5 – HIAA
Chromatographic – Colorimetric Determination
of 5-Hydroxy-3-Indolacetic Acid (5-HIAA)
Accurately mix each collected eluate, keeping them separate. COLORIMETRIC REACTION 40 tests REF 3636 INTENDED USE
Kit for quantitative in vitro determination of 5-Hydroxy-3-Indoleacetic Acid
PRINCIPLE
The final products of tryptophane metabolism are adsorbed on a neutral
resin. After the washing of interfering substances, serotonin (5HT),
5-hydroxy-triptophane (5HTP) and 5-hydroxy-3-indolacetic acid (5-HIAA)
are eluted together. The concentration of these metabolites is Mix very carefully and wait for 10 minutes at room temperature.
photometrical determined by the products formed in the reaction with
REAGENTS AND COLUMNS
Shake on vortex for 10 seconds and centrifuge for 2 minutes at 3000
Kit components:
rpm. Read the absorbencies of the sample (As) and the standard (Astd), at 540 nm (510-570 nm) against blank.
REAGENT 1 Hydrochloric acid REAGENT 2 Hydrated ammonium CALCULATION *REAGENT 3 Diluted sulphuric acid *REAGENT 4 1-nitrose-2-naphthol *REAGENT 5 Sodium nitrite *REAGENT 6 1,2-dichloroethane 5HT + 5HTP Serotonin (mg/L) = (As/ Astd) x 12.5 STANDARD Serotonin 20 mg/L
To calculate the 24 hour excretion, multiply the obtained values by the
COLUMNS Chromatographic colums
(*) Dangerous reagents are marked by an asterisk. Refer to MSDS.
STABILITY: stored at 2-8°C, sealed reagents and columns, are stable up
REFERENCE VALUES 5-HIAA: 2 - 10 mg/24 hours EQUIPMENT REQUIRED BUT NOT SUPPLIED
Spectrophotometer or filter photometer (540 nm), centrifuge.
1. Aspirin, phenacetine, acetanilide, chloropromazine give positive
interference, same as drugs like reserpine which causes serotonin
24 hour urine.
release. Phenothiazine derivates inhibit the reaction. Do not
Collect the 24 hour urine in a container with 2-3 ml of concentrated
administer any of these drugs for 72 hours before urine collection.
hydrochloric acid. Make sure the pH value is lower than 6. Mix the urine,
For the same period of time, ban bananas, walnuts and tomatoes
from the diet as their high concentration of tryptophane may give
STABILITY: about 5 days at 2-8°C with pH lower than 6.
2. If the supernatant is not completely clear after centrifuge, transfer it MANUAL ASSAY PROCEDURE
into another centrifuge test-tube containing a spatula-tip of
anhydrous sodium sulfate, mix thoroughly and centrifuge or let
3. In case of thrombosis and hemorrhage, 5-HIAA values ranged
among 10 and 100 mg/24 hours may result; they are higher than
100 mg/24 hours (up to 2000 mg) in cases of argentaffinoma or
malignant carcinoids. Patients with non-metastasing tumours may
have normal values. In cases of pulmonary carcinomas, values are
lightly increased. This determination is very useful in preliminary
tests of suspected cases; no false positive values have been
PREPARATION OF THE COLUMN Let the columns reach room temperature before use. Shake and turn the 4. Define ELUATE I and ELUATE II each time. 5-HIAA considerably
columns upside down to obtain a complete resin re-suspension and leave
increases in most cases of metastasing tumours, while sometimes
them for a few minutes in vertical position to allow the resin to sediment
only 5HT and 5HTP considerably increase. In such cases the test
again. Take the upper cap off and snap the bottom tip off. Let the liquid
result will always be positive and values higher than normal values.
REFERENCE CHROMATOGRAPHIC SEPARATION
1. 1. B.L. Goodwin, C.R.J. Ruthven, M.W. Weg and M. Sandler - Clin.
Let the reagents reach room temperature before use. Gently pipette, washing any eventual urine remains on the column
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