Skip to main content
Top
Published in: Journal of Translational Medicine 1/2012

Open Access 01-12-2012 | Research

Sensitive and rapid quantification of C-reactive protein using quantum dot-labeled microplate immunoassay

Authors: Yang Luo, Bo Zhang, Ming Chen, Tianlun Jiang, Daiyang Zhou, Junfu Huang, Weiling Fu

Published in: Journal of Translational Medicine | Issue 1/2012

Login to get access

Abstract

Background

High-sensitivity C-reactive protein (hs-CRP) assay is of great clinical importance in predicting risks associated with coronary heart disease. Existing hs-CRP assays either require complex operation or have low throughput and cannot be routinely implemented in rural settings due to limited laboratory resources.

Methods

We developed a novel hs-CRP assay capable of simultaneously quantifying over 90 clinical samples by using quantum dots-labeled immunoassay within a standard 96-well microplate. The specificity of the assay was enhanced by adopting two monoclonal antibodies (mAbs) that target distinct hs-CRP epitopes, serving as the coating antibody and the detection antibody, respectively. In the presence of hs-CRP antigen, the fluorescence intensity of the mAb-Ag-mAb sandwich complex captured on the microplate can be read out using a microplate reader.

Results

The proposed hs-CRP assay provides a wide analytical range of 0.001-100 mg/L with a detection limit of 0.06 (0.19) μg/L within 1.5 h. The accuracy of the proposed assay has been confirmed for low coefficient of variations (CVs), 2.27% (intra-assay) and 8.52% (inter-assay), together with recoveries of 96.7-104.2%. Bland-Altman plots of 104 clinical samples exhibited good consistency among the proposed assay, commercial high-sensitivity ELISA, and nephelometry, indicating the prospects of the newly developed hs-CRP assay as an alternative to existing hs-CRP assays.

