Figure 6

Testosterone immunoassay cross-reactivity and similarity predictions. A. The plot shows the testosterone reference range for males and females (highlighted in yellow) in comparison to the predicted apparent testosterone concentrations produced on the Roche Elecsys Testosterone II assay by methyltestosterone, norethindrone, nandrolone, and androstenedione (healthy controls and patients with 21-hydroxylase deficiency). Table 5 contains the concentration ranges and percent cross-reactivity values from which the estimated apparent testosterone concentrations are derived. B. Two-dimensional similarity of compounds to testosterone is shown, sorted by degree of cross-reactivity in the Roche Testosterone II assay (horizontal line in each column indicates average similarity within that group). Similarity values vary from 0 to 1, with 1 being maximally similar. The compounds are subdivided into categories of strong cross-reactivity (5% or greater, black circles), weak cross-reactivity (0.5-4.9%, red squares), very weak cross-reactivity (0.05-0.49%, blue triangles), and no cross-reactivity (<0.05%, green diamonds) to the Roche Testosterone II assay (complete list of compounds and associated cross-reactivities and 2D similarities is in Additional file 1).