Clinical Chemistry
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Clinical Chemistry 49: 916-923, 2003; 10.1373/49.6.916
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(Clinical Chemistry. 2003;49:916-923.)
© 2003 American Association for Clinical Chemistry, Inc.

Detection of Autoantibodies to Protein Tyrosine Phosphatase-like Protein IA-2 with a Novel Time-resolved Fluorimetric Assay

Annette Westerlund-Karlsson1,a, Katriina Suonpää2, Matti Ankelo1, Jorma Ilonen3, Mikael Knip4,5 and Ari E. Hinkkanen1

1 Department of Biochemistry and Pharmacy, Åbo Akademi University, FIN-20521 Turku, Finland.

2 PerkinElmer Life and Analytical Sciences, Wallac Oy, FIN-20520 Turku, Finland.

3 Department of Virology, University of Turku, FIN-20520 Turku, Finland.

4 Hospital for Children and Adolescents, University of Helsinki, FIN-00014 Helsinki, Finland.

5 Department of Pediatrics, Tampere University Hospital, FIN-33521 Tampere, Finland.

aAddress correspondence to this author at: Department of Biochemistry and Pharmacy, Åbo Akademi University, PO Box 66, FIN-20521 Turku, Finland. Fax 358-2-2154745; e-mail awesterl{at}abo.fi.

Background: Circulating autoantibodies to pancreatic glutamic acid decarboxylase (GAD65; the 65-kDa isoform of glutamic acid decarboxylase), protein tyrosine phosphatase-like protein IA-2, and insulin can be used as predictive markers of type 1 diabetes. We developed a novel assay for the detection of IA-2 autoantibodies (IA-2As) in serum based on time-resolved fluorimetry, hypothesizing that this kind of assay could provide several advantages over methods described to date, including radiobinding assays (RBAs) and ELISAs.

Methods: The intracellular part of IA-2 (IA-2ic) was biotinylated and bound to streptavidin-coated 96-well plates by simultaneous incubation with serum samples and glutathione S-transferase (GST)-IA-2ic fusion protein. GST-IA-2ic captured by autoantibodies in the serum was detected with europium-labeled anti-GST antibody, and the signal was measured in a time-resolved fluorimeter. A serum sample panel from 100 patients with newly diagnosed type 1 diabetes and 100 unaffected controls was analyzed with the new assay and a conventional RBA.

Results: Among the 100 serum samples from patients with type 1 diabetes, the time-resolved fluorimetric assay identified 74 IA-2A-containing sera, whereas the RBA detected 80 IA-2A-positive samples. Five of the six samples positive in the RBA but not detected by the time-resolved fluorimetric assay were only weakly positive in the RBA. The performance time of the time-resolved fluorimetric assay was 2.5 h compared with 10–12 h required by the RBA.

Conclusions: The time-resolved fluorimetric assay provides a simple, nonradioactive analysis method for the detection of IA-2As with a specificity and a sensitivity comparable to the RBA method. This assay allows substantial reduction in performance time compared with the conventional RBA.




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