NWLSS TM Alpha-1 Proteinase Inhibitor (A1PI) Activity Assay

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Premier Products for Superior Life Science Research NWLSS TM Alpha-1 Proteinase Inhibitor (A1PI) Activity Assay Product NWK-A1PI01 For Research Use Only Assay system for measuring the activity of Alpha-1 Proteinase Inhibitor (A1PI) also known as Alpha-1 Antitrypsin (A1AT) and Alpha-1 Antiproteinase (A1AP)

Page 2 To Order Call: Table of Contents Section Page Introduction 3 Intended Use 3 Test Principle 3 General Specifications 4 Kit Contents 4 Required Materials Not Provided 4 Required Instrumentation 4 Warnings, Limitations, Precautions 4 Storage Instructions 5 Assay Preparation 5 Reagent Preparation 5 Sample Handling/Preparation 5 Assay Protocol 6 Data Analysis 6 Performance Details 7 References 9 Statement of Limited Warranty 10 User Notes 11

Page 3 Introduction: Alpha-1 proteinase inhibitor (A1PI), also known as alpha-1 antitrypsin (A1AT) and alpha-1 antiproteinase (A1AP) is the archetypal member of superfamily serine protease inhibitors (SERPINs). A1PI is the only known inhibitor of elastase but also inhibits trypsin and chymotrypsin. As an acute phase protein, A1PI is commonly associated with regulation of inflammatory reactions, especially in lung tissue where its main function is to inhibit neutrophil elastase. Binding of the target protease to the reactive center loop (RCL) of A1PI is irreversible and proteolysis results in a conformational change rendering A1PI inactive. Another notable feature of A1PI is that its activity can be regulated by oxidation of the sulfur containing amino acid methionine. Reactive oxygen and nitrogen species (ROS & NOS) can both react with A1P to create methionine sulfoxide (MetO) residues at key sites resulting in inactivation of the enzyme. Regulation of A1PI in this fashion is reversible by the action of methionine sulfoxide reductase, an important regulatory enzyme of interest in redox related research. The action of ROS and NOS in helping to regulate the activity of cellular housekeeping proteins such as A1PI is fast becoming a major area of interest in researching many disease states. In contrast to ELISA measures of total protein, monitoring of A1PI activity levels can provide useful information about the effect of ROS and NOS on actual enzyme function. Measurement of A1PI activity in both control and research samples can be useful as an index of oxidative stress effect on proteins. Intended Use: NWK-A1PI01 is intended for measuring the activity of alpha-1 proteinase inhibitor in biological research samples. Test Principle: Alpha-1 proteinase inhibitor rapidly, specifically and irreversibly binds to the active site of elastase. The molar reaction ratio is 1:1 such that measuring inhibition of elastase activity becomes a convenient method for quantifying A1PI activity. In Phase One of this assay a known quantity of elastase is allowed to react with sample A1PI. Elastase Reagent is provided in excess such that the remaining elastase activity can be measured as a means of determining the level of A1PI mediated inhibition. [Elastase]Known+ [A1PI]Sample = [Elastase/A1P1]Complex + [Elastase]Test In Phase 2 of the assay N-succinyl-(Ala)3-p-nitroanilide (NSAN) reacts with the remaining Elastase to cleave p-nitroanaline with a maximal absorbance at 410 nm. Elastase

Page 4 Test Principle (continued): Remaining sample elastase is determined by comparing sample A410 to a five point standard curve generated at the time of sample testing. The amount of elastase inhibition is found by subtracting the remaining test sample elastase (measured) from the known elastase quantity (as shown on the vial). [Ei] = [Ek] - [Et] Since A1PI and elastase react in a one to one molar ratio, the concentration of A1PI in the reaction mix is the same as the calculated elastase inhibition. [A1PIRxm] = [Ei] A1PI concentration in the original sample is therefore calculated as: [A1PIs] = [Ei] * Sample Dilution General Specifications: Format: 96 well colorimetric Number of tests: Triplicate = 27 Duplicate= 43 Specificity: Sensitivity: Alpha-1 Proteinase Inhibitor (A1PI) 50 nm Elastase or nm A1PI equivalents. *Effective Range: 50-300 nm Residual Elastase or nm A1PI equivalents. * Note: Measured values <50 nm are not valid and a less dilute sample should be tested. Samples >300 nm A1PI should be retested at a greater dilution. Kit Contents Elastase Calibrator (~600 nm in Assay Buffer): Elastase Reagent (~300 nm in Assay Buffer): NSAN Reagent (600 µm in Assay Buffer) Assay Buffer: (Containing Tris-HCl, ph 8.0) Microplate: 1 X 0.75 ml 1 X 5 ml 1 X 5 ml 1 X 100 ml 1 X 96 wells Required Materials Not Provided: Multichannel or repeater pipettes capable of precisely delivering 50 μl. Pipette capable of precisely delivering 100 1000 μl. Glass or plastic tubes for sample dilutions. Glacial Acetic Acid optional...if stopping the reaction is desired in order to stabilize the color for later reading (stable for several hours after stopping).

