C. Paparella, A. Barazzutti, R. Lucini, S. Brambilla
The objective of this study is to evaluate the analytical performances of the CALiaGold® assay (Sentinel Diagnostics) for the quantitative determination of Calprotectin in human feces on the high-throughput, fully automated SENTiFIT® 800 Analyzer (Sentinel Diagnostics).
The presence of Calprotectin in human stool specimens is intended as an aid in the assessment of intestinal mucosal inflammation. The assay’s results can be used as an aid to diagnosis in distinguishing organic, inflammatory disease of the gastrointestinal tract from functional disease, in patients with chronic abdominal pain and, furthermore, as an aid in IBD disease monitoring.
The CALiaGold® test is a Particle Enhanced Turbidimetric ImmunoAssay (PETIA) and allows quantification of Calprotectin in fecal extracts. Calprotectin is extracted from fecal samples using the extraction buffer contained in the CALiaGold® pierceTube device (Sentinel Diagnostics).
Calprotectin available in the sample mediates immunoparticles agglutination. The tests were conducted following CLSI1 (Clinical and Laboratory Standards Institute) Guidelines and Microsoft Excel statistical tool Analyseit was used.
Performances evaluation included Limit of Blank (LoB), Limit of Detection (LoD), Limit of Quantitation (LoQ), intra-assay imprecision, total imprecision, linearity, on board reagent stability, instruments correlation, Hook effect.
|Limit of Blank (LoB)||Lot A 1.25 µg/g
Lot B 2.31 µg/g
|Limit of Detection (LoD)||Lot A 4.5 µg/g (Figure 1)
Lot B 3.6 µg/g
|Limit of Quantitation (LoQ)||Lot A 14.8 µg/g
Lot B 15.7 µg/g (Figure 2)
|Intra Assay Imprecision||Sample 1 (38.6 µg/g): %CV 2.6%
Sample 2 (104.7 µg/g): %CV 1.9%
Sample 3 (513.1 µg/g): %CV 3.9%
Sample 4 (1042.8 µg/g): %CV 1.5%
Sample 5 (1883.7 µg/g): %CV 1.8%
(during 20 testing days up to reagent age of 60 days)
|Sample 1 (39.4 µg/g): %CV 5.7%
Sample 2 (113.0 µg/g): %CV 4.3%
Sample 3 (524.3 µg/g): %CV 2.4%
Sample 4 (1081.4 µg/g): %CV 2.7%
Sample 5 (1955.6 µg/g): %CV 3.7%
|On board reagent stability (up to 33 days)
|Sample 1 (36.5 µg/g): min % bias: -3.9% max % bias: 2.9%
Sample 2 (107.5 µg/g): min % bias: -8.5% max % bias: 4.1%
Sample 3 (507.3 µg/g): min % bias: -3.1% max % bias: 1.3%
Sample 4 (1041.4 µg/g): min % bias: -0.9% max % bias: 2.1%
Sample 5 (1855.4 µg/g): min % bias: -3.6% max % bias: 0.0%
|Up to 2200 µg/g|
|Instrument correlation (vs. SENTiFIT® 270)
|Passing-Bablok fit: y = -3.97 + 0.98 x r = 0.996|
|Hook effect||Not detectable up to 6000 µg/g|
Analytical performances of CALiaGold® assay on the high-throughput, fully automated SENTiFIT® 800 Analyzer meet the requirements for its use as quantitative determination of Calprotectin in human feces and make this assay very suitable for the routine measurement of this protein.
1) CLSI. Evaluation of Detection Capability for Clinical Laboratory Measurement Procedures (EP17-A2); Evaluation of Linearity of Quantitative Measurement Procedures (EP06); Evaluation of Precision of Quantitative Measurement Procedures (EP05-A3); Molecular Diagnostics Methods for Infectious Diseases (MM03); Quantitative Molecular Methods for Infectious Diseases (MM06-A2).