Instructions for use a-Amylase Saliva SA P-6900 α-Amylase Saliva Colorimetric test for the quantitative determination of α-Amylase in saliva 1. Precautions Warning notices and general information Do not use any components of the kit if they are past the expiration date. Do not mix test reagents of different charges! Avoid microbial contamination of the test reagents and washing water. Observe the incubation periods and washing instructions. Never pipette by mouth and avoid contact of reagents and specimens with skin. No smoking, eating or drinking in areas where samples or kit test tubes are handled. When working with kit components or samples, always wear protective gloves and wash your hand horoughly as soon as you have finished the work. Avoid spraying of any kind! All in the protocol indicated volumes (pipetting volumes and pretreatment steps) has to be performed according to the protocol. Optimal test results are only obtained when using calibrated pipettes. 2. Principle of the test The human α-Amylase hydrolyses the 2-chloro-4 nitrophenyl-α-maltotrioside (CNP-G3) in glucose polymers and short-chain p-nitrophenyl-oligosaccharide with formation of 2-chloro-4-nitrophenol (CNP). The increase of the extinction is evaluated spectrophotometrically at 405 nm and is proportional to αamylase activity in the sample. 3. Clinical significance Amylase is the name given to enzymes that break down starch. They are classified as saccharidases, enzymes that cleave polysaccharides. Although the amylases are designated by different greek letters, they all act on α-1,4 glycosidic bonds. The α-amylases are calcium metalloenzymes, completely unable to function in the absence of calcium. The α-amylase breaks down long-chain carbohydrates, ultimately yielding maltotriose and maltose from amylose, or maltose, glucose and "limit dextrin" from amylopectin. In animals, it is a major digestive enzyme. Although found in many tissues, the α-amylase is most prominent in pancreatic juice and saliva which each have their own isoform. Salivary α-amylase breaks starch down into maltose and dextrin. This form is also called ptyalin. Ptyalin will break large, insoluble starch molecules into soluble starches (amylodextrin, erythrodextrin, achrodextrin) producing successively smaller starches and ultimately maltose. Ptyalin acts on linear α(1,4) glucosidic linkages, but compound hydrolysis requires an enzyme which acts on branched products. Salivary amylase is inactivated in the stomach by gastric acid. Pancreatic α-amylase randomly cleaves the α(1-4)glycosidic linkages of amylose to yield dextrin, maltose or glucose molecules. 4. Storage and stability Store the reagents at 2 - 8 °C until expiration date. Do not use components beyond the expiration date shown on the kit labels. Do not mix various lots of any kit component within an individual assay. 5. Sample collection and storage For sample collection is advised to use glass or no recycled polypropylene tubes and straws. Do not use polysterene tubes or commercially available devices for the saliva collection to avoid false results. Let the saliva flow down through the straw into the tube, the samples should be stored at -20 °C. 5. Contents of the kit SA P-6913 SA P-6926 BA D-0032 6. Assay Buffer Concentrate (5x) Release Buffer Microtiter Plate 1 x 50 ml concentrate, dilute content with dist. water to a final volume of 250 ml 1 x 32 ml ready for use 1 x 96 wells 12 strips, 8 wells each, break apart Additional materials and equipment required but not provided in the kit - Calibrated variable precision micropipettes (e.g. 10-100 µl / 100-1,000µl) - Microtiter plate washing device - EIA reader capable of reading absorbance at 450 nm - Centrifuge capable of at least 3.000 x g - Absorbent material for blotting the strips - Distilled water - Vortex mixer Revision date: 30-Oct-2009 2/4 7. Test procedure Allow reagents and samples to reach room temperature. 7.1 Preparation of acylation solution Assay Buffer Dilute the 50 mL Assay Buffer Concentrate with distilled water to a final volume of 250 mL. Storage: until expiration date (see vial label). 7.2 Sample preparation 1. Thaw the frozen saliva samples and centrifuge for 15 minute at 3000 x g. 2. Dilute 10 µl of supernatant in 1 ml of diluted Assay Buffer. 