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Articles |
-Amylase Assay Using Protected 4-Nitrophenyl-1,4-
-D-maltoheptaoside and a Novel
-Glucosidase
1
Institut für Klinische Chemie, Medizinische Universität Lübeck, D-23538 Lübeck, Germany.
a Address for correspondence: Hugo-Kauffmann-Strasse 7, D-83209 Prien, Germany. Fax 49-8051-969032.
Background: In contrast to numerous methods for measuring
-amylase activity, the approved IFCC reference method offers
an invariable time-independent constant product pattern, thus avoiding
possibly changing stoichiometric calculations. However, reference
methods do not lend themselves to routine use, so that such methods
need to be modified.
Methods: Ethylidene-blocked 4-nitrophenylmaltoheptaoside (EPS-G7)
is degraded to glucose and 4-nitrophenol in a coupled assay with a
bacterial
-glucosidase under the following measurement conditions:
3.5 mmol/L EPS-G7, 7.1 kU/L
-glucosidase, 70 mmol/L sodium chloride,
1 mmol/L calcium chloride, 50 mmol/L HEPES, pH 7.15, at 37 °C. The
increase of absorbance is continuously monitored for 3 min at
405 nm after a lag phase of 2 min.
Results: Catalytic concentrations up to 15-fold higher than the upper reference limit can be determined without dilution. Precision studies in manual performance show CVs of 1.42.6% (within-run) and 1.92.8% (day-to-day). There was no interference from 100 mmol/L glucose, 30 mmol/L triacylglycerols, 610 µmol/L bilirubin, and 2.95 g/L hemoglobin. The method closely correlates with other chromogenic assays. The preliminary 0.95 reference interval for adults, not dependent on age and sex, is 33.696.2 U/L.
Conclusion: The procedure is a robust adaptation of the reference method to routine use at 37 °C with increased sensitivity, fewer interferences, and reduced cost.
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