Figure 6 provides an overview of the DIO1‑SK assay workflow and the key standardization steps required to successfully establish the method in a laboratory. The workflow (Figure 6A) summarizes the sequential phases of the assay, including the use of human liver microsomes, incubation with test items and controls, iodide extraction via ion‑exchange separation, and the colorimetric iodide quantification using the Sandell–Kolthoff (SK) reaction. Figure 6B highlights the standardization strategy that underpins robust performance and valid results, including (i) standardization of the SK reaction, (ii) batch‑specific microsome activity testing, (iii) solubility assessment and interference testing, (iv) a range‑finding assay, and (v) adjustment of test item concentrations based on the first valid assay run.
A central element of this strategy is batch‑specific microsomal activity testing, because human liver microsome batches can differ substantially in their rT3 deiodination activity, necessitating the determination of an appropriate enzyme concentration for each new batch prior to routine substance testing.
This staged testing strategy is critical for implementation: only after the assay’s baseline performance (controls, SK reaction behavior, and microsome activity) is verified and the assay conditions are standardized can substance testing be expected to yield valid, interpretable inhibition profiles.

Figure 6: DIO1 SK assay workflow and standardization steps. (A) The workflow illustrates the usage of human liver microsomes, setup of the 96-well plate, incubation with test items and controls, iodide extraction, and colorimetric quantification via the SK reaction. Each step is depicted sequentially to highlight the main phases of the assay. (B) The standardization steps include standardization of the Sandell-Kolthoff reaction, batch-specific microsome activity testing, solubility assessment and interference testing, range finding assay, and adjustment of test item concentrations based on the first valid assay run. Please click here to view a larger version of this figure.
Building on the workflow and standardization framework shown in Figure 6, Figure 7 illustrates how laboratories determine an appropriate microsomal protein concentration (and post‑ion‑exchange dilution) to achieve a sufficient dynamic range while maintaining a sigmoidal inhibition response for the reference inhibitor. In Figure 7A, ΔOD21min‑BG increases with increasing microsomal protein and depends on the post‑ion‑exchange dilution (undiluted, 1:2, 1:4). The dilution that yields the highest ΔOD21min‑BG while maintaining a sigmoidal response is selected for subsequent experiments (example shown: 1:2 dilution). In Figure 7B, 6‑PTU inhibition curves are compared across microsomal protein amounts to identify the lowest protein concentration that still yields a sigmoidal curve (example shown: 5 µg of protein/well), thereby balancing sensitivity with background.
Importantly, this optimization step must be performed by each laboratory when implementing the method, because the required protein concentration depends on the activity of the microsome batch used, necessitating batch‑specific standardization of enzyme concentration.

Figure 7: Microsomal activity and inhibition by 6-PTU. (A) The graph shows the increase in activity as the background (BG)‑corrected Sandell-Kolthoff signal (ΔOD21 min n- BG) with increasing amounts of microsomal protein per well (log10[µg protein/well]), tested at undiluted, 1:2, and 1:4 dilutions. The highest dilution with the highest ΔOD21 min– BG value, as well as with a sigmoidal shape, will be used for future experiments. In this case, it is the 1:2 dilution. (B) Concentration–response curve of the reference inhibitor 6‑propyl‑2‑thiouracil (6‑PTU) showing iodide release activity (IRA in %) plotted against log10[concentration (M)] at different microsomal protein loads (5, 7.5, and 10 µg protein/well). IRA values are normalized to the solvent control. Data points of both graphs represent mean ± SD of three technical replicates (wells) per condition from one representative microsome activity test. Curves were fitted by nonlinear regression using a four‑parameter logistic (“variable slope”) model (inhibitor vs. response). The smallest protein concentration with a sigmoidal curve will be used for future experiments; in this case, 5 µg/well. Please click here to view a larger version of this figure.
Once the workflow and standardization steps (Figure 6) have been completed and an appropriate microsomal protein concentration has been established for the selected microsome batch (Figure 7), the core assay parameters are in place to proceed with routine substance testing. At this stage, test items can be evaluated alongside the plate control set (reference item, solvent control, and positive/negative controls) in the standardized plate format, enabling robust normalization and consistent interpretation of inhibition profiles.
Figure 8 demonstrates assay discrimination based on concentration–response behavior in iodide release activity (IRA). The reference inhibitor 6-PTU (Figure 8A) shows a concentration-dependent decrease in IRA, providing the expected sigmoidal inhibition profile, as expected for assay performance verification. Tannic acid (Figure 8B) displays an inhibitory profile that is comparable to the reference inhibitor (maximum inhibition > 90%) under the shown conditions. The three highest concentrations of the test substance exhibited negative IRA values. IRA values <0 % do not reflect a biologically meaningful ‘negative iodide release’ but arise from the calculation procedure (background subtraction and normalization to the solvent control), which can propagate small fluctuations in the solvent control into negative normalized values. Accordingly, IRA values below 0% are considered equivalent to 0% (baseline) for result interpretation. Dibutylphthalate (Figure 8C) exhibits no inhibition (max. inhibition below 25%) across the tested concentration range, representing a non‑inhibitor profile. Together, these profiles illustrate that the assay can differentiate inhibitory from non‑inhibitory behavior under standardized conditions. The test system can also identify partial inhibitors, which show maximum inhibition levels between 25% and 90% (data not shown). Further details about how these are categorized can be found in Table 5.

