-be83e840-1264-11ef-95df-3df10c60ff2a has-foreground-color has-text-color has-background has-link-color wp-elements-b52f2b0e8d3dfae533b8240156182b72 is-layout-constrained wp-container-core-group-is-layout-f3375e64 wp-block-group-is-layout-constrained\" style=\"background-color:#dfdfdf;margin-top:0;margin-bottom:0;padding-top:0;padding-right:0%;padding-bottom:0;padding-left:0%\">\n<div class=\"wp-block-columns alignfull gutenify-section-c9808f50-1264-11ef-95df-3df10c60ff2a is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><strong>Background<\/strong>\u2014Hemoglobin C, D Punjab, E or S trait can interfere with hemoglobin A1c (HbA1c) results. We assessed whether they affect results obtained with 12 current assay methods.<\/p>\n\n\n\n<p><strong>Methods<\/strong>\u2014Hemoglobin AA (HbAA), HbAC, HbAD Punjab, HbAE and HbAS samples were analyzed on one enzymatic, nine ion-exchange HPLC and two capillary electrophoresis methods. Trinity ultra2 boronate affinity HPLC was the comparative method. An overall test of coincidence of least-squared linear regression lines was performed to determine if HbA1c results were statistically significantly different from those of HbAA samples. Clinically significant interference was defined as &gt;7% difference from HbAA at 6 or 9% HbA1c compared to ultra2 using Deming regression.<\/p>\n\n\n\n<p><strong>Results<\/strong>\u2014All methods showed statistically significant effects for one or more variants. Clinically significant effects were observed for the Tosoh G8 variant mode and GX (all variants), GX V1.22 (all but HbAE) and G11 variant mode (HbAC). All other methods (Abbott Architect c Enzymatic, Bio-Rad D-100, Variant II NU and Variant II Turbo 2.0, Menarini HA-8180T thalassemia mode and HA-8180V variant mode, Sebia Capillarys 2 and Capillarys 3) showed no clinically significant differences.<\/p>\n\n\n\n<p><strong>Conclusions<\/strong>\u2014Several methods showed clinically significant interference with HbA1c results from one or more variants which could adversely affect patient care.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull related-links gutenify-section-dfca4580-1363-11ef-af4d-0f7daaf61623 is-layout-constrained wp-container-core-group-is-layout-9918c094 wp-block-group-is-layout-constrained\" style=\"margin-bottom:0%;padding-right:23%;padding-bottom:5%;padding-left:23%\">\n<div class=\"wp-block-group alignfull gutenify-section-f55f21f0-1362-11ef-af4d-0f7daaf61623 is-layout-constrained wp-container-core-group-is-layout-c1464364 wp-block-group-is-layout-constrained\" 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uagb-block-1a0e5f69\"><div class=\"uagb-buttons__wrap uagb-buttons-layout-wrap\">\n<div class=\"wp-block-uagb-buttons-child uagb-buttons__outer-wrap uagb-block-8b1fb89f wp-block-button\"><div class=\"uagb-button__wrapper\"><a class=\"uagb-buttons-repeater wp-block-button__link\" aria-label=\"\" href=\"https:\/\/www.arkray-adams-portal.com\/ha-8180t\/\" rel=\"follow noopener\" target=\"_self\" role=\"button\"><span class=\"uagb-button__icon uagb-button__icon-position-before\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 448 512\" aria-hidden=\"true\" focussable=\"false\"><path d=\"M256 64C256 46.33 270.3 32 288 32H415.1C415.1 32 415.1 32 415.1 32C420.3 32 424.5 32.86 428.2 34.43C431.1 35.98 435.5 38.27 438.6 41.3C438.6 41.35 438.6 41.4 438.7 41.44C444.9 47.66 447.1 55.78 448 63.9C448 63.94 448 63.97 448 64V192C448 209.7 433.7 224 416 224C398.3 224 384 209.7 384 192V141.3L214.6 310.6C202.1 323.1 181.9 323.1 169.4 