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CN115112897B - Method for identifying biological false positive of antibody detection - Google Patents

Method for identifying biological false positive of antibody detection Download PDF

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CN115112897B
CN115112897B CN202111505293.5A CN202111505293A CN115112897B CN 115112897 B CN115112897 B CN 115112897B CN 202111505293 A CN202111505293 A CN 202111505293A CN 115112897 B CN115112897 B CN 115112897B
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CN115112897A (en
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张银辉
陆学东
彭振亚
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Eighth Affiliated Hospital of Sun Yat Sen University
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Abstract

The invention belongs to the technical field of antigen-antibody detection, in particular to a method for identifying biological false positive of antibody detection, and discloses a method for identifying biological false positive of antibody detection, which is a set of denatured genetic engineering antigen immune technology for solving the problem of clinical sample biological false positive, namely nonspecific reaction. The method can be used for identifying the nonspecific reaction of various antigens at the same time, detecting the immune reaction of specific antibodies, avoiding the influence of biological false positive on clinical serological detection, and has important clinical application value.

Description

一种用于鉴别抗体检测生物学假阳性的方法A method for identifying biological false positives in antibody detection

技术领域Technical Field

本发明属于抗原抗体检测技术领域,具体涉及一种用于鉴别抗体检测生物学假阳性的方法。The invention belongs to the technical field of antigen-antibody detection, and in particular relates to a method for identifying biological false positives in antibody detection.

背景技术Background Art

梅毒由苍白梅毒螺旋体(Treponema pallidum,TP)引起,是当今世界,特别是高收入国家的一个重要公共卫生问题。当前,虽然可以通过直接检测TP从而为梅毒的诊断提供依据,但在临床上往往难以获得合适的病原检测样本。因此,梅毒血清学试验(包括密螺旋体和非密螺旋体血清学试验),仍然是诊断和管理梅毒的首选方法。其中,非密螺旋体试验通常用于梅毒筛查和监测梅毒的治疗疗效,这种方法对梅毒的筛查属于非特异性的,导致临床上的某些疾病患者样本(如老年群体、肿瘤、孕妇、自身免疫性疾病、感染性疾病等)也容易出现生物学假阳性反应,从而容易误导临床医生。梅毒螺旋体血清学试验则主要用于梅毒的筛查和确认,检测对象为梅毒螺旋体特异性抗体,用于检测的抗原为苍白梅毒螺旋体菌体或纯化的天然抗原,由于梅毒螺旋体菌种繁殖成本较高,特异性抗原提纯困难、产量低等原因,导致其特异性检测试剂的规模化应用受到了限制。Syphilis is caused by Treponema pallidum (TP) and is an important public health problem in the world today, especially in high-income countries. At present, although TP can be directly detected to provide a basis for the diagnosis of syphilis, it is often difficult to obtain suitable pathogen detection samples in clinical practice. Therefore, syphilis serological tests (including treponemal and non-treponemal serological tests) are still the preferred method for diagnosing and managing syphilis. Among them, non-treponemal tests are usually used for syphilis screening and monitoring the therapeutic efficacy of syphilis. This method is non-specific for syphilis screening, resulting in biological false positive reactions in samples of patients with certain diseases in clinical practice (such as the elderly, tumors, pregnant women, autoimmune diseases, infectious diseases, etc.), which can easily mislead clinicians. Treponema pallidum serological tests are mainly used for screening and confirmation of syphilis. The detection object is Treponema pallidum-specific antibodies, and the antigen used for detection is Treponema pallidum bacteria or purified natural antigens. Due to the high cost of Treponema pallidum strain reproduction, the difficulty in purifying specific antigens, and the low yield, the large-scale application of its specific detection reagents is limited.

