Determination of Anticyclic Citrullinated Peptide Based on Biotin-Streptavidin-Amplified Time-Resolved Fluoroimmunoassay

J Clin Lab Anal. 2015 Nov;29(6):474-9. doi: 10.1002/jcla.21796. Epub 2014 Oct 1.

Abstract

Background: A rapid and sensitive time-resolved fluoroimmunoassay (TRFIA) based on the biotin-streptavidin amplification system was developed for the determination of anticyclic citrullinated peptide (anti-CCP).

Methods: Europium-labeled streptavidin derivatives combined with europium and anhydride of diethylene triamine pentaacetic acid were used to label streptavidin, biotin was coupled with rabbit anti-human IgG to form a biotin-anti-human IgG bridge between streptavidin-europium and the anti-CCP antibody in the immunoassay. The anti-CCP assay was carried out by measuring the fluorescence of Eu(3+) -streptavidin at 615 nm.

Results: The presented method produced a wide linear range from 0.58 to 9,463 U/ml, while it was only 591.4-18.48 U/ml when using an ELISA kit, and featured a detection limit up to 0.5 U/ml for anti-CCP. The values determined by the biotin-streptavidin-TRFIA and ELISA correlated well (R(2) = 0.8927). The method was applied to determine anti-CCP in serum samples with satisfied recoveries of 96.45-104.63%.

Conclusion: The assay results obtained by the present method showed that biotin-streptavidin-amplified TRFIA improve the traditional ELISA kit for anti-CCP detection. Therefore, it offers a better alternative immunoassay in rheumatoid arthritis management.

Keywords: cyclic citrullinated peptide; rheumatoid arthritis; time-resolved fluoroimmunoassay.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Anti-Idiotypic / blood*
  • Autoantibodies / blood*
  • Biotin*
  • Case-Control Studies
  • Enzyme-Linked Immunosorbent Assay
  • Fluoroimmunoassay
  • Humans
  • Immunoassay
  • Limit of Detection
  • Lupus Erythematosus, Systemic / blood
  • Lupus Erythematosus, Systemic / diagnosis
  • Mixed Connective Tissue Disease / blood
  • Mixed Connective Tissue Disease / diagnosis
  • Multiple Sclerosis / blood
  • Multiple Sclerosis / diagnosis
  • Peptides, Cyclic / blood*
  • Peptides, Cyclic / immunology
  • Prognosis
  • Rabbits
  • Scleroderma, Systemic / blood
  • Scleroderma, Systemic / diagnosis
  • Sjogren's Syndrome / blood
  • Sjogren's Syndrome / diagnosis
  • Streptavidin / analysis*

Substances

  • Antibodies, Anti-Idiotypic
  • Autoantibodies
  • Peptides, Cyclic
  • anti-IgG
  • cyclic citrullinated peptide
  • Biotin
  • Streptavidin