310.6C156.9 298.1 156.9 277.9 169.4 265.4L338.7 96H288C270.3 96 256 81.67 256 64V64zM0 128C0 92.65 28.65 64 64 64H160C177.7 64 192 78.33 192 96C192 113.7 177.7 128 160 128H64V416H352V320C352 302.3 366.3 288 384 288C401.7 288 416 302.3 416 320V416C416 451.3 387.3 480 352 480H64C28.65 480 0 451.3 0 416V128z\"><\/path><\/svg><\/span><div class=\"uagb-button__link\">HA-8180T<\/div><\/a><\/div><\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull is-content-justification-space-between is-layout-flex wp-container-core-group-is-layout-9dedeb33 wp-block-group-is-layout-flex\">\n<div class=\"wp-block-uagb-buttons uagb-buttons__outer-wrap uagb-btn__default-btn uagb-btn-tablet__default-btn uagb-btn-mobile__default-btn uagb-block-0b7813b3\"><div class=\"uagb-buttons__wrap uagb-buttons-layout-wrap\">\n<div class=\"wp-block-uagb-buttons-child uagb-buttons__outer-wrap uagb-block-363a85f6 wp-block-button\"><div class=\"uagb-button__wrapper\"><a class=\"uagb-buttons-repeater wp-block-button__link\" aria-label=\"\" href=\"#\" rel=\"follow noopener\" target=\"_self\" role=\"button\"><div class=\"uagb-button__link\">Click Here<\/div><\/a><\/div><\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top gutenify-section-bdfa9220-1363-11ef-af4d-0f7daaf61623 is-layout-constrained wp-container-core-column-is-layout-12243e0f wp-block-column-is-layout-constrained\" style=\"flex-basis:100%\">\n<div class=\"wp-block-group alignfull gutenify-section-ba8f4910-1362-11ef-af4d-0f7daaf61623 is-layout-constrained wp-container-core-group-is-layout-12243e0f wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group alignfull is-vertical is-content-justification-stretch is-layout-flex wp-container-core-group-is-layout-e6edd9f6 wp-block-group-is-layout-flex\">\n<div class=\"wp-block-group alignfull is-content-justification-space-between is-layout-flex wp-container-core-group-is-layout-9dedeb33 wp-block-group-is-layout-flex\">\n<div class=\"wp-block-uagb-buttons uagb-buttons__outer-wrap uagb-btn__default-btn uagb-btn-tablet__default-btn uagb-btn-mobile__default-btn uagb-block-27ff00aa\"><div class=\"uagb-buttons__wrap uagb-buttons-layout-wrap\"><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull is-content-justification-space-between is-layout-flex wp-container-core-group-is-layout-9dedeb33 wp-block-group-is-layout-flex\">\n<div class=\"wp-block-uagb-buttons uagb-buttons__outer-wrap uagb-btn__default-btn uagb-btn-tablet__default-btn uagb-btn-mobile__default-btn uagb-block-105b6fba\"><div class=\"uagb-buttons__wrap uagb-buttons-layout-wrap\"><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>https:\/\/pubmed.ncbi.nlm.nih.gov\/26828530\/ Received: December 8, 2015; accepted January 28, 2016; published online January 29, 2016 Abstract [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":7759,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_eb_attr":"","_oasis_is_in_workflow":0,"_oasis_original":0,"_uag_custom_page_level_css":".banner{\n\tmargin: 0;\n\tpadding: 0;\n}\n\n.header-heading span:hover{\n\ttext-decoration: none!important;\n}\n\n.link{\n\ttext-decoration: underline;\n\ttext-decoration-color: blue;\n}\n\n.link:hover{\n\ttext-decoration: none!important;\n}\n\n.link span:hover{\n\ttext-decoration: none!important;\n}\n\n.separator{\n\twhite-space: nowrap;\n}\n\n.downloadPDF a:hover {\n\tbackground-color: 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Received: December 8, 2015; accepted January 28, 2016; published online January 29, 2016 Abstract 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