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Department of Laboratory Medicine Kumamoto University School of Medicine 1-1-1, Honjo, Kumamoto
860-8556, Japan
ABSTRACT
The purpose of this study was to evaluate the efficacy of multi-capillary
electrophoresis instrument in clinical laboratory. An automated clinical capillary
electrophoresis system was evaluated for performing serum proteins electrophoresis
and immuno-fixation electrophoresis by subtraction. In this study the performance of
capillary electrophoresis was compared with the cellulose acetate membrane
electrophoresis and agarose gel immunofixation electrophoresis for serum proteins.
The results of capillary electrophoresis and cellulose acetate membrane electrophoresis
were good (r= 0.89-0.97 ) for protein fractions and A/G ratio except for 13-gobulin fraction
(r=0.60) .Both within-run and day to day presisions (CVs) of assay results for 6 main
fractions and A/G ratio (n=10) were between 0.3-6.3 %. The reference ranges of serum
protein fractions obtained from 200 healthy individuals by cellulose acetate membrane
electrophoresis were almost equal to that of capillary elestrophoresis except for ~-1
globulin fraction. No significant difference of electropherograms between cellulose
acetate electrophoresis and capillary electrophoresis was observed in the abnormal
serum such as presence of bilirubin (<20 mgldl), hemoglobin (<300 mg/dl), lipid (Intralipos
< 1%) and samples from patients with acute phase response, liver injury, polyclonal
hyper gammaglobulinemia or M-proteinemia. The method of capillary immmuno-fixation
electrophoresis by subtraction showed good agreement with agarose gel immmunofixation electrophoresis by subtraction identifying 30 monoclonal gammmopathy patient
samples.
KEY WORDS: Capillary electrophoresis, capillary immunofixation electrophoresis, serum proteins,
M-protein
INTRODUCTION
The proportions and the quantification of the
individual serum protein fractions changes in a variety
of diseases is of considerable value in clinical
diagnosis. The fractionation of serum protein mostly
is performed with cellulose acetate membrane or
agarose gel electrophoresis (1-2). Recently evaluated
capillary electrophoresis (CE) could be a new feasible
technique for the analysis of serum proteins because
of its high separation efficiency, on line data analysis,
quick separation and its easy utility (3-4). CE depends
Author for correspondence:
Dr. Yoshinori Uji, Ph.D, at above address
E-mail: uji~.kumamoto-u.ac.jp
Phone & FAX: +81-96-373-5282
sepaation with
Human serum protein fractions (albumin, co-lglobulin, (~-2globulin, 13-globulin, ,f-grobulin and A/G
ratio) were separated and quantified by using CE with
the Paragon CZE 2000 ~
(Beckman Coulter Inc.,
Brea, CA, USA). Proteins were measured by direct
absorption at 214 nm through a small op'dcal window
in the capillary. The length of capillary was 20 cm,
and the i.d. v~s 20 mm. Instrument settingsfor serum
proteins electrophoresis were as follows: 1 rain
conditioning time, 1 second injection time
(approximately I nL of 20 fold diluted serum samples),
4.3 min separation time (9000V at 240 C), 0.5 rain
wash time, 0.5 min dnsetJme. The running buffer used
was borate buffer (pH 10.0), and the capillary was
rinsed between samples with 10g/L NaOH cleaning
solution (Beckman Coulter Instruments). The
instrument selects pattem fractions using an involved
software package. For conventional cellulose acetate
electrophoresis, we used the automated cellulose
acetate membrane electrophoresis system (Olympus
AES 620, Olympus Co., Ltd, Tokyo, Japan) according
to the manufacturer's instructions. The cellulose
acetate membrane of Sartodus 11200 (Sartorius,
Gottingen, Gemmany) was preequilibrated in veronal
(barb~)-veror~ sodium buffer, pH 8.6, approxirnmay
l uL of sample added and carried out the
electrophoresis at 220 V for 25 min in veronal-veronal
sodium buffer, pH 8.6. Proteins were stained by
Ponsou-S (Olympus instruments) for 10 min. The
individual fractions were quantified by densitometry.
167
Precision
12
(.)
(+)
i'
'
!i
3
Reference range
~*
1 o 146 8 ~
.,.~
I I I,~',lJ
._. . . . _ _
,:
r ' - - ~ ! ~ l ~ - . - - - - , . _ - -I,
v
~"
,"
. ^
I
\ .........
~ .............
