Cortisol Human ELISA Kit

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ab108665 Cortisol Human ELISA Kit Instructions for Use For the quantitative measurement of Human Cortisol concentrations in serum and plasma. This product is for research use only and is not intended for in vitro diagnostic use. www.abcam.com

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Table of Contents ab108665 Cortisol Human ELISA Kit 1. Introduction 3 2. Assay Summary 4 3. Kit Contents 5 4. Storage and Handling 5 5. Additional Materials Required 6 6. Preparation of Reagents 6 7. Preparation and Collection of Specimen 8 8. Assay Method 8 9. Data Analysis 11 10. Limitations 13 11. Specificity 14 12. Troubleshooting 15 2

1. Introduction ab108665 Cortisol Human ELISA Kit ab108665, Cortisol Human ELISA Kit is a competitive immunoenzymatic colorimetric method intended for the quantitative determination of Cortisol in human serum and plasma. Cortisol is a steroid hormone released from the adrenal cortex in response to a hormone called ACTH (produced by the pituitary gland), it is involved in the response to stress; it increases blood pressure, blood sugar levels, may cause infertility in women, and suppresses the immune system. Cortisol acts through specific intracellular receptors and has effects in numerous physiologic systems, including immune function, glucose-counter regulation, vascular tone, substrate utilization and bone metabolism. Cortisol is excreted primarily in urine in an unbound (free) form. Cortisol is bound with high affinity in plasma from corticosteroidbinding globulin (CBG, transcotin) and from albumin. Only free cortisol is available to most receptors. 3

2. Assay Summary ab108665 Cortisol Human ELISA Kit Microtiter strip wells are precoated with anti-cortisol antibodies (solid-phase). Cortisol in the sample competes with added horseradish peroxidase labelled Cortisol (enzyme-labelled antigen) for antibody binding. After incubation a bound/free separation is performed by solid-phase washing. The immune complex formed by enzyme-labelled antigen is visualized by adding Tetramethylbenzidine (TMB) substrate which gives a blue reaction product. The intensity of this product is inversely proportional to the amount of Cortisol in the sample. Sulphuric acid is added to stop the reaction. This produces a yellow endpoint colour. Absorption at 450 nm is read using an ELISA microwell plate reader. 4

3. Kit Contents ab108665 Cortisol Human ELISA Kit Anti-Cortisol IgG Coated Wells: 12 breakapart 8-well snap-off strips coated with anti-cortisol IgG; in resealable aluminium foil. Stop Solution: 1 bottle containing 15 ml sulphuric acid, 0.15 mol/l (avoid any skin contact). Cortisol-HRP conjugate: 1 bottle containing 21 ml of horseradish peroxidase labelled Cortisol. TMB Substrate Solution: 1 bottle containing 15 ml 3, 3, 5, 5 tetramethylbenzidine (H 2 O 2 -TMB 0.26 g/l) (avoid any skin contact). Cortisol Standards: 5 bottles, 1 ml each; Standard 0: 0 ng/ml; Standard 1: 10 ng/ml; Standard 2: 50 ng/ml; Standard 3: 150 ng/ml; Standard 4: 500 ng/ml. 1 Strip holder 1 Cover foil 1 Test protocol 1 Distribution and identification plan 4. Storage and Handling The reagents are stable up to the expiry date stated on the label when stored at 2-8 C in the dark. 5

5. Additional Materials Required ELISA microwell plate reader, equipped for the measurement of absorbance at 450 nm Manual or automatic equipment for rinsing wells Pipettes to deliver volumes between 10 and 1000 µl Vortex tube mixer Distilled water Disposable tubes Timer 6. Preparation of Reagents 1. It is very important to bring all reagents, samples and standards should be allowed to reach room temperature (22-28 C) before starting the test run. 2. The ready to use break apart snap-off strips are coated with anti-cortisol IgG antibodies. Store at 2-8 C. Open the bag only when it is at room temperature. Immediately after removal of strips, the remaining strips should be resealed in the aluminium foil along with the desiccant supplied and stored at 2-8 C; stability until expiry date. Do not remove the adhesive sheets on the unused strips. 6

