The ETFDH antibody is a specialized immunochemical tool designed to detect the electron-transfer flavoprotein-ubiquinone oxidoreductase (ETFDH) protein, a critical component of mitochondrial metabolism. ETFDH facilitates electron transfer from fatty acid oxidation (FAO) and branched-chain amino acid (BCAA) catabolism intermediates to the mitochondrial respiratory chain, playing a pivotal role in oxidative phosphorylation (OXPHOS) efficiency . Mutations in the ETFDH gene are linked to multiple acyl-CoA dehydrogenase deficiency (MADD), a rare metabolic disorder characterized by impaired energy production and oxidative stress . This article reviews the antibody’s technical specifications, applications, and its role in advancing research into mitochondrial diseases.
ETFDH antibodies are essential for investigating the protein’s role in mitochondrial function. For example:
OXPHOS Complex III Interaction: Co-immunoprecipitation (Co-IP) assays using ETFDH antibodies revealed its association with OXPHOS complex III subunits (e.g., UQCRC1/2), highlighting its role in electron transfer .
Fatty Acid Oxidation: Immunofluorescence (IF) studies demonstrated ETFDH localization to the inner mitochondrial membrane, where it facilitates FAO-derived electron transfer to ubiquinone .
Western blotting with ETFDH antibodies is a first-line diagnostic tool for MADD, enabling detection of protein deficiency or aberrant expression . For instance:
A retrospective study of 110 MADD patients confirmed that ETFDH mutations (e.g., c.250G>A) correlate with impaired enzyme activity and clinical symptoms (e.g., lipid droplet accumulation in muscle fibers) .
Riboflavin therapy efficacy is monitored via ETFDH antibody-based assays to assess treatment response .
The antibody is used to evaluate therapeutic interventions, such as:
Q10 Supplementation: Studies employing ETFDH antibodies showed that exogenous Q10 administration does not rescue mitochondrial dysfunction in ETFDH-deficient models, suggesting Q10 supplementation may exacerbate reductive stress .
CRISPR-Based Models: Antibodies validated ETFDH knockout (KO) in Etfdh−/− mice, which exhibited myopathy and oxidative damage, providing insights into disease mechanisms .
A 2024 study identified a multi-protein complex (ETFDH-CIII-COQ2) that regulates electron transfer efficiency and reactive oxygen species (ROS) production . Key findings:
ETFDH KO myoblasts exhibited reduced OXPHOS capacity (basal/maximal respiration: -25%) and elevated ROS levels.
Mathematical modeling revealed that ETFDH stabilizes the Q cycle, minimizing electron leakage and oxidative damage .
Research employing ETFDH antibodies demonstrated that:
Mutations in the FAD-binding domain (e.g., P456S) impair flavoprotein activity, triggering mitochondrial apoptosis via the Bcl2 pathway .
Neuronal cultures with ETFDH mutations showed reduced cell viability and defective neurite outgrowth, which were partially rescued by coenzyme Q10 but not riboflavin .
Longitudinal studies using ETFDH antibodies identified:
STRING: 10116.ENSRNOP00000013262
UniGene: Rn.37277
ETFDH (electron-transferring-flavoprotein dehydrogenase) is a crucial 617 amino acid membrane-bound electron transfer protein localized to the inner mitochondrial membrane. It plays a vital role in mitochondrial metabolism by accepting electrons from electron-transfer flavoprotein (ETF) in the mitochondrial matrix and subsequently reducing ubiquinone in the mitochondrial membrane . This process is essential for efficient energy production and metabolic regulation. ETFDH contains one molecule of flavin adenine dinucleotide (FAD) and a 4Fe-4S cluster, which are critical for electron transfer activity . The protein is particularly significant in research because mutations in the ETFDH gene have been linked to multiple acyl-CoA dehydrogenation deficiency (MADD) and glutaric aciduria type 2C (GA2C), characterized by severe metabolic disturbances including hypoketotic hypoglycemia and acidosis .
Several types of ETFDH antibodies are available for research, each with distinct characteristics:
This diversity allows researchers to select the most appropriate antibody based on their specific experimental needs, target species, and application requirements.
Selecting the appropriate ETFDH antibody requires consideration of several factors:
Experimental application: Determine whether you need the antibody for Western blotting, immunohistochemistry, immunofluorescence, flow cytometry, or immunoprecipitation. For example, if performing Western blotting, antibody 11109-1-AP has demonstrated efficacy across multiple species with a dilution range of 1:1000-1:6000 .
Species reactivity: Match the antibody to your experimental model. For instance, if working with human samples only, ab103910 is suitable, while ab131376 offers broader reactivity across human, mouse, and rat samples .
