The assay makes use of the fact that 伪2M entraps proteases within a molecular 鈥渃age鈥? leaving them inaccessible to macromolecular substrates while retaining functionality against small synthetic substrates. Wells coated with anti-伪2M antibodies were used to isolate the complexes from buffer or plasma, followed by detection of specific proteases with chromogenic substrates. Macromolecular inhibitors were added to eliminate signal from any unbound proteases.
Calibration curves constructed with purified protease-伪2M complexes were sigmoidal in nature, as is typical with immuno-assays. The specificity of signal production was confirmed with inhibitors that target either free protease, or both free and 伪2M-bound protease. The detection range of the assay was dependent on the protease being measured, and the surrounding matrix. Interference in detection of complexes in plasma was found to be caused, in part, by free 伪2M. Thrombin-伪2M complexes were quantified in adult and newborn plasma following induction of thrombin generation and found to be significantly higher in adults, likely due to higher prothrombin levels.
This assay provides a versatile platform method for quantification of multiple protease-伪2M complexes. It may prove useful for mechanistic in vitro studies of hemostatic pathways, and potentially for clinical applications.