Invitron Total Proinsulin AssayThe Invitron Total Proinsulin
Assay is an
immunometric
assay for the quantification in peripheral blood of the major precursor
molecules produced during insulin biosynthesis by the pancreatic
β-cell. Under normal circumstances, virtually all proinsulin is cleaved
at residues 32-33 and 65-66 to produce insulin and C-peptide which are
subsequently released from secretory granules. Relatively little
unmodified proinsulin finds its way into the circulation in normal
subjects. In patients with type 2 diabetes, relatively greater
proportions of intact proinsulin, 32-33 split proinsulin and des 31-32
split proinsulin find their way into peripheral blood. It is not
thought that 65-66 split proinsulin or des 64-65 split proinsulin occur
to any significant extent in peripheral blood. These changes in the
profile of β-cell products reflect the progressive secretory
dysfunction characteristic of type 2 diabetes, with severely elevated
levels indicating an advanced stage of β-cell dysfunction. Key Features Assay Protocol![]() |