Development and validation of an ELISA for a biomarker of thyroid dysfunction, thyroid peroxidase autoantibodies (TPO-Ab), in dried blood spots

Autor: J. Josh Snodgrass, Tara J Cepon-Robins, Maureen J. Devlin, Larry S. Sugiyama, Geeta N. Eick, Paul Kowal
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Physiology
lcsh:GN49-298
medicine.disease_cause
Autoantigens
0302 clinical medicine
Dried blood spots
Limit of Detection
Iron-Binding Proteins
Orthopedics and Sports Medicine
030212 general & internal medicine
Dried blood
biology
Spots
Methodology Article
Middle Aged
Old Friends Hypothesis
Dried blood spot
Biomarker (medicine)
Female
Adult
Adolescent
030209 endocrinology & metabolism
Human Factors and Ergonomics
Enzyme-Linked Immunosorbent Assay
Thyroid peroxidase autoantibodies
Iodide Peroxidase
03 medical and health sciences
Young Adult
Thyroid peroxidase
Thyroid dysfunction
Physiology (medical)
medicine
Humans
Autoantibodies
lcsh:Physical anthropology. Somatology
business.industry
Public Health
Environmental and Occupational Health

Autoantibody
Reproducibility of Results
Immune dysregulation
Thyroid Diseases
Anthropology
Immunology
biology.protein
Linear Models
Dried Blood Spot Testing
business
In-house immunoassay
Biomarkers
Zdroj: Journal of Physiological Anthropology
Journal of Physiological Anthropology, Vol 39, Iss 1, Pp 1-8 (2020)
ISSN: 1880-6805
1880-6791
Popis: Background The prevalence of allergic and autoimmune conditions has been steadily increasing in wealthy nations over the past century. One hypothesis put forward to explain this is the Old Friends Hypothesis, which posits that increased hygiene, urbanization, and lifestyle changes have reduced our exposure to parasites and microbes that we co-evolved with, resulting in immune dysregulation. However, research in traditionally living populations, who are exposed to greater parasite and pathogen loads such as those encountered during our evolution, is limited, in part due to a lack of minimally invasive, field-friendly biomarkers of autoimmune disorders. We therefore developed an ELISA to assess positivity for thyroid peroxidase autoantibody (TPO-Ab), an indicator of autoimmune thyroid disease, based on dried blood spot (DBS) samples. Results We used the Accubind anti-thyroid peroxidase test system to screen our validation samples comprising matched fingerprick DBS, venous DBS, and plasma samples from 182 adults. After confirming that we had TPO-Ab-positive individuals in our validation sample (n = 12), we developed an indirect ELISA to measure TPO-Ab levels from one 3-mm DBS punch. The sensitivity and specificity of our assay for DBS samples ranged from 91.7–100% and 98.2–98.8%, respectively, using a cut-off value of ≥ 26 IU/mL. Intra-assay reliability for duplicate quality control DBS punches was 5.2%, while inter-assay reliability ranged from 11.5–24.4% for high, medium, and low DBS controls. Dilutional linearity ranged from 80 to 120%, and spike and recovery experiments indicated that the DBS matrix does not interfere with the detection of TPO-Ab. TPO-Ab levels remained stable in DBS samples stored at − 28 °C or − 80 °C, but decreased over time in DBS samples kept at 22 °C or at 37 °C. Conclusions We developed an in-house, kit-independent indirect ELISA assay to determine individuals’ TPO-Ab positivity based on dried blood spots, representing a cost-effective method with potential applications in a range of research settings.
Databáze: OpenAIRE