Axis-Shield Liquid Stable 2-Part Homocysteine Reagent

Over the past few years, routine laboratory Homocysteine (HCY) testing has begun to move away from the mainframe immunoassay analysers onto clinical chemistry platforms.

Axis-Shield has been at the forefront of this change with the Liquid Stable 2-Part Homocysteine Reagent.

The Axis-Shield Liquid Stable 2-Part Homocysteine Reagent offers performance equivalent to immunoassay and also allows:

  • Instrument consolidation
  • Lower turn-around time
  • Improved reagent stability
  • Ease of use


The Axis-Shield Liquid Stable 2-Part Homocysteine Assay is a next-generation 2-Reagent assay offering superior performance and stability.

The key features and performance characteristics of the assay are described below:

Intended Use
The Liquid Stable (LS) 2-Part Enzymatic Homocysteine assay is intended for in vitro quantitative determination of total homocysteine in human serum and plasma.

Assay Principle
In the Axis-Shield Liquid Stable 2-Part Homocysteine assay, bound or dimerised homocysteine (oxidised form) is reduced to free homocysteine, which then reacts with serine catalysed by cystathionine beta-synthase (CBS) to form L-cystathionine. Cystathionine in turn is broken down by cystathionine beta-lyase (CBL) to form homocysteine, pyruvate and ammonia. Pyruvate is then converted by lactate dehydrogenase (LDH) to lactate with NADH as coenzyme. The rate of NADH conversion to NAD is directly proportional to the concentration of homocysteine.

Key Features

  • Method: Enzymatic assay
  • Sample type: Serum or Serum Separator Tubes and EDTA or heparinized plasma
  • Sample volume: from 16µL
  • Lower limit of detection: 0.4 µmol/L
  • Assay Range: 1-46 µmol/L
  • Calibrators: 0 & 28 µmol/L (included in kit)
  • Tests used for calibration: 4 per month (older 3-reagent systems can use up to 50 tests per month for calibrations)
  • Calibration Curve Stability: up to 30 days
  • On-board Reagent Stability: up to 30 days
  • Standardised: To NIST SRM 1955 (Homocysteine Standard Reference Material)
  • Time to first result: 12 minutes (calibrated Instrument)
  • Throughput: 36 test per hour (calibrated Instrument)
  • Reagents: Ready to use with calibrators included
  • Pack sizes to suit your usage: available in 100, 200 & 1000 test formats.

Assay Performance

Mean µmol/L
Within-run CV%
Between-run CV%
Total CV%
Low Control
Medium Control
High Control

Correlation to immunoassay:
n = 104

95% CI
-1.64 to -0.46
0.98 to 1.03

Linearity of diluted plasma samples:

If the Homocysteine concentration of a sample exceeds the range of the calibration curve, the sample should be diluted one part specimen with two parts Cal 0µmol/L (provided in the kit) and be reanalysed.

The Axis-Shield Homocysteine Control kit (tri-level, 1.5mL each) is also available for use with this product- FHCY200

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