MEIS3 Antibody, HRP conjugated

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Description

Composition and Mechanism

The MEIS3 Antibody, HRP conjugated consists of:

  • Primary antibody: Rabbit-derived polyclonal IgG targeting MEIS3's C-terminal region (amino acids 325-375 in humans)

  • Enzyme conjugate: HRP covalently linked via lysine residues, facilitating signal amplification

  • Buffer system: Typically PBS with stabilizers (e.g., 50% glycerol, 0.02% sodium azide) for long-term storage at -20°C

Key detection characteristics:

ParameterSpecification
Molecular Weight41 kDa (observed), 45 kDa (predicted)
ReactivityHuman, Mouse, Rat
Working Dilution1:500 - 1:2000 (Western Blot)
Detection Limit≤10 µg lysate per lane

Performance in Key Assays

Western Blot

  • Clear 41 kDa band in brain tissues (mouse/rat)

  • Negative results in heart, kidney, and spleen lysates

Flow Cytometry

  • Successful intracellular staining in HeLa cells at 1:210 dilution

Cross-Reactivity Profile

SpeciesReactivity Confirmed
Human
Mouse
Rat
Non-mammalian

Cancer Biology

  • Metastasis Regulation: High MEIS3 expression correlates with poor 5-year DFS in colorectal cancer (40.6% vs 61.7% in low expressers)

  • Therapeutic Resistance: MEIS3 inhibition induces cetuximab resistance via c-Met/Akt pathway activation

  • Mechanistic Insights:

    • Upregulates laminin β1 (LAMB1) and matrix metalloproteinase 2 (MMP2)

    • Modulates Akt ubiquitination and EGFR phosphorylation

Developmental Studies

  • Essential for pancreatic β-cell survival through PDPK1 regulation

  • Critical in neural crest development (zebrafish models)

Optimal Usage Conditions

ParameterRequirement
Blocking Buffer5% non-fat dry milk
SubstrateTMB/DAB compatible
Signal Development5-30 minutes
Storage-20°C in dark

Troubleshooting Guide

IssueSolution
High BackgroundReduce antibody concentration by 50%
Weak SignalIncrease incubation time to 2 hrs
Non-specific BandsUse peptide blocking (1 µg/mL)

Emerging Research Directions

  1. Biomarker Potential: MEIS3 expression stratifies CRC recurrence risk better than CEA/CA19-9

  2. Therapeutic Targeting:

    • c-Met inhibitors (e.g., crizotinib) reverse MEIS3-associated drug resistance

    • Akt pathway modulation through MEIS3 regulation

  3. Developmental Disorders: Link to pancreatic β-cell apoptosis in diabetes models

Product Specs

Buffer
**Preservative:** 0.03% Proclin 300
**Constituents:** 50% Glycerol, 0.01M PBS, pH 7.4
Form
Liquid
Lead Time
Typically, we can ship your order within 1-3 business days of receiving it. Delivery times may vary depending on the order type or location. Please consult your local distributor for specific delivery information.
Synonyms
Homeobox protein meis3 antibody; Meis homeobox 3 antibody; Meis1 myeloid ecotropic viral integration site 1 homolog 3 antibody; Meis1 related protein 2 antibody; Meis1-related protein 2 antibody; meis3 antibody; MEIS3_HUMAN antibody; MRG2 antibody
Target Names
MEIS3
Uniprot No.

Target Background

Function
This transcriptional regulator directly modulates PDPK1 expression, thereby promoting the survival of pancreatic beta-cells. It also regulates the expression of NDFIP1, BNIP3, and CCNG1.
Gene References Into Functions
  1. Research findings support a model where Meis3 is essential for neural crest proliferation, migration into the gut, and colonization, such that its loss leads to severe defects in enteric nervous system development. PMID: 26354419
  2. This work suggests that the transcriptional activity of all members of the Meis/Prep Hth protein family is subject to autoinhibition by their Hth domains. The Meis3.2 splice variant encodes a protein that bypasses this autoinhibitory effect. PMID: 20553494
Database Links

HGNC: 29537

KEGG: hsa:56917

UniGene: Hs.356135

Protein Families
TALE/MEIS homeobox family
Subcellular Location
Nucleus.

Q&A

What is MEIS3 and why is it a relevant research target?

