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CN109387640A - A kind of time-resolved fluoroimmunoassay chromatograph test strip and preparation method thereof that primary dcreening operation can be carried out to meningitis type - Google Patents

A kind of time-resolved fluoroimmunoassay chromatograph test strip and preparation method thereof that primary dcreening operation can be carried out to meningitis type Download PDF

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CN109387640A
CN109387640A CN201811542261.0A CN201811542261A CN109387640A CN 109387640 A CN109387640 A CN 109387640A CN 201811542261 A CN201811542261 A CN 201811542261A CN 109387640 A CN109387640 A CN 109387640A
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time
sample
antibody
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CN109387640B (en
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张明航
蒋帅南
苏雪峰
赵晓芳
郭向前
王宇峰
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Jiangsu Biomedical Ltd By Share Ltd
Jiangsu Su Bo Biomedical Science And Technology Nanjing Co Ltd
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Jiangsu Su Bo Biomedical Science And Technology Nanjing Co Ltd
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    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/68Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving proteins, peptides or amino acids
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    • G01MEASURING; TESTING
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    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
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    • G01N21/62Systems in which the material investigated is excited whereby it emits light or causes a change in wavelength of the incident light
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    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/577Immunoassay; Biospecific binding assay; Materials therefor involving monoclonal antibodies binding reaction mechanisms characterised by the use of monoclonal antibodies; monoclonal antibodies per se are classified with their corresponding antigens

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Abstract

The invention discloses a kind of time-resolved fluoroimmunoassay chromatograph test strips and preparation method thereof that primary dcreening operation can be carried out to meningitis type, can carry out the time-resolved fluoroimmunoassay chromatograph test strip of primary dcreening operation to meningitis type includes: sample bonding pad, detecting pad, sample suction pad and bottom plate, sample bonding pad, detecting pad and sample suction pad are successively set on bottom plate, and sample bonding pad and sample suction pad are laminated on respectively on the both ends of detecting pad, detecting pad is equipped with four detection lines and a nature controlling line.Sample size needed for the present invention is few, high sensitivity, and detection background signal is low, and high specificity, the range of linearity is wide, easy to operate, as a result reliably;Further, by the content for detecting PCT, CRP, ESAT in cerebrospinal fluid~6~CFP10 antigen and cryptococcus capsular polysaccharide antigen simultaneously, there can be a rough judgement to the type of meningitis, because a possibility that mistaken diagnosis occurs in empiricism when can effectively reduce clinical diagnosis, accurate immunology foundation is provided for making a definite diagnosis for meningitis type.

Description

A kind of time-resolved fluoroimmunoassay chromatographic test paper that primary dcreening operation can be carried out to meningitis type Item and preparation method thereof
Technical field
The present invention relates to a kind of time-resolved fluoroimmunoassay chromatograph test strip that can carry out primary dcreening operation to meningitis type and its Preparation method belongs to field of biotechnology.
Background technique
Central nervous system infection is pediatric common disease and frequently-occurring disease, the most with meningitis and viral meningitis It is common.In recent years, as the gene mutation of tubercle bacillus, antituberculotic development relatively lag behind and AIDS patient increases, Domestic and international disease incidence lungy and case fatality rate gradually increase.Meanwhile it is wide with antibiotic, immunosuppressor and cortin General application, body flora imbalance or immune function decline, so that the disease incidence of cryptococcal meningitis is also significantly raised.Due to this The illness that several meningitis show has similitude, especially tubercular meningitis and cryptococcal meningitis clinically Performance exactly likes, and is easy mistaken diagnosis, and sufferer timely cannot effectively treat to get killed.Therefore it is badly in need of finding a kind of energy early diagnosis And identify the method for the meningitis cause of disease, to treatment, prognosis, lapses to, reduces patient and sequelae occur and there will be great clinical meaning.
