This question was closed without grading. Reason: Other
Jul 22, 2011 18:25
12 yrs ago
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English term

free vs. total

English Medical Medical (general) laboratory testing
Serum IL-6, Free
Serum IL-6, Total
[what do these adjectives refer to?]
Change log

Jul 22, 2011 19:19: Tony M changed "Term asked" from "free & vs. total" to "free vs. total"

Discussion

Michael Barnett Jul 23, 2011:
Free vs Total "Free" IL-6 is not bound to protein. "Total" IL-6 includes both bound and unbound IL-6.

Free and Total is used in many biological assays for various hormones.

The actual protein to which it is bound depends on the context. In the example below, the protein is an anti-IL-6 immunoglobulin.
http://onlinelibrary.wiley.com/doi/10.1002/eji.1830250207/ab...
Neil Mann Jul 22, 2011:
Normally... I leave authoritative comment to someone with medical knowledge, but normally free would mean that it is free in the blood serum and therefore free to bind to sites or react with other agents, while the total would include quantities that are bound to other sites.
"The serum concentration of interleukin 6 (IL-6), a cytokine that plays a central role in inflammation, increases with age."
Tony M Jul 22, 2011:
Normally... ...it would refer to the level of IL6 in the serum: the level of it that is 'free', and the total level (i.e. including that which is not free)

Of course, to understand it properly, you need to know what IL6 refers to; personally, not being a medical expert, I haven't the foggiest idea!
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