- Open Access
Serum paraoxonase 1 (PON1) measurement: an update
© Ceron et al.; licensee BioMed Central Ltd. 2014
- Received: 6 December 2013
- Accepted: 11 March 2014
- Published: 25 March 2014
Paraoxonase 1 (PON1) is a widely studied enzyme based on its protective role against poisoning by organophosphate (OP) metabolites of specific OP insecticides and in vascular disease, as well as its use as biomarker of diseases involving oxidative stress, inflammation and liver diseases.
This review provides an update about the current knowledge in the field of the analytical procedures that are used for PON1 measurements. It will be specially focused on: (a) characteristics of the different substrates used for measuring PON1, with emphasis in four aspects: toxicity, polymorphism influence, rate of hydrolysis and diagnostic performance. And (b) the technical aspects of PON1 assays, in which the reagents and reaction conditions, sources of variation, quality control systems, equipment and interferences with other esterases will be discussed.
The information provided in this review can contribute to a more accurate and safe measurements of PON1 in laboratories and encourage researchers to explore the wide areas of PON1 in veterinary medicine that are still unknown.
- Phenyl acetate
- 4-nitrophenyl acetate
Paraoxonases are a family of three enzymes called PON1, PON2 and PON3. They have multifunctional roles in various biochemical pathways such as protection against oxidative damage and lipid peroxidation, contribution to innate immunity, detoxification of reactive molecules, bioactivation of drugs, modulation of endoplasmic reticulum stress and regulation of cell proliferation/apoptosis. Since they are able to perform multiple autonomous and often unrelated functions, they are considered as “moonlighting proteins” . PON1 is the most studied enzyme of the family. It is synthesized primarily in the liver and appears mainly in serum, where is associated to high-density lipoproteins (HDL) . PON2 is located intracellularly and PON3, although appears also in serum, is around 2 orders of magnitude less abundant than PON1 .
PON1 has been widely studied in human medicine with excellent reviews produced by different research groups [4–7]. Initially the interest on this enzyme arose from the toxicological point of view, by its protective role from poisoning by organophosphate derivates. But more recently research has been focused on other clinical aspects such as protective role in vascular disease as well as its use as biomarker of diseases involving mainly three situations: (a) oxidative stress, since PON1 protects against oxidation ; (b) inflammation, being considered PON1 as a negative acute phase protein  and (c) liver diseases, because PON1 is synthesized in this organ . In veterinary medicine, studies of PON1 have been traditionally focused in bovine [11, 12], however in recent years it has gained interest in other species such as dogs [13, 14], cats  and horses .
PON1 can be measured based on its activity by spectrophotometric assays and also can be directly quantified by immunological methods using specific antibodies . The spectrophotometric assays based on the ability of PON1 to hydrolyse substrates are currently more widely used, probably due to their low cost and availability. PON1 was named paraoxonase for its ability to hydrolyze paraoxon (diethyl p-nitrophenyl phosphate, E600), the toxic oxon metabolite of parathion . However PON1 is considered as a promiscuous enzyme having also the ability to hydrolyze many other substrates such as other organophosphorous compounds, non phosphorous arylesters and also lactones, which have been considered as its primary substrates .
Chemical structure of the most frequently used substrates for PON1 assays
Currently in PON1 measurements described in literature, there is a great heterogeneity in the selection of the substrates as well in the conditions of the assays used with each substrate. This situation can lead to difficulties in the comparison of values obtained by the different laboratories, generation of inappropriate results for not using adequate analytical procedures, or problems in interpretation due to the different substrate activity polymorphisms. This report will deal with two main topics: (a) characteristics of the different substrates that can be used for measuring PON1 activity with a special focus on the most widely used and (b) the technical aspects of PON1 assays.
At this point, four characteristics (toxicity, polymorphism influence, rate of hydrolysis and diagnostic performance) of the main substrates used for PON1 measurements will be reviewed.
European hazard codes for the main substrates used for PON1 measurements appear in Table 2.
Paraoxon. It is very unstable and extremely toxic  and can cause a rapid and severe organophosphate poisoning . In addition to the European hazard codes described in Table 2, paraoxon possesses the European risk statements number 26 (very toxic by inhalation), 27 (very toxic in contact with skin) and 28–50 (in which there is included that may cause cancer and hereditable genetic damage).
Paraoxon stock solutions should be handled in an air-extraction fumehood and the operator should take appropriate safety precautions such as wearing a face mask and double nitrile gloves to protect against accidental contact or inhalation of the toxic fumes. In addition it can produce pollution to the laboratory equipment, therefore dedicated sample and reagent needles should be used, and waste water receptacle as well waste disposal and pipettes should be treated with NaOH [6, 22, 23]. In particular paraoxon presents problems for automation in biochemical analysers, since it can contaminate them producing difficulties to perform assays for other analytes on the same instrument, and the removal of its traces requires the use of high concentration of NaOH which could damage instruments .
Other organophosphorous such as diazinon, chlorpyrifos, soman or sarin are also highly toxic and therefore special cautions should be taken with them.
Phenyl acetate. It is considered not as toxic as paraoxon [6, 25] but needs to be handled under appropriate safe conditions. It has the Xn (harmful) European hazard code and the European risk statement number 22 (harmful if swallowed).
4- nitrophenyl acetate. It has been described as non toxic  and does not have any hazard advice according with the European hazard code.
5-thiobutil butyrolactone (TBBL) is considered as not toxic .
Dihydrocoumarin. In addition to have the Xn (harmful) European hazard code, it has the European risk statements 22–36 (which include very toxic by inhalation and very toxic in contact with skin), 37 (irritating to the respiratory system) and 38 (irritating to the skin).
Toxicity of the different substrates used for PON1 measurements
Toxicity (European hazard code)
T + (very toxic) N (dangerous for the environment)
PON1 using paraoxon as substrate in human population has a polymorphism of high versus low activity. There are various genetic polymorphisms described in PON1 gene, but the polymorphism in position 192 seems to be more involved in the differences in PON1 activity between individuals [27, 28]. This polymorphism has two isoforms: PON1Q and PON1R. Leading to three phenotypic groups: QQ representing low, QR intermediate and RR high enzyme activity of PON1 , that can produce significant differences in the values of PON1 activity between QQ and RR individuals .
