Professional Documents
Culture Documents
24/1,
80-86
(1978)
and Barry
E. Northam
We describe a new automated dye-binding serum albumin determination with bromcresol that has several advantages over an existing green (BCG) method. The continuous-flow sensitive, linear, and precise, with negligible
of
with in the
some
ai-, az-,
These
acute-phase
teraction at an analytical rate of 60 samples per hour. Unlike BCG, BCP did not react with an albumin-free serum globulin preparation or pure human transferrin solutions. Reaction with serum was instantaneous; in contrast, BCG exhibits a slow nonspecific reaction with some specimens.
The specificity of BCP was demonstrated by good agreement with results of rocket immunoelectrophoresis (EIA) where y(BCP) = 0.95x (EIA) + 1.72. The BCG method overestimated serum albumin concentration where j4BCG) = 1.Olx(EIA) + 6.77. Precipitation, which affects the BCG method, was not observed with BCP. Blank corrections
tants (14, 17). y-Globulins do not react with 17). The nonspecific reaction is slow but the with albumin is immediate, method depends in part velopment in the analytical (18) number with It was hypothesized would reduce the protein nonspecific However, stricted sorbance values. purple sons. interactions so that upon the system the error duration (14).
of the BCG of color depH dye! in the red (19). are rereagent ab-
that increased reagent of weak electrostatic reduction case with phenol BCG methods of the high
a consequent
reaction, as is the direct colorimetric to a pH near 4 because and decreasing Consequently, (BCP) was changes dye
were negligible, salicylate did not interfere, and bilirubin affected the method only if present in very high concentration. The method offers a solution to the poor accuracy
of existing desirable BCG methods features. while retaining many of their
effect of albumin at higher pH we sought a new dye. Bromcresol in detail from yellow for three reain the color to purple
investigated
This
Additional
green
Keyphrases:
compared
electroimmunoassay,
.
bromcresol
methods
specificity
pH interval 5.2-6.8, permitting use of a reagent at about pH 5. BCP is structurally similar to BCG, so we hoped that the desirable properties of the latter would be retained. Louderback et al. have reported2 that BCP reacts only with albumin, and a manual method for this dye has been described (20). We have devised an automated method and compare BCG method
Dye-binding nation are Bromcresol methods ceptible benzoic advantages. precipitate effect pends
methods for serum albumin simple, rapid, economical, and (BCG) is widely described (1-8). used BCG
determiprecise.
here its performance with that of an established method and a specific electroimmunoassay (ETA), with encouraging results.
to interference acid (1), and The causing (1, 3, 9). on the source
complex may partly the negative baseline of the (10), Most by BCG complex so the serious methods dechoice is the and
Materials
BCP Method
and Methods
Stock absolute
BCP ethanol.
solution, Dissolve
40
mmol 0.54
of BCP g of BCP
per (pH
liter Indicator
of
material between
Grade; B.D.H. Chemicals, Poole, England) in 15 ml of absolute ethanol. When a clear orange solution is obtained, dilute to 25 ml with absolute ethanol. The reagent is stable at 4 #{176}C for at least three months. Preliminary examination indicates that BCP from other manufacturers brook, England; (Koch-Light Aldrich Laboratories Chemical Co. Inc., Ltd., ColnMilwaukee,
concentration
Department of Clinical Chemistry, B4 6NH, U.K. Current address: Department Hospital, Received Dudley, Aug. West Midlands, 15, 1977; accepted
General of Clinical
Hospital, Chemistry,
Louderback,
E.
and
Taylor,
N.
A.,
A new
dye
of albumin
80
CLINICAL
CHEMISTRY,
and albumin.
Scientific perform
Apparatus similarly
Ltd., in their
Loughreaction
PI.MP
SAMPLER 60/I, II
1mm)
It
r-(mu
Dissolve 25 g of Brij-35 (polyether; Sigma Chemical Co., St. Louis, water, with warming, and dilute to 100
016
0.16
Air
Somple
Sen
inset
suc
!2.........Workirig
14 timrns H31 Air
in distilled
BCP
150 ml distilled
of glacial water.
0 60 L2..._Workint
Diln.d
.w.nnl.
