Lipoprotein fraction analysis is a valuable tool in estimating the risk for coronary artery disease. The current procedure, however, requires multiple tests and has several manual steps. In order to reduce the complexity and cost of lipoprotein fraction analysis, we have developed a single-tube homogenous assay for measuring serum high-density lipoprotein (HDL) cholesterol, total cholesterol, and triglyceride. Low-density lipoprotein (LDL) cholesterol can then be calculated from these parameters using the Friedewald equation. The assay uses an anti-apoB antibody to block the reactivity of the reporter enzymes to LDL-cholesterol. The assay is performed in a sequential manner so that after the HDL-cholesterol is determined, a detergent is added to disrupt the antibody complex, which allows the subsequent measurement of total cholesterol. Next, the reporter enzymes for measuring total triglyceride are added. In the past year, we have fully automated the assay on a standard clinical chemistry analyzer, and the NIH has licensed the technology to an outside company for potential commericialization. In the upcoming year, we plan to make further refinements of the assay and plan to evaluate any commercial tests developed by the licensee of the assay. We also plan to investigate the use of a new colorimetric lipase substrate for routine diagnostic lipase testing.
| Remaley, Alan T (2013) Apolipoprotein A-II: still second fiddle in high-density lipoprotein metabolism? Arterioscler Thromb Vasc Biol 33:166-7 |
| Remaley, A T (2011) ""Who's on first"": determining the roster for the key players in the reverse cholesterol transport pathway. Atherosclerosis 218:287-9 |
| Sampson, M L; Aubry, A; Csako, G et al. (2001) Triple lipid screening test: a homogeneous sequential assay for HDL-cholesterol, total cholesterol, and triglycerides. Clin Chem 47:532-9 |
