An enzyme-linked immunosorbent assay is described for the measurement of ouabain in human plasma. This assay is specific for ouabain, strophanthidin, and ouabagenin, with other steroids, including digoxin and vasopressor hormones, exhibiting negligible cross-reactivity. Assay sensitivity was 0.06 nmol/L if 1 mL plasma was extracted and less than 0.005 nmol/L when 20 mL plasma was analyzed. Extracted plasma samples showed ouabainlike immunoreactivity that diluted in parallel with the ouabain standard curve. Repeated extraction and assay of single plasma samples, however, did not produce consistent results in the assay. suggested that ouabain is secreted by the adrenal glands and circulates in plasma in humans. This raises the question of whether ouabain might be the, or one of the, digoxin-like compounds thought to play a role in the regulation of sodium balance, arterial pressure, and vascular smooth muscle tone under normal circumstances and in disorders such as essential hypertension, pregnancy-induced hypertension, cardiac failure, and chronic renal failure. Uncertainty surrounding the involvement of ouabain in the regulation of blood pressure and electrolyte balance should be resolved in part by the availability of a reliable method for measuring ouabain concentrations in plasma. Published enzyme-linked immunosorbent assay (ELISA) and radioimmunoassay methods can measure picomolar concentrations of ouabain. 56 We describe an alternative ELISA method based on the methodology of Lewis et al 7 that is sensitive and precise and compare the results obtained by assay of plasma extracts with those obtained after extraction and high-performance liquid chromatographic (HPLC) fractionation.
Methods BuffersPhosphate-buffered saline (PBS) solution (60 mmol/L Na 2 HPO 4 , 40 mmol/L NaH 2 PO 4 , 150 mmol/L NaCl, pH 7.0) containing 1% bovine serum albumin and 1% thiomersal was used to reconstitute extracted samples and to dilute standards. PBS (pH 7.4) containing 1% gelatin and 0.05% Tween 20 was used for diluting antibody, and PBS (pH 7.4) containing 0.6% Tween 20 was used for washing microtitre plates.
Antibody PreparationAntibody raising procedures were approved by the Animal Ethics Committee, Christchurch School of Medicine. Ouabain dialdehyde was coupled to C6-ovalbumin following the method of Harris et al. 5 The resulting solution was freeze-dried. Ouabain-ovalbumin (10 mg) was suspended in 5 mL 0.9% saline and emulsified with 5 mL Freund's complete adjuvant. Each of two New Zealand White rabbits received a subcutaneous injection of the ouabain-ovalbumin solution with boosters at monthly intervals for 2 months. Blood samples were collected into EDTA tubes through a small incision on a marginal ear vein 2 weeks after the booster injections. Immunoreactivity to ouabain was detected in EDTA plasma from both rabbits. Plasma from the second bleed of one rabbit (Gil-2) was diluted 1:100 with assay buffer and stored in 100-/J.L aliquots at -20°C.
Conjugate PreparationPreparation of thyroglobulin-ouabain conjugate...