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Bacterial Endotoxins Testing

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USP 85 – Bacterial Endotoxin Test (BET)

USP 85 Bacterial Endotoxins Test (BET) which is commonly known as the LAL test is a very important assay for detecting endotoxins to ensure the safety of pharma products and medical equipment. Endotoxins are part of the outer membrane of the cell wall of Gram-negative bacteria. They are released when the bacteria disintegrate or during bacterial growth. Despite sterilization processes that kill bacteria, endotoxins can remain and pose a risk if not adequately tested and quantified. The presence of endotoxins in medical products can also elicit a strong immune response in humans. 

BET is essential because it guarantees that products meant for human use do not contain lethal concentrations of endotoxins, which cause health problems such as fever, septic shock, and other major problems.

Test methodology

The testing methodology of the USP <85> entails the use of Limulus Amebocyte Lysate (LAL), which is extracted from the blood cells of the horseshoe crab, Limulus polyphemus. This lysate is endotoxin-sensitive and forms the basis of the test techniques detailed below.

Gel-clot technique

The gel-clot technique is a qualitative method where the LAL reagent reacts with endotoxins to form a firm gel. This indicates the presence of endotoxins at or above the threshold level.

Photometric techniques

Photometric methods are quantitative and include two main types:

  • Turbidimetric

Measures change in the turbidity (cloudiness) of the solution as endotoxins react with the LAL

  • Chromogenic

Involves a color change that occurs when a chromophore-linked peptide is cleaved by the reaction between LAL and endotoxins.

Applications and importance of USP 85 testing

Bacterial endotoxin testing is an essential component in monitoring the quality as well as safety of manufactured products such as pharmaceuticals and medical devices.  Here’s a detailed look at the various applications and why this testing is indispensable.

Injectable pharmaceuticals

In the case of injectable drugs, whether vaccines or biologics, endotoxins can cause severe immunologic reactions. The USP 85 test ensures that these products are not contaminated with endotoxins that cause side effects such as fever, inflammation or even septic shock in individuals.

Medical devices

Medical devices that have direct or indirect contact with the cardiovascular system, central nervous system, or those devices that are implantable must undergo very strict endotoxin testing. This entails products like catheters, stents, and implants. BET makes certain that these devices will not trigger an immune response that will result in the development of complications or device rejection.

Intravenous solutions

The fluids to be administered intravenously have to be endotoxin-free to prevent pyrogenic reactions in patients.

Surgical and procedural kits

Products used in performing medical procedures or surgeries may have parts which come into contact with body tissues. These materials must be carefully checked for endotoxins since postoperative infections and complications due to endotoxins are extremely dangerous.

Ophthalmic products

Products used in ophthalmology such as eye drops and contact lens solutions require the endotoxin level to be very low since the eye is sensitive and prone to infection. Endotoxin testing of these products is useful in reducing incidences of eye injuries including irritation and other severe eye complications.

Transdermal patches

Transdermal drug delivery systems deliver medication through the skin. As these patches are an entryway to blood, it becomes necessary to screen for endotoxins in order to prevent skin reactions and systemic toxicity.

Dialysis equipment

In the case of patients on dialysis, it is important that all equipment employed is endotoxin free particularly the dialysate and other fluids. Endotoxins may cause adverse effects including fever and hypotension and these are potentially fatal in renal patients.

Biotechnology products

Biotechnological products, especially those produced using bacterial cultures, may be prone to endotoxin contamination. USP 85 testing is vital to ensure that these products, which include enzymes and recombinant proteins, are safe for human use.

Being one of the most renowned testing labs for USP 85, we offer a range of testing services to guarantee optimal safety of drugs and medical devices. Our laboratories are well-equipped to ensure efficiency, accuracy and timely production of test results.

Our state-of-the-art laboratories are equipped with advanced technology to ensure accurate and reproducible results within the designated time frame.

If you are looking to ensure your products meet the rigorous standards for endotoxin contamination, contact MIS today to learn more about our Bacterial Endotoxin Testing services and how we can assist you in maintaining the highest quality and safety standards in your product offerings

FAQs

USP 85 provides methods for the detection and quantification of endotoxin contamination in pharmaceutical products, medical devices, and similar materials. In USP 85, product samples are screened for endotoxins by using Limulus Amebocyte Lysate (LAL) test. LAL test can be performed using three techniques: Gel-clot, Turbidimetric, and Chromogenic Standard Endotoxin Stock Solution.

USP 85 test is applicable to test medical devices, intravenous solutions, opthalmic products, injectable medications and other biological products.

It takes 3-4 weeks to complete the USP 85 test.

Endotoxin testing is a laboratory method employed in the identification and quantification of endotoxins that are derived from the cell walls of gram-negative bacteria, specifically lipopolysaccharides. The main objective of endotoxin testing is to ensure that the product does not contain any toxic levels of endotoxin that will harm the patient.

The Bacterial Endotoxin Test (BET) or Limulus Amebocyte Lysate (LAL) test is a routine assay that measures the endotoxins. The test employs the principle that the blood of horseshoe crabs coagulates when endotoxins are present. There are three main types of LAL tests: gel-clot, turbidimetric and chromogenic methods.

Endotoxin testing plays a vital role in eliminating the risks of use of contaminated pharmaceuticals, medical devices, and biologics. Endotoxins can act as pyrogens, which are agents that can induce fever, shock, and even death if administered into the human body through injectable medications, intravenous solutions or implantable medical devices. Testing helps manufacturers to effectively eliminate contaminated products from the market.

Endotoxin refers to a toxic substance that is present in the outer membrane of gram-negative bacteria. From the chemical point of view, endotoxins are lipopolysaccharides (LPS) containing lipid A moiety that produces a toxic effect and a polysaccharide chain. Endotoxins are known to incite strong responses from the body’s immune system when they circulate in the bloodstream or infiltrate tissues and can cause fever, inflammation, septic shock, and sometimes death.

Endotoxin testing becomes mandatory during manufacturing and quality control of products, which come in contact with blood circulation or are intravenously administered, be it a pharmaceutical product, a medical device, or a biologic product, etc. Products like dialysis solutions, surgical implants, as well as other sterile medical products, must also guarantee that their endotoxin levels do not go over a particular threshold.

One of the most common methods employed in the quantification of endotoxins in a particular sample is through the use of the turbidimetric method. In this test, the endotoxins cause a reaction, which leads to turbidity or cloudiness of the solution. The level of turbidity increases with the concentration of endotoxin and is determined through spectrophotometer value.

Endotoxin contamination is never acceptable in injectable medications due to possible severe adverse effects in patients. Endotoxins are capable of eliciting fever, chills, septic shock, as well as other fatal consequences if injected into the bloodstream. Quality control acceptance and regulatory compliance can only be accomplished when injectable medications are free from endotoxin.

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