Arquilla E R, Edwards S, McDougall B R, Mosqueda L, Stenger D P
Department of Pathology, University of California, Irvine.
Diabetes. 1989 Jul;38(7):868-73. doi: 10.2337/diab.38.7.868.
Insulin antibodies were not detected in an insulin-capture enzyme-linked immunosorbent assay (ELISA), but they were easily detected in an insulin-copolymer-capture ELISA. Thus, there is a high degree of steric hindrance because of the proximity of the epitopes on the insulin monomer. This is circumvented by substituting an insulin copolymer for insulin in the capture ELISA. A regression analysis comparing the titers of 28 Lou/M rat insulin antiserums measured by liquid-phase radioimmune titration (RIT) with titers obtained in the direct insulin ELISA was not significant (P greater than .05). Thus, epitopes on insulin available and/or masked for antibody binding in the RIT differ from those available and/or masked in the direct insulin ELISA. As more of the epitopes become available when an insulin copolymer is substituted for monomeric insulin in the ELISAs, a significant positive correlation (P less than .05) with the RIT was observed with these 28 insulin antiserums. Twenty-five percent (7 of 28) of these antiserums contained more antibodies that bound to epitopes available in the ELISAs that were masked in the RIT. Conversely, two antiserums contained more antibodies that bound to epitopes that were available in the RIT but were masked in the ELISAs. Thus, the amount of insulin antibodies measured in a given antiserum can vary substantially, depending on which epitopes are made available or are masked in the particular antibody-titration method used. These results demonstrate that the humoral immune response to insulin among inbred Lou/M rats can vary in insulin-antibody levels as well as the epitopes on insulin to which the antibodies bind.
在胰岛素捕获酶联免疫吸附测定(ELISA)中未检测到胰岛素抗体,但在胰岛素-共聚物捕获ELISA中很容易检测到。因此,由于胰岛素单体上抗原决定簇的接近,存在高度的空间位阻。在捕获ELISA中用胰岛素共聚物替代胰岛素可避免这一问题。对通过液相放射免疫滴定(RIT)测量的28份Lou/M大鼠胰岛素抗血清的效价与直接胰岛素ELISA中获得的效价进行回归分析,结果不显著(P大于0.05)。因此,RIT中可用于抗体结合和/或被掩盖的胰岛素上的抗原决定簇与直接胰岛素ELISA中可用于抗体结合和/或被掩盖的抗原决定簇不同。当在ELISA中用胰岛素共聚物替代单体胰岛素时,更多的抗原决定簇变得可用,观察到这28份胰岛素抗血清与RIT有显著的正相关(P小于0.05)。这些抗血清中有25%(28份中的7份)含有更多与ELISA中可用但在RIT中被掩盖的抗原决定簇结合的抗体。相反,两份抗血清含有更多与RIT中可用但在ELISA中被掩盖的抗原决定簇结合的抗体。因此,在给定抗血清中测量的胰岛素抗体量可能会有很大差异,这取决于在特定的抗体滴定方法中哪些抗原决定簇可用或被掩盖。这些结果表明,近交系Lou/M大鼠对胰岛素的体液免疫反应在胰岛素抗体水平以及抗体所结合的胰岛素上的抗原决定簇方面可能会有所不同。