A sensitive chemiluminescence imaging immunoassay for simultaneous detection of serum oxidized lipoprotein(a) and low density lipoprotein
-
Ruijie Yu
and Junjun Wang
Abstract
Background: Oxidized lipoprotein(a) [ox-Lp(a)] and oxidized low density lipoprotein (ox-LDL) levels have been reported to be useful predictors of cardiovascular events. The study developed a chemiluminescence (CL) imaging immunoassay method for simultaneously detecting serum concentrations of ox-Lp(a) and ox-LDL.
Methods: Ox-Lp(a) and ox-LDL levels were measured by CL imaging immunoassay using a disposable immunosensor array as the carrier and a charge-coupled device as the detector, and were studied in 46 acute coronary syndromes (ACS) patients, 58 stable coronary artery disease (CAD) and 61 control subjects.
Results: This method showed good linear relations (R2>0.99) in the concentration range of 2.00×10–5–2.00×10–1 and 2.40×10–4–2.40 U/mL for ox-Lp(a) and ox-LDL, respectively. The detection limits for ox-Lp(a) and ox-LDL were 2.40×10–6 and 3.00×10–5 U/mL, respectively. The intra- and inter-assay coefficients of variation (CV) were 4.90%–6.76% and 7.11%–10.06% for ox-Lp(a), and 5.01%–6.04% and 5.47%–9.77% for ox-LDL, respectively. The mean recovery was 99.31% for ox-Lp(a) and 99.57% for ox-LDL, respectively. Significant correlations were observed between ox-Lp(a) levels detected by CL imaging immunoassay and ELISA, and between ox-LDL levels detected by the two methods, respectively. Furthermore, ox-Lp(a) and ox-LDL levels increased in stable CAD, and especially in ACS.
Conclusions: The CL imaging immunoassay provided a simple, sensitive and reliable method for the simultaneous determination of serum ox-Lp(a) and ox-LDL. The clinical monitoring ox-Lp(a) and ox-LDL levels may possess distinctly clinical value for assessment of CAD risk.
Acknowledgments
This work was supported by grants from the National Natural Science Foundation of China (NSFC 81271904) and the Special-funded Program on National Key Scientific Instruments and Equipment Development of China (2012YQ 03026109).
Conflict of interest statement
Authors’ conflict of interest disclosure: The authors have no conflicts of interest regarding the publication of this article. Research support played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
References
1. Scanu AM, Lawn RM, Berg K. Lipoprotein (a) and atherosclerosis. Ann Intern Med 1991;115:209–18.10.7326/0003-4819-115-3-209Search in Google Scholar
2. Terres W, Tatsis E, Pfalzer B, Beil FU, Beisiegel U, Hamm CW. Rapid angiographic progression of coronary artery disease in patients with elevated lipoprotein(a). Circulation 1995;91:948–50.10.1161/01.CIR.91.4.948Search in Google Scholar
3. Zhuang Y, Li J, Wang J. Apolipoprotein(a) phenotypes in cardio-cerebrovascular diseases. Chem Phys Lipids 1994; 67–68:293–7.10.1016/0009-3084(94)90149-XSearch in Google Scholar
4. Podrez EA, O′Neil J, Salomon RG, Schreiber MJ, Hoff HF. Measurement of oxidation in plasma Lp(a) in CAPD patients using a novel ELISA. Kidney Int 1998;54:637–45.10.1046/j.1523-1755.1998.00034.xSearch in Google Scholar
5. Naruszewicze M, Giroux LM, Davignon J. Oxidative modification of Lp(a) causes changes in the structure and biological properties of apo(a). Chem Phys Lipids 1994;67–68:167–74.10.1016/0009-3084(94)90136-8Search in Google Scholar
6. Haberland ME, Fless GM, Scanu AM, Fogelman AM. Malondialdehyde modification of lipoprotein(a) produces avid uptake by human monocyte-macrophages. J Biol Chem 1992;267:4143–51.10.1016/S0021-9258(19)50640-8Search in Google Scholar
