人附睾蛋白4化学发光定量测定法的建立与评价
DOI:
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:

重庆市教委科学技术研究项目(KJ120318)。


Establishment and evaluation of a chemiluminescence quantitative immunoassay for detecting human epididymis protein 4
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    摘要:目的:建立人附睾蛋白4(HE4)的化学发光定量检测方法,并进行方法学评价。 方法:血清中HE4与包被抗HE4单克隆抗体的微磁珠和辣根过氧化物酶(HRP)标记的抗HE4单克隆抗体反应形成双抗体夹心结构,HRP可催化发光底物液(含鲁米诺-H2O2-增强剂)产生大量光信号,根据光信号的量计算血清中HE4的浓度。依据国家体外诊断试剂性能评价指南性文件和美国临床和实验室标准化协会(CLSI)指南性文件,对本方法进行系统评价。 结果: 建立的方法空白限(LoB)为1.014 pmol/L、检测限(LoD)为5.252 pmol/L、定量检测限(LoQ)为10.568 pmol/L;甲胎蛋白(α-fetoprotein, AFP)≤400 IU/mL、癌胚抗原(carcinoembryonic antigen, CEA)≤1 777 μg/L、糖类抗原(carbohydrate antigen, CA)125≤3 500 U/mL、CA19-9≤3 500 U/mL对本方法无明显交叉反应;线性范围为20~1 700 pmol/L;在100 000 pmol/L时未出现明显钩状(Hook)效应;批内变异系数(CV)为1.5%~3.6%;日间CV为3.8%~6.4%;回收率为98.36%~99.14%;血红蛋白≤4.8 g/L、胆红素≤1 077.5 μmol/L、乳糜微粒≤6 000浊度、生物素≤50 μg/L、类风湿因子≤1 000 U/L对测定结果无明显影响;37 ℃保存7 d后相对偏差为-6.63%~10.23%;建立的方法(Y)与Fujirebio公司的ELISA试剂(X)进行方法学比对,相关曲线为Y=1.023X-12.280,r=0.989 7(P<0.01)。 结论: 本研究建立的HE4磁微粒化学发光免疫测定法各项性能符合临床实验室需求,为卵巢癌的辅助诊断提供了有效工具。

    Abstract:

    Abstract: Objective:To establish a chemiluminescence quantitative method for detecting human epididymis protein 4 (HE4), and evaluate its performance. Methods:Serum HE4 can bind with both the anti-HE4 monoclonal antibody coated on micro beads and the anti-HE4 monoclonal antibody labeled with horseradish peroxidase (HRP) to form so-called sandwich structure. Then, the luminescent substrate solution containing luminol, H2O2 and enhancer was catalyzed by HRP to produce light signals. According to light signals, the concentration of HE4 could be calculated. Next, the performance of the established method was evaluated by the Clinical and Laboratory Standards Institute (CLSI) standards and National guidelines for Performance Testing for In Vitro Diagnostic Reagents. Results:The limit of blank (LoB), the limit of detection (LoD) and the limit of quantitation (LoQ) of the established method were 1.014 pmol/L, 5.252 pmol/L and 10.568 pmol/L, respectively. Under the conditions of AFP≤400 IU/mL, CEA≤1 777 μg/L, CA125≤3 500 U/mL and CA19-9≤3 500 U/mL, the detection of HE4 was not affected by their cross reactivity. The linearity range of the established method was from 20 pmol/L to 1 700 pmol/L, and there was no Hook effect at 100 000 pmol/L of HE4. The intraassay and interassay coefficients of variation were 1.5%~3.6% and 3.8%~6.4%, respectively, and the recovery rate was 98.36%~99.14%. Under the conditions of hemoglobin≤4.8 g/L, bilirubin≤1 077.5 μmol/L, chylomicrons≤6 000 turbidity, biotin≤50 μg/L and rheumatoid factor≤1 000 U/L, the detection of HE4 was not affected by their interference. After serum samples were stored at 37 ℃ for 7 days, the relative deviation of HE4 levels in serum was -6.63%~10.23%. In addition, there was a steady linear relationship with the equation Y=1.023X-12.280 between the established method (Y) and ELISA kit (X) from Fujirebio company (r=0.989 7, P<0.01). Conclusion:A chemiluminescence quantitative method for detecting HE4 based on micro0beads was successfully established, which had good performance and was conducive to the diagnosis of ovarian cancer.

    参考文献
    相似文献
    引证文献
引用本文

罗湘宇,刘宇思,曾令斌,赵家宁,何敏,杨卫平,尹一兵,胥文春.人附睾蛋白4化学发光定量测定法的建立与评价[J].临床检验杂志,2014,(5):354-357

复制
分享
相关视频

文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2013-12-27
  • 最后修改日期:2014-04-10
  • 录用日期:
  • 在线发布日期: 2014-06-05
  • 出版日期:
文章二维码
您是第位访问者  苏ICP备13058113号-3
苏公网安备32010202012004号
主管单位:江苏省医学会  出版单位:临床检验杂志
单位地址:江苏省南京市中央路42号  邮编:210008
电话:025-83620683 E-MAIL:lcjyzz@163.com
技术支持:北京勤云科技发展有限公司