It is numerous studies have shown that PCT's and CRP is horizontal aobvious in cerebrospinal fluid in bacillary and Patients with Virus Meningitis It writes and is higher than healthy children, this illustrates that PCT and CRP can be used as children virus and meningitis clinical diagnosis in cerebrospinal fluid Index.Since there is tuberculosis antigen in vivo first in infection mycobacterium tuberculosis (MTU), and tuberculosis antibody then to infect after 8 weeks It rises and gradually generates, therefore detect the MTU secretion specific antigen in cerebrospinal fluid and can be used as quick diagnosis meninx active tuberculosis Effective way.In infection early stage, pathological form mycobacterium tuberculosis can generally secrete a large amount of specific proteins, i.e., 6000~early stage Exoantigen target (ESAT~6) and antigen culturing filtrate protein 10 (CFP10), and BCG vaccine is not present in both albumen In BCG, therefore its marker that can be used as active tuberculosis.For cryptococcal meningitis, the country mostly use cerebrospinal fluid picture, The methods of the dyeing of A Li Xinlan, ink dyeing and fungal culture, although fungal culture is to make a definite diagnosis the goldstandard of hidden brain, it is time-consuming compared with It is long, 2~5d is needed, some fungies need 10d, and culture positive rate is low;Smear and ink dyeing positive rate are higher, especially to brain ridge The case where microscopy after liquid centrifugation, can be improved positive rate, but still there are missing inspection and mistaken diagnosis, causes patient that cannot treat in time.
Summary of the invention
The present invention provide a kind of time-resolved fluoroimmunoassay chromatograph test strip that primary dcreening operation can be carried out to meningitis type and its Preparation method, test strips of the present invention are used cooperatively fluorescence immunity analyzer by immunochromatographic method, can be convenient, is accurate and high Detect that PCT, CRP, ESAT in cerebrospinal fluid~6~CFP10 antigen, cryptococcus capsular polysaccharide antigen contain simultaneously to sensitivity Amount, for meningitis type it is first sentence certain theoretical foundation is provided.
In order to solve the above technical problems, the technical solution adopted in the present invention is as follows:
A kind of time-resolved fluoroimmunoassay chromatograph test strip that primary dcreening operation can be carried out to meningitis type, comprising: sample combines Pad, detecting pad, sample suction pad and bottom plate, sample bonding pad, detecting pad and sample suction pad are successively set on bottom plate, and sample bonding pad It is laminated on respectively with sample suction pad on the both ends of detecting pad, detecting pad is equipped with four detection lines and a nature controlling line.
The Testing index of above-mentioned test strips includes PCT, CRP, ESAT in cerebrospinal fluid~6~CFP10 antigen and cryptococcus pod Film polysaccharide antigen;The antibody of sample bonding pad endoperidium having time resolved fluorometric microballoon label, time-resolved fluorescence microballoon label Antibody be Testing index antibody.
In order to improve the accuracy of detection, the anti-PCT that time-resolved fluorescence microballoon label is coated on sample bonding pad is mono- Clonal antibody, anti crp monoclonal antibody, anti-ESAT~6~CFP10 polyclonal antibody and anti-cryptococcus capsular polysaccharide monoclonal are anti- Body.
In order to facilitate manufacture, and guarantee the accuracy of detection, time-resolved fluorescence microballoon is that the polystyrene of modified is micro- Ball;Surfaces of Polystyrene Microparticles modifies one kind that functional group is carboxyl, hydroxyl or epoxy group, and the partial size of polystyrene microsphere is 100~500nm, preferably 180~300nm.
In order to improve the sensitivity of detection, the chelating of 1% (w/w) lanthanide series is filled with inside time-resolved fluorescence microballoon Object, lanthanide series are one of europium, Shan, IGS or dysprosium.
Applicant it has been investigated that, using immunization measurement cerebrospinal fluid in cryptococcus capsular polysaccharide antigen content to hidden brain Diagnosis and observation of curative effect have important clinical application value, high sensitivity is easy to operate, be suitble to promote;Time-resolved fluorescence is exempted from It is a kind of non-isotop analysis technology that epidemic disease, which measures (TRFIA), it uses lanthanide series labelled antigen or antibody, according to group of the lanthanides member The luminous characteristics of plain chelate measure fluorescence with TIME RESOLVED TECHNIQUE, while two parameters of Detection wavelength and time carry out signal It differentiates, can effectively exclude the interference of non-specific fluorescence, greatly improve sensitivity for analysis, while there is marker preparation letter Just, storage time length, "dead" pollution, detection is reproducible, easy to operate, standard curve range is wide, not by sample nature The advantages that fluorescence interferes.