7. Gillotte-Taylor K, Boullier A, Witztum JL, Steinberg D, Quehenberger O. Scavenger receptor class B type I as a receptor for oxidized low density lipoprotein. J Lipid Res 2001;42:1474–82.10.1016/S0022-2275(20)30281-9Search in Google Scholar
8. Ragab MS, Selvaraj P, Sgoutas DS. Oxidized lipoprotein (a) induces cell adhesion molecule Mac-1 (CD 11b) and enhances adhesion of the monocytic cell line U937 to cultured endothelial cells. Atherosclerosis 1996;123:103–13.10.1016/0021-9150(95)05790-0Search in Google Scholar
9. Ma FX, Zhou B, Chen Z, Ren Q, Lu SH, Sawamura T, et al. Oxidized low density lipoprotein impairs endothelial progenitor cells by regulation of endothelial nitric oxide synthase. J Lipid Res 2006;47:1227–37.10.1194/jlr.M500507-JLR200Search in Google Scholar PubMed
10. Holvoet P, Mertens A, Verhamme P, Bogaerts K, Beyens G, Verhaeghe R, et al. Circulating oxidized LDL is a useful marker for identifying patients with coronary artery disease. Arterioscler Thromb Vasc Biol 2001;21:844–8.10.1161/01.ATV.21.5.844Search in Google Scholar
11. Segev A, Strauss BH, Witztum JL, Lau HK, Tsimikas S. Relationship of a comprehensive panel of plasma oxidized low-density lipoprotein markers to angiographic restenosis in patients undergoing percutaneous coronary intervention for stable angina. Am Heart J 2005;150:1007–14.10.1016/j.ahj.2004.12.008Search in Google Scholar PubMed
12. Meisinger C, Baumert J, Khuseyinova N, Loewel H, Koenig W. Plasma oxidized low-density lipoprotein, a strong predictor for acute coronary heart disease events in apparently healthy, middle-aged men from the general population. Circulation 2005;112:651–7.10.1161/CIRCULATIONAHA.104.529297Search in Google Scholar PubMed
13. Johnston N, Jernberg T, Lagerqvist B, Siegbahn A, Wallentin L. Oxidized low-density lipoprotein as a predictor of outcome in patients with unstable coronary artery disease. Int J Cardiol 2006;113:167–73.10.1016/j.ijcard.2005.11.006Search in Google Scholar PubMed
14. Wang J, Niu D, Meng Y, Han A, Li K, Zhang C. Plasma oxidized lipoprotein(a) and its immune complexes are present in newborns and children. Clin Chim Acta 2009;407:1–5.10.1016/j.cca.2009.06.020Search in Google Scholar PubMed
15. Wang J, Hu B, Kong L, Cai H, Zhang C. Native, oxidized lipoprotein(a) and lipoprotein(a) immune complex in patients with active and inactive rheumatoid arthritis: plasma concentrations and relationship to inflammation. Clin Chim Acta 2008;390:67–71.10.1016/j.cca.2007.12.015Search in Google Scholar PubMed
16. Wang JJ, Zhang CN, Meng Y, Han AZ, Gong JB, Li K. Elevated concentrations of oxidized lipoprotein(a) are associated with the presence and severity of acute coronary syndromes. Clin Chim Acta 2009;408:79–82.10.1016/j.cca.2009.07.013Search in Google Scholar PubMed
17. Wang JJ, Han AZ, Meng Y, Gong JB, Zhang CN, Li K, et al. Measurement of oxidized lipoprotein (a) in patients with acute coronary syndromes and stable coronary artery disease by 2 ELISAs: using different capture antibody against oxidized lipoprotein (a) or oxidized LDL. Clin Biochem 2010;43:571–5.10.1016/j.clinbiochem.2009.12.017Search in Google Scholar PubMed
18. Holvoet P, Donck J, Landeloos M, Brouwers E, Luijtens K, Arnout J, et al. Correlation between oxidized low density lipoproteins and von Willebrand factor in chronic renal failure. Thromb Haemost 1996;76:663–9.10.1055/s-0038-1650639Search in Google Scholar
19. Itabe H. Oxidized low-density lipoprotein as a biomarker of in vivo oxidative stress: from atherosclerosis to periodontitis. J Clin Biochem Nutr 2012;51:1–8.10.3164/jcbn.11-00020R1Search in Google Scholar PubMed PubMed Central
