A new method for screening acute/chronic lymphocytic leukemia: dual-label time-resolved fluorescence immunoassay

Zhen Zhang1, Jintao Zhang2, Shanshan Dai3

  • 1Department of Logistics Management, Baoshan Branch, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200444, China.

BMC Biotechnology
|September 30, 2022
PubMed

Insights

A new time-resolved fluorescence immunoassay (TRFIA) method accurately detects S100 calcium binding protein A8 (S100A8) and leucine-rich alpha-2-glycoprotein 1 (LRG1) in serum. This assay shows promise for screening lymphocytic leukemia (LL) in clinical settings.

Area of Science:

  • Biochemistry
  • Immunology
  • Clinical Diagnostics

Background:

  • Lymphocytic leukemia (LL) is a significant malignant hematopoietic tissue tumor affecting children and the elderly.
  • Current diagnostic methods require improvement for early and accurate LL screening.

Purpose of the Study:

  • To develop and validate a novel time-resolved fluorescence immunoassay (TRFIA) for detecting S100 calcium binding protein A8 (S100A8) and leucine-rich alpha-2-glycoprotein 1 (LRG1).
  • To assess the utility of this TRFIA method for screening acute and chronic LL.

Main Methods:

  • A sandwich TRFIA was optimized using anti-S100A8/LRG1 capture antibodies and detection antibodies labeled with Europium(III) or Samarium(III) chelates.
  • Quantitative fluorescence intensity was measured using time-resolved fluorometry.
  • Assay sensitivity, dynamic range, intra- and inter-assay coefficients of variation (CVs), specificity, and affinity were evaluated in serum samples.

Main Results:

  • The TRFIA demonstrated high sensitivity for S100A8 (1.15 ng/mL) and LRG1 (3.2 ng/mL) with wide dynamic ranges.
  • Low intra- and inter-assay CVs (5.75–8.23% for S100A8, 5.30–9.45% for LRG1) indicated assay precision.
  • Cutoff values for S100A8 and LRG1 were determined as 1849.18 ng/mL and 588.08 ng/mL, respectively.

Conclusions:

  • The developed TRFIA method offers high sensitivity, accuracy, and specificity for quantifying S100A8 and LRG1 in serum.
  • This TRFIA assay is a viable and effective tool for the clinical screening of lymphocytic leukemia (LL).
Abstract

Related Concept Videos