Dual HDL/total cholesterol test: a single-tube, homogeneous assay for sequential measurement of HDL cholesterol and total cholesterol

Ann Clin Biochem. 2000 Jul:37 ( Pt 4):479-87. doi: 10.1177/000456320003700408.

Abstract

The quantitation of cholesterol in lipoprotein subfractions is valuable in estimating the risk for coronary artery disease, but requires multiple tests. We describe a relatively simple procedure, referred to as the dual HDL/total cholesterol (DHT) assay, which allows the sequential measurement of HDL cholesterol (HDL-C) and total cholesterol (total-C) in a single tube. HDL-C is first measured using a homogeneous assay that utilizes an anti-apolipoprotein B [apo(B)] antibody, which sterically blocks the enzymatic measurement of cholesterol on the non-HDL subfractions. Next, deoxycholate is added, which disrupts the antibody-apo(B) complex and allows the subsequent enzymatic measurement of the remaining cholesterol in the non-HDL subfractions. The DHT assay has an acceptable analytical performance and yields results similar to standard methods: for HDL-C, y(DHT) = 0.98x + 0.19, r=0.90; for total-C, y(DHT) = 1.11x - 0.09, r=0.99. In summary, the DHT assay is a homogeneous assay for both HDL-C and total-C, and provides a simple and cost-effective method for screening for hyperlipidaemia.

MeSH terms

  • Antibodies / metabolism
  • Apolipoproteins B / immunology
  • Bilirubin / metabolism
  • Chemistry, Clinical / methods*
  • Cholesterol / analysis*
  • Cholesterol / blood*
  • Deoxycholic Acid / metabolism
  • Hemoglobins / metabolism
  • Humans
  • Hyperlipidemias / blood
  • Hyperlipidemias / diagnosis
  • Lipoproteins, HDL / analysis*
  • Lipoproteins, HDL / blood*
  • Mass Screening / economics
  • Mass Screening / methods
  • Reproducibility of Results
  • Time Factors

Substances

  • Antibodies
  • Apolipoproteins B
  • Hemoglobins
  • Lipoproteins, HDL
  • Deoxycholic Acid
  • Cholesterol
  • Bilirubin