Development and analytical validation of a novel bioavailable 25-hydroxyvitamin D assay.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2021
Historique:
received: 12 09 2020
accepted: 21 06 2021
entrez: 9 7 2021
pubmed: 10 7 2021
medline: 18 11 2021
Statut: epublish

Résumé

Bioavailable 25-hydroxyvitamin D (25OHD) may be a better indicator of vitamin D sufficiency than total 25OHD. This report describes a novel assay for measuring serum bioavailable 25OHD. We developed an assay for 25OHD % bioavailability based on competitive binding of 25OHD tracer between vitamin D-binding protein (DBP)-coated affinity chromatography beads and serum DBP. Bioavailable 25OHD, total 25OHD, albumin, and DBP protein concentrations were measured in 89 samples from hospitalized patients and 42 healthy controls to determine how the DBP binding assay responds to differences in concentrations of DBP and compares to calculated bioavailable 25OHD values. DBP binding assay showed a linear relationship between DBP-bound 25OHD tracer recovered from bead supernatant and DBP calibrator concentrations (y = 0.0017x +0.731, R2 = 0.9961, p<0.001). Inversion of this relationship allowed interpolation of DBP binding equivalents based upon 25OHD tracer recovered. The relationship between DBP binding equivalents and % bioavailability fits a non-linear curve, allowing calculation of % bioavailable 25OHD from DBP binding equivalents (y = 10.625x-0.817, R2 = 0.9961, p<0.001). In hospitalized patient samples, there were linear relationships between DBP protein concentrations and DBP binding equivalents (y = 0.7905x + 59.82, R2 = 0.8597, p<0.001), between measured vs. calculated % bioavailability (y = 0.9528 + 0.0357, R2 = 0.7200, p<0.001), and between absolute concentrations of measured vs. calculated bioavailable 25OHD (y = 1.2403 + 0.1221, R2 = 0.8913, p<0.001). The DBP-binding assay for bioavailable 25OHD shows expected changes in 25OHD % bioavailability in response to changes in DBP concentrations and concordance with calculated bioavailable 25OHD concentrations.

Sections du résumé

BACKGROUND
Bioavailable 25-hydroxyvitamin D (25OHD) may be a better indicator of vitamin D sufficiency than total 25OHD. This report describes a novel assay for measuring serum bioavailable 25OHD.
METHODS
We developed an assay for 25OHD % bioavailability based on competitive binding of 25OHD tracer between vitamin D-binding protein (DBP)-coated affinity chromatography beads and serum DBP. Bioavailable 25OHD, total 25OHD, albumin, and DBP protein concentrations were measured in 89 samples from hospitalized patients and 42 healthy controls to determine how the DBP binding assay responds to differences in concentrations of DBP and compares to calculated bioavailable 25OHD values.
RESULTS
DBP binding assay showed a linear relationship between DBP-bound 25OHD tracer recovered from bead supernatant and DBP calibrator concentrations (y = 0.0017x +0.731, R2 = 0.9961, p<0.001). Inversion of this relationship allowed interpolation of DBP binding equivalents based upon 25OHD tracer recovered. The relationship between DBP binding equivalents and % bioavailability fits a non-linear curve, allowing calculation of % bioavailable 25OHD from DBP binding equivalents (y = 10.625x-0.817, R2 = 0.9961, p<0.001). In hospitalized patient samples, there were linear relationships between DBP protein concentrations and DBP binding equivalents (y = 0.7905x + 59.82, R2 = 0.8597, p<0.001), between measured vs. calculated % bioavailability (y = 0.9528 + 0.0357, R2 = 0.7200, p<0.001), and between absolute concentrations of measured vs. calculated bioavailable 25OHD (y = 1.2403 + 0.1221, R2 = 0.8913, p<0.001).
CONCLUSIONS
The DBP-binding assay for bioavailable 25OHD shows expected changes in 25OHD % bioavailability in response to changes in DBP concentrations and concordance with calculated bioavailable 25OHD concentrations.

Identifiants

pubmed: 34242315
doi: 10.1371/journal.pone.0254158
pii: PONE-D-20-28763
pmc: PMC8270209
doi:

Substances chimiques

Vitamin D 1406-16-2
25-hydroxyvitamin D A288AR3C9H

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0254158

Subventions

Organisme : NIDDK NIH HHS
ID : R01 DK094486
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL133399
Pays : United States

Déclaration de conflit d'intérêts

Four of the authors on this manuscript (AB, RT, AK, and IB) are co-authors on a patent (WO2014179737A3, “Assays and methods of treatment relating to vitamin D insufficiency”). At the time of submission of this revised manuscript, this patent has not been licensed or otherwise used for commercial use by any of the authors or their respective institutions. None of the authors have any employment, consultancy, products in development, modified products, or other financial relationships related to the assay described in this manuscript. We have reviewed the PLOS ONE policies on sharing data and materials. This does not alter our alter our adherence to PLOS ONE policies on sharing data and materials.

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Auteurs

Anders H Berg (AH)

Department of Pathology, Cedars Sinai Medical Center, Los Angeles, California, United States of America.

Mahtab Tavasoli (M)

Department of Pathology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, United States of America.

Agnes S Lo (AS)

Department of Medicine and Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, California, United States of America.
Division of Nephrology and Center for Vascular Biology Research, Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, United States of America.

Sherri-Ann M Burnett-Bowie (SM)

Endocrine Division, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.

Ishir Bhan (I)

Division of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.

S Ananth Karumanchi (SA)

Department of Medicine and Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, California, United States of America.
Division of Nephrology and Center for Vascular Biology Research, Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, United States of America.

Sahir Kalim (S)

Division of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.

Dongsheng Zhang (D)

Department of Medicine and Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, California, United States of America.
Division of Nephrology and Center for Vascular Biology Research, Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, United States of America.

Sophia Zhao (S)

Division of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.

Ravi I Thadhani (RI)

Division of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.

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