Page 5 Required Instrumentation: Microtiter plate reader with 405 nm* capability. *Note: Maximal absorbance for p-nitroaniline of interest is 410 nm. Warnings, Limitations, Precautions: Individual components may be harmful if swallowed, inhaled or absorbed through the skin. Contact should be minimized through the use of gloves and standard good laboratory practices. If contact with skin or eyes occurs, rinse the site immediately with water and consult a physician. Storage Instructions: Store all components at 4 C until immediately before use. Do not freeze. Assay Preparation 1. Determine the number of wells required to assay calibrators, samples and controls for the appropriate number of replicates. 2. Create an assay template showing positioning of calibrators, samples and controls. Calibrator Preparation: 1. Label 6 vials as 300, 150, 75, 37.5, 18.75 and 0 nm Elastase. 2. Add 250 µl Assay Buffer to each vial. 3. Add 250 µl of 600 nm Elastase Standard to 300 nm vial, mix well, then continue with serial dilution down to 18.75 nm. Leave the 0 nm vial with assay buffer only. Reagent Preparation: All reagents other than the calibrator are provided ready to use. Sample Handling/Preparation Plasma Collect blood and harvest the plasma fraction. Store plasma cold for testing on day of draw. If testing on a different day, samples may be stored short term (1-2 days) at -20 C or -70 C for longer term storage. Samples should be diluted 1:150 in Assay Dilution Buffer just prior to assay. Plasma levels of A1PI in healthy humans ranges from 20-50 µm. Tissue: Less is known about the existence of A1PI levels in various tissues. While it may be possible to test A1PI in tissue samples such as lung homogenate, it is beyond the scope of this product insert to advise on sample handling and dilution schemes for potential tissue homogenates.

Page 6 Assay Protocol: 1. Add 50 μl Assay Buffer to designated calibrator wells 2. Add 50 μl Diluted Calibrator to designated calibrator wells. 3.. Add 50 μl Diluted Sample to designated test sample wells. 4. Add 50 μl Elastase Reagent to designated test sample wells.* *Note: Do not add Elastase Reagent to calibrator wells. 5. Incubate for 45 minutes at room temperature in humid, closed container. 6. Add 50 μl NSAN Reagent to all wells. 7. Incubate for 15 minutes. 8. Optional Step: Add 10 μl Stop Solution and shake to mix. If not opting to use stop solution, proceed to step 9. 9. Record the absorbance at 410 nm (405 is acceptable). Data Analysis (Elastase Calibration Method): Plot the elastase calibrator concentration vs. 410 nm absorbance. For best results we recommend using the 2nd order polynomial (quadratic) curve fit for data analysis. 0.7 Example Elastase Standard Curve 0.6 0.5 0.4 0.3 0.2 y = -3E-06x 2 + 0.003x + 0.0027 R² = 0.9999 0.1 0 0 50 100 150 200 250 300 350

To Order Call: 1-888-449-3091 Page 7 Example Data & Calculation Elastase Reagent Concentration: 0.300 μm... Note: This Value is Lot Specific Rep 1 Rep 2 Average Original Elastase Concentration 300 nm 300 nm 300 nm Measured Sample Elastase (1/150 Plasma) 157.51 nm 159.46 nm 158.49 nm A1PI in Reaction Mix (A1PIRxm) 142.49 nm 140.54 nm 141.51 nm A1PI in Original Sample (A1PIRxm X 150) 21.374 µm 21.081 µm 21.227 µm Performance Details: Precision Inter and Intra assay precision was estimated by measuring three different A1PI concentrations 20 times over a 10 day period. Plasma samples were diluted in assay buffer targeting high, medium and low A1PI concentrations. Assays were limited to 2 per day with at least 3 hours between assays. Parameter Coefficient of Variation (%CV) Low Medium High Inter assay 5.8 2.4 1.2 Intra assay 7.0 3.0 1.3 Total 9.0 3.8 1.8 Accuracy: The recovery of A1PI using this assay was estimated by testing a human plasma sample, an authentic A1PI protein solution and an equal part combination of human plasma with authentic A1PI protein. Measured A1PI activity in human plasma sample: 0.101 µm Measured A1PI activity in A1PI protein solution: 0.037 µm Theoretical (average) A1PI of combined sample: 0.069 µm Actual measured A1PI activity of combined sample 0.071 µm Percent recovery of theoretical A1PI =.071/.069 = 103%

