We have developed a fully enzymatic method to measure 1,5 anhydro-D-gl
ucitol (1,5-AG) in serum through use of pyranose oxidase (PROD: EC 1.1
.3.10), glucokinase (EC 2.7.1.2), and an ATP-regenerating system. In a
previous report (Clin Chem 1989;35:2039-43) the glucose interfering w
ith the measurement of 1,5-AG was removed with a minicolumn. In the me
thod used here, glucokinase and an ATP-regenerating system efficiently
convert glucose to the unreactive compound, glucose 6-phosphate, maki
ng the method selective for 1,5-AG. The hydrogen peroxide produced in
the oxidation of 1,5-AG by PROD is detected with a standard enzymatic
color-developing system. The within-run and day-to-day precision (CV)
of this method was 0.52-1.29% and 1.17-4.48%, respectively. The correl
ation (r) between the results obtained with our proposed method (y) an
d those obtained with the mini-column method (x) was 0.998 (y = 1.007x
+ 0.493 mg/L; n = 100; S-y/x = 0.641 mg/L). This newly developed meth
od allows quicker and easier measurement of serum 1,5-AG than previous
ly described methods.