Diazyme Laboratories 12889 Gregg Court Poway, CA 92064, USA Tel: 858-455-4768 / Fax: 858-455-3701 Email: [email protected] Website: www.diazyme.com Potassium Enzymatic Assay Kit Configuration The Diazyme Potassium reagent is provided in bulk and in the following kit configurations: Instrument Catalog No. Kit size R1: 4 x 45 mL R1a: 4 x 45 mL Universal DZ113B-K R2: 2 x 45 mL R2a: 2 x 45 mL Cal: 2 x 3 mL Intended Use For the professional in vitro quantitative determination of potassium in human serum. Measurements obtained by this assay are used to monitor electrolyte balance. For investigational use or export only. Reagent Composition R1 Diluent Good’s Buffer, sucrose 4 x 45 mL R1A. Lyophilized powder 0.2KU/L SPPase, 30KU/L PGM, 0.5KU/L G6PDH, 0.5mM ATP, 0.2mM NAD, 1mM glucose-1, 6bisphosphate and stabilizers R2 Diluent Good’s buffer 4 x 45 mL 2 x 45 mL R2A. Lyophilized powder 1.0KU/L MAT, stabilizers 2 x 45 mL Low potassium Calibrator High potassium Calibrator 1 x 3 mL 1 x 3 mL Clinical Significance In healthy individual, an extracellular fluid level of potassium is regulated to maintain at 3.5-5.5mM1. Small deviations from normal level can have severe health consequences. Monitoring serum potassium concentration is important in both routine check and emergency rooms. Assay Principle Potassium is determined spectrophotometrically through a kinetic coupling assay system using potassium dependent SAdenosylmethionine Synthase (MAT). NADH is generated after a series of enzymatic reactions. The corresponding increase of optical density at 340nm is proportional to the potassium concentration in the serum. MAT Reagent Preparation R 1 Reagent Transfer the contents of one bottle of enzyme/substrate 1a to one bottle of R1 diluent and dissolve by swirling gently ensuring that the entire contents are completely dissolved (approximately 30 min). Avoid the formation of foam. The reconstituted R1 solution is stable for 1 week at 2-8°C. R 2 Reagent Transfer the contents of one bottle of enzyme/substrate 2a to one bottle of R2 diluent and dissolve by swirling gently ensuring that the entire contents are completely dissolved (approximately 30 min). Avoid formation of foam. The reconstituted R2 solution is stable for 1 week at 2-8°C. L-methionine+ ATP+ H2O--------→ S-Adenosylmethionine + PPi +Pi K+ Low and High Calibrators Low and high K+ calibrators included are ready to use and are stable up to expiration date when stored under 2-8°C. SPPAse/αPGM/G6PDH NAD+ Pi+Sucrose ------------------------→NADH+6Phosphogluconate Reagent Stability and Storage Diazyme enzymatic potassium assay reagents including diluents and lyophilized powder should be stored at 2-8°C. DO NOT FREEZE. The reagents are stable when stored as instructed until the expiration date on the label. Do not mix reagents of different lots. Materials Required But Not Provided An analyzer capable of dispensing two reagents and of measuring absorbance at 340 nm with temperature control (37°C). Diazyme Normal and Abnormal controls (Catalog No. DZ113B) are recommended. Specimen Collection and Handling The Diazyme Potassium Enzymatic Assay is formulated for use with non-hemolysed serum. No special handling or pretreatment is needed. Serum samples should be collected such that testing may be performed as soon as possible after the specimen collection. The Diazyme Laboratories 70113 Rev. A Page 1 of 2 Effective: 2008-01-08 specimens may be refrigerated at 2-8°C for 7 days, or frozen at 20°C for a longer period of time. Note: Serum specimens and all materials coming in contact with them should be handled and disposed as if capable of transmitting infection. Avoid contact with skin by wearing gloves and proper laboratory attire. mended to establish a range of normal values for the population in their region. Limitations The assay is designed for use with human serum sample only. There is a possibility that some substances that are not listed above may interfere with the test. Precautions This reagent is for professional in vitro diagnostic use only. DO NOT INGEST. Avoid contact with skin and eyes. Additional safety information concerning storage and handling of this product is provided within the Material Safety Data Sheet for this product. Human source material was tested and found negative for HIV1, HIV2, HBV, and HCV using FDA approved methods. To obtain a MSDS, please contact our customer service department at 858-455-4768. Assay Procedure 1. 