BCP
reogent Air
INSET
Working BCP reagent, 40 j.tmol of BCP per liter. Dissolve 10 g of sodium acetate trihydrate (AR grade) in about 800 ml of distilled water. Add 10 ml of stock acetic of stock acid BCP solution, solution, 1 ml of Brij-35 and and acid dilute solution, to 1 liter with and 1 ml distilled
COLORIMETER
15mm flow cell
.60
2 50
From
Ibm
cell
-p
water. Check the pH 0.03 with stock acetic dium least hydroxide a week chloride solution. at room
if necessary adjust to 5.2 solution or 0.5 mol,liter soThe reagent Dissolve is stable for at
RECORDER
600nm
Fig.
Inset
1. Flow
shows
diagram
Sodium
air re-injection
chloride in 1 liter of distilled water. Standards. For this we used human B5158; Dade Biochemicals, American (U.K.)
were known
a standard albumin
curve
was
plotted, were
un-
concentrations
Ltd.,
Didcot,
England]
specified
by moving-boundary macro-Kjeldahl
Equipment Pharmaceuticals
Results
Reaction Optimum (without
Brij-35)
between conditions.
BCP
exhibits
and The
Albumin
working BCP maxima reagent at 436 absorbance
dilute with sodium chloride solution trations up to 60 g/liter. Equipment. AutoAnalyzer I modules: Mkl Pump, Colorimeter (with 15-mm cell), and Basingstoke, The dilution injected used Recorder (Technicon England). system 200-fold. to minimize BCG Particular pattern, of about with air in a modified bubble The
and 590 nm, tively. With increases, Brij-35 noted causes in the trum Addition but causes with
continuous-flow
a sample is (as
BCG
resampled stream sample interaction E. C. Albutt, is necessary peaks will personal to achieve result.
of albumin
in absorbance at 590 nm with 590 to 603 nm. The difference plus reagent vs. reagent shows at 603 nm. effect of reagent
conditions
Method used the the standards method of Northam described above, and and Widdowson measured (1), ab-
nm. In this method, a reagent with 40 mol solution pH 3.8) (250 is used.
sorbance of the albumin!BCP complex at 603 nm by adding 0.1 ml of a 40 g!liter solution of albumin to 20 ml of BCP reagent, using a reagent blank. Conditions other than those under examination were kept as in the original gradually method over he (above). The absorbance pH interval 5.1 to 5.6, from increased 0.275 to
of a Brij-35
(50 mmol/liter,
0.324. Similarly, increasing the BCP concentration from 40 to 100 i.tmol!liter caused an increase in absorbance from 0.292 to 0.313. Addition of Brij-35 solution up to
0.5 mL/liter increased the absorbance, but from 0.5 to
Electroimmunoassay Laurell rocket technique standards (as above) were diluted chloride solution in diameter, cut contained human albumin mmol,liter, pH strength under stained The was used. Serum and 250-fold with sodium
1.5 ml,liter the absorbance gradually at higher Brij-35 Reagent conditions were
and 5 sl was applied to a well 2.5 mm in a gel layer 1.5 mm thick. The gel per liter, monovalent antibuffer (50 at a field antiserum, 8.6). After and barbital electrophoresis
15 g of agarose
best compromise between maximum absorbance of the BCP!albumin complex and minimum reagent absorbance at 603 nm, and (b) to be such that small inaccuracies in the routine preparation of the BCP reagent (i.e., buffer, minimum od.
CLINICAL CHEMISTRY, Vol. 24, No. 1. 1978 81
3 h, the plates were pressed dried with a hair-dryer, and Brillant Blue R. Peak heights
Brij-35, effect
concentration) reproducibility
would of the
have meth-
0.50
0.40
V
//
LU 0
z
0
0.30
cr1
cr1 4
0.20
0.10
//
Fig. 2. Standard
ious sources B, freeze-dried
20
ALBUMIN
30
40
g/liter
50
60
Fig. 3. Recorder trace of analysis of freeze-dried human
curves A, purified
human
prepared
human serum
from varTravenol
serum 0 Pak
water 1, 1 in
Biochemicals);
I unassayed (Travenol Laboratories Ltd.) was reconstituted with distilled to 57.5 g of albumin per liter. This was diluted in sodium chloride solution:
(0 Pak I unassayed,
5;
2,
2 in
5; 3,
3 in
5; 4, 4
in 5;
5, undiluted.
