Plasma 11β-hydroxy-4-androstene-3,17-dione: comparison of a time-resolved fluoroimmunoassay using a biotinylated tracer with a radioimmunoassay using a tritiated tracer

Abstract

The plasma concentration of 11β-hydroxy-4-androstene-3,17-dione (11β) is very high in 21-hydroxylase deficiency, Cushing’s syndrome, and hyperandrogenism of adrenal origin, and very low in congenital 11-hydroxylase deficiency and adrenal insufficiency. Thus, when plasma 4-androstenedione is elevated, it is useful to measure the plasma 11β level in order to determine the adrenal or ovarian origin of the hyperandrogenism. To eliminate disadvantages related to the 11β radioimmunoassay (RIA), which uses a tritiated tracer, as well as the high cost associated with scintillation proximity assay (SPA), we developed a non-isotopic 11β assay that utilizes an 11β-biotin conjugate synthesized in our laboratory to measure time-resolved fluorescence after addition of streptavidin-europium to microtitration wells. The analytical qualities of this assay are very similar to those of the radioimmunoassay using a tritiated tracer, and an extraction step followed by celite chromatography (which separates 11β from interfering plasma steroids) prior to a final radioimmuno-competition step. The correlation coefficient between 11β levels measured by time-resolved plasma 11β fluoroimmunoassay (TR-FIA) and RIA was 0.965. Finally, the TR-FIA technique was more sensitive and of greater precision than the RIA method.