Novel enzymatic method for assaying Lp-PLA in serum.

Clin Chim Acta

Laboratory of Molecular Pharmaceutics, Faculty of Pharmaceutical Sciences, Teikyo University, Tokyo 173-0003, Japan.

Published: June 2018

Background: Measurement of lipoprotein-associated phospholipase A (Lp-PLA) can be used as an adjunct to traditional cardiovascular risk factors for identifying individuals at higher risk of cardiovascular events. This can be performed by quantification of the protein concentration using an ELISA platform or by measuring Lp-PLA activity using platelet-activating factor (PAF) analog as substrate. Here, an enzymatic Lp-PLA activity assay method using 1-O-Hexadecyl-2-acetyl-rac-glycero-3-phosphocholine (rac C PAF) was developed.

Methods: The newly revealed substrate specificity of lysoplasmalogen-specific phospholipase D (lysophospholipase D (LysoPLD)) was exploited. Lp-PLA hydrolyzes 1-O-Hexadecyl-2-acetyl-sn-glycero-3-phosphocholine (C PAF) to 1-O-Hexadecyl-2-hydroxy-sn-glycero-3-phosphocholine (LysoPAF). LysoPLD acted on LysoPAF, and the hydrolytically released choline was detected by choline oxidase.

Results: Regression analysis of Lp-PLA activity measured by the enzymatic Lp-PLA activity assay vs. two chemical Lp-PLA activity assays, i.e. LpPLA FS and PLAC® test, and ELISA, gave the following correlation coefficients: 0.990, 0.893 and 0.785, respectively (n = 30).

Conclusion: Advantages of this enzymatic Lp-PLA activity assay compared with chemical Lp-PLA methods include the following; (i) only requires two reagents enabling a simple two-point linear calibration method with one calibrator (ii) no need for inhibitors of esterase-like activity in serum.

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http://dx.doi.org/10.1016/j.cca.2018.03.012DOI Listing

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