Technical note: Time-resolved fluoro-immunometric assay for intact insulin in livestock species1 P. Løvendahl*2 and H. M. Purup† Departments of *Animal Breeding and Genetics and †Animal Nutrition and Physiology, Danish Institute of Agricultural Science, Research Center Foulum, DK 8830 Tjele, Denmark the europium label is stabilized before measurement. This gives a sensitivity of 3 pmol/L and a possible working range up 16,700 pmol/L. There is no cross-reactivity with pro-insulin or IGF-I. Calibrators are prepared in heat-inactivated serum from the relevant species. Porcine and bovine insulin have different calibration curves; porcine insulin is more reactive and has a higher background than bovine insulin. Validation results show low CV values, parallel dilution of samples, and a recovery ratio close to unity. Comparison with a commercial RIA shows good agreement, except at low concentrations, at which the RIA determinations are inaccurate. Plasma samples from other domestic species (horse, sheep, goat, and mink) have also been assayed, but it is emphasized that calibrators should be prepared in heat-inactivated serum from the appropriate species, and preferably insulin from that species should be used for calibration. ABSTRACT: Insulin levels in ruminants are often very low and hence are difficult to measure with commercially available RIA kits designed for use with human serum or plasma samples. Those assays may also have high cross-reactivity with nonintact insulin. An assay originally invented for human insulin and based on a pair of monoclonal antibodies binding to specific parts of the insulin molecule was further developed and validated for use with bovine or porcine plasma or serum. The assay is of the sandwich type, with the catching antibody coated to the solid phase of microtiter plate wells and with the detecting antibody labeled with europium, and measured as time-delayed fluorescence. The assay protocol includes an incubation step in which plasma samples of 50 L are incubated with buffer and detecting antibody for 3 h in coated wells, followed by an enhancement step in which the fluorescence from Key Words: Cattle, Horses, Insulin, Pigs 2002 American Society of Animal Science. All rights reserved. Introduction J. Anim. Sci. 2002. 80:191–195 concentrations so high sensitivity is required, but often commercial assays are not available. Although the RIA technique in general is reliable, its use of radioactive chemicals is a drawback, because radioactivity is a safety risk in the laboratory and to the environment and the shelf life of RIA is short. Alternative assays without these drawbacks have become available. An assay based on two monoclonal antibodies, arranged as a sandwich using microtiter plates, was developed for human applications by Toivonen et al. (1986) and Andersen et al. (1993). The assay showed large cross-reactivity to insulin from other species but was only validated for human samples. The purpose of this study was to further develop and validate that assay for use in various domestic animal species, mainly cattle and swine, but also in horses, sheep, and goats. Through use of europium as a label, this timeresolved fluoro-immunometric assay (TR-IFMA) for insulin offers high sensitivity, is fast and easy to run, and uses no hazardous chemicals. Measurements of insulin in plasma and serum from animal experiments have by tradition employed RIA based on polyclonal antibodies. A common problem is that many RIA assays are unable to distinguish between the different forms of insulin, namely pro-insulin (CIS RIA kit, St. Quentin, France; our observations), C-peptide, and intact insulin, the last believed to be the active form. Furthermore, the commercially available RIA products are essentially tailored to human applications. Ruminants have low circulating insulin 1 We are grateful for the valuable support, ideas, protocols, and peptides during development of the TR-IFMA from O. Blåbjerg, Odense Univ. Hospital, and R. Djurup, NovoNordisk A/S. We also want to thank J. Adamsen, I. L. Sørensen, and L. R. Norup for their skilled technical work and M. Vestergaard for comments on the manuscript. 