HDL- C Direct Direct Method METHOD / PRINCIPLE ANALYTICAL PROCEDURE LDL, VLDL and Chylomicrons in the sample are masked by specific complexing agents. The HDL fraction is released by detergent and is determined by enzymaticcolorimetric end point method. This is the standard procedure, Instrument Applications are available upon request. REAGENTS Wavelength Temperature Cuvette R1: Good’s buffer, pH 7.0 H-DAOS Complexing agents / detergents R2: Good’s buffer, pH 7.0 CE* COD** POD 4-AA*** 20 mmol/L 0.8 mmol/L 600 nm (sub 700) 37°C 1 cm light path Read against reagent blank 20 mmol/L > 250 U/L > 5000 U/L > 11000 U/L 2.6 mmol/L (RBL) STABILITY RBL CALIBRATOR SAMPLE Reagent R1 240 µL 240 µL 240 µL Calibrator 3 µL Sample 3 µL Mix well, incubate for 5 min, read A1 and then add Reagent R2 80 µL 80 µL 80 µL Mix well, incubate for 5 min,then read A2 The sealed reagents are stable up to the indicated expiry date if stored at 2° to 8°C. A = (A2 – A1) Sample or Calibrator - (A2 – A1) RBLl * Cholesterolesterase **Cholesteroloxidase *** 4-Aminoantipyrin PREPARATION R1 and R2 are ready for use. Store at 2-8°C. Do not freeze ! CALCULATION with calibrator Stability after opening : At least 3 months at 2° to 8 °C, if contamination is avoided HDL - C [mg / dl] On board stability is at least 4 weeks at 2 – 8°C A sample Conc. Cal. [mg / dl] A calibrator WARNINGS AND PRECAUTIONS 1.When discarding the reagents, dispose them according to local or federal regulations. 2.Avoid contact with eyes and skin. If contacted, flush eyes or rinse skin with a large amount of water. If irritation persists, consult a physician. CALIBRATION & QUALITY CONTROL For the calibration of automated analyzers Greiner special calibrator or the Multicalibrator is recommended, for quality control use Greiner Unitrol-I and -II . NOTES HDL-C Calibrator is not provided with the kit. Refer to the instruction sheet in the Calibrator kit. Page 1/2 Greiner Diagnostic GmbH - Unter Gereuth 10 – D-79353 Bahlingen – Germany www.greiner-diagnostic.com PERFORMANCE BIBLIOGRAPHY - Analytical range The measurable range is 1-200 mg/dL HDL-cholesterol. If the obtained value exceeds 200 mg/dL, repeat the test using serum diluted 1/10 with 0.9% sodium chloride. Multiply result by 10. - Sensitivity The lowest detectable value is 1 mg/dL 1. 2. - Precision Within series n = 30 Mean value [mg/dL] CV [%] 32.6 47.3 68.5 0,65 0,78 0,65 Sample 1 Sample 2 Sample 3 3. 4. - Correlation A comparative study has been performed between the Greiner method and another commercial reagent on 100 human serum samples. The parameters of linear regression are as follows: 5. Rifai N, Bachorik PS, Albers JJ. Lipids, lipoproteins and apolipoproteins. In: Burtis CA, Ashwood ER, editors. Tietz Textbook of Clinical Chemistry. 3rd ed. Philadelphia: W.B Saunders Company; 1999. p. 809-61. Recommendation of the Second Joint Task Force of European and other Societies on Coronary Prevention. Prevention of coronary heart disease in clinical practice. Eur Heart J 1998;19: 1434-503. Wiebe DA, Warnick GR. Measurement of highdensity lipoprotein cholesterol. In: Rifai N, Warnick GR, Dominiczak MH, eds. Handbook of lipoprotein testing. Washington: AACC Press, 1997:p.127-44. Nauck M, Maerz W, Wieland H. New immunoseparation-based homogenous assay for HDL-cholesterol compared with three homogenous and two heterogeneous methods for HDLcholesterol. Clin Chem 1998;44:1443-51. Schaefer EJ, McNamara J. Overview of the diagnosis and treatment of lipid disorders. In: Rifai N, Warnick GR, Dominiczak MH, eds. Handbook of lipoprotein testing. Washington: AACC Press;1997.p.25-48. Correlation coefficient r = 0.996 Linear regression y = 1.000 x + 2.0 mg/dL INTERFERENCES SYMBOLS USED - Ascorbic Acid: no interference up to 100 mg/dL - Bilirubin: no interference up tol 40 mg/dL - Triglycerides: no interference up to 1000 mg/dL - Hemoglobin: no interference up to 500 mg/dL For in vitro diagnostic medical use Batch Code EXPECTED VALUES Normal values are > 35 mg/dl (0.9 mmol/l) Clinical Interpretation: Epidemiological studies have shown that for men values < 35 mg/dl (< 0.9 mmol/l), and for women values < 43 mg/dl (< 1.0 mmol/l) stand for increased coronary risk factors, especially if triglyrerides are > 180 mg/dl (> 2 mmol/l). Use by Temperature limitation Greiner Diagnostic GmbH - Unter Gereuth 10 – D-79353 Bahlingen – Germany www.greiner-diagnostic.com