Enzymatic Kits:
Reagent kits (for the quantitative determination of
serum 25-OH vitamin D, Alkaline Phosphatase and calcium) will be purchased from
market.
Subjects:
These will be divided into three groups with fifty
subjects in each group. First group will contain 50 healthy volunteer subjects
(as control) with no current disease symptoms and medical history of arthritis
or joints pain. Second group will contain 50 patients with clinically diagnosed
and established Rheumatoid arthritis while third group will contain 50 patients
with confirmed Gout.
Experimental design:
150 subjects will be divided into three groups.
Sr.#
Groups No. of subjects Disease condition
1 A 50 Healthy (Controls)
2 B 50 Rheumatoid arthritis
3 C 50 Gout
Estimation of 25-OH vitamin D:
Principle:
The IDS 25-hydroxy vitamin D kit is an enzyme
immunoassay for the quantitation of 25-OH D andotherhydroxylated metabolites in
serum or plasma. Calibrators, controls and samples are diluted with Biotin
labeled 25-OH D. the diluted samples are incubated in microtitre wells which
are coated with a highly specipic sheep 25-OH D antibodies for 2 hours at room temperature
before aspiration and washing. Enzyme (horseradish peroxidase) labeled avidin,
is added and binds selectively to complexed biotin and, following a further
wash step, colour is developed using a chromogenic substrate (TMB).The
absorbance of stopped reaction mixtures are read in a microtitre plate reader,
colour intensity developed being inversely proportional to the concentration of
25-OH D. (Hyponen et al 2007)
Estimation of Alkaline Phosphatase:
Principle:
Alkaline Phosphatase (ALP) hydrolyzes p-nitrophenyl
phosphate into p-nitrophenol and phosphate. The rate at which p-nitrophenol is
formed is directly proportional to alkaline phosphatase activity. (tietz et al
1983 )
p-nitophenyl phosphate + H2O ALP phosphate + p-nitrophenol
Estimation of serum calcium
Principle:
Breuer & Breuer diagnostic kit (Germany) to
measure serum calcium will be used. Cresolphthalein complex one reacts with
calcium ion in alkaline medium forming a red violet colour. Interference by magnesium
is eliminated by addition of 8-hydroxyquinoline. Absorbance is directly
proportional to the concentration of calcium in serum. (Baginski et al 1973)
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