Description:
TheREAADSvWFAntigen(vWF:Ag)testkitisanenzymelinkedimmunosorbentassayfordeterminingvonWillebrandFactorlevelsincitratedhumanplasma,expressedinrelativepercent(%)ofnormal.TheassayisintendedtobeusedasanaidinthediagnosisofvonWillebrandDiseaseinpatientswithbleedingdisorders,andtohelpdistinguishbetweenvWDandclassicHemophiliaA.REAADSvWF:AgTestKitwillaccuratelydetectantigenlevelsaslowas5%ofnormal.
Features:
KitComposition:
Reagents
- 12x8anti-humanVonWillebrandFactorantibodycoatedmicrowells.
- 60mlSampleDiluent(blue-greensolution);containssodiumazide.
- 3x0.5mllyophilizedReferencePlasma,withassaysheet.
- 12mlanti-humanVWFHRPConjugate(redsolution).
- 13mlSubstrate(TMBandH2O2).
- 15mlStoppingSolution(0.36Nsulfuricacid).
- 30mlWashConcentrate(33Xphosphatebufferedsalinewith0.01%Tween20).Note:turbiditymayappearinwashconcentratewhichwillnotaffectcomponentperformanceandshoulddisappearwhenworkingdilutionisprepared.
MaterialsRequiredbutnotSupplied
- vWF:AgControlPlasma.Followmanufacturer’sinstructions,andstoreasrecommended.
- Reagentgradewater(1L)topreparePBS/Tween20washsolution,toreconstituteReferencePlasma,andtozeroorblanktheplatereaderduringthefinalassaystep
- Graduatedcylinders
- Precisionpipettorscapableofdeliveringbetween5and1000µl,withappropriatetips
- Miscellaneousglasswareappropriateforsmallvolumehandling3
- Flaskorbottle,1liter
- Washbottles,preferablywiththetippartiallycutbacktoprovideawidestream,oranautomatedorsemi-automatedwashingsystem
- Disposablegloves,powder-freerecommended
- PlatereADIngspectrophotometercapableofreadingabsorbanceat450nm(witha650nmreferenceifavailable)
- Multichannelpipettorscapableofdeliveringto8wellssimultaneously
- Microdilutiontubesforpatientsamplepreparation
PrincipleandProcedure:
Principle
TheREAADSvonWillebrandFactorAntigen(vWF:Ag)TestKitisanenzymelinkedimmunosorbentassayfordeterminingvonWillebrandFactorlevelsinhumanplasma,expressedinrelativepercent(%)ofnormal.TheassayisintendedtobeusedasanaidinthediagnosisofvonWillebrandDiseaseinpatientswithbleedingdisorders,andtohelpdistinguishbetweenvWDandclassicHemophiliaA.REAADSvWF:Agtestkitwillaccuratelydetectantigenlevelsaslowas5%ofnormal.
Procedure
DilutedcitratedpatientplasmaandcontrolsareincubatedinmicrowellscoatedwithcaptureantibodyspecificforhumanvWF,allowingpatientvWFtobindtothesurface.Followinganincubationperiod,thewellsarewashed,andahorseradishperoxidase(HRP)conjugatedanti-humanvWFdetectionantibodyisadded.Afterincubation,thewellsarewashed,substrateisadded,andcolordevelopmentismeasuredinaspectrophotometerat450nmfollowingtheadditionofastopsolution.PatientvWF:Aglevelsaredeterminedfromasix-pointcurvepreparedfromthereferenceplasmaprovidedinthekit.Totalincubationtimeis40minutesatroomtemperature.
AssayProcedure:
1.Removeanymicrowellstripsthatwillnotbeusedfromtheframeandstoretheminthebagprovided.
2.Assayeachreferenceplasmadilutioninduplicate.Duplicatedeterminationsarealsorecommendedforpatientandcontrolsamples.Onewellshouldberunasareagentblank;samplediluentwithoutplasmaisaddedtothewellasexplainedinstep6ofthissection.Thiswellistreatedthesameasapatientsampleinsubsequentassaysteps.Awaterblankwellshouldbeincludedwitheachplate;itistoremainemptyuntil200μLofreagentgradewaterisaddedatthecompletionoftheassay,immediatelypriortoreadingtheplate.Thewaterblankwellistobeusedtozerotheplatereader.
