We describe a time-resolved immunofluorometric assay (trIFMA) for huma
n growth hormone (hGH), in which monoclonal antibody (mAb)-coated micr
otiter strip wells and a europium (Eu) chelate-labeled mAb are used. W
e compare the new trIFMA, in which two mAbs are used, with an immunora
diometric assay (IRMA) in which polyclonal antibodies are used. Serum
samples (n = 185) from 36 children with various diagnoses were analyze
d. In addition, 24-h profile samples (72 per child) from 39 children w
ere analyzed. The trIFMA was more sensitive (detection limit, 0.03 mIU
/L) than existing IRMAs. Both the intra- and interassay CVs were less-
than-or-equal-to 10.6% for hGH concentrations between 1 and 100 mIU/L.
The trIFMA is technically simple and rapid, requires no centrifugatio
n or separation reagent, and has a counting time of only 1 s per sampl
e. In addition, the Eu label is nontoxic, presents no waste-disposal p
roblems, and has a long shelf-life. Finally, the assay requires only s
mall volumes of serum (25 muL), which is of considerable importance in
pediatric use. The mAbs used for the trIFMA selectively bind the 22-k
Da form of hGH, with the result that the assay detects about 80% of th
e amount detected by the polyclonal IRMA.