Human Myeloperoxidase EIA Kit Product Number: MP14 Store at 4 C FOR RESEARCH USE ONLY Document Control Number: MP14.

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Human Myeloperoxidase EIA Kit Product Number: MP14 Store at 4 C FOR RESEARCH USE ONLY Document Control Number: MP14.090122 Page 1 of 5 Enzyme Immunoassay for Human Myeloperoxidase For Research Use Only INTRODUCTION Human myeloperoxidase (MPO) is a hemoprotein composed of two heme-containing heavy subunits of 53 kda and of two light subunits of 15 kda. MPO is stored in the granules of neutrophils and monocytes, and is released in response to leukocyte activation. MPO acts as a catalyst in the production of hypochlorous acid (HOCl), a powerful oxidant produced from chloride ion (Cl - ) and hydrogen peroxide (H 2 O 2 ). Although MPO is important to the immune system, it also plays a role in several inflammatory conditions. Elevated MPO levels have been linked to coronary artery diseases. High concentrations of MPO and its oxidation products are found in areas of plaque deposits present in atherosclerosis. MPO also affects cholesterol levels through the oxidation of LDL and HDL. As a specific marker for polymorphonuclear cells (PMNs), MPO is released extracellularly via degranulation after PMN activation. Thus, extracellular MPO is an index of PMN activation in inflammatory processes that lead to disease pathology, such as cardiovascular disease. Elevated levels of MPO present in serum and plasma indicate a greater risk of myocardial injury and unstable plaque formations. Therefore, MPO levels can be used to predict potentially negative cardiac events. Antibodies to MPO are present in human plasma, and have been characterized as part of the antineutrophil cytoplasmic antibodies (ANCA) set of autoantibodies. PRINCIPLES OF PROCEDURE The Human MPO EIA Kit is a sandwich ELISA (Enzyme-Linked Immunosorbent Assay) that measures MPO in plasma/serum samples. The MPO in the sample interacts with and binds to the anti MPO antibody coated on the wells. The plate is then washed to remove all unbound materials and anti MPO, conjugated with HRP (horseradish peroxidase), is added to the plate wells. The HRP conjugate binds to the MPO that is bound to the anti MPO of the plate. After washing the plate again, TMB is added, which will produce a blue hue. A darker blue color corresponds to a higher concentration of MPO. After reaction has occurred with the conjugate a stop solution is added, producing a yellow hue. The absorbance is measured at 450 nm. MATERIALS PROVIDED Component Description Volume Storage Cat. No. 5x EIA Buffer Buffer used to dilute the conjugate, standard, and samples. 50 ml 4 C MP14a 20x Wash Buffer Buffer used to wash the plate. 50 ml 4 C MP14b Stop Solution 0.3 M sulfuric acid for stopping the reaction. 12 ml 4 C MP14c TMB TMB substrate used for color development. 12 ml 4 C MP14d Anti-MPO-HRP Anti-MPO horseradish peroxidase conjugate. 200 μl 4 C MP14e MPO Standard Lyophilized human myeloperoxidase. 1 vial 4 C MP14f Coated Plate 96-well microplate coated with an anti-hu MPO antibody. 1 plate 4 C MP14g

