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Heat differentiated complement factor profiling.

Carl Hamsten1, Lillemor Skattum2, Lennart Truedsson2

  • 1Clinical Immunology and Allergy Unit, Department of Medicine Solna, Karolinska Institutet and University Hospital, Stockholm, Sweden; Center for Inflammatory Diseases, Karolinska Institutet, Stockholm, Sweden.

Journal of Proteomics
|June 7, 2015
PubMed
Summary

This study introduces a new multiplex assay for screening complement deficiencies in newborns. Optimized sample preparation, including heat treatment, improves the detection of crucial complement proteins for better immunodeficiency diagnosis.

Keywords:
Complement factorsDried blood spotsImmunodeficiencyMultiplex immunoassayNeonatal screeningSerum

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Area of Science:

  • Immunology and Proteomics
  • Innate and Adaptive Immune Responses
  • Complement System Function

Background:

  • Complement cascade is vital for innate and adaptive immunity.
  • Undiagnosed complement deficiencies persist due to limited high-throughput screening tools.
  • Neonatal screening for immunodeficiencies requires efficient diagnostic methods.

Purpose of the Study:

  • To develop and validate a multiplex profiling approach for neonatal proteome screening of immunodeficiencies.
  • To assess the impact of sample preheating on the detectability of nine complement proteins.
  • To evaluate the feasibility of using dried blood spots for complement component analysis.

Main Methods:

  • Utilized antibody bead arrays for multiplex profiling of nine complement proteins.
  • Investigated heat-dependent detectability of complement components in serum and dried blood spots.
  • Analyzed samples from 16 complement-deficient patients and 23 controls.

Main Results:

  • Preheating serum samples improved detection of C1q, C2, C3, C6, C9, and factor H.
  • Heating negatively impacted C7, C8, and factor I detection, requiring non-heated samples.
  • Demonstrated successful classification of C2-deficiencies using eluates from dried blood spots.

Conclusions:

  • Multiplexed single-binder assays show significant potential for screening complement deficiencies.
  • Optimized sample preparation, including heat treatment, enhances diagnostic accuracy.
  • The developed method facilitates expanded screening for various immunodeficiencies.