The Calbiotech, Inc. C-peptide ELISA (enzyme-linked immunosorbent assay) kit is intended for the quantitative determination of human C-peptide levels in human serum, plasma, and urine.


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Product Catalog No: CP179S Pack Size: 96 Tests

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Summary

Human C-Peptide has a molecular mass of approximately 3000 daltons. C-Peptide has no metabolic function. However, since C-Peptide and insulin are secreted in equimolar amounts, the immunoassay of C-Peptide permits the quantitation of insulin secretion. This is the reason for the clinical interest of serum or plasma determinations of C-Peptide. Moreover, C-Peptide measurement has several advantages over immunoassays of insulin. The half-life of C-Peptide in the circulation is between two and five times longer than that of insulin. Therefore, C-Peptide levels are a more stable indicator of insulin secretion than the more rapidly changing levels of insulin. A very clear practical advantage of C-Peptide measurement arising from its relative metabolic inertness as compared to insulin is that C-Peptide levels in peripheral venous blood are about 5-6 times greater than insulin levels. Also, relative to an insulin assay, the C-Peptide assay’s advantage is its ability to distinguish endogenous from injected insulin. C-Peptide has also been measured as an additional means for evaluating glucose tolerance and glibenclamide glucose tests. C-Peptide levels are in many ways a better measurement of endogenous insulin secretion than peripheral insulin levels. C-Peptide may be measured in either blood or urine. With improved sensitive C-Peptide immunoassays, it is now possible to measure C-Peptide values at extremely low levels. The clinical indications for C-Peptide measurement include diagnosis of insulinoma and differentiation from factitious hypoglycemia, follow-up of pancreatectomy, and evaluation of viability of islet cell transplants. Recently, these indications have been dramatically expanded to permit evaluation of insulin dependence in maturity onset diabetes mellitus.

Test Principle

The C-Peptide is a solid phase direct sandwich ELISA method. The standards, samples and controls are added into the selected wells coated with anti C-Peptide monoclonal anybody. C-Peptide in the standards, controls and patient’s serum binds to anti- C-Peptide Ab on the wells. Unbound protein is washed off by wash buffer. The anti- C-Peptide -HRP conjugated second antibody is added and then binds to C-Peptide. Unbound proteins and HRP conjugate is washed off by wash buffer. Upon the addition of the substrate, the enzyme activities are proportional to the concentration of C-Peptide in the samples. A standard curve is prepared relating color intensity to the concentration of the C-Peptide.

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References
  1. Ashby, J. and Frier, B.: Circulating C-Peptide: Measurement and Clinical Applications. Annals of Clinical Biochemistry. 18:125, 1981.
  2. Beischer, W.: Proinsulin and C-Peptide in Humans. Hormones in Normal and Abnormal Human Tissues. Volume 3K, Fotherby and Pal, S., ed. (Berlin: Walter DeGruyter). pp. 1-43, 1983
  3. Beyer, J., Krause V., Cordes V.: C-Peptide: Its Biogenesis, Structure, Determination and Clinical Significance. Giornale Italiano di Chimica Clinica 4 Supp. 9:22, 1979
  4. Bonger, A. and Garcia-Webb, P.: C-Peptide Measurement: Methods and Clinical Utility. CRC Critical Reviews in Clinical Laboratory Sciences. 19:297, 1984.
  5. Blix, P. Boddie-Wills, C., Landau, R., Rochman, H. Rubenstein, A.: Urinary C-Peptide: An Indicator of Beta-Cell Secretion under Different Metabolic Conditions. Journal of Clinical Endocrinology and Metabolism. 54:574, 1982.
  6. Rendell, M.: C-Peptide Levels as a Criterion in Treatment of Maturity-Onset Diabetes. Journal of Clinical Endocrinology and Metabolism. 57 (6): 1198, 1983
  7. Horwitz, D., et al.: Proinsulin, Insulin and C-Peptide concentrations in Human Portal and Peripheral Blood. Journal of Clinical Investigation. 55:1278, 1975
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