Abstract: The bromocresol green albumin assay (ALB) has been used in birds and reportedly is noncomparable with electrophoretic albumin (ALB) in many species. It is accepted for use in some species and rejected in others. Objective: We aimed to compare the performance of ALB and ALB methods within backyard chickens and compare the performance of ALB in chickens with other veterinary species where the ALB method is accepted and used clinically. Methods: Chicken plasma collected during reference interval development and samples submitted for diagnostic biochemistry profile were evaluated using the ALB and ALB assays. Method comparison was performed according to current recommendations, including the use of Passing-Bablok and Bland-Altman analysis. ALB and ALB were also measured in other avian species, dogs, cats, horses, and domestic ruminants. Method comparison was evaluated within and between species, including clinical utility based on the percentage of cases discordantly interpreted as hypo-, normo-, or hyperalbuminemic by ALB and ALB. Results: In chickens, ALB and ALB were not comparable, having a constant bias (-0.4 g/dL) and proportional bias. Similarly, the methods were not comparable in other species; > 10% of samples had > TE (15%) difference in all species. The clinical utility of albumin interpretation in chickens did not differ significantly from that in dogs and horses, as determined by ANOVA. Conclusions: The data suggest that ALB is not comparable with ALB and performs similarly across all tested species. There is no evidence to support the continued rejection of the ALB in chicken and other avians and acceptance in some mammals.
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Overview
This study evaluated the comparability between two albumin measurement methods—the bromocresol green albumin assay (ALB) and electrophoretic albumin measurement (ALB)—in chickens and various veterinary species.
The researchers investigated whether discrepancies in albumin measurement methods justified limiting the use of the ALB assay in birds while accepting it in mammals.
Background
Albumin is a critical blood protein measured to assess health status in veterinary patients.
The two common methods for quantifying albumin are:
Bromocresol green albumin assay (ALB) – a dye-binding colorimetric method widely used for its convenience.
Electrophoretic albumin measurement (ALB) – a technique separating proteins based on electric charge, considered more specific.
While ALB assay use is accepted in several mammals, its validity in avian species, particularly chickens, has been questioned due to reported discrepancies compared to electrophoretic measurements.
This has led to inconsistency in clinical acceptance of ALB in birds versus mammals.
Study Objectives
To compare the performance and agreement of ALB and ALB albumin measurement methods within backyard chickens.
To compare the performance of ALB in chickens with that in other veterinary species, including birds, dogs, cats, horses, and domestic ruminants.
To assess clinical utility by analyzing how often the two methods resulted in different clinical interpretations of albumin status (hypoalbuminemic, normoalbuminemic, hyperalbuminemic).
Methods
Samples:
Chicken plasma samples collected during reference interval development and diagnostic routine tests.
Plasma samples from multiple other veterinary species for cross-species comparison.
Assays:
Both ALB (bromocresol green) and ALB (electrophoretic) methods were applied to all samples.
Statistical Analysis:
Passing-Bablok regression: A non-parametric method used to assess agreement between two quantitative measurement methods.
Bland-Altman analysis: Assesses bias (systematic differences) and agreement limits between two assays.
Clinical utility was analyzed by comparing the percentage of samples where the two methods disagreed in clinical interpretation categories.
ANOVA was used to compare clinical utility differences among species.
Results
In Chickens:
The ALB assay and ALB method were not directly comparable.
A consistent constant bias of approximately -0.4 g/dL was observed, along with proportional bias, indicating the degree of disagreement depended on albumin concentration.
Across Other Species:
ALB and ALB methods were also not comparable.
Over 10% of samples in all species showed greater than total allowable error (TE) of 15% difference between methods.
This indicates that differences between the methods are a general phenomenon, not limited to chickens or birds.
Clinical Utility:
The frequency of discordant clinical interpretations (e.g., one assay indicating hypoalbuminemia while the other did not) was similar between chickens, dogs, and horses.
ANOVA showed no statistically significant differences in clinical interpretation disagreement rates among species.
Conclusions
The bromocresol green albumin assay (ALB) is not strictly interchangeable with electrophoretic albumin measurement (ALB) in chickens or any other tested veterinary species.
The level of disagreement between ALB and ALB assays is consistent across both avian and mammalian species.
Given similar performance and clinical interpretation reliability, there is no scientific justification for rejecting the ALB assay in chickens and other birds while accepting it in some mammals.
This study supports broader acceptance and clinical use of the bromocresol green albumin assay in avian medicine similar to its accepted use in mammals.
Implications for Veterinary Practice
Veterinarians can consider the bromocresol green albumin assay for albumin measurement in chickens without concern about unique biases compared to mammals.
Awareness that methodological differences exist generally between ALB and ALB remains important for all species.
Interpretations of albumin levels should take into account that some variability is expected depending on the assay used, which should be factored into clinical decision-making.
Cite This Article
APA
Brandon J, Reider H, Pabilonia KL, Moore AR.
(2025).
Comparison of Electrophoretic and Bromocresol Green Albumin Methods in Chickens and Other Veterinary Species.
Vet Clin Pathol, 54(2), 171-181.
https://doi.org/10.1111/vcp.70015
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