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Test Code (รหัสการทดสอบ):
090-20-2190

Order Name (ชื่อการทดสอบ):
Apolipoprotein A1

 
Specimen / Container (สิ่งส่งตรวจ/ภาชนะ):
Blood/ Plain blood (Red top) 6 mL, 1 tube
 
Turnaround Time (ระยะเวลารอผล):
Specimen collected to reported within 2 hours
 
Useful For (ประโยชน์การทดสอบ):
Used for the quantitation of apolipoprotein A-I in human serum.

Evaluating risk for atherosclerotic cardiovascular disease.
 
Methodology (วิธีการทดสอบ):
Immunoturbidimetry 
 
AliasesName (ชื่อเรียกอื่นๆ) :
Apo A-1
Apolipoprotein A-1
 
 
 
Test Code (รหัสการทดสอบ):
090-20-2190

Order Name (ชื่อการทดสอบ):
Apolipoprotein A1

 
Patient Preparation (การเตรียมตัวผู้ป่วย):
- ควรงดอาหารและเครื่องดื่มอย่างน้อย 12 ชั่วโมง
- กรณีที่ผู้ป่วยต้องรับประทานยาลดความดันโลหิตสูงหรือยาประจำ สามารถรับประทานยาได้ตามปกติ
 
Collection Specimen Or Container (สิ่งส่งตรวจ/ภาชนะ):
Blood/ Plain blood (Red top) 6 mL, 1 tube
 
Specimen Testing Type (สิ่งส่งตรวจที่ใช้ในการทดสอบ):
Serum, minimum volume 1 mL
 
Sub Mission Container (ภาชนะส่งตรวจ):
Plastic vial
 
Rejection Criteria (เกณฑ์ปฏิเสธสิ่งส่งตรวจ):
Hemolysis:4+ reject
 
Specimen Stabillity (ความคงตัวของสิ่งส่งตรวจ):
Specimen Type Temperature Time
Serum (Keep in original tube) Refrigerated, 2oC to 8oC 8 hours
Serum Refrigerated, 2oC to 8oC 3 days
Frozen, -20oC 2 months
 
 
 
Test Code (รหัสการทดสอบ):
090-20-2190

Order Name (ชื่อการทดสอบ):
Apolipoprotein A1

 
Method detail (วิธีการทดสอบ):
Immunoturbidimetry 
 
Schedule (ตารางการทดสอบ):
Tested daily (24 hours)
 
Turnaround Time (ระยะเวลารอผล):
Specimen collected to reported within 2 hours
 
Performing Location (หน่วยงานที่ทำการทดสอบ):
Chemistry, Laboratory Department Tel. 13224
 
Specimen Retention Time (ระยะเวลาเก็บสิ่งส่งตรวจ):
5 days
 
 
 
Test Code (รหัสการทดสอบ):
090-20-2190

Order Name (ชื่อการทดสอบ):
Apolipoprotein A1

 
 
Clinical Information (ข้อมูลทางคลินิก):
Lipids that are synthesized in the intestine or liver need to be transported to tissues and organs for their varied metabolic functions. Given the hydrophobic nature of the neutral fats, triglycerides, and cholesterol esters, lipid transport and delivery via plasma would not be possible without some form of hydrophilic adaptation.
Lipids are transported by means of a series of micellar structures known as lipoproteins that consist of an outer monolayer of protein (apolipoprotein), polar lipids, and an inner core of neutral lipids.

Apolipoprotein A-I (ApoA-I) is synthesized in both the liver and intestine, while ApoA-II synthesis appears to occur only in the liver. ApoA-I and ApoA-II are the major apolipoproteins found in HDL, with small amounts
found in chylomicrons. Approximately 50% of HDL mass is protein, with ApoA-I and ApoA-II constituting approximately 90% of the lipoprotein fraction. The ratio of A-I to A-II is roughly 3:1. On average, ApoA-I levels
are higher in women than in men, whereas ApoA-II levels are similar.

Lipoprotein particles that contain only ApoA-I appear to stimulate cholesterol efflux (movement of cholesterol from extrahepatic tissues to the liver for disposal). ApoA-I also has a role in the activation of LCAT
(lecithin-cholesterol acyltransferase).

Measurement of ApoA-I is useful in predicting patients with high risk of coronary artery disease (CAD). Levels of ApoA-I are inversely correlated with the risk of premature CAD. The relative proportion of ApoB, a major component of VLDL and LDL, to ApoA is effective in differentiating individuals with or without ischemic heart disease. An increased ApoB/ApoA ratio at a young age is potentially a marker for CAD.

Elevated ApoA-I levels are seen in familial hyper-α-lipoproteinemia and weight reduction. Decreased levels are associated with various forms of familial and non-familial hypo-α-lipoproteinemia, Tangier disease, premature CAD, hypertriglyceridemia, uncontrolled diabetes, hepatocellular disorders, cholestasis, nephrotic syndrome, and chronic renal failure.
 
Reference Value (ค่าอ้างอิง):
Age (Year) Male (mg/dL) Female (mg/dL)
0 - 1 year 61 - 164 59 - 169
>1 - 12 years 93 - 172 86 - 179
>12 - 60 years 95 - 186 101 - 223
>60 years 73 - 186 91 - 224
 
Clinical Reference (เอกสารอ้างอิง):
Manufacturer’s reagent package insert, Architect® Apolipoprotein A1, ABBOTT Laboratories, Abbott Park IL 60064 USA.
Lab guide : http://www.diabetes.org/diabetes-basics/diagnosis (Retrieved: June 2018)