Chart
speed,
50.8 cm/h
C, purified human albumin (Hoechst Pharmaceuticals Ltd.); D, purified human albumin (Sigma Chemical Co.). In A-D, absorbance was measured at 603 nm by the BCP method. E, purified human albumin (Hoechst Pharmaceuticals
Laboratories Ltd.);
Ltd.); absorbance measured at 636 nm by the BCG method
To
evaluate of low
this,
we analyzed pre-
concentration,
with
Standards. rations described (specified inpurities); albumin albumin solution correct method, related (Figure highest were above; Three obtained: from purified that Hoechst human from Dade albumin prepaLtd. Biochemicals
by three of high concentration. At 60 samples!h, a sample!wash ration of 1!1, serum containing 11.5 per liter assayed was increased to an apparent next after serum containing Interaction Approach 12.1 57.5
Pharmaceuticals
as >99% albumin, and from Sigma containing preparations to give for moisture concentration up 2). to an The Dade with
with no detectable protein Chemical Co. (crystallized per 100 g). These in sodium chloride We did not With were the BCP linearly gave light the path
1-3 g of globulins were dissolved or other and albumin albumin BCP impurities. absorbance concentration
aspiration plateau was within two transmission lines (i.e., 91% of steady state in terms of absorbance units, 97% in terms of transmission units) at a concentration
of
a concentration
of 60 g!liter.
57.5 g
Precision.
of
per
liter
(Figure precision
3). was diluted both measured with sodium 35.9 precision concentraby conof albumin
of 60 g!liter in a 1-cm
preparation (0.45
solution) (undiluted
of concentration concentrations
absorbance
at 603 nm). The lower absorbances, impurities because and, only the
Hoechst and Sigma possibly reflecting in particular, Dade albumin the was
preparations gave the presence of of moisture, in vacTravenol was than the conwith provided and Dade abalbusupplied
presence
uum-sealed ampoules. A freeze-dried serum Laboratories reconstituted recommended centration, use by Hoechst which of a commercial Ltd., 10 ml, was
spectively),
(Q Pak
to achieve then serum
Aliquots
divided into aliquots, and stored at 4 #{176}C. of each serum pool were analyzed, in 20 batches weeks. Each batch We used the same acetic acid solution, from bro-
Thetford,
England) albumin
in 6 ml of distilled
each, on different days during four included eight to 15 serum specimens. manifold, stock BCP solution, stock and
electroimmunoassayed Ltd.
assayed
Brij-35 solution throughout this period. Specificity. Albumin was selectively removed serum by affinity chromatography on cyanogen mide-activated linked to Blue agarose Dextran (Sepharose) 2000 [Pharmacia gel
given
The linear range for the BCG than in the BCP method and the was
82
method maximum
less
(Figure
2).
Vol. 24, No.
cals, Pharmacia (Great Britain) Ltd., London] eluate from the gel columns was examined presence of albumin by immunoelectrophoresis
CLINICAL
CHEMISTRY,
1, 1978
Table 1. Apparent Albumin Concentration of Albumin-Free Serum Eluates Prepared by Affinity Chromatography
Nature of
Table
2. Reaction
of BCG (a)
Transferrin Transferrin
specImen
g/liter RID8
Albumin
(a)
Apparent
Transferrln concn 9/lIter albumin concn
%
transferrin
of
Crohns
disease
0.5
0.7
0
0 0
0
0
assayed
albumin
as
5.0
10.0 0
4.3
6.5
86 65 47 45 41
nephritis
immunodiffusion.
