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确认人血清中抗促红细胞生成素中和抗体存在的策略。

Strategy to confirm the presence of anti-erythropoietin neutralizing antibodies in human serum.

机构信息

Department of Clinical Immunology, Amgen Inc., One Amgen Center Drive, Thousand Oaks, CA 91320, USA.

出版信息

J Pharm Biomed Anal. 2011 Jul 15;55(5):1265-74. doi: 10.1016/j.jpba.2011.03.029. Epub 2011 Mar 29.

Abstract

Functional cell-based assays are the preferred method to test for the presence of anti-rHuEPO neutralizing antibodies (NAbs). However, due to the unpredictable nature of test serum matrix effects on cell-based assays, confirmatory assays are essential for verifying NAb positive results observed during the course of sample testing. The cell-based assay used for the detection of NAbs described by Wei et al. [1] used 32D-EPOR cells, a murine myeloid cell line transfected with the human EPO receptor (EPOR). The 32D-EPOR cell line responded to either rHuEPO or murine interleukin 3 (mIL-3) with proliferation. NAbs were expected to only inhibit rHuEPO-induced cell proliferation and not mIL-3 induced proliferation. Due to reliance on proliferation, the results from this cell-based assay can be confounded by the presence of non-antibody inhibitory serum factors. This paper describes a strategy for confirming that the inhibition of rHuEPO-induced proliferation in a cell-based assay is only attributable to NAbs. The strategy of antibody depletion uses a resin mixture composed of Protein G Sepharose and Protein L Sepharose (Protein G/L resin) to significantly reduce the concentration of immunoglobulins of IgG, IgM and IgA isotypes from human serum prior to testing in the cell-based assay. If the reduction in immunoglobulins in a serum sample corresponds to a reduction in inhibition of EPO-induced proliferation, it would infer that EPO neutralizing activity is antibody-mediated and not due to non-antibody inhibitory serum factors.

摘要

基于细胞的功能性检测是检测抗 rHuEPO 中和抗体(NAb)存在的首选方法。然而,由于测试血清基质对基于细胞的检测的不可预测性质,确证检测对于验证在样品测试过程中观察到的 NAb 阳性结果至关重要。魏等人描述的用于检测 NAb 的基于细胞的检测方法[1]使用了 32D-EPOR 细胞,这是一种转染人 EPO 受体(EPOR)的鼠髓样细胞系。32D-EPOR 细胞系对 rHuEPO 或鼠白细胞介素 3(mIL-3)的反应是增殖。NAb 预计只会抑制 rHuEPO 诱导的细胞增殖,而不会抑制 mIL-3 诱导的增殖。由于依赖于增殖,该基于细胞的检测的结果可能会受到非抗体抑制性血清因子的干扰。本文描述了一种确认基于细胞的检测中 rHuEPO 诱导的增殖抑制仅归因于 NAb 的策略。抗体耗尽策略使用由 Protein G Sepharose 和 Protein L Sepharose(Protein G/L 树脂)组成的树脂混合物,在进行基于细胞的检测之前,从人血清中显著降低 IgG、IgM 和 IgA 同种型的免疫球蛋白浓度。如果血清样品中免疫球蛋白的减少对应于 EPO 诱导的增殖抑制的减少,则推断 EPO 中和活性是抗体介导的,而不是由于非抗体抑制性血清因子。

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