CN100464189C - Magnetic separation direct chemiluminescence reagent and test method using the same - Google Patents
Magnetic separation direct chemiluminescence reagent and test method using the same Download PDFInfo
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Abstract
本发明涉及一种磁分离直接化学发光试剂及其测试方法,主要是采用异鲁米诺衍生物作为发光标记物,羊抗FITC多克隆抗体包被的免疫纳米磁性微珠作为分离试剂,用NaOH和H2O2作为发光底物的磁化学直接发光的试剂及测试方法;本发明所述的试剂稳定、不污染、不分解及不受环境因素的影响,所述的测试方法速度快、结果准确。
The invention relates to a magnetic separation direct chemiluminescence reagent and a testing method thereof, mainly using isoluminol derivatives as luminescent markers, immune nano-magnetic microbeads coated with goat anti-FITC polyclonal antibodies as separation reagents, and using NaOH and H 2 O 2 reagents and test methods for direct magnetochemical luminescence as luminescent substrates; the reagents described in the present invention are stable, non-polluting, non-decomposed and not affected by environmental factors, and the test method is fast and the result is precise.
Description
技术领域 technical field
本发明涉及一种磁分离直接化学发光试剂及采用该试剂的测试方法,特别是采用异鲁米诺衍生物分作为标记物、纳米磁性微珠作为分离材料的试剂。The invention relates to a magnetic separation direct chemiluminescence reagent and a test method using the reagent, in particular to a reagent using isoluminol derivatives as markers and nano magnetic microbeads as separation materials.
背景技术 Background technique
现代临床医学技术的飞速发展,要求对越来越多人血或尿液中的微量活性物质进行精确定量测定,为临床医生诊断疾病,制定有效的治疗方案,治疗效果评价提供准确的依据,目前,实现人血清或尿液中微量活性物质精确定量分析的方法主要有放射免疫分析方法、酶免疫分析方法、酶促化学发光或吖啶酯标记的直接化学发光方法及三联吡啶钌标记的电化学发光方法。The rapid development of modern clinical medical technology requires the precise quantitative determination of trace active substances in more and more people's blood or urine to provide accurate basis for clinicians to diagnose diseases, formulate effective treatment plans, and evaluate treatment effects. , the methods to achieve accurate quantitative analysis of trace active substances in human serum or urine mainly include radioimmunoassay, enzyme immunoassay, enzymatic chemiluminescence or acridinium ester-labeled direct chemiluminescence method and triple pyridine ruthenium-labeled electrochemical Luminous method.
放射免疫分析法是采用放射性同位素I125作为示踪剂,标记在抗原或相应抗体上,在γ射线探测仪上,通过对I125放射线强度的测定,来确定待测物质的含量,这种方法虽然较好地解决了微量活性物质的定量分析目的,但其存在的缺陷是很明显的:放射性同位素I125作为示踪技术,在试剂的制造、贮存、应用操作过程中,对环境带来污染,给人体造成了严重的伤害;同时,由于I125半衰期的限制,决定了放射免疫分析试剂的有效期只有一个月;放免试剂的有效期也只有一个月;分离过程的非特异性导致结果的准确率差,还不能做急诊标本。Radioimmunoassay uses the radioactive isotope I 125 as a tracer, which is marked on the antigen or the corresponding antibody. On the gamma ray detector, the content of the substance to be tested is determined by measuring the intensity of the I 125 radiation. This method Although the purpose of quantitative analysis of trace active substances has been well solved, its defects are obvious: as a tracer technology, radioisotope I 125 will pollute the environment during the manufacture, storage and application of reagents. , causing serious harm to the human body; at the same time, due to the limitation of the half-life of I 125 , the validity period of the radioimmunoassay reagent is only one month; the validity period of the radioimmunoassay reagent is also only one month; the non-specificity of the separation process leads to poor accuracy of the results , can not do emergency specimens.
