Bs. Karon et al., MECHANISMS OF DOPAMINE AND DOBUTAMINE INTERFERENCE IN BIOCHEMICAL TESTS THAT USE PEROXIDE AND PEROXIDASE TO GENERATE CHROMOPHORE, Clinical chemistry, 44(1), 1998, pp. 155-160
Dopamine and dobutamine have recently been shown to produce a negative
interference in several biochemical tests that use peroxide and perox
idase to generate a chromophore. To define the chemical mechanism of t
his interference, we examined the effects of dopamine and dobutamine i
n various peroxidase-based biochemical tests. Dopamine interfered stoi
chiometrically with peroxidase-based tests that use 4-aminophenazone t
o form chromophore but interfered little in those that use other compo
unds to generate chromophore. Dopamine reacts with 4-aminophenazone in
the presence of peroxide and peroxidase to form a novel quinone-imine
dye, with a smaller absorptivity than the chromophore formed in the a
bsence of dopamine. The smaller absorptivity of this novel chromophore
results in negative interference by reducing the total absorbance at
the wavelength used to measure analyte. In contrast, dobutamine interf
ered stoichiometrically with all peroxidase-based tests studied, regar
dless of whether 4-aminophenazone was used to form the chromophore. Do
butamine was rapidly oxidized by peroxide in the presence of peroxidas
e, thus depleting the peroxide necessary to generate chromophore. Dopa
mine and dobutamine demonstrate two distinct general mechanisms of int
erference in peroxidase-based biochemical tests.