University of Nebraska Medical Center (UNMC) Department of Internal Medicine, Division of Rheumatology, Omaha, NE, United States of America.
University of Nebraska Medical Center (UNMC) Department of Internal Medicine, Division of Rheumatology, Omaha, NE, United States of America; Veterans Affairs (VA) Nebraska-Western Iowa Health Care System, Omaha, NE, United States of America.
J Immunol Methods. 2021 Aug;495:113048. doi: 10.1016/j.jim.2021.113048. Epub 2021 Apr 30.
BACKGROUND/OBJECTIVE: Cytokines and chemokines (cytokines) are central to rheumatoid arthritis (RA) pathogenesis, with increasing use of multiplex immunoassays in clinical/research settings. Rheumatoid factor (RF) may interfere with assay outcomes by nonspecifically binding detection analytes. We evaluated the performance of a commercially available multiplex platform, including assessment of the impact of RF depletion. METHODS: Forty-five cytokines were tested using Meso Scale Discovery V-PLEX™ and samples from 40 RA and 40 osteoarthritis (OA) patients. Select samples were depleted of RF using a commercial binder. Performance was assessed using intra-assay coefficients of variation (CV), intraclass correlation coefficients (ICC), percent change following RF depletion, and disease discrimination. Values above or below quantification thresholds were imputed. RESULTS: Of the 45 cytokines analyzed, 31 yielded CVs <10%; none demonstrated CVs >30%. ICCs universally exceeded 0.85 with the exception of eight analytes. RF depletion altered cytokine values by <15% for 40 analytes with larger changes (>30%) only seen for one analyte. Twenty-three cytokines differed significantly based on measurement in plasma vs. serum. Three analytes were higher in the serum of RA vs. OA (IL-10, IP-10, TNFα), and none were significantly greater in OA vs. RA. Seventeen analytes required imputation for >50% of the samples tested, primarily related to concentrations below the lower limit of quantification threshold. CONCLUSION: The results from this commercially available multiplex assay were generally highly reproducible and interference induced by RF only meaningfully impacted the quantification of five of the analytes examined.
背景/目的:细胞因子和趋化因子(细胞因子)是类风湿关节炎(RA)发病机制的核心,在临床/研究环境中越来越多地使用多重免疫分析。类风湿因子(RF)可能通过非特异性结合检测分析物来干扰分析结果。我们评估了一种商业上可用的多重平台的性能,包括评估 RF 耗竭的影响。 方法:使用 Meso Scale Discovery V-PLEX™ 测试了 45 种细胞因子,并对 40 名 RA 和 40 名骨关节炎(OA)患者的样本进行了测试。选择的样本使用商业结合剂耗尽 RF。使用室内变异系数(CV)、组内相关系数(ICC)、RF 耗尽后的百分比变化以及疾病鉴别来评估性能。超过或低于定量阈值的值进行了插补。 结果:在分析的 45 种细胞因子中,31 种的 CV 值<10%;没有一种 CV 值>30%。除了 8 种分析物外,ICC 普遍超过 0.85。对于 40 种分析物,RF 耗竭使细胞因子值变化<15%,只有一种分析物的变化较大(>30%)。23 种细胞因子根据在血浆与血清中的测量值存在显著差异。RA 患者血清中三种分析物(IL-10、IP-10、TNFα)高于 OA 患者,而 OA 患者中没有一种分析物显著高于 RA 患者。有 17 种分析物在>50%的测试样本中需要插补,主要与低于定量下限的浓度有关。 结论:该商业上可用的多重分析的结果通常具有高度可重复性,并且仅 RF 引起的干扰显著影响了所检查的 5 种分析物的定量。
Arthritis Res Ther. 2011-6-24