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29 protocols using cobas 501

1

Comprehensive Blood Biomarker Analysis

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Fasting blood samples were obtained between 8 and 10 a.m. All laboratory parameters were measured at the accredited laboratory of Tartu University Hospital using standard methods. A turbidimetric immunoassay was used to measure hsCRP (Cobas 501, Roche Diagnostics GmbH, Germany), ceruloplasmin (Cobas Integra 400 Plus, Roche Diagnostics GmbH, Germany), soluble transferrin receptors (Cobas Integra 400 Plus, Roche Diagnostics GmbH, Germany), transferrin (Cobas 501, Roche Diagnostics GmbH, Germany), and transferrin saturation (Cobas 501, Roche Diagnostics GmbH, Germany). The enzymatic colorimetric method was used to measure uric acid (Cobas 501, Roche Diagnostics GmbH, Germany), and the electrochemiluminescence assay (ECLIA) was used to measure ferritin (Cobas e601, Roche Diagnostics GmbH, Germany) and IL-6 (Cobas e402, Roche Diagnostics GmbH, Germany). The complete blood count was analysed with a Sysmex XN-9000/XN-9100 analyser (Sysmex Corporation, Kobe, Japan).
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2

Serum Periostin Measurement Protocol

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All participants, including from the previous cohorts, underwent venepuncture for measurement of serum periostin, which was determined using the Elecsys® Periostin immunoassay (Roche Diagnostics, Penzberg, Germany). The Elecsys® Periostin assay was developed according to the guidelines of the Clinical and Laboratory Institute (CLSI) and is a fully automated immunoassay operated on the e601 module of the cobas 6000 system equipped with software version 05–01 or higher [16 (link)]. The assay has a high repeatability with coefficients of variation across multiple sites and reagent lots of 1.7 to 3.1% [16 (link)]. Blood samples were coagulated, centrifuged and serum aliquots stored at − 80 °C prior to analysis. FBC and white cell differential (Sysmex platform, Mundelein, USA), urea and electrolytes (Roche, Cobas 501, NZ) and serum IgE (Roche modular, Indianapolis, USA) were performed immediately in local laboratories.
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3

Measuring Urinary Albumin and Creatinine

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Urinary albumin concentration was measured with immunoturbidimetry as described previously, and urine creatinine was measured by an IDMS-traceable Jaffe method on the Cobas 501 instrument (Roche Diagnostics). The measuring range for the urine creatinine assay was 3.75 to 550 mmol/L with a coefficient of variation of 2.8%. uACR of more than 3 mg/mmol was defined as microalbuminuria.25 ,26 (link)
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4

Urine Albumin Measurement Protocol

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Midstream urine samples (10-15 mL voided into a sterile collection pot) were collected in accordance with the procedures followed by the World Health Organization.16 (link) Samples were centrifuged at 1500 to 2000 × g for 5 minutes and the supernatant aliquoted into cryovials for storage at −80 °C until analysis. Albumin concentrations in urine samples were determined using a turbidimetric assay on a Cobas 501 autoanalyser (Roche Diagnostics). The measuring range was 3 to 400 mg/L for albumin (to convert to grams per deciliter, multiply by 0.001), and the coefficient of variation was less than 2.7%. The use of spot urine as opposed to 24-hour urine collection or albumin-creatinine ratio (ACR) was previously validated in the general population.23 (link),24 (link) Microalbuminuria was defined as spot urine albumin concentration of 20 mg/L or greater (or 20-400 mg/L within the confines of the measuring range of the study population).25
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5

Serum Biomarkers: Optimized Analysis

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Serum creatinine, urea, and fasting glucose were analyzed by spectrophotometric method on Olympus AU 2700 (Beckman Coulter Corporation, Tokyo, Japan). HbA1C was analyzed using the Tosoh G 8 instrument (Tosoh Corporation, Tokyo, Japan) by high-performance liquid chromatography method. Thiol, disulfide, IMA, and ferroxidase tests were analyzed in the Cobas 501 (Roche, Mannheim, Germany). The native thiol (-SH) and total thiol (-SH + -SS) were analyzed and disulfide (-S-S), disulfide/native thiol, disulfide/total thiol, and native thiol/total thiol values were obtained by calculation. “Modified Ellman method” of Erel et al. [8 (link)] was used for total and native thiol measurement. IMA was detected with a quick colorimetric method adapted by Bar-Or et al. [18 (link)] The method defined by Neselioglu et al. [13 (link)] was used to analyze ferroxidase activity.
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6