3. Shake 5 min at RT (18-25°C) on an orbital shaker (600 - 900 rpm). 4. Use 10 µl of supernatant for the colour reaction. 7.3 Colour reaction 1. Pipette 10 µl of diluted samples into the respective wells of the Microtiter Plate. 2. Pipette 10 µl of distilled water into the wells with blank. 3. Add 300 µl of Release Buffer to all wells. 4. Incubate 3 min at 37°C. If you should manually dispense a high number of samples, it is advised to use to the maximum four strips for each tests. 5. Read the absorbance of the solution in the wells two times, first after 1 minute and second after 5 minutes using a microplate reader set to 405 nm. 8. Calculation of results Calculate ∆A/min.= [(A5 min –A1 min) / 4] Calcul: α-Amylase (U/mL) = ∆A/min. x 253 8.1 Quality control Each laboratory should assay controls at normal, high and low levels range of α-amylase for monitoring assay performance. These controls should be treated as unknowns and values determined in every test procedure performed. Quality control charts should be maintained to follow the performance of the supplied reagents. Pertinent statistical methods should be employed to ascertain trends. The individual laboratory should set acceptable assay performance limits. Other parameters that should be monitored include the 80, 50 and 20% intercepts of the standard curve for run-to-run reproducibility. In addition, maximum absorbance should be consistent with past experience. Significant deviation from established performance can indicate unnoticed change in experimental conditions or degradation of kit reagents. Fresh reagents should be used to determine the reason for the variations. 8.2 Expected values The reference ranges given below should only be taken as a guideline. It is recommended that each laboratory should establish its own normal values. Adults (Normal) 80.0 U/mL Absolute Range: 4 – 400 U/mL 10. Assay characteristics Analytical Sensitivity (Limit of Detection) The lowest detectable concentration of α-amylase that can be distinguished from the zero standard is 2,5 U/mL at the 95 % confidence limit. Precision Intra-Assay 3 different levels of controls CV (<1.5 %) n = 16 Revision date: 30-Oct-2009 Inter-Assay 3 different saliva samples in 2 different lots CV (<1.5 %) 3/4 100 90 %B/Bo 80 70 11. 60 Limitation of Procedure Assay Performance It is important that the time of reaction in each well is held constant for reproducible results. Plate readers measure the OD vertically. Do not touch the bottom of the wells. Interpretation of results If computer controlled data reduction is used to calculate the results of the test, it is imperative that the predicted values for the calibrators fall within 10% of the assigned concentrations. 12. Suggestions for possible errors No colorimetric reaction - no Reagent A pipetted - contamination of Reagent A - errors in performing the assay procedure (e.g. accidental pipetting of reagents from the wrong vial, etc.) Too low reaction (too low ODs) - incorrect Reagent A (e.g. not from original kit) - incubation time too short, incubation temperature too low Too high reaction (too high ODs) - incorrect Reagent A (e.g. not from original kit) - incubation time too long, incubation temperature too high Unexplainable outliers - contamination of pipettes, tips or containers, CV% too high within-run reagents and/or strips not pre-warmed to room temperature prior to use incubation conditions not constant (time, temperature), CV % too high between-run too long dispense time person-related variation 13. Waste Management Reagents must be disposed off in accordance with local regulations. 14. Literature Tietz NW. Clinical Guide to Laboratory Tests, 3rd ed. Philadelphia: WB Saunders Company: 46-49 (1995) (IFCC) “Approved Recommendation on IFCC Methods for the measurement of catalytic concentration of Enzymes” _Part 9 Clin Chem Lab Med 36(3): 185 –203 (1998) Symbols: Storage temperature Manufacturer Contains sufficient for <n> tests Expiry date Batch code For in-vitro diagnostic use only! Consult instructions for use Content CE labelled Caution Catalogue number For research use only! Revision date: 30-Oct-2009 4/4
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