Ultrasensitive Enzymatic Radioimmunoassay: Application to Detection of Cholera Toxin and Rotavirus
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Proc. Natl. Acad. Sci. USA Vol. 76, No. 10, pp. 5336-5339, October 1979 Medical Sciences Ultrasensitive enzymatic radioimmunoassay: Application to detection of cholera toxin and rotavirus (enzyme-linked immunosorbent assay/enteritis/adenosine 5'-monophosphate) CURTIS C. HARRIS*, ROBERT H. YOLKENt, HANS KROKAN1, AND IH CHANG HSu* *Human Tissue Studies Section, Laboratory of Experimental Pathology, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20205; tDepartment.of Pediatrics, Johns Hopkins University, School of Medicine, Baltimore, Maryland 21205; and *University of Tromso, Institute of Medical Biology, Tromso, Norway Communicated by Gerald N. Wogan, July 30, 1979 ABSTRACT Rotavirus and enterotoxin-producing bacteria MATERIALS AND METHODS are major causes of diarrheal disease in humans. A method of rapid diagnosis, ultrasensitive enzymatic radioimmunoassay, Reagents. [3H]AMP (generally 3H-labeled, 15 Ci/mmol, has been developed to quantitatively detect cholera toxin and New England Nuclear; 1 Ci = 3.7 X 10O° becquerels) was pu- rotavirus. The method uses features of both enzyme-linked rified by column chromatography with DEAE-Sephadex (A-25; immunosorbent assay and radioimmunoassay; however, the Pharmacia) in a stepwise manner as follows: (i) 2 mCi of sensitivity of the assay is 100- to 1000-fold more sensitive than [3H]AMP in 0.2 ml of distilled water was applied to a disposable the two parent assays. Ultrasensitive enzymatic radioimmu- column (Isolab, Akron, OH) containing 2 ml of DEAE-Sepha- noassay should also be useful in measuring other biologically dex; (ii) the contaminating [3H]adenosine was eluted with important agents such as drugs and hormones. distilled water and discarded; (iii) [3H]AMP was eluted with 0.2 M ammonium carbonate; and (iv) after lyophilization to In recent years, the capability to detect small quantities of bi- remove the ammonium carbonate, the [3H]AMP was dissolved ologically important molecules has been greatly expanded by in 50% (vol/vol) ethanol. The column-purified [3H]AMP con- the development of radioimmunoassays (RIA) (1, 2). These tained less than 0.2% [3H]adenosine and was stable at -20°C assays have been especially useful for the detection of circu- for at least 3 months. lating substances, such as hormones, drugs, and infectious Alkaline phosphatase-conjugated goat IgG was prepared as agents. However, RIA have certain practical limitations. The described by Engvall and Perlman (8). Burro anti-cholera toxin short half-life of the isotopes used limits the shelf life of the was obtained from John Robbins (Bureau of Biologics, Bethesda, reagents. In addition, the need for y-emitting isotopes subjects MD). Guinea pig anti-cholera toxin was prepared as reported the users of RIA to a radiation hazard. Enzyme immunoassays (6). (also known as enzyme-linked immunosorbent assays or ELISA) The antisera to rotavirus (9) were obtained from Anthony have been developed in an attempt to overcome those problems Kalica and Albert Kapikian (Laboratory of Infectious Diseases, (3-5). ELISA is similar in design to solid-phase RIA except that National Institute of Allergy and Infectious Diseases, Bethesda, an enzyme is used as the immunoglobulin marker instead of a MD). Cholera toxin was obtained from Schwarz/Mann. The 'y-emitting isotope. This enzyme-antibody conjugate is bound rotavirus specimen tested was a 2% filtrate prepared from the to the solid phase by a series of antibody-antigen reactions and stool of a genobiotic calf experimentally infected with human essentially converts the substrate to products with a visible rotavirus (10). Adenosine and p-nitrophenylphosphate were yellow color, which can be measured spectrophotometrically. purchased from Sigma. The fact that a single molecule of enzyme is capable of reacting USERIA. The optimal dilutions of reagents were determined with a large number of substrate molecules provides for am- by checkerboard titration (5). The method for measuring plification and, thus, a high degree of sensitivity (3, 6). Because cholera toxin is, briefly, as follows. (i) Polyvinyl, round-bot- stable enzymes such as alkaline phosphatase [orthophospho- tomed microtiter plates (Cooke, Alexandria, VA) were coated ric-monoester phosphohydrolase (alkaline optimum), EC with a 0. 