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Updated: Sep 29, 2025

Monitoring Neutrophil Elastase and Cathepsin G Activity in Human Sputum Samples
Published on: May 21, 2021
Finding a reliable assay for soluble neprilysin.
Oi Wah Liew1, Timothy C R Prickett2, Elena Revuelta-López3
1Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Cardiovascular Research Institute, National University Health System, Singapore.
Reliable neprilysin immunoassays are crucial for accurate biomarker research. The AlphaLISA and ELLA assays demonstrated strong correlation with neprilysin activity, offering dependable measurements of soluble neprilysin (sNEP).
Area of Science:
- Biomarker discovery and validation
- Assay development and standardization
- Proteomics and immunoassay technology
Background:
- Research-use-only (RUO) immunoassays lack standardization, impacting data authenticity and reproducibility.
- Commercial neprilysin immunoassays show poor inter-assay correlation, necessitating validation.
- Ensuring reliable neprilysin measurements is vital for scientific rigor in biomarker research.
Purpose of the Study:
- To identify and validate dependable commercial immunoassays for measuring soluble neprilysin (sNEP).
- To enhance the scientific rigor and reproducibility of neprilysin-related investigations.
- To improve the overall quality of biomarker research through assay standardization.
Main Methods:
- Analyzed soluble neprilysin (sNEP) concentrations in 532 participants across three international cohorts using six commercial immunoassay kits.
- Correlated sNEP concentrations between different assays and with plasma neprilysin activity.
- Validated assay reliability through performance verification, mass spectrometry (MS) analysis, and cross-reactivity testing.
Main Results:
- Only the Aviscera Bioscience sNEP ELISA SK00724-01 showed significant inter-laboratory correlation in Spain and New Zealand cohorts.
- Perkin Elmer AlphaLISA and Biotechne ELLA assays in the Singapore cohort exhibited strong agreement (r=0.89) and correlated well with neprilysin activity (r=0.87, 0.77).
- MS analysis confirmed authentic neprilysin, and the AlphaLISA assay met performance criteria with no significant cross-reactivity.
Conclusions:
- The AlphaLISA and ELLA assay platforms provide reliable quantification of soluble neprilysin (sNEP) concentrations.
- The reliability of other commercial neprilysin immunoassays requires further investigation.
- Validated assays are essential for accurate neprilysin biomarker research.
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