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32 protocols using nf light elisa kit

1

CSF Biomarker Assays for MS Diagnosis

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As part of the diagnostic routine for MS investigations we also measured neurofilament light (NfL, n = 131), glial fibrillary acidic protein (GFAP) (n = 131), and tau (n = 125) concentrations in CSF. CSF NfL concentration was measured using a sensitive sandwich enzyme-linked immunosorbent assay (ELISA; NF-light® ELISA kit; UmanDiagnostics AB, Umeå, Sweden; Catalog # 10–7001 CE) as previously described [23 ], or with an in-house ELISA method as described previously in detail [24 (link)]. Comparison of the in-house ELISA and the UmanDiagnostics ELISAs showed CSF NfL concentrations in the same range and a strong linear correlation between CSF NfL values [24 (link)]. CSF GFAP concentration was measured by ELISA, as previously described [25 (link)]. CSF tau concentration (INNOTEST® hTAU Ag; Product # 81,572) was measured by ELISA, as previously described [26 (link)].
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2

Neurofilament Light Levels in RRMS

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This was a post hoc investigation of NfL in CSF samples collected at baseline and month 12 in a subgroup of patients with RRMS participating in the 2-year, placebo-controlled, phase 3 Fingolimod (FTY720) Research Evaluating Effects of Daily Oral Therapy in Multiple Sclerosis (FREEDOMS) study (ClinicalTrials.gov number, NCT00289978) that evaluated fingolimod at the doses of 0.5 mg and 1.25 mg once daily.7 (link) Provision of CSF samples was an optional component of the FREEDOMS study protocol. Definitions and methodologies of clinical and MRI assessments have been described previously.7 (link)CSF samples were available from 36 patients (0.5 mg, n = 9; 1.25 mg, n = 15; placebo, n = 12). CSF NfL levels were measured using the Uman Diagnostics NF-light ELISA kit (Umeå, Sweden). The assay was conducted blinded to the clinical data and treatment allocation.3 (link)– (link)5 (link) Interassay and intra-assay variability (coefficients of variation) in 3 longitudinal control samples were below 15%.
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3

Measuring Neurofilament Light in Blood and CSF

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Blood and CSF sampling procedures are described in the e-Methods. A sensitive sandwich method (NF-light® ELISA kit; UmanDiagnostics AB, Umeå, Sweden) was used to measure CSF NfL as previously described.11 (link),12 (link) NfL concentrations in blood were measured using the monoclonal antibodies and calibrator from the NfL assay, transferred onto the Simoa platform using a homebrew kit (Quanterix; Lexington, MA), as previously described.13 (link) Details of the assay performance are given in the e-Methods.
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4

Quantifying NfL in Cell Culture

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NfL in tissue culture supernatants was measured by ELISA using the NF-Light ELISA kit from Uman Diagnostics (Umea, Sweden) using the manufacturer’s instructions.
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5

Quantitative ELISA and SIMOA Analysis of NF-Light in CSF and Serum

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For ELISA analysis of CSF samples, we used the NF-light® ELISA Kit (Uman Diagnostics, Umeå, Sweden; catalog number: 10-7002), which has been previously validated for CSF samples. Intra- and inter-assay coefficients of variability (CV%) were <5 and <10, respectively. The measuring range was 100−10.000 pg/mL, with a limit of detection at 33 pg/mL. Before the analyses, all CSF samples were diluted with sample diluent at a ratio of 1:2.
For ELISA analysis of serum samples, we used the Human Neurofilament Light Polypeptide ELISA Kit (Abbexa, Abbexa Ltd, Cambridge, UK; catalog number: abx152468). Intra- and interassay CV% were <10 and <12, respectively. The measuring range was 15.6−1.000 pg/mL, and the limit of detection was < 6.2 pg/mL.
For SIMOA analysis, high-sensitivity SIMOA® NF-Light assay (Quanterix Corp., Billerica, MA, USA) was used for both serum and CSF analysis. All analyses were performed on the HD-X Analyzer™ by running the samples in duplicate. Intra- and interassay CV% were within acceptable limits, with a limit of detection at 0.038 pg/mL. SIMOA analyzes were performed at the Neuroimmunology Laboratory of the University Hospital Basel, Switzerland.
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6

