A portable surface plasmon resonance (SPR) sensor for the detection of immunoglobulin A in plasma

© 2024 The Authors. Transfusion published by Wiley Periodicals LLC on behalf of AABB..

BACKGROUND: A life-threatening anaphylactic shock can occur if a patient with undiagnosed immunoglobulin A (IgA) deficiency (i.e., IgA levels <500 ng/mL) receives IgA-containing blood, hence the need for a rapid, point-of-care (POC) method for IgA deficiency screening. Enzyme-linked immunosorbent assay (ELISA) is routinely used to detect IgA, but this method requires trained specialists and ≥24 h to obtain a result. We developed a surface plasmon resonance (SPR)-based protocol to identify IgA-deficient patients or donors within 1 h.

MATERIALS AND METHODS: The SPR sensor relies on the detection of IgAs captured by primary antibodies adsorbed on the SPR chip and quantified with secondary antibodies. The sensor was calibrated from 0 to 2000 ng/mL in buffer, IgA-depleted human serum, and plasma samples from IgA-deficient individuals. A critical concentration of 500 ng/mL was set for IgA deficiency. The optimized sensor was then tested on eight plasma samples with known IgA status (determined by ELISA), including five with IgA deficiency and three with normal IgA levels.

RESULTS: The limit of detection was estimated at 30 ng/mL in buffer and 400 ng/mL in diluted plasma. The results obtained fully agreed with ELISA among the eight plasma samples tested. The protocol distinguished IgA-deficient from normal samples, even for samples with an IgA concentration closer to critical concentration.

DISCUSSION: In conclusion, we developed a reliable POC assay for the quantification of IgA in plasma. This test may permit POC testing at blood drives and centralized centers to maintain reserves of IgA-deficient blood and in-hospital testing of blood recipients.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Transfusion - (2024) vom: 09. Apr.

Sprache:

Englisch

Beteiligte Personen:

Dubois, Caroline [VerfasserIn]
Ducas, Éric [VerfasserIn]
Laforce-Lavoie, Audrey [VerfasserIn]
Robidoux, Jonathan [VerfasserIn]
Delorme, Alexandre [VerfasserIn]
Live, Ludovic S [VerfasserIn]
Brouard, Danny [VerfasserIn]
Masson, Jean-François [VerfasserIn]

Links:

Volltext

Themen:

Anaphylactic shock
Blood drives
IgA
IgA‐deficiency
Immunosuppression
Journal Article
Plasma
Plasmonics
Point‐of‐care (POC)
SPR
Surface chemistry

Anmerkungen:

Date Revised 09.04.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1111/trf.17818

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370805046