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Aldoctk 2

Manufactured by DiaSorin
Sourced in United States

ALDOCTK-2 is a diagnostic laboratory instrument produced by DiaSorin. It is designed for the automated analysis of biological samples. The core function of ALDOCTK-2 is to perform quantitative measurements of specific analytes in a sample through immunoassay testing.

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6 protocols using aldoctk 2

1

Aldosterone and Renin Measurement

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Blood samples were centrifuged and tested immediately after collection. PRA and PACRIA were measured by RIA with the RENCTK RIA kit (DiaSorin, Saluggia, Italy) and ALDOCTK-2 (DiaSorin, Saluggia, Italy) according to the manufacturer's instructions. DRC and PACCLIA were detected by CLIA using the LIAISON® Direct Renin kit (DiaSorin, Saluggia, Italy) and the LIAISON® XL Aldosterone kit on the corresponding fully automated analyzer (DiaSorin, Saluggia, Italy) according to the manufacturer's protocol. The equations of ARR and ADRR are as follows: ARR= PRA/PACRIA; ADRR=DRC/  PACCLIA.
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2

Aldosterone and PRA Measurement Protocols

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Aldosterone and PRA were measured after 2 and 3 freeze–thaw cycles, respectively. PRA and aldosterone assays were run in duplicate and averaged. Aldosterone was measured using a competition‐based radioimmunoassay (ALDOCTK‐2; Diasorin, Stillwater, MN). Intra‐assay coefficients of variation ranged from 6.30% to 8.87%. Angiotensin I levels directly correlate with PRA. Therefore, PRA was measured using a radioimmunoassay of generated angiotensin I (GammaCoat PRA 125 I Kit; DiaSorin, Stillwater, MN). The assay range was 0.05 to 5.0 ng/mL per hour. Intra‐assay coefficients of variation ranged from 18.07% to 21.19%. These assays were performed at the Laboratory for Clinical Biochemistry Research (University of Vermont, Burlington, VT).
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3

Aldosterone and Angiotensin II Measurements

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We used a commercial aldosterone assay kit (Aldoctk-2, DiaSorin Inc., Stillwater, MN, USA) to measure aldosterone levels and analyzed them by radioimmunoassay (RIA). The Ang II measurement was performed using a commercial Ang II assay kit (Phoenix Pharmaceuticals, Inc., Burlingame, CA, USA) and it was also analyzed by RIA. Aldosterone and Ang II results were expressed as picograms of Ang II per milliliter (pg/mL).
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4

RAAS Activation in Heart Failure Patients

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Plasma samples from patients enrolled in both DOSE-AHF and CARRESS-HF were collected a baseline and at 72 hours (DOSE-AHF) or 96 hours (CARRESS-HF) and analyzed at a central core laboratory blinded to treatment assignment. RAAS activation was characterized by serum plasma renin activity (PRA) and aldosterone. PRA was measured by GammaCoat Plasma Renin Activity 125 I Radioimmunoassay Kit (catalog #CA-1533) by Diasorin (Stillwater, MN). Expected values for PRA are 0.85-16.34 ng/mL/hr and the inter-assay CV provided by the manufacturer is less than 10%. Aldosterone was measured by a radioimmunoassay manufactured by Diasorin (catalog #ALDOCTK-2). Expected values for Aldosterone in normal, healthy individuals are 7.5-150 pg/mL. The inter-assay CV provided by the manufacturer is less than 5.3%.
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5

Comprehensive Urinary Biomarker Analysis

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The presence of potassium, sodium, urea, and creatinine in urine samples was determined with a MEGA clinical chemistry analyzer (Merck). Potassium, and sodium were determined by indirect potentiometry, and urea was determined by a photometric test with the urease-GIDH method. Estimated glomerular filtration rate (eGFR) was calculated based on the combined creatinine and cystatin C Chronic Kidney Disease-Epidemiology Collaboration equation (12 ). Serum and urinary creatinine, plasma total cholesterol, and triglycerides were determined from fasting blood samples by using Kodak Ektachem dry chemistry (Eastman Kodak). Plasma HDL cholesterol was measured with a homogeneous method (direct HDL, Aeroset TM System, Abbott Laboratories). Plasma renin concentration was measured using an automated sandwich immunochemiluminescent assay (LIAISON®, Diasorin). Serum aldosterone concentration was measured using a competition-based radioimmunoassay (ALDOCTK-2, Diasorin). Serum cystatin C concentrations were measured by a Gentian Cystatin C Immunoassay (Gentian AS) on a modular analyzer (Roche Diagnostics). Urinary albumin concentration was determined by nephelometry (Dade Behring Diagnostic). Urinary albumin-to-creatinine ratio (ACR) was calculated by dividing the urinary albumin concentration (mg/L) by the urinary creatinine concentration (mmol/L).
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6

Plasma Biomarker Measurement Protocol

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After guillotine, blood was collected quickly in prechilled EDTA-coated or heparinized tubes. Plasma samples were separated and kept at −70°C until used. Plasma and tissue levels of renin activity and plasma ANP were measured by radioimmunoassay as reported previously [22 (link), 29 (link)]. Changes in renal renin contents were evaluated by angiotensin I (Ang I) generated with enough renin substrate from nephrectomized male rats and a small amount of whole kidney extract. Plasma renin activity was evaluated by Ang I generated with 1 ml of plasma. Radioimmunoassay for ANP was performed as reported previously [29 (link)]. The radioimmunoassay was performed in Tris-acetate buffer containing 0.2% neomycin, 1 mM EDTA, 50 BAEE-U/ml soybean-trypsin inhibitor, 0.02% sodium azide, 0.0004% phenylmethylsulfonyl fluoride, and 1% bovine serum albumin. Standards or samples were incubated following the addition of 100 μl anti-ANP-antibody and 100 μl [125I]-ANP for 24 h at 4°C. The separation of free tracer from antibody-bound tracer was conducted by adding 1 ml of dextran charcoal suspension. Plasma levels of aldosterone (ALDOCTK-2, DiaSorin Inc., Stillwater, MN, USA) were measured by radioimmunoassay as recommended by manufacturers.
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