Utilization of recombinant Fab fragments in a cTnI immunoassay conducted in spot wells

Objectives: To evaluate the performance of a new cTnI immunoassay utilizing site-specifically biotinylated recombinant Fab fragments on recently established spot wells. Design and methods: Two different cTnl-specific recombinant site-specifically biotinylated Fab fragments were produced. The performance of the new sandwich-type cTnl immunoassay in spot wells was evaluated in terms of binding capacity, assay kinetics and assay sensitivity and compared with a cTnl immunoassay carried out in conventional microtitration wells. Furthermore, the functionality of the recombinant Fab fragments was compared to the corresponding monoclonal antibodies in assay with one, two or three capture antibodies. Results: The signal-to-background level was improved, providing an analytical detection limit of 0.002 mu g/L with a surface of two capture Fab fragments. The spot wells increased the signal levels 2-fold and a further 4-fold improvement was detected with the Fab fragments already after 5 min assay time. Conclusions: The spot-concept in combination with site-oriented capture Fab fragments carries great promise as a very useful approach to improve the immunoassay performance of future point-of-care cTnl assays. (c) 2006 The Canadian Society of Clinical Chemists. All rights reserved.