结核病(tuberculosis,TB)在我国是一个非常严重的公共卫生问题。结核分支杆菌 (Mycobacterium tuberculosis,Mtb)是结核病的主要致病菌。快速、准确的诊断结核分枝杆菌(MTB)感染,对于结核病的控制具有重要意义。然而,目前Mtb的血清学检测也容易出现生物学假阳性的问题。Tuberculosis (TB) is a very serious public health problem in my country. Mycobacterium tuberculosis (Mtb) is the main pathogen of TB. Rapid and accurate diagnosis of Mycobacterium tuberculosis (MTB) infection is of great significance for the control of TB. However, the current serological detection of Mtb is also prone to biological false positives.

当前,用于实验诊断的病原体靶抗原一般有四种:天然抗原、纯化抗原、基因工程抗原和人工合成抗原。四种抗原中只有天然抗原保持着病原体靶抗原的天然结构,用于检测的抗体均为特异性抗体,其它三种抗原则都属于非病原体靶抗原的天然结构,用于检测抗体时,特异性会受到一定的影响。因此,建立高效的特异性抗原筛选方法对于临床医学病原学检测具有重要的意义。随着生物技术的发展,目前基因工程抗原已经代替了天然抗原用于临床梅毒等特异性血清学的检测实验,并建立了诸如酶联免疫吸附法(ELISA)、免疫层析法 (Immunochromatography)、化学发光免疫法(Chemiluminescence Immunoassay,CLIA)、化学发光微粒子免疫法(chemiluminescent microparticle immunoassay,CMIA)等可自动化操作的检测技术,并且实验的灵敏度也在不断地提高,方便了临床的规模化筛查。但是,随着高灵敏性检测技术在临床医学中的广泛使用,样本检测出现生物学假阳性的问题也不断涌现,从而严重影响了临床医生对疾病诊断的判断。造成上述问题的主要原因在于基因工程抗原在复性过程中会形成非特异性反应位点,或者是抗原在纯化过程中造成了蛋白质高级结构的改变,最终形成了假阳性反应。At present, there are generally four types of pathogen target antigens used for experimental diagnosis: natural antigens, purified antigens, genetically engineered antigens and artificially synthesized antigens. Among the four antigens, only the natural antigens retain the natural structure of the pathogen target antigens, and the antibodies used for detection are all specific antibodies. The other three antibodies are all natural structures of non-pathogen target antigens. When used to detect antibodies, the specificity will be affected to a certain extent. Therefore, the establishment of an efficient specific antigen screening method is of great significance for clinical medical etiology detection. With the development of biotechnology, genetically engineered antigens have replaced natural antigens for specific serological detection experiments such as clinical syphilis, and automated detection technologies such as enzyme-linked immunosorbent assay (ELISA), immunochromatography (Immunochromatography), chemiluminescence immunoassay (Chemiluminescence Immunoassay, CLIA), and chemiluminescent microparticle immunoassay (chemiluminescent microparticle immunoassay, CMIA) have been established, and the sensitivity of the experiment is also constantly improving, which is convenient for clinical large-scale screening. However, with the widespread use of high-sensitivity detection technology in clinical medicine, the problem of biological false positives in sample testing has also emerged, which has seriously affected the judgment of clinicians on disease diagnosis. The main reason for the above problems is that genetically engineered antigens will form non-specific reaction sites during the renaturation process, or the antigens will cause changes in the higher-order structure of the protein during the purification process, ultimately forming false positive reactions.

因此,有必要设计一套解决临床样本生物学假阳性,即非特异性反应的变性基因工程抗原免疫技术。Therefore, it is necessary to design a set of denatured genetically engineered antigen immunization technologies to solve the biological false positives of clinical samples, that is, non-specific reactions.

发明内容Summary of the invention

为了克服上述现有技术的不足,本发明公开了一种用于鉴别抗体检测生物学假阳性的方法,将多种变性抗原和非变性抗原同时成对线性或点状包被在载体上,然后通过免疫实验检测相应的特异性抗体,即可用于鉴别抗体的生物学假阳性。In order to overcome the deficiencies of the above-mentioned prior art, the present invention discloses a method for identifying biological false positives in antibody detection, in which a plurality of denatured antigens and non-denatured antigens are simultaneously coated on a carrier in pairs linearly or dottedly, and then the corresponding specific antibodies are detected by immunoassay, which can be used to identify biological false positives of antibodies.

