Steroid & Immunobiochemistry Laboratory, Canterbury Health Laboratories, Christchurch, New Zealand.
Clin Chim Acta. 2013 Feb 1;416:26-30. doi: 10.1016/j.cca.2012.11.016. Epub 2012 Nov 22.
The predominant carrier of cortisol in circulation is corticosteroid-binding globulin (CBG) which is a non-functional member of the family of serine protease inhibitors. Corticosteroid-binding globulin possesses an exposed elastase sensitive loop and upon cleavage it adopts a "relaxed" conformation promoting the delivery of cortisol to sites of inflammation. Recently we have developed monoclonal antibodies which recognise only the intact exposed elastase loop, including an N-glycosylation site, which, in concert with another monoclonal antibody to CBG, offered the potential for the determination of intact and total CBG which may both be present in circulation. Here we validate these parallel ELISAs and show that like total CBG there is little diurnal variation of intact plasma CBG. Furthermore in a normal reference population the majority of CBG is in the intact or active form but a significant level of apparently cleaved CBG is evident. In some subjects there is gross discordance between total CBG and intact CBG implying a predominance of apparently cleaved CBG in circulation and this significantly affects calculated free cortisol levels. Gross differences in total and intact CBG levels may not be due to differences in N-glycosylation affecting antibody binding as CBG levels are unaffected by PNGase F treatment.
在循环中,皮质醇的主要载体是皮质类固醇结合球蛋白(CBG),它是非功能性丝氨酸蛋白酶抑制剂家族的成员。皮质类固醇结合球蛋白具有暴露的弹性蛋白酶敏感环,在切割后采用“松弛”构象,促进皮质醇向炎症部位的输送。最近,我们开发了仅识别完整暴露的弹性蛋白酶环的单克隆抗体,包括一个 N-糖基化位点,与另一种 CBG 单克隆抗体一起,为确定可能存在于循环中的完整和总 CBG 提供了潜力。在这里,我们验证了这些平行 ELISA,并表明与总 CBG 一样,完整的血浆 CBG 昼夜变化很小。此外,在正常参考人群中,大多数 CBG 处于完整或活性形式,但明显切割的 CBG 水平明显。在某些受试者中,总 CBG 和完整 CBG 之间存在明显的不一致,这意味着循环中明显切割的 CBG 占主导地位,这会显著影响计算出的游离皮质醇水平。总 CBG 和完整 CBG 水平的巨大差异可能不是由于影响抗体结合的 N-糖基化差异引起的,因为 CBG 水平不受 PNGase F 处理的影响。