The assay is an immunometric ('sandwich') EIA for the quantitative measurement of TSH in human serum or plasma. TSH in the sample is bound by 2 monoclonal anti-TSH antibodies directed at different epitopes. One antibody is attached to magnetic particles and the other is labelled with alkaline phosphatase. The assay has four main stages:
Magnetic anti-TSH is incubated with sample (100 µL) for 15 minutes at 37°C followed by a magnetic wash step.
The magnetic particles are incubated with alkaline phophatase labelled anti-TSH for 1 hour at 37°C followed by 2 magnetic wash steps.
A coloured enzyme substrate is incubated with the particles I hour at 37°C. The presence of alkaline phosphatase causes a colour change from yellow to pink. The reaction is terminated by addition of Stop Buffer.
The tubes are then placed in the spectrophotometer or colorimeter. The optical density (at 550nm or 492nm) of each tube can be measured and the results calculated using a data processing program.