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44 protocols using dimension rxl max integrated chemistry system

1

Physiological changes in ultramarathon

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Blood samples and body composition of each of the 22 participants were measured 1 h before and after the race. Body composition data were measured using Bioscan920II, and blood samples were collected using sterile techniques. Blood (20 mL) was drawn from the antecubital vein from each study participant 1 h before and immediately after the race. All specimens were refrigerated and transported to the laboratory within 4 h of sampling. Plasma samples were assayed on the Siemens Dimension RXL Max Integrated Chemistry System using reagents supplied by the manufacturer. Analysis was performed on the day of the race using the same calibration. Troponin I was analyzed using a high-sensitivity cTnI assay (Siemens Healthcare Diagnostics, Germany). Creatine kinase (CK), CK-muscle/brain MB (CK-MB) isoenzyme, electrolytes, renal function indices, lipid metabolism indices, and myoglobin (MYO) were analyzed using the Siemens Dimension RXL Max Integrated Chemistry System (Siemens Dimension RxL, Germany), with reagents supplied by the manufacturer. Urine was also collected to analyze BUN, creatinine, MYO (Miditron M, ROCHE), and electrolytes (Medica Corporation, EasyLyte®).
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2

Comprehensive Liver Histology and Function Assessment

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Liver histology was evaluated by standard H&E staining in paraffin-embedded liver sections (4–6 μm). Following H&E staining, images were captured by Olympus Image Pro-Analyzer software 7.0 (Olympus, Tokyo, Japan) and evaluated by a board-certified pathologist. Serum levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALK PHOS), and total bilirubin were measured by a Dimension RxL Max Integrated Chemistry system (Dade Behring Inc., Deerfield IL) at the Department of Chemistry, Baylor Scott & White Healthcare, Temple TX. Biliary senescence was evaluated in frozen liver sections (10 μm) by staining for senescence-associated-β-galactosidase (SA-β-gal) using the commercially available cellular senescence assay kit (Millipore Sigma, Billerica, MA) (14 (link), 15 (link)). Collagen deposition in liver sections (5 μm) was assessed by Sirius Red staining (10 different fields were analyzed from three different samples from three different animals) (14 (link), 15 (link)). Liver fibrosis was also measured by hydroxyproline levels in total liver samples using the hydroxyproline Assay Kit (14 (link)).
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3

Liver Injury Biomarkers and Signaling

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The serum levels of glutamate pyruvate transaminases (SGPT), glutamic oxaloacetic transaminase (SGOT), alkaline phosphatase (ALP) and total bilirubin were measured by a Dimension RxL Max Integrated Chemistry system (Dade Behring Inc., Deerfield IL), Chemistry Department, Baylor Scott & White. We determined IBDM in liver sections (4–5 µm thick, 10 fields analyzed from 3 samples from 3 different animals) as the area occupied by CK-19 positive-bile ducts/total area × 100. Sections were examined by the Olympus Image Pro-Analyzer software (Olympus, Tokyo, Japan). The expression of Sct, SR and NGF in cholangiocytes was evaluated by qPCR (4 (link)). We evaluated the secretion of secretin in short-term (6 hr) cultures of S cells from normal WT and Mdr2−/− mice (4 (link)). The levels of secretin and TGF-β1 in serum and/or cholangiocyte supernatants from mice and/or patients were measured by commercially available kits.
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4

Fasting Blood Biomarker Measurements

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Briefly, fasting blood samples were collected by venepuncture at school between 8:00 and 10:00 after a 10-h overnight fast. Whole blood samples for the hemogram were sent directly to the local laboratory of each country to be analyzed. Concentrations of triglycerides, total cholesterol (TC), high-density lipoprotein cholesterol (HDL-c), and glucose were measured in fresh serum enzymatically on the Siemens Dimension RxL Max Integrated Chemistry System (Dade Behring, Schwalbach, Germany) using the manufacturer's reagents and instructions at the University Hospital in Bonn (Germany). TC/HDL-c ratio was calculated. Insulin was measured by a solid-phase two-site chemiluminescent immunometric assay with an Immulite 2000 analyzer (DPC Biermann GmbH, Bad Nauheim, Germany). More details about blood handling procedures have been described elsewhere [30] (link). The intra-assay coefficients of variation were <3.3%, and the inter-assay coefficients were <3.9% for all parameters.
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5

Plasma Biomarker Measurement Protocol

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Plasma was obtained from whole blood samples by centrifugation for 5 minutes at 2000 g and 4°C. Then, the levels of cholesterol, triglycerides, high-density lipoprotein (HDL), low-density lipoprotein (LDL), very low-density lipoprotein (VLDL), alanine transaminase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), bilirubin, albumin, and urea were measured using the automated Dimension® RXL MAX Integrated Chemistry System (Siemens, USA).
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6