The method of above-mentioned time-resolved fluorescence microballoon label are as follows: including the following steps being connected in order:
1) time-resolved fluorescence microballoon is dissolved in buffer, the activation of activator isothermal vibration is added;
2) organic solvent will be added in the resulting material of step 1), after mixing, centrifugation, washing remove deactivator, with buffering Microballoon is resuspended in liquid, and it is polyclonal to be then separately added into anti-PCT monoclonal antibody, anti crp monoclonal antibody, anti-ESAT~6~CFP10 Closing is added with buffer resuspension is redissolved after centrifugation in antibody and anti-cryptococcus capsular polysaccharide monoclonal antibody, isothermal vibration label Agent is closed, and anti-PCT monoclonal antibody complex, the anti crp monoclonal antibody for obtaining time-resolved fluorescence microballoon label are multiple Object, anti-ESAT~6~CFP10 Anti-TNF-α nanocrystal composition and anti-cryptococcus capsular polysaccharide monoclonal antibody complex are closed, is used for The assessment of PCT, CRP, ESAT~6~CFP10 antigen and cryptococcus capsular polysaccharide antigen performance.
It is preferred that the activator in step 1) and step 2) is 1~(3~dimethylamino-propyl)~3~ethyl carbodiimide Hydrochloride or/and N~HOSu NHS.
It is preferred that the method for time-resolved fluorescence microballoon label are as follows: including the following steps being connected in order:
1) activator EDC is added with being resuspended after MES buffer solution for cleaning 2 times of pH6100mM in time-resolved fluorescence microballoon (1~(3~dimethylamino-propyl)~3~ethyl-carbodiimide hydrochloride) and NHS (N~HOSu NHS), makes them Concentration be respectively 0.05%~0.1% and 0.1%~02%, 30 ± 5 DEG C of oscillations activate 60 ± 5min;
2) ethyl alcohol that volumetric concentration is 10% will be added in the resulting material of step 1), after mixing, centrifugation, washing are removed EDC or NHS, be added buffer be resuspended microballoon, be separately added into again after mixing anti-PCT monoclonal antibody, anti crp monoclonal antibody, Anti- ESAT~6~CFP10 polyclonal antibody and anti-cryptococcus capsular polysaccharide monoclonal antibody, 37 DEG C of oscillations mark 2h, after centrifugation It is resuspended with buffer is redissolved, 10%BSA is added and closes 30min, the anti-PCT monoclonal for obtaining time-resolved fluorescence microballoon label is anti- Nanocrystal composition, anti crp monoclonal antibody complex, anti-ESAT~6~CFP10 Anti-TNF-α nanocrystal composition and anti-cryptococcus pod membrane Monoclonal Antibody against Polysaccharides compound.
Above-mentioned redissolution buffer includes Tris~Hcl, BSA, T~20, trehalose and NaN3;Preferably, buffer is redissolved For Tris~Hcl (pH7.5~8.5) of 10~50mM, contain 0.05~0.1%BSA, 0.05~0.1%T~20,3~5% Trehalose and 0.05%NaN3, preceding percentage is mass percent.
In order to avoid influencing each other, four detection lines are parallel to each other, and four detection lines are respectively can be glimmering with time resolution The pairing antibody that the antibody specificity of light microballoon label combines is formed by coating, i.e., detects each target using double antibody sandwich method The content of object.
It is preferred that four detection lines and a nature controlling line are parallel to each other, and set gradually along the length direction of detecting pad, from It is successively four detection lines and a nature controlling line on sample bonding pad to the direction of sample suction pad.Namely four detection lines are detecting Tandem on pad can in any permutation, and end of the nature controlling line apart from sample suction pad is nearest.
In order to improve the sensitivity and accuracy of detection, it is preferable that nature controlling line is coated with sheep anti-mouse igg, goat-anti chicken IgY or sheep Anti-rabbit IgG.
As another preferred embodiment of the application, detecting pad includes 2~4 detection point pads, and four detection lines are randomly It is distributed on detection point pad, every detection, which divides on pad, is equipped with a nature controlling line, on same detection point pad, compared to detection line matter It is nearest from the end of sample suction pad to control line.
In order to reduce cost, while guaranteeing the sensitivity and accuracy of detection, detecting pad is nitrocellulose filter and is hole The perforated membrane of 5~12um of diameter;The material of sample bonding pad is glass fibre element film or non-woven fabrics;The material of sample suction pad is water suction filter Paper.