,,-,-,~ .~\
/
"-..~j . ~ . _ j . . ~ j % . J
.J
I
1
I I IIII
2 3 456B
6A
I I
78
(+)
\
I
9
"-~-----"t-~
10
(-)
168
75
70
Albumin
14
12
/3- globulin
60
Y=0.855 X + 12.7
r=0.98
N=100
55
50
45
35
~.5
40
45
,'
j ~ ~ O
~
-
,
0
9 ',
2
,
4
~
6
6
4
N~
9
75
OOo
o
~
"T
10
'"
"
6 8 10 12 14 16 18 20
Olympus AES 620 (%)
20
15
10
5
"
"
'
"
"
F
A~IB r
/
0
ii
10
15
20
25
30
35
2.5
1.39
v-
r=0.91
N=100
A/G
g
~
~ ,,.~)'~0""
40
Y--0.953X -0.095
r=0.99
3
a 2-globulin
"
12
14
12
1' --globulin S
"
35
30
/
0
I~
U
Y=0.48X , 0.35
r=0.89
N=100
8,
50 55 60 65 70
Olympus AES 620 (%)
a 1-globulin
2
1
,",
o
o
1.5
~17-
.5
Y:1.04
r=0.97
N=100
X +
0.22
"="
" '
10
Olympus AES 620 (%)
4
12
14
="
.5
I'
1
1.5
2
Olympus AES 620 (%)
2.5
Fig. 3. Correlation between cellulose acetate electrophoresis (Olympus AES 620) and capillary electrophoresis with
human serum protein fractions.
169
Table 1. Reproducibility
Within run precision (N=69) I.D. Zone normal (%)
Alpha I
Alpha 2
Beta
5.38
9.41
11.49
0.15
0.18
0.34
2.87
1.92
2.95
6
9.9
11.9
5.1
8.9
10.7
0.9
1
1.2
Day to day precision (N= 10) I.D. Zone normal (%)
Alpha I
Alpha 2
Beta
5.25
9.18
11.45
0.15
0.13
0.34
2.86
1.48
2.93
5.5
9.4
12
5
9
11.1
0.5
0.4
0.9
W~hin run precision (N=69) I.D. Zone abnormal (%)
Alpha I
Alpha 2
Beta
3
4.9
7.4
0.13
0.14
0.23
4.4
2.9
3.1
3.5
5.3
8.2
2.8
4.7
6.9
0.7
0.6
1.3
W'dhin run precision (N=10) I.D. Zone abnormal (%)
Alpha I
Alpha 2
Beta
3.06
4.98
7.55
0.12
0.09
0.3
4
1.88
3.97
3.2
5.1
8.3
2.8
4.8
7.1
0.4
0.3
1.2
AIb
61.68
0.4
0.65
62.4
59.7
2.7
Mean
SO
C'V
Max
Min
Range
SO
CV
Max
Min
Range
AIb
62.18
0.2
0.33
62.5
61.9
0.6
Mean
SD
CV
Max
Min
Range
AIB
34.6
0.32
0.9
35.8
34
1.8
Mean
AIB
34.47
0.21
0.61
34.8
34,2
0.6
Mean
SO
CV
Max
Min
Range
(-) (+)
(-) (+)
(-)
~ t
(+)
Gamma
12.04
0.43
3.54
13.5
11.3
2.2
NG
1.61
0.03
1.66
1.66
1.48
0.18
Gamma
11.93
0.31
2.64
12.2
11.3
0.9
A/G
1.64
0.01
0.64
1.67
1.63
0.04
Gamma
50.1
0.48
1
50.9
48.2
2.7
NG
0.53
0.01
1.6
0.56
0.52
0.04
Gamma
50.04
0.35
0.7
50.6
49.4
1.2
A/G
0.52
0,01
1,23
0,53
0.51
0,02
Fig, 4.
Comparison of
cellulose acetate .electrophoresis(CA)and capillary
electrophoresis of vadous
patients" sera 1.acute phase proteins 2.liver injury 3.