Conclusion

The developed assay meets the needs of the rapid, sensitive and high-throughput determination of hs-CRP levels within a short time using minimal resources. In addition, the developed assay can also be used to detect and quantify other diagnostic biomarkers by immobilizing specific monoclonal antibodies.
Appendix
Available only for authorised users
Literature
1.
go back to reference Sabatine MS, Morrow DA, de Lemos JA, Gibson CM, Murphy SA, Rifai N, McCabe C, Antman EM, Cannon CP, Braunwald E: Multimarker approach to risk stratification in non-ST elevation acute coronary syndromes: simultaneous assessment of troponin I, C-reactive protein, and B-type natriuretic peptide. Circulation. 2002, 105: 1760-1763.CrossRefPubMed Sabatine MS, Morrow DA, de Lemos JA, Gibson CM, Murphy SA, Rifai N, McCabe C, Antman EM, Cannon CP, Braunwald E: Multimarker approach to risk stratification in non-ST elevation acute coronary syndromes: simultaneous assessment of troponin I, C-reactive protein, and B-type natriuretic peptide. Circulation. 2002, 105: 1760-1763.CrossRefPubMed
2.
go back to reference Danesh J, Wheeler JG, Hirschfield GM, Eda S, Eiriksdottir G, Rumley A, Lowe GD, Pepys MB, Gudnason V: C-reactive protein and other circulating markers of inflammation in the prediction of coronary heart disease. N Engl J Med. 2004, 350: 1387-1397.CrossRefPubMed Danesh J, Wheeler JG, Hirschfield GM, Eda S, Eiriksdottir G, Rumley A, Lowe GD, Pepys MB, Gudnason V: C-reactive protein and other circulating markers of inflammation in the prediction of coronary heart disease. N Engl J Med. 2004, 350: 1387-1397.CrossRefPubMed
3.
go back to reference Ridker PM, Hennekens CH, Buring JE, Rifai N: C-reactive protein and other markers of inflammation in the prediction of cardiovascular disease in women. N Engl J Med. 2000, 342: 836-843.CrossRefPubMed Ridker PM, Hennekens CH, Buring JE, Rifai N: C-reactive protein and other markers of inflammation in the prediction of cardiovascular disease in women. N Engl J Med. 2000, 342: 836-843.CrossRefPubMed
4.
go back to reference Kim SH, Reaven G, Lindley S: Relationship between insulin resistance and C-reactive protein in a patient population treated with second generation antipsychotic medications. Int Clin Psychopharmacol. 2011, 26: 43-47.CrossRefPubMedPubMedCentral Kim SH, Reaven G, Lindley S: Relationship between insulin resistance and C-reactive protein in a patient population treated with second generation antipsychotic medications. Int Clin Psychopharmacol. 2011, 26: 43-47.CrossRefPubMedPubMedCentral
5.
go back to reference Pradhan AD, Manson JE, Rifai N, Buring JE, Ridker PM: C-reactive protein, interleukin 6, and risk of developing type 2 diabetes mellitus. JAMA. 2001, 286: 327-334.CrossRefPubMed Pradhan AD, Manson JE, Rifai N, Buring JE, Ridker PM: C-reactive protein, interleukin 6, and risk of developing type 2 diabetes mellitus. JAMA. 2001, 286: 327-334.CrossRefPubMed
6.
go back to reference Wu TL, Tsai IC, Chang PY, Tsao KC, Sun CF, Wu LL, Wu JT: Establishment of an in-house ELISA and the reference range for serum amyloid A (SAA): complementarity between SAA and C-reactive protein as markers of inflammation. Clin Chim Acta. 2007, 376: 72-76.CrossRefPubMed Wu TL, Tsai IC, Chang PY, Tsao KC, Sun CF, Wu LL, Wu JT: Establishment of an in-house ELISA and the reference range for serum amyloid A (SAA): complementarity between SAA and C-reactive protein as markers of inflammation. Clin Chim Acta. 2007, 376: 72-76.CrossRefPubMed
7.
go back to reference Kjelgaard-Hansen M, Kristensen AT, Jensen AL: Evaluation of a commercially available enzyme-linked immunosorbent assay (ELISA) for the determination of C-reactive protein in canine serum. J Vet Med A, Physiol, Pathol, Clin Med. 2003, 50: 164-168.CrossRef Kjelgaard-Hansen M, Kristensen AT, Jensen AL: Evaluation of a commercially available enzyme-linked immunosorbent assay (ELISA) for the determination of C-reactive protein in canine serum. J Vet Med A, Physiol, Pathol, Clin Med. 2003, 50: 164-168.CrossRef
8.
