SUMMARY. A rapid, single-reagent, non-separation, non-isotopic immunoassay was developed for determining levels of the nicotine metabolite, cotinine, in urine.The single reagent was prepared by pre-mixing an appropriate dilution of sheep anti-cotinine serum with a fluorescein-labelled cotinine tracer.All normal reliability criteria were satisfied. The assay was found to be specific for cotinine and there was no cross reactivity with other available nicotine metabolites and structurally-related compounds. The results obtained correlated closely with those of an established radioimmunoassay. The assay was well-suited to application in the discrimination of active smokers from non-smokers (and passive smokers).A dose-response relationship exists between the number of cigarettes smoked and the risk of developing smoke-related diseases. 1 This explains the interest in ways of distinguishing between smokers and non-smokers (passive smokers) shown by insurance companies, surgeons and forensic scientists. Suitable methods include measurement of serum thiocyanate and carboxyhaemoglobin concentrations/: 3 and the concentrations of nicotine and cotinine in biological fluids.v" The measurement of urinary cotinine is the preferred approach for several reasons. Firstly, cotinine is only derived from the metabolism of nicotine," whereas carboxyhaemoglobin and thiocyanate levels can be raised due to environmental influences. 2 Secondly, the methods for measuring cotinine are less complex than those for thiocyanate and carboxyhaemoglobin. Thirdly, urine is more convenient to assay than blood. Finally, cotinine has a half-life of between 7 and 40 h,? whereas the half-life of nicotine is less than 30 rnin.l'' There are several methods available for the detection of cotinine concentrations in urine, including chromatographic procedures. However, despite recent developments in highperformance liquid chromatography and gasCorrespondence: M C Hansel, Department of Chemical Pathology, St Bartholomew's Hospital, 48--50Bartholomew Close, London ECIA 7HL, UK. 596 liquid chromatography, these methods are still complex and time consuming, and require sample preparation and large sample volumes." Radioimmunoassar (RIA) are the most widely used technique.P' . 11, 12 being both sensitive and specific, but their use may involve administrative and regulatory complications, and the methods are technically complex, due to the need for a separation step. Also, assays involving tritiated tracer suffer from the inconvenience and cost of liquid scintillation counting, while radioiodinated tracers have a limited shelf-life. This paper describes the development and validation of a single reagent polarisation fluoroimmunoassay (PFIA) for measuring urinary cotinine, based on the increase in signal associated with antibody binding of a fluorescent-labelled antigen. 13 Its use permits a rapid, non-separation assay, with reagents that have a virtually indefinite shelf-life and avoid any biohazard and administrative problems. The assay covers the range of cot...