20.0
30.0 40.0
9.5
13.5 16.5
(b)
Radial
monovalent antihuman Comparison precipitin disappeared Eluates tients method, from were and
antihuman-albumin serum arc (Hoechst with the original corresponding the analyzed the gel columns by the
serum
and
Apparent
% of
transferrln
albumin concn.
assayed
albumIn
as
of serum
12.0
52
30
19.0 28.0
35.0 43.5
method
apparent method, concentration by either methods, detected Human
(Hoechst
Mancini Pharmaceuticals
immunodiffusion Ltd.) (Table 1). The assayed of the was by the BCG total protein not detected also Ltd.), impurities, to give conTime
after mixing
33.5
42.5
albumin concentrations, were between 23 and of the the except eluate. BCP or the in specimen (Hoechst
22 22 15
32%
Table 3. Rate of Color Development of the Reaction of BCG with Albumin, Serum, and Protein Preparations a
AlbuminHuman albumin Serum 2 Human transferrin
free
specified as >99% pure was dissolved in sodium centrations one precipitin polyvalent the BCP and
globulin prepn
in the range 5 to 40 g/liter. arc by immunoelectrophoresis antiserum. BCG Each methods. solution Transferrin
A
lOs 30 s 1 mm 5 mm
.310 .300
.300
.281
.282
.280
.060 .080
.108
.041
.050
cant reaction with BCG (Table 2) even in the presence of albumin but showed no reaction with BCP. Color development of the BCP reagent with purified human lOs action preparations ately or after reaction with human stantaneous. ment 3). We estimated animal-based bumin for quality-control the serum albumin specimens, concentration using Dade of various human alwith albumin For BCG after albumin mixing) was observed or transferrin or serum and was with was stable the instantaneous for at least albumin-free either exhibited sera and color (less than serum immedia slow purified was developof 1 h (Table in1 h. No re-
.301
.305
.150
.190
30 mm
60 mm
a Absorbance
.307 .321 .250 at 636 nm vs. reagent at intervals 20 cl of protein solution with 4 ml of BCG reagent.
.202
shown,
solutions,
1 h. Some serum samples BCG while with other solutions transferrin continued color over solutions,
albumin method,
g/liter method.
by
the
BCG
development a period
Substances
Sera which a negligible
on the BCP
with been use of a omitted. sera reg of were 1
Icteric
calibration. sera
up to 500 izmollliter of between 0.5 and 1.5 liter. Similar sera at lOg corrections (approximately of hemoglobin the greatest in one extreme milk.
enham,
of 31.0 12.6 Pure Ltd.) the the and
albumin
g/liter,
per
corexand to with
83
bovine serum albumin (Hoechst Pharmaceuticals in sodium chloride solution at a concentration gave method method. an apparent albumin concentration 15.0 g/liter serum had BCG BCP of 43.0 g/liter, An unassayed but only equine
liter). Grossly lipemic sera required rections, 3.5 g/liter being necessary ample where the serum looked salicylate, standards,
CHEMISTRY,
40 g/liter
like
Sodium albumin
CLINICAL
so BCP
//
so BCG
40
40
30 /
30
C 20
4
C 20 .4 .7.
7.
4
./
u #/
/
/ / / /
/ /
/ /
10
.,,
/,4
/,
/
Albumin 9/liter
/
/ / /
/
/ /
EIA
30 40 50
/
10
Albumi,, 20
g/liter 30 40
E IA
50
10
20
Fig.
4. Comparison methods
of results
by the
BCP
and
electroimmu-
Fig. 5. Comparison
of results
by the BCG
method
and electro-
noassay
immunoassay at concentrations bilirubin 100% human (Sigma bilirubin) albumin up to at least Chemical
methods
the
BCP
method Purified
300
Co.,
mg/liter. Bilirubin.
5), the regression (n= 160,r=O.986). We further used above) the human albumin standardization. 4).