go back to reference Sisman AR, Kume T, Tas G, Akan P, Tuncel P: Comparison and evaluation of two C-reactive protein assays based on particle-enhanced immunoturbidimetry. J Clin Lab Anal. 2007, 21: 71-76.CrossRefPubMed Sisman AR, Kume T, Tas G, Akan P, Tuncel P: Comparison and evaluation of two C-reactive protein assays based on particle-enhanced immunoturbidimetry. J Clin Lab Anal. 2007, 21: 71-76.CrossRefPubMed
9.
go back to reference Ceron JJ, Martinez-Subiela S, Caldin M, Parra MD, Ottolini N, Bertolini G, Bernal LJ, Garcia-Martinez JD: Canine C-reactive protein measurements in cerebrospinal fluid by a time-resolved immunofluorimetric assay. J Vet Diagn Invest. 2011, 23: 63-67.CrossRefPubMed Ceron JJ, Martinez-Subiela S, Caldin M, Parra MD, Ottolini N, Bertolini G, Bernal LJ, Garcia-Martinez JD: Canine C-reactive protein measurements in cerebrospinal fluid by a time-resolved immunofluorimetric assay. J Vet Diagn Invest. 2011, 23: 63-67.CrossRefPubMed
10.
go back to reference Kilpatrick EL, Liao W, Turko IV, Camara JE, Dodder NG, Bunk DM: Quantification of C-reactive protein in human serum with affinity purification and isotope-dilution tandem mass spectrometry. Clin Chem. 2009, 55: A205-A206. Kilpatrick EL, Liao W, Turko IV, Camara JE, Dodder NG, Bunk DM: Quantification of C-reactive protein in human serum with affinity purification and isotope-dilution tandem mass spectrometry. Clin Chem. 2009, 55: A205-A206.
11.
go back to reference Muddiman DC, Williams DK: Absolute quantification of c-reactive protein in human plasma derived from patients with epithelial ovarian cancer utilizing protein cleavage isotope dilution mass spectrometry. J Proteome Res. 2009, 8: 1085-1090.CrossRefPubMedPubMedCentral Muddiman DC, Williams DK: Absolute quantification of c-reactive protein in human plasma derived from patients with epithelial ovarian cancer utilizing protein cleavage isotope dilution mass spectrometry. J Proteome Res. 2009, 8: 1085-1090.CrossRefPubMedPubMedCentral
12.
go back to reference Dixit CK, Vashist SK, MacCraith BD, O'Kennedy R: Multisubstrate-compatible ELISA procedures for rapid and high-sensitivity immunoassays. Nat Protoc. 2011, 6: 439-445.CrossRefPubMed Dixit CK, Vashist SK, MacCraith BD, O'Kennedy R: Multisubstrate-compatible ELISA procedures for rapid and high-sensitivity immunoassays. Nat Protoc. 2011, 6: 439-445.CrossRefPubMed
13.
go back to reference Dixit CK, Vashist SK, O'Neill FT, O'Reilly B, MacCraith BD, O'Kennedy R: Development of a high sensitivity rapid sandwich ELISA procedure and its comparison with the conventional approach. Anal Chem. 2010, 82: 7049-7052.CrossRefPubMed Dixit CK, Vashist SK, O'Neill FT, O'Reilly B, MacCraith BD, O'Kennedy R: Development of a high sensitivity rapid sandwich ELISA procedure and its comparison with the conventional approach. Anal Chem. 2010, 82: 7049-7052.CrossRefPubMed
14.
go back to reference Yamamori H, Khatoon S, Grundke-Iqbal I, Blennow K, Ewers M, Hampel H, Iqbal K: Tau in cerebrospinal fluid: a sensitive sandwich enzyme-linked immunosorbent assay using tyramide signal amplification. Neurosci Lett. 2007, 418: 186-189.CrossRefPubMedPubMedCentral Yamamori H, Khatoon S, Grundke-Iqbal I, Blennow K, Ewers M, Hampel H, Iqbal K: Tau in cerebrospinal fluid: a sensitive sandwich enzyme-linked immunosorbent assay using tyramide signal amplification. Neurosci Lett. 2007, 418: 186-189.CrossRefPubMedPubMedCentral
15.
go back to reference Danese A, Ouellet-Morin I, Williams B, Arseneault L: Validation of a high-sensitivity assay for C-reactive protein in human saliva. Brain Behav Immun. 2011, 25: 640-646.CrossRefPubMed Danese A, Ouellet-Morin I, Williams B, Arseneault L: Validation of a high-sensitivity assay for C-reactive protein in human saliva. Brain Behav Immun. 2011, 25: 640-646.CrossRefPubMed
16.
go back to reference Sok D, Clarizia LJ, Farris LR, McDonald MJ: Novel fluoroimmunoassay for ovarian cancer biomarker CA-125. Anal Bioanal Chem. 2009, 393: 1521-1523.CrossRefPubMed Sok D, Clarizia LJ, Farris LR, McDonald MJ: Novel fluoroimmunoassay for ovarian cancer biomarker CA-125. Anal Bioanal Chem. 2009, 393: 1521-1523.CrossRefPubMed
17.
