Han, Liqiao, Huang, Xiaoting, Wang, Jianbing, Lin, Haibiao, Zhang, Qiaoxuan, Gu, Yongmei, Sun, Keqi, Yang, Yongdan, Yan, Jun, Ke, peifeng, Huang, Xianzhang, and Zhuang, Junhua
Adenosine deaminase (ADA) is a key enzyme of adenosine metabolism. There are currently various kits and systems available for ADA measurement, and all yield variable results. This study optimized a reference measurement procedure (RMP) for serum ADA for the standardization of routine methods. ADA coupled with purine-nucleoside-phosphorylase, xanthine-oxidase and peroxidase was selected as the basic method and was optimized using Response Surface Methodology. Then the performance was validated and the results were compared after replication by 3 other reference laboratories. A reference interval was also developed. In addition, this optimized method was applied to calibrate a routine system. The intra-assay precision was 0.44% at both concentrations of 29.8 and 100.4 U/L, and inter-assay precision was 1.01% and 0.95% at 30.1 and 100.3 U/L, respectively. The linearity was up to 351.9 U/L (R2 = 0.9998), with no significant interference or carryover (<5%). A Comparison among 4 reference laboratories showed good reproducibility (R2 ≥ 0.9975). The procedure proved valid for a reference interval of 11.7–38.5 U/L. The mean relative deviation for a routine system was −55.9% and −3.7% before and after calibration. This candidate RMP for serum ADA can potentially be used for standardization of clinical systems. Image 1 • This candidate reference method for serum ADA will facilitate the implementation and standardization of clinical systems. • The enzyme coupling method used in this work is simple, easy, fast, non-toxic and has the potential for automation. • Measurement conditions were optimal, determined by response surface methodology. [ABSTRACT FROM AUTHOR]