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75 protocols using cobas 6000 c501

1

Biochemical and Inflammatory Markers

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The biochemical analyses of the blood were performed in the local laboratory. ALT and GGT activities were determined by kinetic method (Cobas 6000-c501, Roche Diagnostics, Mannheim, Germany) and a serum ALT level >37 U/L and GGT values >40 IU/L were considered abnormal. Direct bilirubin was estimated using the Diazo Special method (Cobas 6000-c501, Roche Diagnostics, Mannheim, Germany) and its level >1 mg/dL was considered elevated. Selected markers of inflammation were determined in serum and stool based on the following methods. Faecal calprotectin (FC) concentration was determined by ELISA kit (IDK Calprotectin, Immundiagnostik, Bensheim, Germany). Erythrocyte sedimentation rate (ESR) was evaluated according to the Westergren method (Alifax Roler 20). Serum C-reactive protein (CRP) and albumin levels were determined by immunoturbodimetry (Cobas 6000-c501, Roche Diagnostics Mannheim, Germany). The complete blood count was measured using a Hematology Analyzer (Beckman Coulter). Ferritin was estimated by luminescent electrochemistry (Cobas e411, Roche Diagnostics Mannheim, Germany). Iron (Fe) was evaluated using colorimetric method (Cobas 6000-c501, Roche Diagnostics Mannheim, Germany). The cut-off values of the parameters were based on the local laboratory reference ranges.
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2

Fasted Blood Analysis for Metabolic Markers

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A sampling of fasted venous blood was conducted in the early morning after the whole-night fasting. Hematological laboratory parameters were immediately measured on a daily basis. Total WBC and differential counts were determined using EDTA whole blood and were later quantified using an automated hematology analyzer S-XT41 (Sysmex, Kobe, Japan). Glucose was determined using the enzymatic hexokinase/glucose 6-phosphate dehydrogenase method (COBAS 6000 C501, Roche Diagnostics, Mannheim, Germany). CRP was assessed using the immunoturbidimetric method (COBAS 6000 C501, Roche Diagnostics, Mannheim, Germany). Total cholesterol, LDL- and HDL-cholesterol and triglycerides were measured with the colorimetric enzymatic method (COBAS 6000 C501, Roche Diagnostics, Mannheim, Germany).
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3

Fasting Blood Sampling and Analysis

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Blood samples were taken in the morning, in a fasting state. Blood was collected into siliconized vacuum tubes containing either K2 EDTA (Becton-Dickinson, Oxford, UK) for blood count analysis (Advia 2120, Siemens, Germany) or lithium heparin for clinical chemistry testing (Modular Analytics, Roche, CH). Clinical chemistry and immunochemistry tests were performed on Cobas® 6000 c501 and e601 module (Roche Diagnostics GmbH, Penzberg, Germany), according to the manufacturer's specifications and using proprietary reagents. The panel of tests included the following: fasting glucose concentration (GLU), total cholesterol (CHOL), HDL cholesterol (HDL), LDL cholesterol (LDL), triglycerides (TRY). In addition, also c-reactive protein (CRP) and haemoglobyn (Hb) were obtained by standard methods. The instrument was calibrated against appropriate proprietary reference standard materials and verified with the use of proprietary quality controls. Our evaluation of the within-run precision by internal quality control on the Cobas® 6000 c501 and e601module (Roche Diagnostics GmbH) showed low coefficients of variation.
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4

Comprehensive Serological Profiling

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A total of 16 serological markers were used in the study. The standard laboratory protocol was followed for the assessment of each marker. Low-density lipoprotein (LDL) (Direct), high-density lipoprotein (HDL), Triglyceride, Lipoprotein-Associated Phospholipase (Lp-PLA2) Test (PLAC), Homocysteine, and small dense low-density lipoprotein-cholesterol (sdLDL) were measured by the enzymatic-colorimetric method using Beckman Coulter AU680 clinical analyzer. Myeloperoxidase (MPO) was measured by latex enhanced Immunoturbidimetric method and total cholesterol was measured by the cholesterol dehydrogenase method using Beckman Coulter AU680 clinical analyzer. Oxidized low-density lipoprotein (ox-LDL) was measured by ELISA using Hamilton Microlab STAR. Apolipoprotein A1 (Apo A-1) and Apolipoprotein B (Apo B) were measured by the immunoturbidometric method, while high-sensitivity C-reactive protein (hs-CRP) and Lipoprotein(a) (Lp(a)) were measured by the particle-enhanced immunoturbidimetric assay using Roche Cobas 6000 c 501. N-terminal pro b-type natriuretic peptide (NT-proBNP) was measured by the electrochemiluminescence Immunoassay using Roche Cobas 6000 c 501. The concentration of LDL cholesterol (denoted as LDL-C) was calculated using triglycerides and HDL concentration using Friedewald’s formula (LDL cholesterol = total cholesterol − HDL cholesterol − (triglycerides/5).
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5