go back to reference Lu H, Schops O, Woggon U, Niemeyer CM: Self-assembled donor comprising quantum dots and fluorescent proteins for long-range fluorescence resonance energy transfer. J Am Chem Soc. 2008, 130: 4815-4827.CrossRefPubMed Lu H, Schops O, Woggon U, Niemeyer CM: Self-assembled donor comprising quantum dots and fluorescent proteins for long-range fluorescence resonance energy transfer. J Am Chem Soc. 2008, 130: 4815-4827.CrossRefPubMed
18.
go back to reference Chen L, Algar WR, Tavares AJ, Krull UJ: Toward a solid-phase nucleic acid hybridization assay within microfluidic channels using immobilized quantum dots as donors in fluorescence resonance energy transfer. Anal Bioanal Chem. 2011, 399: 133-141.CrossRefPubMed Chen L, Algar WR, Tavares AJ, Krull UJ: Toward a solid-phase nucleic acid hybridization assay within microfluidic channels using immobilized quantum dots as donors in fluorescence resonance energy transfer. Anal Bioanal Chem. 2011, 399: 133-141.CrossRefPubMed
19.
go back to reference Shaheen SM, Akita H, Yamashita A, Katoono R, Yui N, Biju V, Ishikawa M, Harashima H: Quantitative analysis of condensation/decondensation status of pDNA in the nuclear sub-domains by QD-FRET. Nucleic Acids Res. 2011, 39: e48-CrossRefPubMedPubMedCentral Shaheen SM, Akita H, Yamashita A, Katoono R, Yui N, Biju V, Ishikawa M, Harashima H: Quantitative analysis of condensation/decondensation status of pDNA in the nuclear sub-domains by QD-FRET. Nucleic Acids Res. 2011, 39: e48-CrossRefPubMedPubMedCentral
20.
go back to reference Niu S, Li Q, Qu L, Wang W: Nicking endonuclease and target recycles signal amplification assisted quantum dots for fluorescence detection of DNA. Anal Chim Acta. 2010, 680: 54-58.CrossRefPubMed Niu S, Li Q, Qu L, Wang W: Nicking endonuclease and target recycles signal amplification assisted quantum dots for fluorescence detection of DNA. Anal Chim Acta. 2010, 680: 54-58.CrossRefPubMed
21.
go back to reference Qian J, Dai H, Pan X, Liu S: Simultaneous detection of dual proteins using quantum dots coated silica nanoparticles as labels. Biosens Bioelectron. 2011, 28: 314-319.CrossRefPubMed Qian J, Dai H, Pan X, Liu S: Simultaneous detection of dual proteins using quantum dots coated silica nanoparticles as labels. Biosens Bioelectron. 2011, 28: 314-319.CrossRefPubMed
22.
go back to reference Di Corato R, Bigall NC, Ragusa A, Dorfs D, Genovese A, Marotta R, Manna L, Pellegrino T: Multifunctional nanobeads based on quantum dots and magnetic nanoparticles: synthesis and cancer cell targeting and sorting. ACS Nano. 2011, 5: 1109-1121.CrossRefPubMed Di Corato R, Bigall NC, Ragusa A, Dorfs D, Genovese A, Marotta R, Manna L, Pellegrino T: Multifunctional nanobeads based on quantum dots and magnetic nanoparticles: synthesis and cancer cell targeting and sorting. ACS Nano. 2011, 5: 1109-1121.CrossRefPubMed
23.
go back to reference Roederer M, Chattopadhyay PK, Price DA, Harper TF, Betts MR, Yu J, Gostick E, Perfetto SP, Goepfert P, Koup RA: Quantum dot semiconductor nanocrystals for immunophenotyping by polychromatic flow cytometry. Nat Med. 2006, 12: 972-977.CrossRefPubMed Roederer M, Chattopadhyay PK, Price DA, Harper TF, Betts MR, Yu J, Gostick E, Perfetto SP, Goepfert P, Koup RA: Quantum dot semiconductor nanocrystals for immunophenotyping by polychromatic flow cytometry. Nat Med. 2006, 12: 972-977.CrossRefPubMed
24.
go back to reference Nie SM, Liu JA, Lau SK, Varma VA, Kairdolf BA: Multiplexed Detection and Characterization of Rare Tumor Cells in Hodgkin's Lymphoma with Multicolor Quantum Dots. Anal Chem. 2010, 82: 6237-6243.CrossRefPubMedPubMedCentral Nie SM, Liu JA, Lau SK, Varma VA, Kairdolf BA: Multiplexed Detection and Characterization of Rare Tumor Cells in Hodgkin's Lymphoma with Multicolor Quantum Dots. Anal Chem. 2010, 82: 6237-6243.CrossRefPubMedPubMedCentral
25.
go back to reference Willner I, Freeman R, Finder T, Gill R: Probing Protein Kinase (CK2) and Alkaline Phosphatase with CdSe/ZnS Quantum Dots. Nano Lett. 2010, 10: 2192-2196.CrossRefPubMed Willner I, Freeman R, Finder T, Gill R: Probing Protein Kinase (CK2) and Alkaline Phosphatase with CdSe/ZnS Quantum Dots. Nano Lett. 2010, 10: 2192-2196.CrossRefPubMed
26.