being (with
y(BCG) different
+ 6.77 to those
specified as essentially serum and to purified a concentration of 500 was noted at concentrations The apparent albumin lution was 39.4 g/liter 250 zmol, and tively. Sera with be underestimated bilirubin were by the
umol/liter. Minor interference exceeding 170 /Lmol/liter. of a 40 g/liter in the presence per liter, respectend to sera with liter soof
obtained
A
nostics
500 zmol
of purified human Ltd.) Although gave as that (Table closer between 4). agreement electroimmunoassay
albumin (Hoechst Pharthe freeze-dried serum for between methods, results it was and by the still not BCP
concentrations
192 mol/
estimated by the noassay. Concentrations 0.2 range g to for 4.6 g/liter However, mol/liter), ference 17 sera
electroimmunoassay
difference,
Discussion
The BCP BCG methods. allows a high little sample BCG In the method provides an alternative to existing The continuous-flow system described rate of analysis with good precision and interaction. method (1),
Method
and BCG
in the
Method
range 13 to
BCG
tends
to form
a green
concentrations by the
fibrillar precipitate with albumin, an effect that is greatest at the isoelectric point (pH 4.3) of the complex (9). Precipitation is inhibited, but not eliminated, by the surfactant Brij-35. Neither precipitation nor the associated with BCP, negative even in the baseline absence pH effect (1) were observed due BCG of Brij-35, possibly
day, to avoid sample detehuman albumin standards used for all three methods. range Sera hemolysis, methequation n = conof
tration, the magnitude of the inaccuracy varies. This may reflect several factors: reagent composition (10), calibration material, time allowed for color development, and the source of specimens. agreement with electroimmunoassay in the normal range when freeze-dried In our study, was much better serum was used
+ 1.72 by the
higher
by electroimmunoassay
Vol. 24. No. 1, 1978
(Figure
CHEMISTRY,
but the It of
Albumin
Preparations
icteric
Consequently,
bilirubin is undesirable but other molecules, particularly lites, in the line. The could degree high also interfere of scatter specificity reaction of the restriction and
it is acceptable. drugs and their this is probably about for human albumin, could binding and the
y x
BCP
EIA 160 27.7 27.9
BCG
EIA 160 27.7 34.8
BCG
BCP 160 27.9 34.8
BCG
BCP 120 29.4 35.8 1.02
BCG
EIA 80 31.0 32.5 0.85
BCP
EIA 80 31.0 30.4 0.95
its
Mean x
(9/liter)
instantaneous bility
to interference
Mean
festations
(g/Iiter)
although it also has a high affinity for the fragment that is the site for bilirubin binding (22). Human serum albumin is known anionic at the to have molecules high-affinity and hydrophobic which are electrostatic. site two general classes of binding
(23).
SD about regression
1.37
1.48
1.30
other site
than fatty acids is by a combination forces, while binding but can numerous BCG albumin
line (Si)
the low-affinity sites, number, is principally rather (Table dried than material purified partly human interfering compensate albumin proteins for the for calibration freezeof inthe presence with two classes of binding 4). Possibly in the all that is required zation on a cationic celles, of BCG used prompt action electrostatic reduced Investigation improvement specifically a BCP method for to improve measurement However, (25). serum gel, or protein. with binding in number of BCG
on serum
(24)
for the spectral change is immobilisupport (9) such as detergent miWe hypothesize sites, the pH that proteins which of the the was slow due could reagent. further of dyes the offers BCG reto be interfering to cationic by increasing
these proteins in test sera. The slow rate of color development terfering accuracy after mixing proteins of BCG serum (14) methods with per has been by reagent liter and
of this hypothesis of the BCP method albumin at its present in most limitations (17) that method. stage
developed color slowly, but still had reaction within 10 s (Table 3). Consequently, would not seem to be a complete solution and places system that advantage transferrin (Table considerable constraint can be used. of BCP is its specificity by the or with 1), which original (21). solutions great lack of reaction the albumin-free contained most concentration, The apparent estimated to explain
to the problem the analytical The principal albumin, pure human preparations serum sessed
do the BCG
as demonstrated
ally slow and impracticable numbers of specimens. The require a supply of high-titer
as asalbumin
are subject
method,
to several however,
technical
shows
excellent
agreement
concentration method was between method. In the min are control of human
results
by electroimmunoassay equine for use reactivity However, and bovine in calibration is much nonhuman
the
BCG
same-day-day
analysis
less
References
1. Northam, albumin by B. E., and AutoAnalyzer Widdowson, G. M., using bromocresol No. 11, 1 (1967). Determination green. of serum Assoc. Gun. stanwith
material
clearly unsuitable for use with specific immunochemical methods, and its use with BCG methods can be leading (10). Dye-binding by competing by salicylate. specimens methods molecules. Purified containing
Biochem.,
2. Doumas, dards and bromocresol 3. McPherson, Modification 117(1972). 4. Lolekha,
Tech.
