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Catalog ID CYST C Cystatin C with estimated GFR

Specimen Type

Gold top serum separator tube (serum) preferred

Red top tube acceptable

Summary

The non-glycosylated basic protein, cystatin C, is produced at a constant rate in nearly every nucleated cell in the human body. It is freely filtered through a normal Glomerular membrane, and is then reabsorbed and almost entirely catabolized in the proximal tubules. Hence, the cystatin C concentration in human blood is closely related to glomerular filtration rate (GFR) [2]. A reduction in the GFR causes a rise in the concentration of cystatin C. The cystatin C concentration has not been shown to be significantly influenced by other factors such as muscular mass, inflammatory diseases, sex, age, or diet.

Storage and Transport

Stable for 26 days at room temperature (8 - 25C) or refrigerated (2 - 8C)

Reference Values

cystatin C: 0.47 - 1.03 mg/L

cyst C (estimated) GFR: 0 - 90 mg/min/1.73m2

(Unable to report Cystatin C GFR when the Cystatin C level is  <0.25 mg/L or  >8.28 mg/L)

Causes for Rejection

wrong sample type, insufficient quantity

Performing Lab

Core Lab, AD 3301, 706-721-2120

Additional Information

For calculation of GFR from cystatin C values measured with the Gentian assay the following prediction equation is recommended using mg/L as the unit factor:

The equation is valid for persons above 14 years of age.

GFR [mL/min/1.73 m2] = 79.901 / Cystatin C [mg/L]1.438

NOTE:  It should be noted that there are different formulas based on different cystatin C assays.  Use of these alternate formulas may reveal inaccurate GFR results if an inappropriate combination of formula and assay is used.