An immobilized immuno-stirrer for the determination of creatine kinase-mb isoenzyme in blood serum

An immobilized immuno-stirrer is described for the determination of creatine kinase-MB isoenzyme in blood serum. The IgG antibodies are immobilized on alkylamine glass beads using glutaraldehyde as cross-linking reagent, and the beads are packed into a rotating porous cell. After incubation with stirring, the CK-M isoenzymes in the blood serum sample are inhibited and are bound to the antibodies inside the stirrer. The residual CK-B isoenzyme activity is then determined spectrophotometrically or electrochemically. The binding capacity of the immuno-stirrer to CK-M isoenzyme was estimated to be 800 Ul^-1 with an average inhibitory efficiency of 97.8%. The within-day and day-to-day coefficients of variation were 5% and 4%, respectively, over a period of 52 days. An immuno-stirrer loaded with antibodies attached to cyanogen bromide-activated cellulose beads was also characterized, but the antibodies were not as stable as on glass beads.