Use of site-selective gentamicin derivative in ROCHE-TDM ONLINE Gentamicin Immunoassay

ORGN 537

Mitali Ghoshal, Gerald Sigler, Jane Tsai, Ruth Gerbig, Lili Arabshahi, MyLe Hoang, Andrew Schamerloh, Salvatore J. Salamone, and Joseph Passarelli. Roche Diagnostics Corporation, 9115 Hague Road, Indianapolis, IN 46250
Gentamicin is an aminoglycoside antibiotic that displays broad-spectrum bacterial action for susceptible organisms. At therapeutic serum concentrations ranging from 4 to 10 microgram per milliliter, gentamicin is capable of inhibiting the growth of many gram positive as well as gram -negative bacilli. Because of these characteristics, gentamicin has been most successfully used in treatment of serious infections, especially those caused by gram-negative bacilli. A novel site-selective gentamicin derivative (1) and the corresponding aminodextran conjugate (2) have been prepared. This conjugate (2) is used in the development of Roche-TDM OnLineŽ Gentamicin Assay. The assay format is based on the Kinetic Interaction of Micropaticles in a solution (KIMS) using RD/Hitachi families of automated analyzers. Synthesis of gentamicin derivative (1) and the conjugate (2) will be presented. The results of immunoassays will be discussed.