Figure 8: Dose-response behavior of the DIO1–SK assay distinguishes inhibitors from non‑inhibitors. Dose–response curves show iodide release activity (IRA in %) plotted against log10 concentration (M) for (A) the reference inhibitor 6‑PTU, (B) a representative inhibitor (tannic acid), and (C) a representative non‑inhibitor (dibutyl phthalate). IRA values were calculated after background subtraction and normalized to the solvent control. Symbols represent mean ± SD (n = 3) from one independent experiment, each performed with three technical replicates (wells) per concentration. Curves were fitted by nonlinear regression using a four‑parameter logistic (“variable slope”) model (inhibitor vs. response). IRA values below 0% are considered equivalent to 0% (baseline) for result interpretation. These data demonstrate that the assay yields a sigmoidal inhibition profile for the reference inhibitor and can confirm whether a concentration-response curve is inhibitory or non-inhibitory under standardized conditions. Please click here to view a larger version of this figure.
In a valid assay run, solvent controls (SC) show a clear ΔOD21min signal separation from the fully inhibited reference condition (6‑PTU, RI‑C8). In an example dataset (10 independent runs), each plate included n = 9 technical replicates for SC and the fully inhibited reference (6‑PTU at 10−3 M). Across plates, the plate‑mean SC ΔOD21min values ranged from 1.383 to 1.819 (mean ± SD: 1.565 ± 0.114), whereas the plate‑mean ΔOD21min values for the inhibited 6‑PTU condition ranged from 0.258 to 0.771 (mean ± SD: 0.473 ± 0.087). The calculation of ΔOD in this assay is based on the difference between OD0min and OD21min, and assay validity is commonly supported by a z′‑factor threshold of >0.5.
Across 10 independent assay runs, 6‑PTU produced a sigmoidal concentration-response curve with IC50 values ranging 1.20E-06 M to 5.02E-06 M (mean ± SD: 2.74E-06 M ± 1.13E-06 M). The acceptance criteria for the IC50 values in the reference range of 1.00E-06 to 1.00E-05 are based on data from previous validation studies. However, the IC50 values are significantly affected by the specific microsome batch used and may exhibit considerable variability. Nonetheless, these variations are expected to remain within the same order of magnitude.
Assay quality can be summarized using the z′‑factor, which reflects both the signal window and the variability of the controls. In the described dataset, six reference curves were associated with z′‑factors ranging from 0.544 to 0.774 (mean ± SD: 0.658 ± 0.062), consistent with the commonly used acceptance target of z′ > 0.5.
In practice, suboptimal runs can be identified by deviations in assay background and/or failure to meet predefined acceptance criteria. For example, a high background in the Sandell-Kolthoff reaction is indicated when the pure diH₂O blank shows ΔOD > 0.3, which warrants investigation (e.g., reagent contamination or water quality issues). Such background increases can reduce the assay’s dynamic range and elevate control variability, thereby contributing to failed acceptance criteria, including a z′‑factor below 0.5. Wells showing obvious technical artifacts (e.g., precipitation or abnormal discoloration) are excluded as outliers from evaluation. Outliers determined via boxplot outlier testing are also excluded. If acceptance criteria are not met after removing the outliers, the assay run is considered non‑valid and must be repeated.
| Reagent/Buffer | Information of preparation |
| Acidic ammonium cerium solution (40 mM (NH4)4Ce(SO4)4*2H2O, 0.5 M H2SO4) (250 mL) | Add 6.32 g of (NH4)4Ce(SO4)4*2H2O and 125 mL of diH2O to a 250 mL volumetric flask. Add 125 mL 1 M H2SO4 to reach a final volume of 250 mL. Store at room temperature up to 6 months. |
| DTT (Aliquots of 1 M) | Aliquot a prepared or supplied 1 M DTT solution in H2O as 0.5 mL aliquots into 1.5 mL microcentrifuge tubes and store at -20°C for up to 6 months. |
| HEPES (50 mM) / EDTA (2.16 mM) buffer (pH 7.0) | Using a 250 mL volumetric flask, add 12.5 mL 1 M HEPES solution, 201 mg Ethylenediaminetetraacetic acid (EDTA) and fill up to 250 mL with diH2O. Store at 4°C for up to 3 months. |
| rT3 Solution (“substrate mix tubes”) | Dissolve rT3 in DMSO to a final concentration of 6 mM, aliquot them in 10 μL portions in 15 mL centrifuge tubes and store them at -20°C for up to 6 months. |
| Sodium arsenite solution (25 mM NaAsO2, 0.8 M NaCl, 0.5 M H2SO4) (250 ml) | Add 0.81 g of NaAsO2, 11.7 g of NaCl and 125 mL of diH2O to a 250 mL volumetric flask. Add 125 mL 1 M H2SO4 to reach a final volume of 250 mL. Store at room temperature up to 6 months. |
Table 1: Preparation of buffers and reagents. This table details the preparation steps and storage instructions for all buffers and stock solutions used in the DIO1 SK assay, including HEPES/EDTA buffer, DTT, rT3 solution, acidic ammonium cerium solution, and sodium arsenite solution.
