Detection of cerebrospinal fluid leakage by specific measurement of transferrin glycoforms
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Authors
Kwon, Seok Joon
Zhang, Fuming
Dordick, Jonathan S.
Sonstein, William J.
Linhardt, Robert J.
Issue Date
2015-10-01
Type
Article
Language
ENG
Keywords
Biology , Chemistry and chemical biology , Chemical and biological engineering , Biomedical engineering
Alternative Title
Abstract
A simple and rapid detection of cerebrospinal fluid (CSF) leakage would benefit spine surgeons making critical postoperative decisions on patient care. We have assessed novel approaches to selectively determine CSF β2-transferrin (β2TF), an asialo-transferrin (aTF) biomarker, without interference from serum sialo-transferrin (sTF) in test samples. First, we performed mild periodate oxidation to selectively generate aldehyde groups in sTF for capture with magnetic hydrazide microparticles, and selective removal with a magnetic separator. Using this protocol sTF was selectively removed from mixtures of CSF and serum containing CSF aTF (β2TF) and serum sTF, respectively. Second, a two-step enzymatic method was developed with neuraminidase and galactose oxidase for generating aldehyde groups in sTF present in CSF and serum mixtures for magnetic hydrazide microparticle capture. After selectively removing sTF from mixtures of CSF and serum, ELISA could detect significant TF signal only in CSF, while the TF signal in serum was negligible. The new approach for selective removal of only sTF in test samples will be promising for the required intervention by a spine surgeon.
Description
Electrophoresis, 36, 2425–2432
Note : if this item contains full text it may be a preprint, author manuscript, or a Gold OA copy that permits redistribution with a license such as CC BY. The final version is available through the publisher’s platform.
Note : if this item contains full text it may be a preprint, author manuscript, or a Gold OA copy that permits redistribution with a license such as CC BY. The final version is available through the publisher’s platform.
Full Citation
Detection of cerebrospinal fluid leakage by specific measurement of transferrin glycoforms, S.-J. Kwon, J. S. Dordick, W. J. Sonstein, R.. Linhardt, Electrophoresis, 36, 2425–2432, 2015.
Publisher
Terms of Use
Journal
Volume
Issue
PubMed ID
DOI
ISSN
15222683
1730835
1730835