3. The Cortisol-HRP Conjugate is ready to use. Mix gently for 5 minutes with a rotating mixer. After first opening the conjugate is stable for another 6 months if stored at 2-8 C. 4. The standards are ready to use and have the following concentration of Cortisol: Standard 0: 0 ng/ml Standard 1: 10 ng/ml Standard 2: 50 ng/ml Standard 3: 150 ng/ml Standard 4: 500 ng/ml After first opening the standards are stable for another 6 months if stored at +4 C. 5. The bottle of TMB Substrate Solution contains 15 ml of a tetramethylbenzidine/hydrogen peroxide system. The reagent is ready to use and has to be stored at 2-8 C in the dark. The solution should be colourless or could have a slight blue tinge. If the substrate turns into blue, it may have become contaminated and should be thrown away. 6. The bottle of Stop Solution contains 15 ml 0.15 M sulphuric acid solution. This ready to use solution has to be stored at 2-8 C. 7

7. Preparation and Collection of Specimen 1. The determination of Cortisol can be performed in plasma as well as in serum. 2. Store the sample at -20 C if the determination is not performed on the same day as the sample collection. 8. Assay Method Procedural Notes: Please read the test protocol carefully before performing the assay. Result reliability depends on strict adherence to the test protocol as described. Prior to commencing the assay, the distribution and identification plan for all samples and controls should be carefully established on the result sheet supplied in the kit. Select the required number of microtiter strips or wells and insert them into the holder. Please allocate at least: 1 well (e.g. A1) for the substrate blank 2 wells (e.g. B1+C1) for standard 0 2 wells (e.g. D1+E1) for standard 1 2 wells (eg. F1+G1) for standard 2 8

2 wells (eg. H1+A2) for standard 3 2 wells (eg. B2+C2) for standard 4 It is recommended to determine controls and samples in duplicate. Perform all assay steps in the order given and without any appreciable delays between the steps. A clean, disposable tip should be used for dispensing each standard and each sample. Assay Procedure: 1. Dispense 20 µl of standards and samples into their respective wells. 2. Add 100 µl of Cortisol-HRP Conjugate to each well. Leave well A1 for substrate blank. 3. Cover wells with the foil supplied in the kit. 4. Incubate at 37 C for 1 hour. 5. When incubation has been completed, remove the foil, aspirate the content of the wells and wash each well twice with 300µl distilled water. Avoid overflows from the reaction wells. The soak time between each wash cycle should be >5sec. At the end carefully remove remaining fluid by tapping strips on tissue paper prior to the next step. Note: Washing is critical. Insufficient washing results in poor precision and falsely elevated absorbance values. 6. Dispense 100 µl of TMB Reagent into each well. 9

7. Incubate for exactly 15 minutes at room temperature (22-28 C) in the dark. 8. Dispense 100µl Stop Solution into all wells in the same order and at the same rate as for the TMB Substrate Solution. Any blue colour developed during the incubation turns into yellow. 9. Measure the absorbance of the specimen at 450 nm within 30 min after addition of the Stop Solution. Adjust the ELISA Microwell Plate Reader to zero using the substrate blank in well A1. If, due to technical reasons, the ELISA reader cannot be adjusted to zero using the substrate blank in well A1, subtract the absorbance value of well A1 from all other absorbance values measured in order to obtain reliable results. 10. Measure the absorbance of all wells at 450 nm and record the absorbance values for each standard and sample in the distribution and identification plan. 11. Where applicable calculate the mean absorbance values of all duplicates. Quality Control: Each laboratory should assay controls at normal, high and low levels range of Cortisol for monitoring assay performance. These controls should be treated as unknowns and values determined in every test procedure performed. Quality control charts should be maintained to follow the performance of the supplied reagents. Pertinent statistical methods should be employed to ascertain trends. 10

The individual laboratory should set acceptable assay performance limits. Other parameters that should be monitored include the 80, 50 and 20% intercepts of the standard curve for run-to-run reproducibility. In addition, maximum absorbance should be consistent with past experience. Significant deviation from established performance can indicate unnoticed change in experimental conditions or degradation of kit reagents. Fresh reagents should be used to determine the reason for the variations. If computer controlled data reduction is used to calculate the results of the test, it is imperative that the predicted values for the calibrators fall within 10% of the assigned concentrations. 9. Data Analysis 1. Calculate the mean absorbance for each point of the standard curve and each sample. 2. Plot the mean value of absorbance of the standards against concentration. Draw the best-fit curve through the plotted points. (Four Parameter Logistic). 3. Interpolate the values of the samples on the standard curve to obtain the corresponding values of the concentrations expressed in ng/ml. 11

