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Experimental Section antigen in the sample the lower the amount of labelled antigen
binding to the antibody. The assay is set up as follows (see Fig 2).
A Review of Enzyme-Immunoassay and a Description
of a Competitive Enzyme-Linked Immunosorbent
Assay for the Detection of Immunoglobulin Concen- (1) Attach antibody (Y) to solid phase
trations
RICHARD O'KENNEDY, MONICA BYRNE, C1ARAN (2) Zncubate with enzyme-LabeLLedantigen
O'FAGAIN and GERARD BERNS ( < ~ ) with or without unknown sampLe
antigen (<])
School o f Biological Sciences
Dublin City University ~) ~" ~ (3l Antigen binds and unbound antigen is
Glasnevin, Dublin 9, Ireland /z/z/z/////z/////////z removed by washing
100
BACKGROUND
Enzyme Immunoassays
There are various ways in which enzyme immunoassay systems 80 ~ , X=concentration
Unknowanntg i en
may be classified. One simple way is to divide enzyme
immunoassays into two categories, heterogeneous and homo- y_ 60
geneous.
In the heterogeneous assay, antigen-antibody complexes are o
40
physically separated from free antigen and antibody using some
type of solid phase system. In the homogeneous enzyme- 20
Ixl
immunoassay no such separation is necessary and the elimi-
nation of this step is.an advantage. Here the binding reaction of
antigen and antibody modifies the activity of the enzyme label. 0 x
Antigen rrr~~,~
( 3 ) Antibodies bind to antigen and unbound antibodies
are removed by washing HZHrtH/HHHtHHI Antibody specific to antigen immobitised on solid HH ,Hr
phase
Figure 4 Competitive ELISA using immobilised antigen and Use of Immobilised Antibody In these assays the antibody is
enzyme-labelled antibody immobilised on to the solid phase. Following washing, the
antigen solutions (standards or test samples) are added. Labelled
A variation that is also extensively used involves firstly the antibody is then added. After the substrate is added the level of
immobilization of the antigen on to a solid phase. A solution of coloured product formation is measured and this is proportional
enzyme-labelled antibody and samples containing standard or to the amount of antigen present in the standard and test
unknown antigen concentrations are then added. The greater the samples. These assays are often called sandwich assays due to
level of the antigen in the added sample the smaller the number the use of immobilised antibody, antigen and labelled antibody.
of enzyme-labelled antibodies available for binding to the An amplification system, involving the use of enzyme-labelled
immobilised antigen. The amount of enzyme product formed is antibody may be used.
inversely proportional to the concentration of antigen in the
standards or test solutions. Use of Immobilised Antigen It is also possible to have the
Many of the above systems employ a two-step assay using a antigen immobilised on the solid phase. Any antibody, specific
second enzyme-labelled anti-immunoglobulin antibody. This is for that antigen, in the standards or test solutions, will bind to it.
shown in the accompanying diagram (Fig 5). The second A second enzyme-labelled antibody specific to this antibody is
antibody is raised in a different species from the first antibody. then added. The amount of enzyme activity is again directly
proportional to the antibody levels in the samples. This type of
assay is of great importance in relation to the screening of
Enzyme- LabeLLed -~E~-
anti- immunogLobuLin antibody hybridomas for antibody production to specific antigens.
labelled second antibody is added. This antibody is raised in a Table 2 Applications of Enzyme Immunoassay
species different to that of the first antibody (eg goat anti-mouse
IgG). Assay system used Examples
Binding of the enzyme-labelled second antibody takes place
where mouse antibody has already bound to the antigen. After Homogeneous Detection and monitoring of drug levels eg
further washing enzyme substrate solution is added. Positive (eg EMIT) diazepam, theophylline, digoxin and
wells show colour due to enzyme activity. The presence of gentamicin and coumarins
specific antibody can thus be detected by visually examining the
plate or quantitatively measuring the absorbances. Blanks and Heterogeneous Measurement of protein levels associated
positive and negative controls should always be included. Only (mainly ELISA) with disease eg alphafoetoprotein in cancer;
plates with good binding and optical qualities should be used. SGOT in liver disease; Factor VIII in
This methodology allows rapid screening of a very large haemophilia
number of different clones for antibody production. This is very
important as useless clones can be quickly discarded and positive Detection of antibodies to infectious agents
clones detected early. The latter is important to prevent eg anti-HIV antibody in AIDS, Rubella,
overgrowth by non-producing clones. Herpes I and II, Cytomegalovirus,
Mycoplasma pneumoneae, Toxoplasma
Preparation of Enzyme-labelled Conjugates gondii, Brucella abortus, etc
Most enzyme assays involve labelling either the antibody or the
antigen. There are a number of well established methods for Detection of hormone levels eg 13HCG (in
chemically linking proteins, eg enzyme, to antibody. In the case pregnancy), TSH, progesterone, oestrone
of antigens, the types of reactions used will depend on the nature sulphate, insulin, etc
of the antigen. If the antigen is protein in nature, then the
coupling procedures are similar to those for the antibody. Detection of parasitic diseases, eg liver
However, because of the diverse nature of antigens, the coupling fluke, malaria, schistosomiasis
may prove easy or difficult depending on the reactive groups
available on the antigen. Detection of food additives and
Enzyme-labelled reagents should always be carefully checked contaminants eg anabolic steroids,
for purity. In many cases free enzyme, antibody or antigen may antibiotics and staphlococcal enterotoxin
be present and they may cause interference. The extent of
conjugation should be controlled and should be reproducible in Detection of antibody levels, antibody class
terms of the amount of enzyme conjugated. All enzyme labelled and types eg IgG, IgM, IgE, IgGl, IgG2,
preparations should be purified. Affinity chromatography is a IgG4 and IgG3
good method to use. The purity of samples may be examined by
gel filtration or HPLC.
