Progesterone has been known to play a significant role in the facilitation of implantation and in the maintenance of pregnancy. This critical influence of progesterone is most likely due to its well-known ability to inhibit uterine contractility and to suppress the immune response to the fetus. 1,2) During pregnancy as well as the luteal phase of the menstrual cycle after ovulation, progesterone is essential for reproductive function.3,4) Therefore, progesterone can be utilized as a marker for the diagnosis of early pregnancy. Antibodies that bind specifically to progesterone are essential in developing immunoassay methods to measure the progesterone level.Fluorescence polarization immunoassay (FPIA) is based on the principles of two technologies: competitive antibody binding and fluorescence polarization. The competitive antibody-binding assay is based on the competition between free progesterone and fluorescence-labeled progesterone tracer for the binding site on the antibody. The fluorescence polarization assay is based on the principle that molecules rotate in liquid and the rate of rotation is related to the size of the molecule. The disturbance of polarized fluorescence is higher in a small fluorescence-labeled antigen (tracer) than in antibody-bound tracer. When a small fluorescence molecule is excited with polarized light, its rapid Brownian rotation leads to randomization of the molecular orientation before fluorescence emission occurs, and the polarization becomes low. If the molecule binds to a large specific antibody (MW 150000 Da), rotation slows and the emitted fluorescence retains substantial polarization. Hence the degree of antibody binding may be monitored by measurement of fluorescence polarization without physical separation steps.Because of the dependence on molecular size in FPIA, it is particularly suited to the assay of small haptens such as steroids and drugs. Its major applications are in clinical diagnostics, especially in the areas of therapeutic drug monitoring and drug-abuse screening.5,6) A fully automated instrument, the Abbott TDx analyzer, incorporating a polarization fluorometer and a versatile diluter-dispenser has been introduced. For progesterone-related investigations, several hybridoma cell lines producing monoclonal antibodies against immunogens of conjugation-site specific progesterone have been established, as previously described. 7,8) Several immunoassays were reported such as enzyme immunoassay (EIA), 7) cytometric fluoroimmunoassay (CFIA), 9) visual membrane EIA, 8) and FPIA to measure progesterone levels.
10)In this investigation, an immunocomplex single reagent (SR) is developed to simplify the FPIA procedure (one-step FPIA) and its performance characteristics were evaluated in determining progesterone levels.
MATERIALS AND METHODS
Instruments and ChemicalsProgesterone, progesterone-3-(O-carboxymethyl)oxime (P-3CMO), 11a-hemisuccinyloxyprogesterone (P-11HS), N-hydroxysuccinimide (NHS), dimethylformamide (DMF), 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide-hydroch...