, we have taken advantage of the favorable properties of surface plasmon-coupled emission (SPCE) to improve fluorescence-based immunoassays. SPCE occurs when excited fluorophores near conducting metallic structures efficiently couple to surface plasmons. These surface plasmons, appearing as free electron oscillations in the metallic layer, produce electromagnetic radiation that preserves the spectral properties of fluorophores but is highly polarized and directional. SPCE immunoassays provide several advantages over other fluorescencebased methods. This review explains new approaches to fluorescence immunoassays, including our own use of SPCE for simultaneous detection of more than one fluorescent marker and performance of immunoassays in the presence of an optically dense medium, such as whole blood.
© 2005 American Association for Clinical ChemistryBiological markers in physiologic fluids are very useful tools in clinical diagnostics. Sensitive and reliable detection of specific biomarkers is crucial in disease identification, therapy, and patient screening. Reliable and quick detection of low concentrations of markers is particularly important in a disease such as acute myocardial infarction (AMI).1 Myoglobin (Myo), although not completely cardiac specific, is one of the earliest markers to increase after AMI (1-6 ) and has been recommended for use in combination with other markers, such as creatine kinase-MB, troponin I, and troponin T, as an early diagnostic indicator for AMI (1,(7)(8)(9)(10). The immunoassay technique is widely used in this procedure (11 ).Immunoassay based on fluorescence detection is one approach to high-sensitivity detection of biomarkers (12)(13)(14)(15)(16)
. Different fluorescence detection approaches include polarization (17-21 ), resonance energy transfer (22-24 ), and time-resolved gated assays based on long-lived lanthanide emission (25-28 ). New approaches to fluorescence immunoassays are being developed, including multiphoton excitation (29 -31 ), with the emphasis on highthroughput immunoassays (32-35 ).The sensitivity of fluoroimmunoassays is typically limited by background fluorescence, which is present in most biological samples and in the optical elements of the instrumentation. In this report, we describe a new immunoassay format that provides increased sensitivity and background rejection by efficient light collection of emissions occurring near the bioaffinity surface. In this approach, a fluorescently labeled reporting molecule (antibody) is bound near a metallic surface, and the binding produces a highly directional and polarized emission. This effect is based on the resonant coupling of excited fluorophores with collective electron motions/oscillations at the interface between a thin metal film (typically silver or gold) and a dielectric bulk material. The so-called surface plasmons comprise an electromagnetic wave confined to the interface between the metal film and the transparent medium, and the electromagnetic wave of the surface plasmons is coupled to oscillatio...