The preparation method of the above-mentioned time-resolved fluoroimmunoassay chromatograph test strip that primary dcreening operation can be carried out to meningitis type, including The following steps being connected in order:
(1) processing of detecting pad:
It will test pad to be attached on bottom plate, take the pH7.4 phosphate buffer of 10~50mM containing 1~5wt% sucrose will PCT monoclonal antibody, CRP monoclonal antibody, ESAT~6~CFP10 polyclonal antibody and the cryptococcus pod membrane of another epitope Monoclonal Antibody against Polysaccharides are diluted to 1 ± 0.02mg/ml respectively, are used to prepare four detection lines;With containing 1~5wt% sucrose Sheep anti-mouse igg antibody is diluted to 1 ± 0.02mg/ml by the phosphate buffer of 10~50mM, is used to prepare nature controlling line;By 1 ± 0.02 μ l/cm draws liquid measure, draws film instrument by biodot and examines uniform must draw to preparation on detecting pad of the antibody after above-mentioned 5 kinds dilutions Survey line and nature controlling line;The detecting pad pulled is placed in 37 ± 3 DEG C of drying boxes, dry 3 ± 0.2h;
(2) processing of sample bonding pad:
After sample bonding pad carries out closing in advance with the buffer immersion containing surfactant, 37 ± 3 DEG C of dry 3h ± 0.2h;By the airjet spray head of Biodot instrument, the antibody of time-resolved fluorescence microballoon will be marked with according to 5 ± 0.02 μ l/ On the amount ullrasonic spraying to sample bonding pad of cm, sample bonding pad is prepared in 37 ± 3 DEG C of dry 3h ± 0.2h;
(3) it assembles:
By fixed one end for being laminated on the detecting pad that step (1) obtains of sample bonding pad that step (2) obtains, and sample will be inhaled The fixed other end for being laminated on detecting pad of pad, laminating length is 1~4mm, is carried out with film instrument is cut out by the width of every 4~6mm It cuts to get the time-resolved fluoroimmunoassay chromatograph test strip of primary dcreening operation can be carried out to meningitis type.
It is preferred that the buffer in step (2) is 100mM PB (pH7.4), wherein contain 2%NaCl, 2%BSA, 0.5% Casein, 0.1%T~20 and 5% sucrose, preceding percentage are mass percent.
The unmentioned technology of the present invention is referring to the prior art.
The invention has the following advantages over the prior art: sample size needed for the present invention is few, high sensitivity detects background Signal is low, and high specificity, the range of linearity is wide, easy to operate, as a result reliably;Further, by simultaneously detect PCT in cerebrospinal fluid, The content of CRP, ESAT~6~CFP10 antigen and cryptococcus capsular polysaccharide antigen, can have to the type of meningitis one substantially Judgement provide because a possibility that mistaken diagnosis occurs in empiricism when can effectively reduce clinical diagnosis for making a definite diagnosis for meningitis type Accurate immunology foundation;Preparation method is simple, has promoted.
Detailed description of the invention
Fig. 1 is the knot for the time-resolved fluoroimmunoassay chromatograph test strip that one kind of the present invention can carry out primary dcreening operation to meningitis type Structure schematic diagram.Wherein: 1 is sample bonding pad;2 be detecting pad;3 be sample suction pad;4 be bottom plate;T1, T2, T3 and T4 are respectively four Detection line;C is nature controlling line.
Fig. 2 is that PCT log concentration value~fluorescence in the present invention counts logarithm standard curve.
Fig. 3 is that CRP log concentration value~fluorescence in the present invention counts logarithm standard curve.
Fig. 4 is that ESAT~6~CFP10 antigen concentration logarithm~fluorescence in the present invention counts logarithm standard curve.
Fig. 5 is that cryptococcus capsular polysaccharide antigen log concentration value~fluorescence in the present invention counts logarithm standard curve.
Specific embodiment
For a better understanding of the present invention, below with reference to the embodiment content that the present invention is furture elucidated, but it is of the invention Content is not limited solely to the following examples.
Embodiment 1
As shown in Figure 1, one kind can carry out the time-resolved fluoroimmunoassay chromatograph test strip just sentenced to meningitis type, including Bottom plate 4 is disposed with sample bonding pad 1, detecting pad 2 and sample suction pad 3, sample bonding pad 1 and sample suction pad 3 on the bottom plate 4 It is laminated on the both ends of detecting pad 3 respectively;The anti-PCT that time-resolved fluorescence microballoon label is coated on the sample bonding pad 1 is mono- Clonal antibody, anti crp monoclonal antibody, anti-ESAT~6~CFP10 polyclonal antibody, anti-cryptococcus capsular polysaccharide monoclonal are anti- Body;The detecting pad 2 is equipped with detection line T1, T2, T3, T4 and the nature controlling line C line being parallel to each other, T1, T2, T3, T4 and nature controlling line C Line sets gradually and is parallel to each other along the length direction of detecting pad, and nature controlling line C line is nearest with a distance from sample suction pad 3, detection line T1, T2, T3, T4 are coated with the monoclonal antibody for being surveyed another epitope of index, and nature controlling line C is coated with sheep anti-mouse igg.Detecting pad For nitrocellulose filter and be 5~12um of aperture perforated membrane;The material of sample bonding pad is glass fibre element film;Sample suction pad Material be absorbent filter.
