Lithium test - Diazyme Laboratories

These include:
• highly sensitive to light
• extremely high pH (pH >12) of the reagent
• short on-board reagent stability and calibration
curve stability
• requires sample preparation (dilution)
• reagent is corrosive to instruments and
hazardous to ship
• absorbs atmospheric carbon dioxide (CO 2 ),
resulting in poor precision.
• high cost per test
4. Liquid Stable Enzymatic Method
T he Diazyme Enzymatic Lithium Assay is based
on a lithium sensitive enzyme whose activity
is lithium concentration dependent. The enzyme, a
phosphatase, converts its substrate adenosine biphosphate
(PAP) to hypoxanthine through a coupled
enzymatic reaction to generate hydrogen peroxide
(H 2 O 2 ), which is quantified by the conventional
Trinder reaction. The lithium concentration in the
sample is inversely proportional to the enzyme activity
or the amount of H 2 O 2 produced in the reaction.
4. The Diazyme Enzymatic
Lithium Assay
Performance Summary
The Diazyme Liquid Stable Enzymatic method
offers significant advantages over current existing
lithium testing methods including flame atomic
emission spectrometry (FAES) method, Ion-Selective-Electrode
(ISE) method and the porphyrin dye
method in the following aspects:
• highly lithium specific and less interference
• traceable to NIST standard
• on-board reagent stability ≥ 4 weeks,
and calibration curve stability ≥ 2 weeks
• no sample preparation (dilution) required
• less sensitive to light
• neutral pH, not corrosive to instruments,
and not hazardous to ship
• not affected by atmospheric CO 2
• more cost effective
• fully automated for all chemistry analyzers
Product Features
Compared to existing methods, the new Diazyme
Liquid Stable Enzymatic Lithium Assay provides
improved reagent stability and a dramatically reduced
cost per test. The assay features excellent accuracy and
precision and offers an extended reportable range of
0.19 - 3.1 mmol/L lithium, which will reduce the need
for retesting elevated patient samples. The method
also demonstrates insignificant bias from endogenous
ions and other interfering substances including hemoglobin,
bilirubin, triglycerides and ascorbic acid. The
assay can be used on most common clinical chemistry
analyzers, and application parameters are available
from Diazyme.