酶免疫分析方法是采用HRP辣根过氧化物酶作为发光标记物,塑料微孔板作为载体和分离技术,OPD邻苯二胺等作为显色底物,1MH2SO4作为酶显色反应的终止溶液,通过测定酶反应产物波长在492nm处的吸光度值来分析待测物质的浓度,这种方法主要用来进行大批量人血清标本的定性筛查,其缺陷是显色产物的颜色强度随时间的变化而变化,不能固定不变,显色底物OPD等是强致癌物,同时对相当一部分微量激素的灵敏度不够,反应时间太长,操作过程中难以规范化。The enzyme immunoassay method uses HRP horseradish peroxidase as a luminescent marker, plastic microwell plate as a carrier and separation technology, OPD o- phenylenediamine , etc. Stop the solution, and analyze the concentration of the substance to be tested by measuring the absorbance value of the enzyme reaction product wavelength at 492nm. This method is mainly used for qualitative screening of a large number of human serum samples. The defect is that the color intensity of the chromogenic product varies with Time changes and cannot be fixed. The chromogenic substrate OPD is a strong carcinogen. At the same time, the sensitivity to a considerable part of trace hormones is not enough, the reaction time is too long, and it is difficult to standardize during the operation.
酶促化学发光免疫分析方法是采用碱性磷酸酶AKP或辣根酶HRP作为标记物,用AMPPD(金刚烷)或鲁米诺、H2O2作为发光底物;其优点是待测物转变成可测定的光信号,显著提高了分析的灵敏度,其缺点是影响酶活性的诸多因素,如环境温度、温育温度和时间、保存条件等有将直接影响测定结果,试剂的稳定性不好;同时,该方法发光反应启动缓慢,需要在37℃温育一定的时间才能达到发光平台,会更强地影响发光测定的结果。The enzyme-catalyzed chemiluminescent immunoassay method uses alkaline phosphatase AKP or horseradish enzyme HRP as a marker, and uses AMPPD (adamantane) or luminol, H2O2 as a luminescent substrate; its advantage is that the analyte is converted The optical signal can be measured, which significantly improves the sensitivity of the analysis. The disadvantage is that many factors that affect the enzyme activity, such as ambient temperature, incubation temperature and time, storage conditions, etc., will directly affect the measurement results, and the stability of the reagent is not good. At the same time, the luminescence reaction of this method is slow to start, and it needs to be incubated at 37° C. for a certain period of time to reach the luminescence platform, which will strongly affect the result of the luminescence measurement.
另外,吖啶酯标记的直接化学发光方法、三联吡啶钌标记的电化学发光方法等在分析过程中带来试剂不稳定、分析结果准确率不高和测试速度不够快等缺陷,给准确分析微量活性物质的量带来了阻碍。In addition, the direct chemiluminescence method labeled with acridinium ester and the electrochemiluminescence method labeled with ruthenium terpyridine bring defects such as unstable reagents, low accuracy of analysis results and insufficient test speed during the analysis process, which hinders the accurate analysis of trace amounts. The amount of active substance presents a hindrance.
发明内容 Contents of the invention
本发明的目的在于针对上述现有技术中的不足之处,提供一种磁分离直接化学发光的试剂,特别是采用异鲁米诺衍生物作标记物、纳米磁珠作为分离材料的磁化学直接发光试剂。The purpose of the present invention is to provide a reagent for magnetic separation direct chemiluminescence, especially a magnetic chemical direct chemiluminescence reagent using isoluminol derivatives as markers and nano-magnetic beads as separation materials. Luminescence reagent.
本发明另一目的是用上述磁分离直接化学发光试剂的测试方法。Another object of the present invention is a test method for direct chemiluminescent reagents using the above-mentioned magnetic separation.