Blood Sampling and Lipid Analysis in Mice

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Mice were fasted overnight for all blood analyses. For hematology, blood samples were collected in Microvette 100 EDTA tubes (20.1278, Sarstedt, Nümbrech, Germany) and analyzed with a PENTRA 80 hematology analyzer (Horiba, Kyoto, Japan). For lipid profile analysis, blood samples were collected in plastic tubes, incubated at room temperature (RT) to allow clotting, and centrifuged at 1900× g for 10 min (4 °C). Collected serum was centrifuged for 10 min at maximum speed (4 °C), harvested, and stored at −80 °C. When the serum sample volume was insufficient for the analysis, specimens from 2–3 mice of the same genotype were pooled. Hemolyzed specimens were excluded from testing. The serum content of total cholesterol, free cholesterol, HDL, and LDL was measured using a Dimension RxL Max Integrated Chemistry System (Siemens Healthineers, Erlangen, Germany). All analyses were performed by specialized staff at the CNIC Animal Facility.
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7

Comprehensive Blood and Vitamin D Evaluation

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Complete blood count was carried out for all study subjects on ADVIA 2120i Hematology System (Siemens Healthcare GmbH, Germany). All patients were evaluated biochemically for renal function, liver function tests, electrolytes including serum calcium (Ca), phosphorus (P) and alkaline phosphatase (ALP) on the Dimension® RxL Max® Integrated Chemistry System (Siemens Healthcare GmbH, Germany). Ferritin was measured on ADVIA Centaur XP Immunoassay System (Siemens Healthcare GmbH, Germany). Serum vitamin D (25(OH)D3) levels were measured by Enzyme-linked Fluorescent Assay (ELFA) technique on VIDAS (bioMérieux Clinical Diagnostics, France). A patient was considered to have vitamin D sufficiency if 25(OH)D3 (≥20) ng/ml, insufficiency if from 10 to 19 ng/ml and vitamin D deficiency if < 10 ng/ml. 13 (link)
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8

Comprehensive Iron and Inflammation Profiling

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Plasma iron, ferritin, transferrin, total iron binding capacity (TIBC), and high-sensitivity C-reactive protein (hs-CRP) levels were determined on Siemens Dimension RXL Max Integrated Chemistry System (Erlangen, Germany) by using regents supplied by the manufacturer. Transferrin saturation (TSAT) was calculated as (iron [μg/dL]/transferrin [μg/dL]) × 70.9.
14 Plasma interleukin (IL)-6 (R&D Systems, Europe) and hepcidin (Elabscience Biotechnology Co., Ltd) levels were measured by enzyme-linked immunosorbent assay. The detection limits for IL-6 and hepcidin were 0.039 pg/mL and 0.156 ng/mL, respectively. Both intra and inter-assay coefficients of variability were less than 10%. All measurements were conducted in duplicate.
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9

Comprehensive Metabolic Profiling

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Blood urea nitrogen (BUN), creatinine, total calcium, and phosphorus levels were determined in sera of all participants alongside the urinary calcium and phosphorus levels using Siemens Dimension RxL Max Integrated Chemistry System (Siemens Healthcare Diagnostics, DE, USA).
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10

Ultramarathon Running Performance and Physiological Changes

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Lap times were obtained to measure the running speed (m/s) every 400 meters. After dividing the distance of entire ultramarathon race (100 km) into 10 splits, the mean and standard deviation (SD) of running speed in each 10 km-split (25 laps of 400 m oval track) were calculated for all runners. The variability of speed was determined by using the coefficient of variation (CV), which was defined as the ratio of the standard deviation to the mean of lap speeds [23 (link),26 (link),27 (link)].
Venous blood (20ml) was drawn antiseptically by a 20-gauge intravenous catheter 1 week before and immediately post-race to examine biochemical data, including blood urea nitrogen (BUN), creatinine (Cr), creatine kinase (CK), lactate dehydrogenase (LDH), myoglobin, uric acid (UA), electrolytes, D-dimer, Procalcitonin, and liver function tests. BUN and Cr were examined again one day after race to assess the recovery of renal function. All specimens were refrigerated and transported to the laboratory within 4 hours of sampling. Plasma samples were assayed on the Siemens Dimension RXL Max Integrated Chemistry System using reagents supplied by the manufacturer. Body weight (BW) change (the difference between before and 4 hours after the start) was also recorded to monitor the dehydrated status.
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