Plasma Analyte Measurements via Roche Analyzer

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Samples were centrifuged at 5000 rpm (2500g) for 6 min. LD, Kϩ, and HI were all measured using a Roche Cobas 501 analyzer. HI was determined with spectrophotometric readings at 600/570 nm. All samples from a single patient were performed on the same analyzer. All testing was performed according to the manufacturer's instructions.
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7

Quantitative Blood Biomarker Analysis

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Blood samples were collected on-site, with the subjects having fasted for at least 8 hours, and sent to an internationally certified laboratory located within the hospital. Fasting blood glucose (FBG) was measured quantitatively by the enzymatic reference method with hexokinase [21 ] while total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C) and triglycerides (TG) were assessed using standard enzymatic colorimetric method [22 (link),23 (link)]. Low-density lipoprotein cholesterol (LDL-C) was estimated indirectly using the Friedwald formula [24 (link)]: LDL-C = TC-(HDL-C+(TG/5)) for subjects with TG levels <400 mg/dl. All samples were analyzed with an auto-analyzer (cobas 501, Roche, Basel, Switzerland).
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8

Oxidative Stress and Thiol Status

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Wistar-Hannover albino adult female rats (weighing 250–300 g, n=21) were divided into three groups. During the experiment, all groups were held in a standard postoperative care room (at 20–25°C, 50–60% humidity, in polycarbonate cages) with standard feeding conditions and 12-h light and dark cycles.
A commercial kit was used for measurement of total antioxidant status (TAS) and total oxidative status in tissue.[18 (link),19 (link)] The protein level of tissue was determined using the Lowry method.[20 (link)] Oxidative Stress Index (OSI) was obtained by dividing total oxidant capacity (TOS) values by TAS values (OSI [Arbitrary Unit] = [TOS, μmol H2O2 eq/L]/[TAS, μmol Trolox eq/L]).
Serum thiol SS was measured by an automatic analyzer (Roche, cobas 501, Mannheim, Germany) using the method created by Erel and Neşelioğlu. In this method, SS bonds in the sample were converted to functional thiol groups by NaBH4. The total thiol (TT) content in the sample was calculated using Ellman reagent. The serum SS level was determined with the formula (serum TT − serum native thiol [NT])/2.[5 (link)]
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9

IFCC Reference Measurement for GGT

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According to the IFCC reference measurement for GGT, the reagents of the highest purity included N‐glycylglycine, (C4H8N2O3), L‐γ‐glutamyl‐3‐carboxy‐4‐nitroanilide, monoammonium salt, monohydrate (C12H12N3O7·NH4·H2O), sodium hydroxide solution (NaOH), and sodium chloride (NaCl), all of which were from Sigma. The instruments included a Hitachi U‐3900 UV‐Vis spectrophotometer; a Sartorius pH indicator and LA120S analytical balance; Siemens ADVIA 2400 (matching original reagent, Lot: 354400); Hitachi 7600‐020 (BioSino reagent, Lot: 150821); Beckman AU 5800 (matching original reagent, Lot: AUZ3410); and Roche Cobas 501 (matching original reagent, Lot: 616197).
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10

Serum Thiol-Disulfide Homeostasis Assessment

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The blood samples were centrifuged at 2300×g for 10 min and stored at −80 °C until analysis. Serum TDH tests were measured by a recently described method using an automated clinical chemistry analyzer (Roche, Cobas 501, Mannheim, Germany) (15 (link)). Disulfide bonds were reduced to form free functional thiol groups with sodium borohydride. Unused reductant sodium borohydride was consumed and removed with formaldehyde to prevent the reduction of 5,5’-dithiobis-(2-nitrobenzoic) acid, and all of the thiol groups including reduced and native thiol groups were identified after the reaction with 5,5’-dithiobis-(2-nitrobenzoic) acid. Half of the difference between the total thiols and native thiols provides the dynamic disulfide levels. Index 1, 2 and 3 were calculated as follows; index 1= (disulfide/native thiol) x 100, index 2 = (disulfide/total thiol) x 100, index 3 = (native thiol/total thiol) x 100.
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