Ferritin (FERR) Quantitative immunoturbidimetric test on Ferritin Diagnostic Use The iron in the human serum is bound to a complex protein, called the Ferritin. The Ferritin can contain from 2000 up to around 4000 Iron atoms. 2 protein subunits form the ferritin, contained in tissues of e.g. tumors, placenta, myocard, bone marrow, spleen and liver. Iron storage and all pathological conditions of the related metabolisms are the targets of Ferritin determinations in clinical diagnosis. Test Principle Immunturbidimetric agglutination reaction, "latexenhanced", of the antigen Ferritin and polyclonal antibodies on human Ferritin. The increase of the absorbance in a cuvette system is measured photometrically. Wavelength Cuvette Temperature Measure 570 nm 1 cm lightpath 37 °C Against Reagent Blank ReagentSample/ Blank Cal/Con Sample / Cal / Con 25 µl Saline 25 µl R1 500 µl 500 µl Mix, incubate for 3 min, then add : R2 250 µl 250 µl Mix, incubate for exactly 1 min , read absorbance A1 , incubate for exactly 4 min and read absorbance A2 . A = (A2–A1) Sample/Cal/Con Note: You have to adjust the above given volumes to your analyzer system. So the final volumes can be much lower, yielding more tests ! Reagents R1 (Buffer) Glycin buffered saline (pH 8.5) R2 (Antiserum) Glycin buffered saline (pH 8.5) Anti-human Ferritin antibodies bound on latex particles Calculation The concentration is calculated through a calibration curve using a suitable mathematical procedure e.g. logit/log. The calibration curve is established by 4 calibrators of different concentrations and NaCl-solution (9 g/l) for the determination of zero. Stability of the calibration is at least 4 weeks. Preparation and Stability Reagent Preparation Liquid reagents, ready for use Note: R2 must be mixed thoroughly before us. Repeat mixing each time before using R2. Applications for most automated systems are available on request Stability and Storage The reagents are stable until expiry date when kept at 2-8°C and contamination is avoided Calibration /Controls For the calibration of automated photometric systems we recommend Greiner Ferritin calibrators, for control use Greiner control material. The values are traceable on the WHO-reference material . Do not freeze! Reagents required but not supplied Calibrators (“Cal”) and Controls (“Con”) Saline (0.9%) Warnings and precautions Reagents contain Sodiumazide (0,95 g/l) as preservative. Do not swallow! Avoid contact with skin and / or mucous membranes ! Samples Assay Procedure Reference Values Men Women Children 15 – 300 ng/ml 10 – 200 ng/ml 15 – 120 ng/ml (This ranges are given for orientation only. Each laboratory should establish its own reference values) Serum or plasma (EDTA, heparine, citrate). Stability: 1 week at 2 - 8°C >3 months at < -20°C Page 1/2 Greiner Diagnostic GmbH - Unter Gereuth 10 - D-79353 Bahlingen-Germany www.greiner-diagnostic.com Literature Performance Data - Range / Linearity The test can measure Ferritin-concentrations up to the concentration of 1000 ng/ml. At higher concentrations dilute the samples 1+1 with NaCl-solution (9 g/l) . Multiply result by 2 . - Hookeffect Not observed up to 30,000 ng/ml. - Specifity / Interferences Greiner RF is specific on human RF. There is no interference with ascorbic acid up to 30 mg/dl, bilirubine up to 60 mg/dl, hemoglobin up to 1000 mg/dl, and lipämia up to > 1000 mg/dl triglycerides for higher Ferritin levels, and up to 600 mg/dl triglycerides for low Ferritin levels e.g. 50 ng/ml. 1. Wick M, Pingerra W, Lehmann P. Iron metabolism: diagnosis and therapy of anemias. 3rd ed. Vienna, New York: Springer Verlag,1996. 2. Worwood M. The laboratory assessment of iron status – an update. Clin Chim Acta 1997;259:3-23. 3. Kaltwasser JP, Werner E. Diagnosis and clinical evaluation of iron overload. Baillieres Clin Haematol 1989;2;363-89. 4. Baynes RD, Cook JD. Current issues in iron deficiency. Curr Opin Hematol 1996;3:145-9. 5. Lee MH, Means RT Jr. Extremely elevated serum ferritin levels in a university hospital: associated diseases and clinical significance. Am J Med 1996;98:566-71. 6. Guder WG, Zawta B et al. The quality of diagnostic samples . 1st ed. Darmstadt: GIT Verlag - Sensitivity / Detection Limit Low detection limit = 5 ng/ml - Precision (n = 20) Intra run SAMPLE 1 SAMPLE 2 SAMPLE 3 Inter run SAMPLE 1 SAMPLE 2 SAMPLE 3 mean (ng/ml) 15 100 430 SD [ng/ml] 0.60 0,68 0,83 CV [%] 3,98 0.68 0,19 mean (ng/ml) 16,5 105 429 SD [ng/ml] 0,87 1,60 3,52 CV [%] 5,31 1,52 0,82 - Correlation A comparative study has been performed between the Greiner method and another commercial reagent on >50 human serum samples. The parameters of linear regression are as follows: y = 0.89 x - 9.432.5 [ng/ml]; r = 0.997 SYMBOLS USED For in vitro diagnostic medical use Batch Code Use by Temperature limitation Page 2/2 Greiner Diagnostic GmbH - Unter Gereuth 10 - D-79353 Bahlingen - Germany www.greiner-diagnostic.com