2. 3. 4. Reconstitute R1 and R2 reagents as described in Reagent Preparation section and keep the reconstituted R1 and R2 reagents on ice bath. In a cuvette, mix 180 µL of Reagent R1 and 10 µL of serum sample and incubate at 37°C for 5 minutes and then add 90 µL of Reagent 2. Read absorbance (340nm) at 3 minutes after addition of Reagent 2 as A1. Incubate for 2 more minutes and read the absorbance as A2. Calculate ΔA = A2 - A1 R1: 180 μL Sample: 10 μL 340 nm 5 8 A1 Limit of Detection The lower detection limit of this assay is 2 mM potassium. Accuracy The potassium assay was tested on the Olympus AU400 instrument and results obtained were compared to a legally marketed ISE method. A total of 65 serum samples ranging from 2-10 mM potassium were tested in both assays. The samples were mostly individual patient serum samples. To ensure the concentrations of potassium would be distributed across the reportable range, some potassium serum samples used for the study were spiked with potassium to targeted concentrations. The above described accuracy study showed that the Diazyme method had good correlation with existing ISE method with a correlation coefficient of 0.95 with a slope of 1.0 and 0.01 intercept. Precision The potassium assay precision was tested on the Olympus AU400 instrument with two serum samples containing potassium that were replicated 10 times. The %CVs obtained were 2.64% and 0.78% for serum samples containing 4.5 mM and 6.5mM potassium, respectively. R2: 90 µL 37°C 0 Performance Characteristics 10 min A2 Linearity Assay Procedure for Chemistry Analyzers Parameter settings for automated chemistry analyzers are available upon request. Calibration This assay should be calibrated using the enclosed low and high Potassium standards. Potassium concentration in sample is determined from linear calibration curve using the included low and high potassium standards. Daily calibration is recommended. Quality Control Good laboratory practice recommends the use of control materials. Users should follow the appropriate federal, state and local guideline concerning the running of external quality control. To ensure adequate quality control, normal and abnormal control with known values should be run as unknown samples. Diazyme potassium controls are available and sold separately. The Catalog number is DZ113B-CON. The assay has a linear range from 2-8 mM. Interference Interference testing was done to determine tolerance of the assay by spiking the substances to be tested into pooled human sera. The following cations and substances normally present in the serum produced less than 10% deviation when tested at levels equal to the concentrations listed: Na+ 200mM, NH4+ 0.5 mM, Ca2+ 5.0 mM, Mg 2+ 2.0 mM, ascorbic acid 5.0 mM, bilirubin 45 mg/dL, Pi 1.5 mM, CuCl2 0.25 mM, ZnCl2 0.25mM, FeCl3 0.25mM, hemoglobin 200mg/dL, and alkaline phosphatase 1000U/L. References 1. 2. 3. 4. Results Potassium results are printed out in mmol/L. N. Tietz. Textbook of Clinical Chemistry, p.1841. W.B. Saunders Company, Philadelphia.(1986) S. Kimura, S. Iyama, Y. Yamaguchi, S. Hayashi, R. Fushimimi and N. Amino. Ann. Clin. Biochem (1997), 34:384-388 K. Inouye, I. Ueno, S. Yokoyama, and T. Sakaki J. Biochem. 131, 97-105(2002) H. Bergmeyer, K. Gawehn, and M. Grassl in Methods of Enzymatic Analysis (Bergmeyer H. U. ed) 2nd Volume I, 505507, Academic Press, Inc. New York, NY (1974) Reference Range The normal range of potassium level in human serum is from 3.5 to 5.5 mM (13.7-19.9 mg/dL). However, each laboratory is recomDiazyme Laboratories 70113 Rev. A Page 2 of 2 Effective: 2008-01-08
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