Carbohydrate-deficient transferrin (CDT) as a marker of alcohol abuse: A critical review of the literature 2001-2005

被引:131
作者
Bortolotti, Federica [1 ]
De Paoli, Giorgia [1 ]
Tagliaro, Franco [1 ]
机构
[1] Univ Verona, Dept Publ Hlth Med, Chair Forens Med, Policlin GB Rossi, I-37134 Verona, Italy
来源
JOURNAL OF CHROMATOGRAPHY B-ANALYTICAL TECHNOLOGIES IN THE BIOMEDICAL AND LIFE SCIENCES | 2006年 / 841卷 / 1-2期
关键词
carbohydrate deficient transferrin; alcohol abuse; biomarkers; analysis;
D O I
10.1016/j.jchromb.2006.05.005
中图分类号
Q5 [生物化学];
学科分类号
071010 ; 081704 ;
摘要
The diagnosis of alcohol abuse based on objective data is a necessary requirement in both clinical and forensic environments. Among the different biomarkers of chronic alcohol abuse, carbohydrate-deficient transferrin (CDT) is world wide recognized as the most reliable indicator. However, several problems about the real meaning of CDT and the reliability of its use for the diagnosis of alcohol abuses are still open, as reported by numerous research articles and reviews. The present article presents a critical review of the literature on CDT appeared in the period from 2001 to 2005 (included). The article is organized in the following sections: (1) introduction, (2) definition and structure of human serum CDT, (3) pathomechanisms of the ethanol-induced CDT increase, (4) preanalysis, (5) analysis, (6) data interpretation, (7) review papers, (8) conclusions. As many as 127 papers appeared in the international literature and retrieved by the search engines PubMed and Scopus are quoted. (c) 2006 Elsevier B.V. All rights reserved.
引用
收藏
页码:96 / 109
页数:14
相关论文
共 128 条
[1]   Questionnaires are better than laboratory tests to screen for current alcohol abuse or dependence in a male inpatient population [J].
Aertgeerts, B ;
Buntinx, F ;
Ansoms, S ;
Fevery, J .
ACTA CLINICA BELGICA, 2002, 57 (05) :241-249
[2]   Clinical laboratory assessment of acute pancreatitis [J].
Al-Bahrani, AZ ;
Ammori, BJ .
CLINICA CHIMICA ACTA, 2005, 362 (1-2) :26-48
[3]   HPLC analysis of carbohydrate deficient transferrin isoforms isolated by the Axis-Shield %CDT method [J].
Aldén, A ;
Ohlson, S ;
Påhlsson, P ;
Rydén, I .
CLINICA CHIMICA ACTA, 2005, 356 (1-2) :143-146
[4]   Use of biomarkers of heavy drinking in health care practice [J].
Allen, JP .
MILITARY MEDICINE, 2003, 168 (05) :364-367
[5]  
Allen JP, 2001, AM J ADDICTION, V10, P24, DOI 10.1080/10550490190942498
[6]   Laboratory markers carbohydrate-deficient transferrin, γ-glutamyltransferase, and mean corpuscular volume are not useful as screening tools for high-risk drinking in the general population:: Results from the study of health in Pomerania (SHIP) [J].
Alte, D ;
Luedemann, J ;
Rose, HJ ;
John, U .
ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 2004, 28 (06) :931-940
[7]  
[Anonymous], MED SCI MONIT
[8]   Carbohydrate-deficient transferrin for detection and monitoring of sustained heavy drinking - What have we learned? Where do we go from here? [J].
Anton, RF .
ALCOHOL, 2001, 25 (03) :185-188
[9]  
Anton RF, 2001, CLIN CHEM, V47, P1769
[10]   Biomarkers of alcohol consumption in patients classified according to the degree of liver disease severity [J].
Anttila, P ;
Järvi, K ;
Latvala, J ;
Romppanen, J ;
Punnonen, K ;
Niemelä, O .
SCANDINAVIAN JOURNAL OF CLINICAL & LABORATORY INVESTIGATION, 2005, 65 (02) :141-151