Nadezhda A. Taranova,
Vladislav D. Slobodenuyk,
Anatoly V. Zherdev and
Boris B. Dzantiev*
A.N. Bach Institute of Biochemistry, Research Center of Biotechnology of the Russian Academy of Sciences, Leninsky Prospect 33, 119071 Moscow, Russia. E-mail: dzantiev@inbi.ras.ru
First published on 4th May 2021
Highly sensitive detection of cardiac troponins I and T (cTnI and cTnT) was completed by immunochromatography with double amplification, through the binding of functionalized gold nanoparticles (GNPs). The robust nature of the approach, based on the formation of nanoparticle networks through the biotin–streptavidin interaction, was confirmed; the choice of the best assay parameters for maximal increase in ICA sensitivity was demonstrated. A bifunctional conjugate of GNPs with biotinylated specific IgG and two auxiliary conjugates, GNP–biotin and GNP–streptavidin, form three-component aggregates in the analytical zone of the test strip. The inclusion of abundant gold labels in the resulting immune complex leads to an amplified colorimetric signal. The limits of detection (LoDs) of cTnI and cTnT were 0.9 and 0.4 ng mL−1, respectively, which is 3 times lower than the LoDs of more commonly used systems. Visual LoDs were 10-fold lower in concentration. The enhancement has been realized both in single and double assay formats; analysis of cTnI and cTnT presented the same characteristics.
Various approaches have been proposed to increase ICA sensitivity.6–8 One approach is to replace the most commonly used label, gold nanoparticles (GNPs), with alternatives (fluorophores, magnetic nanoparticles, etc.).1,9,10 Another approach is to use the post-assay growth of GNPs bound in the analytical zone.11,12 However, such methods require the inclusion of additional solutions in assay kits. The required manipulations with these reagents complicate and lengthen the analytical process.
A promising alternative method is to increase the number of GNPs in the analytical zone, resulting in more intense coloration. The use of small-sized functionalized nanoparticles and their aggregation to the assay will limit the constraints for lateral flow and nonspecific binding.13,14 For the formation of aggregates, intermolecular interactions such as biotin–streptavidin, antibody–anti-species-antibody and antibody–antigen have been considered.15,16 The ease of implementation and the fact that additional steps or washing are not required are advantages of this approach. Our prior study successfully implemented this enhancement based on the mixture of the three types of functionalized nanoparticles for the detection of procalcitonin.17 However, its applicability for other antigens remains unstudied and the mechanisms that provide increased sensitivity were not determined.
This study demonstrates the robust nature of the proposed method through its application in the determination of cardiac troponins I (cTnI) and T (cTnT). The immunochemical measurement of biomarkers released to the blood is the ‘gold standard’ for diagnosing myocardial infarction.18 Cardiac troponins are efficient biomarkers for this purpose.19 In this study, we propose a method of choosing the optimal ratio of functionalized GNP conjugates in the test system for effective signal amplification in ICA. We also demonstrate the potential to apply this enhancement method in a multiplex test system for the simultaneous determination of cTnI and cTnT.
Other chemicals (such as solvents and analytically pure salts) were purchased from Chimmed (Moscow, Russia). All solutions for synthesis and assay were prepared using water which was purified by the Sartorius arium® pro system (Sartorius, Germany).
The immunochromatographic test system was made using Mdi Easypack (Advanced Microdevices, India) membrane kits, which include a working CNPC nitrocellulose membrane with a 15 μm pore size, PT-R7 glass fibre membrane, GFB-R4 separation membrane and an AP045 adsorption membrane.
Using an IsoFlow dispenser (Imagene Technology, Hanover, NH, USA), Abs1/cTnI or Abs3/cTnT antibodies (2 mg mL−1, forming the analytical zone) and goat anti-mouse IgG (1 mg mL−1, forming the control zone) were applied in phosphate-buffered solution (PBS) onto the nitrocellulose membrane. The load was 1.2 μL of both solutions per cm of membrane length. The nitrocellulose membrane was then dried at room temperature for at least one day.
The resulting membranes were assembled, and the sheets were cut into 3.5 mm wide strips. The sheets were split and packed in plastic and laminated aluminium foil at 20–22 °C, with relative humidity under 30%.
The test strip was vertically submerged in a sample for 15 min at room temperature. The binding of the label in the analytical zone was then recorded using the Epson Perfection V600 Photo scanner (Epson, Suwa, Japan) and processed using TotalLAB software (Nonlinear Dynamics, Newcastle, UK).