This is a particular situation that occurs with paraoxon; since other organophosphorus such as diazinon or sarin showed a different polymorphism effect with a higher hydrolytic rate with the Q than the R allele . And other substrates do not show such evident polymorphisms, for example:
Phenyl acetate is hydrolyzed by PON1 phenotypes with comparable potency  (Table 3). Also ELISA and Western blot based methods utilizing PON1 antibodies confirm a high correlation between measured PON1 concentrations and activity measured with phenyl acetate [30, 31]. However in a study individuals with RR had 1.46 fold higher PON1 values than QQ phenotype using phenyl acetate as substrate .
TBBL has polymorphism influence, although it is lower than when paraoxon is used as substrate. In a previous report it was found a maximum difference between medians of QQ and RR isoforms of 40.65% for TBBL versus 167.82% for paraoxon . In general lactones are hydrolyzed preferentially by either PON1R or PON1Q depending on their structure .
Activities of different substrates in human serum and purified PON1 (in micromol substrate hydrolysed per min per mg of protein)
PON1 enzyme levels can range widely even between individuals with the same PON1 phenotype  and PON1 phenotypes do not influence changes in PON1 associated with some clinical conditions such as hepatic disease [27, 35]. However in substrates highly influenced by polymorphisms, such as paraoxon in humans, there is a potential for obtaining false high values of PON1 in populations with high frequency of PON1R when compared with populations with high frequency of PON1Q and vice versa . Ideally in these cases comparison between values of each different phenotype would be recommended instead a global comparison of values in all population, fact that would complicate the interpretation of the results [36, 37].
There are not many studies about polymorphism in veterinary medicine. This is in contrast with the situation in humans, in which it is a very widely studied topic with methods (i.e. two-substrate assay) developed to explore and differentiate PON1 activity polymorphisms . Rabbits possess a serum polymorphism which is located within exon 4 producing two different phenotypes (rPON1A and rPON1B) that have the same activity for phenyl acetate, but different values for paraoxon, dihydrocoumarin and other lactones . And contrarily to humans, individual variations of PON1 in pigs with phenyl acetate are genetically determined, and phenotypes with high, intermediate and low PON1 activity against this substrate were described [39, 40]. Also there have been evidences that variations in plasma PON1 activity in cattle could be genetically determined . To the author’s knowledge no studies to fully characterize polymorphisms have been undertaken in other species. Therefore studies made with populations should be taken with caution in veterinary medicine.
Rate of hydrolysis
In humans, rate of PON1 hydrolysis of paraoxon is lower compared with other substrates such as phenyl acetate or 4-nitrophenyl acetate (633 and 29 times higher respectively)  and even compared with other organophosphorus compounds such as diazoxon or chlorpyrifos oxon . Similar results were obtained by other authors [26, 29]. These last authors made a complete study in which the rate of hydrolysis of different substrates were compared in serum and with purified enzyme for the two different genotypes (Table 3). In this table it can be observed that most of the activity when using paraxon, phenyl acetate and 4-nitrophenyl acetate substrates in serum is due to PON1; since there is enrichment in the activity when the enzyme is purified. However, when other substrates such as 1-naphtyl acetate are used, hydrolysis in serum is probably due to other different esterases, since purified PON1 does not hydrolyse this substrate.
The low hydrolysis rate of paraoxon has lead to some authors to indicate that it could be inappropriate to call the enzyme “paraoxonase” or “organophosphatase” . Even PON1 has been considered as a good example of the power of language to mislead, because the focus of the name on one aspect of the enzyme’s function, which is related with its behaviour with synthetic and exogenous substrates (organophosphorous compounds), has delayed an appreciation of other potential and perhaps more relevant roles, that are more related with natural and endogenous substrates such lactones .
Rate of hydrolysis of 4-nitrophenyl acetate in different species (micromol/min/ml serum) []
Although the lactones are considered natural substrates, and therefore would better reflect the physiological activity of PON1, highly correlated activities were found in humans using TBBL and phenyl acetate; and both were inhibited in the same manner by selective competitive inhibitors of PON1’s activity such as 2-hydroxyquinoline and EDTA . This could explain the high correlation when using phenyl acetate and TBBL observed in human studies , bovine  and dog . In this later study in dogs, TBBL, phenyl acetate and 4-nitrophenyl acetate showed significant correlations with r higher than 0.85 in all cases. Maybe an explanation for these results is the fact that both the activity of PON1 against lactones and phenyl acetate or 4-phenyl acetate derivates are mediated by the same active site of the enzyme, which is different than the site where is the activity against phosphorous agents .
In studies in which different substrates have been compared, two situations can be found:
a) Conditions or diseases in which the substrates give similar information For example:
In human medicine decreases of similar magnitude on PON1 activity in humans with HIV using paraoxon and TBBL (1.21 versus 1.28 fold) have been found . And TBBL diagnostic accuracy was similar than paraoxon to diagnose liver failure .
In veterinary, similar diagnostic performance was detected between dihydrocoumarin, phenyl acetate and paraoxon for diagnosis of fatty liver in cows .
In the conditions of the point “a” the logical approach would be to choose the substrate that would be less toxic, less expensive and readily adapted to analytical instruments and conditions of the lab.
b) Conditions or diseases in which there can be divergences between substrates
In a human study comparing paraoxon, phenyl acetate and 4-nitrophenyl acetate, the last one was the only that showed significant changes between patients with non-end-stage chronic renal failure and healthy individuals. This substrate showed higher activities between narrower ranges of population values that could probably reflect less analytical errors . In other study phenyl acetate was found to be more sensitive and specific substrate in identifying patients with chronic hepatic disease than paraoxon . And a stronger association between decreased serum PON1 activity and metabolic syndrome was found in childhood obesity when TBBL was used as substrate compared to paraoxon .
In dogs higher significance in the differences between dogs with oxidative damage and healthy dogs was found with 4-nitrophenyl acetate compared with phenyl acetate or TBBL .
Setting up the assay: reagents and reaction conditions
The principle of the spectrophotometric determination of PON1 activity is simple. The sample is mixed with a substrate dissolved in a buffer solution, and the product generated by the hydrolysis of the substrate is monitored during certain time at a linear rate and defined temperature. However there is a heterogeneicity in the concentration of reagents used and assay conditions in general.