MEIS3 (Meis Homeobox 3) is a homeobox transcription factor that has been shown to play significant roles in cancer progression, particularly in colorectal cancer (CRC). MEIS3 is associated with cancer cell metastasis, as it is found predominantly distributed in the growth front and tumor-stroma interface of CRC tissues, which contain abundant EMT-active and tumor budding cells that dominate cancer metastasis . Research has demonstrated that MEIS3 promotes CRC cell migration and invasion by regulating effectors including laminin subunit beta 1, matrix metalloprotein 2, and vimentin . The strong association between MEIS3 expression and disease progression makes it a valuable biomarker for research into cancer metastasis mechanisms and potential therapeutic interventions.

What is the principle behind HRP-antibody conjugation?

HRP-antibody conjugation involves chemically linking horseradish peroxidase (HRP) enzyme to antibodies to create a detection system for immunoassays. The classical conjugation method uses sodium meta-periodate to oxidize carbohydrate moieties on the HRP molecule, generating aldehyde groups that can then react with primary amines on antibodies . The resulting Schiff bases are reduced to form stable conjugates. This conjugation allows researchers to leverage HRP's enzymatic activity (which produces colorimetric, chemiluminescent, or fluorescent signals when supplied with appropriate substrates) while maintaining the antibody's specific binding properties, creating a powerful tool for detecting and quantifying target antigens in various immunoassay formats.

How do I confirm successful conjugation of HRP to a MEIS3 antibody?

Confirming successful HRP-MEIS3 antibody conjugation requires multiple analytical approaches:

  • UV-Vis Spectrophotometry: Perform wavelength scanning from 280-800 nm. Unconjugated HRP typically shows a peak at 430 nm, while antibodies show absorption at 280 nm. Successfully conjugated products will display characteristics of both with potential peak shifts compared to the individual components .

  • SDS-PAGE Analysis: Run samples of conjugate alongside unconjugated antibody and HRP controls under both reducing and non-reducing conditions. Successful conjugation results in higher molecular weight bands compared to the individual components .

  • Functional Testing: Perform a direct ELISA using the conjugate at various dilutions with known positive and negative samples. A successfully conjugated MEIS3 antibody-HRP will maintain both antigen recognition and enzymatic activity, producing a dose-dependent signal .

Compare results to unconjugated controls to confirm that both the antibody binding specificity and HRP activity are preserved in the conjugate.

What applications are most suitable for MEIS3 antibody-HRP conjugates?

MEIS3 antibody-HRP conjugates are valuable tools for several research applications:

Each application requires optimization of conjugate dilution and detection conditions for optimal signal-to-noise ratio.

How does the lyophilization-enhanced HRP conjugation method improve MEIS3 antibody sensitivity, and what are the mechanistic differences compared to classical methods?

The lyophilization-enhanced HRP conjugation method represents a significant improvement over classical conjugation techniques, particularly for applications requiring high sensitivity such as MEIS3 detection in early disease stages:

Mechanistic differences:

  • Reaction Kinetics: The lyophilization step of activated HRP creates a freeze-dried intermediate that, when reconstituted with antibody solution, results in a more concentrated reaction environment. According to collision theory, the rate of chemical reactions is proportional to the number of molecular collisions, and lyophilization effectively increases the collision frequency between activated HRP and antibody molecules .

  • Structural Preservation: The freeze-drying process helps maintain the three-dimensional conformation of the activated HRP, potentially preserving more reactive aldehyde groups that would otherwise be lost through hydrolysis or side reactions in aqueous solutions .

  • Poly-HRP Formation: The modified method appears to promote the binding of multiple HRP molecules to each antibody molecule, creating a poly-HRP-antibody conjugate with amplified signal generation capability .

Sensitivity improvements:
Experimental data demonstrates that conjugates prepared using the lyophilization-enhanced method can be used at dilutions as high as 1:5000 in ELISA applications while maintaining detection capability, whereas classical method conjugates require much lower dilutions (1:25) to achieve comparable signals (p < 0.001) . This represents a 200-fold increase in working dilution, translating to significant improvements in assay sensitivity. For MEIS3 detection, this enhanced sensitivity would be particularly valuable for detecting low-level expression in early disease stages or in samples with limited material availability.

What strategies can resolve discrepancies between MEIS3 protein detection by HRP-conjugated antibodies and mRNA expression data in research samples?

