Development and application of novel immunoassays for eosinophil granule major basic proteins to evaluate

Diane L Squillace1, James L Checkel1, Ayalew Tefferi2

  • 1Division of Allergic Diseases, Department of Medicine, Mayo Clinic, Rochester, MN, United States of America.

Abstract

Insights

New immunoassays can distinguish between mature eosinophil major basic protein 1 (eMBP1) and its precursor, proMBP1. Elevated proMBP1 levels were found in hypereosinophilic syndrome and myeloproliferative disorders, suggesting potential diagnostic biomarkers.

Area of Science:

  • Immunology
  • Hematology
  • Biochemistry

Background:

  • Eosinophil differentiation involves processing of eosinophil major basic protein 1 (eMBP1) from a precursor (proMBP1) to a mature form.
  • The distinct prevalence of mature eMBP1 and proMBP1 in pathological conditions is largely unknown.

Purpose of the Study:

  • To develop novel immunoassays capable of differentiating mature eMBP1 from proMBP1.
  • To quantify and analyze the levels of both eMBP1 forms in biological fluids from patients with eosinophilia and hematologic disorders.

Main Methods:

  • Production and selection of monoclonal antibodies for specific detection of mature eMBP1 and proMBP1.
  • Simultaneous quantification of mature eMBP1 and proMBP1 using radioimmunoassay (RIA) in patient samples.

Main Results:

  • Novel immunoassays demonstrated high specificity with less than 1% cross-reactivity.
  • Mature eMBP1 was detected in nasal secretions of chronic rhinosinusitis (CRS) patients, while proMBP1 was not.
  • Elevated serum levels of both mature eMBP1 and proMBP1 were observed in hypereosinophilic syndrome (HES) patients, with proMBP1 being more abundant. Myeloproliferative disorders showed high proMBP1 but basal mature eMBP1.

Conclusions:

  • Developed immunoassays effectively differentiate mature eMBP1 and proMBP1 in human biological fluids.
  • These assays hold potential for developing biomarkers to diagnose and monitor patients with eosinophilia and myeloproliferative disorders.