为实现上述目的,本发明是采用以下技术方案实现的:To achieve the above object, the present invention is achieved by adopting the following technical solutions:
所述的磁分离直接化学发光试剂包括发光标记物、分离试剂、FITC-抗体联系物和标准抗原或抗体,其中,发光标记物是异鲁米诺衍生物,所述的异鲁米诺衍生物结构式是:The magnetic separation direct chemiluminescent reagent includes a luminescent marker, a separation reagent, a FITC-antibody conjugate and a standard antigen or antibody, wherein the luminescent marker is an isoluminol derivative, and the isoluminol derivative The structural formula is:
或 or
其中:R1是C2H5、C3H7或C4H9,R2是NH2-(CH2)4、NH2-(CH2)6、NH2-(CH2)8或NH2-(CH2)10,优选ABEI和AHEI,其结构式中R1是C2H5,R2是NH2-(CH2)4或NH2-(CH2)6;Where: R1 is C 2 H 5 , C 3 H 7 or C 4 H 9 , R 2 is NH 2 -(CH 2 ) 4 , NH 2 -(CH 2 ) 6 , NH 2 -(CH 2 ) 8 or NH 2 -(CH 2 ) 10 , preferably ABEI and AHEI, in which R1 is C 2 H 5 , R2 is NH 2 -(CH 2 ) 4 or NH 2 -(CH 2 ) 6 ;
所述的分离试剂是羊抗FITC包被的纳米磁性微珠所述的纳米磁性微珠,其是里面包覆有Fe3O4或Fe2O3,外面含有-OH,-COOH,-NH2活性基团的微珠,优选-COOH和-NH2,其活性基团的含量是0.05-0.5eqm/g;所述的羊抗FITC包被的纳米磁性微珠是在单抗或抗原上标记。The separation reagent is sheep anti-FITC coated nano-magnetic micro-beads. The nano-magnetic micro-beads are coated with Fe 3 O 4 or Fe 2 O 3 inside and contain -OH, -COOH, -NH 2 Microbeads of active groups, preferably -COOH and -NH 2 , the content of the active groups is 0.05-0.5eqm/g; the nano-magnetic microbeads coated with goat anti-FITC are on the monoclonal antibody or antigen mark.
本发明采用的以下步骤进行分析测试的:The following steps that the present invention adopts are analyzed and tested:
A、将分别标记有异鲁米诺衍生物、FITC的单克隆抗体和待测血清混匀温育;A. Mix and incubate the monoclonal antibody labeled with isoluminol derivatives, FITC and the serum to be tested respectively;
B、待免疫反应完成后,再加入羊抗包被FITC多克隆抗体的免疫纳米磁性微珠;B. After the immune reaction is completed, add goat anti-immune nano-magnetic beads coated with FITC polyclonal antibody;
C、在外加磁场的作用下,将抗原-抗体复合物特异性分离,用洗液清洗后将底部试管放入测量室内;C. Under the action of an external magnetic field, the antigen-antibody complex is specifically separated, and the bottom test tube is placed in the measurement chamber after being washed with a lotion;
D、用自动注射泵泵入激发底物NaOH和H2O2;D. Pump the excitation substrates NaOH and H 2 O 2 with an automatic syringe pump;
E、用光电倍增管计数试管内混合产物发出的光子数量,用分析仪分析得出待测物的结果。E. Use a photomultiplier tube to count the number of photons emitted by the mixed product in the test tube, and use an analyzer to analyze and obtain the result of the analyte.
本发明中,所述异鲁米诺衍生物发光标记物的单克隆抗体是通过将异鲁米诺衍生物发光标记物与二氯硫化碳或N-羟基琥珀酸联接后,再与单克隆抗体联接而得,所述的C步骤中,试管底部是以纳米磁性微珠为载体。In the present invention, the monoclonal antibody of the luminescent marker of the isoluminol derivative is obtained by linking the luminescent marker of the isoluminol derivative with carbon dichloride or N-hydroxysuccinic acid, and then with the monoclonal antibody In step C, the bottom of the test tube uses nano-magnetic microbeads as a carrier.
所述的磁分离直接化学发光免疫分析测试方法可分为夹心法和竞争法,其设计式分别见图1和图2,在图中Ab1*和Ag*分别表示在Ab1和Ag上标记异鲁米诺衍生物ABEI或AHEI,Ab2 FITC和AbFITC分别表示在Ab2和Ab上标记FITC小分子,FITC为异硫氰酸荧光磺,The described magnetic separation direct chemiluminescence immunoassay testing method can be divided into sandwich method and competition method, and its design formula is shown in Fig. 1 and Fig. 2 respectively, and Ab 1 * and Ag* in the figure represent respectively labeling on Ab 1 and Ag Isoluminol derivatives ABEI or AHEI, Ab 2 FITC and Ab FITC represent small molecules labeled FITC on Ab 2 and Ab respectively, FITC is fluorescent sulfur isothiocyanate,
表示在纳米磁珠表面联接抗FITC抗体。 Indicates that the anti-FITC antibody is attached to the surface of the nano magnetic beads.
