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2015 ; 156
(12
): 4755-60
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gab.com Text
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English Wikipedia
Development of an Enhanced Sensitivity Bead-Based Immunoassay for Real-Time In
Vivo Detection of Pancreatic ?-Cell Death
#MMPMID26431226
Costa OR
; Stangé G
; Verhaeghen K
; Brackeva B
; Nonneman E
; Hampe CS
; Ling Z
; Pipeleers D
; Gorus FK
; Martens GA
Endocrinology
2015[Dec]; 156
(12
): 4755-60
PMID26431226
show ga
There is a clinical need for plasma tests to detect and quantify the in vivo
destruction of pancreatic ?-cells in type 1 diabetes. We previously developed a
time-resolved fluorescence immunoassay (TRFIA) to glutamate decarboxylase 65 kDa
(GAD65) (GAD65-TRFIA) that was able to detect the synchronous necrotic
destruction of transplanted ?-cells in the hours after their infusion in the
liver. This GAD65-TRFIA, however, lacked sensitivity to detect continued ?-cell
rejection beyond this acute phase. The aim of present study was to gain at least
an order of magnitude in analytical sensitivity by switching to Becton Dickinson
cytometric bead array (CBA) (GAD65-CBA) enhanced sensitivity format, using the
same couple of monoclonal antibodies. We compared the performances of GAD65-CBA
and GAD65-TRFIA using Clinical and Laboratory Standards Institute protocols for
linearity, imprecision, specificity, limit of detection, and functional
sensitivity. We conducted a method comparison and assessed the biologic potential
on samples from human recipients of islet grafts. The GAD65-CBA showed acceptable
linearity and imprecision. Switching from TRFIA to CBA lowered functional
sensitivity by a factor 35 and lowered limit of detection by a factor 11 with
minimal need for method optimization. The enhanced sensitivity greatly expands
the application domain of our biomarker and allowed for the first time to detect
ongoing ?-cell destruction up to at least 1 day after islet transplantation. We
conclude that the GAD65-CBA is suitable for biological and clinical assessment of
the real-time destruction of ?-cells in intraportal transplantation.