Buffers. The most used is Tris–HCl, but other buffers such as glycine have been also used . The ideal pH of the reaction is in the range of 8 and 8.5 [18, 55]. Since below pH 8 there is a significant decrease in PON1 activity, whereas at values higher than 8.5 the non-specific esterase activity of the albumin starts to be activated . Additionally also very basic pH buffers can lead to alterations of PON1 structure and activity . Therefore those assays that use values out of this pH range, as 7 or 10.5 should be interpreted with caution.
Substrate concentration. There is a wide variation in the concentration of substrates used in the assays described in the literature. For example paraoxon ranges from 1 to 5 mmol/L, phenyl acetate from 0.2 to 6.64 mM, 4-nitrophenyl acetate from 0.5 to 2.5 mM (although a report indicated 27.6 mM ) and TBBL from 0.25 to 0.5 mmol.
Km (concentration of substrate that produces half of the maximum velocity of the reaction) and wavelengths () used for different substrates of PON1
Some substrates require an organic solvent to be dissolved. In these cases methanol is recommended instead acetone since it is less inhibitory for PON1. For example at final methanol concentrations of the assay between 1-2%, inhibition is negligible, whereas acetone produces a reduction of at least 25% . In case of TBBL, DTNB is also added to the assay mixture in order to colorimetrically detect the released thiol moities of this substrate by PON1 activity .
Usually the substrates are mixed and used together with the buffer. But in some cases such as with 4-nitrophenyl acetate, to avoid spontaneous hydrolysis, it is important to remove the substrate from the working reagent buffer and prepare it in water as a separate starting reagent. This reagent remains colourless and is added to initiate the kinetic reaction [23, 48].
In order to evaluate the spontaneous hydrolysis of substrates and correct the results accordingly, the use of a blank without serum is highly recommended. This value should be lower than 5% of the enzymatic hydrolysis rate . If this spontaneous hydrolysis is abnormally high, new substrate should be prepared. Also the use of a blank without substrate would be recommended.
Optimal wavelengths for different substrates appear in Table 5. It is important to point out that not all standard spectrophotometers or automated analysers have available the 270 nm wavelength; so substrates with this wavelength cannot be automated or used in certain instruments. Also for wavelengths in the ultraviolet region (lower than 400 nm) quartz cuvettes will be required. Use of non-optimal wavelengths can produce increase in imprecision of the assay .
CaCl 2 . PON1 has two calcium binding sites, one is important for the stability of the enzyme while the other one is important for the catalytic activity. Therefore, PON1 is a calcium dependent enzyme, and the addition of Ca in order to secure adequate expression of enzyme activity is recommended for the assays . Usually the ranges of CaCl2 vary from 0.9 to 3.6 mm/L. In humans using chlorpyrifos as substrate it has been reported that PON1 activity increases when CaCl2 is added up to 1 mM CaCl2, where higher concentrations did not produce further increases in activity . In some species such as rabbit low Ca concentrations in assay can have a significant influence on PON1 activity , so it would be recommended to optimize CaCl2 concentrations in the methods used.
NaCl. Although used for phenotype characterization with paroxon as substrate, the addition of NaCl is not recommended for measurements at population level. Because although it produces increases in PON1 activity, it will stimulate much more the high-activity allelic form  and therefore would yield a higher variability in a healthy population. When using other substrates such as phenyl acetate, NaCl produces a decrease in PON1 activity .
Time of reading. The time of readings should fulfil 3 requirements: (1) leave an initial phase without measurements in order to avoid the other esterases influence that can occur at this stage. (2) Be established in coordination with the concentration of substrate to assure that during this time a linear phase in the reaction can be produced. If substrate is used up, the enzyme’s active sites are no longer saturated and linearity can be lost; therefore substrate concentration and/or times of reaction should be reassessed. (3) Be long enough to represent adequately a phase with linearity, with various measurements during at least one minute in order to calculate the kinetics of the enzyme . Usually the units in which PON1 activity is expressed are referred in minutes, being the most common unit used the U/L or mL of serum (U is the abbreviation of unit of enzyme activity, and is defined as the amount of the enzyme that catalyzes the conversion of 1 micro mole of substrate per minute).
Temperature. Usually the temperatures used are in the range of 25°C to 37°C, with higher PON1 values found at 37°C. An increase of temperature by 1°C is associated with a 4.5% increase in PON1 activity using phenyl acetate as substrate . Optimum temperature for paraoxon and phenyl acetate has been found in the range of 30-45°C . However it would not be recommended to use temperatures higher than 37°C since it can increase substrate non-enzymatic hydrolysis.
The measurements made at room temperature may be subjected to temperature fluctuations. In order to avoid these fluctuations in case of use ELISA microplates, it is recommended to ensure temperature stabilization by setting the microplate spectrophotometer temperature to some level slightly higher than typical room temperature .
Sources of variation due to the sample (dilution, anticoagulants, hemolysis, lipemia, bilirrubinemia)
In some cases a dilution of the sample is needed to maintain the reaction linearity and not produce early substrate depletion. If this dilution procedure cannot be automated the efficiency of routine analysis could be reduced , and also this is a source of pipetting imprecision. In addition, high dilutions can produce increases in PON1 activities in human serum (i.e. PON1 activity had an increase of 170% after 128 fold dilution) . This could be particularly important in some assays using phenyl acetate in human serum, that have to dilute the samples 800 times because of high activity . Maybe this effect could be reduced or neglected at lower dilutions, for example no significant increases after 1:40 dilution of dog serum were observed .
Ideally serum samples should be analyzed. PON1 has an absolute requirement for Ca2+ for activity and stability, so use of EDTA inactivates PON1 . Previous studies found a significant decrease in PON1 activity when EDTA-treated plasma was used instead of serum in humans  and dogs . Also it has been reported that lithium inhibits PON1 activity . In a previous study, PON1 values with lithium heparin were around 5% lower than compared with serum . This effect can be increased in cases that tubes are not filled adequately and therefore have a higher concentration of anticoagulant. Also in a different study, PON1 activity was between 21-26% higher in serum that in heparinised plasma, although enzyme activity in both types of samples were highly correlated . In this study it was not specified if lithium heparin was used, and authors suggested that fibrin clots retain water, resulting in slightly higher serum concentrations. Therefore in case of use lithium-heparin, results are not equivalent to serum samples, so care should be taken when comparing data from both types of samples . Caution also should be taken if sodium citrate is used as anticoagulant since it chelates calcium and also involves a dilution 1:9 of the blood , facts that potentially could affect PON1 activity.
