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A Colorimetric Method for Determination of

Total Serum Lipids Based on the


Sulfo-phospho-vanillin Reaction
CHRISTOPHER S. FRINGS, PH.D., AND RALPH T. DUNN, M T (ASCP)
Medical Laboratory Associates, 1025 South 18th Street, Birmingham, Alabama 35205

Abstract. Frings, Christopher S., and Dunn, Ralph T.: A colorimetric method
for determination of total serum lipids based on the sulfo-phospho-vanillin

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reaction. Am. J. Clin. Path. 53: 89-91, 1970. A simple, rapid, and precise
colorimetric method for total serum lipids based on the sulfo-phospho-vanillin
reaction is described. The method uses 0.10 ml. of serum and the resulting
chromogen follows Beer's law at 540 m^. up to lipid concentrations of 1,000
mg. per 100 ml. The colorimetric method gives good agreement with a gravi-
metric-extraction method and has a coefficient of variation of 3.5%. The sim-
plicity, speed, and reliability of the proposed method makes it suitable for
large-scale analyses.

THE WIDELY-ACCEPTED METHODS for mea- The phenol turbidity method of Kundel
surement of total serum lipids by extrac- and associates 5 for assay of total lipids is
tion and subsequent gravimetric analy- rapid, but was shown by Cheek and Wease 2
sis 4 ' 7 are tedious and time-consuming. A to compare unfavorably with the gravimet-
simple, rapid, reliable method for the as- ric method.
say of serum lipids which has the analytical A method based upon the oxidation of
integrity of the gravimetric method is an alcohol-ether extract of serum by a
needed. Several basic approaches to this K 2 Cr 2 0 7 -H 2 S0 4 reagent and subsequent
problem have been made. determination of the reduced chromium
One approach is to perform cholesterol, ion has been described by Bragdon. 1 This
phospholipid, and triglyceride assays, and method is time-consuming because the sol-
then calculate the total lipid concentration vent must be evaporated to dryness at 60 C.
from the values of the lipid fractions.2 This In addition, determinations of cholesterol
approach has the disadvantage of being and phosphatides are necessary so that the
very time-consuming because three inde- corresponding oxidation factors may be ap-
pendent chemical determinations are re- plied.
quired, and in addition it is necessary to Drevon and Schmit 8 reported on the
accept the often-incorrect assumption that color reaction given by lipids with vanillin
73% of total cholesterol represents choles- in a medium of sulfuric acid and phos-
terol esters. phoric acid. Postma and Stroes ° mentioned
a sulfo-phospho-vanillin method for serum
Received June 23, 1969; accepted for publication lipids, but the details were not described.
August. 10. I'OO'.l.
Presented in part at the 21st National Meeting of In this paper we describe an improved
the American Association of Clinical Chemists, Au-
gust, 1969, in Denver, Colorado. colorimetric method, based on the sulfo-
89
90 FRINGS AND DUNN Vol. 53

cold water bath for about 5 min. Transfer


TABLE 1. Comparison of Colorimetric and Gravimetric
Total Lipid Methods a 0.10-ml. aliquot of the mixture into a
Total Lipids tube labeled unknown. To an additional
Sample
Colorimetric Gravimetric
Method Method
tube labeled blank, add 0.10 ml. of con-
centrated H 2 S0 4 . Add 5.0 ml. of phospho-
(mg. per 100 ml.)
vanillin reagent to each tube and mix well.
1 552 570
2 360 415 Incubate all tubes for 15 min. at 37 C.
3 665 665 Cool the tubes for 5 min. at room tem-
4 640 650 perature. Measure the absorbance of un-
5 569 565
6 569 665 known at 540 m^. against the blank within
7 1378 1300 an additional 5 min. The color is stable for
8 595 526 at least 10 min.
9 1442 1395
10 641 669 The serum lipid concentration is calcu-
11 659 714 lated from absorbance values of standards

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12 561 583
13 720 721 taken through the entire procedure, as de-
14 680 764 scribed above.
15 573 612

