PMID- 35635073 OWN - NLM STAT- MEDLINE DCOM- 20220712 LR - 20220907 IS - 1528-7394 (Print) IS - 0098-4108 (Linking) VI - 85 IP - 18 DP - 2022 Sep 17 TI - An exploratory study; the gap between real reference interval and currently used reference interval of RBC AChE activities in South Korea. PG - 739-749 LID - 10.1080/15287394.2022.2080133 [doi] AB - The current reference interval (RI) FOR red blood cell acetylcholinesterase (RBC AChE) activity in South Korea was established with data obtained from populations outside the country. The aim of this study was to assess the transferability of current RI of RBC AChE activity for organophosphate (OP) poisoning and determine the biological characteristics, real RI, and interindividual variation in RBC AChE activity in South Korea. Data were retrospectively collected for RBC AChE activity as measured by the modified Ellman's method for 782 patients who presented to our hospital. The clinical course did not differ significantly with the degree of deviation of RBC AChE activity from the currently used RI in 195 patients exposed to OP. RBC AChE activity was associated with gender and smoking status but not age or body mass index (BMI); however, a regression model incorporating age, gender, smoking status and BMI explained only a small portion of the variance in RBC AChE activity in South Korea. The RI of RBC AChE activity was 9,403-16,825 U/L, with 13.9% interindividual variation. The range of RBC AChE activity in South Korea is wider than RI currently used in clinical practice and exhibited a high degree of interindividual variation. In the absence of collecting pre-exposure values, it is recommended to conduct serial measurements, rather than one-point measurements, of RBC AChE activity as evidenced by the RI in OP poisoning. FAU - Seong, Yeonji AU - Seong Y AUID- ORCID: 0000-0002-9796-3211 AD - Department of Emergency Medicine, Chonnam National University Medical School, Gwangju, South Korea. FAU - Moon, Jeongmi AU - Moon J AUID- ORCID: 0000-0002-9182-5475 AD - Department of Emergency Medicine, Chonnam National University Medical School, Gwangju, South Korea. FAU - Chun, Byeongjo AU - Chun B AUID- ORCID: 0000-0002-5240-4213 AD - Department of Emergency Medicine, Chonnam National University Medical School, Gwangju, South Korea. FAU - Cho, Yongsoo AU - Cho Y AUID- ORCID: 0000-0001-8306-2298 AD - Department of Emergency Medicine, Chonnam National University Medical School, Gwangju, South Korea. LA - eng PT - Journal Article DEP - 20220529 PL - England TA - J Toxicol Environ Health A JT - Journal of toxicology and environmental health. Part A JID - 100960995 RN - 0 (Cholinesterase Inhibitors) RN - EC 3.1.1.7 (Acetylcholinesterase) SB - IM MH - *Acetylcholinesterase MH - Cholinesterase Inhibitors MH - Erythrocytes MH - Humans MH - *Organophosphate Poisoning MH - Reference Values MH - Retrospective Studies OTO - NOTNLM OT - Organophosphate OT - acetylcholinesterase OT - poisoning OT - reference interval EDAT- 2022/06/01 06:00 MHDA- 2022/07/14 06:00 CRDT- 2022/05/31 11:30 PHST- 2022/06/01 06:00 [pubmed] PHST- 2022/07/14 06:00 [medline] PHST- 2022/05/31 11:30 [entrez] AID - 10.1080/15287394.2022.2080133 [doi] PST - ppublish SO - J Toxicol Environ Health A. 2022 Sep 17;85(18):739-749. doi: 10.1080/15287394.2022.2080133. Epub 2022 May 29.