Disclosure of Invention
The technical problems to be solved by the invention are as follows: provides a portable pressure and mental disease objective index evaluation test strip and a using method thereof, so as to solve the technical and application problems of the prior methodology.
The technical scheme of the invention is as follows: the portable pressure and mental disease objective index evaluation test strip comprises a glass cellulose film, a nitrocellulose film, water absorbing paper, a PVC plate and a closed box cover;
the PVC plate is arranged in the closed box cover, the glass cellulose film, the nitrocellulose film and the water absorbing paper are arranged on the PVC plate, and two ends of the nitrocellulose film are respectively connected with the glass cellulose film and the water absorbing paper;
A spray probe area is arranged at one end of the glass cellulose membrane, which is close to the nitrocellulose membrane, and a coupling probe and an independent antibody probe are sprayed on the spray probe area, wherein the coupling probe is formed by coupling quantum dots with different specifications and the same wavelength with a specific antibody;
The nitrocellulose membrane is provided with a quality control line and at least one detection line in parallel, the quality control line is far away from the glass cellulose membrane, and the detection line is close to the glass cellulose membrane;
and the detection line is sprayed with an antigen combined with the detection specific probe, and the quality control line is sprayed with an independent antigen combined with the quality control independent antibody probe.
Preferably, the quantum dots are multi-specification CdSe/ZnS core-shell quantum dots with different polymerization degrees, and the luminescence wavelength is still generated by the core-shell quantum dots per se, and is hardly influenced by the polymerization degree.
Preferably, the specific antibody is a cortisol-specific antibody alone, a DHEA-specific antibody alone, a DHEAs-specific antibody alone, or one of cortisol and DHEA/DHEAs, together with the specific antibodies of the two indexes.
Preferably, the specific antibody comprises rabbit IgG monoclonal antibodies or mouse IgG monoclonal antibodies directed against the small molecule of interest.
Preferably, the detection line comprises T1 and T2, and the T1 and T2 are respectively sprayed with an antigen corresponding to a specific antibody.
Preferably, the independent antibody in the independent antibody quality control probe is DNP-BSA antibody, the quality control line is C, and the independent antigen is DNP-BSA antigen.
Preferably, the closed box cover comprises an upper cover and a lower cover, wherein a PVC plate is placed in the lower cover, the upper cover is provided with a through hole, and the through hole is positioned above one end, far away from the nitrocellulose membrane, of the glass cellulose membrane.
Preferably, the upper cover is provided with a transparent observation window, and the transparent observation window is positioned above the quality control line and the detection line.
The portable pressure and mental disease objective index evaluation method comprises the portable pressure and mental disease objective index evaluation test strip;
the method also comprises the following steps:
s1, spraying a detection specificity detection probe and an independent quality control antibody probe on a spraying probe area of one side of a glass cellulose membrane, which is close to a nitrocellulose membrane;
The detection specific antibody probes are probes formed by coupling quantum dots with different specifications and the same wavelength with specific antibodies, the specific antibodies are individual cortisol specific antibodies, individual DHEA specific antibodies, individual DHEAS specific antibodies, or one of cortisol and DHEA/DHEAS, and the two specific antibodies are combined;
the antibodies in the independent quality control antibody probes are DNP-BSA antibodies;
s2, arranging two detection lines and a quality control line on the nitrocellulose membrane, wherein the two detection lines are T1, T2 and C respectively, T1 is positioned between the glass cellulose membrane and T2, and T2 is positioned between T1 and C;
s3, spraying antigens corresponding to the detection specific antibody probes on the T1 and the T2; spraying DNP-BSA antigen corresponding to the DNP-BSA antibody on the C;
S4, mixing 5-20 ul of blood sample or urine sample with the diluent to form 60-80 ul of mixed solution, and dripping the mixed solution on the glass cellulose membrane at the position of the through hole of the upper cover;
s5, waiting for the reaction time to be 6-10 minutes;
s6, reading fluorescence data of the quality control line and the detection line position from the transparent observation window by using the detection analysis device, and according to the ratio of the fluorescence data of the detection line to the fluorescence data of the quality control line
And evaluating the detection results of the stress and the mental diseases.