为实现上述目的,本发明所采用的技术方案为:To achieve the above purpose, the technical solution adopted by the present invention is:

一种用于鉴别抗体检测生物学假阳性的方法,该方法包括以下步骤:A method for identifying biological false positives in antibody detection, the method comprising the following steps:

S1、将多种抗原分别溶解于含有蛋白质二硫键还原剂的变性缓冲液中,经过高温水浴后离心收集上清,制备得到处理抗原;再将相同的抗原分别溶解于不含蛋白质二硫键还原剂的缓冲液中,经过离心后收集上清,制备得到非处理抗原;S1. Dissolve multiple antigens in a denaturing buffer containing a protein disulfide bond reducing agent, centrifuge and collect the supernatant after high-temperature water bath to prepare treated antigens; then dissolve the same antigens in a buffer not containing a protein disulfide bond reducing agent, collect the supernatant after centrifugation to prepare non-treated antigens;

S2、将步骤S1的抗原上清按照相同种类以处理抗原和非处理抗原成对线性或点状包被在固相载体上,制备包被抗原的固相载体;S2, coating the antigen supernatant of step S1 on a solid phase carrier in pairs of treated antigens and untreated antigens of the same type in a linear or dot pattern to prepare a solid phase carrier coated with the antigen;

S3、包被抗原的固相载体经过1%脱脂奶粉封闭后,剪裁成抗原检测条;S3, the solid phase carrier coated with the antigen is blocked with 1% skimmed milk powder and then cut into antigen detection strips;

S4、用免疫印迹工作液浸湿抗原检测条后,加入待测抗体样本,经孵育、洗涤、加酶标二抗、洗涤、显色后观察结果;S4. After soaking the antigen detection strip with the immunoblotting working solution, add the antibody sample to be tested, incubate, wash, add enzyme-labeled secondary antibody, wash, develop, and observe the results;

S5、结果判读:非处理抗原和处理抗原均阳性,说明样本中有针对包被抗原的特异性抗体存在;非处理抗原阳性,处理抗原阴性,说明样本中有针对包被抗原的非特异性抗体存在,即存在生物学假阳性;非处理抗原和处理抗原均阴性,说明样本中没有针对该包被抗原的特异性抗体存在。S5. Result interpretation: If both the untreated antigen and the treated antigen are positive, it means that there are specific antibodies against the coated antigen in the sample; if the untreated antigen is positive and the treated antigen is negative, it means that there are non-specific antibodies against the coated antigen in the sample, that is, there is a biological false positive; if both the untreated antigen and the treated antigen are negative, it means that there are no specific antibodies against the coated antigen in the sample.

基因工程抗原表达的是蛋白质的一级结构(氨基酸序列),复性后的抗原为非天然结构,存在非特异性免疫反应位点,本发明利用蛋白质二硫键还原剂打开基因工程抗原的二级或三级结构,使其恢复为蛋白质一级结构,以氨基酸序列特异性抗原决定簇作为靶点,检测特异性抗体,并与非解链处理的抗原成对比对检测,从而鉴别假阳性反应。因为蛋白质一级结构氨基酸序列产生的特异性抗原决定簇是天然结构,为特异性的,检测到的抗体也一定是特异性抗体!而复性后的抗原二级结构或三级结构一定不是天然结构,会出现错误折叠,造成生物学假阳性反应。Genetically engineered antigens express the primary structure (amino acid sequence) of proteins. The renatured antigens are non-natural structures with non-specific immune reaction sites. The present invention uses a protein disulfide bond reducing agent to open the secondary or tertiary structure of genetically engineered antigens, so that they are restored to the primary structure of proteins. The amino acid sequence-specific antigenic determinants are used as targets to detect specific antibodies, and are paired with non-melted antigens for detection, thereby identifying false positive reactions. Because the specific antigenic determinants generated by the amino acid sequence of the primary structure of proteins are natural structures and are specific, the antibodies detected must also be specific antibodies! However, the secondary or tertiary structure of the renatured antigens must not be natural structures, and they will be misfolded, resulting in biological false positive reactions.

