Evidence map›Paper›PMID 26713894›Full record

ArticleTranslational research : the journal of laboratory and clinical medicine2016

The development and application of a high-sensitivity immunoassay for cardiac myosin-binding protein C.

Jack Marjot, Christoph Liebetrau, Robert J Goodson, Thomas Kaier, Ekkehard Weber, Peter Heseltine, Michael S Marber

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In one paragraph

Article in Translational research : the journal of laboratory and clinical medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 35 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Jack MarjotKing's College London BHF Centre, The Rayne Institute, St Thomas' Hospital, London, UK.
Christoph LiebetrauKerckhoff Heart and Thorax Center, Department of Cardiology, Bad Nauheim, Germany; DZHK (German Centre for Cardiovascular Research), Partner Site RheinMain, Bad Nauheim, Germany.
Robert J GoodsonSingulex Inc, Alameda, Calif.
Thomas KaierKing's College London BHF Centre, The Rayne Institute, St Thomas' Hospital, London, UK.
Ekkehard WeberInstitute of Physiological Chemistry, Martin Luther University Halle-Wittenberg, Halle, Germany.
Peter HeseltineSingulex Inc, Alameda, Calif.
Michael S MarberKing's College London BHF Centre, The Rayne Institute, St Thomas' Hospital, London, UK. Electronic address: mike.marber@kcl.ac.uk.
St Thomas' Hospital · GBGerman Centre for Cardiovascular Research · DEMartin Luther University Halle-Wittenberg · DE

Funding

British Heart Foundation SP/14/2/30922British Heart Foundation TG/15/1/31518Department of HealthMedical Research Council G0802033Medical Research Council G1000737
6 · The paper itself

Abstract

Cardiac troponins (cTns) are released and cleared slowly after myocardial injury. Cardiac myosin-binding protein C (cMyC) is a similar cardiac-restricted protein that has more rapid release and clearance kinetics. Direct comparisons are hampered by the lack of an assay for cMyC that matches the sensitivity of the contemporary assays for cTnI and cTnT. Using a novel pair of monoclonal antibodies, we generated a sensitive assay for MyC on the Erenna platform (Singulex) and compared serum concentrations with those of cTnI (Abbott) and cTnT (Roche) in stable ambulatory cardiac patients without evidence of acute cardiac injury or significant coronary artery stenoses. The assay for cMyC had a lower limit of detection of 0.4 ng/L, a lower limit of quantification (LLoQ) of 1.2 ng/L (LLoQ at 20% coefficient of variation [CV]) and reasonable recovery (107.1 ± 3.7%; mean ± standard deviation), dilutional linearity (101.0 ± 7.7%), and intraseries precision (CV, 11 ± 3%) and interseries precision (CV, 13 ± 3%). In 360 stable patients, cMyC was quantifiable in 359 patients and compared with cTnT and cTnI measured using contemporary high-sensitivity assays. cMyC concentration (median, 12.2 ng/L; interquartile range [IQR], 7.9-21.2 ng/L) was linearly correlated with those for cTnT (median, <3.0 ng/L; IQR, <3.0-4.9 ng/L; R = 0.56, P < 0.01) and cTnI (median, 2.10 ng/L; IQR, 1.3-4.2 ng/L; R = 0.77, P < 0.01) and showed similar dependencies on age, renal function, and left ventricular function. We have developed a high-sensitivity assay for cMyC. Concentrations of cMyC in clinically stable patients are highly correlated with those of cTnT and cTnI. This high correlation may enable ratiometric comparisons between biomarkers to distinguish clinical instability.

Indexed as

BiomarkersCalibrationCarrier ProteinsFemaleHumansImmunoassayLimit of DetectionMaleMiddle AgedMyocardial InfarctionMyosin Binding Protein CPeripheral Vascular DiseasesPulmonary Disease, Chronic ObstructiveReproducibility of ResultsSensitivity and SpecificityTroponin IBiomarkersCarrier ProteinsMyosin Binding Protein CTroponin ITroponin T

Identifiers

PMID26713894
PMCPMC4796026
OpenAlexW2195724956

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.