Time-resolved fluorescence microballoon is the polystyrene microsphere of modified, and it is carboxylic that Surfaces of Polystyrene Microparticles, which modifies functional group, Base, the partial size of polystyrene microsphere are 200nm;The chelate of 1% (w/w) europium of filling inside time-resolved fluorescence microballoon;Time The method of resolved fluorometric microballoon label are as follows: by the 1mg time-resolved fluorescence microballoon MES buffer of the 100mM of 200 μ L pH=6 It is resuspended after cleaning 2 times, 1~(3~dimethylamino-propyl)~3~ethyl-carbodiimide hydrochloride and N~hydroxysuccinimidyl acyl is added Imines (activator), making its concentration is respectively 0.08% and 0.15%, and 30 DEG C of oscillations activate 60min, and 10% ethyl alcohol 20ul is added, Centrifuge washing removes deactivator after mixing, and microballoon is resuspended in the borate buffer that the 60mM of 200 μ L pH=7.5 is added again, mixes It is separately added into the anti-PCT monoclonal antibody of 80ug, 80ug anti crp monoclonal antibody, anti-ESAT~6 80ug~more grams of CFP10 again afterwards Grand antibody and the anti-cryptococcus capsular polysaccharide monoclonal antibody of 80ug, 37 DEG C of oscillations mark 2h, are resuspended after centrifugation with redissolution buffer, 10%BSA 50ul closing 30min (percentage is mass percent) is added, obtains the anti-PCT of time-resolved fluorescence microballoon label Monoclonal antibody complex, anti crp monoclonal antibody complex, anti-ESAT~6~CFP10 Anti-TNF-α nanocrystal composition and resist hidden Coccus capsular polysaccharide monoclonal antibody complex.Redissolution buffer is 0.03MTris~Hcl (pH7.5~8.5), includes 0.08%BSA, 0.08%T~20,4% trehalose and 0.05%NaN3, preceding percentage is mass percent.
Above-mentioned test strips can be prepared by following preparation method:
(1) nitrocellulose filter (NC film) is handled:
NC film is labelled to the designated position of bottom plate, take the pH7.4 phosphate buffer of the 50mM containing 1% sucrose by another The PCT monoclonal antibody of epitope, CRP monoclonal antibody, ESAT~6~CFP10 polyclonal antibody, cryptococcus capsular polysaccharide Dan Ke Grand antibody is diluted to 1mg/ml respectively, is used to prepare 4 T lines;With the phosphate buffer of the 50mM containing 1% sucrose by sheep anti mouse IgG antibody is diluted to 1mg/ml, is used to prepare C line;Liquid measure is drawn by 1 μ l/cm, film instrument is drawn by biodot and dilutes above-mentioned 5 kinds Antibody afterwards is uniform must to be drawn to preparation T line and C line on NC film;The NC film pulled is placed in 37 DEG C of drying boxes, dry 3h.
(2) processing of sample bonding pad:
Glass fibre element film with containing surfactant buffer (formula: 100mM PB (pH7.4), wherein containing 2% NaCl, 2%BSA, 0.5% casein, 0.1%T~20 and 5% sucrose, preceding percentage are mass percent) impregnate progress After pre- closing, 37 DEG C of dry 3h;By the airjet spray head of Biodot instrument, the antibody of time-resolved fluorescence microballoon will be marked with According on the amount ullrasonic spraying to glass fibre element film of 5 μ l/cm, sample bonding pad is prepared in 37 DEG C of dry 3h.
(3) it assembles:
By fixed one end for being laminated on the nitrocellulose filter that step (1) obtains of sample bonding pad that step (2) obtains, and By the fixed other end for being laminated on nitrocellulose filter of sample suction pad, the length that laminates at both ends is 2mm, presses every with film instrument is cut out The width of 4mm is cut to get finished product.
The production of standard curve: firstly, the fluorescence of 6 various concentration standard items by kit operating procedure measurement PCT It is worth (a:0ng/mL, b:0.5ng/mL, c:2ng/mL, d:10ng/mL, e:20ng/mL, f:40ng/mL), with standard concentration Logarithm is abscissa, and the logarithm of fluorescent value is ordinate, is handled by double-log mathematical model Log~Log function, linear regression side Journey is Y=0.8624X+3.0824, R2=0.9995.The TRFIA standard curve of PCT is shown in Fig. 2.
