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.
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0 ratings0% 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.
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1
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