Introduction. Macroprolactinemia is one of the common causes of
hyperprolactinemia, especially in cases where standard routine commercial
immunometric assays are used for prolactin level measurement. Two forms of
prolactin, inactive dimeric prolactin (50 - 60 kDa) and a low-activity
tetramer (molecular weight above 150 kDa), contribute to this condition. The
relatively low incidence of symptoms in macroprolactinemia patients has
necessitated a relatively simple method to detect large, biologically
inactive prolactin molecules, such as polyethylene glycol precipitation
method. The aim of this study was to compare the precipitation method using
polyethylene glycol dissolved in phosphate buffered saline in relation to
polyethylene glycol dissolved in water. Material and Methods. This study
included 82 patients who visited the Center of Laboratory Medicine, Clinical
center of Vojvodina, to determine serum prolactin levels. The obtained serum
samples were divided into two aliquots. The first aliquot was frozen and
stored at - 20?C and the other was immediately analyzed. Aqueous solution
was added to one aliquot and polyethylene glycol Merck 6000 to the other.
All serum and supernatant samples were analyzed using the automated Abbott
Architect i2000sr immunoassay. Recovery values were calculated as the ratio
of double values of free prolactin and total prolactin concentration,
expressed as a percentage. Results. The prolactin concentrations and
calculated recovery values were lowest in fresh supernatant prolactin
treated with phosphate buffered saline. Statistical analysis showed no
significant difference in the calculated recovery values obtained by
precipitation of fresh and frozen sera using polyethylene glycol dissolved
in phosphate buffered saline (p = 0.893). Conclusion. Precipitation using
polyethylene glycol dissolved in phosphate buffered saline is a more
reliable method for laboratory detection of macroprolactinemia compared to
polyethylene glycol dissolved in water.