polyclonal hypergammaglobulinemia 4. M-proteinemia 5. M-proteinemia
(IgA-K) 6. M-proteinemia
(IgG-Z). The upper left
snows cellulose acetate
membrane electrophoretic pattern. The profiles represent capillary electropherograms of the sample
(-)
(+)
(-) (+)
(-)
170
Alpha I
Alpha 2
Beta
Gamma
A/G
No. 1
Mean
SO
CV
62.1
0.13
0.2
5.4
0.11
2.1
9.3
0.1
1.9
11.7
0.1
0.9
11.6
0.23
2
1.6
0.01
0.4
No. 2
Mean
SO
CV
61.8
0.12
0.2
5.3
0.1
2
9.4
0.16
1.7
11.8
0.07
0.6
11.7
0.19
1.6
1.6
0.01
0.6
No. 3
Mean
SO
CV
61.5
0.67
1.1
5.5
0.24
4.4
9,4
0.12
1.3
11.6
0.18
1.5
12
0.55
4.6
1.6
0.04
2.8
No. 4
Mean
SO
CV
61.2
0.08
0.1
5.4
0.16
2.9
9.5
0.15
1.6
11.6
0.25
2.2
12.3
0.31
2.5
1.6
0.01
0.3
No. 5
Mean
SO
CV
61.4
0.18
0.3
5.4
0.06
1.2
9.6
0.09
1
.11.3
0.32
2.8
12.4
0.32
2.6
1.6
0.01
0.7
No. 6
Mean
SO
CV
62
0.23
0.4
5.3
0.13
2.4
9.3
0.16
1.7
11.2
0.36
3.2
12.1
0.28
2.3
1.6
0.01
0.9
No. 7
Mean
SO
CV
61.7
0.21
0,3
5.4
0.1
2
9.5
0.23
2.4
11.3
0.31
2.7
12.1
0.28
2.2
1.6
0.02
1
No.
1-7
(n=7)
Mean
SD
CV
Max
Min
Range
AIb
Alpha 1
Alpha 2
Beta
Gamma
A/G
61.68
0.28
0.4
62.06
61.24
0.62
5.38
0.07
1.2
5.52
5.31
0.21
9.41
0.09
0.9
9.95
9.31
0.24
11.49
0.23
2
11.84
11.2
0.64
12.04
0.28
2.3
12.42
11.61
0.81
1.61
0.02
1.2
1.64
1.58
0.06
monodorBI c o m ~
polydonaicomponer~ free
ConcIl~ons
We have shown the evaluation of capillary
electrophoresis system by using Paragon CZE
2000. The Paragon CZE 2000 system provides a
faster fractionation of serum proteins in a more
171
Alpha I
Alpha 2
Beta
Gamma
A/G
No. 1
Mean
SO
CV
34.9
0.3
0.9
3
0.18
6
5
0.14
2.8
7.6
0.29
3.8
49.5
0.31
0.6
0.54
0.008
1.5
No. 2
Mean
SO
CV
34.8
0.12
0.3
3
0.05
2.1
4.9
0.09
1.8
7.5
0.23
3.1
49.8
0.32
0.6
0.53
0.004
0.8
No: 3
Mean
SO
CV
34.4
0.4
1.1
3
3.5
4.4
5
2.6
1.3
7.5
1.5
1.5
50.2
0.6
4.6
0.52
0.9
2.8
No. 4
Mean
SO
CV
34.6
0.2
0.6
3
0.07
2.3
4.8
0.07
1.6
7.3
0.2
2.7
50.3
0.32
0.6
0.53
0.005
1
No. 5
Mean
SO
CV
34.2
0.14
0.4
3
0.08
2.7
5
0.09
1.8
7.5
0.11
1.5
50.3
0.21
0.4
0.52
0.003
0.6
No. 6
Mean
SO
CV
34.5
0.46
1.3
3
0.19
6.3
4.9
0.13
2.8
7.4
0.17
2.3
50.2
0.71
1.4
0.53
0.011
?_1
No. 7
Mean
SO
CV
34.7
0.22
0.6
3.1
4.9
0.13
0.17
4.2
3.4
I.D. Zone abnormal (n=10,%)
7.2
0.15
2.1
50.2
0.28
0.6
0.53
0.006
1.2
Nee
1-7
Mean
SD
CV
Max
IVlin
Range
Alpha I
3
0.04
1.3
3.05
2.95
0.1
Beta
7.4
0.13
1.8
7.57
7.15
0.42
Gamma
50.1
0.29
0.6
50.34
49.49
0.85
A/G
0.53
0.005
0.9
0.54
0.52
0.02
Alb
34.6
0.2
0.6
34.87
34.24
0.63
Alpha 2
4.9
0.05
1.5
5.02
4.78
0.24
56.4~8.3
62.4-74.4
r
3.2~5.6
1.8-2.6
(x2-gid:~in
I~globulin
~globulin
A/G Ratio
4.8-8.6
4.7~7.1
7.8--12.3
6.4-10.3
11.5~22.5
10.3-20.5
1.32-2.16
1.62~2.82
CZE: Paragon CZE 2000 capirally elec~ophom~s, CAE : OlympusAES 620 calluiose a c e t a t e e l ~ s .
