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ferritina irma ct ref

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IMMUNORADIOMETRIC ASSAY FOR QUANTITATIVE DETERMINATION OF FERRITIN IN HUMAN<br />

SERUM.<br />

FOR IN VITRO DIAGNOSTIC USE ONLY<br />

CLINICAL APPLICATIONS<br />

The Ferritin molecule consists of 24 protein subunits, each of them with molecular weight of 20 kDa.<br />

Ferritin fun<strong>ct</strong>ions mainly as the intracellular site of iron storage (from which iron may be rapidly<br />

mobilized), thereby prote<strong>ct</strong>ing cells from the toxic effe<strong>ct</strong>s of unbound iron. Most Ferritin in the body is<br />

found in the liver cells as well as in the cells of the reticuloendothelial system of liver, spleen and bonemarrow.<br />

Small amounts are also found in the heart, pancreas and kidneys. Small but significant amounts<br />

of Ferritin are found in the human serum. The exa<strong>ct</strong> fun<strong>ct</strong>ion of serum Ferritin is unknown but there is a<br />

well established correlation between serum Ferritin and the body's iron stores. Serum Ferritin testing<br />

thus represents the simplest and less invasive method in monitoring any iron store change in the body.<br />

Ferritin serum levels are also affe<strong>ct</strong>ed by body changes due to age as well as sex. Average Ferritin<br />

levels in normal subje<strong>ct</strong>s (slightly higher at birth) tend to decrease during childhood, until the age of<br />

puberty is reached. From then on, a progressive increase of the body iron stores is observed in males,<br />

with a proportional rise in serum Ferritin. Females in the reprodu<strong>ct</strong>ive age instead tend to have lower<br />

amounts with more stable values. A Ferritin rise is only observed after menopause.<br />

Ferritin levels below normal ranges clearly indicate a lack of iron and allow to differentiate iron deficiency<br />

anemia from other forms of anemia. An iron overload, either due to an increase in iron uptake (as in<br />

idiopathic hemochromatosis) or else due to multiple transfusions, causes serum Ferritin to rise, often<br />

beyond normal ranges. High Ferritin levels are also observed for other clinical conditions such as liver<br />

disease, infe<strong>ct</strong>ious as well as inflammatory processes, leukemia, Hodgkin's disease and other forms of<br />

malignancy.<br />

PRINCIPLE OF THE ASSAY<br />

The present method employs two anti-Ferritin monoclonal antibodies which recognize two different<br />

epitopes of the molecule. One antibody is adsorbed in solid phase (coated tube), the other (labeled with<br />

iodine-125) is used as conjugate. The sample to be tested and the labeled antibody are incubated<br />

simultaneously in the coated tube. The amount of bound conjugate will thus be dire<strong>ct</strong>ly proportional to<br />

the antigen concentration in calibrators and samples. At the end of the incubation, the unbound material<br />

is removed by aspiration and washing. The radioa<strong>ct</strong>ivity in the tubes is measured in a gamma counter.<br />

REAGENTS PROVIDED WITH THE KIT: PREPARATION AND STABILITY<br />

− The reagents are sufficient for 100 tubes.<br />

− Store the kit at 2-8°C.<br />

− The expiry date of each reagent is shown on the vial label.<br />

1 - CT Coated Tubes: 100 tubes coated with mouse monoclonal anti-Ferritin antibody. Unused tubes<br />

should be stored at 2-8°C in the appropriate bag and accurately sealed.<br />

2 - CAL Calibrators: 7 vials (1 mL) of Ferritin (human liver) in phosphate buffer at the following<br />

concentrations: 0, 5, 20, 50, 250, 1000 and 2000 ng/mL. Preservative: NaN3 (

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