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Chemiluminescence Immunoassay Method of Urinary Liver Fatty-acid-binding Protein as a Promising Candidate for Kidney Disease

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Abstract

Liver fatty acid binding protein (L-FABP) is an intercellular lipid chaperone protein that selectively combines with unsaturated free fatty acids and transports them to mitochondria or peroxisomes. L-FABP is a promising biomarker for the early detection of renal diseases in humans. Herein a chemiluminescence method (CLIA) was demonstrated to measure the level of urinary L-FABP in the urinary samples. An anti-(L-FABP)-magnetic beads complex was prepared to capture the analyte target. Sensitivity, precision, accuracy, interference effect, high-dose hook effect of the developed assay were evaluated. Under the suitable experimental parameters, the established method have a wide linear range (0.01–10 ng/mL) and also showed a sufficiently low limit of detection of 0.0060 ng/mL. Besides, the satisfactory recoveries of the method in the urinary were ranged from 97.74%—112.32%, which was well within the requirement of clinical analysis. Furthermore, this proposed method has been successfully applied to the clinical determination of L-FABP in patients who have been diagnosed with kidney disease. The results showed that CLIA could accurately and rapidly determine the urinary level of L-FABP with high-throughput, which could be useful as a new tool to predict complications in patients with kidney disease. The clinical trial was approved by Shuyang Hospital of Traditional Chinese Medicine Ethics Committee: 20,210,202–001 at February 2, 2021.

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Data Availability

The datasets generated during and/or analyzed during the current study are not publicly available due to privacy and ethical restrictions but are available from the corresponding author on reasonable request.

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Funding

This work was supported from National Natural Science Foundation of China (81860399), the Provincial Youth Science Fund of Jiangxi Province (20142BAB215072). The Science and Technology Key R&D Program of Jiangxi Province (20202BBG72001).

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Authors and Affiliations

Authors

Contributions

Lisong Niu designed the study and drafted the manuscript, Lanya Li and Jinshan Li assisted in patient recruitment, provided clinical treatments and contributed critical views the study. Zhitian Chen and Jiayuan Lin performed the experiments and data analysis, supervised the study. Bo Zhang and Xiaoling Fu critically reviewed the manuscript. All co-authors approved the final version of the manuscript.

Corresponding authors

Correspondence to Bo Zhang or Xiaoling Fu.

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Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee at which the studies were conducted (IRB approval number at the Shuyang Hospital of Traditional Chinese Medicine Ethics Committee: 20210202–001) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Authors declare that they have no competing interest.

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Niu, L., Li, L., Li, J. et al. Chemiluminescence Immunoassay Method of Urinary Liver Fatty-acid-binding Protein as a Promising Candidate for Kidney Disease. J Fluoresc 33, 1191–1200 (2023). https://doi.org/10.1007/s10895-022-03120-z

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