Researchers frequently encounter discrepancies between MEIS3 protein detection and mRNA expression data. Several methodological approaches can help resolve these discrepancies:

Analytical approaches:

  • Temporal Sampling: Perform time-course experiments to account for the lag between mRNA expression and protein translation. MEIS3 mRNA levels may change more rapidly than protein levels due to differences in half-life and regulatory mechanisms .

  • Protein Stability Analysis: Investigate MEIS3 protein stability using cycloheximide chase assays to determine if post-translational modifications or protein degradation pathways affect MEIS3 protein levels independently of mRNA expression .

  • Subcellular Fractionation: MEIS3 functions as a transcription factor that may shuttle between cytoplasm and nucleus. Separate analysis of nuclear and cytoplasmic fractions may reveal redistribution rather than absolute expression changes .

  • Cross-Validation: Employ multiple antibodies targeting different MEIS3 epitopes, and use alternative detection methods such as mass spectrometry to confirm protein expression patterns .

Data interpretation considerations:
As noted in research on MEIS3 as a cancer biomarker: "Open databases and analysis platforms such as TCGA and GEO provided abundant clinical and corresponding gene expression data, most of which are mRNA levels based on gene chips and high-throughput sequencing. This allows our research to be based on a more solid and reliable foundation, although the expression of mRNA and protein is not a simple linear relationship."

Researchers should integrate both protein and mRNA data while acknowledging their different biological implications for a more complete understanding of MEIS3 biology.

How can researchers optimize HRP-conjugated MEIS3 antibody protocols for detecting low levels of expression in clinical samples?

Detection of low-level MEIS3 expression in clinical samples requires optimized protocols to maximize sensitivity without compromising specificity:

Sample preparation optimization:

  • Antigen Retrieval Optimization: For FFPE tissue samples, test multiple antigen retrieval methods including heat-induced epitope retrieval with citrate buffer (pH 6.0) versus EDTA buffer (pH 9.0), as described in MEIS3 IHC protocols: "The tissue samples were reverse-treated with 100% to 50% alcohol from xylene, dipped in sodium citrate antigen repair solution, and repaired with the microwave method."

  • Signal Amplification Systems: Implement tyramide signal amplification (TSA) which can enhance detection sensitivity by 10-100 fold by depositing additional HRP substrate around the initial binding site.

Protocol modifications table:

ParameterStandard ProtocolOptimized Low-Level Detection
Antibody concentration1:100 dilution1:50 dilution with overnight incubation
Incubation temperatureRoom temperature4°C for primary antibody
Incubation time1 hourOvernight (12-16 hours)
Buffer compositionPBS with 0.1% Tween-20PBS with 0.05% Tween-20 and 1% BSA
Signal developmentStandard DAB/TMBEnhanced chemiluminescence or fluorescent substrates
Background reduction10% serum blocking10% serum + 0.3% hydrogen peroxide pretreatment

Validation approach:
Implement a titration curve using samples with known MEIS3 expression levels to determine the lower limit of detection. For clinical validation, researchers should follow the approach used in MEIS3 biomarker studies: "When stratified by MEIS3 protein level and clinical stage, we could detect the patients with higher recurrence risk who would not be discovered by current clinical methods."

What controls and experimental design considerations are essential when using HRP-conjugated MEIS3 antibodies for quantitative comparison of expression across different tissue types?

Rigorous experimental design is crucial for valid quantitative comparisons of MEIS3 expression across different tissue types using HRP-conjugated antibodies:

Essential controls:

  • Positive and Negative Tissue Controls: Include known MEIS3-positive tissues (e.g., specific colorectal cancer samples with confirmed high expression) and MEIS3-negative tissues in each experimental run .

  • Isotype Controls: Include isotype-matched HRP-conjugated antibodies of irrelevant specificity to assess non-specific binding.

  • Absorption Controls: Pre-absorb HRP-conjugated MEIS3 antibody with recombinant MEIS3 protein to confirm signal specificity.

  • Internal Reference Standards: Include calibration samples with known MEIS3 concentrations in each assay run to generate a standard curve for quantitative comparisons.

Normalization strategies:
For Western blot analysis: "The ratio = (target/ACTB) was used to determine the abundance of the target protein in the cell sample."

For immunohistochemistry quantification, consider:

  • Digital image analysis with standardized acquisition parameters

  • Normalization to tissue area or cell count

  • H-score calculation (percentage of positive cells × staining intensity)

Tissue-specific considerations:
Different tissue types may require specific protocol modifications. For example, tissues with high endogenous peroxidase activity require more thorough peroxidase blocking steps: "Following a 10-min soak in 5% hydrogen peroxide, the tissue samples were rinsed under running water for 1 min before being incubated in 10% rabbit serum for 1 h."

