We compared the automated Paragon 2000 clinical capillary zone electro
phoresis (CZE) system with two manual methods, agarose electrophoresis
(AGE) and cellulose acetate electrophoresis (CAE). Reference interval
s in healthy adults were determined for each method. When compared wit
h AGE and CAE, CZE gave substantially higher reference values for the
alpha(1)-globulin fraction. With CZE, within-run precision for fractio
n quantitation was between 0.5% (albumin) and 4.1% (alpha(1)-globulin)
. Total precision was between 0.8% (albumin) and 5.3% (beta-globulin).
Data obtained from CZE showed poor linear correlation with results ob
tained by AGE but good linear correlation with data from CAE. Analysis
of serum from patients with inter alia inflammation, nephrotic syndro
me, or polyclonal gammopathy showed that clinical information obtained
by CZE is comparable with information obtained by AGE and CAE. We con
clude that CZE offers a clinically reliable alternative to AGE and CAE
and has the advantages of automation, higher precision, and faster tu
rnaround time.