EVALUATION OF THE DOUBLE ANTIBODY RADIOIMMUNOASSAY OF INSULIN AND THE DETERMINATION OF INSULIN IN PLASMA AND URINE IN NORMAL SUBJECTS
ABSTRACT The use of the double antibody method for radio-immunological determination of insulin in plasma was evaluated on the basis of dilution and recovery experiments, as well as by the investigation of the reproducibility and accuracy of the method. Given the optimum conditions for the precipitation reaction, the method appears from the present investigations to be well suited for plasma insulin determinations. With the technique used for the separation of free and antibody bound insulin, the results of the insulin determination were found to be independent of the radioactive degradation products present in the tracer insulin. It was not possible to demonstrate any increased degradation of the tracer insulin by incubation in plasma or urine as compared with incubation in 0.5 % human albumin buffer. The absolute insulin values were found to be independent of the length of the incubation period. No difference was found between the fasting insulin concentrations in a group of new-born infants of non-diabetic mothers and a group of adult normal subjects. Similarly, the fasting insulin values were found to be independent of the sex of the subject investigated. After oral administration of glucose a considerable variation was found in the insulin response in a group of normal subjects. This variation, within the weight limits used, was found to be independent of the sex, age and weight of the subject investigated. A corresponding condition was found to be valid for the insulin excretion in the urine of normal subjects. It was concluded that the large variation in the insulin response in a group of normal subjects did not allow conclusions about the clinical significance of the extreme values, but that the variation alone must be taken as an expression for a pronounced biological variation.