By adopting the technical schemes, the multi-index detection can be completed within the shortest 6 minutes, the detection concentration change within 10 minutes after the chromatography is completed is not more than 10 percent, the detection concentration change within one hour is not more than 15 percent, and the time stability is good. The method has the advantages of low requirement on time accuracy of the read result, convenient use, simple operation and low cost, and can meet the detection accuracy requirement under the conditions of basic level and society health busyness.
Meanwhile, the invention combines the characteristics of high light intensity of quantum dot, long fluorescence lifetime and small particle size, can meet the requirement of low concentration compared with the conventional colloidal gold detection, particularly can meet the requirement of quantitative detection of cortisol or DHEA/DHEAS hormone micromolecule related to daily rhythm and pressure regulation by a competition method, can meet the requirement of reading a result by handheld equipment compared with an ELISA detection method, and can even observe and compare the brightness of fluorescent strips by using a UV light source of a banknote detector for preliminary analysis, thereby achieving the purposes of screening and evaluating pressure and mental diseases under different scenes.
Detailed Description
The invention will be described in detail below with reference to the drawings and the specific embodiments.
Example 1
As shown in fig. 1, the present embodiment provides a portable test strip for evaluating objective indicators of stress and mental diseases, which comprises a glass cellulose film 1, a nitrocellulose film 6, a water absorbing paper 13, a PVC plate 12 and a closed box cover.
The PVC plate 12 is arranged in a closed box cover, the closed box cover comprises an upper cover 15 and a lower cover 14, and the PVC plate 12 is arranged at the bottom of the lower cover 14. The upper cover 15 is provided with a through hole for dripping a blood sample or a urine sample. The upper cover 15 is provided with a transparent observation window 16, and the transparent observation window 16 is positioned above the quality control line 10 and the detection line (8/9) and is used for the detection device to read signal data of the quality control line 10 and the detection line (8/9).
The glass cellulose film 1, the nitrocellulose film 6 and the water absorbing paper 13 are arranged on the PVC plate 12, and two ends of the nitrocellulose film 6 are respectively connected with the glass cellulose film 1 and the water absorbing paper 13.
The glass cellulose film 1 is provided with a spray probe region 2 near one end of the nitrocellulose film 6, and the other end of the glass cellulose film 1 is provided below the through hole as a sample end. The glass cellulose membrane is specially treated, and the height from the sample end to the probe spraying area 2 is gradually increased, so that blood cells of the whole blood sample can be effectively blocked on the glass cellulose membrane 1 after sample addition, and no signal and reaction interference are generated in the detection area. That is, the glass cellulose film 1 is subjected to the sealing treatment, and the right end is slightly higher than the left end, so that the stability and reliability of the test can be ensured.
The spray probe area 2 is sprayed with a detection specific antibody probe and an independent quality control antibody probe, wherein the detection probes are probes formed by coupling quantum dots 3 and specific antibodies 4 with different specifications and same wavelength.
The nitrocellulose membrane 6 is provided with a quality control line and at least one detection line in parallel, wherein the quality control line is far away from the glass cellulose membrane 1, and the detection line is close to the glass cellulose membrane 1.
And (3) spraying an antigen combined with a detection specific antibody probe on a detection line, and spraying an independent antigen combined with an independent quality control antibody probe on a quality control line.
The quantum dots 3 are multi-specification CdSe/ZnS core-shell quantum dots with different polymerization degrees, and the luminescence wavelength is still generated by the core-shell quantum dots per se, and is hardly influenced by the polymerization degree.
When the detection line adopts a T line, quantum dots 3 with the same specification and the same wavelength are selected.