go back to reference Zhu X, Duan D, Publicover NG: Magnetic bead based assay for C-reactive protein using quantum-dot fluorescence labeling and immunoaffinity separation. Analyst. 2010, 135: 381-389.CrossRefPubMed Zhu X, Duan D, Publicover NG: Magnetic bead based assay for C-reactive protein using quantum-dot fluorescence labeling and immunoaffinity separation. Analyst. 2010, 135: 381-389.CrossRefPubMed
27.
go back to reference Kerman K, Endo T, Tsukamoto M, Chikae M, Takamura Y, Tamiya E: Quantum dot-based immunosensor for the detection of prostate-specific antigen using fluorescence microscopy. Talanta. 2007, 71: 1494-1499.CrossRefPubMed Kerman K, Endo T, Tsukamoto M, Chikae M, Takamura Y, Tamiya E: Quantum dot-based immunosensor for the detection of prostate-specific antigen using fluorescence microscopy. Talanta. 2007, 71: 1494-1499.CrossRefPubMed
28.
go back to reference Miao WJ, Wang SJ, Harris E, Shi JA, Chen A, Parajuli S, Jing XH: Electrogenerated chemiluminescence determination of C-reactive protein with carboxyl CdSe/ZnS core/shell quantum dots. Phys Chem Chem Phys. 2010, 12: 10073-10080.CrossRefPubMed Miao WJ, Wang SJ, Harris E, Shi JA, Chen A, Parajuli S, Jing XH: Electrogenerated chemiluminescence determination of C-reactive protein with carboxyl CdSe/ZnS core/shell quantum dots. Phys Chem Chem Phys. 2010, 12: 10073-10080.CrossRefPubMed
29.
go back to reference McBride JD, Cooper MA: A high sensitivity assay for the inflammatory marker C-Reactive protein employing acoustic biosensing. J Nanobiotechnol. 2008, 6: 5-CrossRef McBride JD, Cooper MA: A high sensitivity assay for the inflammatory marker C-Reactive protein employing acoustic biosensing. J Nanobiotechnol. 2008, 6: 5-CrossRef
30.
go back to reference Roberts WL, Moulton L, Law TC, Farrow G, Cooper-Anderson M, Savory J, Rifai N: Evaluation of nine automated high-sensitivity c-reactive protein methods: implications for clinical and epidemiological applications. Part 2. Clin Chem. 2001, 47: 418-425.PubMed Roberts WL, Moulton L, Law TC, Farrow G, Cooper-Anderson M, Savory J, Rifai N: Evaluation of nine automated high-sensitivity c-reactive protein methods: implications for clinical and epidemiological applications. Part 2. Clin Chem. 2001, 47: 418-425.PubMed
31.
go back to reference Lolekha PH, Chittamma A, Roberts WL, Sritara P, Cheepudomwit S, Suriyawongpaisal P: Comparative study of two automated high-sensitivity C-reactive protein methods in a large population. Clin Biochem. 2005, 38: 31-35.CrossRefPubMed Lolekha PH, Chittamma A, Roberts WL, Sritara P, Cheepudomwit S, Suriyawongpaisal P: Comparative study of two automated high-sensitivity C-reactive protein methods in a large population. Clin Biochem. 2005, 38: 31-35.CrossRefPubMed
32.
go back to reference Roberts WL, Sedrick R, Moulton L, Spencer A, Rifai N: Evaluation of four automated high-sensitivity C-reactive protein methods: implications for clinical and epidemiological applications. Clin Chem. 2000, 46: 461-468.PubMed Roberts WL, Sedrick R, Moulton L, Spencer A, Rifai N: Evaluation of four automated high-sensitivity C-reactive protein methods: implications for clinical and epidemiological applications. Clin Chem. 2000, 46: 461-468.PubMed
33.
go back to reference Price CP, Trull AK, Berry D, Gorman EG: Development and Validation of a Particle-Enhanced Turbidimetric Immunoassay for C-Reactive Protein. J Immunol Methods. 1987, 99: 205-211.CrossRefPubMed Price CP, Trull AK, Berry D, Gorman EG: Development and Validation of a Particle-Enhanced Turbidimetric Immunoassay for C-Reactive Protein. J Immunol Methods. 1987, 99: 205-211.CrossRefPubMed
Metadata
Title
Sensitive and rapid quantification of C-reactive protein using quantum dot-labeled microplate immunoassay
Authors
Yang Luo
Bo Zhang
Ming Chen
Tianlun Jiang
Daiyang Zhou
Junfu Huang
Weiling Fu
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Journal of Translational Medicine / Issue 1/2012
Electronic ISSN: 1479-5876
DOI
https://doi.org/10.1186/1479-5876-10-24

Other articles of this Issue 1/2012

Journal of Translational Medicine 1/2012 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine