title: Improved conformation-dependent immunoassay: suitability for human prion detection with enhanced sensitivity.
abstract: The presence of pathogenic prion protein (PrP(Sc)) in lymphoid tissues of variant Creutzfeldt-Jakob disease (vCJD) patients raises questions as to whether prions may be present in bodily fluids as well. Currently, transgenic mice are highly sensitive in vivo tools for the study of prions in tissues or fluids containing high levels of normal prion protein (PrP(C)). We report here an in vitro assay with virtually equivalent sensitivity incorporating a capture antibody into a sandwich conformation-dependent immunoassay (CDI), resulting in 30- to 100-fold increased sensitivity compared with the original, direct CDI. Furthermore, spiking plasma with vCJD prions in different preparations demonstrated that sandwich CDI detects prions with different biophysical properties at high sensitivity, even without proteinase K pretreatment of samples. Thus, sandwich CDI represents a powerful tool to study prions in bodily fluids of CJD/vCJD patients, with a turnaround time of less than 24 h.
authors.affiliation: Virology, Aventis Behring GmbH, PO Box 1230, 35002 Marburg, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Bellon
authors.affiliation: Virology, Aventis Behring GmbH, PO Box 1230, 35002 Marburg, Germany.
authors.forename: W
authors.initials: W
authors.lastname: Seyfert-Brandt
authors.affiliation: Virology, Aventis Behring GmbH, PO Box 1230, 35002 Marburg, Germany.
authors.forename: W
authors.initials: W
authors.lastname: Lang
authors.affiliation: Industry and Health Policy, Aventis Behring SA, 46 Quai de la Rapée, 75601 Paris Cedex 12, France.
authors.forename: H
authors.initials: H
authors.lastname: Baron
authors.affiliation: Virology, Aventis Behring GmbH, PO Box 1230, 35002 Marburg, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Gröner
authors.affiliation: Virology, Aventis Behring GmbH, PO Box 1230, 35002 Marburg, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Vey
mesh_terms: D000818:Animals; D001826:Body Fluids / Q000737:chemistry*; D007562:Creutzfeldt-Jakob Syndrome / Q000175:diagnosis; D006801:Humans; D007118:Immunoassay; D051379:Mice; D008807:Mice, Inbred BALB C; D018621:PrPC Proteins / Q000032:analysis* / Q000097:blood; D018620:PrPSc Proteins / Q000032:analysis* / Q000097:blood; D017096:Prion Diseases / Q000175:diagnosis*; D011487:Protein Conformation; D012680:Sensitivity and Specificity
chemical_list: D018621:PrPC Proteins; D018620:PrPSc Proteins