Similarly, by fluorescent value (a:1 μ g/ml, the b:5 μ of 8 various concentration standard items of kit operating procedure measurement CRP G/ml, c:10 μ g/ml, d:50 μ g/ml, e:100 μ g/ml, f:150 μ g/ml, g:200 μ g/ml, h:250 μ g/ml), with standard The logarithm of product concentration is abscissa, and the logarithm of fluorescent value is ordinate, is handled by double-log mathematical model Log~Log function, line Property regression equation be Y=0.8851X+3.9226, R2=0.9994.The TRFIA standard curve of CRP is shown in Fig. 3.
Similarly, by the fluorescence of kit operating procedure measurement 5 various concentration standard items of ESAT~6~CFP10 antigen It is worth (a:2.5ng/mL, b:25ng/mL, c:100ng/mL, d:500ng/mL, e:1600ng/mL), with the logarithm of standard concentration For abscissa, the logarithm of fluorescent value is ordinate, is handled by double-log mathematical model Log~Log function, equation of linear regression is Y=1.2223X+2.6403, R2=0.9999.ESAT~6~CFP10 antigen TRFIA standard curve is shown in Fig. 4.
Similarly, by the fluorescence of 5 various concentration standard items of kit operating procedure measurement cryptococcus capsular polysaccharide antigen It is worth (a:1ng/mL, b:10ng/mL, c:50ng/mL, d:100ng/mL, e:500ng/mL), is cross with the logarithm of standard concentration Coordinate, the logarithm of fluorescent value are ordinate, are handled by double-log mathematical model Log~Log function, equation of linear regression Y= 0.9689X+3.523, R2=0.9997.The TRFIA standard curve of cryptococcus capsular polysaccharide antigen is shown in Fig. 5.
Precision Experiment: high, normal, basic three standard concentrations of accurate quantification are measured using above-mentioned test strips, respectively 10 multiple holes are set.It the results are shown in Table 1.
1 Precision Experiment of table
As shown in Table 1: the variation within batch coefficient and interassay coefficient of variation of above-mentioned test strips≤10%, meet test paper rules and regulations Provisioning request.
Accuracy experiment: recovery experiment is conventionally carried out.It the results are shown in Table 2.
2 recovery experiment of table
As shown in Table 2: the rate of recovery of low middle high three concentration of PCT is between 100.39~102.67%, average recovery rate It is 101.19%;The rate of recovery of low middle high three concentration of CRP is between 99.09~100.20%, average recovery rate 99.6%; Between 98.89~100.13%, average recovery rate is the rate of recovery of low middle high three concentration of ESAT~6~CFP10 antigen 99.63%;The rate of recovery of low middle high three concentration of cryptococcus capsular polysaccharide antigen is average to return between 99.45~100.20% Yield is 99.87%.
Clinical application experiment:
186 meningitis children's positive cerebrospinal fluid of hospital are taken, wherein 58 are diagnosed as meningitis, 54 are diagnosed as Viral meningitis, 46 are diagnosed as tubercular meningitis, and 28 are diagnosed as cryptococcal meningitis;114 healthy youngsters are taken again Virgin feminine gender cerebrospinal fluid.
Specific detecting step: cerebrospinal fluid sample is added dropwise on sample bonding pad, and after standing 5~20min, test strips are inserted Enter in fluorescence analyser matched with test strips, reads the fluorescence intensity level of C line, T1, T2, T3, T4 line respectively.
Meningitis Cerebrospinal Fluid in Patients PCT level is 12.94 ± 4.64ng/ml as the result is shown, and CRP level is 26.52±10.15μg/ml;Patients with Virus Meningitis cerebrospinal fluid PCT level is 0.98 ± 0.24ng/ml, and CRP level is 6.78±3.2μg/ml;Cerebrospinal Fluid of Patients with Tuberculous Meningitis ESAT~6~CFP10 antigen levels are 137 ± 48.4ng/ml; Care of Patients with Cryptococcosis Meningitis cerebrospinal fluid cryptococcus capsular polysaccharide antigen level is 645 ± 234ng/ml;Healthy children cerebrospinal fluid PCT level is 0.14 ± 0.11ng/ml, and CRP level is 1.01 ± 0.13 μ g/ml, and ESAT~6~CFP10 antigen levels are 2.4 ± 1.38ng/ml, cryptococcus capsular polysaccharide antigen level is 1.14 ± 0.32ng/ml, compared to the hidden higher ESAT of brain patient ~6~CFP10 antigen and cryptococcus capsular polysaccharide antigen concentration, can almost ignore.Above-mentioned testing result meet it is bacillary, PCT, CRP, ESAT~6~CFP10 antigen in viral, Tuberculous, Care of Patients with Cryptococcosis Meningitis and healthy children cerebrospinal fluid And the reference value of cryptococcus capsular polysaccharide antigen, illustrate that this test strips detection sensitivity and accuracy are higher, it can be to meningitis class Type carries out primary dcreening operation.
