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Enhanced Chemiluminescence 1093<br />

is made by diluting AFP standard serum (Dako cat. no. X900 or Boehring Diagnostics<br />

[Westwood, MA] cat. no. OTOD 02/03) in human serum containing 0.05% (w/v) sodium<br />

azide. Store frozen as 1-mL aliquots.<br />

13. Peroxidase-conjugated anti-AFP (Dako cat. no. P128) diluted 1/1000 in assay diluent.<br />

Make up fresh for each assay batch.<br />

14. Working enhanced chemiluminescence substrate solution (see Note 9)—either:<br />

a. p-iodophenol-enhanced substrate: 1.25 mM luminol, 4 µM p-iodophenol, 2.7 mM H 2O 2).<br />

Add 15 µL of stock hydrogen peroxide and 40 mL of p-iodophenol stock solution<br />

to 50 mL of stock substrate: solution,, and mix well. Make up daily using high-quality<br />

deionized water (see Note 3), and store in the dark when not in use, or<br />

b. p-Hydroxycinnamic acid-enhanced substrate (1.25 mM luminol, 30 µM p-hydroxycinnamic<br />

acid, 2.7 mM H 2O 2). Add 15 mL of stock hydrogen peroxide and 1 mg<br />

of p-hydroxycinnamic acid (alternative names: p-coumaric acid or 4-hydroxycinnamic<br />

acid, e.g., Aldrich [Gillingham, UK] cat. no. 2,320-7) to 50 mL of stock substrate<br />

solution. Mix for 30 min before using. Make up daily using high-quality deionized<br />

water (see Note 3), and store in the dark when not in use.<br />

3. Method<br />

1. Coat the wells of a microtiter plate with 100 mL of anti-AFP (1/1000 in coating buffer).<br />

Allow the protein to bind for either 2 h at room temperature or overnight at 4°C (see Note 10).<br />

2. Empty the wells, and wash off any unbound antibody by filling each well with PBS and<br />

shaking the plate to re-empty. Repeat the wash and block unbound sites by incubating with<br />

200 mL/well of blocking solution for 30 min at room temperature.<br />

3. Empty the wells, and wash the plate twice (as described in step 2) with PBS-Tween to<br />

remove any unbound albumin.<br />

4. Prepare 1/20 dilutions of samples, standards, and quality control specimens using assay<br />

diluent, and add 150 µL to each of the microtiter plate wells. Cover the plate with plastic<br />

film, and incubate at 37°C for 1 h.<br />

5. Empty the wells, and wash the plate three times with PBS-Tween. Shake the plate over a<br />

sink to ensure complete removal of wash solution. Add 150 µL of working conjugate to<br />

each well, cover, and incubate at 37°C for 1 h.<br />

6. Empty the wells, and wash the plate three times with PBS-Tween made using high-quality<br />

deionized water (see Note 3).<br />

7. Add 150 µL of enhanced chemiluminescent substrate to each well in the same order and<br />

preferably with the same timing as used by the plate reader. Allow at least 2 min for the<br />

light output to stabilize before reading the plate.<br />

8. Obtain unknown specimen results either by reading off a plotted calibration curve or use a<br />

computer program to calculate from a fitted curve.<br />

4. Notes<br />

1. Peroxidase is inactivated by anions and certain antimicrobial agents, including azide, cyanide,<br />

and thiomersal. Antimicrobial agents may be present in concentrated enzyme label<br />

solutions and assay buffers at typically active concentrations, but must not be present in<br />

wash solutions or substrate. The latter reagents must be freshly made each day from concentrated<br />

stocks.<br />

2. Powerful oxidizing or reducing agents may interfere with any peroxidase detection reaction<br />

by inactivating peroxidase, oxidizing the substrates or reducing the oxidants in the<br />

reagents. There are potentially many of these in the laboratory environment, including<br />

chlorine in water, disinfectants, paper dust, laboratory coats, skin, and so forth. Care should<br />

be taken to avoid contamination of individual assay wells or equipment.

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