Bilirubin (Vanadate Oxidation)

Benefits of the Randox Vanadate Oxidation Bilirubin Assay

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Superior methodology

The Randox vanadate oxidation bilirubin assay is a superior method for haemolytic and lipaemic samples.

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Direct & Total bilirubin assays available

Randox offer both direct & total bilirubin assays offering choice and flexibility.

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No pre-step required

The Randox vanadate oxidation bilirubin assay eliminates the pre-step, increasing testing efficiency.

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Liquid ready-to-use

The Randox bilirubin assay is available in a liquid ready-to-use format for convenience and ease-of-use.

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Calibrator and dedicated control available

Calibrator and a dedicated bilirubin elevated control available offering a complete testing package.

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Applications available

Applications available detailing instrument-specific settings for the convenient use of the Randox vanadate oxidation bilirubin assay on a variety of clinical chemistry analysers.

Ordering information

Direct Vanadate Oxidation Bilirubin

Cat No	Size
BR9765	R1 4 x 14ml R2 4 x 6ml	Enquire Kit Insert Requests View MSDS Buy Online
BR8133	R1 4 x 52.2 R2 4 x 20ml	Enquire Kit Insert Requests View MSDS Buy Online
BR4060	R1 4 x 20ml R2 4 x 20ml	Enquire Kit Insert Requests View MSDS Buy Online
BR8308	R1 4 x 20ml R2 4 x 8ml	Enquire Kit Insert Requests View MSDS Buy Online

Total Vanadate Oxidation Bilirubin

Cat No	Size
BR4061	R1 4 x 20ml R2 4 x 8ml	Enquire Kit Insert Requests View MSDS Buy Online
BR8377	R1 4 x 20ml R2 4 x 8ml	Enquire Kit Insert Requests View MSDS Buy Online

Instrument Specific Applications (ISA's) are available for a wide range of biochemistry analysers. Contact us to enquire about your specific analyser.

Physiological Significance

Bilirubin is a metabolite of haem, derived from haem-containing proteins, including myoglobin, haemoglobin and various P450 enzymes, that serves to coordinate iron in various proteins. Half of this bilirubin is excreted into bile and the rest contributes to blood bilirubin turnover ¹. The production of bilirubin mainly occurs in the spleen and liver but can also occur elsewhere in the body by macrophages and renal tubular cells ². The internal hydrogen bonding causes bilirubin to be water-insoluble and so required enzyme-mediated glucuronidation in the liver for biliary excretion. Under normal conditions, bilirubin in mostly unconjugated and bound tightly to albumin ³.

Clinical Significance

Bilirubin is one of the most common tests to diagnose and monitor hepatic dysfunction. Bilirubin is impaired in cholestatic and parenchymal liver diseases. The most common condition associated with elevated bilirubin levels is jaundice (a clinical sign of hyperbilirubinaemia), characterised by the yellow colouring of skin, mucous membranes and sclera ³.

Today, bilirubin is recognised as being more than just an end-product and considered to be a fundamental substance. Bilirubin is recognised as acting as an antioxidant and anti-inflammatory agent in serum. Evidence exists that states that bilirubin can neutralise free radicals, prevent peroxidation of lipids and protects the cardiovascular system, hepatobiliary system, immune system, neuronal system and pulmonary system ⁴.

V.O vs Diazo

The main advantage of the vanadate oxidation method over the diazo method is that the V.O method is a superior method for haemolytic and lipemic samples. The advantages are particularly evident in neonatal and infant populations where haemolysis is common. Moreover, the V.O method offers a wider analytical measurement range ⁵.

COVID-19

It has been established that bilirubin levels are significantly elevated in COVID-19 patients ⁶. Patients with abnormal liver function tests were at a significantly higher risk of progressing to a severe disease, such as pneumonia. The presence of abnormal liver function tests became more pronounced during hospitalisation within two weeks, with total bilirubin levels elevated 3 times the upper normal limit ⁷.