A. Sensitivity The lowest detectable concentration of Cortisol that can be distinguished from the 0 standard is 5 ng/ml at the 95 % confidence limit. B. Recovery The recovery of 50 100-200 - 400 ng/ml Cortisol added to sample gave an average value (±SE) of 102.2% ± 9.1% with reference to the original concentrations. C. Reproducibility Intra-Assay: Within run variation was determined by replicate determination (15x) of two different control sera in one assay. The within assay variability is 8.0 %. Inter-Assay: Between run variation was determined by replicate measurements of three different control sera in different lots. The between assay variability is 15 %. D. Reference values Serum or plasma cortisol reference values are: 60 230 ng/ml between 8:00-10:00 a.m. 30 150 ng/ml at 4:00 p.m. Sample treated with ACTH 280 600 ng/ml Sample treated with dexamethasone 0 50 ng/ml 12

10. Limitations ab108665 Cortisol Human ELISA Kit Sample(s), which are contaminated microbiologically, should not be used in the assay. Highly lipemic or haemolysed specimen(s) should similarly not be used. It is important that the time of reaction in each well is held constant for reproducible results. Pipetting of samples should not extend beyond ten minutes to avoid assay drift. If more than one plate is used, it is recommended to repeat them dose response curve. Addition of the substrate solution initiates a kinetic reaction, which is terminated by the addition of the stop solution. Therefore, the addition of the substrate and the stopping solution should be added in the same sequence to eliminate any time deviation during reaction. Plate readers measure vertically. Do not touch the bottom of the wells. Failure to remove adhering solution adequately in the aspiration or decantation wash step(s) may result in poor replication and spurious results. 13

11. Specificity ab108665 Cortisol Human ELISA Kit The cross reaction of the antibody calculated at 50% has been determined as: Material Tested Cross Reaction (%) Cortisol 100.0 Cortisone 10.8 11 α Deoxicortisol 18.7 Corticosterone 2.4 Progesterone 0.1 Aldosterone 11 α OH Progesterone 0.01 0.01 Cholesterol <1 x 10-6 14

12. Troubleshooting ab108665 Cortisol Human ELISA Kit Problem Cause Solution Poor standard curve Improper standard dilution Standard improperly reconstituted (if applicable) Standard degraded Curve doesn't fit scale Confirm dilutions made correctly Briefly spin vial before opening; thoroughly resuspend powder (if applicable) Store sample as recommended Try plotting using different scale Low signal Incubation time too short Try overnight incubation at 4 C Target present below detection limits of assay Precipitate can form in wells upon substrate addition when concentration of target is too high Using incompatible sample type (e.g. serum vs. cell extract) Sample prepared incorrectly Decrease dilution factor; concentrate samples Increase dilution factor of sample Detection may be reduced or absent in untested sample types Ensure proper sample preparation/dilution Large CV Bubbles in wells Ensure no bubbles present prior to reading plate 15

High background Low sensitivity All wells not washed equally/thoroughly Incomplete reagent mixing Inconsistent pipetting Inconsistent sample preparation or storage Wells are insufficiently washed Contaminated wash buffer Waiting too long to read plate after adding STOP solution Improper storage of ELISA kit Using incompatible sample type (e.g. Serum vs. cell extract) Check that all ports of plate washer are unobstructed/wash wells as recommended Ensure all reagents/master mixes are mixed thoroughly Use calibrated pipettes and ensure accurate pipetting Ensure consistent sample preparation and optimal sample storage conditions (eg. minimize freeze/thaws cycles) Wash wells as per protocol recommendations Make fresh wash buffer Read plate immediately after adding STOP solution Store all reagents as recommended. Please note all reagents may not have identical storage requirements. Detection may be reduced or absent in untested sample types For further technical questions please do not hesitate to contact us by email (technical@abcam.com) or phone (select contact us on www.abcam.com for the phone number for your region). 16

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Abcam in the USA Abcam in Japan Abcam Inc Abcam KK 1 Kendall Square, Ste B2304 1-16-8 Nihonbashi Cambridge, Kakigaracho, MA 02139-1517 Chuo-ku, Tokyo USA 103-0014 Japan Toll free: 888-77-ABCAM (22226) Fax: 866-739-9884 Tel: +81-(0)3-6231-094 Fax: +81-(0)3-6231-0941 Abcam in Europe Abcam in Hong Kong Abcam plc Abcam (Hong Kong) Ltd 330 Cambridge Science Park Unit 225A & 225B, 2/F Cambridge Core Building 2 CB4 0FL 1 Science Park West Avenue UK Hong Kong Science Park Hong Kong Tel: +44 (0)1223 696000 Fax: +44 (0)1223 771600 Tel: (852) 2603-682 Fax: (852) 3016-1888 19 Copyright 2011 Abcam, All Rights Reserved. The Abcam logo is a registered trademark. All information / detail is correct at time of going to print.