A membrane immuno-chromatographic system that selectively separates plasma
lipopmteins and generates a signal in proportion to the concentration of ch
olesterol (HDL-C) within high-density lipoprotein (HDL) was investigated as
a point-of-care device for the prognosis of coronary heart disease. The sy
stem consists of three functional membrane strip pads connected in a sequen
ce for: (from the bottom) immune-separation based on biotinstreptavidin rea
ction, catalytic conversion of cholesterol to hydrogen peroxide, and produc
tion of a signal. For immunochromatography, a monoclonal antibody, specific
to apolipoprotein B100 that is present on the surfaces of low-density lipo
proteins (LDL) and very low-density lipoproteins (VLDL), with a high bindin
g constant (5x10(10) L/mol) was raised and chemically conjugated to strepta
vidin. The conjugate was first reacted with lipoprotein particles, and this
mixture was absorbed by thr capillary action into the biotin pad of the sy
stem. After being transferred by medium, immuno-capture of LDL and VLDL par
ticles onto the biotin pad took place, and ill situ generation of a signal
in proportion to HDL-C consecutively occurred. The capture was selective as
well as effective (minimum 90% of LDL and VLDL in clinical concentration r
anges), and the detection limit of HDL-C was far lower than 20 mg/dL. To co
nstruct a user-friendly device, we are currently investigating the automati
on of such processes of reactions and separation by adapting a liquid flow-
controlling technology that programs the times for the immune reaction and
separation. My group further pursues an interdisciplinary study to develop
a micro system employing semiconductor-based technologies that will eventua
lly enable the handling of sub-micro liter volume of body fluid as a specim
en.