GB2101740A - Method and kit for determining glycosylated proteins in biological fluids - Google Patents

Method and kit for determining glycosylated proteins in biological fluids Download PDF

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Publication number
GB2101740A
GB2101740A GB08217960A GB8217960A GB2101740A GB 2101740 A GB2101740 A GB 2101740A GB 08217960 A GB08217960 A GB 08217960A GB 8217960 A GB8217960 A GB 8217960A GB 2101740 A GB2101740 A GB 2101740A
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acid
carried out
fluid
liquid phase
solution
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GB08217960A
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Paolo Neri
Giuliano Giannini
Paolo Tarli
Carlo Paoli
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SCLAVO INST SIEROTERAPEUT
Istituto Sieroterapico e Vaccinogeno Toscano Sclavo SpA
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SCLAVO INST SIEROTERAPEUT
Istituto Sieroterapico e Vaccinogeno Toscano Sclavo SpA
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/68Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving proteins, peptides or amino acids
    • G01N33/6803General methods of protein analysis not limited to specific proteins or families of proteins
    • G01N33/6842Proteomic analysis of subsets of protein mixtures with reduced complexity, e.g. membrane proteins, phosphoproteins, organelle proteins
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/68Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving proteins, peptides or amino acids
    • G01N33/6803General methods of protein analysis not limited to specific proteins or families of proteins
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/72Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving blood pigments, e.g. haemoglobin, bilirubin or other porphyrins; involving occult blood
    • G01N33/721Haemoglobin
    • G01N33/723Glycosylated haemoglobin

Abstract

The presence and the quantity of glycosylated proteins in biological fluids are determined by a method comprising removing from the sample interfering factors such as carbohydrates, incubating the sample in a hot acidic environment, separating the liquid and solid phases so found and determining carbohydrate in the liquid phase. A reagent kit comprises oxalic acid, trichloracetic acid and thiobarbituric acid. <IMAGE>

