Patent ID: 7211410

Claim:
A method for detecting alkaline sphingomyelinase in a patient'stool, which comprises: (a) collecting a sample of a paient's stool and drying the sample; (b) weighting about 3–4 grams of the dried sample and suspending it in 20 mL of a homogenization buffer containing 0.25 M sucrose, 0.15 M KCl, and 50 mM KH 2 PO 4 pH 7.4; (c) centrifuguing the suspended sample at 4000 rpm at +4° C. for 60 min to obtain a supernatant; (d) recovering the supernatant and centrifuging again for 15 min at 4000 rpm at +4° C.; (e) measuring protein content in the supernatant with a Pierce Protein Assay and pipetting 25 μl of the supernatant sample with a protein concentration between 32 mg/mL and 40 mg/mL into wells of a microplate; (f) adding to each 25 μl supernatant sample 65 μl of assay buffer containing 50 mM Tris/HCl, 2 mM EDTA, 0.15 M NaCl pH 9.0, 10 μl of 29 μM sphingomyelin, and bile salts selected from TC, TDC, GC and GCDC at a concentration of 3 mM; (g) incubating at 37° C. for 1 hr; (h) pipetting into wells of a microplate 10 μl of sphingomyelin (29 μM) and 100 μl of known concentrations of bacterial sphingomyelinase in assay buffer generated from a standard curve prepared from a standard sphingomyelinase concentrate active at pH 9.0, and incubating at 37° C. for 1 hr; (i) after 1 hour, adding to each well 100 μl of reaction buffer containing 50 mM Tris/HCl pH 7.4, 10 mM β-glycerophosphate, 750 μM ATP, 5 mM EDTA, 5 mM EGTA, 100 μM Amplex Red, 8 U/mL alkaline phosphatase, 0.2 U/mL choline oxidase, and 2 U/mL horseradish peroxidase; (j) incubating the reactions for 1 hour or longer at 37° C., protected from light; (k) measuring fluorescence of samples and known concentrations of standard in a fluorescence microplate reader using excitation in the range of 530–560 nm and emission detection at 590 nm to obtain fluorescence values; and (l) correcting for background fluorescence by subtracting the value derived from the zero standard sphingomyelinase control.