Peroxidase/monoclonal antibody conjugates for the study of hemoglobinopathies

J Clin Lab Anal. 1993;7(4):214-9. doi: 10.1002/jcla.1860070405.

Abstract

Monoclonal antibodies (mAbs) to normal human hemoglobins (Hbs) A and F and to variant Hbs C and G-Philadelphia were conjugated to horseradish peroxidase (HRP) and used in qualitative or quantitative enzyme-linked immunosorbent assays (ELISAs). Conjugates with output molar HRP/IgG ratios close to 2.0 had higher avidity for the cognate antigens than those with ratios above or below 2.0. The analytical sensitivities of the conjugates ranged from 0.2 to 4 ng of hemolysate containing the target hemoglobin, and it was not related to the input or the output HRP/IgG ratios. The overall imprecision for the qualitative ELISA was below 8%, and the accuracy for the identification of Hbs C and G-Philadelphia was 100% as compared with established methods. Quantitative determinations of HbA based upon direct dose-response curves showed an analytical sensitivity of 1% and an imprecision < or = 11%. The most significant application of the HbA assay was in the differential diagnosis of hemoglobinopathies associated with partial or total suppression of HbA synthesis. Competitive dose-response curves for the HRP/anti-gamma conjugate allowed the quantification of HbF in the clinically significant range of 0.5-10%, with an imprecision < or = 12%. It is concluded that the incorporation of HRP/mAb conjugates into the ELISA technique offers a simpler, more rapid, yet specific alternative for the measurement of hemoglobins.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Antibodies, Monoclonal / immunology*
  • Enzyme-Linked Immunosorbent Assay / methods*
  • Fetal Hemoglobin / analysis
  • Hemoglobin A / analysis
  • Hemoglobinopathies / diagnosis
  • Hemoglobins, Abnormal / analysis*
  • Hemoglobins, Abnormal / immunology
  • Horseradish Peroxidase
  • Humans
  • Kinetics
  • Sensitivity and Specificity

Substances

  • Antibodies, Monoclonal
  • Hemoglobins, Abnormal
  • Hemoglobin A
  • Fetal Hemoglobin
  • Horseradish Peroxidase