Product Description

                                 CEA ELISA Kit

 Catalog No. L5E1002

Intended use

This immunoassay kit allows for the in vitro quantitative determination of Carcinoembryonic antigen (CEA) in human serum, plasma and other biological fluids.

Introduction

Carcinoembryonic antigen (CEA), is a glycoprotein, which was first identified in patients with colonic carcinoma and in epithelial tumours of endodermal origin (gastrointestinal tract) by Gold and Freedman. The CEA molecule is quite heterogeneous due to the carbohydrate contents (50-60%) and depending on the purification procedure employed. It is soluble in perchloric acid and has a molecular weight of about 175.000–200.000 Daltons. Immunological and genetic characterization of CEA has identified a family of CEA-like molecules sharing common antigenic determinants. The most relevant CEA-like molecule is NCA (non-specific cross-reacting antigen) synthesized both by normal and pathological tissues. The problem of cross-reacting CEA-like molecules when assaying CEA is possible to overcome by the use of monoclonal antibodies. The CanAg CEA EIA is based on two mouse monoclonal antibodies against the Gold epitopes IV and V. CEA is secreted from tumour cells and is a widely used serological marker of gastrointestinal carcinomas, lung cancer and breast cancer. In colorectal cancer, the clinical use of CEA testing for monitoring response to therapy and for documenting progressive disease is well established (5, 6). CEA may also be present in benign gastrointestinal inflammatory diseases or in hepatobiliary diseases. These observations make it necessary to emphasize that the CEA assay should not be used as a cancer-screening test. Normally, status shows that 95% of the healthy subjects had assay value below 5ng/ml.

Test principle

The LINC-BIO CEA ELISA is a solid-phase, non-competitive immunoassay based on the direct sandwich technique. Calibrator, controls and patient samples are incubated together with anti-CEA monoclonal antibody coated micro titer strips. CEA present in calibrators, controls or samples is absorbed to the microtiter wells during the incubation. The strips are then washed and incubated with horseradish peroxidase (HRP) labeled anti-CEA McAb. After washing , a TMB substrate solution is added to each well and the enzyme reaction is allowed to proceed. During the enzyme reaction a blue colour will develop if antigen is present. The intensity of the colour is proportional to the amount of CEA antigen present in the samples.

The enzyme-substrate reaction is terminated by the addition of a sulphuric acid solution and the color change is measured spectrophotometrically at a wavelength of 450 nm ± 2 nm. Calibration curves are constructed for each assay by plotting absorbance value versus the concentration for each calibrator. The concentration of CEA in the samples is then determined by comparing the O.D. of the samples to the calibration curve.

Materials and components

Reagent                                                       Quantity

Assay plate                                                      1

Calibrators                                                      6 x 500ul

With concentrations of  0 ng/ml，4 ng/ml，20 ng/ml，100 ng/ml, 200 ng/ml。

CEA-HRP conjugate                                                                       1 x 10ml

Wash Buffer  (20 x concentrate)                                    1 x 30ml

Substrate Solution                                                                                        1 x 10ml

Stop Solution                                                                                                      1 x 5ml

Sample collection and storage

Serum – Use a serum separator tube (SST) and allow samples to clot for 30 minutes before centrifugation for 15 minutes at approximately 1000 x g. Remove serum and assay immediately.

Plasma – Collect plasma using EDTA or heparin as an anticoagulant. Centrifuge samples for 15 minutes at 1000 x g at 2 – 8° C within 30 minutes of collection.

Other biological fluids – Remove particulates by centrifugation and assay immediately。

Note: Serum, plasma, and cell culture supernatant samples to be used within 7 days may be stored at 2-8 ° C, otherwise samples must stored at -20° C (≤ 3 months) or -80° C (≤ 6 months) to avoid loss of bioactivity and contamination. Avoid freeze-thaw cycles. When performing the assay slowly bring samples to room temperature.

It is recommended that all samples be assayed in duplicate.

DO NOT USE HEAT-TREATED SPECIMENS.

Assay procedure

Allow all reagents to reach room temperature. All the reagents should be mixed thoroughly by gently swirling before pipetting. Avoid foaming. Arrange and label required number of strips. Prepare all reagents, working standards and samples as directed in the previous sections.

