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Detection of recombinant human EPO administered to horses using MAIIA lateral flow isoform test

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Abstract

Doping of horses with recombinant human erythropoietin (rHuEPO) to illegally enhance their endurance capacity in horseracing has been reported during the last years. This leads to increased blood viscosity which can result in sudden death and is of concern for the horse welfare. Additionally, the horse can start production of rHuEPO antibodies, which cross-reacts with endogenous equine EPO and can lead to severe anaemia and even death. In this study, a novel micro-chromatographic method, EPO WGA MAIIA, has been tested for the capability in plasma and urine samples to detect administration of erythropoiesis-stimulating agents, like the rHuEPO glycoprotein varieties Eprex and Aranesp, to horses. After administration of 40 IU Eprex kg−1 day−1 to seven horses during 6 days, the presence of Eprex in horse plasma was detected up to 2–5 days after last injection. In urine samples collected from two horses, Eprex was detected up to 3 days. A single injection of Aranesp (0.39 μg/kg) was detected up to 9 days in plasma and up to 8 days, the last day of testing, in the urine sample. The LC-FAIMS-MS/MS system, with 1 day reporting time, confirmed the presence of Eprex up to 1 day after last injection for six out of seven horses and the presence of Aranesp up to 5 days after last injection in plasma samples. The MAIIA system showed to be a promising tool with high sensitivity and extremely short reporting time (1 h).

The interior of the MAIIA membrane. EPO protein molecules (blue balls) flow through the WGA lectin ligands immobilised in the network structure. Some types of EPO have oligosaccharide structures with higher interaction strength and will be delayed, while other low reacting types will rapidly reach the anti-EPO antibodies immobilised downstream, during the 5 min. reaction time.

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References

  1. Jelkmann W (2011) Regulation of erythropoietin production. J Physiol 589(Pt 6):1251–1258

    Article  CAS  Google Scholar 

  2. Macdougall IC, Ashenden M (2009) Current and upcoming erythropoiesis-stimulating agents, iron products, and other novel anemia medications. Adv Chron Kidney Dis 16(2):117–130

    Article  Google Scholar 

  3. Tablin F, Weiss L (1983) The equine spleen: an electron microscopic analysis. Am J Anat 166(4):393–416

    Article  CAS  Google Scholar 

  4. McKeever KH, Agans JM, Geiser S, Lorimer PJ, Maylin GA (2006) Low dose exogenous erythropoietin elicits an ergogenic effect in standardbred horses. Equine Vet J Suppl 36:233–238

    Article  Google Scholar 

  5. Shaskey DJ, Green GA (2000) Sports haematology. Sports Med 29(1):27–38

    Article  CAS  Google Scholar 

  6. Piercy RJ, Swardson CJ, Hinchcliff KW (1998) Erythroid hypoplasia and anemia following administration of recombinant human erythropoietin to two horses. J Am Vet Med Assoc 212(2):244–247

    CAS  Google Scholar 

  7. Halstenson CE, Macres M, Katz SA, Schnieders JR, Watanabe M, Sobota JT, Abraham PA (1991) Comparative pharmacokinetics and pharmacodynamics of epoetin alfa and epoetin beta. Clin Pharmacol Ther 50(6):702–712

    Article  CAS  Google Scholar 

  8. Franz SE (2009) Erythropoiesis-stimulating agents: development, detection and dangers. Drug Test Anal 1(6):245–249

    Article  CAS  Google Scholar 

  9. Park SS, Park J, Ko J, Chen L, Meriage D, Crouse-Zeineddini J, Wong W, Kerwin BA (2009) Biochemical assessment of erythropoietin products from Asia versus US epoetin alfa manufactured by Amgen. J Pharm Sci 98(5):1688–1699

    Article  CAS  Google Scholar 

  10. Jelkmann W (2007) Novel erythropoietic agents: a threat to sportsmanship. Medicina Sportiva 11(2):32–42

    Article  Google Scholar 

  11. Egrie JC, Browne JK (2001) Development and characterization of novel erythropoiesis stimulating protein (NESP). Br J Cancer 84(Suppl 1):3–10

