ELISA (Enzyme-Linked Immunosorbent Assay) is a technique used to quantify a target of interest in a sample. Common samples include blood (serum and plasma), tissue homogenates, cell lysates and cell culture supernatants. Depending on the target analyte, other samples may be tested such as skin, urine, feces, bronchoalveolar lavage fluid, pleural fluid, saliva, cerebrospinal fluid, prostatic fluid, semen, vaginal secretions and more. The result obtained by ELISA can be influenced by how samples have been collected, processed and stored. This page gives a general guideline on preparing and processing samples for ELISA.
Whole blood samples contain many components (for further information, please see our composition of blood page). The main components are the blood cells (red blood cells, white blood cells and platelets) and the liquid component of blood. Whole blood can be centrifuged, allowing the blood cells to be separated from the blood liquid. Depending on how the blood is prepared, the resulting liquid will be serum or plasma.
Serum is a component of blood that does not contain blood cells or clotting factors. It is essentially the same as plasma, but without fibrinogens. Blood that is coagulated (clotted) yields serum without fibrinogens, though some clotting factors may remain.
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Plasma is a component of blood that makes up the extracellular matrix surrounding blood cells (red blood cells, white blood cells and platelets). Blood that is anticoagulated (not clotted) yields plasma, which includes fibrinogens and clotting factors. If the target analyte of interest is a coagulating factor, it is recommended to use plasma as a sample type rather than serum.
Plasma samples require anticoagulation. The choice of anticoagulant can depend on the target analyte of interest. Usually, 2% EDTA, 1% heparin or 3.8% sodium citrate are used. Hemolysis should be avoided as this can release protease enzymes, which could result in degradation of the target analyte present in the samples. High lipid concentrations can lead to hemolysis, so this should also be avoided.
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Ca2+ present in the blood contributes to coagulation through calcium-dependent clotting pathways. Sodium citrate chelates free Ca2+ ions, inhibiting these pathways and therefore preventing coagulation.
Advantages: Suitable in most cases, does not affect coagulation factors.
Disadvantages: Weak anticoagulant effect, poor solubility.
Recommended Usage: Sodium Citrate (109 mmol/L) : Blood ratio of 1:9; or Sodium Citrate (106 mmol/L) : Blood ratio of 1:4.
Ca2+ present in the blood contributes to coagulation through calcium-dependent clotting pathways. Ethylenediaminetetraacetic acid (EDTA) chelates free Ca2+ ions, which are no longer free and therefore coagulation is prevented.
Advantages: Suitable in most cases, does not affect red blood cells or white blood cells.
Disadvantages: Affects platelet aggregation, not suitable for detection of coagulation or platelet factors.
Recommended Usage: EDTA (15 g/L) : Blood ratio of 1:10
Antithrombin III is a protein that inhibits several enzymes, mainly serine proteases, involved in the coagulation pathway. Heparin binds to antithrombin III, which activates it and causes antithrombin III activity to increase, and therefore enhances the anticoagulant effect.
Advantages: Strong anticoagulant effect, does not alter blood cell volume, stable at high temperature, hard to hemolyse.
Disadvantages: Causes leukocyte (white blood cell) aggregation, anticoagulant effect only lasts for a short while.
Recommended Usage: Heparin (1 g/L) : Blood ratio of 1:10
The protocol for tissue homogenates will depend on the exact tissue that is used as the sample. The addition of protease inhibitors may be required to prevent the analyte of interest from being degraded. Some tissue samples such as liver, kidney, brain tissue may cause false positive results, as endogenous biotin will interact with avidin and streptavidin.
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Depending on where the target analyte is expressed, cell samples may be suitable for assaying. Many factors can influence the detection result, including number of cells (more than 106 cells may have a detrimental effect), pH, salt composition and concentration and so on.
Cell culture supernatants are a recommended sample type if the target analyte is a secreted protein.
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Cells must be lysed before they can be assayed in ELISA. Cell lysis can be induced by physical (such as ultrasonication or freeze-thaw cycles) or chemical means (such as RIPA, Triton X-100, NP-40, SDS, sodium deoxycholate, β-Mercaptoethanol, DTT, urea). Generally, physical methods are preferred over chemical methods, as chemical detergents can influence the results obtained by ELISA. A concentration of 1% Triton X-100 and 1% NP-40 is recommended as this is sufficient for cell lysis whilst having no or little observable effect on ELISA absorbance values.
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Sputum is a mixture of saliva and mucus found in the respiratory tract. It is expelled during coughing. Pathogenic bacteria may be present in sputum, which may be of interest for analysis by ELISA.
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Fecal samples may contain pathogenic bacteria or high concentrations of an endogenous analyte, either of which can indicate disease. Dry feces samples are recommended; liquid stool samples can be difficult to prepare and can influence the detection result by ELISA.
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Saliva samples are suitable for detection of some enzymes, antimicrobial agents, and other secreted analytes.
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