The effects of the haemolysis and lipemia seem to be different depending on the assay used. For example in an study made in dogs in which different assays were compared, a significant decrease in PON1 was obtained with concentration of haemoglobin higher than 8 g/dl (that represents a very severe haemolysis) and triglycerides higher than 5 g/L when using TBBL as substrate. Similar interferences were obtained for triglycerides with an assay using phenyl acetate, however this assay was not affected by haemoglobin. And the assay using 4-nitrophenyl acetate as substrate showed decreases in PON1 when haemoglobin concentration was higher than 8 g/dl and triglycerides were higher than 1.25 g/L . Overall it seems that only very severe haemolysis affects PON1 activity; similarly to described in humans where no substantial interferences by haemoglobin up to 6 g/L were found using TBBL . This report also concluded that lipidemia and jaundice do not appear to have major influence on the TBBL assay.
Quality control systems
To the author’s knowledge there is no available control serum for PON1 measurements. An alternative approach can be the use of frozen aliquots of serum as control. Ideally two serum pools, one with values inside the reference range and one with low values of PON1, from the species to be measured, could be used as controls. These control samples could be analysed just before the beginning, at the end and at intermediate points, in case of analyse a high number of samples. In case of human serum, pools of different phenotypes (QQ, QR and RR) at different activity ranges have been used for quality control .
Regarding the stability of these samples, in a study made in humans it was found that PON1 is stable during two years at -80°C when phenyl acetate, diazoxon and chlorpyrifos-oxon where used as substrates, but with paraoxon as substrate a decrease of 0.05% per day of storage was found . In the same study, after 5 years of storage at -80°C, the enzyme activities were 17.1%, 39.4% and 37.6% lower for phenyl acetate, chlorpyrifos-oxon and paraoxon respectively and 22.9% higher for diazoxon. And no significant changes with any of the substrates after multiple freeze-thaw cycles (up to 4) in samples stored 2 years at -80°C were found.
PON1 assays can be measured using different equipments such as single sample spectrophotometers, microplate readers or automated analysers.
Automated analysers allow high-throughtput measurements, however they have limitations in two situations: (a) some of them do not have available the wavelengths required for the measurement of selected substrates, (b) contamination can occur when paroxon or other organophosphorous compounds are used as substrates as previously discussed. Also in case of TBBL, a solution needs to be prepared in acetonitrile for its disolution, reaching in reaction mixtures a concentration of around 1%, which can produce carryover contamination by acetonitrile and may interfere with several routine chemistries .
For those substrates that can contaminate automated analysers or that need wavelengths that are not included in conventional analysers, microplate-based methods could be an alternative allowing high-throughput measurement of PON1 activity. For example human assays using paraoxon, diazinon, phenyl acetate or TBBL as substrates  and dogs assays for phenyl acetate or TBBL  have been adapted to microtiter 96-well plate systems. These analyses can be performed semi-automatically, are fast and facilitate a relatively high analytical throughput . In case of using paraoxon with these systems, substrate contamination should be removed by immersion of plates and pipette tips in 2 mol/L NaOH . And in case of using TBBL, the samples should be analyzed in the same batch in order to avoid the high interassay variations of this assay that can reach up to 17% both in dogs  and humans .
Interferences with other esterases
Most of the substrates used for PON1 measurements are esters (i.e. paraoxon is an organophosphorous ester and the lactones are cyclic esters) that are hydrolyzed by this enzyme. However in plasma there are other esterases such as albumin, cholinesterases (acetyl and/or butyril) or carboxylesterase that can carry out ester hydrolysis [73, 49]. Also carbonic anhydrase, alpha-chymotrypsin  and lipase  can hydrolyse ester substrates. All these esterases should be taken in consideration since they could potentially interfere in the determinations of PON1.
The effect of albumin is particularly important at pH values higher than 8.5, where the non-specific esterase activity of the albumin starts to be activated .
It was described that acetylcholinesterase does not affect PON1 activity . However in pigs butyrilcholinesterase (BChE) can hydrolyse PON1 substrates such as phenyl acetate; and although PON1 is 100 times more active toward this substrate than cholinesterase, this activity can be apparent in cases of pigs with very low PON1 activity [39, 40]. In humans the contribution of the hydrolysis of phenyl acetate by BChE is about 5% of the total activity in serum .
Human, monkey, dog or minipig plasmas do not contain any carboxylesterase, however this esterase should be taken in consideration in other species such as rabbit, mouse and rat in which it is the major component of the plasma .
Carbonic anhydrase seems not to be at high concentrations in serum since is a tisular enzyme .
Alpha-chymoptrypsin activity was described to be low in the phase of the reaction that usually is taken for PON1 measurements .
We could not find any report about the effect of lipase in the substrates used for PON1 activity. However in situations where lipase is high such as pancreatitis, PON1 is low, therefore it seems that lipase would not have a major effect in this enzyme [76, 77].
The activity of esterases different than PON1 can cause a non-linear phase in the reaction that usually occurs as an early burst in the first 15 to 30 seconds of the assay, but in some cases it can last until 15 minutes. For example using paraoxon as substrate, it was found that 10% of the samples assayed showed nonlinear kinetics during the first 15 min of the assay, linearity being established only after this time . It is not clear which esterase/s produce this reaction since albumin was considered , but other authors pointed out that albumin preparations can be contaminated with BChE that would produce the reaction [79, 80]. Also alpha-chymotrypsin produces an initial and rapid hydrolysis of the esters substrates .
Although there is a paucity of data about the magnitude of the hydrolysis of the different substrates by other esters different than PON1 that can appear in serum, it was described that PON1 splits esters of phenols at a higher rate than any other esterase type . In this line, when using 4-phenyl acetate, it seems that there is no major effect of other non PON1-esterases in man, cow, sheep and goat, since no decrease in activity was detected after incubation of the sample with low concentration of paraoxon that would inhibit other estereases different than PON1. Also minor amounts of esterases different than PON1 appeared in rabbit and cat. However, horses have a significant amount (around 1/3 of the total activity), and rat, guinea pig and duck have a predominance of other esterases in serum .
Two strategies have been recommended to reduce the effect of the non-specific activity of esterases different than PON1:
Data collection of readings should be made when the linear phase of the reaction starts, which usually occurs after some period of time. But it should not be done at zero time because it can lead to non-linear kinetics due to the activity of other esterases and overestimation of PON1 activity.
