AcroPrep™ 96 Filter Plates Reduce the Presence of False Positive Results in Serological Based Immunoassays with Luminex® xMAP® Technology Emily Berlin, Pall Life Sciences, 600 South Wagner Road, Ann Arbor, MI 48103 • Harold Baker, Ph.D., Sonya Lowrance, Luminex Corporation, 12212 Technology Boulevard, Austin, TX 78727 Immunoassays are one of the most versatile, robust and widely used diagnostic tools in the marketplace today. Endocrine-based and serological immunoassays are routinely used in the clinical laboratory. Thyroid Stimulating Hormone (TSH) assays are recognized as one of the most sensitive indicators of thyroid function and are used as a primary screening tool in the diagnosis of thyroid disease. As new generations of TSH assays have evolved, the third generation sensitivity has increased to 0.01 – 0.03 µIU/mL, which underscores the importance of minimizing the presence of false positives. Serological immunoassays are also used in the diagnosis of thyroid disease. In these assays, false positives can contribute to the misdiagnosis of thyroid function and disease. This study shows that the Pall Life Sciences AcroPrep 96 filter plates with 1.2 µm Supor® membrane show a significant reduction in the presence of false positives compared to competitive filter plates when used with the Luminex xMAP technoloy for serological immunoassays. The endocrinebased immunoassays also perform consistently with the Pall filter plates. Background Serological-based immunoassays are widely used as a diagnostic tool in the clinical laboratory to identify immunological responses. Serological immunoassays detect either a specific immune response or a specific antigen to assess the presence of autoimmune diseases. The sensitivity of serological-based immunoassays continues to evolve yielding increasingly more sensitive assays for the detection of autoimmune diseases. The presence of a false positive response can incorrectly indicate the presence of an antigenic response, thus leading to the misdiagnosis or treatment of the disease. The combination of the Luminex xMAP technology and the AcroPrep 96 filter plates reliably exhibit a low presence of false positives in both serological and endocrine-based immunoassays. Luminex xMAP technology utilizes fluorescently encoded polystyrene microspheres to allow for multiplexing several antigens within one sample or with other immunoassays. The xMAP technology offers numerous benefits to serological immunoassays including: a reduction in the amount of sample required, the ability to measure the presence of multiple antigens in a single sample, and increased testing efficiencies. The AcroPrep 96 filter plates are manufactured under a patented process that ensures consistency, reliability, and reproducibility. The plates are a rigid, single piece construction of 100% polypropylene, which minimizes extractables and non-specific binding. Each well is individually sealed to eliminate the possibility of cross contamination. The Supor membrane is a hydrophilic polyethersulfone (PES) membrane that has been optimized for low protein binding, drug compatibility, and uniform filtration rates. Lower Level of False Postives with AcroPrep 96 Filter Plates Than Competitive Plates Methodology Lot B Positive Sample TSH (ENDOCRINE-BASED IMMUNOASSAY) PROCEDURE xMAP Microsphere Conditions: In the assay, there are approximately 2000 TSH antibody-coated microspheres per test point (or well) in a volume of 10 µL. The calibrator sample is 20 µL at the indicated concentrations in a PBS buffer with 4% bovine serum albumin (BSA). The microspheres are in a PBS buffer with 1% BSA. Assay Conditions: The calibrator sample and microspheres are incubated for 1 hour at room temperature. Following the incubation, 20 µL of a biotinylated TSH antibody solution at 4 µg/mL is added to form a sandwich assay. The complex is then incubated for 30 minutes at room temperature, after which 20 µL of a 20 µg/mL Streptavidin-rPhycoerythrin (SA-rPE) solution is added. The complex is then incubated for 15 minutes and the solution is removed from the plate under vacuum. The wells of the AcroPrep 96 filter plate are washed twice with 100 µL PBS-1% BSA. 100 µL PBS-1% BSA is added to the plate for reading with the Luminex LX100®. After each addition of reagents and before reading with the Luminex LX100, the microspheres are mixed with a pipette. A total of 100 events are collected and the data is represented by the median value of the reporter response signal from the 100 events. Pall AcroPrep 96 Competitor M 3 µg/mL PE-Ab 47 24 32 31 55 30 29 42 10 14 34 42 52 29 45 14 101 1313 678 1425 826 752 1118 1300 1728 692 743 905 889 770 403 895 Avg. SD %CV 33 13 40.97 908 399 43.89 Pall AcroPrep 96 Competitor M 4 µg/mL PE-Ab 58 74 65 126 54 175 38 41 77 108 88 215 168 99 231 179 191 2234 972 1467 894 806 1064 1663 1302 1149 1229 1957 1012 2239 1919 1177 Avg. SD %CV 112 63 55.98 1330 556 41.84 Pall AcroPrep 96 Competitor M 5 µg/mL PE-Ab 172 209 86 120 119 52 177 108 1307 1194 937 1170 455 696 478 17 1187 1740 2146 1084 4021 1628 2072 767 3584 2842 319 2657 288 656 1053 869 Avg. SD %CV 456 457 100.18 1682 1129 67.11 The serological immunoassays were performed with two manufacturer’s 96 well filter plates to compare Competitor M filter plates to Pall AcroPrep 96 filter plates. The serological immunoassays were performed using a single serum sample and three concentrations of rPhycoerythrin conjugated antibody. The results from these filter plates were read with one Luminex LX100 Instrument. The results presented are for the sixteen individual responses, the average, the standard deviation, and the percent coefficient of variation for the single serum sample. The Pall Life Sciences AcroPrep 96 filter plates exhibit a lower level of false positive results than Competitor M filter plates. AcroPrep 96 Filter Plates Exhibit Low Non-Specific Reactivity with Multiple Formulations of Luminex xMAP Microspheres Lot Number: 512 Consistent Performance in TSH (Endocrine-based Immunoassay) Using the Pall AcroPrep 96 Filter Plates and Luminex xMAP Technology Lot Number: 017 Lot Number: 907 Lot Number: 321 TSH µIU/mL AVG AVG AVG 0 0.003 0.01 0.03 0.1 0.3 1 3 10 30 100 300 10 13 14 19 38 69 280 751 1967 3853 8727 11245 Detection Limit 0.003 10 11 13 17 38 56 233 1499 1850 3350 8465 8516 Detection Limit 0.03 10 10 13 14 34 56 174 551 1854 3716 8013 10658 Detection Limit 0.03 All Plates AVG 10 11 13 17 37 60 229 933 1890 3640 8401 10140 Detection Limit 0.01 Lot Number: 017 Lot Number: 907 Lot Number: 321 TSH µIU/mL AVG Detection Limit AVG Detection Limit AVG Detection Limit AVG All Plates Detection Limit 0 0.003 0.01 0.03 0.1 0.3 1 3 10 30 100 300 13 11 13 16 27 45 144 602 1575 2952 8071 11596 0.1 22 14 16 16 33 50 211 634 1665 3930 9184 11415 0.3 22 15 16 17 33 50 192 716 2420 4538 9592 11400 0.3 19 13 15 16 31 48 182 650 1886 3806 8949 11470 0.1 Sample Pos 1 Pos 2 Pos 3 Neg 1 BSA The TSH Assays were performed with three lots of Pall AcroPrep 96 filter plates. The results from these filter plates were read with two Luminex LX100 Instruments. The results represent the average of four replicates for each calibrator concentration. The limit of detection for each lot of filter plates was determined as the value at three standard deviations above the zero value. The combined limit of detection for all plates was determined using all twelve values with the three standard deviation increments. The AcroPrep 96 filter plates exhibit consistent performance across multiple lots and instruments. Series A 20 19 31 15 10 Series B 8220 3116 5936 17 11 Progenitor 1 126 25 40 27 21 Progenitor 2 208 27 37 34 25 SeroMAP 1 113 37 36 37 40 SeroMAP 2 160 30 36 32 28 SeroMAP 3 152 36 40 30 31 Series B 3747 1154 394 52 7 Progenitor 1 372 45 44 84 16 Progenitor 2 472 44 39 61 9 SeroMAP 1 456 30 22 62 8 SeroMAP 2 335 50 47 82 22 SeroMAP 3 538 53 47 86 24 Series B 2242 1161 876 57 7 Progenitor 1 215 33 68 86 16 Progenitor 2 259 26 64 73 11 SeroMAP 1 304 20 27 67 9 SeroMAP 2 193 39 68 99 23 SeroMAP 3 322 42 64 97 24 Series B 3720 810 1032 57 7 Progenitor 1 386 29 82 76 17 Progenitor 2 459 27 74 60 11 SeroMAP 1 524 16 37 54 11 SeroMAP 2 362 32 82 89 22 SeroMAP 3 612 34 80 84 24 Lot Number: 017 Sample Pos 1 Pos 2 Pos 3 Neg 2 BSA Series A 191 52 45 59 9 Lot Number: 907 Sample Pos 1 Pos 2 Pos 3 Neg 2 BSA Series A 134 38 75 65 9 Series A 184 28 101 58 9 Competitor M Pall AcroPrep 96 Reduced Occurrence of False Positives with AcroPrep 96 Filter Plates 100000 10000 Methodology SEROLOGICAL IMMUNOASSAY PROCEDURE xMAP Microsphere Conditions: In the assay there are approximately 4000 microspheres per test point per microsphere type. The microsphere mixture has 40 different microsphere sets that represent uncoupled, BSA-coated, and antigen-coated microspheres. There are five different antigens coupled to the several types of microspheres each assayed in replicates of four. The microspheres are in a PBS buffer with 1% BSA. Assay Conditions: The microspheres are in a volume of 10 µL delivered to each well with 20 µL serum sample diluted at 1:20 for an equivalent volume of 1 µL neat serum in the well. The serum sample is diluted with PBS-4% BSA. The sample and microspheres are incubated for 1 hour at room temperature. Following incubation, the AcroPrep 96 filter plate is filtered under vacuum and washed twice with PBS-1% BSA. After filtration, 50 µL of buffer and 50 µL of rPE conjugated antibody to IgG are added to the wells. The antibody is an F(ab) fragment to prevent self recognition of the constant portion of the antibody. The complex is incubated 1 hour at room temperature, filtered and washed again with 100 µL of buffer. 100 µL buffer is added for reading with the LX100. Mixing is done with each reagent addition. The Serological Immunoassays were performed with four lots of Pall AcroPrep 96 Filter Plates. The results from these filter plates were read with one Luminex LX100 Instrument. The responses represent the reactivity toward microspheres that had not had proteins coupled to them to maximize the indications of false positive “non-specific” reactivity by the microspheres. The results represent the average of four replicates for each the three “positive”and one “negative” samples tested. The AcroPrep 96 filter plates show reproducible results across multiple product lots. Lot Number: 321 Sample Pos 1 Pos 2 Pos 3 Neg 2 BSA MFI Responses Abstract 1000 100 10 1 A B D-1 D-2 D-3 Conclusion Serological immunoassays play a critical role in the clinical environment for the detection and measurement of specific antibodies that develop in response to exposure to disease producing/causing antigens. By minimizing the presence of false positive results in serological immunoassays, identification of antigenic responses can be more accurately identified. The AcroPrep 96 filter plates from Pall Life Sciences consistently minimize the presence of false positive results in serological immunoassays, thus increasing the reliability of the assay. The combination of the Luminex xMAP technology and the AcroPrep 96 filter plates offers a superior platform for the analysis of serological and endocrine-based immunoassays. Microsphere Lots The serological immunoassays were performed with multiple lots of xMAP microspheres in both the AcroPrep 96 and Competitor M filter plates. The results from these filter plates were read with one Luminex LX100 Instrument. The responses represent the reactivity toward microspheres without proteins coupled to them to maximize the indications of false positive “non-specific” reactivity by the microspheres. The results represent the average of four replicates for each of the three “positive” and one “negative” samples tested. In all lots of microspheres tested, the AcroPrep filter plates exhibited a marked reduction in non-specific reactivity than competitive plates. Ordering Information PALL LIFE SCIENCES AcroPrep 96 filter plates with 1.2 µm Supor membrane, PN 5039, 10/pkg. LUMINEX CORPORATION Luminex Corporation, Luminex 100™ Total System, PN CN-L003-01.