Dec 15, 2017

Public workspaceAST/GOT Detection Assay

  • 1Universidade de São Paulo
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Protocol CitationZumira Carneiro 2017. AST/GOT Detection Assay. protocols.io https://dx.doi.org/10.17504/protocols.io.k92cz8e
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License,  which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: December 15, 2017
Last Modified: March 15, 2018
Protocol Integer ID: 9242
Keywords: AST; Quantification of hepatic injury
Abstract
Intended use:
Kinetic system for Aspartate Aminotransferase (AST) or Glutamic oxalacetic trasminase (GOT) determination.
Teste Principle:
AST catalyzes specifically  the transfer of amino groups of asparctic acid to a Ketoglutarate yielding oxalacetate and Glutamate. The oxalacetate is reduced to malate  by the enzyme malate dehydrogenase (MDH) and  coenzyme NADH is oxidized NAD.
The reduction of the absorbance at 340 nm, as consequence of NADH oxidation, is determined photometrically and is direct proportional to the AST activity in the sample.
Aminotransferase determination involves the following reactions:
L- Aspartate + Ketoglutarate ---(AST) → Oxalacetate + L-Glutamate
Oxalacetate  + NADH ---(MDH)→  Malate + NAD
Guidelines
Reagents are for “in vitro” diagnostic use. Use the reagents according to the working procedures for clinical laboratories.
Storage and stability - Unopened reagents, when stored at indicated temperature, are stable up to expiration date shown on the label.
Materials
MATERIALS
ReagentReagent 3 - TRIS buffer (20 mmol/L), pyroxal phosphate (11.1 mmol/L); sodium azide (0.095%).
ReagentReagent 1 TRIS buffer (105 mmol/L), L-Aspartate (330 mmol/L); MDH (≥825 U/L) and sodium azide (0.095%).
ReagentReagent 2 TRIS buffer (20 mmol/L), NADH (1320 µmol/L); Ketoglutarate (66 mmol/L) and sodium azide (0.095%).
Safety warnings
The reagents contain sodium azide as preservative. Avoid ingestion. In case of eyes contact, immediately flush eyes with plenty of water and get prevent azide accumulation.
Before start
Spectrophotometer.
- Micropipettes and pipettes for measuring the stated volumes
- Water bath at temperature indicated under PROCEDURE.
- Stopwatch.
Step 1
Step 1
  1. In order to achieve traceable results to IFCCProcedure, is needed the use of the two-reagent method, to occur the enzyme total activation by the pyridoxal phosphate. 
  2. Preparation the reagent: Add 0.300 mL of the Reagent 3 to a bottle of Reagent 1(24 mL) and mix. Stability: 21 days at  2 – 8 0C and 24 hours 15 –25 0C when no chemical or microbial contamination occurs. Optionally, a lower volume of the mixture (Reagent 1 + Reagent 3) may be prepared by using one part of the Reagent 3 to 80 parts of 
Reference: 'Reference procedure for the Measurement of catalytic Concentration of Alanine Aminotransferase. Cin Chem Lab Med 2002, 40 (70): 718-24.'
Step 2
Step 2
  1. In a test tube labeled “test” or “Calibrator”, Add 0.160 mL of the mixture Reagent 1 + Reagent 3.
Step 3
Step 3
Add 0.020 mL of the sample or enzymes calibrator, homogenize and incubate in a water- bath at 37 ± 0.2 0C. Wait five minutes. After this incubation it is possible wait until 30 minutes to start the kinetic determination of the Reagent 2.
Step 4
Step 4
Perform a water Blank measurement at 340 nm.
Step 5
Step 5
  1. 0.400 mL of the Reagent 2, homogenize and transfer immediately to a cuvette at 37 ± 0.2 0C. Wait one minute.
Step 6
Step 6
  1. Measure the initial absorbance (A1). and start simultaneously the timer. Measure the absorbance again after 2 minutes (A2).
Calculations
Calculations
It is a usual procedure calculated the enzymatic activity results using a theoretical factor achieved in reaction optimum conditions, described below:
Wavelength: 340 nm
Cuvette at 37 ± 0.2 0C, 10 mm light path.
Pass band ≤ 2 nm
Sray light ≤ 0.1%
If one of the correlated parameters is modified, it is recommended to apply an enzymes calibrator indicated by the reagent manufacturer.  Labtest Diagnostica recommends Calibra series to perform the AST/GOT system calibration.
DA/minute(test or calibrator) = (A1-A2)/2
Factor: (Calibrator activity)/(DA/minute (test)  x factor
AST activity (U/L) = DA/minute (test) x Factor
If all the correlated parameters are fulfilled, the theoretical factor (1746) can be applied.