2 Correspondence: P.O. Box 50 (phone: +45 8999 1338; fax: +45 8999 1300; E-mail: [email protected]). Received November 13, 2000. Accepted August 15, 2001. 191 192 Løvendahl and Purup Materials and Methods Antibodies. Paired monoclonal antibodies are used in the assay. One was raised against human insulin (HUI018, NovoNordisk Farmaka A/S, Bagsværd, Denmark) and the other raised against bovine insulin (OXI-005, Novo Nordisk Farmaka A/S; Jørgensen et al., 1984). These antibodies bind to epitopes available only in intact insulin (Andersen et al., 1993). Coating of Microtiter Plates. A coating solution containing 0.5 g of HUI-018 per 200 L of buffer (50 mmol of K2HPO4, 150 mmol of NaCl, pH = 9.2, sterile) was prepared in polypropylene bottles and allowed to equilibrate binding to surfaces of containers and other utensils for 0.5 h before coating of plates began. Microtiter plate wells (1244-550, Wallac OY, Turku, Finland) were coated with 200 L of coating solution. Plates were incubated overnight at room temperature (20°C), washed three times with wash solution (1380-1088, Wallac OY), and blocked with assay buffer spiked with 0.5% BSA (assay buffer: 100 mmol/L of Tris-HCl, 150 mmol/L of NaCl, 7.7 mmol/L of NaN3, 20 mol/L of diethylene triamine penta acetic acid [DTPA], 0.5% BSA [A 1662, Sigma Chemical, St. Louis, MO], and 0.1% Tween-20) for 1 h while shaking and then aspirated, and the wells were filled with 50 L of blocking buffer. Plates were covered with adhesive film and stored cold until use (4°C, up to 4 wk) in boxes in the presence of a damp cloth containing 3 mL of 1% Germall (Wallac OY). Labeling of antibody OXI-005 with europium (Eu3+) followed the instructions for the labeling kit provided by the manufacturer (1244-302, Wallac OY). Purification of Eu3+-labeled antibody was on PD-10 columns (Pharmacia, Uppsala, Sweden). After characterization, labeled antibody was stored cold (4°C) in aliquots and lasted at least 12 mo. Heat-Inactivated Serum. Serum for preparation of calibrators was inactivated by heating it to 56 ± 1°C for 3 h, followed by removal of precipitates by filtration on a glass filter and centrifugation (4,000 × g, 4°C, 30 min). Calibrators. Monocomponent bovine or porcine insulin was used to prepare calibrators in heat-inactivated serum. The biological activities for bovine and porcine insulin were 26.9 IU/mg and 28.5 IU/mg, respectively. Calibrators were stored frozen (−20°C) for up to 6 mo. Assay Procedure. Coated microtiter plates were washed once with wash solution. To each well was added 50 L of calibrator or sample and 200 L of assay buffer containing 25 ng of Eu3+-OXI-005 label. Plates were incubated at room temperature in one of two ways: 1) 3 h with continuous shaking or 2) 10 min of shaking, overnight resting, and 10 min of shaking. The porcine assay was not improved by incubation for more than 2 h of continuous shaking, so 2 h was used. Plates were washed six times. Bound Eu3+ was dissociated by 250 L of enhancement solution (1244-104, Wallac OY) during 10 min of shaking and 10 min of rest. Time-resolved fluorescence was counted on a time-resolved fluorome- Figure 1. Calibration curves for the time-resolved fluoro-immunometric assay (TR-IFMA), with bovine and porcine monocomponent insulin in heat-inactivated bovine or porcine plasma. Curves for bovine b-pro-insulin and human IGF-I show a low degree of cross-reactivity. ter (DELFIA 1234 Research Fluorometer, Wallac OY). Standard curves were fitted using a smoothing spline algorithm on log-log values (Multicalc, Wallac OY). Validation. Comparable assays for human insulin were validated by Toivonen et al. (1986) and as an ELISA by Andersen et al. (1993). The modified assay was validated for cross-reactivity to bovine pro-insulin (NovoNordisk Farmaka A/S) and IGF-I (Bachem Feinchemikalien, Bubendorf, Switzerland) and linearity of dilution for recovery of insulin in spiked samples and for variation within and between assays. Furthermore, results were compared with those obtained with a commercial RIA (CIS) on plasma from calves subjected to an i.v. glucose