The measurements should be performed at pH not higher than 8.5 since albumin does not have esterase activity at these pHs .
Try to select the most appropriate substrate in terms of clinical sensitivity-specificity, less toxicity and less polymorphism influence. At this point much more works about clinical sensitivity-specificity of different substrates in different species and clinical situations, as well the influence of polymorphism in these substrates (with the potential development of two-substrate assays for evaluating possible polymorphisms) would be welcome.
Set up adequate conditions for enzymatic reactions to avoid situations that can negatively affect measurements such as: very high pHs, too high substrate concentrations, inadequate wavelengths, or measurement in the non linear phase or the reaction.
Possibly in the future, the use of assays that can directly quantify the amount of PON1 would provide additional information to the spectrophotometric assays, as occurs in humans. For example in metabolic syndrome the finding of unmodified PON1 protein concentration and decrease in PON1 activity supports that PON1 is inactivated by oxidized lipids .
We hope that the information provided in this review can contribute to a more accurate and safer measurements of PON1 in laboratories already measuring or that are planning to set-up this assay in the future. It could also help to a more homogenous measurement of this enzyme and therefore the possibility of comparing values between different laboratories; since it has been observed a high reproducibility of these assays at different laboratories using the same analytical conditions and standardized protocols . There is certainly a need of further studies in order to elucidate the role of PON1 in many clinical conditions related with oxidative stress and inflammation, as well its use of biomarker for diagnosis, monitoring and treatment of these diseases. And overall this review could encourage researchers to explore the wide areas of PON1 in veterinary medicine that are still unknown.
Financial support of the the Spanish Ministry of Economy and Competitiveness (AGL 2012–33612) is acknowledged. Also financial support was provided by the Program “Juan de la Cierva” of ‘Ministerio de Economia y Competitividad’, Spain, through a postdoctoral grant.
- Martinelli N, Consoli L, Girelli D, Grison E, Corrocher R, Olivieri O: Paraoxonases: ancient substrate hunters and their evolving role in ischemic heart disease. Adv Clin Chem. 2013, 59: 65-100.View ArticlePubMedGoogle Scholar
- Mackness MI, Arrol S, Durrington PN: Paraoxonase prevents accumulation of lipoperoxides in low-density lipoprotein. FEBS Lett. 1991, 286: 152-154. 10.1016/0014-5793(91)80962-3.View ArticlePubMedGoogle Scholar
- Draganov DI, Stetson PL, Watson CE, Billecke SS, La Du BN: Rabbit serum paraoxonase 3 (PON3) is a high density lipoprotein-associated lactonase and protects low density lipoprotein against oxidation. J Biol Chem. 2000, 43: 33435-33442.View ArticleGoogle Scholar
- Costa LG, Vitalone A, Cole T, Furlong C: Modulation of paraoxonase (PON1) activity. Biochem Pharmacol. 2005, 69: 541-550. 10.1016/j.bcp.2004.08.027.View ArticlePubMedGoogle Scholar
- Goswami B, Tayal D, Gupta N, Mallika V: Paraoxonase: a multifaceted biomolecule. Clin Chim Acta. 2009, 410: 1-12. 10.1016/j.cca.2009.09.025.View ArticlePubMedGoogle Scholar
- Camps J, Marsillach J, Joven J: The paraoxonase: role in human diseases and methodological difficulties in measurement. Crit Rev Clin Lab Sci. 2009, 46: 83-106. 10.1080/10408360802610878.View ArticlePubMedGoogle Scholar
- Furlong CE, Suzuki SM, Stevens RC, Marsillach J, Richter RJ, Jarvik GP, Checkoway H, Samii A, Costa LG, Griffith A, Roberts JW, Yearout D, Zabetian CP: Human PON1, a biomarker of risk of disease and exposure. Chem Biol Interact. 2010, 187: 355-361. 10.1016/j.cbi.2010.03.033.PubMed CentralView ArticlePubMedGoogle Scholar
- James RW: A long and winding road: defining the biological role and clinical importance of paraoxonases. Clin Chem Lab Med. 2007, 44: 1052-1059.Google Scholar
- Novak F, Vavrova L, Kodydkova J, Novak F, Hynkova M, Zak A, Novakova O: Decreased paraoxonase activity in critically ill patients with sepsis. Clin Exp Med. 2010, 10: 21-25. 10.1007/s10238-009-0059-8.View ArticlePubMedGoogle Scholar
- Mogarekar MR, Talekar SJ: Serum lactonase and arylesterase activities in alcoholic hepatitis and hepatitis B. Indian J Gastroenterol. 2013, 32: 307-310. 10.1007/s12664-013-0334-1.View ArticlePubMedGoogle Scholar
- Miyamoto T, Takahashi Y, Oohashi T, Sato K, Oikawa S: Bovine paraoxonase 1 activities in serum and distribution in lipoproteins. J Vet Med Sci. 2005, 67: 243-248. 10.1292/jvms.67.243.View ArticlePubMedGoogle Scholar
- Turk R, Juretić D, Geres D, Svetina A, Turk N, Flegar-Mestrić Z: Influence of oxidative stress and metabolic adaptation on PON1 activity and MDA level in transition dairy cows. Anim Reprod Sci. 2008, 108: 98-106. 10.1016/j.anireprosci.2007.07.012.View ArticlePubMedGoogle Scholar
- Motta S, Letellier C, Ropert M, Motta C, Thiébault JJ: Protecting effect of vitamin E supplementation on submaximal exercise-induced oxidative stress in sedentary dogs as assessed by erythrocyte membrane fluidity and paraoxonase-1 activity. Vet J. 2009, 181: 288-295. 10.1016/j.tvjl.2008.03.013.View ArticlePubMedGoogle Scholar