根据本发明所述的磁分离直接化学发光分析方法,其技术效果有以下几方面:According to the magnetic separation direct chemiluminescence analysis method of the present invention, its technical effect has the following aspects:
1、采用异鲁米诺衍生物作为发光标记物,彻底克服了传统的吖啶酯的容易水解的缺陷,作为直接化学发光模式,不但分析速度快,接近全自动直接化学发光的180个测试/小时,完全避免了酶促发光的酶活性易下降的缺陷;1. The use of isoluminol derivatives as luminescent markers completely overcomes the defect of easy hydrolysis of traditional acridinium esters. As a direct chemiluminescence mode, not only the analysis speed is fast, but it is close to the automatic direct chemiluminescence of 180 tests/ Hours, completely avoid the defect that the enzyme activity of enzymatic luminescence is easy to decrease;
2、采用纳米免疫磁性微珠作为抗体的载体和抗原-抗体免疫复合物的分离试剂,大大缩短免疫反应的时间,其中分离免疫反应时间仅需5分钟,整个免疫反应时间仅需20分钟,且测试结果的高准确率、高精密度;2. Nano-immunomagnetic microbeads are used as the carrier of the antibody and the separation reagent of the antigen-antibody immune complex, which greatly shortens the time of the immune reaction. The time for the separation of the immune reaction is only 5 minutes, and the time for the entire immune reaction is only 20 minutes, and High accuracy and precision of test results;
3、FITC和羊抗FITC抗体包被纳米磁珠的桥联抗体免疫设计技术,大大简化了整个试剂系统的免疫学设计,在纳米磁珠表面强大蛋白吸附容量特性支持下,使得纳米免疫磁性微珠成为所有测试项目的公用试剂,简化了生产程序。3. The bridging antibody immune design technology of FITC and goat anti-FITC antibody coated nano-magnetic beads greatly simplifies the immunological design of the entire reagent system. With the support of the strong protein adsorption capacity on the surface of nano-magnetic beads, the nano-immunomagnetic Beads become a common reagent for all test items, simplifying production procedures.
附图说明 Description of drawings
图1是磁分离直接化学发光免疫夹心法设计图;Figure 1 is a design diagram of the magnetic separation direct chemiluminescence immune sandwich method;
图2是磁分离直接化学发光免疫竞争法设计图Figure 2 is the design diagram of the magnetic separation direct chemiluminescence immunocompetition method
具体实施方式 Detailed ways
本发明是采用人工合成异鲁米诺衍生物作为发光标记物,直接标记在抗原或抗体上,通过CSCl2活化异鲁米诺苯环侧链上的NH2,形成异硫氰酸酯衍生物,通过其中的-N=C=S键直接与抗原或抗体上胺基联接,分离纯化,去除未链接的异鲁米诺-N=C=S,异鲁米诺的化学发光反应是在金属Mn2+、Fe2+、ClO-等存在下,激发试剂NaOH造成的碱性环境,通过异鲁米诺衍生物与激发试剂H2O2的氧化反应,产生波长为400-600nm的可见光,构成一个典型的直接化学发光反应。The present invention uses artificially synthesized isoluminol derivatives as luminescent markers, which are directly marked on antigens or antibodies, and NH 2 on the side chain of the benzene ring of isoluminol is activated by CSCl 2 to form isothiocyanate derivatives , through which the -N=C=S bond is directly linked to the amine group on the antigen or antibody, separated and purified, and the unlinked isoluminol-N=C=S is removed. The chemiluminescent reaction of isoluminol is carried out on the metal In the presence of Mn 2+ , Fe 2+ , ClO - , etc., the alkaline environment caused by the excitation reagent NaOH, through the oxidation reaction of isoluminol derivatives and the excitation reagent H 2 O 2 , produces visible light with a wavelength of 400-600nm, Constitute a typical direct chemiluminescent reaction.
本发明中,纳米磁性微珠表面基团的测定,是将磁珠分散在10-2M Nacl溶液中,采用电位滴定法来测量磁珠表面的—COOH或-NH2含量,滴定液用5×10- 3M NaOH溶液,采用双平行线法求得滴定终点,计算出每克磁珠的表面羧基、胺基或羟基含量为0.05-0.5eqm/g。In the present invention, the mensuration of the surface group of nano-magnetic microbeads is to disperse the magnetic beads in a 10 -2 M Nacl solution, and use potentiometric titration to measure the -COOH or -NH content on the surface of the magnetic beads. ×10 - 3 M NaOH solution, the titration end point is obtained by the double parallel line method, and the calculated surface carboxyl group, amine group or hydroxyl group content per gram of magnetic beads is 0.05-0.5eqm/g.