When two detection lines, namely T1 (8) and T2 (9), are adopted, quantum dots 3 with different specifications and same wavelength are selected. The quantum dots with small specification are monodisperse quantum dots, and the quantum dots with large specification are polymeric quantum dots. The probe chromatographic speed of the marked monodisperse quantum dot is slightly faster than that of the probe marked by the polymeric quantum dot, the probe marked with the monodisperse quantum dot corresponds to a detection line T2 with a longer position, and the probe marked with the polymeric quantum dot corresponds to a detection line T1 with a shorter position. Different detection projects can finish the reaction within the same short time, so that mutual interference is reduced, all fluorescence results can be read by the same optical system, and errors caused by hardware differences are reduced.
Wherein, the specific antibody 4 is a cortisol-specific antibody alone, a DHEA-specific antibody alone, a DHEAS-specific antibody alone, or one of cortisol and DHEA/DHEAS, and the two antibodies are combined together (bigeminy detection). That is, in the case of the duplex assay, cortisol must be present in the specific antibody 4, which is used in combination with any one of DHEA/DHEAS.
Specific antibody 4 includes rabbit IgG monoclonal antibodies or mouse IgG monoclonal antibodies directed against the small molecule of interest.
T1 (8) and T2 (9) are sprayed with antigens corresponding to the specific antibodies, respectively. When the specific antibody 4 is a cortisol-specific antibody alone, only one T-line is required as cortisol-specific antigen 7. When the specific antibody is cortisol coupled with any one of DHEA/DHEAS, then T1 (8) and T2 (9) are at least one of cortisol antigen and DHEA/DHEAS antigen, respectively.
The antibody in the independent quality control antibody probe is DNP-BSA antibody 17, the quality control line is C (10), and the independent antigen is DNP-BSA antigen 11.
Example two
According to the structure of the first embodiment, the present embodiment is a portable stress and mental disease objective index evaluation method, including the portable stress and mental disease objective index evaluation test strip of the first embodiment. The test items of the test strip contain cortisol and DHEA/DHEAS hormone, and the estimated disease types include chronic stress, and mental diseases and endocrine disorders due to long-term stress and stimulus.
The method specifically comprises the following steps:
S1, spraying a coupling probe and an independent antibody probe on a probe spraying area 2 on one side of the glass cellulose membrane 1, which is close to the nitrocellulose membrane 6.
The conjugated probes are probes formed by coupling quantum dots with different specifications and the same wavelength with specific antibodies, and the specific antibodies are cortisol specific antibodies alone or DHEA specific antibodies alone or DHEAS specific antibodies alone or cortisol and one of DHEA/DHEAS (bigeminy detection).
The independent antibody in the independent antibody probe is DNP-BSA antibody.
S2, two detection lines and a quality control line are arranged on the nitrocellulose membrane 6, namely T1, T2 and C, wherein T1 is located between the glass cellulose membrane 1 and T2, and T2 is located between T1 and C.
S3, spraying antigens corresponding to the coupled probes on the T1 and the T2. And spraying DNP-BSA antigen corresponding to the DNP-BSA antibody on the C.
S4, mixing 5-20 ul of blood sample 5 with the diluent to form 60-80 ul of mixed solution, and dripping the mixed solution on the glass cellulose membrane 1 at the position of the through hole of the upper cover 15, wherein the urine sample can be directly added.
S5, waiting for the reaction time to be 6-10 minutes, wherein the concentration change of the reaction detected within 10 minutes after the chromatography is finished is not more than 10%, the concentration change within one hour is not more than 15%, the time stability is very good, the CV (chemical vapor deposition) of the same sample in a key detection interval is not more than 10%, and the biochemical reaction can be completed within a very short time and a relatively precise result can be achieved.
The reaction is that the mixed solution moves towards the direction of the absorbent paper 13: the small molecules to be detected in the blood sample or the urine sample 5 are firstly combined with the spray coupling probes and the independent antibody probes of the spray probe area 2 respectively, and then combined with the antigens on T1, T2 and C.
