Development and analytical validation of a radioimmunoassay for the measurement of alpha1- proteinase inhibitor concentrations in feces from healthy puppies and adult dogs

Abstract

Canine α 1-proteinase inhibitor (cα 1-PI),a proteolysis-resistant protein with a molecular weight similar to albumin, has been shown to be clinically useful as a marker for gastrointestinal protein loss in dogs. A competitive, liquid-phase radioimmunoassay was developed and analytically validated. Fecal samples were collected from 101 healthy pet dogs of various breeds and ages, and fecal cα 1 -PI (Fcα 1-PI)concentrations were compared between dogs of different age groups.A reference interval for Fcα 1 -PI concentration was calculated using the central 95th percentile. Analytical sensitivity of the assay was 2.2 μg Fcα 1-PI/g feces.Observed-to-expected ratios for the serial dilution and spiking recovery of 9 and 6 fecal extracts ranged from 90.4 to 152.0% and from 71.3 to 112.3%, respectively. Coefficients of variation for intra- and interassay variability for 6 fecal extracts were ≤10.8% and ≤12.5%, respectively. The reference intervals for the mean and maximum Fcα 1-PI from fecal samples collected on 3 consecutive days were 2.2-13.9 μg/g and 2.2-21.0 μg/g, respectively. Fcα 1-PI was significantly higher in dogs <1 year of age (P < 0.0001 for both mean and maximum Fcα 1-PI for the 3 samples). The radioimmunoassay described is sensitive, linear, precise, reproducible, and accurate for clinical use, thus allowing reliable quantification of Fcα 1-PIin clinical patients. Using this assay, a mean or a maximum Fcα 1-PIfor 3 sampling days of >13.9 μg/g or >21.0 μg/g, respectively, should be considered abnormal in dogs >1 year of age. Fecal cα 1-PIconcentrations in dogs <1 year of age were significantly higher and should be carefully interpreted in this age group. © 2011 The Author(s).