Complement CH50 Kit Insert November HaemoScan BV
COMPANY WITH
QUALITY MANAGEMENT SYSTEM
CERTIFIED BY DNV GL
= ISO 9001 =
Complement CH50
Assay
Kit Insert
Version: November 2016
Summary
Complement hemolytic activity is a functional test of the classical and
alternative pathway of complement in plasma or serum. The classical
pathway method (CH50) is based on lysis of sensibilized sheep
erythrocytes in the presence of Ca++ and Mg++. This method is suited
to evaluate the haemocompatibility of biomaterials and medical devices
according to the international standard ISO 10993-4:2002 after blood,
plasma, or serum contact with biomaterials and to assess the effects of
pharmaceuticals on inhibition or consumption of complement
components.
Introduction
Interactions between blood and biomaterials may activate the
complement system. Particularly during prolonged contact or during
contact of blood with large surfaces, this may induce adverse events, due
to generation of an inflammatory reaction and loss of host defense
mechanism. Similarly, pharmaceuticals or their carriers may affect the
complement system. This results in consumption of complement proteins,
which reduces the CH50 or AP50 level (i.e. the dilution of serum to obtain
50% lysis of erythrocytes).
Principle of the Test
An erythrocyte suspension is incubated for 30 minutes with serial diluted
serum or plasma at 37 oC.
After incubation samples are centrifuged to obtain supernatant,
containing free hemoglobin. The hemoglobin concentration is measured
by means of a spectrophotometer.
Positive reference is total lysis induced by lysis fluid, negative reference is
obtained after incubation with buffer.
The kit is designed to determine hemolytic activity of small samples
(50 μL or less). And can be performed in a 96 well microtiter plate.
The same template can also be used with microcentrifuge tubes.
Precautions
? The kit is intended for research use only.
? The kit should not be used beyond its expiry date.
? Do not combine reagents from Complement CH50 kits with
different lot numbers.
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? The erythrocytes are of ovine origin and these animals have been
tested and approved for consumption.
? Chemicals and reagents have to be treated as hazardous waste
according to biohazard safety guidelines or regulations.
? Wear disposable (latex) gloves when handling specimens and
reagents.
? Never pipette by mouth and avoid contact of skin and mucous
membranes
? Use disposable pipette tips throughout the procedure to avoid
contamination of reagents.
Contents of the Kit
? Erythrocyte concentrate 1,1 mL 1 tubes
? Dilution Buffer 100 mL 1 bottle
? Lysis fluid 3,5 mL 1 bottle
? Stop Solution 100 mL 1 bottle
? Reference 1, low complement plasma
? Reference 2, normal complement plasma
Additional Materials and Equipment
The following materials and equipment are required but are not provided
with the kit:
? (Calibrated) adjustable pipettes with disposable tips.
? Incubator at 37 °C.
? Spectrophotometer capable of measuring at 415 nm.
? Micro-centrifuge + vials (1,5 mL) or centrifuge for microtiter
plates.
Test Procedure
Reagent Preparation
? Erythrocyte suspension: Add slowly, while mixing, the
erythrocyte suspension to 5 mL Dilution Buffer. Mix gently by end?over-end tumbling of the tube. Centrifuge the tube, without cap,
for 10 minutes at 400xg. Remove the supernatant. Repeat this
procedure if the OD415 of the supernatant is >0,500. Resuspend
the pellet in 40 mL Dilution buffer, this is sufficient for 7 microtiter
plates. Dilute 25 μL of erythrocyte suspension in 75 μL lysis fluid,
this should give an OD415 between 0,800 and 0,900, when
measured in a microtiter plate in a spectrophotometer. Prewarm
the suspension at 37°C just before use.
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? Test samples: Human plasma is used in dilutions of 4, 8, 16, 32,
64 and 128 times, made by serial dilution in a round bottom plate,
resulting in 50 μL per well. The positive control is lysis fluid
instead of plasma, the negative control is dilution buffer instead of
plasma.
? Reference plasma: Both reference plasma samples are
reconstituted with 250 μL distilled water and are also used in
dilutions ranging from 4 to 128 times.
Assay Procedure
1. Pipette test samples or reference dilutions and controls in a round
bottom plate (see plate format example).
2. Add 50 μL of the erythrocyte suspension to each well.
3. Cover the plate with a microplate sheet.
4. Incubate for 30 minutes in an incubator at 37 °C.
5. Pipette 100 μL stop solution to all wells.
6. Centrifuge the plate (or microcentrifuge tubes) at 400xg for 10
minutes.
7. Transfer 100 μL of supernatant to a well of a flat bottom microtiter
plate.
8. Measure OD 415 nm.
Calculations
1. Correct, for all test and reference materials, for the OD415 of the
negative control.
2. Calculate the amount of haemolysis for each sample and dilution.
3. Plot for each sample the haemolysis (%) on the x-axis and sample
concentration (%) on the y-axis.
4. Fit a linear curve (y=ax+b) through the data points.
5. Calculate CH50 = a * 0,5 +b.
Upon request an example calculation spreadsheet is available.
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Characteristics
1 2 3 4 5 6 7 8 9 10 11 12
A
1
4x
1
8x
1
16x
1
32x
1
64x
1
128x
9
4x
9
8x
9
16x
9
32x
9
64x
9
128x
B
2
4x
2
8x
2
16x
2
32x
2
64x
2
128x
10
4x
10
8x
10
16x
10
32x
10
64x
10
128x
C
3
4x
3
8x
3
16x
3
32x
3
64x
3
128x
11
4x
11
8x
11
16x
11
32x
11
64x
11
128x
D
4
4x
4
8x
4
16x
4
32x
4
64x
4
128x
12
4x
12
8x
12
16x
12
32x
12
64x
12
128x
E
5
4x
5
8x
5
16x
5
32x
5
64x
5
128x
13
4x
13
8x
13
16x
13
32x
13
64x
13
128x
F
6
4x
6
8x
6
16x
6
32x
6
64x
6
128x
14
4x
14
8x
14
16x
14
32x
14
64x
14
128x
G
7
4x
7
8x
7
16x
7
32x
7
64x
7
128x
15
4x
15
8x
15
16x
15
32x
15
64x
15
128x
H
8
4x
8
8x
8
16x
8
32x
8
64x
8
128x
neg
con
trol
neg
con
trol
neg
con
trol
pos
con
trol
pos
con
trol
pos
con
trol
Figure 1. Suggested 96-well template for the CH50 assay.
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Complement CH50 Kit Insert November HaemoScan BV
Complement CH50 Kit Insert November HaemoScan BV
Complement CH50 Kit Insert November HaemoScan BV