The term "immunoassay" refers to a diverse group of analytical techniques which are found throughout clinical laboratories. In this article, an immunoassay is defined as an analytical method that uses antibodies or antibody-related reagents for the determination of sample components. The selective nature of antibody binding allows these reagents to be employed in the development of methods that are highly specific and that can often be used directly with even complex biological matrixes such as blood, plasma, or urine. By combining the selectivity of antibody-analyte interactions with the vast array of antibodies that can be produced in nature and the availability of numerous readily detectable labels (e.g., radioisotopes or enzymes), immunoassays can be designed for a wide variety of analytes while also providing low limits of detection. These characteristics, along with the relatively low cost generally associated with these methods, have continued to make immunoassays a popular method in many clinical applications.Many of the trends that were discussed in an earlier report on immunoassays (A1) have continued throughout the period of this current review. Some of these continuing trends include an emphasis on nonradioactive labels, more specific reagents, and improved formats for automating or performing immunoassays. The purpose of this article is to examine recent advances in the theory and analytical methodology of immunoassays, as represented by articles that appeared between January 1997 and December 1998. In this review, immunoassays are primarily categorized on the basis of the type of label that they employ (e.g., radioimmunoassays, enzyme immunoassays, etc.). Besides considering new developments that have occurred in each type of immunoassay, other topics will be discussed, such as advances that have been made in the theory of immunoassays or immunoassay reagents. Related items, including immunosensors and commercial immunoassay instrumentation, will be discussed elsewhere.
GENERAL BOOKS AND REVIEWSA variety of materials appeared during this review period on the general topic of immunoassay methods. A book presenting an overview on immunoassays was edited by Price and Newman (A2). The present and possible future status of immunoassays was also discussed in several articles and book chapters (A3-A5). Appleby and Reischl reviewed some of the common types of immunoassays, with an emphasis on those that use monoclonal antibodies (A6). An overview of immunoassay automation was given by Gorman et al. (A7). General clinical applications of immunoassays that were reviewed included the use of these methods in toxicology and drug analysis (A8-A13) or in immunoscreening procedures (A14). Several papers focused on immunoassay measurements involving particular groups of clinical analytes, such as psychotropic drugs (A15), cardiac drugs (A16), markers for myocardial damage (A17), gonadotropins (A18), prostanoids or leukotrienes (A19), and chiral drugs (A20). Related techniques that were discussed included those invol...