Antibody type: Consider whether a monoclonal or polyclonal antibody better suits your needs. Monoclonal antibodies like ab131376 offer high specificity to a single epitope, while polyclonal antibodies like CAB6585 recognize multiple epitopes, potentially providing stronger signals but with possible increased background .
Validation data: Review the available validation data for each antibody. For example, sc-515202 has been validated for multiple applications including Western blotting, immunoprecipitation, and immunofluorescence .
Target location: Consider the subcellular localization of ETFDH (inner mitochondrial membrane) and ensure the antibody's epitope is accessible in your experimental conditions.
For optimal Western blot analysis using ETFDH antibodies, follow these methodological guidelines:
Sample preparation:
Electrophoresis and transfer:
Blocking and antibody incubation:
Detection and visualization:
Band interpretation:
For optimized immunohistochemistry protocols with ETFDH antibodies:
Tissue fixation and processing:
Antibody concentration and incubation:
Detection systems:
Controls and validation:
Interpretation:
Look for mitochondrial localization pattern consistent with ETFDH's function.
Assess staining intensity and distribution patterns in relation to known ETFDH expression in different tissues.
For effective immunofluorescence detection of ETFDH:
Cell preparation and fixation:
Blocking and antibody incubation:
Co-localization studies:
Consider dual labeling with mitochondrial markers to confirm subcellular localization.
Use confocal microscopy for precise localization analysis.
Image acquisition and analysis:
Capture images using appropriate filters for the selected fluorophore.
Analyze mitochondrial distribution patterns typical of ETFDH localization.
Quantify signal intensity using specialized image analysis software.
ETFDH antibodies can be strategically employed to investigate mitochondrial dysfunction through multiple approaches:
Expression level analysis:
Utilize Western blotting with ETFDH antibodies to quantify protein expression levels in patient samples versus controls .
Compare ETFDH protein levels across different tissues to map metabolic dysfunction patterns, particularly in tissues with high energy demands like liver, heart, and skeletal muscle .
Tissue distribution studies:
Functional interaction studies:
Genetic-phenotypic correlation:
Therapeutic response monitoring:
To validate ETFDH antibody specificity for high-confidence research applications:
Genetic validation approaches:
Multiple antibody concordance:
Recombinant protein controls:
Use purified recombinant ETFDH protein as a positive control.
Perform peptide competition assays to confirm epitope specificity.
Cross-species reactivity assessment:
Immunoprecipitation-mass spectrometry validation:
Perform IP with ETFDH antibody followed by mass spectrometry to confirm the identity of the pulled-down protein.
Verify identification of expected peptides from the ETFDH sequence.
For incorporating ETFDH antibodies into multiparametric flow cytometry:
Cell preparation and fixation:
Antibody selection and staining:
Multiparametric panel design:
Combine ETFDH staining with other metabolic markers such as:
Mitochondrial membrane potential dyes (TMRM, JC-1)
Reactive oxygen species indicators (MitoSOX, CellROX)
Additional mitochondrial protein markers (Complex I-V components)
Include viability dyes to exclude dead cells from analysis.
Gating strategy and analysis:
First gate on intact cells using forward and side scatter.
Apply viability gating to exclude dead cells.
Analyze ETFDH expression levels relative to other mitochondrial parameters.
Use median fluorescence intensity (MFI) for quantitative comparisons between experimental groups.
Experimental applications:
Compare ETFDH expression between normal and patient-derived cells.
Assess correlation between ETFDH levels and functional mitochondrial parameters.
Monitor changes in ETFDH expression following metabolic challenges or treatments.
To address high background issues in ETFDH immunohistochemistry:
Species cross-reactivity concerns:
Optimization strategies:
Titrate antibody concentration – test dilution series (e.g., 1:50, 1:100, 1:200, 1:500) to identify optimal signal-to-noise ratio .
Modify blocking conditions – increase BSA concentration to 2-5% or add 5-10% normal serum from the same species as the secondary antibody.
Extend blocking time to 2 hours at room temperature.
Increase washing stringency with additional wash steps or higher detergent concentration.
Antigen retrieval modifications:
Detection system alternatives:
Switch between polymer-based and avidin-biotin systems to identify optimal detection method.
Consider tyramide signal amplification for weak signals while maintaining low background.
Control implementations:
Use isotype controls at equivalent concentrations to primary antibody.
Include no-primary antibody controls to identify secondary antibody non-specific binding.
Use tissues with known negative expression of ETFDH as negative controls.
For resolving inconsistent Western blot results with ETFDH antibodies:
Sample preparation considerations:
Ensure complete protein denaturation by heating samples at 95°C for 5 minutes in presence of reducing agents.
