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January 1, 1976Clinical Chemistry

Enzymatic determinations of cholesterol in high-density-lipoprotein fractions prepared by a precipitation technique.

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Authors

BSBernard W. SteeleUniversity of MiamiDKDonald F. KoehlerUniversity of MünsterMAM M AzarUniversity of Minnesota

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Implication

Laboratory evaluation demonstrates an EDTA-modified enzymatic assay accurately measures HDL cholesterol in manganese-precipitated serum, suggesting a reliable single-run protocol for lipid profiling.

Key Points

  • To resolve manganese-induced interference and false elevations in enzymatic cholesterol measurements of high-density lipoprotein (HDL) fractions.
  • Reconstituted an enzymatic cholesterol reagent with an ethylenediaminetetraacetate (EDTA) solution to eliminate turbidity caused by manganese precipitation in serum HDL fractions.
  • Validated analytical accuracy against the Lipid Research Clinic reference procedure using identical lipoprotein preparations.
  • Assessed intra-day and overall precision while evaluating reagent linearity for total cholesterol measurements exceeding 4 g/L.
  • The modified assay showed strong agreement with the Lipid Research Clinic procedure (regression slope = 0.998, Y-intercept = 8.9 mg/L, correlation coefficient r = 0.984, standard error of the estimate = 16.8 mg/L).
  • Precision metrics including the precipitation step demonstrated a within-day standard deviation of 9.7 mg/L and an overall standard deviation of 23.7 mg/L.
  • Linearity extended beyond 4 g/L total cholesterol, allowing concurrent analysis of HDL and total cholesterol within a single analytical run.

Cite This Study

Steele et al. (1976) studied this question.

synapsesocial.com/papers/6a73b19f9d09e2fbac27a0dfhttps://doi.org/10.1093/clinchem/22.1.98
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cholesterol determination in high-density lipoproteins separated by three different methods.1977 · 1,848 citations
  2. 2New micromethod for measuring cholesterol in plasma lipoprotein fractions.1977 · 211 citations
  3. 3Direct measurement of HDL cholesterol: Method eliminating apolipoprotein E‐rich particles2001 · 33 citations
  4. 4Estimation of the Concentration of Low-Density Lipoprotein Cholesterol in Plasma, Without Use of the Preparative Ultracentrifuge1972 · 32,641 citations
  5. 5Heparin--Mn2+ quantitation of high-density-lipoprotein cholesterol: an ultrafiltration procedure for lipemic samples.1978 · 179 citations