Description

SPECIFICATION Method and kit for determining glycosylated proteins in biological fluids It is extremely important to keep under close control the level of glicose in the blood of diabetic patients, who, as is well known, have the symptoms ofglycemia to a lesser or greater extent.
Inasmuch as the evolution of the progressive secondary complications of diabetes is closely related to the intensity of the controls of the metabolic behaviour of the patient, attempts have been made to discover parameters which might be capable of supplying data independent of the rapid variations of glycemia, which variations, as is known from the literature, are caused by a number of factors.
One way of ascertaining the extent of glycemia in such patients is to measure the level of nonenzymically glycosylated proteins (Yue, K. et al., Diabetes, 29: 296 (1980)). The formation of such glycosylated proteins is a reaction which is common to a number of proteins, and is a glicose-blocking process (Day, J. F. et al, J. Biol. Chem. 254: 595 (1979)). The monitoring ofthis reaction gives a significant indication of the degree of metabolic behavious of diabetic patients, since it has been shown that a rise in the extent of glycemia causes a rise in the amount of glycosylated proteins.
The determination of glycosylated haemoglobin (Hb At) may serve as a long-term measurement of the extent of glycemia since the lifetime of this protein is very long (about 120 days). On the other hand, this determination may prove to be of poor utility if it is desired to follow the progress of a therapeutical treatment. To the latter purpose, it might be more valuable to evaluate the degree of glycosylation of albumin since its lifetime is shorter than that of haemoglobin.
Glycosylated haemoglobin is isolated from total haemoglobin by ion-exchange chromatography on a weakly acidic resin, and is then determined colorimetrically. It can also be determined by evaluating, by reaction with thiobarbituric acid (TBA), the quantity of S - hydroxymethylfurfural (5-HMF) which is produced by acidic treatment.
In connection with the glycosylation of albumin, this parameter has been evaluated by methods in which the glycosylated albumin is isolated by affinity chromatography on certain particular dyestuffs and is subjected to a subsequent colorimetric determination after reaction with TBA, or, as an alternative, in which it is subjected to ion-exchange chromatography and is subjected to a subsequent determination by measuring the optical density of the fractions thus obtained.
After it had been discovered that a very close correlation exists between the quantity of glycosylated albumin and the quantity of glycosylated seral proteins, both being colorimetrically assessed, there was proposed a procedure for determining the latter, thus avoiding the need to isolate the albumin frcm the serum, this procedure having considerable advantages both from the point of view of the time necessary for the test and the simplicity of the test procedures. Unfortunately however, as was shown later, in such a determination, the free glicose (and also other carbohydrates) interferes with the determination, and it is necessary to render these carbohydrates incapable of interfering with the determination.
To overcome this difficulty, Kennedy et al (Diabetes,29: 413 (1980)) suggested a 15 hour hydrolysis at 40C against an appropriate saline solution. According to this procedure, the time required for the analysis is considerably extended and the analytical method becomes more intricate. Thus, taking into account the requirement of rendering the seral glicose incapable of interfering prior to the analysis, the procedure suggested by Kennedy et al is summarized in the following Table 1.
Table 1
pgz31Ppm"ee qi = Reagent Sample Blank Operation details Serum 1.0 ml - hour dialysis Dialyzed serum 0.1 ml 0.1 ml Physiological solution (pH 7.4) 0.9 ml Physiological solution +NaBH4 - 0.9 ml 1 molar oxalic acid - 0.5 ml 0.5 ml Boiling steam bath for 5 hours Trichloroacetic acid 1.0 ml 1.0 ml Centrifugation Supernatant 1.5 ml 1.5 ml TBA 0.5 ml 0.5 ml Keep for 30 minutes at 40"C and read optical density at 443 nm (microns) The overall time required for analysis is 21-22 hours (15 of which are necessaryforthe dialysis) and the various operational steps, even though they are not actually difficult, differ, at least in certain cases, from routine laboratory procedures.
It has been outlined in the foregoing to a certain extent that the determination of non-enzymically glycosylated proteins is subject to analytical errors which are due to interference factors and that the only correction measure which has been suggested by the prior art is a preliminary dialysis of the sample.
The present invention provides two alternative to the method mentioned in the foregoing, namely, on the one hand, the dialysis stage is replaced either by an enzymic step which suppresses the carbohydrates which are not bound to the proteins, and, on the other hand, the determination is carried out in the presence of free carbohydrates but under such analytical conditions (such as controlled hydrolysis) that such carbohydrates cannot interfere. In the latter case, the acidic hydrolysis is carried out in a time of 21 hours or less. If the fi rst of these two alterna- tives is used, a preliminary incubation of the sample being tested is suggested.
According to one aspect, the present invention provides an improved method for determining nonenzymically glycosylated proteins present in biological fluids (blood serum among others), the method comprising hydrolysis of the sample to be tested in an acidic environment and at a temperature above 80"C (the hydrolysis being optionally preceded by a preliminary incubation and the removal of carbohydrate and/or interfering substances), effecting subsequent precipitation of the proteins, separating the liquid phase and adding thereto a reagent capable of detecting carbohydrates and/ortheir derivatives, and comparing the optical densities ofthe sample and of a test blank.
The removal of carbohydrates and of possibly interfering substances of different nature is carried out, more particularly, in two ways.
According to the first way, all of the proteins in question are precipitated by the addition of a particu larprecipitation agent selected from a number of reagents, these reagents being organic compounds such as alcohols, polyhydric alcohols, carbonyl compounds, organic acids or salts thereof. In addition, salts of inorganic acids can be used. In particular, p-toluenesulphonic acid, trichloroacetic acid, perchloric acid, uranyl acetate, sulphosalicylic acid, ammonium sulphate or sodium sulphate, are used.
The temperature is maintained to a value which is that of the environment or lower.