优选地,所述含有蛋白质二硫键还原剂的变性缓冲液和不含蛋白质二硫键还原剂的缓冲液中,所采用的缓冲液均为PH8.0,且浓度为0.025M的Tris-HCl缓冲液。Preferably, the denaturing buffer containing a protein disulfide bond reducing agent and the buffer not containing a protein disulfide bond reducing agent both use a Tris-HCl buffer with a pH of 8.0 and a concentration of 0.025 M.

优选地,所述蛋白质二硫键还原剂包括β-巯基乙醇、二硫苏糖醇、三(2-氯乙基)磷酸酯。Preferably, the protein disulfide bond reducing agent includes β-mercaptoethanol, dithiothreitol, and tris(2-chloroethyl)phosphate.

优选地,所述蛋白质二硫键还原剂在变性缓冲液中的浓度为0.1%。Preferably, the concentration of the protein disulfide bond reducing agent in the denaturation buffer is 0.1%.

优选地,所述高温水浴为100℃水浴3-5分钟。Preferably, the high temperature water bath is a 100° C. water bath for 3-5 minutes.

优选地,所述待测抗体包括梅毒抗体和结核抗体。当然,其他疾病的待测抗体同样适用于本发明。Preferably, the antibodies to be tested include syphilis antibodies and tuberculosis antibodies. Of course, antibodies to be tested for other diseases are also applicable to the present invention.

优选地,所述固相载体包括NC膜、PVDF膜、玻片、有机塑料片、硅片。具体地,所述固相载体为NC膜。Preferably, the solid phase carrier comprises NC membrane, PVDF membrane, glass slide, organic plastic sheet, silicon wafer. Specifically, the solid phase carrier is NC membrane.

优选地,所述待测抗体样本包括抗体血清或脑脊液,所述抗体血清或脑脊液的加入量为 10-20uL。Preferably, the antibody sample to be tested includes antibody serum or cerebrospinal fluid, and the added amount of the antibody serum or cerebrospinal fluid is 10-20uL.

优选地,步骤S1中,各抗原在含有蛋白质二硫键还原剂的变性缓冲液和不含蛋白质二硫键还原剂的缓冲液中的终浓度均为0.5-1.0mg/mL。Preferably, in step S1, the final concentration of each antigen in the denaturing buffer containing a protein disulfide bond reducing agent and the buffer not containing a protein disulfide bond reducing agent is 0.5-1.0 mg/mL.

优选地,所述1%脱脂奶粉为含1%脱脂奶粉的0.05M PBS缓冲液,缓冲液的PH=7.4。Preferably, the 1% skim milk powder is 0.05M PBS buffer containing 1% skim milk powder, and the pH of the buffer is 7.4.

优选地,1%脱脂奶粉的封闭时间为1-2小时。Preferably, the blocking time of 1% skimmed milk powder is 1-2 hours.

优选地,所述抗原检测条的宽度为2-3mm。具体地,所述抗原检测条的宽度为2.5mm。Preferably, the width of the antigen detection strip is 2-3 mm. Specifically, the width of the antigen detection strip is 2.5 mm.

