Department of Chemistry, National Cheng Kung University, Tainan 701, Taiwan.
Anal Chem. 2012 Oct 16;84(20):8635-41. doi: 10.1021/ac301756d. Epub 2012 Sep 26.
The percentage of glycosylated hemoglobin A1c (%GHbA1c) in human whole blood indicates the average plasma glucose concentration over a prolonged period of time and is used to diagnose diabetes. However, detecting GHbA1c in the whole blood using immunoassays has limited detection sensitivity due to its low percentage in total hemoglobin (tHb) and interference from various glycan moieties in the sample. We have developed a sandwich immunoassay using an antibody microarray on a polydimethylsiloxane (PDMS) substrate modified with fluorinated compounds to detect tHb and glycosylated hemoglobin A1c (GHbA1c) in human whole blood without sample pretreatment. A polyclonal antibody against hemoglobin (Hb) immobilized on PDMS is used as a common capture probe to enrich all forms of Hb followed by detection via monoclonal anti-Hb and specific monoclonal anti-GHbA1c antibodies for tHb and GHbA1c detection, respectively. This method prevents the use of glycan binding molecules and dramatically reduces the background interference, yielding a detection limit of 3.58 ng/mL for tHb and 0.20 ng/mL for GHbA1c. The fluorinated modification on PDMS is superior to the glass substrate and eliminates the need for the blocking step which is required in commercial enzyme linked immunosorbent assay (ELISA) kits. Moreover, the detection sensitivity for GHbA1c is 4-5 orders of magnitude higher, but the required sample amount is 25 times less than the commercial method. On the basis of patient sample data, a good linear correlation between %GHbA1c values determined by our method and the certified high performance liquid chromatography (HPLC) standard method is shown with R(2) > 0.98, indicating the great promise of the developed method for clinical applications.
人全血中糖化血红蛋白 A1c 的百分比(%GHbA1c)反映了较长时间内的平均血浆葡萄糖浓度,用于诊断糖尿病。然而,由于其在总血红蛋白(tHb)中的百分比低以及样本中各种糖基部分的干扰,使用免疫测定法在全血中检测 GHbA1c 的检测灵敏度有限。我们使用氟化化合物修饰的聚二甲基硅氧烷(PDMS)基底上的抗体微阵列开发了一种夹心免疫测定法,无需样品预处理即可检测人全血中的 tHb 和糖化血红蛋白 A1c(GHbA1c)。固定在 PDMS 上的针对血红蛋白(Hb)的多克隆抗体用作富集所有 Hb 形式的通用捕获探针,然后通过单克隆抗 Hb 和针对 tHb 和 GHbA1c 检测的特异性单克隆抗 GHbA1c 抗体进行检测。这种方法避免了糖结合分子的使用,并显著降低了背景干扰,使 tHb 的检测限达到 3.58ng/mL,GHbA1c 的检测限达到 0.20ng/mL。PDMS 上的氟化修饰优于玻璃基底,并且消除了商业酶联免疫吸附测定(ELISA)试剂盒所需的封闭步骤。此外,GHbA1c 的检测灵敏度高 4-5 个数量级,但所需的样品量比商业方法少 25 倍。根据患者样本数据,我们的方法确定的%GHbA1c 值与经认证的高效液相色谱(HPLC)标准方法之间显示出良好的线性相关性,R(2) > 0.98,表明该方法具有很大的临床应用潜力。