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I. Abstract
Cholesterol, a steroid alcohol, regulates the fluidity of plasma membrane so right amount of
cholesterol in the body must be maintained because too much or too low amount of it may
cause different types of diseases. This study aims to quantify cholesterol level of serum
samples and compare it with clinically established cholesterol level value. To quantify the
amount of cholesterol in serum sample, a standard calibration curve was obtained by
preparing different concentrations of cholesterol and measuring its absorbance known as
Zak and Henlys method. From the equation obtained, it was found that the serum 1 and
serum 2 contains 0.921 and 0.821 mg/dL cholesterol, respectively.
Mixture ( mL
Table 1. Absorbances and their Corresponding Figure 1. Cholesterol Standard Calibration Curve.
Concentrations of the Cholesterol Standard
Calibration Curve and Serum Samples.
The obtained line equation (2) was
Average y=0.184 x 0.132
[Cholestero (Eq. 2)
Std. # Absorbance
l] (mg/dL)
(A)
1 0.000 0.000
2 0.625 -0.003 with an R value of 0.8871. Using
3 1.250 0.051 Equation 2, the total serum concentration
4 2.500 0.120 can be calculated.
5 3.750 0.539
6 5.000 0.917 Sample computation of total serum
Serum 1 0.921 0.038 cholesterol of Serum sample 1 using Eq. 2,
Serum 2 0.821 0.019
A=0.184[Cholesterol]0.132
Cholesterol concentration (in mg/dL) of
the standard calibration curve can be A +0.132
determined using Equation 1,
[ Cholesterol ] =
0.184
Biochemistry 35.1: Estimation of Total Serum Cholesterol by Zak and Henlys Method
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mg 8.00 mL
0.921
dL 0.05 mL
mg
147.4
dL
Total serum cholesterol (TSC) was Figure 3. Products of Cholesterol that underwent
estimated using the Zak and Henlys the LiebermannBurchard Reaction (Xiong, Wilson,
method. Zak and Henlys method involves & Pang, 2007).
a colorimetric reaction between
cholesterol and the ferric ions. Cholesterol Errors in this method of analysis may
reacts in the presence of sulphuric acid to arise due to several factors. First is due to
form 3, 5 cholestadiene (Figure 3) due to the interference of several compounds.
a dehydration reaction. In the presence of Several examples are bromide, bilirubin,
ferric (Fe3+) ion, 3, 5-cholestadiene tryptophan, and nitrate. It was studied
undergoes oxidation and is then that bromide would give a positive error as
sulphonated to form the red/purple- it enhances the color reaction with ferric
colored cholestapolyene sulphonic acid chloride resulting to a darker solution than
(reaction pathway shown in Figure 4). what is true. On the other hand, bilirubin is
Absence of ferric ions will result to a oxidised by a ferric chloride reaction to
solution that is green-colored, which is the form biliverdin that shows a minimum in
principle behind of the Liebermann spectral characteristics as well as lowered
Burchard reaction. The intensity of the absorptivity resulting to a negative error.
color is dependent upon the amount of Tryptophan may interfere with the analysis
cholesterol present in the serum given that glyoxal is present due to the
(Prasannan, Rajan, & Ramakrishnan, 2004; resulting Hopkins-Cole reaction but
Shivaraja Shankara, 2008). purification of acetic acid can be used to
prevent this. Interference of nitrate may
also be presumed however no further
information about how or why this
happens was available (Zak, 1965).
Biochemistry 35.1: Estimation of Total Serum Cholesterol by Zak and Henlys Method
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concentration below 200 mg/dL (Shivaraja substrate. This process is further
Shankara, 2008). enhanced due to the statins having an
affinity with the enzyme in the nanomolar
range versus that of the normal
Too little serum cholesterol
substrates affinity which in the millimolar
(Hypocholesterolemia) may result in
range. Furthermore, it also increases the
anemia, hyperthyroidism, hemolytic
activity of hepatic LDL receptors which
jaundice, etc. Hypocholesterolemia is
helps lead to the reduction of circulating
often a symptom of a serious underlying
LDL and its precursors (Sima & Stancu,
problem rather than a disease itself.
2001).
Currently, there is still no definable
cholesterol level below which clinically
significant hypocholesterolemia is VI. Conclusions and
diagnosed. Most agree on diagnosing Recommendations
hypocholesterolemia to those levels below
150 mg/dL. Others, to levels below 100
In this experiment, Zak and Henlys
mg/dL. Total serum cholesterol of the
method was used to create a standard
sample was found to be below 150 mg/dL
calibration curve to quantify the amount of
however this may not signify that the
cholesterol in serum sample. It is
sample donor is hypocholesterolemic as
important to monitor the amount of
standard TSC is also affected by gender
cholesterol in blood because too low or too
and race. Nevertheless, awareness of the
much amount of it causes several types of
condition may ensure a healthier lifestyle
diseases to arise like
and prevention of any serious diseases
hypercholesterolemia.
(Elmehdawi, 2008; Shivaraja Shankara,
2008). It is recommended to perform other
tests in measuring cholesterol level in
serum like enzymatic colorimetric method
On the other hand, too much serum that uses cholesteryl ester hydrolase
cholesterol or Hypercholesterolemia may (Simpson, 2012). Another possible
lead to uncontrollable Diabetes mellitus, technique that can be used is the alcohol-
atherosclerosis and coronary heart disease acetone technique (Zak, 1965).
(Shivaraja Shankara, 2008).
The ferric-chloride solution is
unstable at room temperature thus the
Table 3. Total Serum Cholesterol Standards color-formation capacity of the reagent is
(Dominiczak, Rifai, & Warnick, 2000). being lessen. This can be prevented by
adding Rosenthal, or using ferric
ammonium chloride dissolved in 80%
acetic acid. Bromide and tryptophan
causes interference by enhancing the
color of the complex that will yield to a
higher reading in the spectrometer. To
eliminate these interferences, serum must
Treatment of hypercholesterolemia be treated with ethanol and alkali and will
usually include the intake of drugs which be extracted with chloroform (Zak, 1965).
have statins. Statins are inhibitors of 3- Theoretically, Zak and Henleys
hydroxy-3-methylglutarylcoenzyme A method should be an effective way on
(HMG-CoA) reductase, an enzyme that measuring cholesterol in total serum
converts HMG-CoA into mevalonic acid samples but due to some errors that arise,
which is a cholesterol precursor. cholesterol level was not accurately
Additionally, they also change the measured.
conformation of the enzymes active site
rendering it unusable to the normal
Biochemistry 35.1: Estimation of Total Serum Cholesterol by Zak and Henlys Method
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Tanong lang, kailangan ba ilagay ko Prasannan, K. G., Rajan, R., &
equation, seru cholsetreol, at Ramakrishnan, S. (2004). Textbook
icompare sa standard? of Medical Biochemistry (Third ed.).
VII. References Hyderabad, India: Orient Blackswan.
Biochemistry 35.1: Estimation of Total Serum Cholesterol by Zak and Henlys Method
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