Embodiment 2
It is substantially the same manner as Example 1, except that: nature controlling line C is coated with goat-anti chicken IgY;Detecting pad includes 2 detections Point pad, four detection lines are randomly distributed on 2 detection point pads, and every detection, which be divided on pad, two detection lines, and every is detected Divide on pad and is equipped with a nature controlling line, it is nearest from the end of sample suction pad compared to detection line nature controlling line on same detection point pad.Face Bed is consistent using result and embodiment 1, repeats no more.
Embodiment 3
It is substantially the same manner as Example 1, except that: nature controlling line C is coated with goat anti-rabbit igg;Detecting pad can also include Four detection point pads, four detection lines are randomly distributed on four detection point pads, have a detection line on every detection point pad, A nature controlling line is equipped on every detection point pad, same detection divides on pad, the end compared to detection line nature controlling line from sample suction pad Portion is nearest.Clinical applications result and embodiment 1 are consistent, repeat no more.

Claims (10)

1. the time-resolved fluoroimmunoassay chromatograph test strip that one kind can carry out primary dcreening operation to meningitis type, it is characterised in that: include: Sample bonding pad, detecting pad, sample suction pad and bottom plate, sample bonding pad, detecting pad and sample suction pad are successively set on bottom plate, and sample Product bonding pad and sample suction pad are laminated on respectively on the both ends of detecting pad, and detecting pad is equipped with four detection lines and a nature controlling line.
2. the time-resolved fluoroimmunoassay chromatograph test strip of primary dcreening operation can be carried out to meningitis type as described in claim 1, Be characterized in that: its Testing index includes PCT, CRP, ESAT-6-CFP10 antigen and cryptococcus capsular polysaccharide antigen in cerebrospinal fluid; The antibody of sample bonding pad endoperidium having time resolved fluorometric microballoon label, the antibody of time-resolved fluorescence microballoon label are detection The antibody of index.
3. the time-resolved fluoroimmunoassay chromatograph test strip of primary dcreening operation can be carried out to meningitis type as described in claim 1, It is characterized in that: being coated with anti-PCT monoclonal antibody, the anti crp monoclonal of time-resolved fluorescence microballoon label on sample bonding pad Antibody, anti-ESAT-6-CFP10 polyclonal antibody and anti-cryptococcus capsular polysaccharide monoclonal antibody.
4. the time-resolved fluoroimmunoassay chromatograph test strip of primary dcreening operation can be carried out to meningitis type as claimed in claim 2 or claim 3, It is characterized by: time-resolved fluorescence microballoon is the polystyrene microsphere of modified;Surfaces of Polystyrene Microparticles modifies functional group For one kind of carboxyl, hydroxyl or epoxy group, the partial size of polystyrene microsphere is 100~500nm.
5. the time-resolved fluoroimmunoassay chromatograph test strip of primary dcreening operation can be carried out to meningitis type as claimed in claim 2 or claim 3, It is characterized by: being filled with the chelate of 1wt% lanthanide series inside time-resolved fluorescence microballoon, lanthanide series is europium, Shan, IGS Or one of dysprosium.
6. the time-resolved fluoroimmunoassay chromatograph test strip of primary dcreening operation can be carried out to meningitis type as claimed in claim 2 or claim 3, It is characterized by: the method for time-resolved fluorescence microballoon label are as follows: including the following steps being connected in order:
1) time-resolved fluorescence microballoon is dissolved in buffer, the activation of activator isothermal vibration is added;
2) organic solvent will be added in the resulting material of step 1), after mixing, centrifugation, washing remove deactivator, with buffer weight Outstanding microballoon, be then separately added into anti-PCT monoclonal antibody, anti crp monoclonal antibody, anti-ESAT-6-CFP10 polyclonal antibody and Anti- cryptococcus capsular polysaccharide monoclonal antibody, isothermal vibration label are added sealer and carry out with buffer resuspension is redissolved after centrifugation Closing obtains the anti-PCT monoclonal antibody complex of time-resolved fluorescence microballoon label, anti crp monoclonal antibody complex, resists ESAT-6-CFP10 Anti-TNF-α nanocrystal composition and anti-cryptococcus capsular polysaccharide monoclonal antibody complex, for PCT, CRP, The assessment of ESAT-6-CFP10 antigen and cryptococcus capsular polysaccharide antigen performance.