The visual limit of detection (vLoD) was defined as the minimum analyte concentration at which the coloured line in the analytical zone could be observed visually. Instrumental LoD was defined as the analyte concentration at which the analytical zone coloration intensity exceeds the standard deviation for background coloration of the analytical zone by three times (i.e., for samples without cTns).
(a) A common test system using only GNP–IgG conjugate,20
(b) A triple test system (Fig. 1) with a detecting GNP–IgG–biotin conjugate and two amplifying GNP–Stp and GNP–biotin conjugates, and
(c) A triple test system for simultaneous detection of two troponins (duplex assay), described above.
The synthesized GNPs had a diameter of 29.3 ± 0.9 nm, according to transmission electron microscopy data (Fig. S3†). Using Abs/cTnI IC4, Abs/cTnT 1F11, BSA–biotin and Stp, the GNP–Abs–biotin, GNP–BSA–biotin, GNP–Stp and GNP–Abs conjugates were prepared by physical adsorption. This method is characterized by easy manipulation and high efficiency. During the syntheses, the concentration of GNPs matched with their optical density at 520 nm (A520) of 1.0. The flocculation curves were used to select protein concentrations.21 (Data on the effect of the antibody concentration on the optical properties of the conjugates are given in Fig. S4†). The optimal concentrations of all antibodies and Stp were 10 μg mL−1. The concentration of the BSA–biotin conjugate was 50 μg mL−1, with a large excess. The size characteristics for all synthesized conjugates are recorded in the ESI (Fig. S3†).
The evaluation of the effect of the concentration of antibodies immobilized in the analytical zone showed an optimal concentration of 2 mg mL−1 for both systems (see Table S4† as an example for cTnI).
To ensure complete elution of the GNP conjugates applied to the glass fibre membrane, uniform movement of the serum along the test strip and the absence of non-specific interactions, the Tween-20 detergent was added to the pre-processed sample. Within the tested range of 0.1%–2.0% (v/v), its optimum concentration was 1.0%. Higher concentrations of detergent caused coloration with the absence of antigens (Table S5†).20
The common test system with the only GNP–Abs/cTnI conjugate reached visual and photometric LoDs of 11 ng mL−1 and 3.7 ng mL−1, respectively (Fig. 2A and B). In the case of cTnT ICA, the visual and photometric LoDs reached were 11 ng mL−1 and 3.7 ng mL−1, respectively (Fig. 2C).
Fig. 2 Test strip images of cTnI (A) and cTnT (B) detection in serum and calibration curves (C) for the common immunochromatographic test system. |
Optimizing the triple immunochromatographic test system required:
• Studying the influence of the length of the spacer between protein and biotin
• Assessing the effect of the concentration of GNP–Stp on the formation of the GNP–Abs–biotin complex
• Choosing the GNP–Stp:GNP–Abs–biotin:GNP–BSA–biotin ratio using spectral data
The first parameter affecting aggregate formation is the length of the spacer between protein and biotin that influences the availability for biotin's interaction with Stp. Abs/cTnT 1F11 and BSA were biotinylated with biotin, AH-biotin or PEG4-biotin with a succinimide reaction.
Table 1 shows the relationship between LoDs and the length of the spacer in the biotin ester molecule. The minimum LoD for cTnT was achieved using a spacer of maximum length.
Conjugate | Biotin | AH-biotin | PEG4-biotin |
Spacer length, Å | 13.5 | 30.5 | 29 |
M, g mol−1 | 341.4 | 567.7 | 588.7 |
LoDs, ng mL−1 | 1.2 | 0.4 | 3.9 |
Fewer charged groups in the AH-biotin spacer (generally a neutral charge) allow biotin to remain mobile and available for binding to streptavidin. PEG4-biotin contains a large number of negatively charged oxy groups that can interact with positively charged amino groups of the protein and thereby reduce the distance of biotin from the protein molecule. The use of a spacer of a different nature or greater length seems promising for further study of the process of aggregation of functionalized nanoparticles.
The potential for GNP–Stp and GNP–Abs/cTnT conjugates to aggregate in a two-component system was assessed using a spectral analysis. With varying concentrations of GNP–Stp and GNP–Abs/cTnT–biotin conjugates, an increase in optical density occurred without a shift in the absorption peak. Fig. S5† shows the absence of this shift at different concentrations of the GNP–Stp conjugate, which indicates that there is an absence of a double complex (aggregation). In all cases, the absorption peak was recorded at 535 nm. For further analysis, the optical density of the GNP–Stp conjugate was selected at 0.5.
