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Semi-solid phase assay for the alternative complement pathway activity assessment (AP100).

Kheir Eddine Kerboua1, Kamal Djenouhat2

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Summary

A new, affordable alternative pathway complement (APC) assay, AP100, is introduced to aid global clinical laboratories. This simple, reliable assay is crucial for monitoring expensive treatments like Eculizumab.

Keywords:
AP100Alternative complement pathwaylow income countriesmedicinesimple assay

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Area of Science:

  • Clinical Chemistry
  • Immunology
  • Complement System Assays

Background:

  • The alternative complement pathway (ACP) is implicated in various diseases, necessitating effective monitoring.
  • Eculizumab, a costly drug targeting ACP, requires reliable assays for patient management.
  • Current ACP assays like AH50 present challenges for many laboratories, especially in resource-limited settings.

Purpose of the Study:

  • To provide a detailed protocol for the standardized hemolytic assay AP100.
  • To enable clinical laboratories worldwide, particularly in developing countries, to perform ACP assays.
  • To offer a practical and affordable alternative to existing ACP diagnostic methods.

Main Methods:

  • Standardized hemolytic assay protocol (AP100) detailed.
  • Procedure similar to AP50 but with modified ACP buffer concentration and chicken erythrocyte density.
  • Focus on simplicity, portability, and ease of use for bedside and field applications.

Main Results:

  • AP100 assay is presented as a standardized, detailed protocol.
  • The assay demonstrates advantages over AH50, including reliability for Eculizumab monitoring.
  • AP100 is practical for storage and transport, remaining stable for weeks.

Conclusions:

  • AP100 offers a reliable, affordable, and practical solution for ACP assays globally.
  • The assay has at least nine clinical applications in disease diagnosis and follow-up.
  • AP100 facilitates improved patient care and treatment monitoring, especially for Eculizumab therapy.