MP14.090122 Oxford Biomedical Research Inc., 2009 Page 2 of 5 MATERIALS NEEDED BUT NOT PROVIDED 1. Microplate reader with a 450 nm filter 2. Adjustable micropipettes (10 1000 μl) and tips 3. Deionized water 4. Vortex 5. Plate cover or film 6. Plate shaker/rotator STORAGE 1. Store the components of this kit at the temperatures specified on the labels. 2. Unopened reagents are stable until the indicated kit expiration date. 3. Store diluted reagents at 4 C and use within one week. 4. Desiccant packet must remain in the pouch with unused strips. Keep pouch sealed when not in use to maintain a dry environment. Remove excess air before sealing. WARNINGS AND PRECAUTIONS 1. Use aseptic technique when opening and dispensing reagents. 2. The MPO Standard has been purified from human source material. Necessary precautions should be taken when handling, treating it as potentially infectious. 3. This kit is designed to work properly as provided and instructed. Additions, deletions or substitutions to the procedure or reagents are not recommended, as they may be detrimental to the assay. PROCEDURAL NOTES 1. Allow kit components to come to room temperature before use. 2. The HRP conjugate is most stable in its concentrated form. Dilute only the volume necessary for the amount of strips currently being used. 3. After reconstitution of the MPO Standard, aliquots should be made and frozen at -80 C. Avoid multiple freeze/thaw cycles. 4. To minimize errors in absorbance measurements due to handling, wipe the exterior bottom of the microplate wells with a lint-free paper towel prior to inserting into the plate reader. SAMPLE COLLECTION AND STORAGE This ELISA is meant for the measurement of myeloperoxidase in human serum and plasma. 1. Draw blood into a serum separator tube for serum or a heparin tube for plasma and mix gently. 2. Centrifuge whole blood within 6 hours of draw at 3000 x g for 10 minutes at 4ºC. 3. Remove the serum supernatant. Samples can be stored at 4ºC for 24 hours. For longer storage, samples should be stored at -20ºC or -80ºC. Avoid repeated freeze/thaw cycles. SAMPLE PREPARATION Thaw samples completely. Dilute the samples in 1x EIA Buffer. 1:4 and 1:10 are recommended. REAGENT PREPARATION 1. 5x EIA Buffer: Dilute the appropriate amount to 1x with deionized water prior to use. 2. 20x Wash Buffer: Add 50 ml of 20x Wash Buffer to 950 ml of deionized water prior to use. 3. Anti-MPO-HRP: Dilute 1:100-100 μl of Conjugate into 9.9 ml total volume of 1x EIA Buffer. 4. MPO Standard: Reconstitute with 1 ml deionized water.

MP14.090122 Oxford Biomedical Research Inc., 2009 Page 3 of 5 STANDARD CURVE PREPARATION The MPO Standard is provided as a lyophilized powder, and needs to be reconstituted with 1 ml of deionized water prior to use. Use the following table to construct a six-point standard curve. Table 1: Standard Curve Preparation Standard MPO Conc. Vol. of 1x EIA Transfer Transfer Final Volume (ng/ml) Buffer (μl) Volume (μl) Source (μl) S5 30 538 62 Stock 300 S4 15 300 300 S5 300 S3 7.5 300 300 S4 300 S2 3.75 300 300 S3 300 S1 1.875 300 300 S2 600 B0 0 300 - - 300 ASSAY PROCEDURE 1. Add 100 μl of Standards and Samples to the corresponding wells on the microplate in duplicate. See Scheme I for a sample plate layout. Cover and incubate at room temperature for one hour. 2. Wash the plate four times with 300 μl of 1x Wash Buffer per well. 3. Add 100 μl of diluted Anti-MPO-HRP to each well. Cover and incubate at room temperature for 20 minutes. 4. Wash the plate four times with 300 μl of 1x Wash Buffer per well. 5. Add 100 μl of TMB to each well. Place covered plate on a plate shaker and incubate at room temperature for 10 minutes. 6. Add 100 μl of Stop Solution to each well. 7. Read the plate at 450 nm. Scheme I: Sample Plate Layout 1 2 3 4 5 6 7 8 9 10 11 12 A B0 B0 U3 U3 U11 U11 U19 U19 U27 U27 U35 U35 CALCULATIONS B S1 S1 U4 U4 U12 U12 U20 U20 U28 U28 U36 U36 C S2 S2 U5 U5 U13 U13 U21 U21 U29 U29 U37 U37 D S3 S3 U6 U6 U14 U14 U22 U22 U30 U30 U38 U38 E S4 S4 U7 U7 U15 U15 U23 U23 U31 U31 U39 U39 F S5 S5 U8 U8 U16 U16 U24 U24 U32 U32 U40 U40 G U1 U1 U9 U9 U17 U17 U25 U25 U33 U33 U41 U41 H U2 U2 U10 U10 U18 U18 U26 U26 U34 U34 U42 U42 1. Subtract the average background absorption (B0) from each of the mean absorbance values (A 450 ) for the standards and samples. 2. Graph the standard curve by plotting the A 450 for each standard concentration on the y-axis against the MPO concentration on the x-axis. Draw the curve by using a linear regression curve-fitting routine. Most programs can do this for you. See Figure 1 for a sample standard curve. 3. Using the standard curve and the resulting linear regression equation, the concentration of MPO in each sample can be determined using the A 450 of each sample.

