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10. Free Fatty Acids

Non-esterified fatty acids (NEFA) in serum, when treated with acyl-CoA synthetase (ACS) in the presence of adenosine triphosphate (ATP), magnesium cations and CoA, form the thiol esters of CoA known as acyl-CoA as well as the byproducts adenosine monophosphate (AMP) and pyrophosphate (PPi). In the second portion of the procedure, the acyl-CoA is oxidized by added acyl-CoA oxidase (ACOD) to produce hydrogen peroxide which in the presence of added peroxidase (POD) allows the oxidative condensation of 3-methyl-N-ethyl-N-(b-hydroxyl-ethyl)-aniline (MEHA) with 4-aminoantipyrine to form a purple colored adduct with an absorption maximum at 550nm.

References:

  1. Duncombe, W.G.: Clin, Chim. Acta 9, 122 (1964)
  2. Itaya, K. and Ui, M.: J. Lipid Res. 6, 16 (1965)
  3. Novak, M.: J. Lipid Res. 6, 431 (1965)
  4. Elphick, M.D.: J. Clin. Pathol. 21, 567 (1968)
  5. Trout, D.L., Estes, E. H. and Friedberg, S. J.: J. Lipid Res. 1, 199 (1960)
  6. Dole, V.P., and Meinertz, H.L J. Biol. Chem. 235, 2595 (1960)

Interassay coefficient of variation (CV):

Sample I: CV=2.7% (n=20, Mean=0.33, SD=0.009)
Sample II: CV=1.1% (n=20, Mean=0.62, SD=0.62)
Sample II: CV=1.1% (n=20, Mean=0.99, SD=0.01)

Detection Limit:

5.0 mmol/L

 

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