Test Code LAB3279 Macroprolactin, Serum
Additional Codes
Macroproltn
Reporting Name
Macroprolactin, SSCH Clinical System Name: Macroprolactin
Useful For
Determining biologically active levels of prolactin, in asymptomatic patients with elevated prolactin levels
Ruling out the presence of macroprolactin
Specimen Required
Patient Preparation: For 12 hours before specimen collection do not take multivitamins or dietary supplements containing biotin (vitamin B7), which is commonly found in hair, skin, and nail supplements and multivitamins.
Container/Tube:
Preferred: Serum gel
Acceptable: Red top
Submission Container/Tube: Plastic vial
Specimen Volume: 1 mL
Collection Instructions: Centrifuge and aliquot serum into a plastic vial.
Collect 2.0 mL whole blood in a Red top.
Specimen Type
SerumSpecimen Minimum Volume
0.6 mL
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Serum | Refrigerated (preferred) | 7 days | |
Frozen | 90 days | ||
Ambient | 24 hours |
Day(s) Performed
Monday through Sunday
TAT: 3 - 5 days
Performing Laboratory
Mayo Clinic Laboratories in RochesterMethod Name
TOPRL: Electrochemiluminescent Immunoassay
PEGPR: Polyethylene Glycol (PEG) Precipitation Followed by Electrochemiluminescent Immunoassay
Method Description
TOPRL:
The Roche cobas e immunoassay Prolactin II method employs 2 monoclonal antibodies specifically directed against prolactin. A biotinylated monoclonal antibody and a second monoclonal antibody labeled with a ruthenium complex react with prolactin in the sample to form a sandwich complex. After the addition of streptavidin-coated microparticles, the complex becomes bound to the solid phase via interaction of biotin and streptavidin. Application of a voltage to the electrode then induces chemiluminescent emission, which is measured.(Package insert: Elecsys Prolactin II, V 8.0, Roche 2017)
PEGPR:
Macroprolactin and oligomers can be precipitated by using a 25 % aqueous PEG solution (ratio 1+1). After centrifugation, the supernatant containing monomeric prolactin is used in the Elecsys Prolactin II assay in the same way as a native sample. The dilution effect which occurs during sample pretreatment and the coprecipitation of monomeric prolactin must be taken into consideration. Precipitated prolactin is calculated by subtracting the unprecipitated prolactin value from the total prolactin. The percentage of precipitated prolactin to total prolactin indicates the presence or absence of macroprolactin.(Package insert: Elecsys Prolactin II, V 8.0, Roche 2017)
Reference Values
PROLACTIN, TOTAL
Males
<18 years: not established
≥18 years: 4.0-15.2 ng/mL
Females
<18 years: not established
≥18 years: 4.8-23.3 ng/mL
PROLACTIN, UNPRECIPITATED
Males
<18 years: not established
≥18 years: 2.7-13.1 ng/mL
Females
<18 years: not established
≥18 years: 3.4-18.5 ng/mL
When the percent of the precipitated (complexed) prolactin fraction of the total prolactin is 60% or less, the result is considered negative for macroprolactin.
Test Classification
This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.CPT Code Information
84146 x 2
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
MCRPL | Macroprolactin, S | 78993-3 |
Result ID | Test Result Name | Result LOINC Value |
---|---|---|
PROU | Prolactin,Unprecipitated,S | 38926-2 |
T_PRL | Prolactin,Total,S | 20568-2 |
RATIO | Prolactin, Percent PEG-precipitated | 51441-4 |
CMT42 | Interpretive Comment | 48767-8 |
Profile Information
Test ID | Reporting Name | Available Separately | Always Performed |
---|---|---|---|
TOPRL | Prolactin,Total,S | Yes, (order PRL) | Yes |
PEGPR | Prolactin,Unprecipitated,S | No | Yes |
Report Available
Same day/1 to 3 daysReject Due To
Gross hemolysis | Reject |
Gross lipemia | OK |
Forms
If not ordering electronically, complete, print, and send an Oncology Test Request (T729) with the specimen.
Aliases: Monomeric; PRL (Prolactin); Prolactin (PRL); Prolactin, Macro