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221 protocols using automatic analyzer 7600

1

Serum Biomarker Profiling Protocol

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Blood samples were obtained in the morning following an overnight fast. The serum concentrations of glucose, low-density lipoprotein cholesterol (LDL), high-density lipoprotein cholesterol (HDL), triglycerides (TG), aspartate transaminase (AST), and alanine transaminase (ALT) were measured using a Hitachi automatic analyzer 7600 (Tokyo, Japan). Low-density lipoprotein cholesterol (LDL) was calculated using the Friedewald equation [LDL=total cholesterol-HDL (TG/5)] if the TG concentration was not above 400 mg/dL. If the TG concentration was above 400 mg/dL, LDL was measured directly using a Hitachi automatic analyzer 7600.
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Serum Biomarkers for Metabolic Health

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Blood samples were obtained in the morning following an overnight fast. The serum concentrations of glucose, high-density lipoprotein cholesterol (HDL), triglycerides, aspartate transaminase (AST), and alanine transaminase (ALT) were measured using a Hitachi automatic analyzer 7600 (Tokyo, Japan). Low-density lipoprotein cholesterol (LDL) was measured directly using a Hitachi automatic analyzer 7600. Serum C-reactive proteins were measured with an ELISA kit (Abcam, Cambridge, UK). Serum 25-OH-D levels, as an indicator of vitamin D status, were measured with a radioimmunoassay kit (DiaSorin, Stillwater, MN, USA) using a 1470 Wizard gamma counter (Perkin–Elmer, Turku, Finland). All clinical analyses were performed by the Neodin Medical Institute, a laboratory certified by the Korean Ministry of Health and Welfare.
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3

Urinary Albumin-to-Creatinine Ratio Assessment

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A random urine sample was collected during the first morning void, and urinary albumin concentration (μg) was measured using a turbidimetric immunoassay (Hitachi Automatic Analyzer 7600). Urinary creatinine concentration (mg) was measured using a colorimetric method (Hitachi Automatic Analyzer 7600), and the albumin-to-creatinine ratio (mg/g) was calculated by dividing the urinary albumin concentration by the urinary creatinine concentration. Microalbuminuria was defined as a urinary albumin-to-creatinine ratio of 30 to 300 mg/g, in accordance with the definition of the Kidney Disease Improving Global Outcomes(KDIGO) [14 (link)].
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4

Comprehensive Metabolic Profiling of Fasting Samples

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Venous blood samples were collected after 8 h overnight fasting. Fasting plasma concentrations of glucose, low-density lipoprotein cholesterol, HDL cholesterol, and TG were determined using a Hitachi Automatic Analyzer 7600 (Hitachi, Tokyo, Japan). Glycated hemoglobin (HbA1c) levels were determined using high-performance liquid chromatography with an automated HLC-723G7 analyzer (Tosoh Corporation, Tokyo, Japan). Serum creatinine levels were measured colorimetrically (Hitachi Automatic Analyzer 7600), and eGFR was calculated using the Chronic Kidney Disease Epidemiology Collaboration equation (CKD-EPI) [13 (link)]. To obtain the UACR, urinary albumin was measured in spot urine using the immunoturbidimetric method, and urinary creatinine was measured using the colorimetric method.
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5

Biomarker Profiling in Fasting Blood

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Venous blood samples were collected after 8 h of overnight fasting. Fasting plasma concentrations of glucose, TGs, high-density lipoprotein (HDL)-cholesterol, and low-density lipoprotein (LDL) cholesterol were determined by a Hitachi Automatic Analyzer 7600 (Hitachi, Tokyo, Japan). Glycated hemoglobin (HbA1c) levels were determined by high-performance liquid chromatography with an automated HLC-723G7 analyzer (Tosoh Corporation, Tokyo, Japan). Serum creatinine levels were measured colorimetrically (Hitachi Automatic Analyzer 7600), and eGFR was calculated using the Chronic Kidney Disease Epidemiology Collaboration equation [21 (link)]. To obtain the UACR, urinary albumin was measured in fasting morning spot urine using the immunoturbidimetric method, and urinary creatinine was measured using the colorimetric method. Urine sodium concentrations were measured using an ion-selective electrode, and 24-h sodium excretion was estimated based on concentrations of sodium and creatinine in fasting morning spot urine specimens according to 3 different methods (S1 Table).
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6