Measuring Neurofilament Light Levels

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cNfL was analyzed using a sensitive sandwich enzyme-linked immunosorbent assay (ELISA) method (NF-light® ELISA kit; UmanDiagnostics AB, Umea, Sweden; catalogue # 10-7001 CE) and age-adjusted upper limits of the reference range utilized in clinical practice were used in order to determine whether cNfL levels were elevated or normal, as previously described (28 (link)). These upper limits are: <380 ng/L (<30 years), <560 ng/L (30-39 years), <890 ng/L (40-60 years), and <1850 ng/L (>60 years).
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7

Quantifying Neurodegeneration Biomarkers in CSF

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CSF samples were thawed in a biological safety cabinet just before analysis. To measure NFL concentration, a commercial sandwich enzyme‐linked immunosorbent assay (ELISA; NF‐light ELISA kit, Uman Diagnostics, Umeå, Sweden) was performed according to the manufacturer's instructions. Concentrations of Aβ40, Aβ42, p‐tau (pThr181), and t‐tau were determined using a MILLIPLEX Human Amyloid Beta Tau Magnetic BeadPanel (HNABTMAG‐68K, EMD Millipore, Billerica, MA, USA) completed on a Biorad Luminex platform according to the manufacturer's instructions. Within plate and interplate coefficients of variation were <5% and <15% for NFL; and <10% and <15% for the multiplex, respectively. Repeat samples collected from a given animal were run together on the same plate, except for two in Figure 2A (long delays).
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8

CSF Biomarkers in HIV Infection

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Clinical laboratory assessments of CSF WBC and CD4+ T-lymphocyte count were performed at each participating site. Plasma and CSF HIV-1 RNA was quantified using RT-PCR (Amplicor® version 1.5, Roche Diagnostic Systems) with a lower limit of quantification of 50 copies/ml.
For CSF biomarker analysis, we used cell-free specimens of CSF stored at -80°C and not thawed until analysis. CSF NFL was measured using a sandwich ELISA method with a lower limit of quantification of 50 ng/l (NF-light® ELISA kit, UmanDiagnostics AB, Umeå, Sweden) at the Clinical Neurochemistry Laboratory at the University of Gothenburg according to the manufacturers description. CSF NFL concentrations have previously been shown to increase with normal ageing in healthy individuals [12 (link)]. The upper normal reference limits of CSF NFL previously established using CSF samples from 108 neurologically healthy control individuals were <380 ng/l (18–29 years), <560 (30–39 years), <890 (40–59 years), <1850 (>59 years). CSF neopterin was analyzed using a commercially available immunoassay (BRAHMS, Berlin, Germany), with an upper normal reference value of 5.8 nmol/l [22 (link)].
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9

Quantifying NfL in Cell Culture

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NfL in tissue culture supernatants was measured by ELISA using the NF-Light ELISA kit from Uman Diagnostics (Umea, Sweden) using the manufacturer’s instructions.
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10

CSF Biomarker Quantification Protocol

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CSF samples were thawed in a biological safety cabinet just before analysis. To measure Aβ40, Aβ42, p‐tau (pThr181), and t‐tau, a MILLIPLEX Human Amyloid Beta Tau Magnetic Bead Panel (HNABTMAG‐68K, EMD Millipore) was completed on a Biorad Luminex platform according to the manufacturer's instructions. NfL was measured using a commercial sandwich ELISA (NF‐light ELISA kit, UmanDiagnostics) performed according to the manufacturer's instructions. Reference samples were included on all multiplex and NfL ELISA plates for comparison across plates. Within‐plate and interplate coefficients of variation were <15% for the multiplex; and <10% for NfL.
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