Bull.
are susceptible
The BCP bilirubin endogenous
to interference
B. T., Watson, W. A., and Biggs, H. G., Albumin the measurement of serum albumin concentration green. Clin. Chins. Act.s 31,87 (1971). I. G., and Everard, of the bromocresol P. H., and Charoenpol, D. W., Serum green method. W., Improved albumin
estimation:
Clin.
Chim.
Ac/a
method
37,
automated
CLINICAL
CHEMISTRY,
Vol.
24, No.
1, 1978
85
serum
albumin
with
bromcresol
green.
Clin.
method
Chem.
for
(1974). C. G., and Lim, K. L., An improved automated of serum albumin using bromcresol green. 59, 14 (1973). Von
von
and
estimation of acute green reaction. Clin. P. M., and Ann. of patients. Federation p5.
phase
Chem.
use
of
L., Carter,
sera
Hobbs, Clin.
Measurement Bull.
of al34, No.
Am. J. Clin.
Biochem. Chemistry,
Pat ho!. 6.
zur
Schirardin,
Bestimmung
H., and
Serum
Eine vereinfachte
mit Hilfe von (1972).
Micromethode
Bromkresolgrun. of serum dye-binding al-
of Clinical
J. Clin.
Chem.
Clin.
Biochem.
10,338
7. Westgard, J. 0., and Poquette, M. A., Determination bumin with the SMA 12/60 by a bromcresol green method. Clin. Chem. 18,647 (1972). 8. Leonard, P. J., Persaud, plasma albumin by BCG analyzer and a comparison Clin. Chim. Acta 35, 409 J., dye
17. Webster, D., A study isolated serum globulin 18. Pinnell, dye binding gland, 1976, 19.
and Motwani, R., The estimation of binding on the Technicon SMA 12/60 with the HABA dye binding technique. (1971).
salts
295,
M#{216}ller,J. V., Effect of pH and inorganic interaction. Biochim. Biophys. Ac/a human serum albumin: sulphonphthalein. of albumin Acta in 49, from 49
9. Beng, C. G., Rasanayagam, L., Lim, K. L., and Lau, K. S., Solubility and absorption spectra of complexes resulting from interaction among human albumin, bromocresol green and detergents. Clin. Chim. Acta 52, 257 (1974). ID. Spencer, K., and Price, C. P., Influence of reagent quality and reaction conditions on the determination of serum albumin by the bromocresol green dye binding method. Ann. Clin. Biochem. 14, 105 (1977). II. Webster, D., Bignell, A. H. C., and Attwood E. C., An assessment of serum of the suitability albumin. Clin. of bromocresol green for the determination 101 (1974). of bromocresol determination
20. Carter, P., Ultramicroestimation of Binding of the cationic dye 5,5-dibromo-o-cresol Microchem. J. 15, 531 (1970). 21. Travis, by J., and Pannell, R., Selective plasma (1973). 22. Peters, of affinity T., chromatography.
removal
Clin.
Recent biosynthesis.
Chim.
progress Clin.
standing
(1977). 23.
its
albumin:
and acid
the under23, 5
Chem.
Chim.
Acta
53,
Res.
green of serum
binding
albumin. by human
J. Lipid.
serum green 23, 663 by
12. Ferreira, P., and Price, and immunoprecipitation albumin. Clin. Chim. Acta
24. Rodkey, F. L., Binding of bromocresol albumin. Arch. Biochem. Biophys. 108, 25. Webster, and serum (1977).
510
13. Laurell, C-B., The use of electroimmunoassay specific proteins as a supplement to agarose
gel
D., The immediate reaction between bromcresol as a measure of albumin content. Clin. Chem. and Durran, S. M., Albumin green method. Clin. Chem.
J.
de-
Clin.
14.
Pat ho!.
Gustafsson,
28, Suppl.
(Assoc.
Gun.
Pat hoE.)
6,22(1975). of serum
J. E. C., Improved
specificity
88
CLINICAL
CHEMISTRY,