DHEA SULFATE ENZYME IMMUNOASSAY TEST KIT; Page 1 Atlas Link 12720 Dogwood Hills Lane Fairfax, VA 22033 USA Phone: (703) 266-5667, FAX: (703) 266-5664 http://www.atlaslink-inc.com, info@atlaslink-inc.com DHEA-SULFATE ENZYME IMMUNOASSAY TEST KIT Catalog Number: 2055 ENZYME IMMUNOASSAY FOR THE QUANTITATIVE DETERMINATION OF DEHYDROEPIANDROSTERONE-3-S ULFATE IN SERUM FOR IN VITRO USE ONLY. Store at 2 to 8 °C EXPLANATION OF THE TEST Dehydroepiandrosterone-3-sulfate (DHEA-Sulfate) is produced mainly (>90%) in the adrenals and is therefore a marker for adrenal androgen biosynthesis. DHEA-S is a valuable parameter for detecting adrenal hormone producing tumors, mainly in the diagnosis of female virilization. DHEA-S serum concentrations > 6.6 µg/mL plasma or serum indicate the presence of an adrenal androgen producing tumor. Normal range values do not necessarily exclude an adrenal tumor. Therefore a parallel determination of testosterone is indicated. NORMAL RANGE Males: Prepubescent Adult 0.10 - 0.60 µg/mL 2.00 - 3.35 µg/mL Females: Prepubescent 0.10 - 0.60 µg/mL Premenopausal 0.70 - 1.17 µg/mL 3rd Trimester 0.23 - 0.60 µg/mL Newborns: Both sexes 1.67 - 3.64 µg/mL PRINCIPLE OF THE TEST The Diagnostic Automation DHEA-Sulfate Enzyme Immunoassay is a direct, competitive enzyme immunoassay using peroxidase as enzyme and TMB (3,5,3',5'-tetramethyl benzidine) as substrate. It is designed for determination of DHEA-S in serum or plasma without sample predilution. Due to microwell technique, small sample numbers can be assayed repeatedly. The microwells are coated with a second antibody thereby eliminating any edge effects. The whole incubation time is 45 minutes. REAGENTS 1. 12 framed microstrips (8 microwells each): Coated with affinity purified goat anti-rabbit IgG. 2. 1 vial antiserum: 11 mL (in 0.15 mol/L phosphate buffer, pH 7.4, containing 0.01% Kathon CG as preservative) yellow colored, ready to use. 3. 1 vial of enzyme conjugate diluent: 11 mL (0.15 mol/L phosphate buffer, containing Kathon CG as preservative, pH 7.4) blue colored, ready to use. 4. 1 vial of concentrated DHEA -S HRP-conjugate: 110 µl. Dilute before use 1:101 with enzyme conjugate diluent. 5. 5 vials of DHEA-S standards (lyophilized): Standard 1 0.10 µg/mL Standard 2 0.30 µg/mL Standard 3 1.00 µg/mL Standard 4 3.00 µg/mL Standard 5 10.00 µg/mL 6. 1 vial of sample diluent (lyophilized). 7. 1 vial plasma control (lyophilized). 8. 2 vials of substrate: Solution A (containing H202 - urea) 11 mL, ready for use. Solution B (containing 3,5,3',5'-tetramethyl benzidine) 11 mL ready for use. 9. 1 vial of stop solution: (4 mol/L H2SO4) 6 mL, ready for use. 10. 1 vial of wash solution: 50 mL (containing NaCl and Tween 20) 10-fold concentrate, dilute before use 1:10 with distilled water. WARNINGS AND PRECAUTIONS FOR USERS 1. CAUTION: Test methods are not available that can offer complete assurance that Hepatitis B virus, Human Immunodeficiency Virus (HIV-1), or other infectious agents are absent from the reagents in this kit. Therefore, all human blood products should be considered potentially infectious. Handling should be in accordance with the procedures defined by an appropriate national biohazard safety guideline or regulation, where it exists e.g., USA Center for Disease Control/National Institute of Health Manual, “Biosafety in Microbiological and Biomedical Laboratories”, 1988. 