A wide variety of different chemicals have been used for
linking enzymes to antibodies or antigens. These include (mouse IgG) is described. The system used is also a competitive
glutaraldehyde, periodate oxidation and a range of homo and assay. However, in this case the antigen (mouse IgG) is
heterobifunctional reagents. immobilised. Samples containing mouse IgG (non-immobilised)
and enzyme-labelled antibody are then added to wells of ELISA
Developing areas in relation to enzyme immunoassays plates, already coated with mouse IgG. Competition will occur
Enzyme immunoassay is a very fast developing area. Among the between binding of immobilised and non-immobilised IgG with
most notable trends are the following: the enzyme-labelled antibody. The greater the amount of free
(1) Use of a variety of methods to separate bound and unbound mouse IgG in the samples, the greater the degree it will bind to
reagents eg magnetic methods. the labelled antibody and, therefore, less labelled antibody will
(2) Use of enzyme substrates that give fluorescent and lumi- be available for binding to the immobilised mouse IgG. After
nescent products. This may greatly increase the sensitivity of the washing the plates only enzyme-labelled antibody binding to
assays. mouse IgG-coated on the wells will be available for detection.
(3) Development of amplification systems that increase sensiti- Therefore, high concentrations of mouse IgG in added samples
vity eg use of enzyme labelled biotin-streptavidin. or standards will result in low absorbance levels in the wells (see
(4) Use of simple strip assays eg Checkmate assays for the Fig 9).
determination of progesterone levels in cow's milk. These can be
used by farmers at the 'cow side'. Materials and Equipment
(5) Application of assays to measure levels of hormones, etc, in Antigen (eg mouse IgG) may be obtained from Sigma. Phos-
saliva. phate-buffered saline (PBS), Dulbecco A, pH 7.3; 0.05 M
(6) Development of highly automated readers, plate washers carbonate-bicarbonate buffer, pH 9.6; PBS-Tween, ie PBS
and associated computer software. containing 0.5% (v/v) Tween 20; Blocking solution, 3% (v/v)
(7) Development of hand held mobile detectors. bovine serum albumin; 13-galactosidase-linked sheep anti-mouse
(8) Use of a range of new solid phase materials. antibody; 1 M Na2CO3, used as stopping solution.
(9) Development of a new range of homogeneous assays using Diluent for conjugate: 100 ml PBS, 7 I~1 2-mercaptoethanol,
different enzymes and different methods for enzyme activation 0.1 g MgCI2 and 0.1 g NAN3; Substrate: 100 ml PBS, 705 i~1 2-
or inhibition. mercaptoethanQl, 90.37 mg o-nitrophenyl-13-D-galactopyrano-
A range of applications of enzyme immunoassay is listed in side (ONPG) and 0.1 g MgCI2. 96-Well ELISA plates (Nunc or
Table 2. This is by no means an exhaustive list but will give a Titertek); autopipettes (50, 100, 200 p,1 etc); incubator at 37°C;
good idea of the wide use of these systems for analysis. Microplate reader eg Multiskan from Flow Laboratories.
EXPERIMENT
Experimental
Introduction The antigen, in this case mouse IgG, is dissolved in carbonate-
A simple ELISA system that can detect mouse immunoglobulin bicarbonate buffer (7.5 txg/ml works well): 100 Ixl of this
No coLour
Table 3 Results of typical ELISA Jrom student practical
Enzyme-LabelLed (*J / H / H H H H / / / /
antibody to Concentration of" competing antigen
mouse IgG ~f (p,g/ml) A4(~5
Free mouse \/ raised in a /
TmmobiLised mouse
IgG (added) - - goat /
TgG 0.0 1.477 _+ 0.132 (16)
1.0 0.954 _+ 0.141 (6)
2.5 0.678 _+ 0.063 (16)
HH/,'/,'H,'H//!