MP14.090122 Oxford Biomedical Research Inc., 2009 Page 4 of 5 Linear Regression Equation: y = mx + b Where: y = A 450 x = MPO Concentration m = slope b = y-axis intercept 4. If the samples were diluted, the concentration determined from the standard curve must be multiplied by the dilution factor. Figure 1: Typical Standard Curve NOTES 1. The normal ranges for serum samples and heparin plasma samples are 2.5 100 ng/ml and 37-124 ng/ml, respectively. 2. Badly hemolyzed serum or plasma samples should not be used, as they may give inaccurate results. 3. Insufficient washing will result in poor precision and false absorbance readings. PERFORMANCE CHARACTERISTICS Parallelism: Performed using a sequence of serial dilutions. Standards Sample y = 0.0505x + 0.0869 y = 0.0505x + 0.0869 Recovery: Sample was diluted 1:10 in 1x EIA Buffer prior to starting the assay. Three analyzed volumes of MPO were added to dispensed volumes of the diluted sample. % Recovery Concentration 1 83 Concentration 2 90 Concentration 3 180

MP14.090122 Oxford Biomedical Research Inc., 2009 Page 5 of 5 REFERENCES 1. Klebanoff, S. J.; (2005) J of Leuk. Bio. 77:598 2. Klein, J.; (1982) Immunology The Science of Self-Nonself Discrimination p 427 3. Renliang, Z., et al.; (2001) JAMA 286(17):2136, 2140 4. Reumaux, D., et al.; (2003) J of Leuk. Bio. 73:846 5. Van der Woode, F.J., and Schmitt, W.H.; (2004) Clinical Applications of Anti-neutrophil Cytoplasmic Antibody Testing. http://www.medscape.com/viewarticle/467031. Accessed July 31, 2008 DISCLAIMER This information is believed to be correct but does not purport to be all-inclusive and shall be used only as a guide. Oxford Biomedical Research, Inc. shall not be held liable for any damage resulting from handling or from contact with the above product. See catalog for additional terms and conditions of sale. ORDERING INFORMATION For additional kits or a complete catalog please call 800-692-4633. TECHNICAL SUPPORT If you need technical information or assistance with assay procedures, call our Technical Support Department at 800-692-4633 or 248-852-8815. Our staff will be happy to answer your questions about this or any other product in the Oxford Biomedical line. GUARANTEE AND LIMITATION OF REMEDY Oxford Biomedical Research, Inc. makes no guarantee of any kind, expressed or implied, which extends beyond the description of the materials in this kit, except that these materials and this kit will meet our specifications at the time of delivery. Buyer's remedy and Oxford Biomedical Research, Inc.'s sole liability hereunder is limited to, at Oxford Biomedical Research, Inc.'s option, refund of the purchase price of, or the replacement of, material that does not meet our specification. By acceptance of our products, Buyer indemnifies and holds Oxford Biomedical Research, Inc. harmless against, assumes all liability for the consequence of its use or misuse by the Buyer, its employees, or others. Said refund or replacement is conditioned on Buyer notifying Oxford Biomedical Research, Inc. within thirty (30) days of the receipt of product. Failure of Buyer to give said notice within thirty (30) days of receipt of product shall constitute a waiver by the Buyer of all claims hereunder with respect to said material(s). Oxford Biomedical Research, Inc. P.O. Box 522 Oxford, MI 48371 U.S.A. Orders: 800-692-4633 Technical Service: 248-852-8815 Fax: 248-852-4466 E-mail: info@oxfordbiomed.com Made in the U.S.A.