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Review

Table 2

Overview of methods for NK activity determination

Detection method Measurement principle Advantage Shortcoming Reference
Fibrinogen plate method Thrombin hydrolyzes fibrinogen into fibrin, creating artificial thrombus plates composed of cross-linked fibrin. The enzymatic activity is linearly related to the logarithm of the area of the hyaline circle Simple, intuitive, multiple samples can be measured simultaneously The area of the dissolution circle is highly influenced by incubation time, and the resolution is low and susceptible to individual subjectivity [97]
Fibrinogen block dissolution time method NK reacts with fibrinogen, causing bubbles to rise to the surface, and the dissolution time is measured Greater resolution, shorter measurement time Multiple samples cannot be measured simultaneously, strict timing requirements [98]
Casein-Folin-phenol method Protease hydrolyzes casein to produce tyrosine (under alkaline conditions), which reacts with Folin's reagent to form a blue substance. The absorbance at 680 nm is measured to calculate enzyme activity Simple, low-cost, can simultaneously measure multiple samples Reaction time needs to be strictly controlled; large experimental error [99]
Methylbenzene sulfonyl-L-arginine methyl ester (TAME) method At 37 ℃, NK splits the substrate into methylbenzene sulfonyl-L-arginine and methanol. Formaldehyde is produced from methanol, which reacts with chromic acid to measure absorbance at 574 nm, positively correlating with NK activity Simple operation, high sensitivity, short measurement time Requires tight control of reaction time; reagents are susceptible to environmental influences [100]
Ultraviolet spectrophotometry NK reacts with fibrin to hydrolyze peptide bonds, causing a change in absorbance at UV 275 nm Good precision and accuracy, short measurement time Insufficient specificity, susceptible to interference from other substances [101]
Tetrapeptide substrate method The enzyme solution is incubated with the tetrapeptide substrate (Suc-Ala-Ala-Pro-Phe-pNA) at 37 ℃ for 1 min, and absorbance at 410 nm is measured per unit time Simple method, high sensitivity, low cost Limited ability to fully capture the fibrinolytic activity of thrombolytic agents [98]
Enzyme-linked immunosorbent assay (ELISA) Use a monoclonal antibody specific to NK, which binds specifically to NK and forms a complex with a polyclonal antibody attached to a marker enzyme. NK activity is measured via a peroxidase reaction High sensitivity, anti-interference, and specificity High operating costs, limited practical applications [97]
Serum plate method The absorbance at 655 nm is high when fibrin forms and decreases as NK dissolves the fibrin Can measure multiple samples simultaneously, simple operation, and low cost The preparation of artificial thrombi affects absorbance measurements [102]

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