The reaction principle is as follows: because the related object to be detected is a small molecule, the concentration of the object to be detected is inversely proportional to the fluorescence intensity of the corresponding detection line quantum dots by using the competition method detection principle, the quantitative value is corrected by the ratio of the T line to the C line, and the sample type is corrected by the fixed parameter r of the crowd.
If a certain crowd or patient belongs to mental diseases such as high stress or anxiety, depression and the like, the secreted cortisol may be high, the fluorescence intensity of the corresponding T-line quantum dot is weaker, the fluorescence value of the C-line is not influenced by an object to be detected basically, the T/C value is smaller, and the higher cortisol concentration is converted. Meanwhile, the precursor DHEA/DHEAS hormone of the upstream cortisol of the crowd is lower, and the fluorescent intensity of the corresponding T-line quantum dots is higher, the T/C value is higher, and the concentration of the precursor DHEA/DHEAS is lower. The ratio of cortisol concentration to DHEA/DHEAs concentration (i.e., T Cortisol /TDHEA/DHEAS) for the same individual may be used to better assess the stress and mental condition of the individual.
And S6, reading fluorescence data of the positions of the quality control line and the detection line from the transparent observation window 16 by using a detection analysis device, calculating the concentration of cortisol and DHEA/DHEAS according to the ratio of the fluorescence data of the detection line to the fluorescence data of the quality control line, and evaluating the conditions of the stress and the mental diseases.
Applications of the method include, but are not limited to, detection of stress, stress-induced stress, endocrine dyscrasia, anxiety, depression, and the like, associated with the detection indicators selected by the present technology.
In step S6, the detection and analysis device used is an existing fluorescence data acquisition device, for example, a positioning base and a dark chamber with the patent number ZL201510120128.6 and an in-vitro detection and analysis device using the dark chamber, or a light source module with the patent number ZL 2015116072. X and an in-vitro detection and analysis device using the light source module, or a dark chamber with the patent number ZL 2015116173. X and an in-vitro detection and analysis device using the dark chamber.
Of course, according to the reaction principle in step S5, in the absence of a professional detection device, the brightness of fluorescence can be evaluated by an observed method. For example, the fluorescent values on the T line and the C line are irradiated through common daily necessities such as a UV light source or a banknote checking pen, and the mental condition of the person to be checked is evaluated through judging the brightness of the fluorescent values.
The quantum dots used in the invention can be excited by the same UV light source, the light emission color is red, the concentration of cortisol, DHEA/DHEAS and the concentration proportion relation among the cortisol, DHEA/DHEAS can be judged through the signal ratio of the detection line to the quality control line and the signal ratio (T1/C, T2/C, T1/T2) between the quality control lines after the reaction is finished, and a large number of domestic and foreign researches show that the values and the ratios have reference significance for the auxiliary diagnosis of the mental diseases caused by pressure and stress.
The detection principle is single detection or multi-detection by a small molecule competition method, and the T line has the highest signal value when no substance to be detected exists. Through adjusting T line department spraying antigen level, probe spraying proportion, independent C line fluorescence signal value, make each T line be in the fixed proportion of C line signal value when the material concentration that awaits measuring is in medical cut-off value (cutoff), be convenient for under the comparatively crude condition can be simple through preliminary judgement testing result of naked eye observation, provide help to this disease further detail inspection.
FIG. 2 is a graph showing the stability of cortisol probe and detection reagent at 25℃using quantum dot labeling. After the reaction is completed within 6 minutes after the blood sample is added, the portable immunofluorescence analyzer is used for first reading until 60 minutes. In total, 11 clinical samples are provided, each sample is a line, and the fact that each sample line fluctuates slightly, especially after 10 minutes, the time stability is good, and more accurate detection can be performed when accurate timing cannot be performed or the time is too busy can be seen.
