Xiang Zhongyi, Chen Xindong, Zhou Xiumei, Qin Yuan, Zhao Xueqin, Wang Yigang, Li Qian, Huang Biao
College of Life Sciences and Medicine, Zhejiang Sci-Tech University, Hangzhou, China.
Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, China.
Clin Chim Acta. 2022 Oct 1;535:120-130. doi: 10.1016/j.cca.2022.08.020. Epub 2022 Aug 27.
Timely diagnosis of bacterial infections is important to prevent sepsis. Classical infection biomarkers have some flaws, and common detection methods are time-consuming. Thus, we aimed to establish an efficient detection method that precisely detects pancreatic stone protein (PSP) in human plasma for the timely diagnosis of bacterial infections.
Based on the novel amplified luminescent proximity homogeneous assay (AlphaLISA) method, donor and acceptor beads modified with aldehyde groups were directly coupled to the anti-PSP antibodies. PSP was quickly detected by a double-antibody sandwich method. Plasma samples from healthy individuals, bacterially infected patients, and acute-phase response patients were tested.
The detection time of the developed method is only 5 min. The results of PSP-AlphaLISA and time-resolved fluorescence were consistent (ρ = 0.9722). The plasma PSP levels of patients with bacterial infection were significantly higher than those of acute-phase response patients and healthy individuals (P < 0.05). PSP levels in patients with bacterial infection with sepsis were significantly higher than those in patients with bacterial infection without sepsis (P < 0.05).
The PSP-AlphaLISA exhibited excellent performance and may be applied to the differential diagnosis between bacterial infection and sepsis in patients without interference from patients with acute-phase response.
及时诊断细菌感染对于预防脓毒症至关重要。传统的感染生物标志物存在一些缺陷,且常用检测方法耗时较长。因此,我们旨在建立一种高效的检测方法,能够精确检测人血浆中的胰石蛋白(PSP),以实现细菌感染的及时诊断。
基于新型放大发光邻近均相分析(AlphaLISA)方法,将醛基修饰的供体珠和受体珠直接偶联至抗PSP抗体。采用双抗体夹心方法快速检测PSP。对健康个体、细菌感染患者及急性期反应患者的血浆样本进行检测。
所建立方法的检测时间仅为5分钟。PSP-AlphaLISA与时间分辨荧光法的结果一致(ρ = 0.9722)。细菌感染患者的血浆PSP水平显著高于急性期反应患者和健康个体(P < 0.05)。伴有脓毒症的细菌感染患者的PSP水平显著高于无脓毒症的细菌感染患者(P < 0.05)。
PSP-AlphaLISA表现出优异的性能,可应用于急性期反应患者无干扰情况下细菌感染与脓毒症患者的鉴别诊断。