本发明中分析测试方法所用的分析仪,包括电源电路、自动注射泵1和2、测量室、发光室、光电倍增管计数器和输出系统,同时还配置有计算机与中文界面的Windows控制软件,可进行资料录入、结果汇总、质量控制、结果储存和结果查讯等功能,可完成多种分析模式的编程,定量或定性报告结果,自动生成并储存、更新功能,两点自动修正标准曲线。The used analyzer of analytical test method among the present invention comprises power supply circuit, automatic syringe pump 1 and 2, measurement room, light-emitting room, photomultiplier tube counter and output system, also is equipped with the Windows control software of computer and Chinese interface simultaneously, can Perform functions such as data entry, result summary, quality control, result storage and result inquiry, etc., can complete the programming of various analysis modes, quantitative or qualitative report results, automatic generation, storage, and update functions, and two-point automatic correction of the standard curve.
实施例1Example 1
1、异鲁米诺衍生物标记的单克隆抗体的制备:1. Preparation of monoclonal antibody labeled with isoluminol derivatives:
取3.2mmolABEI三个试管,分别溶于0.2ml二次水中,3.5mmolCSCl2溶于0.3mlDMF中,二者混合均匀,室温反应2h,分别取10mganti-CEA-α、anti-AFP-α和10mg anti-PSA-α单克隆抗体,用PH9.5碳酸盐缓冲液调体积到1ml,加入上述活化的ABEI溶液,混匀后,室温反应20h,过G-25凝胶柱纯化;Take three test tubes of 3.2mmol ABEI, dissolve them in 0.2ml secondary water, 3.5mmol CSCl 2 in 0.3ml DMF, mix the two evenly, react at room temperature for 2h, take 10mg anti-CEA-α, anti-AFP-α and 10mg anti -PSA-α monoclonal antibody, adjust the volume to 1ml with pH9.5 carbonate buffer, add the above-mentioned activated ABEI solution, mix well, react at room temperature for 20h, and purify through G-25 gel column;
2、FITC标记CEA、AFP、PSA单克隆抗体2. FITC-labeled CEA, AFP, PSA monoclonal antibody
取10mg抗CEA-β、AFP-β和PSA-β单克隆抗体,用PH9.5碳缓调体积到1ml,加入FITC100ug,置室温反应20小时,过G-25凝胶柱纯化;Take 10mg of anti-CEA-β, AFP-β and PSA-β monoclonal antibodies, slowly adjust the volume to 1ml with pH9.5 carbon, add FITC100ug, react at room temperature for 20 hours, and purify through G-25 gel column;
3、纳米磁性微珠表面包被羊抗FITC多克隆抗体的制备:3. Preparation of goat anti-FITC polyclonal antibody coated on the surface of nano-magnetic microbeads:
纳米磁性微珠的制备是按中国专利制备,专利号为CN92105584.6,磁珠的表面为含有-NH2的基团,其含量是0.17eq/g;取10ml磁珠,浓度为30mg/ml,用P7.4的PBS0.01M清洗二遍,最后悬浮在10ml0.01MPH7.4的PBS中,加50%戊二醛溶液10-100μl,使戊二醛终浓度为0.01-0.5%,加入纯化的羊抗FITC IgG抗体100μg-1000μg,37℃反应2小时,在磁铁上去上清,用含0.01-1%BSA的0.01MPH7.4的PBS清洗三遍,最后悬浮在该溶液中,加入0.01-0.5%的NaN3 The preparation of nano-magnetic micro-beads is prepared according to the Chinese patent, the patent number is CN92105584.6, the surface of the magnetic beads is a group containing -NH 2 , and its content is 0.17eq/g; take 10ml of magnetic beads, the concentration is 30mg/ml , wash twice with PBS0.01M of P7.4, and finally suspend in 10ml of PBS of 0.01MPH7.4, add 10-100μl of 50% glutaraldehyde solution to make the final concentration of glutaraldehyde 0.01-0.5%, add purification Goat anti-FITC IgG antibody 100μg-1000μg, react at 37°C for 2 hours, remove the supernatant on the magnet, wash three times with 0.01MPH7.4 PBS containing 0.01-1% BSA, and finally suspend in the solution, add 0.01- 0.5% NaN3