tolerance test. Quality-control plasma was obtained from three calves and three pigs. Plasma samples containing low concentrations of insulin were obtained after overnight feed deprivation, medium values from animals with ad libitum intakes, and high values following an i.v. bolus injection of glucose. Quality-control plasma was stored frozen at (−20°C) in Cryo-vials (Nunc, Roskilde, Denmark). Glucose Tolerance Test Data. Twenty 9-mo-old calves were subjected to an i.v. glucose tolerance test following an overnight feed deprivation. A bolus dose of glucose (0.2 g/kg BW) was administered through a jugular cannula. Blood was sampled serially into heparinized tubes at −30, −15, −5, 5, 10, 15, 20, 30, 45, and 60 min relative to glucose administration. Plasma was obtained by centrifugation (2,000 × g, 4°C, 20 min), and stored frozen (−20°C) until it was assayed by RIA and TR-IFMA. Results and Discussion Standard curves for bovine and porcine insulin are shown in Figure 1. The lower detection limit was 3 193 Time-resolved insulin assay pmol/L (bovine and porcine). Standard curves for bovine and porcine insulin were not parallel, indicating a matrix effect of the plasma and also different immunoreactivities of bovine and porcine insulins. The working range of the assay covers up to 16,700 pmol/L. At higher concentrations we observed decreasing fluorescence counts, the so-called hook effect (not shown). For routine assays of bovine insulin, we have used seven calibrators for the standard curve (3.34, 6.68, 13.36, 26.72, 106.9, 427.5, and 1,710 pmol/L) and a similar curve for porcine insulin. The sensitivity of the current assay (3 pmol/L ∼ 0.4 IU/mL) is as good or better than comparable commercial assays (e.g., DPC Immulite, 2.0 IU/mL or DSL ELISA, 0.3 IU/mL, producers’ data sheets). The assay is easy and fast to run because it has few pipetting steps and a short incubation time, yielding results in less than 4 h. Small aberrations in temperature and incubation time do not impair performance (our unpublished observations). Furthermore, the shelf life is long and we have so far not experienced “down” periods. Cross-reactivity with bovine pro-insulin, calculated as “measured insulin” divided by concentration of proinsulin, was undetectable up to 100 pmol/L and below 1% at 1,000 and 10,000 pmol/L (Figure 1). Cross-reactivity with IGF-I was nonsignificant (Figure 1). Crossreactivity with insulin from other animal species has been studied using plasma samples. Besides samples from cattle and pigs, the assay also works with plasma from horses, sheep, goats and mink (our unpublished data). Recovery of quantitative amounts of bovine insulin added to pools of plasma was close to unity (Table 1). Dilution of plasma with heat-inactivated serum gave measurements parallel to the calibration curve, if the measured concentrations were within the range of the assay (Table 1). Variation in pools of quality-control plasma (QC) was assessed during routine use. Each assay contained a single 96-well plate. On bovine plates, QC were placed following the calibrators and again in a position at the end of the plate. Porcine plates had QC placed following the calibrators only. At each position on the plate, QC were assayed in duplicate. By analysis of variance, the total variance in QC was split into components of between assays, within assay between positions, and within position (Table 2). Comparison with RIA. The assay was compared with a commercial RIA kit (CIS) that is based on human insulin calibrators and expresses results in terms of IU of human insulin at a specified biological activity of 22.9 IU/mg. When five bovine calibrators were run in the RIA (Figure 2), their concentration was modeled by a linear regression, using picomoles/liter on both axes: Y = 30.038 + 0.987 X, R2 = 0.996 However, the heat-inactivated serum (0-calibrator) was measured as 39 pmol/L in the RIA, showing that bovine serum interferes with the RIA. Furthermore, pro-insulin showed significant binding in the RIA with a crossreactivity close to 50% (data not shown). Conversion Formulas. Ten plasma samples from each of 20 