Simultaneous Measurement of Plasma Concentrations of Proinsulin and C-Peptide and Their Ratio with a Trefoil-Type Time-Resolved Fluorescence Immunoassay
| Autor: | Evilien Vekens, Ilse Vermeulen, I. Truyen, Pieter De Pauw, Daniel Pipeleers, Farah T. van Genderen, Ogonnaya C. Ubani, Frans Gorus, Joeri W. De Grijse, Chris Van Schravendijk |
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| Přispěvatelé: | Pathology/molecular and cellular medicine, Medical Biochemistry, Faculty of Medicine and Pharmacy, Pathologic Biochemistry and Physiology |
| Rok vydání: | 2008 |
| Předmět: |
Heterophile
Endocrinology Diabetes and Metabolism Clinical Biochemistry Prohormone Fluorescent Antibody Technique Peptide Peptide hormone digestive system chemistry.chemical_compound medicine Humans Multiplex Autoantibodies Proinsulin chemistry.chemical_classification Chromatography C-Peptide medicine.diagnostic_test C-peptide Biochemistry (medical) Antibodies Monoclonal Proinsulin/blood Diabetes Mellitus Type 1 chemistry Biochemistry Immunoassay C-Peptide/blood Diabetes Mellitus Type 1/diagnosis Autoantibodies/blood medicine.drug |
| Zdroj: | Clinical Chemistry. 54:1990-1998 |
| ISSN: | 1530-8561 0009-9147 |
| DOI: | 10.1373/clinchem.2008.109710 |
| Popis: | Background: When the concentrations of 2 or more substances are measured separately, their molar ratios are subject to the additive imprecisions of the different assays. We hypothesized that the cumulative error for concentration ratios of peptides containing a common sequence might be minimized by measuring the peptides simultaneously with a “trefoil-type” immunoassay. Methods: As a model of this approach, we developed a dual-label time-resolved fluorescence immunoassay (TRFIA) to simultaneously measure proinsulin, C-peptide, and the proinsulin–C-peptide ratio (PI/C). A monoclonal antibody captures all C-peptide–containing molecules, and 2 differently labeled antibodies distinguish between proinsulin-like molecules and true C-peptide. Results: The trefoil-type TRFIA was capable of measuring plasma C-peptide and proinsulin simultaneously without mutual interference at limits of quantification of 48 and 8125 pmol/L, and 2.1 and 197 pmol/L, respectively. Within-laboratory imprecision values for the trefoil-type TRFIA ranged between 8.4% and 12% for the hormone concentrations. Unlike the hormone results obtained with separate assays, imprecision did not increase when PI/C was calculated from trefoil assay results (P < 0.05). Peptide concentrations were highly correlated with results obtained in individual comparison assays (r2 ≥ 0.965; P < 0.0001). The total error for PI/C obtained with the trefoil-type TRFIA remained ≤25% over a broader C-peptide range than with separate hormone assays (79–7200 pmol/L vs 590–4300 pmol/L C-peptide). Preliminary data indicate little or no interference by heterophile antibodies. Conclusions: The developed trefoil-type TRFIA is a reliable method for simultaneous measurement of proinsulin, C-peptide, and PI/C and provides proof of principle for the development of other trefoil-type multiple-label immunoassays. |
| Databáze: | OpenAIRE |
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