3.UsingtheReferencePlasmaprovidedwiththekit,preparesixreferenceplasmadilutionsasdescribedbelow:
VolumeReferencePlasma | VolumeSampleDiluent | *ReferenceLevel(%) | ||||||||||||||||||||
30μl | + | 500μl= | = | 150 | ||||||||||||||||||
20μl | + | 500μl | = | 100 | ||||||||||||||||||
15μl | + | 500μl | = | 75 | ||||||||||||||||||
10μl | + | 500μl | = | 50 | ||||||||||||||||||
10μl | + | 1000μl | = | 25 | ||||||||||||||||||
10μl | + | 2000μl | = | 12.5 | ||||||||||||||||||
**10μl | + | **4000μl | = | 6.25 | ||||||||||||||||||
*Referencelevelvaluetobeusedforconstructingreferencecurveonly. **MakeoneadditionaldilutioniftheassayedvalueoftheReferencePlasmais≥150%.
4.Preparea1:26dilutionofeachpatientsampleandcontrolplasmaselectedforuseinSampleDiluent(blue-greensolution);e.g.20μlsampleaddedto500μlSampleDiluent.Mixthoroughly. 5.Add100μlofthedilutions(referenceplasmasx6,patientsamplesandcontrols)totheappropriatemicrowells.6.Add100μlofSampleDiluenttothereagentblankwell.Leavethewaterblankwellempty. 7.Incubate15minutesatroomtemperature.Aftertheincubationiscomplete,carefullyinvertthemicrowellsanddumpthefluid.Donotallowsamplestocontaminateothermicrowells. 8.Wash4timeswithworkingwashsolution(PBS/Tween20).Eachwellshouldbefilledwithwashsolutionperwash.Washsolutionintheemptywellintendedtoserveasawaterblankwillnotinterferewiththeprocedure.Invertmicrowellsbetweeneachwashtoemptyfluid.Useasnappingmotionofthewristtoshaketheliquidfromthewells.Theframemustbesqueezedatthecenteronthetopandbottomtoretainmicrowellmodulesduringwashing.Blotonabsorbentpapertoremoveresidualwashfluid.Donotallowwellstodryoutbetweensteps. 9.Add100μlConjugate(red)toeachwell(exceptthewaterblankwell). 10.Incubatefor15minutesatroomtemperature.Aftertheincubationiscomplete,carefullyinvertthemicrowellsanddumptheconjugatesolution. 11.Wash4timeswithworkingwashsolution(PBS/Tween20)asinstep8.Washsolutioninthewaterblankwellwillnotinterferewiththeprocedure.Useasnappingmotiontodraintheliquid,andblotonabsorbentpaperafterthefinalwash.Donotallowthewellstodryout. 12.Add100μlSubstratetoeachwell(exceptforthewaterblankwell)andincubatefor10minutesatroomtemperature.Addthesubstratetothewellsatasteadyrate.Bluecolorwilldevelopinwellswithpositivesamples. 13.Add100μlStoppingSolution(0.36Nsulfuricacid)toeachwell(exceptforthewaterblankwell)tostoptheenzymereaction.BesuretoaddStoppingSolutiontothewellsinthesameorderandatthesamerateastheSubstrateSolutionwasadded.Bluesubstratewillturnyellowandcolorlesssubstratewillremaincolorless.DonotaddStoppingSolutiontothewaterblankwell.Instead,add200μlreagentgradewatertothewaterblankwell.Blankorzerotheplatereaderagainstthewaterblankwell.ReadtheO.D.ofeachwellat450nm,againsta650nmreferencefilter(ifavailable).Forbestresults,theO.D.valuesshouldbemeasuredwithin30minutesaftertheadditionofStoppingSolution. Performance:ClinicalPerformanceTheclinicalperformancewasdeterminedbytestinghealthyblooddonorsandvonWillebrandDiseaseplasmasampleswithREAADSvWF:AgTestKitandwithawellestablished,commerciallyavailablevonWillebrandFactorAntigenRocketEIAmethod.Theresultscorrelatedwell,andwereshowntobestatisticallysimilarbysinglefactorAnova.