    Article  CAS  Google Scholar 

  12. Macdougall IC, Robson R, Opatrna S, Liogier X, Pannier A, Jordan P, Dougherty FC, Reigner B (2006) Pharmacokinetics and pharmacodynamics of intravenous and subcutaneous continuous erythropoietin receptor activator (C.E.R.A.) in patients with chronic kidney disease. Clin J Am Soc Nephrol 1(6):1211–1215

    Article  CAS  Google Scholar 

  13. Reichel C (2011) Recent developments in doping testing for erythropoietin. Anal Bioanal Chem 401(2):463–481

    Article  CAS  Google Scholar 

  14. Dehnes Y, Lamon S, Lonnberg M (2010) Erythropoietin (EPO) immunoaffinity columns—a powerful tool for purifying EPO and its recombinant analogues. J Pharm Biomed Anal 53(4):1028–1032

    Article  CAS  Google Scholar 

  15. Lonnberg M, Dehnes Y, Drevin M, Garle M, Lamon S, Leuenberger N, Quach T, Carlsson J (2010) Rapid affinity purification of erythropoietin from biological samples using disposable monoliths. J Chromatogr A 1217(45):7031–7037

    Article  Google Scholar 

  16. Wide L, Bengtsson C (1990) Molecular charge heterogeneity of human serum erythropoietin. Br J Haematol 76(1):121–127

    Article  CAS  Google Scholar 

  17. Wide L, Bengtsson C, Berglund B, Ekblom B (1995) Detection in blood and urine of recombinant erythropoietin administered to healthy men. Med Sci Sports Exerc 27(11):1569–1576

    CAS  Google Scholar 

  18. Lasne F (2001) Double-blotting: a solution to the problem of non-specific binding of secondary antibodies in immunoblotting procedures. J Immunol Methods 253(1–2):125–131

    Article  CAS  Google Scholar 

  19. Lasne F, de Ceaurriz J (2000) Recombinant erythropoietin in urine. Nature 405(6787):635

    Article  CAS  Google Scholar 

  20. Lasne F, Martin L, Crepin N, de Ceaurriz J (2002) Detection of isoelectric profiles of erythropoietin in urine: differentiation of natural and administered recombinant hormones. Anal Biochem 311(2):119–126

    Article  CAS  Google Scholar 

  21. Kohler M, Ayotte C, Desharnais P, Flenker U, Lüdke S, Thevis M, Völker-Schänzer E, Schänzer W (2008) Discrimination of recombinant and endogenous urinary erythropoietin by calculating relative mobility values from SDS gels. Int J Sports Med 29(01):1–6

    Article  CAS  Google Scholar 

  22. Reichel C, Kulovics R, Jordan V, Watzinger M, Geisendorfer T (2009) SDS-PAGE of recombinant and endogenous erythropoietins: benefits and limitations of the method for application in doping control. Drug Test Anal 1(1):43–50

    Article  CAS  Google Scholar 

  23. Reichel C, Abzieher F, Geisendorfer T (2009) SARCOSYL-PAGE: a new method for the detection of MIRCERA- and EPO-doping in blood. Drug Test Anal 1(11–12):494–504

    Article  CAS  Google Scholar 

  24. Franco Fraguas L, Carlsson J, Lönnberg M (2008) Lectin affinity chromatography as a tool to differentiate endogenous and recombinant erythropoietins. J Chromatogr A 1212(1–2):82–88

    Article  CAS  Google Scholar 

  25. Lonnberg M, Andren M, Birgegard G, Drevin M, Garle M, Carlsson J (2012) Rapid detection of erythropoiesis-stimulating agents in urine and serum. Anal Biochem 420(2):101–114

    Article  Google Scholar 

  26. Lasne F, Popot MA, Varlet-Marie E, Martin L, Martin JA, Bonnaire Y, Audran M, de Ceaurriz J (2005) Detection of recombinant epoetin and darbepoetin alpha after subcutaneous administration in the horse. J Anal Toxicol 29(8):835–837

    CAS  Google Scholar 

  27. Sato F, Yamashita S, Kugo T, Hasegawa T, Mitsui I, Kijima-Suda I (2004) Nucleotide sequence of equine erythropoietin and characterization of region-specific antibodies. Am J Vet Res 65(1):15–19

