ADA catalyses deamination of adenosine to inosine which is then converted to hypoxanthine by purine nucleosidephosphorylase (PNP). Hypoxanthine is then converted to uric acid and hydrogen peroxide (H2O2) by xanthine oxidase (XOD). H2O2 is further reacted with N-Ethyl-N-(2-hydroxy-3-sulfopropyl)-3-methylaniline (EHSPT) and 4-aminoantipyrine (4 AAP) in the presence of peroxidase (POD) to generate quinone dye.
denosine + H2O Inosine + NH3 PNP Inosine + Pi Hypoxanthine + Ribose-1-phosphate XOD Hypoxanthine + 2H2O + 2O2 Uric acid + 2 H2O2 POD 2 H2O2 + 4AAP + EHSPT 4 H2O + Quinone dye
The intensity of the colour developed is directly proportional to the activity of ADA in the specimen and is measured kinetically.
REAGENT STORAGE, STABILITY & HANDLING
ADA activity in serum/plasma is stable for 3 days when stored at 2 Degree - 8 Degree C & in other body fluids for 2 days when stored at 2 Degree - 8 Degree C .
PROCEDURE
EXPECTED VALUES
The indicative reference values for Indian population are as follows:
| Normal | Suspect | Strong Suspect |
Serum/plasma | 22U/L | 22 - 40U/L | 40U/L |
Body fluids (Pleural/Pericardial/Ascitic) | 30U/L | 30 - 40U/L | 40U/L |
CSF | 9U/L | 9 - 12 U/L | 12U/L |
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