Novel immunoassay for TSH measurement in rats

ABSTRACT Measuring thyroid hormones is an important aspect for the study of metabolism and for monitoring diseases in both human and animal models. The traditional method for hormone measurement in rats is the radioimmunoassay (RIA). However, the RIA is associated with some practical disadvantages, including the use of radioactive material, the need for specialized equipment and expert staff, the short shelf-life of kits according to the half-life of the radioisotope and high costs. The objective of this study was to develop a new cost-effective method for measuring TSH levels in rats that avoids the use of radioactive material. We developed an in-house competitive immunoassay using a reference standard, polyclonal antibody produced in rabbits and biotinylated antigen. This method was tested in 64 Wistar rats that were divided into a control group (n = 41) and a group with hypothyroidism (n = 23). Our assay demonstrated an analytical sensitivity of 0.24 ng/mL (n = 12) and an intra-assay coefficient of variation (CV) of 8.9% for sera with TSH levels of 1.5 ng/mL and 13.2% for sera with TSH levels of 17.5 ng/mL (n = 14). The inter-assay CV was 13.5% for sera with TSH levels of 1.4 ng/mL and 14.5% for TSH levels of 18.2 ng/mL (n = 5). The analysis of mean TSH levels in control rats (5.06 ± 0.5701) and hypothyroid rats (51.09 ± 5.136) revealed a statistically significant difference (p < 0.001) between the groups. This method showed good sensitivity, can be automated and is low-cost compared with RIA. Our method offers a viable alternative for TSH measurement in rats.


INTRODUCTION
H ormone measurement is an important component for the study of metabolism, analysis of diseases and as a parameter of health assessments.Of the different hormone assays, immunological assays have become standard due to several advantages: they offer great specificity and potentially high sensitivity and present with ease of use and wide-ranging applications (1).Immunological assays are largely used for measuring biologically active compounds present in low concentrations, such as hormones, proteins, drugs and microorganisms.In this context, the most commonly used techniques are radioactively labeled competitive and non-competitive immunoassays (RIA, IRMA), which are highly sensitive and precise but are also associated with several disadvantages.Among the drawbacks, the use of radioactive tracers is of most concern because they present a health hazard, require special attention for handling, well-trained staff and well-defined waste storage.Moreover, because radioisotopes have a limited half-life, kits have limited shelf lives, and radioactive counting can be timeconsuming and requires expensive instrumentation.Because of these issues, alternative immunoassays (competitive or non-competitive) have been developed using alternative labels such as enzymes (EIA, ELISA), luminescent compounds, fluorescent probes (IFMA, FIA) and metals.Assays that use alternative tracers offer similar or better sensitivity than that of IRMA and RIA.Importantly, avoidance of radiation is a major advantage.
Several immunoassays for measuring hormones have been described, and the most commonly used technique for the measurement of rat serum is the radioimmunoassay (RIA), which is associated with the disadvantages described above (2).In addition, commercial kits are costly, and their shelf life depends on the half-life of the radioisotope.Therefore, New rat TSH fluoroimmunoassay Arch Endocrinol Metab.2017;61/5 development of new assays that do not use radioisotopes is needed.

