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FRUCT<br />

81610<br />

FROS<br />

81164<br />

GFDMS<br />

protein in Friedreichâ€s ataxia patients and carriers. Mol Genet Metab 2008;94:491-497 2. Babady NE,<br />

Carelle N, Wells RD, et al: Advancements in the pathophysiology of Friedreich ataxia and new prospects<br />

for treatments. Mol Genet Metab 2007;92:23-35 3. Boehm T, Scheiber-Mojdehkar B, Kluge B, et al:<br />

Variations of frataxin protein levels in normal individuals. Neurol Sci 2010 May 27, PubMed: 20506029<br />

Fructosamine, Serum<br />

Clinical Information: Fructosamine is a general term, which applies to any glycated protein. It is<br />

formed by the nonenzymatic reaction of glucose with the a- and e-amino groups of proteins to form<br />

intermediate compounds called aldimines. These aldimines may dissociate or undergo an Amadori<br />

rearrangement to form stable ketoamines called fructosamines. This nonenzymatic glycation of specific<br />

proteins in vivo is proportional to the prevailing glucose concentration during the lifetime of the protein.<br />

Therefore, glycated protein measurements in the diabetic patient is felt to be a better monitor of long-term<br />

glycemic control than individual or sporadic glucose determinations. The best known of these proteins is<br />

glycated hemoglobin which is often measured as hemoglobin A1C, and reflects glycemic control over the<br />

past 6 to 8 weeks. In recognition of the need for a measurement which reflects intermediate-term glycemic<br />

control and was easily automated, a nonspecific test, termed fructosamine, was developed. Since albumin<br />

is the most abundant serum protein, it accounts for 80% of the gylcated serum proteins, and thus, a high<br />

proportion of the fructosamine. Although a large portion of the color generated in the reaction is<br />

contributed by glycated albumin, the method will measure all proteins, each with a different half-life and<br />

different levels of glycation.<br />

Useful For: Assessing intermediate-term glycemic control<br />

Interpretation: In general, fructosamine reflect glycemic control in diabetic patients over the previous<br />

2 to 3 weeks. High values indicate poor control.<br />

Reference Values:<br />

200-285 mcmol/L<br />

Clinical References: 1. Tietz Textbook of Clinical Chemistry, Edited by Burtis and Ashwood.<br />

Philadelphia, WB Saunders Company, 1999 2. Austin GE, Mullins RH, Morin LG: Non-enzymatic<br />

glycation of individual plasma proteins in normoglycemic and hyperglycemic patients. Clin Chem<br />

1987;33:2220-2224 3. Schleicher ED, Mayer R, Wagner EM, Gerbitz KD: Is serum fructosamine assay<br />

specific for determination of glycated serum protein? Clin Chem 1988;34:320-323<br />

Fructose, Semen or Seminal Plasma<br />

Clinical Information: Fructose is produced in the male reproductive tract by the seminal vesicles and<br />

is released into the semen during ejaculation. Fructose is the energy source for sperm motility.<br />

Useful For: Fructose testing should be considered for patients with azoospermia and low volume<br />

ejaculates to establish the origin of the azoospermia.<br />

Interpretation: A positive (indicated by color change) fructose is considered normal. A semen<br />

specimen that contains no sperm (azoospermia) and is fructose negative may indicate an absence of the<br />

seminal vesicles, absence of the vas deferens in the area of the seminal vesicles, or an obstruction at the<br />

level of the seminal vesicles.<br />

Reference Values:<br />

Positive<br />

Clinical References: Lipshultz LI, Howards SS: Infertility in the Male. 2nd edition. Edited by DK<br />

Marshall. St. Louis, MO, Mosby-Year Book, Inc., 1991, pp 133-135, 194, 209<br />

FTCD Gene, Full Gene Analysis<br />

89900<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 774

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