FOR INFORMATIONAL USE ONLY ▪ DO NOT USE FOR PERFORMING ASSAY ▪ REFER TO MOST CURRENT PACKAGE INSERT ACCOMPANYING TESTKIT goat anti –Dog Myeloperoxidase Collect Sample – serum or blood plasma Catalogue No.: QRCT –560018EIA \ UTL Package size: 96 determinations Storage: 2 - 8 °C I. INTRODUCTION Myeloperoxidase (MPO) is a hemoprotein that is abundantly expressed in polymorphonuclear leukocytes (neutrophils) and secreted during their activation. The presence of a peroxidase in the cytoplasmic granules of leukocytes was suggested at the beginning of 20th century but it was the early 1940s that it was purified for the first time. Native MPO is a covalently bound tetrameric complex of two glycosylated alpha chains (MW 59 – 64 kDa) and two unglycosylated beta chains (MW 14 kDa) with total MW about 150 kDa and theoretical pI 9.2.MPO plays an important role in neutrophil microbicidal action through catalyzing chloride ion oxidation to hypochlorous acid, which is a potent antimicrobial agent. On the other hand, it was demonstrated that MPO causes oxidative modification of low density lipoprotein (LDL) to a high uptake form that is considered to be a key event in the promotion of atherogenesis. That’s why MPO is believed to participate in the initiation and progression of cardiovascular diseases. MPO possesses potent proinflammatory properties and may contribute directly to tissue injury. In addition,MPO is shown to be involved in pathogenesis of lung cancer , Alzheimer’s disease and multiple sclerosis .Now MPO is believed to be one of the most promising cardiac markers. Recently it was demonstrated that an increased MPO level in patient’s blood serves as a risk marker for atherosclerosis and coronary artery disease.It predicts the early risk of myocardial infarction,as well as the risk of other major adverse cardiac events in patients with chest pain in the ensuing 30-day and 6-month periods . The value of MPO as a marker is in that MPO predicts these outcomes independently of other known laboratory tested risk factors, including troponins, creatine kinase MB isoform (CK-MB),C-reactive protein (CRP) and lipid profile.Moreover, unlike troponins I and T, CK-MB, and CRP, MPO makes it possible to identify patients at risk for cardiac events in the absence of myocardial necrosis. All these factors make MPO measurements in patients an indispensable procedure to reveal patients with chest pain that are at increased risk of cardiovascular complications. . II. REAGENTS Materials provided with the kits : . 1、Coated Microtitration Strips 96 wells. 2、Standard 2.5, 5.0, 10, 20, 40uIU/ml, 1 set. 3、Enzyme Conjugate Solution, 12 ml. 4、Substrate A, 6 ml. 5、Substrate B, 6 ml. 6、Stopping Solution (1N HCl), 6 ml. 7、Rinsing buffer,60 ml( x 20). 8、dilution,15ml(x5) -Page 1- FOR INFORMATIONAL USE ONLY ▪ DO NOT USE FOR PERFORMING ASSAY ▪ REFER TO MOST CURRENT PACKAGE INSERT ACCOMPANYING TESTKIT goat anti –Dog Myeloperoxidase Collect Sample – serum or blood plasma Catalogue No.: QRCT –560018EIA \ UTL Package size: 96 determinations Storage: 2 - 8 °C Materials required but not provided : � Precision pipettes: 0.10, 0.20, and 1.0 ml. � Disposable pipette tips. � Distilled water. � Vortex mixer or equivalent. � Absorbent paper or paper towels. � Microtiter plate shaker � Graph paper. � A microtiter plate reader with a bandwidth of 10nm or less and an optical density range of 0-2 OD or greater at 450 nm . III. STORAGE OF TEST KIT Unopened test kits should be stored at 2-8°C upon receipt and the microtiter plate should be kept in a sealed bag with desiccants to minimize exposure to damp air. Opened test kits will remain stable until the expiration date shown, provided it is stored as described above. A microtiter plate reader with a bandwidth of 10nm or less and an optical density range of 0-2 OD or greater at 450nm wavelength is acceptable for use in absorbance measurement. All reagents should be allowed to reach room temperature before use. IV. ASSAY PROCEDURE STEP1 Prepare the ringing buffer by diluting the ringing buffer 20×(example: 60ml+1140ml H2O), Prepare the Sample Diluent by diluting the Diluent 5×(example: 15ml+60ml H2O) STEP2 Dilute samples 1:100 distribing 5ul of sample into 500 ul of dilluent . STEP3 Place 100ul of diluted sample /reagent blank/standard/controls to the wells of the strips. Incubate for 30 min at 37℃。Wash 5 times。 STEP4 Add 100ul of STEP5 Add 50ul Substrate A and Substrate B to each well。Incubate for 15 min at 37℃。 STEP6 Add 50ul of stop solution。read absorbance at 450nm within 15 min Enzyme Conjugate to each well。 Incubate for 30 min at 37℃。Wash 5 times。 V. Important Notes The wash procedure is critical. Insufficient washing will result in poor precision and falsely elevated absorbance readings. It is recommended that if manual pipetting is used, no more than 32 wells be used for each assay run, since pipetting of all standards, specimens and controls should be -Page 2 FOR INFORMATIONAL USE ONLY ▪ DO NOT USE FOR PERFORMING ASSAY ▪ REFER TO MOST CURRENT PACKAGE INSERT ACCOMPANYING TESTKIT goat anti –Dog Myeloperoxidase Collect Sample – serum or blood plasma Catalogue No.: QRCT –560018EIA \ UTL Package size: 96 determinations Storage: 2 - 8 °C completed within 3 minutes. A full plate of 96 wells may be used if automated pipetting is available. Duplication of all standards and specimens, although not required, is recommended. VI. CALCULATION OF RESULTS Calculate the average absorbance values (A ) for each set of reference standards, control, and samples. Construct a standard curve by plotting 450 the mean absorbance obtained for each reference standard against its concentration on linear graph paper, with absorbance on the vertical (y) axis and concentration on the horizontal (x) axis.Using the mean absorbance value for each sample, determine the corresponding concentration of in from the standard curve. VII. EXAMPLE OF STANDARD CURVE Results of a typical standard run with optical density readings at 450nm shown in the Y axis against concentrations shown in the X axis. This standard curve is for the purpose of illustration only, and should not be used to calculate unknowns. Each user should obtain his or her own data and standard curve. VIII. CALCULATION OF RESULTS The minimum detectable concentration of MPO in this assay is estimated to be 0.1μIU/ml. IX. LIMITATIONS OF THE PROCEDURE Reliable and reproducible results will be obtained when the assay procedure is carried out with a complete understanding of the package insert instructions and with adherence to good laboratory practice. The wash procedure is critical. Insufficient washing will result in poor precision and falsely elevated absorbance readings. The results obtained from the use of this kit should be used only as an adjunct to other diagnostic procedures and information available to the physician. - Page 3-