20. Fefer P, Tsimikas S, Segev A, Sparkes J, Otsuma F, Kolodgie F, et al. The role of oxidized phospholipids, lipoprotein (a) and biomarkers of oxidized lipoproteins in chronically occluded coronary arteries in sudden cardiac death and following successful percutaneous revascularization. Cardiovasc Revasc Med 2012;13:11–9.10.1016/j.carrev.2011.08.001Search in Google Scholar PubMed
21. Kotani K, Yamada S, Yamada T, Taniguchi N, Sakurabayashi I. The relationship between oxidized lipoprotein(a) and carotid atherosclerosis in asymptomatic subjects: a comparison with native lipoprotein(a). Lipids Health Dis 2011;10:174.10.1186/1476-511X-10-174Search in Google Scholar PubMed PubMed Central
22. Wang J, Zhang C, Gong J, Zhu Y, Fu L, Wang X, et al. Development of new enzyme-linked immunosorbent assay for oxidized lipoprotein(a) by using purified human oxidized lipoprotein(a) autoantibodies as capture antibody. Clin Chim Acta 2007;385:73–8.10.1016/j.cca.2007.06.023Search in Google Scholar PubMed
23. Tsimikas S, Lau HK, Han KR, Shortal B, Miller ER, Segev A, et al. Percutaneous coronary intervention results in acute increases in oxidized phospholipids and lipoprotein(a): short-term and long-term immunologic responses to oxidized low-density lipoprotein. Circulation 2004;109:3164–70.10.1161/01.CIR.0000130844.01174.55Search in Google Scholar PubMed
24. Yu FY, Gribas AV, Vdovenko MM, Sakharov IY. Development of ultrasensitive direct chemiluminescent enzyme immunoassay for determination of aflatoxin B1 in food products. Talanta 2013;107:25–9.10.1016/j.talanta.2012.12.047Search in Google Scholar PubMed
25. Dai H, Zhu J, Yang Z, Li J, Jiao Xa, Hu X, et al. A paramagnetic microspheres based automation-friendly rapid chemiluminescent immunoassay method for sensitive detection of chicken interferon-gamma. Chem Comm 2013;49:1708–10.10.1039/c3cc38040hSearch in Google Scholar PubMed
26. Yang Z, Zong C, Yan F, Ju H. Automated chemiluminescent dual-analyte immunoassay based on resolved immunosensing channels. Talanta 2010;82:1462–7.10.1016/j.talanta.2010.07.018Search in Google Scholar PubMed
27. Zong C, Wu J, Wang C, Ju H, Yan F. Chemiluminescence imaging immunoassay of multiple tumor markers for cancer screening. Anal Chem 2012;84:2410–5.10.1021/ac203179gSearch in Google Scholar PubMed
28. FitzGerald SP, Lamont JV, McConnell RI, Benchikh EO. Development of a high-throughput automated analyzer using biochip array technology. Clin Chem 2005;51: 1165–76.10.1373/clinchem.2005.049429Search in Google Scholar PubMed
29. Karsunke XY, Niessner R, Seidel M. Development of a multichannel flow-through chemiluminescence microarray chip for parallel calibration and detection of pathogenic bacteria. Anal Bioanal Chem 2009;395:1623–30.10.1007/s00216-009-2905-7Search in Google Scholar PubMed
30. Zong C, Wu J, Xu J, Ju H, Yan F. Multilayer hemin/G-quadruplex wrapped gold nanoparticles as tag for ultrasensitive multiplex immunoassay by chemiluminescence imaging. Biosens Bioelectron 2013;43:372–8.10.1016/j.bios.2012.12.051Search in Google Scholar PubMed
31. Wang JJ, Liu XZ, Zhuang YY, Li LY. Correlation between susceptibility of LDL subfractions to in vitro oxidation and in vivo oxidized LDL. Clin Biochem 2000;33:71–3.10.1016/S0009-9120(99)00065-XSearch in Google Scholar
32. Wang J, Gu Q, Li K, Zhang C. CETP and oxidized LDL levels increase in dyslipidemic subjects. Clin Biochem 2007;40: 995–9.10.1016/j.clinbiochem.2007.05.010Search in Google Scholar PubMed
33. Winyard PG, Tatzber F, Esterbauer H, Kus ML, Blake DR, Morris CJ. Presence of foam cells containing oxidised low density lipoprotein in the synovial membrane from patients with rheumatoid arthritis. Ann Rheum Dis 1993;52:677–80.10.1136/ard.52.9.677Search in Google Scholar PubMed PubMed Central
