A1 Refereed original research article in a scientific journal

Skeletal troponin I cross-reactivity in different cardiac troponin I assay versions




AuthorsHeidi Hyytiä, Taina Heikkilä, Pirjo Hedberg, Tarja Puolakanaho, Kim Pettersson

PublisherElsevier Inc.

Publication year2015

JournalClinical Biochemistry

Journal name in sourceClinical Biochemistry

Volume48

Issue4-5

First page 313

Last page317

Number of pages5

ISSN1873-2933

DOIhttps://doi.org/10.1016/j.clinbiochem.2014.12.028

Web address http://api.elsevier.com/content/abstract/scopus_id:84921301300


Abstract

Objectives: To study the skeletal troponin I (skTnI) cross-reactivity of four different commercially available antibodies in four cardiac troponin I (cTnI) research assay versions having the same epitope specificity as evidenced by peptide mapping. Design and methods: The four research assays all use two solid phase antibodies and one detection antibody attached to intrinsically fluorescent nanoparticles. Two alternative antibodies were used for one capture antibody and two for the detector antibody. The assays were evaluated in terms of analytical sensitivity and by determining assay cross-reactivity to skTnI. Additionally, regression analysis was performed by measuring a sample panel (n = 101) with all of the four assay versions. Results: A false-positive cTnI concentration of > 7000. ng/L was measured with one of the assay versions, when serum was spiked with 500,000. ng/L skTnI. The corresponding observed cTnI values for the other three assay versions varied from 616. ng/L to 727. ng/L. Out of the 101 clinical samples assayed, five showed spuriously (3- to 148-fold) elevated cTnI values with the skTnI interference prone assay setup, but not with the other assay versions. According to our investigational skTnI assay, all five samples contained measurable amounts of skTnI (range: 5500-702,000. ng/L). Conclusions: Two out of four cTnI antibodies tested cross-reacted vastly with skTnI but did not cause any notable interference unless paired together. Therefore, skTnI cross-reactivity should be carefully assessed when cTnI assay antibodies claimed to be cTnI specific are selected.




Last updated on 2024-26-11 at 13:49