Use of Cotinine Immunoassay Test Strips for Preclassifying Urine Samples from Smokers and Nonsmokers Prior to Analysis by LC-MS-MS

Cotinine biomarker measurements involving both smokers and nonsmokers must accommodate a broad range of concentrations. Thus, we have routinely preclassified unknown samples as being either “high” or “low” by using an enzyme-linked immunoassay for cotinine prior to analysis by tandem mass spectromet...

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Bibliographic Details
Published inJournal of analytical toxicology Vol. 29; no. 8; pp. 814 - 818
Main Authors Bernert, John T., Harmon, Tia L., Sosnoff, Connie S., McGuffey, James E.
Format Journal Article
LanguageEnglish
Published Niles, IL Oxford University Press 01.11.2005
Preston
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Summary:Cotinine biomarker measurements involving both smokers and nonsmokers must accommodate a broad range of concentrations. Thus, we have routinely preclassified unknown samples as being either “high” or “low” by using an enzyme-linked immunoassay for cotinine prior to analysis by tandem mass spectrometry (MS). Although this method is effective, it is also time-consuming and complex; a simpler and faster approach would be useful. Consequently, a screening assay for urine cotinine using an immunochromatographic test strip (NicAlert™) followed by a computerized analysis of the data was examined as a possible alternative. The results indicate that this approach can provide useful classification efficiency when using our target cutoff value of approximately 20 ng/mL. In the analysis of 50 urine samples from nonsmokers with varying degrees of exposure to environmental tobacco smoke, the classification sensitivity and specificity were 88% and 92%, respectively, for cotinine measured by the test strips relative to total cotinine concentrations measured by atmospheric-pressure ionization tandem MS. However, the relatively high cost of the strips may be a limiting factor.
Bibliography:ark:/67375/HXZ-1GFBDJDT-Q
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ISSN:0146-4760
1945-2403
DOI:10.1093/jat/29.8.814