| Name of the reference item dilution | Reference item dilution concentration [M] | 10% DMSO [µL] | Reference item | Final concentration of reference item in the assay [M] |
| RI-C8 | 1.00E-02 | 450 | 50 µL of 10-1 M reference item stock solution | 1.00E-03 |
| RI-C7 | 1.00E-03 | 450 | 50 µL of RI-C8 | 1.00E-04 |
| RI-C6 | 1.00E-04 | 450 | 50 µL of RI-C7 | 1.00E-05 |
| RI-C5 | 3.16E-05 | 342 | 158 µL of RI-C6 | 3.16E-06 |
| RI-C4 | 1.00E-05 | 450 | 50 µL of RI-C6 | 1.00E-06 |
| RI-C3 | 3.16E-06 | 450 | 50 µL of RI-C5 | 3.16E-07 |
| RI-C2 | 1.00E-06 | 450 | 50 µL of RI-C4 | 1.00E-07 |
| RI-C1 | 1.00E-07 | 450 | 50 µL of RI-C2 | 1.00E-08 |
Table 2: Preparation of reference item dilutions. This table summarizes the preparation of serial dilutions for the reference item (6-PTU), including concentrations, volumes of DMSO, and final concentrations used in the assay.
| Microsome per well [µg] | diH2O [µL] | Microsome dilution [µL] | Final enzyme concentration in the assay [µg/mL] |
| 20 | 780 | 20 µL of 20 mg/mL microsome stock solution | 200 |
| 10 | 400 | 400 µL of 20 µg microsome per well dilution | 100 |
| 5 | 400 | 400 µL of 10 µg microsome per well dilution | 50 |
| 2.5 | 400 | 400 µL of 5 µg microsome per well dilution | 25 |
| 1.25 | 400 | 400 µL of 2.5 µg microsome per well dilution | 12.5 |
| 0.68 | 400 | 400 µL of 1.25 µg microsome per well dilution | 6.8 |
Table 3: Preparation of microsome dilutions. This table provides the dilution scheme for microsomal protein per well, including the required volumes of diH₂O and microsome stock solution to achieve the final microsomal protein concentrations for the assay.
| Acceptance criteria | Suggested cut-off value |
| Numeric | |
| IC50 of reference item [M] | 1*10-05 - 1*10-06 |
| CV of log IC50 estimate of reference item [%] | < 3 |
| IRA negative control [%] | 80 - 120 |
| IRA positive control [%] | < 20 |
| z’-Factor | > 0.5 |
| Binary | |
| Shape of reference item (sigmoidal?) | yes |
| The final concentration-response curve of the reference item is composed of minimum six concentrations from three replicates | yes |
| The final concentration-response curve of the test item is composed of minimum six concentrations from three replicates | yes |
Table 4: Acceptance criteria for DIO1 SK assay. This table lists the acceptance criteria for assay validity such as IC₅₀ range, coefficient of variation, IRA values for controls, z’-factor, and requirements for concentration-response curves. The acceptance windows were derived from previously reported DIO1‑SK validation studies6, including a reproducibility assessment based on five independent runs that informed the reference IC₅₀ window. In an example dataset of 10 independent runs, z′‑factor performance ranged from 0.544 to 0.774 (mean ± SD: 0.658 ± 0.062), supporting the z′ acceptance threshold used here.
| Category (by efficacy) | Subcategory (by potency) | Inhibition activity | Threshold |
| Category 1: full inhibitor | A: Potent full inhibitor | Fully inhibits DIO1 activity at a concentration comparable to the reference item 6-PTU | Max. inhibition greater 90% and IC50 at or below upper range IC50 of 6-PTU |
| B: Weak full inhibitor | Fully inhibits DIO1 activity at higher concentrations than the reference item 6-PTU | Max. inhibition greater 90% and IC50 above upper range IC50 of 6-PTU |
| Category 2: partial inhibitor | - | No full inhibition, but greater than negative and solvent control | Max. inhibition between 25% and 90% |
| Category 3: not inhibitor | - | Does not inhibit DIO1 (same as negative and solvent control) | Max inhibition below 25% |
Table 5: Classification of test items based on DIO1 inhibition potency and efficacy. Test items are categorized into three efficacy groups (full, partial, or non-inhibitor) based on their maximum inhibition of DIO1 activity. Full inhibitors are further subcategorized by potency, depending on their IC₅₀ relative to the reference item 6-PTU.