How do storage conditions and freeze-thaw cycles affect the stability and performance of HRP-conjugated MEIS3 antibodies?

The stability and performance of HRP-conjugated MEIS3 antibodies can be significantly affected by storage conditions and repeated freeze-thaw cycles. Researchers should consider these impacts when designing experimental workflows:

Stability factors affecting conjugate performance:

Storage ConditionImpact on StabilityRecommended Action
TemperatureHRP activity decreases significantly at temperatures above 4°CStore at 4°C for short term (1-2 weeks) or -20°C with cryoprotectant for long term
Buffer compositionPreservatives may inhibit HRP activityUse glycerol (50%) as cryoprotectant rather than sodium azide
Freeze-thaw cyclesEach cycle can reduce activity by 5-20%Aliquot conjugate into single-use volumes before freezing
Light exposureHRP is light-sensitiveStore in amber vials or wrapped in foil
Protein concentrationHigher concentration improves stabilityStore at ≥1 mg/ml when possible

Performance assessment:
Researchers should periodically verify conjugate performance using:

  • Direct ELISA against a standard curve

  • Western blot against positive control samples

  • Spectrophotometric measurement of HRP activity using ABTS or TMB substrates

Research has shown that the modified conjugation protocol with lyophilization offers greater stability: "The advantage of the additional step is that active HRP can maintained at 4°C for longer duration." This suggests that lyophilized intermediates may provide a useful means of maintaining conjugate stability for long-term research projects.

How do MEIS3 expression patterns correlate with disease progression, and what are the implications for antibody-based detection methods?

MEIS3 expression exhibits specific patterns that correlate strongly with disease progression, particularly in colorectal cancer (CRC). Understanding these patterns has important implications for antibody-based detection methods:

Expression patterns in disease progression:

  • Spatial Distribution: "MEIS3-positive cells were mainly distributed in the growth front and tumor–stroma interface of the CRC tissues, which contain abundant EMT-active and tumor budding cells dominating cancer metastasis." This localization pattern suggests MEIS3 plays a role in invasion and metastasis.

  • Stage-Dependent Expression: "MEIS3 protein expression increased with CRC progression according to the clinical stage, which could be used as a biomarker to stratify CRC patients." This progressive increase makes MEIS3 a valuable marker for monitoring disease advancement.

  • Correlation with Survival: "The 5-year DFS of MEIS3-high patients was poorer than that of MEIS3-low patients (40.6% vs. 61.7%; p < 0.0001)." This strong correlation with survival highlights MEIS3's potential as a prognostic biomarker.

Implications for antibody-based detection:

  • Selective Sampling: Detection methods must account for the heterogeneous distribution of MEIS3, particularly focusing on tumor margins and invasion fronts rather than central tumor regions.

  • Sensitivity Requirements: Early-stage detection requires highly sensitive antibody conjugates capable of detecting subtle changes in expression levels, which can be achieved through enhanced conjugation methods like lyophilization .

  • Quantitative Analysis: Given the prognostic value of MEIS3 expression levels, antibody-based methods should be optimized for accurate quantification rather than just qualitative detection.

  • Multi-marker Approaches: Combining MEIS3 antibody detection with other EMT markers may provide more comprehensive prognostic information: "MEIS3 can promote metastasis by activating functional genes such as LamB1, VIM, and FN1, which play crucial roles in the EMT and tumor budding."

What are the technical challenges in developing standardized protocols for MEIS3 antibody-HRP conjugates for clinical biomarker applications?

Developing standardized protocols for MEIS3 antibody-HRP conjugates that can be reliably used in clinical biomarker applications faces several key technical challenges:

Standardization challenges:

  • Antibody Variability: Different lots of MEIS3 antibodies may exhibit variable epitope recognition and binding affinities, affecting consistency of results. Researchers need rigorous validation to ensure lot-to-lot consistency.

  • Conjugation Efficiency: The efficiency of HRP conjugation to MEIS3 antibodies can vary between preparations. Implementing quality control metrics such as HRP:antibody molar ratio determination is essential for standardization.