4、磁分离直接化学发光试剂制备及结果分析4. Preparation of magnetic separation direct chemiluminescence reagent and result analysis
取CEA、AFP和PSA标准品,血清标本各20μl,加入发光标记物单克隆抗体的ABEI和FITC单克隆抗体各40μl,混匀后在37℃的温度下温育,水浴15分钟;待免疫反应发生后加入表面包被羊抗FITC多克隆抗体的免疫纳米磁珠分离试剂40μl,混匀,水浴5分钟,在外加磁场的作用下,上分离器分离4分钟,倒去上清;再加应用洗液400μl,混匀,分离4分钟,倒去上清;重复上述步骤分离一次后,直接将试管放入分析仪的测量室,自动泵泵入激发底物NaOH和H2O2发生直接发光反应,同时用光电倍增管计量光子数量,分析仪分析并打印出结果。Take CEA, AFP and PSA standard products, 20 μl each of serum samples, add 40 μl of luminescent marker monoclonal antibody ABEI and FITC monoclonal antibody each, mix well and incubate at 37°C for 15 minutes in a water bath; wait for the immune reaction After the occurrence, add 40 μl of immune nano-magnetic beads separation reagent coated with goat anti-FITC polyclonal antibody on the surface, mix well, and bathe in water for 5 minutes. Wash 400 μl, mix well, separate for 4 minutes, pour off the supernatant; repeat the above steps for one separation, put the test tube directly into the measurement chamber of the analyzer, and pump the excitation substrate NaOH and H 2 O 2 into the excitation substrate to generate direct luminescence Reaction, while using photomultiplier tubes to measure the number of photons, the analyzer analyzes and prints out the results.
选择20份临床标本,按上述实验过程进行分析测试,本实例中,原发性早期肝癌2例,肝癌切除术病人2例,直肠癌3例,前列腺类1例,前列腺肥大1例,正常人11例,其结果列于表1中。Select 20 clinical specimens and analyze and test according to the above experimental process. In this example, there are 2 cases of primary early liver cancer, 2 cases of liver cancer resection patients, 3 cases of rectal cancer, 1 case of prostate, 1 case of prostatic hypertrophy, and normal subjects. 11 cases, the results are listed in Table 1.
表1Table 1
4#和6#病人为原发性早期肝癌病人,AFP值持续长时间增高,11#和14#为肝癌切除术并处于放疗和化疗中的病人,其血清中AFP浓度已经下降,但仍没有降至正常值范围,提示疗效不明显,仍有转恶的可能;2#、8#和6#病人的AFP值也超过正常值,但临床诊断是直肠癌,其CEA值明显增高,尤其是16#,CEA更高达1270mIU/ml,这可能说明不同肿瘤标志物间存在某种联系或交叉,1#和8#病人分别为前列腺类和单纯前列腺肥大,其PSA测定值轻微升高。Patients 4 # and 6 # are primary early liver cancer patients, and the AFP value continues to increase for a long time. 11 # and 14 # are patients who have undergone liver cancer resection and are undergoing radiotherapy and chemotherapy. The AFP concentration in serum has decreased, but there is still no The AFP value of patients 2 # , 8 # and 6 # also exceeded the normal value, but the clinical diagnosis was rectal cancer, and the CEA value increased significantly, especially In 16 # , CEA was as high as 1270mIU/ml, which may indicate that there is a certain connection or crossover between different tumor markers. 1 # and 8 # patients were prostatic and simple prostatic hypertrophy, and their PSA measurement values were slightly increased.
从表1的数据分析来看,用本明所述的磁发光免疫分析测试方法所得出的结果有很好的临床相符性。From the data analysis in Table 1, it can be seen that the results obtained by the magnetoluminescence immunoassay test method described in the present invention have good clinical consistency.
