Subscribe to RSS
DOI: 10.1055/s-0031-1301290
Serum Procalcitonin and Calcitonin Normal Values Before and After Calcium Gluconate Infusion
Authors
Publication History
received 21 July 2011
first decision 23 December 2011
accepted 04 January 2012
Publication Date:
10 February 2012 (online)
Abstract
Aim:
To evaluate and compare serum procalcitonin (PCT) and calcitonin (hCT) levels before and after stimulation with intravenous calcium gluconate in selected thyroid healthy subjects.
Methods:
There were enrolled 78 healthy blood donors with no history of thyroid disease, renal disease, neuroendocrine tumours, infections or inflammatory diseases, and taking no proton-pump inhibitors medication. Serum PCT and hCT were measured before and after intravenous injection of 2.5 mg/kg calcium gluconate.
Results:
Undetectable basal PCT values were found in all subjects while a marginal increase occurred only in 2 male subjects after stimulation. The basal and stimulated 95th percentile hCT values were 7.80 pg/mL and 102 pg/mL in males and 5.20 pg/mL and 78.5 pg/mL in females, respectively.
Conclusions:
Our data suggest that calcium gluconate physiologically stimulate the release of mature hCT molecule from the parafollicular C-cells with no or minimal effects on the PCT release. Our preliminary results form a reliable reference platform for basal and calcium-stimulated PCT measurements in clinical studies.
-
References
- 1 Algeciras-Schimnich A, Preissenr CM, Theobald P et al. Procalcitonin: a marker for the diagnosis and follow-up of patients with medullary thyroid carcinoma. J Clin Endocrinol Metab 2009; 94: 861-868
- 2 Barbot N, Calmettes C, Schuffenecker I et al. Pentagastrin stimulation test and early diagnosis of medullary thyroid carcinoma using an immunoradiometric assay of calcitonin: comparison with genetic screening in hereditary medullary thyroid carcinoma. J Clin Endocrinol Metab 1994; 78: 114-120
- 3 Doyle P, Dueren C, Nerlich K et al. Potency and tolerance of calcitonin stimulation with high-dose calcium versus pentagastrin in normal adults. J Clin Endocrinol Metab 2009; 94: 2970-2974
- 4 Giovanella L, Maffioli M, Suriano S et al. Elevated calcitonin and procalcitonin levels in nonmedullary benign and malignant thyroid nodules. Clin Endocrinol 2010; 72: 852-853
- 5 Karges W, Dralle HH, Raue F et al. German Society for Endocrinology (DGE): Thyroid Section. Calcitonin measurement to detect medullary thyroid carcinoma in nodular goiter: German evidence-based consensus recommendation. Exp Clin Endocrinol Diabetes 2004; 112: 52-58
- 6 Kratzsch J, Petzold A, Raue F et al. Basal and stimulated calcitonin and procalcitonin in various assays in patients with and without medullary thyroid cancer. Clin Chem 2011; 57: 467-474
- 7 Steinbach G, Rau B, Debard AL et al. Multicenter evaluation of a new immunoassay for procalcitonin measurement on the Kryptor® System. Clin Chem Lab Med 2004; 42: 440-449
