Chimeric recombinant antibody fragments in cardiac troponin I immunoassay
: Heidi Hyytiä, Taina Heikkilä, Eeva-Christine Brockmann, Henna Kekki, Pirjo Hedberg, Tarja Puolakanaho, Timo Lövgren, Kim Pettersson
Publisher: Elsevier Inc.
: 2015
: Clinical Biochemistry
: Clinical Biochemistry
: 48
: 4-5
: 347
: 352
: 6
: 0009-9120
DOI: https://doi.org/10.1016/j.clinbiochem.2014.06.080
: http://api.elsevier.com/content/abstract/scopus_id:84905893614
Objectives: To introduce a novel nanoparticle-based immunoassay for cardiac troponin I (cTnI) utilizing chimeric antibody fragments and to demonstrate that removal of antibody Fc-part and antibody chimerization decrease matrix related interferences. Design and methods: A sandwich-type immunoassay for cTnI based on recombinant chimeric (mouse variable/human constant) antigen binding (cFab) antibodies and intrinsically fluorescent nanoparticles was developed. To test whether using chimeric antibody fragments helps to avoid matrix related interferences, samples (n = 39) with known amounts of triglycerides, bilirubin, rheumatoid factor (RF) or human anti-mouse antibodies (HAMAs) were measured with the novel assay, along with a previously published nanoparticle-based research assay with the same antibody epitopes. Results: The limit of detection (LoD) was 3.30 ng/L. Within-laboratory precision for 29 ng/L and 2819 ng/L cTnI were 13.7% and 15.9%, respectively. Regression analysis with Siemens ADVIA Centaur® yielded a slope (95% confidence intervals) of 0.18 (0.17-1.19) and a y-intercept of 1.94 (- 1.28-3.91) ng/L. When compared to a previously published nanoparticle-based assay, the novel assay showed substantially reduced interference in the tested interference prone samples, 15.4 vs. 51.3%. A rheumatoid factor containing sample was decreased from 241 ng/L to < LoD. Conclusions: Utilization of cFab-fragments enabled the development of a sensitive (LoD = 3.3 ng/L) immunoassay for the detection of cTnI and decreased matrix related interferences, thus resulting in a lower number of falsely elevated cTnI-values. © 2014 The Canadian Society of Clinical Chemists.