TechnicalPerformanceIntra-assayprecisionofREAADSvWF:Agtestkitis3.6%,whileinter-assayprecisionis5.0%.Linearity,expressedasthecoefficientofdetermination(r2)is0.996,withameanaccuracyof103.6%.TheREAADSvWF:Agtestkitisarapid,convenient,highlyaccurateandprecisemethodforthequantitativedeterminationofvWF:Aglevels. Background:vonWillebrandFactor(vWF),aprocoagulantprotein,playstwoimportantrolesinhemostasis:
vWDisthemostcommoninheritedbleedingdisorder,andisclinicallycharacterizedbyeasybruisingorprolongedbleedingfrommucosalsurfaces.Whileapproximately80%ofvWDpatientshaveTypeIdeficiency,bothquantitative(antigenic)andqualitative(functional)assaysmayberequiredforalaboratorydiagnosisofvWD. vonWillebrandFactorAntigen(vWF:AgorFactorVIII-relatedprotein)isaplasmaproteinfoundincirculationcombinedbynon-covalentinteractionswithFactorVIII(FVIII:C),apro-coagulantproteinalsoknownastheanti-hemophilicfactor.Thesetwoproteinsshowdistinctbiochemicalandfunctionalpropertiesaswellasdifferentantigenicdeterminants;theirplasmalevelsmayvaryindependentlyofeachother.DeficiencyofFVIIIcausesclassichemophiliawhiledeficiencyofvWFcausesvonWillebranddisease.MostofvWF:Agissynthesizedandstoredbyendothelialcellswhile15-20%issynthesizedbymegakaryocytesandstoredincirculatingplatelets.AvWF:Agunithasamolecularweightofabout250kDandtendstopolymerizeincirculation,withmultimersranginginsizefrom850kDtoaslargeas15×106D. vWF:Agplaysaveryimportantroleinhemostasis;itprotectsFVIIIfromproteolyticcleavageincirculationandhelpsplateletstoaggregateortoadheretositesofvasculardamage.Theinvivohalf-lifeofFVIII:CwithoutvWF:Agisshortenedfrom10-12hourstoafewminutes.Thesetwomechanismspreventbleeding.VonWillebranddiseaseischaracterizedbyaninheriteddeficiencyofvWF.AdecreasedvWFactivityinplasmacanbetheresultoflowconcentrations(quantitativeortypeIdefect)oradeficientfunctionofvWF(qualitativeortypeIIdefect). vonWillebranddiseaseisthemostcommoninheritedbleedingdisordercharacterizedbyeasybruisingandprolongedbleedingfrommucosalsurfaces.TheprevalenceofvonWillebranddiseasehasbeenestimatedtobe1-3%ofthegeneralpopulation.Approximately80%ofvonWillebranddiseasepatientshaveatypeIdeficiency. ThelaboratorydiagnosisofvonWillebranddiseasemayrequirebothquantitativeandqualitative(functional)determinations.QuantitativedeterminationsarebasedonimmunologictechniquessuchasradialimmunodiffusioningelandLaurellrocketimmunoelectrophoresis.ELISAprocedures9appliedtomeasurevWF:Agarelesslaborintensiveandofferseveraladvantagesincludingmoreobjective,accurateandreproducibleresults.Inaddition,ELISAallowsautomationwithcommonlyavailablelaboratoryinstruments.
品牌介绍
Diapharma使命宣言位于俄亥俄州西切斯特的Difarma Group,Inc.在诊断和研究领域销售止血、血栓形成、血小板功能测试、仪器和凋亡产品,并提供强大的技术能力和经验,以确保满足或超过客户的期望。地黄止血显色凝块酶联免疫吸附试验试剂盒历史1997年1月1日,由俄亥俄州富兰克林市的Pharmacia Hepar,Inc.成立,最初是Chromogenix基质和分析的独家美国和加拿大经销商。四分之一个多世纪前,Chromogenix开发了第一个显色底物技术,其前身是Kabi Diagnostica。卡比后来与法玛西亚合并。希帕玛目前的一些员工在法玛西亚肝素制造厂的显色部门工作。1998年,夏帕玛搬到了俄亥俄州的西切斯特,至今仍在那里。多年来,迪法玛扩大了其产品线,包括各种止血、细胞死亡、血小板功能、生态毒理学、化验、试剂、抗体和高级制造商的仪器。2017年,夏帕玛庆祝了20年的成功
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