7. the time-resolved fluoroimmunoassay chromatograph test strip of primary dcreening operation can be carried out to meningitis type as claimed in claim 6, Be characterized in that: the activator in step 1) and step 2) be 1- (3- dimethylamino-propyl) -3- ethyl-carbodiimide hydrochloride or/ And n-hydroxysuccinimide;In step 2), organic solvent is the ethyl alcohol that volumetric concentration is 10%, redissolves buffer and includes Tris-Hcl, BSA, T-20, trehalose and NaCl.
8. the time-resolved fluoroimmunoassay chromatograph test strip of primary dcreening operation can be carried out to meningitis type as claimed in claim 2 or claim 3, It is characterized by: four detection lines are parallel to each other, four detection lines are respectively can be anti-with time-resolved fluorescence microballoon label The pairing antibody of body specific binding is formed by coating;Four detection lines and a nature controlling line are parallel to each other, and along detection The length direction of pad is set gradually, and is successively four detection lines and a Quality Control on the direction from sample bonding pad to sample suction pad Line;Nature controlling line is coated with sheep anti-mouse igg, goat-anti chicken IgY or goat anti-rabbit igg.
9. the time-resolved fluoroimmunoassay as claimed in any one of claims 1-3 that can carry out primary dcreening operation to meningitis type chromatographs Test strips, it is characterised in that: detecting pad includes 2~4 detection point pads, and four detection lines are randomly distributed on detection point pad, A nature controlling line is equipped on every detection point pad, same detection divides on pad, and nature controlling line is closer from the end of sample suction pad than detection line; Detecting pad be nitrocellulose filter and be 5~12um of aperture perforated membrane;The material of sample bonding pad be glass fibre element film or Non-woven fabrics;The material of sample suction pad is absorbent filter.
10. the time-resolved fluoroimmunoassay described in any one of claim 1 to 9 that can carry out primary dcreening operation to meningitis type chromatographs The preparation method of test strips, it is characterised in that: including the following steps being connected in order:
(1) processing of detecting pad:
It will test pad to be attached on bottom plate, take the pH7.4 phosphate buffer of 10~50mM containing 1~5wt% sucrose will be another PCT monoclonal antibody, CRP monoclonal antibody, ESAT~6~CFP10 polyclonal antibody and the cryptococcus capsular polysaccharide of a epitope Monoclonal antibody is diluted to 1 ± 0.02mg/ml respectively, is used to prepare four detection lines;With 10 containing 1~5wt% sucrose~ Sheep anti-mouse igg antibody is diluted to 1 ± 0.02mg/ml by the pH7.4 phosphate buffer of 50mM, is used to prepare nature controlling line;By 1 ± 0.02 μ l/cm draws liquid measure, draws film instrument by biodot and examines uniform must draw to preparation on detecting pad of the antibody after above-mentioned 5 kinds dilutions Survey line and nature controlling line;The detecting pad pulled is placed in 37 ± 3 DEG C of drying boxes, dry 3 ± 0.2h;
(2) processing of sample bonding pad:
After sample bonding pad carries out closing in advance with the buffer immersion containing surfactant, 37 ± 3 DEG C of dry 3h ± 0.2h;It is logical The airjet spray head for crossing Biodot instrument is super according to the amount of 5 ± 0.02 μ l/cm by the antibody for being marked with time-resolved fluorescence microballoon Sound is sprayed on sample bonding pad, and sample bonding pad is prepared in 37 ± 3 DEG C of dry 3h ± 0.2h;
(3) it assembles:
By fixed one end for being laminated on the detecting pad that step (1) obtains of sample bonding pad that step (2) obtains, and sample suction pad is consolidated Surely it is laminated on the other end of detecting pad, laminating length is 1~4mm, it is cut with film instrument is cut out by the width of every 4~6mm, The time-resolved fluoroimmunoassay chromatograph test strip of primary dcreening operation can be carried out to meningitis type to obtain the final product.
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