  • Sample Processing Variables: Pre-analytical variables (fixation time, processing methods) significantly impact MEIS3 detection. As noted in research methodologies: "The tissues were dehydrated in various alcohol concentrations (i.e., 70%, 80%, 95%, 100%, and 100%), made transparent with xylene, fixed in 4% paraformaldehyde, and finally embedded in paraffin wax for 24 h." Standardizing these procedures is crucial.

  • Threshold Determination: Establishing clinically relevant thresholds for "MEIS3-high" versus "MEIS3-low" expression requires multicenter validation studies. Current research notes: "Our research has benefited from these public platforms, but we need a larger retrospective cohort to study the feasibility of MEIS3 as a biomarker for high recurrence risk before this marker can be applied clinically."

Potential solutions:

  • Reference Standards: Develop calibrated reference materials with defined MEIS3 concentrations for assay calibration.

  • Automated Conjugation: Implement automated conjugation systems to reduce operator-dependent variables.

  • Digital Pathology: Utilize digital image analysis algorithms for standardized quantification of immunohistochemical staining.

  • Harmonization Studies: Conduct inter-laboratory comparison studies to identify and address sources of protocol variability.

For improved standardization, researchers studying MEIS3 as a biomarker recommend: "The combination of tumor budding/EMT, functional genes, and clinical stage may effectively screen patients with high recurrence risk."

What troubleshooting approaches can address weak or inconsistent signals when using MEIS3 antibody-HRP conjugates in immunoassays?

Weak or inconsistent signals when using MEIS3 antibody-HRP conjugates in immunoassays can arise from multiple sources. A systematic troubleshooting approach is essential for resolving these issues:

Common causes and solutions for weak signals:

ProblemPossible CausesTroubleshooting Approach
Low signal intensityHRP denaturationPrepare fresh working solution; verify storage conditions
Insufficient antigenIncrease sample concentration; optimize antigen retrieval
Low conjugation efficiencyUse enhanced conjugation methods: "The conjugate resulted from modified method...are treated along with HRPO and dengue antibodies"
High backgroundNon-specific bindingIncrease blocking concentration; optimize washing steps
Excess conjugateTitrate conjugate concentration: "Based on the findings from dilution response curve, we found that better sensitive conjugates were formed with enhanced method"
Inconsistent resultsVariable sample processingStandardize fixation and processing protocols
Conjugate instabilityPrepare single-use aliquots; verify activity before each experiment

Signal optimization strategy:

  • Perform a titration series: Test conjugate dilutions from 1:100 to 1:5000 to identify optimal signal-to-noise ratio .

  • Modify substrate incubation: Adjust substrate development time based on signal intensity.

  • Implement signal amplification: For very low MEIS3 expression, consider additional amplification systems.

  • Verify antibody specificity: Confirm recognition of target with appropriate controls.

Research has shown that the modified conjugation method significantly improves detection sensitivity: "In lyophilized method ELISA reading was obtained with dilution of even 1:5000 sensitivity to detect antigen, but in conjugate prepared by using the classical method of conjugations it needed significantly high dilutions of 1:25 for the same amount of antigen preparation."

How should researchers interpret conflicting results between different detection methods for MEIS3 expression using HRP-conjugated antibodies?

Researchers may encounter conflicting results when using different detection methods with HRP-conjugated MEIS3 antibodies. A systematic approach to interpretation can help resolve these discrepancies:

Analytical framework for conflicting results:

  • Method-specific considerations:

    • Western Blot vs. ELISA: Western blot detects denatured protein while ELISA may detect native conformation. MEIS3 conformational epitopes may be differentially accessible.

    • IHC vs. ELISA: IHC reveals spatial distribution within tissues, while ELISA provides whole-sample quantification. As noted in research: "MEIS3-positive cells were mainly distributed in the growth front and tumor–stroma interface of the CRC tissues" , suggesting heterogeneous expression that might be diluted in whole-tissue lysates.

    • Direct vs. Indirect Detection: Direct detection with HRP-conjugated primary antibodies eliminates potential secondary antibody cross-reactivity but may have lower sensitivity than amplified indirect systems.