优选地,孵育、洗涤、加酶标二抗、洗涤、显色这些步骤为常规免疫印迹方法,具体为:Preferably, the steps of incubation, washing, adding enzyme-labeled secondary antibody, washing, and color development are conventional immunoblotting methods, specifically:

(1)孵育:将多抗原膜条置于反应槽中,每槽加1mL工作液浸湿膜条后,加入待测抗体样本10-20uL,置于摇摆平台上,室温孵育60分钟。(1) Incubation: Place the multi-antigen membrane strip in the reaction tank, add 1 mL of working solution to each tank to soak the membrane strip, add 10-20 uL of the antibody sample to be tested, place on a rocking platform, and incubate at room temperature for 60 minutes.

(2)洗涤:弃去槽中的液体,并在吸水纸上轻轻扣干,再加入工作液,置于摇摆平台摇动洗涤3次,每次每槽1mL,每次1分钟。(2) Washing: Discard the liquid in the tank and gently tap it dry on absorbent paper. Then add the working solution and place it on a rocking platform to wash three times, 1 mL per tank each time, and each time for 1 minute.

(3)加酶标二抗:用加样器往每槽准确加入1mL工作液,再加入特定酶标二抗,置于摇摆平台上,室温孵育30分钟。(3) Add enzyme-labeled secondary antibody: Use a pipette to accurately add 1 mL of working solution to each well, then add specific enzyme-labeled secondary antibody, place on a rocking platform, and incubate at room temperature for 30 minutes.

(4)洗涤:同(2)。即,弃去槽中的液体,并在吸水纸上轻轻扣干,再加入工作液,置于摇摆平台摇动洗涤3次,每次每槽1mL,每次1分钟。(4) Washing: Same as (2). That is, discard the liquid in the tank and gently tap it on absorbent paper, then add the working solution and place it on a rocking platform to wash 3 times, 1 mL per tank each time, each time for 1 minute.

(5)显色:每槽加入1mL即用显色剂,充分摇匀,室温孵育5分钟,弃去槽中的液体,用0.05M PBS缓冲液(PH=7.4)漂洗2次,弃去液体,在槽中观察结果即可。(5) Color development: Add 1 mL of developer to each tank, shake well, incubate at room temperature for 5 minutes, discard the liquid in the tank, rinse twice with 0.05 M PBS buffer (PH = 7.4), discard the liquid, and observe the results in the tank.

本发明还提供了一种用于鉴别抗体检测生物学假阳性的试剂盒,所述试剂盒包括抗原检测条,所述抗原检测条由包被抗原的固相载体剪裁而成,所述抗原检测条上包括处理抗原和非处理抗原,所述处理抗原和非处理抗原成对线性或点状包分布,所述处理抗原为经含有蛋白质二硫键还原剂的变性缓冲液高温水浴后的抗原,所述非处理抗原为经不含蛋白质二硫键还原剂的缓冲液处理后的抗原。The present invention also provides a kit for identifying biological false positives in antibody detection, the kit comprising an antigen detection strip, the antigen detection strip being cut from a solid phase carrier coated with an antigen, the antigen detection strip comprising a treated antigen and an untreated antigen, the treated antigen and the untreated antigen being distributed in pairs linearly or in dots, the treated antigen being an antigen that has been subjected to a high temperature water bath in a denaturing buffer containing a protein disulfide bond reducing agent, and the untreated antigen being an antigen that has been treated with a buffer not containing a protein disulfide bond reducing agent.

优选地,所述含有蛋白质二硫键还原剂的变性缓冲液和不含蛋白质二硫键还原剂的缓冲液中,所采用的缓冲液均为PH8.0,且浓度为0.025M的Tris-HCl缓冲液;所述蛋白质二硫键还原剂包括β-巯基乙醇、二硫苏糖醇、三(2-氯乙基)磷酸酯;所述蛋白质二硫键还原剂在变性缓冲液中的浓度为0.1%。Preferably, the buffer used in the denaturing buffer containing a protein disulfide bond reducing agent and the buffer not containing a protein disulfide bond reducing agent are both Tris-HCl buffer with a pH of 8.0 and a concentration of 0.025 M; the protein disulfide bond reducing agent includes β-mercaptoethanol, dithiothreitol, and tris(2-chloroethyl) phosphate; and the concentration of the protein disulfide bond reducing agent in the denaturing buffer is 0.1%.

