Biomedical subjects

C D Garten

Publications and source records attributed to C D Garten.

9 recordsLinked to original sources

PubMed1983

A simple solid phase enzyme immunoassay for aldosterone in plasma and saliva.

A sensitive, solid phase enzyme immunoassay for the determination of aldosterone in plasma and saliva has been developed. For this purpose anti-aldosterone coated tubes were used. The enzyme marker was a covalently linked aldosterone/horseradish peroxidase conjugate. The assay had a limit of detection of 5 pg/assay tube. The test requires neither centrifuge nor gamma or beta counter, but only a simple photometer. The free/bound separation is based on the solid phase technique with a simple washing step. The normal values for aldosterone in plasma and saliva before and after ACTH application were determined. Saliva, being easily collected by a non-invasive, stress-free technique, is an alternative to plasma. The aldosterone levels in patients with Conn's syndrome were significantly increased in plasma and also in saliva.

Addison Disease↗

PubMed1981

Enzyme immunoassay for plasma renin activity: II. Clinical application.

The application of an enzyme immunoassay for plasma renin activity in clinical diagnosis was studied and the following findings were obtained: 1. In patients with primary aldosteronism, very low renin activities were found. On the other hand, increased renin levels were observed in patients with secondary aldosteronism (renal artery stenosis, malignant hypertension, Bartter's syndrome). 2. Plasma renin activity was found to be considerably increased in Addison's disease. Measurements of Plasma renin were a guide-line for appropriate mineralocorticoid substitution in those patients. In 6 patients with salt-losing congenital adrenal hyperplasia due to 21-hydroxylase deficiency, the renin activity was also elevated and normalized after corticoid treatment. 3. During pregnancy, the renin levels showed an increasing tendency from the first to third trimester. Women with pre-eclampsia showed higher values than normal pregnant women. 4. An age-dependent change of renin activity was observed in newborns and children, especially markedly increased values during the first 5 days of life. 5. During the normal menstrual cycle the renin levels increased to a maximum in the mid-luteal phase. A significant increase of renin activity was found in women taking oral contraceptives. Previously, we reported on the determination of renin activity by an enzyme immunoassay (EIA) (Hubl et al., 1980). In this study, we examined the clinical application of this EIA.

Addison Disease↗

PubMed1977

[Radioimmunological determination of aldosterone in the serum. New method for the localization of aldosteronism].

It is described a radioimmunologic method for the determination of aldosterone in the plasma and the urine. The method possesses a high specifity, so that a chromatographic prepurification can be given up. The achieved sensitivity allows an analysis in 0.2 ml plasma. This radioimmunoassay can be used for the determination of the aldosterone concentration in the blood after side-separated taking from the adrenal veins by means of the catheter technique. With this a localisation diagnostics of the aldosteronoma is possible.

Aldosterone↗

PubMed1976

A direct radioimmunoassay for free aldosterone in urine without extraction and chromatography.

A direct radioimmunoassay for the determination of free (unconjugated) aldosterone in urine has been developed for the clinical laboratory. The method is based on a determination without extraction and chromatography. In comparison with a reference method including extraction and column chromatography on Sephadex LH 20 a highly significant correlation was found. The coefficient of variation was 5.6% for intraassay variability and 10.4% for interassay determinations. In normal adults the average value of the urinary free aldosterone was 190 ng/24 h (range: 60--320 ng/24 h). During sodium restriction, a 3 fold increase in free aldosterone was observed in normal subjects. In patients with adrenal insufficiency, the values were below 60 ng/24 h, and in two patients with Conn's syndrome, the excretion of free aldosterone was 890 and 1040 ng/24 h. The method was found suitable for routine clinical use.

Addison Disease↗

PubMed1970