I IIIIIIIIIIIIIll E×ce~
ss 5.0 0.427 _+ 0.025 (15)
7.5 0.314 + 0.033 (14)
'~ /~CoLour 10.0 0.262 _+ 0.036
A405 is the absorbance at 405 nm. The results are shown as the mean -±
(14)
/~l/l/l/Ill//Ill
95% confidence limits with the number of determinations in parenthesis
1.6
Figure 9 Illustration of competition between immobilised mouse
lgG and free mouse IgG for binding with enzyme-labelled anti-
mouse IgG antibody. Binding of the latter to the immobilised
~ 1.2
mouse IgG can be detected by use of the conjugated enzyme
O
This blocks any remaining protein-binding sites on the plate and Concentration of competing antigen (fig/mr.)
thus prevents non-specific binding. The above PBS-Tween
washing procedure is repeated. Figure 10 Standard curve for ELISA assay. Absorbance (405 nm)
Dilutions of the competitive antigen (mouse IgG) are made up is plotted against concentration of competing antigen
in PBS: 10 lag/ml, 7.5 p.g/ml, 5.0 p.g/ml, 2.5 ~zg/ml and 1.0 ~g/
ml. These solutions are used as standards to test the system. The
enzyme-labelled conjugate (13-galactosidase-linked goat anti-
mouse IgG) is diluted 1/500 in diluent solution. 50 p.l of the Acknowledgements
enzyme-labelled conjugate and 50 ~1 standard solutions of We wish to thank the Childrens Leukaemia Research Project,
mouse IgG are simultaneously added to the same wells coated Health Research Board, E O L A S and Baxter-Dade (Switzer-
with immobilised mouse IgG. This allows the competition land) for financial support and Ms Barbara Drew for typing the
reaction to occur. Duplicates of blanks, standards, controls and manuscript
samples are used. The plate is shaken for 10 min to ensure
efficient mixing and then incubated at 27°C for 30 min and at 4°C Reading List
for 1 h, after which the washing procedure is repeated. Edwards, R (1985) Immunoassay, An Introduction, William Heinemann
Finally, 100 p.l of freshly-prepared substrate is added to each Medical Books, London
well and incubated at 37°C for 30 min in a humid chamber, Engvall, E (1980) Enzyme lmmunoassay EL1SA and EMIT, in Methods
followed by 50 p.l of stopping solution and the plate shaken to in Enzymology 70,419-439
ensure thorough mixing of the solutions in the wells. The Maggio, E T (Editor) (1980) Enzyme hnmunoassay, CRC Press, USA
absorbance of the solutions in the wells at 405 nm is determined.
Tijssen, P (1985) Practice and Theory of lmmunoassays, in the series
'Laboratory Techniques in Biochemistry and Molecular Biology',
(Editors Burdon, R H and van Knippenberg, P H) Elsevier, Amsterdam
Comments Voller, A, Bidwell, D E and Bartlett, A (1979) The Enzyme-Linked
The plate-reader is blanked using wells containing all solutions Immunosorbent Assay (ELISA), Booklet sponsored by Dynatech
except the conjugate and competing antigen. PBS is used Europe, Borough House Rue du PrE, Guernsey, UK
instead. The results from a typical experiment, performed by O'Kennedy, R (1989) 'Enzymeimmunoassay - - A review of its
students for the first time, are shown in Table 3. The standard development, uses and recent trends', Clinical Chemist0' and Enzymol-
graph is plotted as shown in Fig 10 and the concentration of ogy Communications 1,313-328
mouse IgG in analytical samples can be calculated. A skilled Shattock, A G, Morris, M, Kinane, K and Fagan, C (1989) 'The
operator will obtain better results. Serology of Delta Hepatitis and the Detection of IgM anti-HD by EIA
The system is rapid, easy to set up and gives reproducible using Serum-Derived Delta Antigen', J Virol Meth 23, 223-240
results. It can be used to measure mouse IgG levels and also Fagain, C, Sheehan, H, O'Kennedy, R and Kilty, C (1988) 'Maintenance
provides a useful procedure to demonstrate ELISA. We have of enzyme structure-possible methods for enhancing stability', Process
used this system with a range of students having only a very basic Biochem 23, 166-171
knowledge of ELISA. They have had no problem understanding
the concepts involved. Indeed, it sharpens their appreciation of
the concept of competitive assays. The assay method is much
more economical than commercially available assay kits.
Students have produced good results based on their first attempt
with such an assay.