Human growth hormone measurement by means of a sensitive ELISA of whole blood spots on filter paper

BackgroundMeasurements of human growth hormone (hGH) are a prerequisite for identifying a deficiency or excess. Our study is the first to investigate the reliability of a very sensitive assay for the quantification of GH in dried blood spots on filter paper.ObjectiveValidation of a commercially-available enzyme-linked immunoassay (ELISA) for measuring hGH from filter paper samples of dried blood.MethodsWe used an assay system (ELISA, E022, Mediagnost) based on polyclonal rabbit antibodies. Its suitability is ascribable to its very high sensitivity (1.6 ng/L) and virtual absence of interfering factors, excepting for a cross-reactivity with high pegvisomant concentrations.ResultshGH was found to be stable in dried blood spots on filter paper (No. 903, Whatman) over eight days at 37 °C. Extraction of hGH from filter paper, in comparison to EDTA plasma, was 107% (SD 8.1%; n = 6) over a range from 2.4 to 34.5 μg/L. Linear regression analysis (n = 119) showed a correlation of R2 = 0.97 for the hGH concentration in serum and on filter paper samples.ConclusionOur findings demonstrate the reliability of measurements of hGH in dried blood spots on filter paper. The advantages of this method are the low sample volume and the easy transport, storage, and handling of samples. This method contributes to the standardisation of diagnostics pertaining to abnormal hGH secretion as it facilitates the comparison of decisive measurements.