Use mitochondria-specific extraction buffers to enrich for ETFDH protein.
Add protease inhibitors to prevent degradation, especially important for mitochondrial membrane proteins.
Electrophoresis and transfer optimization:
Adjust polyacrylamide percentage (8-12%) for optimal separation near the expected 68-70 kDa range .
Modify transfer conditions (time, voltage, buffer composition) for efficient transfer of mitochondrial membrane proteins.
Consider using PVDF membranes instead of nitrocellulose for better protein retention .
Antibody selection and dilution:
Signal development strategies:
For weak signals, extend exposure time or switch to more sensitive ECL substrates.
For multiple bands or high background, increase washing stringency and optimize blocking conditions.
Consider using different secondary antibodies or detection systems.
Control implementations:
For interpreting and validating unexpected ETFDH antibody binding patterns:
Pattern verification approaches:
Molecular validation strategies:
Functional correlation analysis:
Relate observed binding patterns to functional mitochondrial assays.
Investigate whether unexpected patterns correlate with metabolic phenotypes.
Compare patterns with biochemical indicators of ETFDH dysfunction.
Alternative isoform considerations:
Disease-specific modifications:
Consider post-translational modifications that might occur in disease states.
Investigate potential protein degradation patterns specific to the disease model.
Examine protein-protein interactions that might mask or alter epitope accessibility.
ETFDH antibodies provide powerful tools for investigating pathogenic mechanisms in fatty acid oxidation disorders through several methodological approaches:
Patient sample analysis:
Compare ETFDH protein levels and localization in control versus patient samples using Western blot, IHC, or IF .
Correlate ETFDH expression levels with clinical severity and metabolic biomarkers.
Analyze tissue-specific expression patterns, particularly in affected tissues like muscle, liver, and heart .
Mutation impact assessment:
Use ETFDH antibodies to assess protein expression levels in cells with identified ETFDH mutations.
Investigate how specific mutations (e.g., c.487+2T>A) affect protein stability and expression through Western blot analysis .
Combine with minigene splice assays to correlate splicing defects with protein expression patterns .
NMD pathway investigation:
Therapeutic response monitoring:
Apply antibodies to track ETFDH protein restoration in riboflavin-responsive MADD following treatment.
Monitor changes in subcellular localization and expression levels in response to therapeutic interventions.
Correlate protein level changes with metabolic and clinical improvements.
Protein interaction studies:
ETFDH antibodies enable detailed investigation of mitochondrial dysfunction in neurodegenerative contexts:
Expression profiling in neural tissues:
Use antibodies like ab131376 or 11109-1-AP to compare ETFDH expression in normal versus neurodegenerative brain tissues .
Perform region-specific analysis of brain areas selectively affected in different neurodegenerative diseases.
Analyze expression in different neural cell types (neurons, astrocytes, microglia) through co-localization immunofluorescence studies.
Oxidative stress correlation:
Combine ETFDH immunodetection with oxidative stress markers to establish relationships between electron transport chain dysfunction and oxidative damage.
Assess whether ETFDH expression or localization changes precede or follow oxidative damage in disease models.
Mitochondrial dynamics investigation:
Use ETFDH antibodies alongside markers of mitochondrial fission/fusion to examine relationships between electron transport and mitochondrial morphology.
Analyze whether ETFDH distribution changes with altered mitochondrial network structure in neurodegenerative conditions.
Metabolic reprogramming assessment:
Investigate how ETFDH expression correlates with metabolic shifts in neurodegenerative disease models.
Combine with metabolomic approaches to relate ETFDH changes to specific metabolic pathway alterations.
Therapeutic target identification:
Use antibodies to screen compounds that might stabilize or upregulate ETFDH expression.
Monitor ETFDH levels in response to potential neuroprotective interventions targeting mitochondrial function.
Integrating ETFDH antibody techniques with genetic analysis creates powerful precision medicine applications:
Genotype-phenotype correlation studies:
Combine genetic sequencing of ETFDH mutations with antibody-based protein expression analysis .
Use antibodies to determine how specific genetic variants affect protein expression, stability, and localization.
Develop predictive models relating genetic variants to protein expression patterns and disease severity.
Variant functional validation:
Apply antibodies to verify the functional impact of variants of uncertain significance (VUS) identified through genetic testing.
Use cell models expressing patient-specific variants to assess protein expression and function.
Compare expression levels of wild-type versus mutant ETFDH protein in patient-derived cells.
Personalized treatment monitoring:
Track ETFDH protein levels in patient samples before and after therapeutic interventions.