Fasting Biomarker Measurement and Liver Assessment

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Venous blood collection were carried out after 8 h of overnight fasting. Fasting plasma concentrations of glucose, triglyceride (TG), high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol were determined by a Hitachi Automatic Analyzer 7600 (Hitachi, Tokyo, Japan). Glycated hemoglobin levels were determined by high-pressure liquid chromatography with an analyzer HLC-723G7 (Tosoh Corporation, Tokyo, Japan). Serum creatinine (Cr) levels were measured colorimetrically (Hitachi 7600 automatic analyzer, Hitachi, Tokyo, Japan) and estimated glomerular filtration rate (eGFR) was measured using the Chronic Kidney Disease Epidemiology Collaboration equation (CKD-EPI) (Levey et al., 2009 (link)). To obtain the Urine albumin/Cr ratio (UACR), urine albumin was measured in spot urine by the immunoturbidimetric method and urinary Cr was measured using the colorimetric method.
Hepatic necro-inflammation and related liver fibrosis were estimated based on 11 different non-invasive scoring systems including Gholam’s model, BARD scores, and FIB-4 using routinely measured laboratory test and anthropometric parameters (Table S1).
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7

Estimating Kidney Function and Vitamin D Status

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Glomerular filtration rate (GFR) was estimated from the simplified equation developed using MDRD data: eGFR = 186.3 × (serum creatinine in mg/dl)−1.154 × age−0.203 × (0.742 for women) × (1.212 if African American).(18 (link)) Decreased eGFR was classified as eGFR <60 ml/min/1.73 m2. Urine microAlbumin was measured with a turbidimetric assay (Albumin; Roche, Germany) using a Hitachi Automatic Analyzer 7600 (Hitachi, Japan). The urine creatinine was measured with a colorimetric assay (CREA; Roche, Indianapolis, IN) using a Hitachi Automatic Analyzer 7600. Elevated uACR was classified as uACR ≥30 mg/g. Serum 25(OH)D levels were measured with a radioimmunoassay (25-hydroxy-vitamin D 125I RIA Kit; DiaSorin, Still Water, MN) using a 1470 Wizard Gamma Counter (Perkin Elmer, Turku, Finland). To minimize the analytical variation, serum 25(OH)D levels were analyzed by the same institute, which carried out a quality assurance program through the analysis period. Serum 25(OH)D levels were classified as either vitamin D deficiency [25(OH)D <15.0 ng/ml] and vitamin D sufficiency [25(OH)D ≥15.0 ng/ml].(19 (link))
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8

Fasting Blood Lipid Measurement Protocol

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Blood samples were collected from the participants in the morning who had an overnight fast. Serum was separated from blood by centrifugation and the serum concentrations of glucose, HDL, and TG were measured using a Hitachi automatic analyzer 7600 (Hitachi, Tokyo, Japan). LDL was calculated using the Friedewald equation: if the TG concentration was not above 400 mg/dL. When the TG concentration was above 400 mg/dL, LDL concentration was measured directly using a Hitachi automatic analyzer 7600. All clinical analyses were conducted by the Neodin Medical Institute, a laboratory certified by the Korean Ministry of Health and Welfare.
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9

Biomarker Assessment in Fasting Blood

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Venous blood samples were collected after 8 h overnight fasting. Serum ferritin was measured with an immunoradiometric assay using a 1470 WIZARD® automatic gamma counter (PerkinElmer, Waltham, MA, USA) in the central laboratory. Fasting plasma concentrations of glucose and lipid were measured enzymatically using a Hitachi Automatic Analyzer 7600 (Hitachi, Tokyo, Japan). Glycated hemoglobin levels were determined by high-performance liquid chromatography with an automated HLC-723G7 analyzer (Tosoh Corporation, Tokyo, Japan). Serum creatinine levels were measured colorimetrically (Hitachi Automatic Analyzer 7600) and eGFR was calculated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation [17 (link)]. To obtain the UACR, urinary albumin was measured in spot urine using the immunoturbidimetric method and urinary creatinine was measured using the colorimetric method.
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10

Comprehensive Metabolic Profiling Protocol

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Participant blood samples were collected by trained nurses following overnight fasting. Drawn samples were adequately prepared and transported to the Central Laboratory after proper preparation and analyzed within 24 hours. Plasma glucose, total cholesterol, HDL-C, TG, aspartate aminotransferase (AST), ALT, blood urea nitrogen (BUN) and creatinine were measured using a Hitachi Automatic Analyzer 7600 (Hitachi, Tokyo, Japan). The level of HbA1c was measured using high performance liquid chromatography (HLC-723G7; Tosoh, Tokyo, Japan), which is the method that is certified by the National Glycohemoglobin Standardization Program.
A random 20–30 mL of midstream voided urine was collected in the morning, and then used to determine its level of urinary albumin and creatinine. Urinary albumin was measured using the turbidometric method (Roche, Germany) and urinary creatinine was measured using the Jaffe rate-blanked and compensated method (Wako, Japan) with a Hitachi Automatic Analyzer 7600 (Hitachi, Tokyo, Japan). The urinary albumin to urinary creatinine ratio (UACR) was reported as milligrams of urinary albumin per grams of urinary creatinine (mg/g). The eGFR was calculated using the Bedside Schwartz equation; eGFR (mL/min/1.73 m2) = 0.413 x height (cm) / serum creatinine (mg/dL) [17 (link)].
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