Serum Biomarkers for Animal Health

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Blood samples were collected on a weekly basis before the morning feeding from the jugular vein; serum was obtained using 9-mL vacutainer tubes (Vacuette; Greiner Bio-One, Kremsmünster, Austria). Acute phase proteins concentration analyses including Hp and SAA were determined using a Tridelta phase range Multispecies SAA ELISA kit (Tridelta Development Ltd., Greystones, Co., Wicklow, Ireland), SAA serum samples were diluted 1:500 and samples with optical density values above the standard curve were diluted again (1:400 or 1:250) and analyzed once more. No dilution of serum was needed for Hp measurement. Liver enzymes including alkaline phosphatase (ALP), aspartate aminotransferase (AST), glutamate dehydrogenase (GLDH), and gamma-glutamyl transferase (GGT) were measured with a conventional large-scale analyzer for clinical chemistry at the laboratory of the Central Clinical Pathology Unit, University of Veterinary Medicine, Vienna. The standard enzymatic colorimetric analyses with a fully automated autoanalyzer for clinical chemistry (Cobas 6000/c501; Roche Diagnostics GmbH, Vienna, Austria) was used. The intra-assay variation was controlled by limiting the coefficient of variation to ≤10% for SAA and <5% for other blood variables.
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6

Hematological Monitoring of Hospitalized Animals

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Seven animals were hospitalized for a period of 19 to 164 days at the animal clinic. Initial examination (including weighing) was performed upon admission. Weight records and blood samples from three animals were collected once or twice a week. Red and white blood cell count was determined using an automatic hematology analyzer (ADVIA 2120i, Siemens Healthcare, Vienna, Austria). Glucose, total protein, albumin, cholesterol, NEFA, total bilirubin, creatinine, potassium, sodium, AST, GLDH, LDH were measured in blood plasma using an automatic analyzer (Cobas 6000/c501, Roche Diagnostics GmbH, Rotkreuz, Switzerland).
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7

Metabolic Profiling of Rodent Model

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Bodyweight, food intake and fasting glucose level were recorded every month. Blood was collected from tail vein, and plasma was isolated by centrifugation. Serum aspartate aminotransferase (AST), alanine aminotransferase (ALT), triglyceride (TG), total cholesterol (TC), low‐density lipoprotein cholesterol (LDL‐C) and HDL‐cholesterol (HDL‐C) levels were measured with an auto‐analyser (Cobas 6000 c501; Roche Diagnostics). Fasting blood glucose was measured with a One‐Touch Accu‐Chek Glucometer (Roche Diagnostics), and fasting serum insulin was determined using a rat‐specific insulin ELISA kit (Ultrasensitive Rat Insulin ELISA; Mercodia) following the kit instruction.
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8

Blood Smear Analysis and Serum Biomarkers

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Blood smears were stained using the May–Grünwald–Giemsa stain (Hemacolor Rapid staining of blood smear kit; Merck KGaA, Darmstadt, Germany) [4 (link)], following which 100 leukocytes, including granular (heterophils, eosinophils, and basophils) and nongranular (lymphocytes and monocytes), were counted per slide using light microscopy (Leitz Orthoplan, Leitz, Wetzlar, Germany) at 100-times magnification. The heterophil:lymphocyte ratio was calculated [10 (link)]. Serum glucose, uric acid, triglycerides, cholesterol, and non-esterified fatty acids (NEFA) were determined using standard enzymatic colorimetric analysis using an autoanalyzer for clinical chemistry (Cobas 6000/c501; Roche Diagnostics GmbH, Vienna, Austria).
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9

Comprehensive Blood Biomarker Analysis

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Blood samples were collected with anticoagulant (K3EDTA) and tested with an automated haematology analyser, Celltac Alpha (Nihon Kohden, Tokio, Japan). The following parameters were measured: white blood cell count, eosinophil count and percentage, red blood cell count, haemoglobin, haematocrit, mean corpuscular volume, mean corpuscular haemoglobin, mean corpuscular haemoglobin concentration, lymphocyte count and percentage, monocyte count and percentage, granulocyte count and percentage, red cell distribution width, procalcitonin test, mean platelet volume, platelet distribution width, and platelet count.
Sera prepared from the blood samples were analysed with an automated biochemistry analyser (Cobas 6000 C501; Roche, Basel, Switzerland). The following biochemical parameters were measured: total protein, albumin, gamma-glutamyl transferase, bilirubin, cholesterol, alanine aminotransferase, glucose, calcium, phosphorus, creatinine, and blood urea nitrogen.
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10

Serum Creatinine and Urine ACR Assessment

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At contracting commercial laboratories, serum creatinine was assessed with the Microlab 300 analyser (ELITech, Paris, France). Urine ACR was carried out using the Cobas 6000/c501 analyser (Roche, Basel, Switzerland). Specimens were collected, packaged and shipped to in accordance with the guidelines of Mayo Medical Laboratories.41
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