MicroRNA in vitro diagnostics using immunoassay analyzers

The implementation of new biomarkers into clinical practice is one of the most important areas in medical research. Besides their clinical impact, novel in vitro diagnostic markers promise to have a substantial effect on healthcare costs. Although numerous publications report the discovery of biomar...

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Veröffentlicht in:Clinical chemistry (Baltimore, Md.) Md.), 2015-04, Vol.61 (4), p.600-607
Hauptverfasser: Kappel, Andreas, Backes, Christina, Huang, Yiwei, Zafari, Sachli, Leidinger, Petra, Meder, Benjamin, Schwarz, Herbert, Gumbrecht, Walter, Meese, Eckart, Staehler, Cord F, Keller, Andreas
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container_issue 4
container_start_page 600
container_title Clinical chemistry (Baltimore, Md.)
container_volume 61
creator Kappel, Andreas
Backes, Christina
Huang, Yiwei
Zafari, Sachli
Leidinger, Petra
Meder, Benjamin
Schwarz, Herbert
Gumbrecht, Walter
Meese, Eckart
Staehler, Cord F
Keller, Andreas
description The implementation of new biomarkers into clinical practice is one of the most important areas in medical research. Besides their clinical impact, novel in vitro diagnostic markers promise to have a substantial effect on healthcare costs. Although numerous publications report the discovery of biomarkers, only a fraction of those markers are routinely used. One key challenge is a measurement system that is compatible with clinical workflows. We designed a new immunoassay for microRNA (miRNA) quantification. The assay combines streptavidin-linked microparticles, a biotinylated catcher oligonucleotide complementary to a single miRNA species, and finally, a monoclonal antibody to DNA/RNA heterohybrids labeled with acridinium ester. Importantly, our assay runs on standard immunoassay analyzers. After a technical validation of the assay, we evaluated the clinical performance on 4 Alzheimer disease miRNAs. Our assay has an analytical specificity of 99.4% and is at the same time sensitive (concentrations in the range of 1 pmol/L miRNA can be reliably profiled). Because the novel approach did not require amplification steps, we obtained high reproducibility for up to 40 biological replicates. Importantly, our assay prototype exhibited a time to result of 0.994 with the gold standard qRT-PCR. Our miRNA immunoassay allowed the measurement of miRNA signatures with sufficient analytical sensitivity and high specificity on commonly available laboratory equipment.
doi_str_mv 10.1373/clinchem.2014.232165
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Besides their clinical impact, novel in vitro diagnostic markers promise to have a substantial effect on healthcare costs. Although numerous publications report the discovery of biomarkers, only a fraction of those markers are routinely used. One key challenge is a measurement system that is compatible with clinical workflows. We designed a new immunoassay for microRNA (miRNA) quantification. The assay combines streptavidin-linked microparticles, a biotinylated catcher oligonucleotide complementary to a single miRNA species, and finally, a monoclonal antibody to DNA/RNA heterohybrids labeled with acridinium ester. Importantly, our assay runs on standard immunoassay analyzers. After a technical validation of the assay, we evaluated the clinical performance on 4 Alzheimer disease miRNAs. Our assay has an analytical specificity of 99.4% and is at the same time sensitive (concentrations in the range of 1 pmol/L miRNA can be reliably profiled). 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source Oxford University Press Journals All Titles (1996-Current); MEDLINE
subjects Alzheimer Disease - blood
Alzheimer Disease - genetics
Alzheimer's disease
Antibodies, Monoclonal
Biomarkers
Biomarkers - blood
Blood banks
Deoxyribonucleic acid
Disease
DNA
Humans
Immunoassay
Immunoassay - instrumentation
Immunoassay - methods
Laboratories
Medical research
Methods
MicroRNAs - blood
Reproducibility of Results
Sensitivity and Specificity
title MicroRNA in vitro diagnostics using immunoassay analyzers
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