  • Hierarchical data evaluation approach:

    • Prioritize results from methods with more comprehensive controls

    • Consider sensitivity differences between methods

    • Evaluate specificity controls for each method

    • Assess whether discrepancies are quantitative (magnitude) or qualitative (presence/absence)

  • Integrative data interpretation:

    • For prognostic applications, prioritize methods shown to correlate with clinical outcomes: "When stratified by MEIS3 protein level and clinical stage, we could detect the patients with higher recurrence risk"

    • Use orthogonal non-antibody methods (e.g., mass spectrometry, RNA-seq) to resolve antibody-based detection conflicts

    • Consider biological context when interpreting results

In studies of MEIS3 as a cancer biomarker, researchers noted that "the expression of mRNA and protein is not a simple linear relationship" , highlighting the importance of using multiple detection methods and understanding the biological context when interpreting conflicting results.

How might emerging multiplex technologies be integrated with MEIS3 antibody-HRP conjugates for more comprehensive cancer biomarker profiling?

The integration of MEIS3 antibody-HRP conjugates with emerging multiplex technologies offers promising avenues for more comprehensive cancer biomarker profiling:

Multiplex integration strategies:

  • Sequential Multiplex Immunohistochemistry: This approach allows detection of multiple markers on the same tissue section through cycles of antibody application, imaging, and stripping. MEIS3 antibody-HRP conjugates can be integrated with antibodies against EMT markers since research shows "MEIS3 can promote metastasis by activating functional genes such as LamB1, VIM, and FN1, which play crucial roles in the EMT and tumor budding."

  • Multi-color Immunofluorescence: By utilizing HRP-conjugated MEIS3 antibodies with tyramide signal amplification and spectrally distinct fluorophores, researchers can simultaneously visualize MEIS3 with other biomarkers in spatial context, addressing findings that "MEIS3-positive cells were mainly distributed in the growth front and tumor–stroma interface of the CRC tissues."

  • Antibody Microarrays: HRP-conjugated MEIS3 antibodies can be incorporated into microarray platforms with other cancer biomarkers for high-throughput screening applications, combining the sensitivity of enhanced conjugation methods with multiplexed detection .

  • Digital Spatial Profiling: Combining HRP-conjugated MEIS3 antibodies with spatial transcriptomics could correlate protein expression with gene expression patterns at the single-cell level within tissue architecture.

Methodological considerations:
When implementing multiplex technologies, researchers must carefully optimize:

  • Signal separation between detection channels

  • Order of antibody application to prevent cross-reactivity

  • Signal normalization across different markers

  • Data integration algorithms to correlate multiple biomarker signals

What role might MEIS3 antibody-HRP conjugates play in developing liquid biopsy approaches for early cancer detection?

MEIS3 antibody-HRP conjugates could play a significant role in developing liquid biopsy approaches for early cancer detection, leveraging the enhanced sensitivity offered by optimized conjugation techniques:

Potential liquid biopsy applications:

  • Circulating Tumor Cell (CTC) Detection: HRP-conjugated MEIS3 antibodies could identify CTCs expressing MEIS3, which would be particularly valuable given MEIS3's association with metastasis: "MEIS3 can promote cancer cell metastasis and thus may be a promising biomarker for higher rates of metastasis." Enhanced conjugation methods providing improved sensitivity would be crucial for detecting rare CTCs in peripheral blood.

  • Exosome Analysis: Cancer-derived exosomes may contain MEIS3 protein or be derived from MEIS3-expressing cells. HRP-conjugated antibodies could be utilized in exosome capture and analysis workflows, potentially providing early detection of MEIS3-high tumors before clinical manifestation.

  • Protein Biomarker Panels: MEIS3 detection could be incorporated into multiplexed protein biomarker panels for blood-based early detection. Research indicates that "MEIS3 can promote metastasis by activating functional genes such as LamB1, VIM, and FN1," suggesting that a panel including these markers might provide more comprehensive risk assessment.

Technical requirements for liquid biopsy implementation:

For liquid biopsy applications, further optimization of the HRP-conjugation method would be necessary to achieve the required sensitivity. The enhanced conjugation approach using lyophilization has demonstrated significant improvement in detection sensitivity: "conjugate prepared using modified method can detect antigen as low as 1.5 ng" , which would be valuable for detecting the low concentrations of MEIS3 expected in liquid biopsies.

The prognostic value already demonstrated for tissue-based MEIS3 detection suggests potential value in liquid biopsy applications: "The 5-year DFS of stage II patients with MEIS3-high expression (53.4%) was comparable to that of stage III patients with MEIS3-low expression (49.5%)." This indicates that MEIS3 detection in liquid biopsies could potentially identify patients at higher risk for recurrence who might benefit from more aggressive monitoring or treatment.

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