calves (n = 200) subjected to a glucose tolerance test were measured in both assays in order to develop a conversion formula, taking the different units and peptide immunoreactivities into account (Figure 3): Table 1. Recovery of quantitative amounts of bovine insulin added to bovine plasma samples and linearity of dilution with heat-inactivated seruma Recovery experiment Sample ID Neat b-Lowb 17.03 b-High 453.4 Spiked to Measured 32.03 182.33 33.90 182.20 696.7 3,702.7 646.5 3,742.0 Recovery ratio 1.06 1.00 0.93 1.01 Dilution experiment Sample ID Dilution b-Low Neat 1+1 21.21 11.19 b-High Neat 1+9 646.5 74.82 748.2 1.16 b-Medium Neat 1+1 1+3 1+7 221.6 117.4 60.0 26.3 234.8 240.2 210.6 1.06 1.09 0.95 Measured Calculated 22.38 Linearity ratio 1.06 a The two experiments were run in separate single plate assays, with samples run as triplicates. Results are concentrations in pmol/L, measured or calculated. b-Low, etc. = low concentration of bovine insulin, etc. b [A] 194 Løvendahl and Purup Table 2. Coefficients of variation, between assays (total), between positions on plate within assay plate, and within and between duplicates within position on plate (residual), estimated from variance components; porcine assays had quality-control plasma (QC) in only one position on the plate QC-id Bovine b-Lowa b-High Porcine p-Low p-Medium p-High Assays, no. Wells, no. Mean concentration, pmol/L Coefficient of variation, % Total Within Residual 81 81 323 327 18.82 601.4 13.9 7.9 9.9 5.5 6.8 3.5 9 9 9 64 61 62 23.63 250.8 510.9 13.8 9.9 10.9 8.7 3.4 5.1 b-Low, etc. = low concentration of bovine insulin, etc. p-Low, etc. = low concentration of porcine insulin, etc. a Y (pmol/L) = −33.91 + 6.686 X (IU/mL), R2 = 0.901. [B] Formula B closely resembled formula A derived from the calibrators. In both formulas the intercept expresses the matrix effect, and the regression coefficient expresses the conversion of micro-IU/milliliter to picomoles/liter. The conversion factor is close to the expected values obtained from the molar weight of bovine insulin (Mr = 5,733 g/mol) and the biological activity of 25 to 27 IU/mg in bovine insulin preparations. In general, RIA and TR-IFMA values were more equal at high than at low concentrations because the RIA gave inaccurate results at low concentrations. Figure 2. Bovine monocomponent insulin calibrators assayed by RIA kit. The conversion formula excludes the 0-calibrator. Limitations. The europium tracer is sensitive to strong chelators, so EDTA and citrate are not suitable anticoagulants for blood samples; consequently, heparin is recommended. However, it is possible to split the incubation into two steps if only EDTA-containing samples are available, but so far we have validated the one-step procedure only. Implications This time-resolved immuno fluoro-metric assay for insulin in domestic animals has high sensitivity and Figure 3. Bovine insulin measured by RIA and timeresolved fluoro-immunometric assay (TR-IFMA) in 200 plasma samples from 20 calves subjected to an i.v. glucose tolerance test. The regression line gives the conversion formula. 195 Time-resolved insulin assay low cross-reactivity with pro-insulin and other insulinrelated peptides. A commercial version of the assay has now become available as a kit for use with human sera (B080-101, Wallac OY), and may be used for animal samples with appropriate modifications to calibrators. Results of this study emphasize the need for calibrators and matrix (i.e., serum) to come from the species under study. Literature Cited Andersen, L., N. Dinesen, P. N. Jørgensen, F. Poulsen, and M. E. Røder. 1993. Enzyme immunoassay for intact human insulin in serum or plasma. Clin. Chem. 39:578–582. Jørgensen, P. N., C. Y. Wu, P. C. Pedersen, S. Patkar, and J. Zeuthen. 1984. Specificity and cross-reactivity of monoclonal antibodies against bovine insulin. Dev. Biol. Stand. 57:313–319. Toivonen, E., I. Hemmilä, J. Marniemi, P. N. Jørgensen, J. Zeuthen, and T. Lövgren. 1986. Two-site time-resolved immunofluorometric assay of human insulin. Clin. Chem. 32:637–640.
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