The removal of the carbohydrates and/or other interfering substances can also be carried out enzymically, possibly after having adjusted the pH of the blood medium to an appropriate value. In this case, the enzymes (added either separately at differend times or admixed with each other) are appropriately selected so as to convert such interfering substances into products which do not interfer.
The enzymes can be introduced as such or in properly immobilized form, for example occluded in fibres or bonded (covalently or otherwise) to natural or synthetic polymeric substrates.
As outlined above, the operations for the removal of the interfering substances can be preceded by an incubation of the sample, with a view to overcoming potential interfering factors which could disturb the subsequent determination. Typical examples are preliminary treatment ofthe sample with appropri ate enzymes (such as syalidase, galactoxidase and others) or with acids at a temperature in the range from 80"C and 100"C and for a time not longer than 30 minutes. The preferred acids are oxalic acid, sulphuric acid, hydrochloric acid, sulphosalicylic acid and p-toluenesulphonic acids, and mixtures of such acids with each other and with other acids.
The method according to the present invention then proceeds with a hydrolysis stage in an acidic environment for a time over 22 hours and at a temperature above 80"C. Subsequently, the proteins are precipitated. The same precipitating agents as mentioned above can be used for this purpose. This step is followed by separation of the solid phase from the supernatant liquor, the latter being divided into two portions. To a first portion of the liquid phase a carbohydrate detecting reagent (and/or a reagent for detecting their derivatives such as thiobarbituric acid) is added, whereas water is added to the second portion of the liquid phase to obtain a test blank if no NaBH4 or reducing agent is used. Finally, the optical densities are measured (at an appropriate wavelength) both for the sample and for the blank.
The method can be applied to the determination of glycosylated proteins which are contained in biological media or liquors of any nature and origin.
The method has proven to be particularly advantageous for determining glycosylated proteins which are contained in blood serum samples, and we have deemed it useful to limit the Examples given below to that specific case on account of the importance of that application. However, the use ofthe method on samples of different origin does not produce any difficulty whatsoever and any extension of the method exemplified below will be an obvious routine operation lying within the scope of the present invention.
The invention also provides a means to be used for performing the method. This means is a kit which contains, alone in discrete containers, or separate but assembled in a single container, reagents selected from (a) medium-acidifying agents, (b) protein precipitants, (c) ketone-reducing agents, and (d) detecting agents for carbohydrates and/or their derivatives. More particularly, the kit comprises oxalic acid or acetic acid, trichloroacetic acid (TCB) sodium borohydride, and thiobarbituric acid (TBA).
The foregoing and other operative details will become clearer from the following illustrative Examples which however do not limit the invention.
EXAMPLE 1 A serum portion equivalent to 3.3 mg of proteins was diluted, after addition of traces of octyl alcohol, with 1 ml of phosphate buffer (0.01 molar, pH 7.4) containing 0.15 molar NaC (PBS) and 0.85 molar sodium borohydride. The sample was allowed to stand at room temperature for 1 hour and, then, for 18 hours at 4"C. This procedure is for preparing a test blank.
Another serum portion containing the same amount of proteins was diluted with 1 ml of the usual phosphate buffer (pH 7) but without the reducing agent Both this sample and the test blank were treated with 1 ml of 40% TCA and, after a 1 5-minute stay at room temperature, the samples and the test blank were centrifuged for 15 minutes at 2500 x gravity. The pricipitates, reslurried in 1.5 ml of2 normal acetic acid, were kept for 24 hours at 1 OO"C.
Upon cooling, the slurry was treated with 0.5 ml of 400% TCA and centrifuged to recover a clear supernatant. Portions of 1.5 ml each of the clear solution were reacted with 0.5 ml of TBA for 30 minutes at 40"C. The difference between the optical densities (O.D.) at443 nm of the blanks and the samples was reported on an appropriate plot (a calibration plot with 5-HMF) so that the millimols of 5-HMF contained in the sample can be determined.This method is summarized in the following Table 2. Table2
Reagent Blank Sample Operation details Serum 0.05 ml 0.05 ml PBS - 1 ml PBS + NaHBH4 1 ml - 1 hour at room temperature plus 18 hours at4 C 40%TCA 1 ml 1 ml Centrifuge 2 normal acetic acid 1.5 ml 1.5 ml Keep for 24 hours at 1 00 C TCA 0.5 ml 0.5 ml Centrifuge Supernatant 1.5 ml 1.5 ml TBA 0.5 ml 0.5 ml Read O.D. at 443 nm after 30 minutes at40"C EXAMPLE2 The method of this Example includes a preiimi nary treatment for 15 minutes at 1000C and the pre capitation of the proteins with 40% TCA.
A portion of serum (0.4 ml) was diluted in a ratio of from 1:2 to 1:20 (1:5 is preferred) with 0.6 normal oxalic acid, directly in a test tube with a screwed plug and, upon stirring, it was kept for 15 minutes at 100"C. After cooling to room temperature, 2 ml of 40% TCA were added. The sample was stirred, allowed to stand for 15 minutes at room temperature and centrifuged at 2500 x gravity for 10 minutes.
The supernatant was discarded by allowing the upturned tube test to stay for a few minutes on blotting paper pads. The residue was then mixed with 2.8 ml of 0.6 normal oxalic acid and, once the test tubes had been sealed, they were held in a boiling steam bath for 5 hours, so that the glicose bonded to the proteins was converted to 5-HMF. The several test tubes were cooled to room temperature in a water bath for 10 minutes, and 1 ml of 40% TCA was added to each tube. After 10 additional minutes at room temperature, centrifugation was carried out at 2500 x gravity. The clear supernatant was collected and divided into two portions of 1.5 ml each. One portion, mixed with 0.05 molar thiobarbituric acid, is the sample, whereas the other portion, mixed with water only, is the blank.
The determination of the quantity of 5-HMF which is contained in the sample was carried out by determining the difference between the respective optical densities at 443 nm of the sample and of the blank and by comparing the difference so found with a calibration plot obtained with standard 5-HMF.
The method according to this Example is summarized in the following Table 3.
Table3
Reagent . Operation Details Serum 0.4 ml 0.6 normal oxalic acid 1.6 ml 15 minutes at 100"C 400cTCA 2 ml Centrifuge 0.6 normal oxalic acid 2.8 ml Keep for 5 hours at 100"C 40%TCA 1.0 ml Centrifuge Sample Blank Supernatant 1.5 ml 1.5 ml TBA 0.5 ml Water - 0.5 ml Read O.D. at 433 nm after 30 minutes at40"C