- Tvarijonaviciute A, Kocaturk M, Cansev M, Tecles F, Ceron JJ, Yilmaz Z: Serum butyrylcholinesterase and paraoxonase 1 in a canine model of endotoxemia: effects of choline administration. Res Vet Sci. 2012, 93: 668-674. 10.1016/j.rvsc.2011.09.010.View ArticlePubMedGoogle Scholar
- Tvarijonaviciute A, Ceron JJ, Holden SL, Morris PJ, Biourge V, German AJ: Effects of weight loss in obese cats on biochemical analytes related to inflammation and glucose homeostasis. Domest Anim Endocrinol. 2012, 42: 129-141. 10.1016/j.domaniend.2011.10.003.View ArticlePubMedGoogle Scholar
- Turk R, Habuš J, Flegar-Meštrić Z, Svetina A, Mojčec V, Perkov S, Belić M, Starešina V, Turk N: Serum platelet-activating factor acetylhydrolase and paraoxonase-1 activity in horses infected with Leptospira spp. Acta Trop. 2011, 118: 97-100. 10.1016/j.actatropica.2011.03.002.View ArticlePubMedGoogle Scholar
- Costa LG, Cole TB, Vitalone A, Furlong CE: Measurement of paraoxonase (PON1) status as a potential biomarker of susceptibility to organophosphate toxicity. Clin Chim Acta. 2005, 352: 37-47. 10.1016/j.cccn.2004.09.019.View ArticlePubMedGoogle Scholar
- Richter RJ, Jarvick GP, Furlong CE: Paraoxonase 1 (PON1) status and substrate hydrolysis. Toxicol Appl Pharmacol. 2009, 235: 1-9. 10.1016/j.taap.2008.11.001.PubMed CentralView ArticlePubMedGoogle Scholar
- Khersonsky O, Tawfik DS: Chromogenic and fluorogenic assays for the lactonase activity of serum paraoxonases. Chem Bio Chem. 2006, 7: 49-53. 10.1002/cbic.200500334.View ArticlePubMedGoogle Scholar
- Davies HG, Richter RJ, Keifer M, Broomfield CA, Sowalia J, Furlong CE: The effect of the human serum paraoxonase polymorphism is reversed with diazoxon, soman and sarin. Nat Genet. 1996, 14: 334-336. 10.1038/ng1196-334.View ArticlePubMedGoogle Scholar
- Teiber JF, Draganov DI, La Du B: Lactonase and lactonizing activities of human serum paraoxonase (PON1) and rabbit serum PON3. Biochem Pharmacol. 2003, 66: 887-896. 10.1016/S0006-2952(03)00401-5.View ArticlePubMedGoogle Scholar
- Mogarekar MR, Chawhan SS: The determination of Q192R polymorphism of paraoxonase 1 by using non-toxic substrate p-nitrophenyl acetate. Indian J Hum Genet. 2013, 19: 71-77. 10.4103/0971-6866.112897.PubMed CentralView ArticlePubMedGoogle Scholar
- Browne RW, Koury ST, Marion S, Wilding G, Muti P, Trevisan M: Accuracy and biological variation of human serum paraoxonase 1 activity and polymorphism (Q192R) by kinetic enzyme assay. Clin Chem. 2007, 53: 310-317.View ArticlePubMedGoogle Scholar
- Charlton-Menys V, Liu Y, Durrington P: Semiautomated method for determination of serum paraoxonase activity using paraoxon as substrate. Clin Chem. 2006, 52: 453-457. 10.1373/clinchem.2005.063412.View ArticlePubMedGoogle Scholar
- Liao F, Zhu X, Wang Y, Zhao Y, Zhu L, Zuo Y: Correlation of serum arylesterase activity on phenyl acetate estimated by the integrated method to common classical biochemical indexes of liver damage. J Zheijang University Sci B. 2007, 8: 237-241.View ArticleGoogle Scholar
- Dantoine T, Debord J, Charmes JP, Merle L, Marquet P, Lachatre G, Leroux-Robert C: Decrease of serum paraoxonase activity in chronic renal failure. J Am Soc Nephrol. 1998, 9: 2082-2088.PubMedGoogle Scholar
- Keskin M, Dolar E, Dirican M, Kiyici M, Ylmaz Y, Gurel S, Nak SG, Erdinc S, Gulten M: Baseline and salt-stimulated paraoxonase and aryesterase activities in patients with chronic liver disease: relation to disease activity. Inter Med J. 2009, 39: 243-248. 10.1111/j.1445-5994.2009.01793.x.View ArticleGoogle Scholar
- Roest M, van Himbergen TM, Barendrecht AB, Peeters PH, van der Schouw YT, Voorbij HA: Genetic and environmental determinants of the PON-1 phenotype. Eur J Clin Invest. 2007, 37: 187-196. 10.1111/j.1365-2362.2007.01769.x.View ArticlePubMedGoogle Scholar
- Smolen A, Eckerson H, Gan KN, Hailat N, La du B: Characteristics of the genetically determined allozymic forms of human serum paraoxonase/arylesterase. Drug Met Disp. 1991, 19: 107-112.Google Scholar
- Connelly PW, Maguire GF, Picardo CM, Teiber JF, Draganov D: Development of an immunoblot assay with infrared fluorescence to quantify paraoxonase 1 in serum and plasma. J Lipid Res. 2008, 49: 245-250. 10.1194/jlr.D700022-JLR200.View ArticlePubMedGoogle Scholar
- Kujiraoka T, Oka T, Ishihara M, Egashira T, Fujioka T, Saito E, Saito S, Miller NE, Hattori H: A sandwich enzyme-linked immunosorbent assay for human serum paraoxonase concentration. J Lipid Res. 2000, 41: 1358-1363.PubMedGoogle Scholar
- Marsillach J, Aragonès G, Beltrán R, Caballeria J, Pedro-Botet J, Morcillo-Suárez C, Navarro A, Joven J, Camps J: The measurement of the lactonase activity of paraoxonase-1 in the clinical evaluation of patients with chronic liver impairment. Clin Biochem. 2009, 42: 91-98. 10.1016/j.clinbiochem.2008.09.120.View ArticlePubMedGoogle Scholar
- Billecke S, Draganov D, Counsell R, Stetson P, Watson C, Hsu C, La Du BN: Human serum paraoxonase (PON1) isozymes Q and R hydrolyze lactones and cyclic carbonate esters. Drug Metab Dispos. 2000, 28: 1335-1342.PubMedGoogle Scholar
