Unlike assays for ions and small molecules plasma protein measurements
depend entirely on comparison of a test sample with a calibrant, know
n as a reference material or standard. Owing to the innate molecular h
eterogeneity of plasma proteins it is often impossible to ensure that
the calibrator is identical in its behaviour in measurement systems to
the test sample. Despite. these fundamental limitations it is clear t
hat internationally agreed calibrants are the only way to improve cons
istancy of reporting of protein values in biological fluids between me
thods and laboratories. Unfortunately, only international units are no
t subject to contention and the use of mass values which are not inter
nationally agreed, and are re-ascribed during the life of a standard,
has jeopardised the value of international calibrants. If mass values
are used it must be accepted that they are, to some extent, arbitrary.