1. Add 40 uL of Calibrators, Blank, or Sample per well. Cover with the adhesive strip. Incubate for 45mins at 37° C.
2. Aspirate the liquid of each well and wash. repeating the process five times.

Wash by filling each well with Wash Buffer (350 uL) using a squirt bottle, multi-channel pipette, manifold dispenser or autowasher. Complete removal of liquid at each step is essential to good performance. After the last wash, remove any remaining Wash Buffer by aspirating or decanting. Invert the plate and blot it against clean paper towels.

3. Add 100 uL of HRP conjugate solution to each well. Incubate for 45 mins at 37°C.
4. Aspirate each well and wash, repeating the process five times for a total of three washes. Refer to step2.
5. Add 100 uL of Substrate Solution to each well. Incubate for 5 minutes at 37°C. Protect from light.
6. Add 50 uL of Stop Solution to each well. If color change does not appear uniform, gently tap the plate to ensure thorough mixing.
7. Determine the optical density of each well within 10 mins, using a microplate reader set to 450 nm.

Important Note:

1. The kit should not be used beyond the expiration date on the kit label. Do not mix or substitute reagents with those from other lots or sources. When mixing or reconstituting protein solutions, always avoid foaming.
2. It is recommended that no more than 32 wells be used for each assay run if manual pipetting is used since pipetting of all standards, specimens and controls should be completed within 5 minutes. A full plate of 96 wells may be used if automated pipetting is available.
3. If samples generate values higher than the highest standard, further dilute the samples with the Assay Diluent and repeat the assay. Any variation in standard diluent, operator, pipetting technique, washing technique,incubation time or temperature, and kit age can cause variation in binding.
4. The wash procedure is critical. Insufficient washing will result in poor precision and falsely elevated absorbance readings. To ensure accurate results, proper adhesion of plate sealers during incubation steps is necessary.
5. This assay is designed to eliminate interference by soluble receptors, ligands, binding proteins, and other factors present in biological samples. To avoid cross-contamination, change pipette tips between additions of each standard level, between sample additions, and between reagent additions. Also, use separate reservoirs for each reagent.
6. Duplication of all standards and specimens, although not required, is recommended.
7. Do not substitute reagents from one kit lot to another. Standard, conjugate  a microtiter plates are matched for optimal performance.  Use only the reagents supplied by manufacturer.

Calculation of results

Average the duplicate readings for each calibrator, control, and sample and subtract the average zero standard optical density. Create a calibration curve by reducing the data using computer software capable of generating a four parameter logistic (4-PL) curve-fit or liner curve. As an alternative, construct a calibration curve by plotting the mean absorbance for calibrator on the y-axis against the concentration on the x-axis and draw a best fit curve through the points on the graph. The data may be linearized by plotting the log of the CEA concentrations versus the log of the O.D. and the best fit line can be determined by regression analysis. This procedure will produce an adequate but less precise fit of the data. If samples have been diluted, the concentration read from the standard curve must be multiplied by the dilution factor.

Specificity
This assay recognizes recombinant and natural human CEA. No significant cross-reactivity or interference was observed.

Sensitivity  The minimum detectable dose of human CEA is typically less than 0.5 ng/ml.

Detection Range    4-200 ng/ml..

Storage of test kits and instrumentation

1. Unopened test kits should be stored at 2-8°C upon receipt and the microtiter plate should be kept in a sealed bag with desiccants to minimize exposure to damp air. The test kit may be used throughout the expiration date of the kit (six months from the date of manufacture). Refer to the package label for the expiration date. Opened test kits will remain stable until the expiring date shown, provided it is stored as prescribed above.
2. Do not remove microtiter plate from the storage bag until needed. Unused strips should be stored at 2-8°C in their pouch with the desiccant provided.
3. A microtiter plate reader with a bandwidth of 10nm or less and an optical density range of 0-3 OD or greater at 405nm wavelength is acceptable for use in absorbance measurement.
4. Substrate Solution is easily contaminated. If bluish prior to use, do not use.

Limitations of the procedure

FOR RESEARCH USE ONLY. NOT FOR USE IN DIAGNOSTIC PROCEDURES.

Precaution

The Stop Solution suggested for use with this kit is an acid solution. Wear eye, hand, face, and clothing protection when using this material.