34. Wang J, Zhang C, Han A, Gong J, Li K. Percutaneous coronary intervention results in acute increases in native and oxidized lipoprotein (a) in patients with acute coronary syndrome and stable coronary artery disease. Clin Biochem 2010;43:1107–11.10.1016/j.clinbiochem.2010.06.019Search in Google Scholar PubMed
©2014 by Walter de Gruyter Berlin/Boston
Articles in the same Issue
- Frontmatter
- Editorials
- Quo vadis, biomarkers?
- Translational researchers beware! Unreliable commercial immunoassays (ELISAs) can jeopardize your research
- Reviews
- Tracing a roadmap for vitamin B12 testing using the health technology assessment approach
- Meta-analysis: diagnostic accuracy of anti-cyclic citrullinated peptide 2 antibody and anti-cyclic citrullinated peptide 3 antibody in rheumatoid arthritis
- Perspectives
- Present and future of cancer biomarkers
- Opinion Paper
- A repository for “rare” tumor markers?
- Genetics and Molecular Diagnostics
- Characterization of a complex CYP2D6 genotype that caused an AmpliChip CYP450 Test® no-call in the clinical setting
- General Clinical Chemistry and Laboratory Medicine
- Tighter precision target required for lactate testing in patients with lactic acidosis
- The revised Lund-Malmö GFR estimating equation outperforms MDRD and CKD-EPI across GFR, age and BMI intervals in a large Swedish population
- Validation of a point-of-care (POC) lactate testing device for fetal scalp blood sampling during labor: clinical considerations, practicalities and realities
- Dabigatran, rivaroxaban, apixaban, argatroban and fondaparinux and their effects on coagulation POC and platelet function tests
- Evaluation of clinical cases in External Quality Assessment Scheme (EQAS) for the urinary sediment
- N Latex FLC serum free light-chain assays in patients with renal impairment
- A new high-sensitive nephelometric method for assaying serum C-reactive protein based on phosphocholine interaction
- A sensitive chemiluminescence imaging immunoassay for simultaneous detection of serum oxidized lipoprotein(a) and low density lipoprotein
- Quantification of teicoplanin in plasma by LC-MS with online sample clean-up and comparison with QMS® assay
- Cancer Diagnostics
- An epidemiology-based model to estimate the rate of inappropriateness of tumor marker requests
- Evaluation of INK4A promoter methylation using pyrosequencing and circulating cell-free DNA from patients with hepatocellular carcinoma
- Cardiovascular Diseases
- The in vitro stability of novel cardiovascular and sepsis biomarkers at ambient temperature
- Analytical evaluation of the automated galectin-3 assay on the Abbott ARCHITECT immunoassay instruments
- Infectious Diseases
- Serum miR-122 levels are related to coagulation disorders in sepsis patients
- Letter to the Editors
- Effect of storage conditions and freeze/thaw cycles on serum and plasma levels of anti-acetylcholine receptor (AChR) antibody
- Enzymatic isotope dilution mass spectrometry (IDMS) traceable serum creatinine is preferable over Jaffe in neonates and young infants
- Vitamin D, atopy, immunity
- 25-Hydroxy vitamin D levels in chronic urticaria and its correlation with disease severity from a tertiary care centre in South India
- High prevalence of anti-thyroid antibodies associated with a low vitamin D status in a pediatric cohort
- Serum melatonin levels in psoriasis and associated depressive symptoms
- Congress Abstracts
- ISMD2014 Tenth International Symposium on Molecular Diagnostics
Articles in the same Issue
- Frontmatter
- Editorials
- Quo vadis, biomarkers?
