title: Time-resolved immunofluorometric assay for the quantification of lipoprotein(a) in serum.
abstract: Although two recent studies have failed to reveal lipoprotein(a) (LP(a)) serum concentrations > 300 mg/l to be an independent risk factor for early onset of atherosclerosis, Lp(a) serum concentrations are frequently measured to evaluate the additional risk of coronary heart disease. We describe a time-resolved immunofluorometric assay (TRIFMA) for quantifying Lp(a) levels in humans serum using commercially available reagents, which is rapid, robust and simple to perform. The two-site immunometric assay was based on microtitre plates as solid phase coated with a polycloncal anti Lp(a) antibody. The liquid-phase antibody was labelled with biotin and detected by europium labelled streptavidin in the DELFIA 1232 fluorometer. The measuring range was 2-1600 mg/l. The intra-assay imprecision was < 7% (CV), the inter-assay imprecision < 12% (CV). No interference was detected with plasminogen concentration up to 2.2 g/l. There was an acceptable correlation with a commercially available enzyme immunoassay (r = 0.95) and with electroimmunodiffusion (r = 0.85) on 100 routine serum samples measured. The assay appeared to detect different Lp(a) isoforms as dilution curves were parallel for B/F, S2 and S4 isoforms.
authors.affiliation: Institut für Radiologie, Medizinischen Universität zu Lübeck, Germany.
authors.forename: U
authors.initials: U
authors.lastname: Missler
authors.forename: T
authors.initials: T
authors.lastname: Walek
authors.forename: E
authors.initials: E
authors.lastname: Stange
mesh_terms: D001161:Arteriosclerosis / Q000097:blood / Q000453:epidemiology; D005455:Fluorescent Antibody Technique; D006461:Hemolysis; D006801:Humans; D015228:Hypertriglyceridemia / Q000097:blood*; D005779:Immunodiffusion; D007124:Immunoenzyme Techniques; D017270:Lipoprotein(a) / Q000097:blood*; D012016:Reference Values; D012044:Regression Analysis; D015203:Reproducibility of Results; D012307:Risk Factors; D012680:Sensitivity and Specificity; D013997:Time Factors
chemical_list: D017270:Lipoprotein(a)