Test Code LAB7087 Blue Native Electrophoresis, Tissue
Performing Section
Mitochondrial Lab
Purpose/Principle
Using the current method, four different complexes are assayed in muscle, liver, and heart: complex I, II, IV, and V. Complex III is assayed in muscle and heart only. After isolation of the mitochondrial membranes containing the electron transport complexes, the complexes are separated on a non-denaturing blue native PAGE gel. This separates the complexes from each other and from other interfering enzyme activities that typically complicate the interpretation of classic enzyme activity analysis in whole homogenates. The gel is then cut into four or five parts if assaying complex III activity, and the activity of each complex is analyzed by an in-gel enzyme activity with a color end product. The activity is analyzed by comparison to the same assay of control tissue run on the same gel prepared in the same batch. The assay is qualitative.
Specimen Type
Muscle, Liver, and Heart Tissue:
Sterile container
Specimen Volume
Muscle Tissue
Minimum: 50 mg (150 mg if ordering both BNPage and RCE)
Liver Tissue
Minimum: 50 mg (120 mg if ordering both BNPage and RCE)
Heart Tissue
Minimum: 50 mg (100 mg if ordering both BNPage and RCE)
Processing Instructions
Muscle Tissue:
*Muscle biopsies must be obtained without the use of electrocautery and must be completely processed within 5 to 10 minutes of being excised.
*Tissue must be frozen immediately in liquid nitrogen or on dry ice. The tissue cannot be placed in any preservative including OCT. Sample must be stored in a microvial at -70° C until shipment to the laboratory on dry ice.
Liver Tissue:
*Liver samples can be obtained as a wedge biopsy or as a needle biopsy. If using a needle biopsy, obtain two (2) needle biopsies 14 Gauche Bard monopty instrument 2 cm length.
*Place the liver biopsy in either Parafilm or aluminum foil, then place in a 2 ml cryotube, and close the screw cap tightly. Freeze immediately in liquid nitrogen or on dry ice, and maintain in frozen condition.
*If possible, weigh liver biopsy before placing in the cryotube. If the specimen was not weighed before it was frozen, DO NOT attempt to weigh a frozen sample as the samples degrade very easily. Instead, ship the sample to the Mitochondrial Diagnostic Laboratory without a weight. Lab personnel will weigh the sample.
Heart Tissue:
*Heart biopsies must be obtained without the use of electrocautery and must be completely processed within 5 to 10 minutes of being excised. Post mortem samples have to be obtained within 2 hours of death, but as soon as possible as interpretation will become more difficult with time.
*Tissue must be frozen immediately in liquid nitrogen or on dry ice. They cannot be placed in any preservative including OCT. They must be stored in amicrovial at -70° C until shipment to the laboratory on dry ice.
*If possible, weigh heart biopsy before placing in the cryotube. If the specimen was not weighed before it was frozen, DO NOT attempt to weigh a frozen sample as the samples degrade very easily. Instead, ship the sample to the Mitochondrial Diagnostic Laboratory without a weight. Lab personnel will weigh the sample.
Temperature
Frozen
Test Components
Complex I
Complex II
Complex IV
Complex V
Reference Range
Complex INormal Activity, Decreased Activity, Absent Activity, Increased Activity
Complex II
Normal Activity, Decreased Activity, Absent Activity, Increased Activity
Complex IV
Normal Activity, Decreased Activity, Absent Activity, Increased Activity
Complex V
Normal Activity Or Decreased Activity Or Absent Activity Or Normal Assembly Or Abnormal Assembly Or Increased Activity
TAT
90 Days
Additional Notes
Do not ship on weekends or holidays.
Aliases
Blue Native Polyacrylamide Gel Electrophoresis
BN-PAGE
BNPage
CPT
82657
82664