- Translational researchers beware! Unreliable commercial immunoassays (ELISAs) can jeopardize your research
- Reviews
- Tracing a roadmap for vitamin B12 testing using the health technology assessment approach
- Meta-analysis: diagnostic accuracy of anti-cyclic citrullinated peptide 2 antibody and anti-cyclic citrullinated peptide 3 antibody in rheumatoid arthritis
- Perspectives
- Present and future of cancer biomarkers
- Opinion Paper
- A repository for “rare” tumor markers?
- Genetics and Molecular Diagnostics
- Characterization of a complex CYP2D6 genotype that caused an AmpliChip CYP450 Test® no-call in the clinical setting
- General Clinical Chemistry and Laboratory Medicine
- Tighter precision target required for lactate testing in patients with lactic acidosis
- The revised Lund-Malmö GFR estimating equation outperforms MDRD and CKD-EPI across GFR, age and BMI intervals in a large Swedish population
- Validation of a point-of-care (POC) lactate testing device for fetal scalp blood sampling during labor: clinical considerations, practicalities and realities
- Dabigatran, rivaroxaban, apixaban, argatroban and fondaparinux and their effects on coagulation POC and platelet function tests
- Evaluation of clinical cases in External Quality Assessment Scheme (EQAS) for the urinary sediment
- N Latex FLC serum free light-chain assays in patients with renal impairment
- A new high-sensitive nephelometric method for assaying serum C-reactive protein based on phosphocholine interaction
- A sensitive chemiluminescence imaging immunoassay for simultaneous detection of serum oxidized lipoprotein(a) and low density lipoprotein
- Quantification of teicoplanin in plasma by LC-MS with online sample clean-up and comparison with QMS® assay
- Cancer Diagnostics
- An epidemiology-based model to estimate the rate of inappropriateness of tumor marker requests
- Evaluation of INK4A promoter methylation using pyrosequencing and circulating cell-free DNA from patients with hepatocellular carcinoma
- Cardiovascular Diseases
- The in vitro stability of novel cardiovascular and sepsis biomarkers at ambient temperature
- Analytical evaluation of the automated galectin-3 assay on the Abbott ARCHITECT immunoassay instruments
- Infectious Diseases
- Serum miR-122 levels are related to coagulation disorders in sepsis patients
- Letter to the Editors
- Effect of storage conditions and freeze/thaw cycles on serum and plasma levels of anti-acetylcholine receptor (AChR) antibody
- Enzymatic isotope dilution mass spectrometry (IDMS) traceable serum creatinine is preferable over Jaffe in neonates and young infants
- Vitamin D, atopy, immunity
- 25-Hydroxy vitamin D levels in chronic urticaria and its correlation with disease severity from a tertiary care centre in South India
- High prevalence of anti-thyroid antibodies associated with a low vitamin D status in a pediatric cohort
- Serum melatonin levels in psoriasis and associated depressive symptoms
- Congress Abstracts
- ISMD2014 Tenth International Symposium on Molecular Diagnostics