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The Lactate Dehydrogenase Sequestration Assay &#8212; A Simple and Reliable Method to Determine Bulk Autophagic Sequestration Activity in Mammalian Cells
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Fully automatic d-lactate assay using a modified commercially available method.

Rikke Wehner Rasmussen1, David Straarup2, Ole Thorlacius-Ussing2,3

  • 1Department of Clinical Biochemistry, Aalborg University Hospital, Aalborg, Denmark.

Scandinavian Journal of Clinical and Laboratory Investigation
|April 21, 2021
PubMed
Summary
This summary is machine-generated.

Early diagnosis of intestinal ischemia is crucial. This study implements d-lactate analysis in routine settings, providing a rapid 9-minute test for early detection of this life-threatening condition.

Keywords:
Intestinesbiomarkersd-lactate dehydrogenaseearly diagnosisfatal outcomeinfarctionischemialactate dehydrogenases

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Area of Science:

  • Clinical Chemistry
  • Biomarker Analysis
  • Gastrointestinal Physiology

Background:

  • Intestinal infarction, a critical condition from impaired blood flow, has a high mortality rate.
  • Early diagnosis and treatment within 6 hours are vital for reducing mortality.
  • Current biomarkers like d-lactate are not readily available in acute clinical settings.

Purpose of the Study:

  • To implement and validate a d-lactate analysis method for routine clinical use.
  • To establish a rapid and reliable diagnostic tool for early detection of intestinal ischemia.
  • To assess the feasibility of using d-lactate as a point-of-care biomarker.

Main Methods:

  • A spectrophotometric method utilizing d-lactate dehydrogenase (D-LDH) and nicotinamide-adenine dinucleotide (NAD+) was employed.
  • Interference from l-lactate was mitigated using pH-inactivation of l-lactate dehydrogenase (L-LDH).
  • A commercially available d-lactate kit was adapted for automated laboratory equipment, ensuring clinical quality goals were met.

Main Results:

  • The implemented method demonstrated acceptable analytical performance and a short turnaround time of 9 minutes.
  • The assay successfully distinguished between the cut-off for intestinal ischemia (around 0.3 mM) and the upper reference limit (0.05 mM).
  • The setup met all clinical quality goals for d-lactate measurement.

Conclusions:

  • The developed d-lactate assay is suitable for routine clinical implementation.
  • This rapid analysis offers potential as a readily available tool for the early diagnosis of intestinal ischemia.
  • Faster detection of d-lactate can significantly improve patient outcomes by enabling timely intervention.