Assay development
We developed an in-house competitive immunoassay using rat TSH extracted from pituitary gland as a standard, polyclonal antibody produced in rabbits against rat TSH and biotinylated TSH from the same source (National Institute of Diabetes & Digestive & Kidney Diseases, NIDDK).Rat thyroid-stimulating hormone was prepared at a concentration of 50 µg/mL, after which it was biotinylated using the EZ-link-Sulfo-NHS-LC-Biotin kit according to the manufacturer's protocol (Thermo Scientific).A six-value curve was constructed from serial dilution of standard rat TSH in bovine fetal serum at the following concentrations: 100, 25, 6.25, 1.56, 0.39 and 0 ng/mL.The standards, rat sera used as controls and test samples were incubated with a rabbit polyclonal antibody provided by NIDDK.After 24 h of incubation at 4°C, biotinylated TSH was added to tubes at a dilution of 1:1000.After another 24 h incubation at 4°C, samples were transferred to a microtiter plate (Fluoronunc, Nunc, Roskilde, Denmark) that was previously adsorbed with an antirabbit IgG monoclonal antibody (D 4 P 4 ) produced by our laboratory (monoclonal antibody, 2 µg/well).After a 4-h incubation at room temperature and subsequent washing (Tris-HCl 50 mM with 0.5% BSA and 0.1% gamma-globulin), a solution of streptavidin-europium was added (200 µL/well).Finally, after incubation for 30 min at room temperature, plate was washed 12 times with buffer, and an enhancement solution was added (200 µL/well, Delfia Enhancement Solution, Perkin-Elmer, Turku, Finland).The plate was then read by time-synchronized fluorometry in a Victor3 timeresolved fluorometer (Perkin-Elmer, Turku, Finland).The amount of analyte was calculated based on the standard curve, and the results are expressed in ng/mL.

Animals
To test our method, we measured the serum TSH levels of 64 adult male Wistar rats (200-250 g) from the animal facility of the Institute of Pharmacology of Unifesp (Infar).Rats were kept under standard conditions for temperature (25 ± 1°C) and light/dark cycle (12/12 hours per day).Drinking water and food were provided ad libitum.Animals were divided into two experimental groups: a control group and a group with hypothyroidism.The hypothyroidism group consisted of 23 animals that were subjected to total thyroidectomy followed by methimazole treatment for 20 days.The control group consisted of 41 rats subjected to sham surgery.

Statistical analysis
All results are presented as mean values ± standard error of the mean.Statistical analysis was performed in Graph Pad Prism ® version 5 software for Windows.First, the Shapiro-Wilk normality test was performed to verify normality of the distribution of the two sample groups.Non-parametric distribution was observed in the two groups, and thus a Mann-Whitney test was used to compare control and hypothyroidism groups.For all analyses, a significance threshold of p < 0.05 was assumed.

Ethics
All procedures were performed in accordance with the Brazilian College of Animal Experimentation and were approved by the Bioethical Commission of the Universidade Federal de São Paulo (Unifesp) (protocol number 5097101316).

RESULTS
Analytical sensitivity was determined using TSH stripped fetal bovine serum (FBS).FBS was measured multiple times, from which we calculated mean and standard deviation.Sensitivity was defined by the concentration corresponding to the mean -2 standard deviations of the latter measurements.A 95% confidence interval was obtained, and the limit was defined by doubling the standard deviation.The new assay showed sensitivity of 0.24 ng/mL (n = 12).Intra-assay CV was 8.9% for sera with TSH levels of 1.5 ng/mL and 13.2% for sera with TSH levels of 17.5 ng/mL (n = 14).Inter-assay CV was 13.5% for sera with TSH levels of 1.4 ng/mL and 14.5% for sera with TSH levels of 18.2 ng/mL (n = 5).The values in the control rats ranged between 0.81 and 19.50 ng/mL, whereas the values in hypothyroid rats ranged between 15 and > 100 ng/mL.

DISCUSSION
Measurement of TSH levels is useful for clinical evaluation of human patients, as small changes in free thyroid hormone levels lead to greater changes in TSH levels.Serum TSH is considered the single most reliable diagnostic test for all common forms of hypothyroidism and hyperthyroidism.Animal research has played a vital part in medical and biomedical research and has led to important scientific discoveries in many fields,

Funding information:
Fundação de Amparo à Pesquisa do Estado de São Paulo (Fapesp) Grant number 2013/26851-7 (to Chiamolera, MI).Disclosure: no potential conflict of interest relevant to this article was reported.

Figure 1 .
Figure 1.Mean TSH levels (± SEM) measured using a novel fluoroimmunoassay in 41 control and 23 rats with hypothyroidism.Dashed line indicates the lower limit of detection of the assay.