To achieve a spectral shift, it is necessary to increase the amount of biotin. The GNP–BSA–biotin conjugate was therefore introduced. The maximal displacement of the absorption peak (i.e. the formation of aggregates)25,26 and the maximum optical density was observed for the following concentrations of conjugates: A(GNP–Abs–biotin) = 2.0 and A(GNP–BSA–biotin) = 4.0 (Fig. 3, arrow), which corresponds to a 1:2 molar ratio of the conjugates. Neither lower nor higher concentrations of the GNP–BSA–biotin conjugate led to the formation of a comparable number of aggregates, thus reducing the desired enhancement (see Table 2).
Fig. 3 The ratio of GNP–Abs/cTnT–biotin and GNP–BSA–biotin at A(GNP–Stp) = 0.5 and the resulting absorption maxima of a mixture of conjugates. |
Molar ratios GNP–Stp:GNP–BSA–biotin:GNP–Abs/cTnT–biotin | Peak, nm | LoDs (cTnT), ng mL−1 |
---|---|---|
1:0.4:4 | 526 | 7.5 |
1:2:2 | 530 | 3.9 |
1:8:4 | 529 | 0.4 |
1:8:8 | 528 | 1.4 |
1:16:4 | 531 | 4.2 |
According to the resulting data, the optimal molar ratio of the GNP–Stp:GNP–BSA–biotin:GNP–Abs/cTnT–biotin conjugates for the formation of ternary aggregates was 1:8:4. In the next stage, we chose the optimal concentration of the GNP–Str conjugate in the three-component mixture. Based on the size of the proteins and GNPs,27,28 the minimum and maximum amounts of GNP–Stp conjugate needed for complete binding of all available biotin groups were calculated (see Table S6†).29 The following assumptions were made for the calculations: (a) 90% of the protein is adsorbed on the GNP surface,30,31 and (b) after the adsorption of Stp, each Stp molecule binds only 3 biotin molecules because 1 binding site is blocked by the surface of the nanoparticle. The minimum optical density of the GNP–Stp conjugate (proteins form a monolayer on the surface of nanoparticles upon adsorption) was 0.25, and the maximum (with the adsorption of the entire amount of protein used for the synthesis) – 0.9. The concentration of GNP–Stp varied, ranging from 0 to 1.1 optical units (Fig. S6†).
The data indicate that the maximum coloration of the analytical zone is achieved at A(GNP–Stp) of 0.5. Lower amounts of GNP–Stp do not allow the binding of a sufficient number of particles containing biotin molecules. Therefore, no aggregates, or only a small number of double aggregates, are formed. An excess of GNP–Str leads to a complete overlap of both GNP–BSA–biotin and GNP–Abs/cTnT–biotin, which leads to the formation of double aggregates, but not triple aggregates.
Table 3 presents the ratio of components in the three-component system, GNP–Str:GNP–BSA–biotin:GNP–Abs/cTnT–biotin, and the resulting LoDs. The results show that the minimum detection limit with minimal background coloration is observed when the molar ratio of the components of the detecting mixture is 1:8:4. Similar data for cTnI are presented in Table 4. The results also show that the minimum detection limit with minimal background coloration is observed when the molar ratio of the components of the detecting mixture is 1:10:10. Concentrations of GNP conjugates with specific antibodies were previously selected (common systems) and are constant. Additional increase in GNP–BSA–biotin leads to an increase in the background signal, arising from the unreacted components.
Ratios | 1:2:2 | 1:8:4 | 1:8:8 | 1:16:4 |
LoD, ng mL−1 | 3.9 | 0.4 | 1.4 | 4.2 |
Ratios | 1:2:10 | 1:4:10 | 1:7:10 | 1:10:10 | 1:5:5 |
LoD, ng mL−1 | 1.5 | 1.1 | 1.0 | 0.9 | 4.1 |
The optimal ratios of GNP–Stp:GNP–BSA–biotin:GNP–Abs–biotin conjugates for cTnT and cTnI is different because the optimal concentrations of the specific conjugates (GNP–Abs–biotin) is initially different. A significant increase in the concentration of the conjugate leads to an increase in the background signal.