α1pi Page 8 Linearity on Dilution: Dilutions containing human plasma volumes between 10 and 1 µl were tested to assess the linearity of this assay. The graph below shows that the assay is linear at all dilutions within the range of the assay as determined by the relative amount of elastase present in the assay. 0.30 Linearity on Dilution 0.25 0.20 0.15 0.10 0.05 0.00 y = 0.0267x + 0.0032 R² = 0.9985 0 2 4 6 8 10 μl Plasma a1pi Recovery on Dilution: 2 different plasma samples was diluted 1:50, 1:100, 1:150 and 1:200 and tested for A1PI activity. Dilution Plasma 1 Stats Plasma 2 Recovery 1:50 12.82µM 51% 13.56 µm 67% 1:100 25.42 µm 100% 20.59 µm 100% 1:150 25.64 µm 101% 20.24 µm 99% 1:200 25.02 µm 100% 20.27µM 100% Note the reduced recovery of A1PI at higher plasma concentrations. We also found the level of reduced recovery of A1PI to be very conserved for specific samples at specific dilutions. We surmise that the cause of this observation may be alpha-2 macroglobulin (A2M), another abundant serum protein with protease activity. Although the exact mechanism has not been determined we believe that at higher concentrations, A2M may be preferentially binding elastase protecting it against A1PI inhibition while preserving its (elastase) ability to react with NSAN reagent thus allowing for increased detection of sample elastase and underestimation of A1PI activity. This recovery data helps underscore the need to properly dilute plasma prior to testing. Other sample types

To Order Call: 1-888-449-3091 Page 9 Sensitivity: Sensitivity was estimated as 3.29 times the standard deviation for zero A1PI value. LLD = 37.5 nm Elastase or nm A1PI equivalents. We tested this on a practical level and found 50 nm in reaction mix to be a more reliable estimate of sensitivity for this assay wherein different dilutions showed excellent agreement and recovery. Stability: All components in this assay are stable for 1 year when stored at 4 C (refrigerated) as specified. References: 1. Honda H, et al., Assessment of Myeloperoxidase and Oxidative α1- Antitrypsin in Patients on Hemodialysis CJASN (2009) Vol. 4, No. 1, pp 142-151. 2. Law, et.al., An overview of the serpin superfamily, Genome Biology, (2006) 27:216. 3. Hoshi et al. Regulation of cell function by methionine oxidation and reduction J. Physiology (2001) 531.1, pp 1 11. 4. Taggart et al., Oxidation of either Methionine 351 or Methionine 358 in α1-antitrypsin Causes Loss of Anti-neutrophil Elastase Activity, (2000) J. Biol. Chem., 275(35), 27258 27265. 5. Levine et al. Oxidation of Methionine in Proteins: Roles in Antioxidant Defense and Cellular Regulation, IUBMB Life, (2000) 50: 301 307. 6. Shacter E, Quantification and Significance of Protein Oxidation in Biological Samples Drug Metabolism Reviews (2000) 32(3&4), pp 307 326. 7. Evans et al., Damage to human alpha-1-proteinase inhibitor by aqueous cigarette tar extracts and the formation of methionine sulfoxide Chem. Res. Toxicol., 1992, 5 (5), pp 654 660. 8. Banda et al., Interaction of Mouse Macrophage Elastase with Native and Oxidized Human a1-proteinase Inhibitor J. Clin. Invest. (1987) Volume 79, pp 1314-1317. 9. Ossana et al., Assessment of Myeloperoxidase and Oxidative α1- Antitrypsin in Patients on Hemodialysis. J. Clin. Invest. 1986; 77(6), pp 1939 1951.

Page 10 References (continued): 10. Johnson et al., The oxidative inactivation of human alpha-1-proteinase inhibitor. Further evidence for methionine at the reactive center J. Biol. Chem. (1979), 254, pp 4022-4026. 11. Klumpp T et. al., Automated measurement of the elastase inhibitory capacity of plasma with a centrifugal analyzer J Clin. Chem. (1979) 25, pp 969-972. 12. D Johnson and J Travis, Structural evidence for methionine at the reactive site of human alpha-1-proteinase inhibitor, (1978) J. Biol. Chem., 253:7142-7144. 13. Stone, PJ et. al. Defenses of the hamster lung against human neutrophil and porcine pancreatic elastase (1988) Respiration, 54(1):1-15. Statement of Limited Warranty: Northwest Life Science Specialties, LLC (NWLSS) makes no guarantee of any kind, expressed or implied, that extends beyond the description of the material in this kit, except that they will meet our specifications at the time of delivery. Customer's remedy and NWLSS sole liability is limited to, at NWLSS option, refund of the purchase price, or the replacement of material not meeting our specification. By acceptance of our product, customer assumes all liability and will indemnify and hold NWLSS harmless for the consequence of this product s use or misuse by the customer, its employees, or others. Refund or replacement is conditioned of customer notifying NWLSS within twenty-one (21) days of the receipt of product. Failure to give notice within 21 days shall constitute a waiver by the customer of all claims hereunder with respect to said product.

To Order Call: 1-888-449-3091 Page 11 User Notes:

5131 NE 94th Avenue, Suite 201 Vancouver, WA 98662 Phone 360-449-3091 or Toll Free: 888-449-3091 Fax 360-449-3092 E-mail: sales@nwlifescience.com