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HomeLab Services GuideTests
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Overview
ข้อมูลทั่วไป Specimen
ข้อมูลสิ่งส่งตรวจ Performance
ข้อมูลการทดสอบ Clinical & Interpretation
ข้อมูลทางคลินิก
 
Test Code (รหัสการทดสอบ):
090-30-1391-01
Order Name (ชื่อการทดสอบ):
FK506 (Tacrolimus, Prograft) Level
 
Specimen / Container (สิ่งส่งตรวจ/ภาชนะ):
Blood/ K3 EDTA (Lavender Top) 3 mL, 1 tube
 
Turnaround Time (ระยะเวลารอผล):
Specimen collected to reported within 3 hours 
 
 
Useful For (ประโยชน์การทดสอบ):
Determination of tacrolimus in human whole blood.

Tacrolimus assay is to be used as an aid in the management of liver and kidney allograft patients receiving tacrolimus therapy.
 
Methodology (วิธีการทดสอบ):
Chemiluminescent Microparticle Immuno Assay (CMIA)
 
AliasesName (ชื่อเรียกอื่นๆ) :
Tacrolimus
Prograft
 
 
 
Test Code (รหัสการทดสอบ):
090-30-1391-01
Order Name (ชื่อการทดสอบ):
FK506 (Tacrolimus, Prograft) Level
 
Patient Preparation (การเตรียมตัวผู้ป่วย):
Follow by Physician or Pharmacist recommedation 
 
Collection Specimen Or Container (สิ่งส่งตรวจ/ภาชนะ):
Blood/ K3 EDTA (Lavender Top) 3 mL, 1 tube
 
Specimen Testing Type (สิ่งส่งตรวจที่ใช้ในการทดสอบ):
EDTA Whole blood, minimum volume 1 mL
 
Sub Mission Container (ภาชนะส่งตรวจ):
Plastic vial
 
Specimen Stabillity (ความคงตัวของสิ่งส่งตรวจ):
Specimen Type Temperature Time
EDTA Whole blood Refrigerated, 2oC to 8oC 7 days
Frozen, -20oC 6 months
 
 
 
Test Code (รหัสการทดสอบ):
090-30-1391-01
Order Name (ชื่อการทดสอบ):
FK506 (Tacrolimus, Prograft) Level
 
Method detail (วิธีการทดสอบ):
Chemiluminescent Microparticle Immuno Assay (CMIA)
 
Schedule (ตารางการทดสอบ):
Tested daily (24 hours)
 
Turnaround Time (ระยะเวลารอผล):
Specimen collected to reported within 3 hours 
 
 
Performing Location (หน่วยงานที่ทำการทดสอบ):
Immunology, Laboratory Department Tel. 13227
 
Specimen Retention Time (ระยะเวลาเก็บสิ่งส่งตรวจ):
5 days
 
 
 
Test Code (รหัสการทดสอบ):
090-30-1391-01
Order Name (ชื่อการทดสอบ):
FK506 (Tacrolimus, Prograft) Level
 
 
Clinical Information (ข้อมูลทางคลินิก):
Tacrolimus is an immunosuppressive drug discovered in 1984 by the Fujisawa Pharmaceutical Co., Ltd. It has been shown to be effective for the treatment of organ rejection following transplantation. The results of
clinical trials with liver  and kidney  have been published. Clinical studies are continuing for a variety of indications. Tacrolimus binds to a family of proteins termed FK506 (tacrolimus) binding proteins (FKBPs) The formation of a larger pentameric complex comprised of FKBP, tacrolimus, calmodulin and calcineurins A and B results in the inhibition of the phosphatase activity of calcineurin. The action of transcription factors requiring dephosphorylation for transport to the cell nucleus are thus inhibited leading to blockage of T-cell proliferation and function.

Tacrolimus may be administered IV or orally. Absorption from the gastrointestinal tract is variable and irregular. Pharmacokinetic studies with tacrolimus have shown that there are large inter- and intra-individual
differences in its kinetics in organ transplant patients. Tacrolimus is extensively metabolized in the liver and small intestine microsomes utilizing the cytochrome P-450 enzymes. Nine different metabolites of tacrolimus have been identified; several of the metabolites have been found and tested in whole blood. 

The use of tacrolimus is associated with serious toxic side effects, primarily nephrotoxicity. At the present time it is not clear whether the nephrotoxicity of tacrolimus is the result of parent drug, metabolites, or a combination of both. Other adverse side effects include neurotoxicity, hypertension, insomnia, and nausea.
 
Reference Value (ค่าอ้างอิง):
Trough level: 5 - 20 ng/mL
 
Clinical Reference (เอกสารอ้างอิง):
  1. Manufacturer’s Reagent package insert, Tacrolimus, Abbott Laboratories, Abbott Park, IL 60064, USA.
  2. Reference intervals: UpToDate. Waltham, MA: UpToDate Inc. http://www.uptodate.com (Retrieved: July2018)