1-mIn aliquot of burro anti-cholera toxin diluted 3.1.3.1] can be used, ELISA also has the advantage of using 1:10,000 in 60 mM carbonate buffer (pH 9.8) for 14 hr at 4°C. reagents with a long shelf life. (ii) The wells of the plates were washed five times in phos- In practice, however, the sensitivity of ELISA systems has phate-buffered saline (pH 7.4) (Pi/NaCl) containing 0.5 ml of not significantly exceeded that of RIA (7). In order to combine Tween 20 per liter (Pi/NaCl/Tween). (iii) A 0.1-ml aliquot of the advantages of both RIA and ELISA, we developed a prac- either diluted cholera toxin or solvent (negative control) was tical ultrasensitive enzymatic radioimmunoassay (USERIA) for added in duplicate to the wells. The negative controls consisted the detection of antigens such as human rotavinus (an important of five filtrates from strains of Escherichia coli that do not cause of infantile gastroenteritis) and cholera toxin. These assay produce any detectable toxin. (iv) The plates were incubated systems are a 1000-fold more sensitive than both RIA and for 14 hr at 40C. (v) After another washing procedure as in step ELISA for the detection of these agents. ii, a 0.l-ml aliquot of guinea pig anti-cholera toxin diluted 1: 4000 in Pi/NaCl/Tween containing 1% normal horse serum The publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked "ad- Abbreviations: Pi/NaCl, phosphate-buffered saline; RIA, radioim- vertisement" in accordance with 18 U. S. C. §1734 solely to indicate munoassays; ELISA, enzyme-linked immunosorbent assay(s); USERIA, this fact. ultrasensitive enzymatic radioimmunoassay. 5336 Downloaded by guest on September 24, 2021 Medical Sciences: Harris et al. Proc. Natl. Acad. Sci. USA 76 (1979) 5337 Q, c c -o0) 'D(D o x 0) CD 4CC.t 0 am C, CU W 4-cm 0n am .CCU 7 E 7) I/ 10-21 1o-20 10-'9 10o-l 10-17 Alkaline phosphatase, mol FIG. 2. Determination of the sensitivity of the assay. Various dilutions of alkaline phosphatase (10-17-10-21 mole) were included xI in 0.1-ml reaction volumes of 10 mM diethanolamine buffer (pH 9) containing 100 pmol of [3H]AMP as substrate. The products were isolated by DEAE-Sephadex column chromatography. The activity is expressed as adenosine (dpm) released in 90 min. - 1/K, sine formed in the absence of the enzyme. The enzyme-specific 10 activity was determined by subtracting this value from that 1 /substrate, mM-' obtained from the test specimen. In addition, five filtrates from FIG. 1. (A) Percent of AMP converted by alkaline phospha- non-cholera toxin-producing organisms were run in each test. tase-IgG conjugate to adenosine. Alkaline phosphatase conjugate (2 A test well was considered positive for cholera toxin if it yielded X 10-8 was to mg/mI) added 10 mM diethanolamine buffer (pH 9.8) an enzyme that was 2 standard containing various concentrations of AMP. The reaction mixtures specific activity deviations greater mean value. The assays were were incubated at 370C for 30 min. The [3Hladenosine released was than the toxin-free control determined by DEAE-Sephadex column chromatography. (B) Dou- run in duplicate; the variation between duplicates was less than ble-reciprocal plot of the Michalis-Menten equation of the alkaline 5%. phosphatase assay in A. The USERIA for rotavirus was performed in a manner sim- ilar to that described above except that goat anti-rotavirus serum (GIBCO) was added and the plates were incubated for 1 hr at was substituted for burro anti-cholera toxin, guinea pig anti- 370C. [Normal horse serum was added to the diluent both to saturate unbound sites in the well and to minimize the cross- reactivity with the burro serum bound to the well (6).] (vi) After another washing procedure as in step ii, 0.1-ml aliquots of al- 6 - 5 kaline phosphatase-conjugated goat anti-guinea pig IgG were x added to each well. (vii) After another washing procedure (five loo00-- / times with Pi/NaCI/Tween and twice with 100 mM dietha- .> 4 nolamine buffer, pH 9.8), 0.1-ml aliquots of [3H]AMP (1 X 106 CU 00 cpm; 0.1 nmol) diluted in 0.01 M diethanolamine (pH 9.0) were Xo 3( added to each well. 0. After 10, 100, or 1000 min, the [3H]adenosine produced by the reaction of the alkaline phosphatase-IgG conjugate with Do was :La, the [3H]AMP substrate separated by applying a 0.05-ml - aliquot of the reaction mixture to a column packed with 1.5 ml of DEAE-Sephadex A-25. The [3H]adenosine was then eluted, with a total of 4.5 ml of 10 mM diethanolamine buffer (pH 9.8) Ir 6 12 1T8 24 30 36 42 48 containing 0.1 mM adenosine, in two fractions. Twenty milli- Time, hr liters of Aquasol (New England Nuclear) was added to each fraction, and the [3H]adenosine was measured in a liquid FIG. 3. Time course of alkaline phosphatase-IgG conjugate re- scintillation counter. As an alkaline phosphatase negative action. Triplicates of the assay mixture containing 100 pmol of control, 0.1-ml aliquots of [3H]AMP were incubated at 370C [3HJAMP and 10-8 mg of enzyme conjugate in 0.1 ml of 10 mM buffer (pH 9.0) were incubated at 370C for 0-48 hr. Aliquots of 100 Ml of the without the enzyme same as conjugate for the length of time reaction mixtures were withdrawn for determination of enzyme ac- the test specimens, and 0.05 ml was passed through the DEAE tivity at 0.5, 1.5, 4.5, 24, and 48 hr.