Liu Zhi, Huang Jing, Ou Rui-Ming, Yao Meng-Dong, She Yan-Lin, Chen Rui, Li Cheng, Xu Li, Abudureyimu Aikebaier, Zhang Qing, Liu Shuang
Department of Hematology, Guangdong NO. 2 Provincial People's Hospital, Guangdong, Guangzhou, China.
Guangdong Traditional Medical and Sports Injury Rehabilitation Research Institute, Guangdong NO. 2 Provincial People's Hospital, Guangdong, Guangzhou, China.
J Clin Lab Anal. 2017 Nov;31(6). doi: 10.1002/jcla.22132. Epub 2017 Feb 23.
Lymphocytic leukemia is a kind of primary malignant tumor of hematopoietic tissue. The aim was to establish a dual-label time-resolved fluorescence immunoassay (TRFIA) for the simultaneous determination of ferritin (FER) and β -microglobulin (β -MG) for the early screening and follow-up surveillance of lymphocytic leukemia.
The sandwich immunoassay was used to detect the concentration of FER, and the competitive immunoassay was used to detect the concentration of β -MG in serum. FER in serum was captured by anti- FER antibody immobilized on microtiter wells, and then banded together with another anti- FER labeled with europium(III) Eu chelate, followed by fluorescence measurement using time-resolved fluorometry (TRF). Sm labeled β -MG and β -MG samples were added to compete with a certain amount of anti-β -MG antibody, followed by fluorescence measurement using TRF. The performance of this dual-label TRFIA was evaluated using the clinical blood and compared with the commercial assays.
The linear correlation coefficient (R ) of the FER and β -MG standard curves were 0.9914 and 0.9927, respectively. The sensitivity for FER detection was 8 ng/mL (dynamic range 0-1000 ng/mL), the average recovery was 100.51%; The sensitivity for β -MG detection was 1 ng/mL (dynamic range 0-1000 ng/mL), the average recovery was 101.02%. High correlation coefficients (R ) were obtained between the commercial assays (R =.9966 for FER, and R =.9897 for β -MG).
The present dual-label TRFIA has high sensitivity, specificity, and accuracy in clinical sample analysis. It is an effective detection method for the early screening and follow-up surveillance of the acute and chronic lymphocytic leukemia.
淋巴细胞白血病是一种造血组织原发性恶性肿瘤。目的是建立一种双标记时间分辨荧光免疫分析法(TRFIA),用于同时测定铁蛋白(FER)和β2微球蛋白(β -MG),以进行淋巴细胞白血病的早期筛查和随访监测。
采用夹心免疫分析法检测血清中FER浓度,采用竞争免疫分析法检测血清中β -MG浓度。血清中的FER被固定在微孔板上的抗FER抗体捕获,然后与另一种用铕(III)铕螯合物标记的抗FER结合,随后使用时间分辨荧光法(TRF)进行荧光测量。将钐标记的β -MG和β -MG样品加入,与一定量的抗β -MG抗体竞争,随后使用TRF进行荧光测量。使用临床血液评估这种双标记TRFIA的性能,并与商业检测方法进行比较。
FER和β -MG标准曲线的线性相关系数(R)分别为0.9914和0.9927。FER检测的灵敏度为8 ng/mL(动态范围0-1000 ng/mL),平均回收率为100.51%;β -MG检测的灵敏度为1 ng/mL(动态范围0-1000 ng/mL),平均回收率为101.02%。商业检测方法之间获得了高相关系数(R)(FER为0.9966,β -MG为0.9897)。
目前的双标记TRFIA在临床样本分析中具有高灵敏度、特异性和准确性。它是急性和慢性淋巴细胞白血病早期筛查和随访监测的有效检测方法。