    Article  CAS  Google Scholar 

  28. Guan F, Uboh CE, Soma LR, Birks E, Chen J, Mitchell J, You Y, Rudy J, Xu F, Li X, Mbuy G (2007) LC-MS/MS method for confirmation of recombinant human erythropoietin and darbepoetin alpha in equine plasma. Anal Chem 79(12):4627–4635

    Article  CAS  Google Scholar 

  29. Guan F, Uboh CE, Soma LR, Birks E, Chen J, You Y, Rudy J, Li X (2008) Differentiation and identification of recombinant human erythropoietin and darbepoetin Alfa in equine plasma by LC-MS/MS for doping control. Anal Chem 80(10):3811–3817

    Article  CAS  Google Scholar 

  30. Bailly-Chouriberry L, Cormant F, Garcia P, Lönnberg M, Szwandt S, Bondesson U, Popot MA, Bonnaire Y (2012) New analytical method based on anti-EPO monolith column for the rHuEPO purification in horse plasma and urine samples. Analyst, DOI:10.1039/C2AN15662H

  31. Yu NH, Ho EN, Wan TS, Wong AS (2010) Doping control analysis of recombinant human erythropoietin, darbepoetin alfa and methoxy polyethylene glycol-epoetin beta in equine plasma by nano-liquid chromatography-tandem mass spectrometry. Anal Bioanal Chem 396(7):2513–2521

    Article  CAS  Google Scholar 

  32. Scarth JP, Seibert C, Brown PR, Teale P, Beamon GJ, Pearce CM, Sams RA (2011) UPLC-MS/MS method for the identification of recombinant erythropoietin analogues in horse plasma and urine. Chromatographia 74(7–8):593–608

    Article  CAS  Google Scholar 

  33. Lönnberg M (2002) Membrane-assisted isoform immunoassay: separation and determination of protein isoforms. Acta Universitatis Upsaliensis Comprehensive Summaries of Uppsala Dissertations, Faculty of Science and Technology, 691 pp

  34. Lonnberg M, Carlsson J (2001) Chromatographic performance of a thin microporous bed of nitrocellulose. J Chromatogr B 763(1–2):107–120

    CAS  Google Scholar 

  35. Lönnberg M, Drevin M, Carlsson J (2008) Ultra-sensitive immunochromatographic assay for quantitative determination of erythropoietin. J Immunol Methods 339(2):236–244

    Article  Google Scholar 

  36. Lonnberg M, Carlsson J (2000) Membrane assisted isoform immunoassay. A rapid method for the separation and determination of protein isoforms in an integrated immunoassay. J Immunol Methods 246(1–2):25–36

    Article  CAS  Google Scholar 

  37. Lonnberg M, Carlsson J (2006) Lab-on-a-chip technology for determination of protein isoform profiles. J Chromatogr A 1127(1–2):175–182

    Article  Google Scholar 

  38. Chang Y, Maylin GM, Matsumoto G, Neades SM, Catlin DH (2011) Screen and confirmation of PEG-epoetin beta in equine plasma. Drug Test Anal 3(1):68–73

    Article  CAS  Google Scholar 

Download references

Acknowledgements

The authors thank Maria Andrén, Malin Drevin, Mikael Lönnberg and Trikien Quach for technical assistance, and the Swedish Foundation for Equine Research, Stockholm, Sweden, and MAIIA Diagnostics, Uppsala, Sweden, for support. The authors are indebted to Dr. Jean-Jacques Garin, veterinary surgeon at FNCF, to the horse farm manager in Coye la Forêt and to the staff who participated in drug administration, sampling and horse care.

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Correspondence to Maria Lönnberg.

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Lönnberg, M., Bondesson, U., Cormant, F. et al. Detection of recombinant human EPO administered to horses using MAIIA lateral flow isoform test. Anal Bioanal Chem 403, 1619–1628 (2012). https://doi.org/10.1007/s00216-012-5972-0

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  • DOI: https://doi.org/10.1007/s00216-012-5972-0

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