Claims (15)

1. A method for determining glycosylate protein contained in a biological fluid, which comprises treating the fluid in an acidic environment at a temperature above 80"C (with or without preliminaryincubation and the removal of carbohydrates and/or other interfering substances), effecting precipitation of the proteins, separating the liquid phase, adding thereto a reagent for detecting the presence of carbohy drates and/or thei r derivatives to obtai n asample solution, adding water or an appropriate solution to a portion of the liquid phase to form a blank solution (if or since no NaBH4 or other reducing agent is employed), and comparing the optical densities of the sample solution and the blank solution.
2. A method according to claim 1, wherein the acidic treatment of the fluid is the first operation and is carried out for a time which does not exceed 22 hours.
3. A method according to claim 1, which comprises (a) effecting preincubation of the fluid, (b) removing the carbohydrates and/orthe interfering substances, (c) subjecting to acidic treatment the residue of the previous step for a time longer than 22 hours, (d) precipitating the proteins, (e) separating the liquid phase from the precipitate, (f) adding to a portion ofthe liquid phase a reagent for detecting carbohydrates and/or their derivatives to obtain a sample solution, (g) adding water or an appropriate solution to a portion of the liquid phase in the same ratio as in the previous step to obtain a blank solution, and (h) comparing the optical densities ofthe sample solution and the blank solution.
4. A method according to claim 3, wherein step (b) is carried out by precipitating the proteins con tainedinthefluid.
5. A method according to claim 4, wherein the precipitation is carried out by adding to the fluid a precipitating agent selected from monohydric alcohols, polyhydric alcohols, organic acids, salts of organic acids, carbonyl compounds, and other organic compounds.
6. A method according to claim 4, wherein the precipitation is carried out by adding an inorganic salt to the fluid.
7. A method according to claim 3, wherein step (b) is carried out by adding a specific enzyme of the carbohydrate(s) to be removed, either each alone individually or in admixture and/or at different times.
8. A method according to claim 7, wherein step (b) is carried out by using immobilized enzyme(s).
9. A method according to any of claims 3 to 8, wherein the preliminary incubation step is carried out at a temperature of from 80 to 1 OO"C.
10. A method according to claim 9, wherein the incubation is carried out in the presence of an acid selected from oxalic acid, acetic acid, sulphuric acid, hydrochloric acid, sulphosalicylic acid, p-toluene sulphonic acids, and mixtures thereof.
11. A method according to claim 3, wherein step (d) is carried out by adding a precipitating agent selected from monohydric alcohols, polyhydric alcohols, organic acids, salts of organic acids, carbonyl compounds, other organic compounds, and inorganic salts.
12. A method according to claim 1, substantially as hereinbefore described.
13. A kit of diagnostic reagents for the determination of glycosylated protein in a biological fluid, comprising, alone in separate containers, or separate but assembled in a single container, reagents selected from (a) an acidifying agent such as a medium-acidifying agent, (b) a protein precipitant, and (c) a reagent for detecting carbohydrate and/or derivative thereof.
14. A kit according to claim 13, wherein the reagents are oxalic acid, trichloroacetic acid and thiobarbituric acid.
15. A kit according to claim 13, substantially as hereinbefore described.
GB08217960A 1981-06-26 1982-06-21 Method and kit for determining glycosylated proteins in biological fluids Withdrawn GB2101740A (en)