2. Do not use reagents after expiration date. 3. Do not mix or use components from kits with different lot numbers. 4. Replace caps on reagents immediately. Do not switch caps. 5. Do not pipette reagents by mouth. 6. Some reagents contain sodium azide which may react with lead or copper plumbing to form potentially explosive metal azides. When disposing these materials always flush with large volumes of water to prevent azide buildup. 7. For in vitro use only. Atlas Link, 12720 Dogwood Hills Lane, Fairfax, VA 22033 USA Phone: (703) 266-5667, FAX: (703) 266-5664 http://www.atlaslink-inc.com, info@atlaslink-inc.com DHEA SULFATE ENZYME IMMUNOASSAY TEST KIT; Page 2 MATERIALS AND EQUIPMENT REQUIRED BUT NOT SUPPLIED 1. Pipettes capable of delivering volumes of 20, 50 100, 200, and 300 µl. 2. Microwell reader equipped with a filter for 450 nm. SPECIMEN COLLECTION AND PREPARATION Serum should be used in this EIA procedure. It is important to preserve the chemical integrity of a blood specimen from the moment it is collected until it is assayed. Perform phlebotomy using a non-traumatic venipuncture technique with either a sterile syringe or a vacuum tube. If a syringe is used, remove the needle and carefully transfer the blood to a tube. Allow blood to clot at room temperature for 20-30 minutes, until the clot just begins to retract. Immediately following centrifugation, transfer the serum to a storage tube, cap tightly and refrigerate. If it cannot be assayed within 24 hours, it should be frozen. 1. Precautions As with any sample that may contain pathogens, care must be taken to prevent contact with open wounds. 2. Additives and Preservatives No additives or preservatives are necessary to maintain the integrity of the specimen. 3. Storage, Handing and Shipping Specimens should be capped, stored at 2-8 ° C and assayed within 24 hours after collection. If the assay cannot be performed within 24 hours or if the specimen is to be shipped, cap and keep it frozen. As in the case of most proteinaceous material, repeated freezing and thawing should be avoided. The use of hemolyzed or lipemic specimens is not recommended. Specimens should be allowed to come to room temperature and mixed thoroughly by gentle inversion before assaying. ASSAY PROCEDURE NOTE: FOR PLASMA CONTROL VALUES, PLEASE SEE ENCLOSED CERTIFICATE OF ANALYSIS. PLEASE NOTE THESE VALUES CHANGE FOR EACH LOT NUMBER. Reagent Preparation 1. Reconstitute standards and plasma control with 500 µl of distilled water and let them stand for 15 minutes, then mix carefully. Store redissolved standards at -20 °C. 2. Reconstitute the sample diluent with 1 mL of distilled water and treat it like the standards. 3. Dilute the conjugate concentrate 1:101 with conjugate diluent (e.g. take 20 µl of concentrate and add 2.00 mL of enzyme diluent). Any unused diluted conjugate must be discarded after each assay. 4. Dilute wash solution 1:10 with distilled water (50 mL of concentrated wash solution plus 450 mL of distilled water). Store at 2-8 °C not longer than 3 months. 5. Immediately before adding the substrate solution mix substrate solutions A and B 1:1. Unused mixed substrate solution must be discarded after each assay. Note: Use clean glassware, rinse with distilled water before mixing the substrate solutions. Assay 1. Pipette 20 µl of standards, control and serum samples in duplicate into appropriate wells. 