As shown in FIG. 3, which is a schematic diagram of semi-quantitative concentration ratio, 22.5ug/dL is the upper limit of 95% of the clinical detection and judgment of reference chemiluminescent cortisol in the method, and the design can perform semi-quantitative judgment on fluorescent color through the brightness and width (basically about 1:1) of T line and C line under the concentration range of 20-23 ug/dL. The cortisol and DNEA/DHEAS in the detection project are small molecules, and are detected by adopting a competition method, so that the concentration of an object to be detected is higher as the fluorescent signal is smaller, namely the pressure is higher or the possibility of mental diseases such as anxiety, depression and the like are higher, therefore, the T line of the cortisol is narrow and the signal is weak, the T line width of the DHEA/DHEAS is strong, and the signal is strong (or through the comparison of the two detection lines) so as to prompt the need of further review and confirmation. Under the condition of the handheld portable equipment, the accurate quantitative reading and automatic counting are recommended to be carried out by using the handheld immunofluorescence analyzer.
As shown in FIG. 4, for multi-index joint inspection, two detection lines T1 and T2 are set, and the relation between cortisol and DHEA (DHEAS) detection values (with the units of ug/dL) and T1/T2 can be known. Where the respective concentrations are calculated in a manner r Tx/C, r is the conversion coefficient of the sample, determined by the different sample types, and serum is typically 1. T1/t2= (r×t1/C)/(r×t2/C), the ratio may be calculated in software by using the conversion result of the concentration standard curves of the two, and under severe conditions, the ratio may be estimated from the fluorescence intensities of the two bands (T1 and T2) and the band width. The clinical reference range of T1/T2 refers to the research results of more foreign cases, the ratio can reach more than or equal to 0.5 in pregnant women with anxiety disorder or high pressure, and the comparison group is less than or equal to 0.3, and the comparison group has obvious difference.
Compared with the prior art, the invention has the following technical effects:
The invention uses quantum dots with the same wavelength, but later prepares monodisperse quantum dots and multimeric quantum dots with the same wavelength but different dispersibility by polymerizing particles, and the monodisperse quantum dots and the multimeric quantum dots are respectively applied to probes of different detection targets.
The substances to be detected with smaller particle sizes and larger particle sizes are used for marking the substances to be detected with larger particle sizes and smaller particle sizes are marked with the detection lines by quantum dots, so that various indexes to be detected can be better distinguished in the chromatographic process, and the respective reaction precision and reaction speed are improved.
And an independent quality control line antigen-antibody probe is used, a quality control line signal is not influenced by a detection line, and the concentration of an object to be detected judges the ratio of a reference T line signal to a reference C line signal. The signal ratio of each substance to be detected also has diagnostic reference significance in the detection process of the substance to be detected related to mental diseases.
The test can be performed using blood (serum, plasma, whole blood, 20 ul) or urine samples, with a single or combined test of cortisol or DHEA/DHEAs. Blood cells in whole blood remain in the glass cellulose membrane 1 (the chromatography speed is extremely slow and the direction is slightly inclined in the opposite direction), and the quantum dot probe and the substance to be detected can rapidly complete chromatography without being influenced by the blood cells.
The multi-index detection can be completed within the shortest 6 minutes, the detection concentration change within 10 minutes after the chromatography is completed is not more than 10 percent, and the detection concentration change within one hour is not more than 15 percent, so that the method has better time stability. The method has the advantages of low requirement on time accuracy of the read result, convenient use, simple operation and low cost, and can meet the detection accuracy requirements of the basic level and the social health.
Meanwhile, the invention combines the characteristics of high light intensity of quantum dot, long fluorescence lifetime and small particle size, can meet the detection of low concentration and daily rhythmic pressure-related cortisol or DHEA/DHEAS hormone micromolecule compared with the conventional colloidal gold detection, can meet the reading result of handheld equipment compared with an ELISA detection method, and even can observe the effect of contrasting the brightness of fluorescent strips by using a UV light source of a banknote-detecting pen, thereby achieving the purposes of screening and evaluating mental diseases under different scenes.
The foregoing description of the preferred embodiment of the invention is not intended to be limiting, but rather is intended to cover all modifications, equivalents, and alternatives falling within the spirit and principles of the invention.