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IT8122582A IT1167460B (en) 1981-06-26 1981-06-26 DOSAGE OF GLYCOSYLATE PROTEINS IN ORGANIC FLUIDS AND MEDIA SUITABLE FOR THE PURPOSE

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DE (1) DE3223837A1 (en)
ES (1) ES514387A0 (en)
FR (1) FR2508646A1 (en)
GB (1) GB2101740A (en)
IT (1) IT1167460B (en)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2559267A1 (en) * 1982-10-01 1985-08-09 Reanal Finomvegyszergyar Determn. of glucose content of glycosylated proteins
EP0215170A1 (en) * 1985-09-19 1987-03-25 Isolab, Inc. Single color reading method for determining fructosamine
EP0271996A1 (en) * 1986-11-18 1988-06-22 Scripps Clinic And Research Foundation Immunochemical method for assaying stable glycosylated hemoglobin
US5571723A (en) * 1991-02-07 1996-11-05 Evans; Cody A. Method of testing for diabetes that reduces the effect of interfering substances

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS62215398A (en) * 1986-01-06 1987-09-22 アイソラブ,インク. Method and kit for measuring quantity of phosphatidyl glycerol in amniotic fluid as indication element for medicaldiagnosis
GB9024771D0 (en) * 1990-11-14 1991-01-02 Axis Research Assay

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4268270A (en) * 1979-04-30 1981-05-19 Children's Hospital Medical Center Glycosylated hemoglobin measurement
CA1146769A (en) * 1980-02-04 1983-05-24 Beat E. Glatthaar Process for the determination of diabetes

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2559267A1 (en) * 1982-10-01 1985-08-09 Reanal Finomvegyszergyar Determn. of glucose content of glycosylated proteins
EP0215170A1 (en) * 1985-09-19 1987-03-25 Isolab, Inc. Single color reading method for determining fructosamine
EP0271996A1 (en) * 1986-11-18 1988-06-22 Scripps Clinic And Research Foundation Immunochemical method for assaying stable glycosylated hemoglobin
US4876188A (en) * 1986-11-18 1989-10-24 Scripps Clinic And Research Foundation Novel immunochemical method for assaying stable glycosylated hemoglobin
US5571723A (en) * 1991-02-07 1996-11-05 Evans; Cody A. Method of testing for diabetes that reduces the effect of interfering substances

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IT1167460B (en) 1987-05-13
FR2508646A1 (en) 1982-12-31
DE3223837A1 (en) 1983-01-13
JPS5821167A (en) 1983-02-07
IT8122582A0 (en) 1981-06-26
ES8305934A1 (en) 1983-05-01
ES514387A0 (en) 1983-05-01

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