2. Add 100 µl of diluted conjugate solution. 3. Add 100 µl of antibody solution. 4. Assay blank: Pipet 20 µl of standard 1, 100 µl diluted conjugate solution and 100 µl of water, in duplicates. 5. Incubate 30 minutes at room temperature. Do not shake the microwell plate. 6. Wash the plate: either 2 cycles with a microplate washer or decant the liquids and add 300 µl of prediluted wash solution, incubate for 30 seconds and decant liquids. Repeat manual washing three times in total. Gently tap the inverted microstrips a few times on a clean paper towel. 7. Add 200 µl of the prepared substrate solution to each well. 8. Incubate 15 minutes at room temperature. Do not shake the microwell plate. 9. Add 50 µl of stop solution to each well. 10. Read the absorbance at 450 nm. CALCULATION OF RESULTS For establishing the standard curve plot the mean absorbance values of each standard concentration in a linear manner versus the given standard concentrations in a logarithmic manner. The mean absorbance values of the samples can be converted to µg/mL by means of the standard curve. Assay Blank: The assay blank is to control the effectiveness of the washing procedure and also of possible contamination to the substrate solution due to insufficiently clean glassware. The assay blank values should not exceed >0.200 extinction units. Note: Samples with DHEA-S values > 10 µg/mL should be diluted 1:2 or 1:4 with sample diluent and assayed again. PERFORMANCE CHARACTERISTICS Sensitivity: 0.10 µg/mL Competitor Cross Reaction (%) Dehydroepiandrosterone-3-sulfate 100.0 Dehydroepiandrosterone 180.0 Androstenedione 12.0 Androsterone 6.0 Testosterone 0.3 Atlas Link, 12720 Dogwood Hills Lane, Fairfax, VA 22033 USA Phone: (703) 266-5667, FAX: (703) 266-5664 http://www.atlaslink-inc.com, info@atlaslink-inc.com DHEA SULFATE ENZYME IMMUNOASSAY TEST KIT; Page 3 Estrone Estradiol Estriol Progesterone Hydrocortisone <0.1 <0.1 <0.1 <0.1 <0.1 Atlas Link, 12720 Dogwood Hills Lane, Fairfax, VA 22033 USA Phone: (703) 266-5667, FAX: (703) 266-5664 http://www.atlaslink-inc.com, info@atlaslink-inc.com DHEA SULFATE ENZYME IMMUNOASSAY TEST KIT; Page 4 Reproducibility: Intra-Assay Variation: Sample in Mean (µg/mL) 1 20 0.18 2 20 1.70 3 20 7.61 SD (µg/mL) CV (%) 0.019 10.7 0.098 5.8 0.439 5.9 Inter-Assay Variation: Sample in Mean (µg/mL) 1 10 0.16 2 10 1.59 3 10 7.62 SD (µg/mL) 0.024 0.116 0.518 CV (%) 15.0 7.25 6.81 REFERENCES 1. Abraham, G.E. (1974): "Ovarian and adrenal contribution to peripheral androgens during menstrual cycle". J. Chem., 39, p. 349. 2. Lobo, R.A., Paul, W.L., Goebelsmann, U. (1981): "Dehyroepiandrosterone sulfate as indicator of adrenal function". Obstet, Gynecol. 57, p. 69. 3. Simon, J.A., Buster, J.E. (1983): "Dehydroepiandrosterone sulfate concentrations in normal ovulatory women". Clin. Chem. 29, 1, p. 318. 4. Yuen, B.H., Moon, Y.S., Mincey, E.K., Li, D. (1983): "Adrenal and sex hormone production by virilizing adrenal adenoma and its diagnosis with computerized tomography". Am J. Obstet. Gynecol. 145, p. 169. Technical Consultation Call or Write: Atlas Link 12720 Dogwood Hills Lane, Fairfax, VA 22033 USA Phone: (703) 266-5667, FAX: (703) 266-5664 http://www.atlaslink-inc.com, info@atlaslink-inc.com Atlas Link, 12720 Dogwood Hills Lane, Fairfax, VA 22033 USA Phone: (703) 266-5667, FAX: (703) 266-5664 http://www.atlaslink-inc.com, info@atlaslink-inc.com