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LDL cholesterol direct (LDL direct) in serum
Used in conjunction with Synchron LX systems, Unicel DxC 600/800 systems.
Indications: hypertriglyceridemia
Increases:
- hyperlipoproteinemia type 2B
Principle:
- direct quantification of LDL cholesterol in serum or plasma
- homogeneous assay, using detergent that solubilizes only non-LDL lipoproteins, releasing cholesterol & cholesterol esters to react with cholesterol esterase
- the result cholesterol is oxidized with cholesterol oxidase in a non-color forming reaction.
- a 2nd detergent solubilizes the remaining LDL lipoprotein, releasing cholesterol & cholesterol esters to react with cholesterol esterase
- the result cholesterol is oxidized with cholesterol oxidase in a reaction coupled to chromphore production
- timed endpoint method monitoring absorbance at 560 nm
Detergent 1
cholesterol esterase
HDL-C, VLDL-C, CM-C --------------------> non color poduct
cholesterol oxidase
Detergent 2
cholesterol esterase
LDL cholesterol --------------------> cholestenone + H2O2
cholesterol oxidase
peroxidase
H2O2 + DSBmT* + 4-AA* ------------> color product
* DSBmT = N,N-bis (4-sulphobutyl)-m-toluidine-disodium 4-AA = 4 aminopyrine
Related
cholesterol in serum/plasma
lipid panel (fasting lipid panel, FLP)
General
special chemistry test
References
Veterans Administration