Inexpensive, Accurate, and Stable Method to Quantitate Blood Alanine Aminotransferase (ALT) Levels

Alanine aminotransferase (ALT) levels are frequently determined in serum and plasma samples and are a primary measure to quantitate hepatocellular injury in rodents, humans, and other organisms. An accurate, reliable, and scalable assay is hence of central importance. Here, we describe a methodology...

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Main Authors: Phillipp Hartmann, Bernd Schnabl
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Methods and Protocols
Subjects:
Online Access:https://www.mdpi.com/2409-9279/5/5/81
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author Phillipp Hartmann
Bernd Schnabl
author_facet Phillipp Hartmann
Bernd Schnabl
author_sort Phillipp Hartmann
collection DOAJ
description Alanine aminotransferase (ALT) levels are frequently determined in serum and plasma samples and are a primary measure to quantitate hepatocellular injury in rodents, humans, and other organisms. An accurate, reliable, and scalable assay is hence of central importance. Here, we describe a methodology that fulfills those requirements, and demonstrates an excellent performance similar to a commercial ALT kit, with a long stable performance over several subsequent runs. Further, anticoagulation of blood samples with ethylenediaminetetraacetic acid (EDTA) or heparin results in similar ALT concentrations with this assay, whereas no anticoagulation significantly increases ALT levels. Mild hemolysis does not significantly increase ALT levels; however, moderate to severe hemolysis does lead to higher ALT levels. The assay provides stable results over a wide range of associated triglyceride concentrations that can be expected in serum and plasma samples from rodents and humans with dyslipidemia. It also performs well in diluted samples with a reduction of ALT levels corresponding to the factor used to dilute the samples. The described ALT reagent is also very affordable, costing less than 1/80 of comparable commercial kits. Based on the characteristics above, this methodology is suitable for a broad spectrum of applications in mice and possibly humans, where ALT concentrations need to be determined.
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spelling doaj.art-5f037fa99686400e8913021a3945fdcc2023-11-24T01:38:33ZengMDPI AGMethods and Protocols2409-92792022-10-01558110.3390/mps5050081Inexpensive, Accurate, and Stable Method to Quantitate Blood Alanine Aminotransferase (ALT) LevelsPhillipp Hartmann0Bernd Schnabl1Department of Pediatrics, University of California San Diego, La Jolla, CA 92093-0984, USADepartment of Medicine, University of California San Diego, La Jolla, CA 92093-0063, USAAlanine aminotransferase (ALT) levels are frequently determined in serum and plasma samples and are a primary measure to quantitate hepatocellular injury in rodents, humans, and other organisms. An accurate, reliable, and scalable assay is hence of central importance. Here, we describe a methodology that fulfills those requirements, and demonstrates an excellent performance similar to a commercial ALT kit, with a long stable performance over several subsequent runs. Further, anticoagulation of blood samples with ethylenediaminetetraacetic acid (EDTA) or heparin results in similar ALT concentrations with this assay, whereas no anticoagulation significantly increases ALT levels. Mild hemolysis does not significantly increase ALT levels; however, moderate to severe hemolysis does lead to higher ALT levels. The assay provides stable results over a wide range of associated triglyceride concentrations that can be expected in serum and plasma samples from rodents and humans with dyslipidemia. It also performs well in diluted samples with a reduction of ALT levels corresponding to the factor used to dilute the samples. The described ALT reagent is also very affordable, costing less than 1/80 of comparable commercial kits. Based on the characteristics above, this methodology is suitable for a broad spectrum of applications in mice and possibly humans, where ALT concentrations need to be determined.https://www.mdpi.com/2409-9279/5/5/81ALTliver diseaseEDTAhemolysistriglycerides
spellingShingle Phillipp Hartmann
Bernd Schnabl
Inexpensive, Accurate, and Stable Method to Quantitate Blood Alanine Aminotransferase (ALT) Levels
Methods and Protocols
ALT
liver disease
EDTA
hemolysis
triglycerides
title Inexpensive, Accurate, and Stable Method to Quantitate Blood Alanine Aminotransferase (ALT) Levels
title_full Inexpensive, Accurate, and Stable Method to Quantitate Blood Alanine Aminotransferase (ALT) Levels
title_fullStr Inexpensive, Accurate, and Stable Method to Quantitate Blood Alanine Aminotransferase (ALT) Levels
title_full_unstemmed Inexpensive, Accurate, and Stable Method to Quantitate Blood Alanine Aminotransferase (ALT) Levels
title_short Inexpensive, Accurate, and Stable Method to Quantitate Blood Alanine Aminotransferase (ALT) Levels
title_sort inexpensive accurate and stable method to quantitate blood alanine aminotransferase alt levels
topic ALT
liver disease
EDTA
hemolysis
triglycerides
url https://www.mdpi.com/2409-9279/5/5/81
work_keys_str_mv AT phillipphartmann inexpensiveaccurateandstablemethodtoquantitatebloodalanineaminotransferasealtlevels
AT berndschnabl inexpensiveaccurateandstablemethodtoquantitatebloodalanineaminotransferasealtlevels