MEAN 707 721 Results and Discussion


A plot of absorbance vs. lipid concentra-
phospho-vanillin reaction, for the deter- tion is linear to 1,000 mg. per 100 ml. at
mination of total serum lipids. 540 lrifi. Beer's law is not followed at lipid
concentrations greater than 1,000 mg. per
Materials and Methods 100 ml., even though a sample containing
Reagents 1,000 mg. of lipid per 100 ml. results in
1. Concentrated sulfuric acid. an absorbance of only 0.46 at 540 m^. in
2. Vanillin, 0.6% (w/v). 19-mm. cuvettes. This finding is probably
3. Phospho-vanillin reagent. Place 200 due to the solubility characteristics of va-
ml. of 0.6% vanillin solution in a 2-liter nillin. Serum samples which have total
Erlenmeyer flask. Add 800 ml. of concen- lipid concentrations greater than 1,000 mg.
trated phosphoric acid, with constant stir- per 100 ml. should be diluted with 0.9%
ring. Store in a brown bottle at room tem- (w/v) NaCl and reassayed.
perature. This solution is stable for at least To evaluate the reliability of the colori-
6 weeks. metric method, we compared it with the
4. Standards. Working standards of 200, gravimetric-extraction method of Jacobs
400, 600, and 800 mg. per 100 ml. are pre- and Henry. 4 The data in Table 1 show
pared by diluting a stock standard (1.000 that the colorimetric method and the gravi-
Gm. olive oil per 100 ml. absolute ethanol) metric-extraction method compare favor-
with the appropriate amount of absolute ably. These results were selected at ran-
alcohol. These standards are stable for at dom and are typical of comparisons of
least a month at 4 C. more than 60 serum samples. The colori-
metric method exhibits a coefficient of vari-
Procedure ation of 3.5%. In our laboratory the gravi-
Pipet 2.0 ml. of concentrated H 2 S0 4 into metric method of Jacobs and Henry has a
a tube containing 0.10 ml. of serum, and coefficient of variation of 9.6%.
mix well. Heat the tube for 10 rain, in a Olive oil was determined to be a suitable
boiling water bath. Cool the tube in a standard. Our evidence is based upon the
January 1970 COLORIMETRIC DETERMINATION OF LIPIDS 91

findings obtained from the comparison of secobarbital necessary to cause color for-
the colorimetric method, using olive oil as mation are incompatible with life.
the standard, with the gravimetric method The small volume of serum required
(Table 1). Olive oil, triolein, oleic acid, (0.1 ml.), in addition to the simplicity,
linoleic acid, linolenic acid and cholesterol speed, and reliability of the proposed
react quantitatively in the method. Either method, make it suitable for large-scale
olive oil, which in our opinion is a suit- analyses as well as for analyzing pediatric
able standard, or serum which has been as- samples.
sayed previously by a gravimetric-extraction
method can be used. References
The exact chemistry involved in this 1. Bragdon, J. H.: Colorimetric determination of
blood lipides. J. Biol. Chem., 190: 513-517,
method, just as in many methods in lipid 1951.
chemistry, is not completely understood. 2. Cheek, C. S., and Wease, D. F.: A summation
tcchnic for serum total lipids. Clin. Chem., 15:
It appears that a carbon-to-carbon double 102-107, 1969.

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3. Drevon, B., and Schmit, J. M.: La reaction sulfo-
bond is necessary for the reaction to pro- phosplio-vanillique dans l'etude des lipides se-
ceed as described above. In human serum, riques. Bull. Trav. Soc. Pharm. (Lyon), 8: 173-
178, 1964.
there are essentially no interfering sub- 4. Jacobs, S. L., and Henry, R. J.: Studies on the
gravimetric determination of serum lipids.
stances since naturally-occurring com- Clin. Chim. Acta, 7: 270-276, 1962.
pounds with carbon-carbon double bonds 5. Kunkel, H. C , Alliens, E. H., and Eiscnmenger,
W. J.: Application of tuibidimetric methods
other than lipids (fatty acids, cholesterol, for estimation of gamma globulin and total
lipid to the study of patients with liver dis-
cholesterol esters, triglycerides and phos- ease. Gastroenterology, 11: 499-507, 1948.
pholipids) are found in very small amounts. 6. Postma, T., and Stroes, J. A. P.: Lipid screening
in clinical chemistry. Clin. Chim. Acta, 22:
Secobarbital was found to react in the pro- 569-578. 1968.
cedure, presumably because of the CELCH 7. Sperry, W. M.: Gravimetric determination of
total lipids in blood serum or plasma. In Selig-
=CH« group, but is not considered an son, D. (ed.): Standard Methods of Clinical
Chemistry. Vol. 4. New York, Academic Press,
interfering compound because the levels of Inc., 1963, pp. 173-182.

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