Correlate changes in protein expression with clinical improvements.
Use antibody-based assays as biomarkers for treatment response.
Multi-omics integration:
Combine antibody-detected protein expression data with:
Transcriptomic data on ETFDH mRNA expression
Metabolomic profiles of acylcarnitines and other relevant metabolites
Clinical phenotyping data
Develop integrated models predicting disease progression and treatment response.
Screening strategies for at-risk populations:
Develop antibody-based screening approaches to complement genetic testing.
Validate protein-level biomarkers that might indicate ETFDH dysfunction even in the absence of known pathogenic variants.
Create diagnostic algorithms integrating genetic and protein-level data.
Single-cell analysis with ETFDH antibodies presents transformative potential for understanding metabolic heterogeneity:
Single-cell immunofluorescence techniques:
Apply antibodies like ab131376 in high-resolution imaging to assess cell-to-cell variation in ETFDH expression .
Implement automated image analysis to quantify expression levels across thousands of individual cells.
Correlate ETFDH expression with morphological features and other cellular parameters.
Mass cytometry (CyTOF) applications:
Develop metal-conjugated ETFDH antibodies for high-dimensional protein profiling.
Create panels combining ETFDH with other metabolic enzymes, mitochondrial markers, and cell type identifiers.
Map metabolic phenotypes across heterogeneous tissue populations.
Single-cell Western approaches:
Integration with single-cell genomics/transcriptomics:
Develop protocols combining ETFDH protein detection with single-cell RNA sequencing.
Correlate protein expression with transcript levels at single-cell resolution.
Identify regulatory factors controlling ETFDH expression heterogeneity.
Spatial metabolomics correlation:
Combine ETFDH immunohistochemistry with spatial metabolomics to relate protein expression to local metabolite concentrations.
Map metabolic microenvironments in tissues with heterogeneous ETFDH expression.
Develop predictive models of how cellular ETFDH expression influences local metabolism.
Innovative biomarker approaches utilizing ETFDH antibodies include:
Liquid biopsy applications:
Develop sensitive ELISA assays using antibodies like 11109-1-AP or sc-515202 to detect circulating ETFDH in blood samples .
Investigate ETFDH in extracellular vesicles as potential biomarkers of mitochondrial stress.
Correlate circulating ETFDH levels with tissue dysfunction in mitochondrial disorders.
Multiplex antibody arrays:
Create protein arrays incorporating ETFDH antibodies alongside other mitochondrial markers.
Develop signature profiles of mitochondrial dysfunction across multiple proteins.
Implement machine learning approaches to identify patterns predictive of disease states.
Post-translational modification mapping:
Develop modification-specific antibodies detecting phosphorylated, acetylated, or otherwise modified ETFDH.
Investigate whether specific modifications serve as early indicators of mitochondrial stress.
Track changes in modification patterns during disease progression.
Imaging biomarker development:
Adapt antibodies for in vivo molecular imaging applications.
Develop minimally invasive approaches to monitor ETFDH in accessible tissues (skin, blood cells).
Create correlation models between peripheral ETFDH expression and central organ function.
High-throughput screening platforms:
Implement antibody-based assays in automated platforms for population screening.
Develop risk stratification algorithms based on ETFDH expression patterns.
Create POC (point-of-care) testing approaches for rapid assessment of mitochondrial health.
Emerging antibody engineering approaches will expand ETFDH research capabilities:
Nanobody and single-domain antibody development:
Engineer smaller antibody formats for improved penetration into mitochondrial structures.
Develop intrabodies that can track ETFDH in living cells without interfering with function.
Create bivalent constructs recognizing ETFDH and interacting partners simultaneously.
Engineered antibody fragments:
Design Fab and scFv fragments with enhanced tissue penetration.
Develop constructs optimized for super-resolution microscopy applications.
Create antibody fragments capable of passing through biological barriers for in vivo applications.
Bifunctional antibody applications:
Engineer ETFDH antibody constructs fused to:
Proximity labeling enzymes for interactome mapping
Fluorescent proteins for real-time tracking
Mitochondrial targeting sequences for enhanced localization
Develop therapeutic constructs combining ETFDH targeting with functional domains.
Conformation-specific antibodies:
Generate antibodies specifically recognizing active versus inactive ETFDH conformations.
Develop tools to detect misfolded ETFDH variants in disease states.
Create sensors of ETFDH functional status rather than just presence/absence.
Humanized antibody development:
Engineer fully humanized ETFDH antibodies for potential therapeutic applications.
Develop constructs capable of stabilizing mutant ETFDH protein.
Create antibody-drug conjugates for targeted delivery to mitochondria.