- Huen K, Ritcher R, Furlong C, Eskenazi B, Holland N: Validation of PON1 enzyme activity assays for longitudinal studies. Clin Chim Acta. 2009, 402: 67-74. 10.1016/j.cca.2008.12.019.PubMed CentralView ArticlePubMedGoogle Scholar
- Ferré N, Camps J, Cabré M, Paul A, Joven J: Hepatic paraoxonase activity alterations and free radical production in rats with experimental cirrhosis. Metabol. 2001, 50: 997-1000. 10.1053/meta.2001.25589.View ArticleGoogle Scholar
- Tomas M, Senti M, Garcia F, Vila J, Torrents A, Covas M, Marrugar J: Effect of simvastatin therapy on paraoxonase activity and related lipoproteins in familal hypercholesterolemic patients. Art Thrombosis Vasc Biol. 2000, 20: 2113-2119. 10.1161/01.ATV.20.9.2113.View ArticleGoogle Scholar
- Costa LG, Giordano G, Furlong CE: Pharmacological and dietary modulators of paraoxonase 1 (PON1) activity and expression: the hunt goes on. Biochem Pharmacol. 2011, 81: 337-344. 10.1016/j.bcp.2010.11.008.PubMed CentralView ArticlePubMedGoogle Scholar
- Watson CE, Draganow DI, Billecke SS, Bisgaier CL, La Du BN: Rabbits possess a serum paraoxonase polymorphism similar to the human Q192R. Pharmacogen. 2001, 11: 123-124. 10.1097/00008571-200103000-00003.View ArticleGoogle Scholar
- Augustinson KB, Olsson B: Genetic control of arylesterase in the pig. Hereditas. 1961, 47: 1-22.View ArticleGoogle Scholar
- Augustinson KB, Olsson B: Esterases in the milk and blood plasma of swine. Activities at different stages during the lactation and suckling periods and plasma arylesterase as a gene-controlled enzyme. Biochem J. 1959, 71: 484-492.View ArticleGoogle Scholar
- Augustinson KB: Arylesterases. J. Histochem Cytochem. 1964, 12: 744-747. 10.1177/12.10.744.View ArticleGoogle Scholar
- Mackness MI, Arrol S, Durrington P: Substrate specificity of human serum paraoxonase. Biochem Soc Trans. 1991, 19: 304S.View ArticlePubMedGoogle Scholar
- Li WF, Costa LG, Richter RJ, Hagen T, Shih DM, Tward A, Lusis AJ, Furlong CE: Catalytic efficiency determines the in-vivo efficacy of PON1 for detoxifying organophosphorus compounds. Pharmacogenetics. 2000, 10: 767-779. 10.1097/00008571-200012000-00002.View ArticlePubMedGoogle Scholar
- Loscalzo J: Paraoxonase and coronary heart disease risk. Language misleads, linkage misinforms, function clarifies. Circul Cardiov Gen. 2008, 1: 79-80. 10.1161/CIRCGENETICS.108.837179.View ArticleGoogle Scholar
- Aldridge WN: Serum esterases II. An enzyme hydrolysing dietil p-nitrophenyl acetate (E600) and its identity with the A-esterase of mammaliam sera. Biochem J. 1953, 53: 117-124.PubMed CentralView ArticlePubMedGoogle Scholar
- Main AR: The differentiation of the A-type esterases in sheep serum. Biochem J. 1960, 75: 188-195.PubMed CentralView ArticlePubMedGoogle Scholar
- Augustinson KB, Olsson B: Esterases in the milk and blood plasma of swine. Substrate specificity and electrophoresis studies. Biochem J. 1959, 71: 477-484.View ArticleGoogle Scholar
- Tvarijonaviciute A, Tecles F, Caldin M, Tasca S, Ceron JJ: Validation of spectrophotometric assays for serum paraoxonase type-1 measurement in dogs. Am J Vet Res. 2012, 73: 34-41. 10.2460/ajvr.73.1.34.View ArticlePubMedGoogle Scholar
- Bahar FG, Ohura K, Ogihara T, Imai T: Species differences of esterase expression and hydrolase activity in plasma. J Pharm Sci. 2012, 101: 10-10.1002/jps.22756.View ArticleGoogle Scholar
- Kotani K, Sakane N, Sano Y: Changes on the physiological lactonase activity of serum paraoxonase 1 by a diet intervention for weight loss in healthy overweight and obese women. J Clin Biochem Nutr. 2009, 45: 329-334. 10.3164/jcbn.09-26.PubMed CentralView ArticlePubMedGoogle Scholar
- Farid AS, Honkawa K, Fath EM, Nonaka N, Horii Y: Serum paraoxonase-1 as biomarker for improved diagnosis of fatty liver in dairy cows. BMC Vet Res. 2013, 9: 73-10.1186/1746-6148-9-73.PubMed CentralView ArticlePubMedGoogle Scholar
- Khersonsky O, Tawfil DS: The histidine 115-histidone 134 dyad mediates the lactonase activity of mammalian serum paraoxonases. J Biol Chem. 2006, 281: 7649-7656. 10.1074/jbc.M512594200.View ArticlePubMedGoogle Scholar
- Parra S, Marsillach J, Aragones G, Rull A, Beltran R, Alonso C, Joven J, Camps J: Methodological constraints in interpreting serum paraoxonase-1 activity measurements: an example from a study in HIV- infected patients. Lipids Health Dis. 2010, 9: 32-36. 10.1186/1476-511X-9-32.PubMed CentralView ArticlePubMedGoogle Scholar
- Ferré N, Feliu A, García-Heredia A, Marsillach J, París N, Zaragoza-Jordana M, Mackness B, Mackness M, Escribano J, Closa-Monasterolo R, Joven J, Camps J: Impaired paraoxonase-1 status in obese children. Relationships with insulin resistance and metabolic syndrome. Clin Biochem. in press; 2013.Google Scholar
- Furlong CE, Ritcher RJ, Seidel SL, Motulsky AG: Role of genetic polymorphism of human plasma paraoxonase/aryleserase in hydrolysis of the insecticide metabolitos chlorpyrifos oxon and paraoxon. Am J Hum Gen. 1988, 43: 230-238.Google Scholar
- Mu X, Yu N, Wang C, Zou X, Albulimite A, Xia Z: Evaluation of a new substrate for measurement of serum PON arylesterase activity. Talanta. 2012, 15: 711-716.View ArticleGoogle Scholar
