A sensitive and relatively specific enzyme immunoassay of 11-deoxycortisol in human plasma has been developed. Enzyme labeling of 11-deoxycortisol was accomplished by the active ester method. The use of 4-carboxymethylthio-11-deoxycortisol N-succinimidyl ester and β-galactosidase in an appropriate molar ratio provided an enzyme-labeled antigen suitable for enzyme immunoassay. The anti-11-deoxycortisol antiserum used was that elicited in the rabbit by immunization with the conjugate of the haptenic derivative with bovine serum albumin. In order to improve the assay specificity, cortisol was used as an agent for the blocking of less specific antibodies present in the antiserum. The specificity of the assay system was assessed by comparing the results of measurement of 11-deoxycortisol in human plasma with those obtained by a radioimmunoassay. The quantitation limit of 11-deoxycortisol was 800 fg per tube. The intra-and inter-assay coefficients of variation for 11-deoxycortisol in human plasma were 3.0-15.8% and 7.6-12.5%, respectively. The present enzyme immunoassay of 11-deoxycortisol was found to be useful in the metyrapone tests for evaluation of pituitary-adrenal function and for differential diagnosis of Cushing's syndrome. The assay can be done on methylene chloride extracts of plasma.
                                    我们开发出了一种灵敏且相对特异的酶免疫测定法来检测人体血浆中的 11-
脱氧皮质醇。11 -
脱氧皮质醇的酶标记是通过活性酯法完成的。使用 4-羧甲基
硫代-11-
脱氧皮质醇 N-琥珀
酰亚胺酯和
β-半乳糖苷酶以适当的摩尔比提供了适合酶免疫测定的酶标记抗原。所使用的抗-11-
脱氧皮质醇抗血清是通过兔用合酶衍
生物与
牛血清白蛋白的共轭物进行免疫而激发的。为了提高检测的特异性,使用了
皮质醇来阻断抗血清中特异性较低的
抗体。通过比较人体血浆中 11-
脱氧皮质醇的测定结果和放射免疫测定的结果,评估了该测定系统的特异性。11 -
脱氧皮质醇的定量限为每管 800 fg。人体血浆中 11-
脱氧皮质醇的测定内变异系数为 3.0%-15.8%,测定间变异系数为 7.6%-12.5%。研究发现,11-
脱氧皮质醇酶免疫测定法可用于
甲氧苄啶试验,以评估垂体-肾上腺功能和鉴别诊断库欣综合征。该测定可在血浆的
二氯甲烷提取物中进行。