We introduce an assay to measure complexed alpha1-antichymotrypsin in
human plasma. The assay works on the principle that the target protein
ase cathepsin G has a very high affinity to the surface of microtiter
plates, even if these surfaces are blocked with albumin and Tween 20.
alpha1-Antichymotrypsin, when complexed to cathepsin G, is thus immobi
lized and can be detected with specific antibodies. The mean (SD) conc
entration of alpha1-antichymotrypsin in 50 healthy individuals was 1.7
3 (0.58) nmol/L. The detection limit was 0.84 nmol/L. The results of t
he assay are linear to at least 14 nmol/L. We propose to use this assa
y for diseases in which increased turnover of alpha1-antichymotrypsin
or cathepsin G can be expected to clarify further the function of this
enzyme-inhibitor system.