实施例2Example 2
异鲁米诺衍生物单克隆抗体的制备和纳米磁性微珠表面包被羊抗FITC多克隆抗体的制备方法与实施例1相同,本实施例所用的发光标记物是AHEI,磁珠的表面为含有-COOH的基团,其含量是0.3eq/g;The preparation of monoclonal antibody of isoluminol derivatives and the preparation method of goat anti-FITC polyclonal antibody coated on the surface of nano-magnetic microbeads are the same as in Example 1. The luminescent marker used in this example is AHEI, and the surface of the magnetic beads is The group containing -COOH, its content is 0.3eq/g;
分别取TSH、T3、T4、FT3和FT4标准品,血清标本各20μl,分别加入发光标记物单克隆抗体的AHEI和FITC单克隆抗体各40μl,混匀后在37℃的温度下温育,水浴15分钟;待免疫反应发生后加入表面包被羊抗FITC多克隆抗体的免疫纳米磁珠分离试剂40μl,混匀,水浴5分钟,在外加磁场的作用下,上分离器分离4分钟,倒去上清;再加洗液400μl,混匀,分离4分钟,倒去上清;重复上述步骤分离一次后,直接将试管放入分析仪的测量室,自动泵泵入激发底物NaOH和H2O2发生直接发光反应,同时用光电倍增管计量光子数量,分析仪分析并打印出结果。Take TSH, T3, T4, FT3 and FT4 standard products, 20 μl each of serum samples, add 40 μl each of AHEI and FITC monoclonal antibodies of the luminescent marker monoclonal antibody, mix well and incubate at 37°C, in a water bath 15 minutes; after the immune reaction occurs, add 40 μl of immune nano-magnetic beads separation reagent coated with goat anti-FITC polyclonal antibody on the surface, mix well, and bathe in water for 5 minutes. Under the action of an external magnetic field, separate on the upper separator for 4 minutes, pour Supernatant; add 400 μl of washing solution, mix well, separate for 4 minutes, pour off the supernatant; repeat the above steps for one separation, put the test tube directly into the measurement chamber of the analyzer, and pump the excitation substrates NaOH and H 2 with the automatic pump O 2 undergoes a direct luminescent reaction, while using a photomultiplier tube to measure the number of photons, and the analyzer analyzes and prints out the results.
选择261例临床标本,其中临床确诊甲减37例,初诊甲亢50例,随诊甲亢26例,治愈甲亢6例,甲状腺瘤13例,甲状腺肿5例,正常人对照120例,年龄18—68岁,男45例,凡研究对象静脉采血,分离血清,-20℃贮存,一周内完成检测,测试的结果经统列于表2中:Selected 261 clinical specimens, including 37 cases of clinically confirmed hypothyroidism, 50 cases of newly diagnosed hyperthyroidism, 26 cases of follow-up hyperthyroidism, 6 cases of cured hyperthyroidism, 13 cases of thyroid tumor, 5 cases of goiter, 120 cases of normal controls, aged 18-68 Aged, male 45 cases, all subjects were collected blood from veins, separated serum, stored at -20°C, and completed the test within one week. The test results are listed in Table 2:
表2Table 2
从表2中列出的五项激素的测定结果显示甲减37例病人,TDH值均明显增高,T3、T4、T3、T4、FT3、FT4、均明显降低,符合临床诊断。对初诊50例甲亢病人,TSH明显降低,T3、T4、FT3、FT4明显增高,对治疗中的26例甲亢病人的五项激测定统计分析表明,T4值全部趋于恢复或接近正常值,T3则下降速度明显慢于T4值,用本明所述的磁发光免疫分析测试方法所得出的结果有很好的临床相符性。The measurement results of the five hormones listed in Table 2 showed that in 37 patients with hypothyroidism, TDH values were all significantly increased, and T3, T4, T3, T4, FT3, FT4 were all significantly decreased, which was in line with clinical diagnosis. For 50 newly diagnosed patients with hyperthyroidism, TSH decreased significantly, and T3, T4, FT3, FT4 increased significantly. Statistical analysis of the five hormone measurements of 26 patients with hyperthyroidism in treatment showed that all T4 values tended to recover or approached normal values, T3 The rate of decline is obviously slower than the T4 value, and the results obtained by the magnetoluminescence immunoassay test method described in the present invention have good clinical consistency.
本发明实施例子所述试剂的测试项目以甲状腺激素和肿瘤标志物的测定为例,但本发明并不限于测试这两种项目。The test items of the reagents described in the examples of the present invention are the determination of thyroid hormones and tumor markers as examples, but the present invention is not limited to testing these two items.
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