172
Uji andOkabe
Serumproteinsanalysisbycapillaryelectrophoresis
SPE
,i 1
SPE
IgG
~t
Ksppa
lgA
~t
!
I
IgM
/L!L
Lambda
Interpreatatlon:
IgA-Kappa
(mg/dL)
i
t
l
IgG
IgA
igM
974
3200
37.4
"T
SPE
1
igG
~6,
igM
)t
Bill
Fig. 6. Figs 5-11, Comparison of proposed capillary immunofixatation electrophoresis and manual immunofixatatJon
e/ectrophoresis with serum of vanousgammmopathy patients.
Indian Journal of Clinical Biochemistry, 2001, 16(2), 166-180
173
I 1' ,tSPE
SPE
log
._.L.~=.E_~wc*=.,.~
l !
~,ti'~
I
i~
BECHMAN
IIII
~'~
BB
. .~~.~1
.
I-
"!
"i
"7
SPE
1
IgG
2
2800
33,9
52.3
(m0/d L)
IgG
IgA
IgM
"3
Interpreatatlon:
IgG-Lambda
"2
--!
.!
Lambda
ii !
lgM
Kappa
IgA
IgM
K
5
X
6
Fig. 6.
174
~' I SPE
li
ii
7 <
~i
_)
ilgG
SPE
igA
t
j
yl
Kappa
;
_j"
r)
(
Lambda
! ~gM
J
!
)
v,'
")9
,,
BECKMAN
Interpreatation:
IgG-Lambda
L mum,
(mg/dL)
t
2
"
)
"
" ii~iiiiiiiiiii~ii~iiiiiiiiiii'
.
,IILIIiiii~i
1
- . - .
"3
"4
3390
57.1
7.65
"5
=.
6,1
7
IgG
IgA
IgM
=.
I
4
i._.j
K
5
i - ,
X
6
Fill. 7.
175
SPE
IgG
.......
i~aA
Kapp8
!I ,,.
Llmbd8
Intefprellt|tion:
IgA-Lsmmds.Bl9
BECKMAN ~
(m0/dL)
"
I R Gel
..
log
1oA
IoM
44 7
B024
13.1
i i ~-~ ....
~,~~iii~,~i,~,!i~i~i,i
IT
1
'.
Rl.e,
Indian Journal of Clinical Biochemist~ 2001, 16(2), 166-180
176
! Ii i
SPE
i SPE
IgG
I
ti
'~Kappa
I IoA
I
IgM
iLambd a
-j
Interpreatltlon:
IgA-Kapp=-Blclonal
I
m
10G
1OA
IgM
lIB
1310
2890
174
(mg/dL)
177
SPE
t
i
loG
ii-i
IgA
Ill
jloM
~j!~
.J~.J! i
! Lambda
,
Interpreatation:
loG*Kappa ? IoM-Kappa ?
BECKMAN Pa~n*
IFE Gel
(~
a,
log 3850
1OA 371
10M 2170
(mo/dL)
II
SPE
1
IgA
2
~IM
II1EV,L
Fig. 10.
178
SPE
SPE
, Kappa
!' j,~St2
......... i IgM
Lsmbda
Interpreatstlon:
IgQ-Kappa ? IgM-Kappa ?
(mgldL)
~ , ~
Paragon" I R
|gG
IOA
IgM
3540
386
2550
~M
3
Fig, 11.
179
REFERENCE8
1.
2.
Jeppson,J.O., Laurell, C.B. and Frazen, B. (1979) Agarose gel electrophoresis. Clin. Chem. 25, 629.
638.
3.
Chert,F.A., Uu, C.M., Hsieh, Y.Z. and Steinberg, J.C. (1991) Capillary electrophoresis, a new clinical
tool. Clin. Chem. 37, 14-19.
4.
~,
5.
6.
Chu,S.Y., MacLeod, J.E., Bocci, L and Monteith M. (1987) Characterizationof small monoclonal protein
band with Beckman's Paragon immunofixation syslem. Clin. Chem. 33, 6-17.
7.
Baars,J.D and Lombarts, .~J. (1986) Imprecision of protein electrophoresis. Clin. Chem. 32,1425-1426.
8.
Dati, F., Schumann, G. and Thomas, L. (1996) Consensus of a group of professional societies and
diagnostic companies on guidelines for interim reference ranges for 14 proteins in serum based on the
standardization against the IFCC/BCR/CAP reference material (CRM 470). Eur. J. Clin. Chem. Clin.
Biochem. 34, 517-520.
F.A. (1991) Rapid protein analysis by capillary elecb'ophoresis. ,J. Chromatogr. 559, 69-78.
180