DNA Science Group, Biochemical Science Division, Chemical Science & Technology Laboratory, National Institute of Standards & Technology, Gaithersburg, MD 20899, USA.
Biomark Med. 2010 Apr;4(2):227-39. doi: 10.2217/bmm.10.7.
Biomarkers play a pivotal role in the early detection and diagnosis of cancer. Accurate quantitation of certain biomarkers is crucial to reach correct treatment decisions. In practice, immunohistochemistry (IHC) remains the most important diagnostic technique to evaluate protein biomarker expression in tissue biopsies. However, IHC has largely been qualitative. Low specificity of the mammalian IgG antibodies used to capture the analytes and instability of fluorescence from the organic dyes used as the detecting agents are among the major factors that have impeded the development of quantitative IHC. Avian IgY antibodies have many attractive biochemical, immunological and production advantages over IgGs and are, therefore, better substitutes in diagnostic applications. Using IgY in immunoassays can potentially eliminate false positives and often results in low background and interference. Quantum dots (QDs) have recently emerged as a novel class of fluorophores, promising for many biomedical imaging applications. Fluorescence from QDs is significantly brighter and more photostable than organic dyes. In addition, QDs offer the capacity of multiplexed detection of several biomarkers simultaneously. Combining the high sensitivity and specificity of IgY antibodies and the high brightness and photostability of QDs in IHC has been demonstrated to improve biomarker detection and quantitation.
生物标志物在癌症的早期检测和诊断中起着关键作用。准确定量某些生物标志物对于做出正确的治疗决策至关重要。在实践中,免疫组织化学(IHC)仍然是评估组织活检中蛋白质生物标志物表达的最重要的诊断技术。然而,IHC 在很大程度上是定性的。用于捕获分析物的哺乳动物 IgG 抗体特异性低,以及用作检测剂的有机染料的荧光稳定性差,是阻碍定量 IHC 发展的主要因素之一。禽类 IgY 抗体在生化、免疫学和生产方面比 IgG 具有许多优势,因此在诊断应用中是更好的替代品。在免疫测定中使用 IgY 可以潜在地消除假阳性,并且通常导致低背景和干扰。量子点(QD)最近作为一类新型荧光团出现,有望应用于许多生物医学成像应用。QD 的荧光比有机染料亮得多,稳定性也高得多。此外,QD 还具有同时检测多个生物标志物的能力。在 IHC 中结合 IgY 抗体的高灵敏度和特异性以及 QD 的高亮度和光稳定性已被证明可以提高生物标志物的检测和定量。