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114140032

This document provides instructions for determining HDL cholesterol levels in serum using a selective inhibition method. The method uses polyanions and cationic substances to suppress reactions of cholesterol from lipoproteins other than HDL, allowing for selective measurement of HDL cholesterol. The reagents and calibrator are ready to use and stable. Absorbance measurements are taken before and after adding Reagent 2 to calculate HDL cholesterol concentration based on a calibration curve.

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0% found this document useful (0 votes)
644 views1 page

114140032

This document provides instructions for determining HDL cholesterol levels in serum using a selective inhibition method. The method uses polyanions and cationic substances to suppress reactions of cholesterol from lipoproteins other than HDL, allowing for selective measurement of HDL cholesterol. The reagents and calibrator are ready to use and stable. Absorbance measurements are taken before and after adding Reagent 2 to calculate HDL cholesterol concentration based on a calibration curve.

Uploaded by

Johnmar Aquino
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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2 x 40 mL / 2 x 60 mL / 4 x 60 mL

HDL CHOLESTEROL (D) WITH CALIBRATOR 11414003, 11414005, 11414004


INTENDED USE Wavelength II 630 nm (630-700)
This reagent is intended for in vitro quantitative determination of HDL Cholesterol in Temperature 370C
serum Calibrator Con As on the vial
- Direct determination of HDL Cholesterol Linearity 150 mg/dL
- Selective Inhibition Method Incubation time 5 min+5 min
- Linear up to 150 mg/dL Blank Reagent
- Ready to use liquid stable reagents Sample volume 5 μL
CLINICAL SIGNIFICANCE Reagent volume 450 μL+150 μL
Blood total cholesterol levels have long been known to be related to coronary heart Cuvette 1 cm light path
disease (CHD). In recent years, in addition to total cholesterol, high density LABORATORY PROCEDURE
lipoprotein cholesterol (HDL-C) has become an important tool used to assess an
individual risk of developing CHD since a strong negative relationship between Blank Calibrator Sample
HDL - C concentration and the incidence of CHD was reported. Reagent1 450 μL 450 μL 450 μL
Calibrator - 5 μL -
PRINCIPLE
Sample - - 5 μL
The reaction between cholesterol other than HDL and the enzyme for cholesterol
assay is suppressed by the electrostatic interaction between polyanions & cationic Mix and incubate for 5 minutes at 370C.
substances. Hydrogen peroxide is formed by the free cholesterol in HDL by cholesterol Reagent 2 150 μL 150 μL 150 μL
oxidase. Oxidative condensation of EMSE and 4-AA is caused by hydrogen peroxide Mix and incubate for 5 minutes at 370C. Measure the absorbance of calibrator &
in the presence of peroxidase, and the absorbance of the resulting red-purple quinone sample against reagent blank at 578nm/ 630 nm.
is measured to obtain the cholesterol value in HDL
CALCULATION
Polyanions
Absorbance of Sample
Other lipoproteins than HDL --------------> Suppress reaction with enzyme
HDL-C Concentration (mg/dL) = ------------------------------ x Calibrator Concentration
Cationic substances
Absorbance of Calibrator
cholesterol esterase
HDL (cholesterol esters) + H2O --------------------------> HDL (free cholesterol) + ALTERNATIVE PROCEDURE
Free fatty acids Mode of Reaction Differential
cholesterol oxidase Slope of reaction Increasing
HDL (free cholesterol) + O2 + H+ -------------------------> Cholestenone + H2O2
Wavelength I 600 nm
Peroxidase
2H2O2 + 4-AA + EMSE + H3 + O ---------------> Violet quinone + 5H2O Wavelength II 700 nm
Temperature 370C
REAGENT COMPOSITION
HDL–C DIRECT R1 2 x 30 mL / 2 x 45 mL / 4 x 45 mL Calibrator Concentration As on the vial label
N—ethyl-N-(3-methylphenyl)-N’succinylethyenediame(EMSE) Linearity 150 mg/dL
HDL–C DIRECT R2 2 x 10 mL / 1 x 30 mL / 2 x 30 mL Blank Reagent
Cholesterol Oxidase Incubation time 5 minutes+5 minutes
4-Aminoantipyrin(4-AA) Sample volume 3 μL
HDL–C DIRECT CALIBRATOR 1 x 3 mL
Reagent volume 270 μL + 90 μL
STORAGE AND STABILITY Cuvette 1 cm light path
The sealed reagents are stable upto the expiry date stated on the label, when stored LABORATORY PROCEDURE
at 2 - 80C, protected from light. Do not freeze.
Blank Calibrator Sample
LINEARITY Reagent1 270 μL 270 μL 270 μL
This reagent is linear upto 150 mg/dL Calibrator - 3 μL -
If the concentration is greater than linearity (150 mg/dL), dilute the sample with normal Sample - - 3 μL
saline and repeat the assay. Multiply the result with dilution factor Mix and incubate for 5 minutes at 370C. Measure the absorbance (OD1) at 600 nm/
NORMAL RANGE 700 nm.
It is recommended that each laboratory establish its own reference values. Reagent 2 90 μL 90 μL 90 μL
The following value may be used as guide line. Mix and incubate for 5 minutes at 370C. Measure the absorbance (OD2) at 600 nm/
Male : 35 - 80 mg/dL 700 nm.
Female : 42 - 88 mg/dL CALCULATION
PREPARATION AND STABILITY OF WORKING REAGENT (OD2-OD1) Sample
The Reagent1 & Reagent 2 are ready to use. HDL-C Concentration (mg/dL) = ---------------------------- x Calibrator Conc.
Calibrator : Reconstitute with 3 mL of distilled water. Let it stand for 30 minutes at (OD2-OD1) Calibrator
room temperature. Dissolve the content of the vial by swirling gently to avoid the INTERFERING SUBSTANCES
formation of foam. Test will not be affected by:
Stability : Reconstituted calibrator is stable only for 7 days at 2- 80C. Bilirubin up to 40 mg/dL
PRECAUTION Ascorbic acid up to 50 mg/dL
To avoid contamination, use clean laboratory wares. Use clean, dry disposable Hemoglobin up to 500 mg/dL
pipette tips for dispensing. Close reagent bottles immediately after use. Avoid direct Triglyceride up to 1000 mg/dL
exposure of reagent to light. Do not blow into the reagent bottles. *(when triglyceride in a sample exceeds 1000 mg/dL, dilute the sample 1+9 with
SAMPLE saline, repeat the assay and multiply result by 10)
Fresh serum (free of haemolysis) BIBLIOGRAPHY
GENERAL SYSTEM PARAMETER 1. Williams, P., et al.; High density lipoprotein and coronary risk factor, Lancet. 1:72
(1979)
Mode of Reaction End Point 2. Gordon,T., Castelli, W.P., Hjortland, M.C. et al. Am. J.Med. 62, 707-714 (1977)
Slope of reaction Increasing 3. Rifai,N.and Warnick, G.R.,Ed. Laboratory Measurement of Lipids, Lipoproteins
Wavelength I 578 nm(578-610) and Apolipoproteins AACC Press. Washington, DC,USA,1994

ADL/V.03/180114

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