A1 Refereed original research article in a scientific journal
A lateral flow immunoassay with upconverting nanoparticle-based detection for indirect measurement of interferon response by the level of MxA
Authors: Etvi Juntunen, Teppo Salminen, Sheikh Talha, Iida Martiskainen, Tero Soukka, Kim Pettersson, Matti Waris
Publisher: John Wiley & Sons, Inc.
Publication year: 2017
Journal: Journal of Medical Virology
Volume: 89
Issue: 4
First page : 598
Last page: 605
Number of pages: 8
ISSN: 0146-6615
eISSN: 1096-9071
DOI: https://doi.org/10.1002/jmv.24689(external)
Myxovirus resistance protein A (MxA) is a biomarker of interferon-induced gene expression state involved in many viral infections and some autoimmune disorders. It has a variety of potential utilities in clinical diagnostics, including distinguishing between bacterial and viral infections. Currently, MxA-assays are used for monitoring of IFN-β therapy in multiple sclerosis (MS) patients. As a proof-of-concept for rapid quantitative measurement of interferon response, a lateral flow immunoassay (LFIA) with upconverting nanoparticle (UCNP) reporters was developed and evaluated with clinical whole blood samples to assess the potential for a rapid and user-friendly quantitative assay for MxA, since the currently available rapid test for MxA (FebriDX) produces only qualitative result. The high detection sensitivity enabled by the UCNP reporter technology allowed the sample pre-treatment with dilution of whole blood into lysis buffer at a detectable analyte concentration. The assay can be done within two hours and the results correlate with the reference MxA-ELISA, which requires an overnight incubation. With 36 samples, R2 for linear regression was 0.86. The assay detected 96% of the IFN-β responders with 89% specificity using a cut-off level of 100 µg/L for an elevated MxA-concentration.