No difference was observed in the detection time between the common and triple systems (Fig. S7†). The analysis duration was 15 min. The sharp increase in the intensity of staining of the analytical zone 30 s after the introduction of the sample (2nd point in Fig. S7†) is explained by the passage of the liquid front, which does not carry the coloured marker.
The proposed triple-test system allows for the detection of cTnI with visual and photometric LoDs of 1.2 ng mL−1 and 0.9 ng mL−1, respectively (Fig. 4A). The triple-test system for cTnT detection is characterised by visual and photometric LoDs of 1.2 ng mL−1 and 0.4 ng mL−1, respectively (Fig. 4B). The stability of the developed test systems was shown during long-term storage (within 6 months) at 20–22 °C. The coefficient of variability did not exceed 15%. Evaluation of the specificity of the test systems showed the absence of false-positive results in the presence of 2000 and 5000-fold excess of human serum albumin and human immunoglobulins G, the main protein compounds of serum samples (Table S7†).
Fig. 4 Appearance of test strips and calibration curves (C) for cTnI (A) and cTnT (B) detection in serum: triple system. |
Because cTnI and cTnT are parts of the triple troponin complex with troponin C, detecting them separately is complicated.32 This is the reason for the excessively low concentration of troponins in the blood of healthy people (5–6 pg mL−1).33 With myocardial infarction, there is a sharp increase in the concentration of troponins in the blood. Depending on the antigen, a 3–10-fold decrease in the LoDs of troponins was observed using the formation of aggregates in the analytical zone of the test strip. The prevalence of heart attacks resulting in no troponin concentration in the blood and the consequent necessity of adequate treatment for these patients justifies the need for a highly sensitive analytical method of detecting troponins.34,35
An increase in clinical sensitivity in the determination of troponins is achieved due to a decrease in assay specificity, which presents an additional diagnostic problem for clinicians, though LoDs of cTnI could be decreased to 0.05 ng mL−1 (ref. 36) and lower.37 The rapid and accurate detection of low troponin concentrations will allow for efficient diagnoses that may prevent deaths.36
Fig. 5 Appearance of test strips and calibration curves for simultaneous cTnI and cTnT detection in serum, using the triple immunochromatographic system. |
The so-called troponin-free infarction underscores the need for a multiplex test system for the simultaneous determination of troponins.38 Rapid point-of-care control of troponins will allow for faster and more accurate diagnoses.
The risks of creating an enhanced double test were as follows: an insufficient amount of the GNP–Stp conjugate, the appearance of a high background signal due to an excess of the stained label, and different degrees of amplification when forming a zone closer and further away from the start line (due to different times in the zone flow). Despite the competition for reagents in the aggregate formation, the double test system retains the analytical characteristics of the single test system and presents a 10-fold decrease in LoDs. The absence of interference of antigens in the other analytical zone was experimentally confirmed (Fig. 5). Also, the advantage of this amplification method is the simplicity of its implementation (stored one-stage protocol).
Interacting compounds | Nanoparticle quantity | Multiassay | Effect | Ref. |
---|---|---|---|---|
BSA–Abs/BSA | 2 | No | 10–25-Fold | 16 |
Stp–biotin | 3 | No | 10-Fold | 17 |
3 | Yes | 10-Fold | This work | |
2 | No | 30-Fold | 41 | |
DNA | 2 | No | 10–15-Fold | 42 |
2 | No | 30-Fold | 43 | |
Dendrimer | 2 | No | 20-Fold | 44 |
Biotin–Abs/biotin | 2 | No | 27-Fold | 45 |
Anti-species antibodies | 2 | No | 5-Fold | 46 |
The studies discussed in previous sections of this article use mainly two types of nanoparticles to form aggregates, which lead to a decrease in LoDs by a factor of 5–30. In all works, except for the author's, a combination of two types of particles is used. Direct sorption of biotin onto the surface of nanoparticles reduced the LoD by a factor of 30.41 In the ELISA format,15 it was possible to further reduce the sensitivity, but this required the formation of a network of nanoparticles labelled with peroxidase, and the subsequent registration of their enzymatic activity. Due to the strength of the connection, the Stp–biotin pair appears to be a promising tool to enhance the ICA method.41,47 In addition, this study is the first to describe a multiplex test system with amplification of an analytical signal.
Footnote |
† Electronic supplementary information (ESI) available. See DOI: 10.1039/d1ra02212a |
This journal is © The Royal Society of Chemistry 2021 |