- Main AR: The purification of the enzyme hydrolysing diethyl p-nitrophenil phosphate (paraoxon) in sheep serum. Biochem J. 1960, 74: 10-20.PubMed CentralView ArticlePubMedGoogle Scholar
- Golmanesh L, Mehrani H, Tabei M: Simple procedures for purification and stabilization of human serum paraoxonase-1. J Biochem Biophys Methods. 2008, 70: 1037-1042. 10.1016/j.jbbm.2007.09.003.View ArticlePubMedGoogle Scholar
- Brushia RJ, Forte TM, Oda MN, LaDu NB, Bielicki JK: Baculovirus-mediated expression and purification of human serum paraoxonase 1A. J Lipid Res. 2001, 42: 951-958.PubMedGoogle Scholar
- Khersonsky O, Tawfil DS: Structure-reactivity studies of serum paraoxonase PON1 suggest that its native activity is lactonase. Biochem. 2005, 44: 6371-6382. 10.1021/bi047440d.View ArticleGoogle Scholar
- Furlong CE, Ritcher RJ, Seidel S, Costa L, Motulsky A: Spectrophotometric assays for the enzymatic hydrolysis of the active metabolites of chlropyrifos and parathion by plasma paraoxonase/arylesterase. Anal Biochem. 1989, 180: 242-247. 10.1016/0003-2697(89)90424-7.View ArticlePubMedGoogle Scholar
- Haagen L, Brock A: A new automated method for phenotyping arylesterase (EC 220.127.116.11) based upon inhibition of enzymatic hydrolysis of 4-nitrophenyl acetate by phenyl acetate. Europ J Clin Chem Clinical Biochem. 1992, 30: 391-395.Google Scholar
- Kuo CL, La Du BN: Comparsion of purified human and rabbit serum paraoxonases. Drug Metab Dispos. 1995, 23: 935-944.PubMedGoogle Scholar
- Eckerson HW, Wyte CM, La Du B: The human serum paraoxonase/arylesterase polymorphism. Am J Hum Genet. 1983, 35: 1126-1138.PubMed CentralPubMedGoogle Scholar
- Junge W, Klees H: 1,2-Arylesterase. Methods Enzym Anal. 1984, 4: 8-14.Google Scholar
- Mackness M, Mackness B: Effect of dilution on high-density lipoprotein associated paraoxonase-1 activity. Clin Biochem. 2011, 44: 1270-1271. 10.1016/j.clinbiochem.2011.08.002.View ArticlePubMedGoogle Scholar
- Nakanishi M, Takanami Y, Maruyama T, Murata M, Motohashi Y, Nakano S, Uchida K, Maruyama C, Kyotani S, Tsushima M: The ration of serum paraoxonase /arylesterase activity using an improved assay for arylesterase activity to discriminate PON1R192 from PO1Q192. J Ather Thromb. 2003, 10: 337-342. 10.5551/jat.10.337.View ArticleGoogle Scholar
- Erdos EG, Boggs LE: Hydrolysis of paraoxon in mammalian blood. Nature. 1961, 190: 716-10.1038/190716a0.View ArticlePubMedGoogle Scholar
- Mackness I: Why plasma should not be used to study paraoxonase?. Atherosclerosis. 1998, 136: 195-196. 10.1016/S0021-9150(97)00197-4.View ArticlePubMedGoogle Scholar
- Aldridge WN: Enzymes Hydrolysing Organophosphorous Compounds. 1st edition. Edited by: Reiner E, Aldridge WN, Hoskin FCG. Chichester: Ellis Horwood; 1989.Google Scholar
- Ferré N, Camps J, Marsillach J, Mackness B, Mackness M, Coll B, Tous M, Joven J: Comparison of paraoxonase 1 measurements in serum and in lithium-heparin anticoagulated plasma samples. Clin Chem. 2005, 51: 922-923. 10.1373/clinchem.2005.048231.View ArticlePubMedGoogle Scholar
- Cerón JJ, Martínez-Subiela S, Hennemann C, Tecles F: The effects of different anticoagulants on routine canine plasma biochemistry. Vet J. 2004, 167: 294-301. 10.1016/j.tvjl.2003.09.009.View ArticlePubMedGoogle Scholar
- Li B, Sedlacek M, Manoharan I, Boopathy R, Duysen EG, Masson P, Lockridge O: Butyrylcholinesterase, paraoxonase, and albumin esterase, but not carboxylesterase, are present in human plasma. Biochem Pharmacol. 2005, 70: 1673-1684. 10.1016/j.bcp.2005.09.002.View ArticlePubMedGoogle Scholar
- Anderson J, Byrne T, Woelfel KJ, Meany JE, Spyridis GT, Pocker Y: The hydrolysis of p-nitrophenyl acetate: a versatile reaction to study enzyme kinetics. J Chem Educ. 1994, 71: 715-718. 10.1021/ed071p715.View ArticleGoogle Scholar
- Sterling D, Reithmeier RA, Casey JR: Carbonic anhydrase: in the driver’s seat for bicarbonate transport. JOP. 2001, 2: 165-170.PubMedGoogle Scholar
- Unal E, Uzun H, Kusaslan R, Dogan M, Genc H, Gunes P, Titiz I: Serum paraoxonase (a high-density lipoprotein-associated lipophilic antioxidant) activity and lipid profile in experimental acute pancreatitis. Pancreas. 2005, 31: 84-87. 10.1097/01.mpa.0000168227.74203.e4.View ArticlePubMedGoogle Scholar
- Franco-Pons N, Marsillach J, Joven J, Camps J, Closa D: Serum paraoxonase undergoes inhibition and proteolysis during experimental acute pancreatitis. J Gast Sur. 2008, 12: 891-899. 10.1007/s11605-008-0502-2.View ArticleGoogle Scholar
- McElveen J, Mackness MI, Colley CM, Peard T, Warner S, Walker CH: Distribution of paraoxon hydrolytic activity in the serum of patients after myocardial infarction. Clin Chem. 1986, 32: 671-673.PubMedGoogle Scholar
- Chapuis N, Brühlmann C, Reist M, Carrupt PA, Mayer JM, Testa B: The esterase-like activity of serum albumin may be due to cholinesterase contamination. Pharm Res. 2001, 18: 1435-1439. 10.1023/A:1012204906502.View ArticlePubMedGoogle Scholar
- Koitka M, Hochel J, Gieschen H, Borchert H: Improving the ex vivo stability of drug ester compounds in rat and dog serum: inhibition of the specific esterases and implications on their identity. J Pharm Biomed Anal. 2010, 51: 664-678. 10.1016/j.jpba.2009.09.023.View ArticlePubMedGoogle Scholar
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