We demonstrate immuno-polymerase chain reaction (PCR) assays for two c
linical analytes-human thyroid-stimulating hormone and chorionic gonad
otropin (hTSH, hCG)-using DNA-labeled antibodies and PCR for amplifica
tion of assay response. DNA-antibody conjugates were synthesized by us
ing heterobifunctional cross-linker chemistries to covalently attach s
ingle- or double-stranded DNA labels through amine or sulfhydryl group
s on the analyte antibodies. These approaches yielded molecular chimer
as possessing both analyte-specific antibody binding and nucleic acid
amplification functionalities. Dose-response relationships were demons
trated for immuno-PCR assays of both analytes in a microtiter plate-ba
sed, two-antibody sandwich assay format. Detection limits for hTSH (1
x 10(-19) mol, < 1.4 mIU/L) and hCG (5 x 10(-18) mol, 0.025 IU/L) exce
eded those of conventional enzyme immunoassays by 2-3 orders of magnit
ude. We also evaluated various DNA design factors influencing label am
plification and assay performance, such as primer sequence, strand num
ber, and DNA length. Our findings, in concert with previous reports, s
uggest that this hybrid technology could provide the basis for a new g
eneration of ultra-sensitive immunoassays offering multianalyte capabi
lities.