优选地,所述高温水浴为100℃水浴3-5分钟。Preferably, the high temperature water bath is a 100° C. water bath for 3-5 minutes.

优选地,所述固相载体包括NC膜、PVDF膜、玻片、有机塑料片、硅片。Preferably, the solid phase carrier includes NC membrane, PVDF membrane, glass slide, organic plastic sheet, silicon wafer.

优选地,所述抗原检测条为包被抗原的固相载体经过1%脱脂奶粉封闭1小时后剪裁而成。Preferably, the antigen detection strip is formed by cutting a solid phase carrier coated with an antigen after being blocked with 1% skimmed milk powder for 1 hour.

优选地,所述试剂盒还包括常规免疫印迹所用到的试剂。Preferably, the kit further comprises reagents used for conventional immunoblotting.

上述试剂盒的使用方法为:The method of using the above kit is as follows:

1)将抗原检测条置于反应槽中,每槽加1mL工作液浸湿膜条后,加入待测抗体样本10-20uL,置于摇摆平台上,室温孵育60分钟。1) Place the antigen test strip in the reaction tank, add 1mL of working solution to each tank to soak the strip, add 10-20uL of the antibody sample to be tested, place on a rocking platform, and incubate at room temperature for 60 minutes.

2)洗涤:弃去槽中的液体,并在吸水纸上轻轻扣干,再加入工作液,置于摇摆平台摇动洗涤3次,每次每槽1mL,每次1分钟。2) Washing: Discard the liquid in the tank and gently tap it dry on absorbent paper, then add working solution and place it on a rocking platform to shake and wash 3 times, 1 mL per tank each time, each time for 1 minute.

3)酶标抗体的孵育:用加样器往每槽准确加入1mL工作液,再加入特定酶标二抗,置于摇摆平台上,室温孵育30分钟。3) Incubation of enzyme-labeled antibodies: Use a pipette to accurately add 1 mL of working solution to each well, then add specific enzyme-labeled secondary antibodies, place on a rocking platform, and incubate at room temperature for 30 minutes.

4)洗涤:同步骤5。4) Washing: Same as step 5.

5)显色及终止:每槽加入1mL即用显色剂,充分摇匀,室温孵育5分钟,弃去槽中的液体,用0.05M PBS缓冲液(PH=7.4)漂洗2次,弃去液体,在槽中观察结果即可。5) Color development and termination: Add 1 mL of developer to each tank, shake well, incubate at room temperature for 5 minutes, discard the liquid in the tank, rinse twice with 0.05 M PBS buffer (PH = 7.4), discard the liquid, and observe the results in the tank.

6)结果判读:6) Interpretation of results:

A:非处理抗原和处理抗原均阳性,说明样本中有针对包被抗原的特异性抗体存在。A: Both the untreated antigen and the treated antigen are positive, indicating that there are specific antibodies against the coated antigen in the sample.

B:非处理抗原阳性,处理抗原阴性,说明样本中有针对包被抗原的非特异性抗体存在,即存在生物学假阳性。B: The non-treated antigen is positive and the treated antigen is negative, indicating that there are non-specific antibodies against the coated antigen in the sample, that is, there is a biological false positive.

C:非处理抗原和处理抗原均阴性,说明样本中没有针对该包被抗原的特异性抗体存在。C: Both the untreated antigen and the treated antigen are negative, indicating that there is no specific antibody against the coated antigen in the sample.

与现有技术相比,本发明的有益效果是:Compared with the prior art, the present invention has the following beneficial effects:

本发明公开了一种用于鉴别抗体检测生物学假阳性的方法,将多种变性抗原和非变性抗原同时成对线性或点状包被在载体上,然后通过免疫实验检测相应的特异性抗体,即可用于鉴别抗体的生物学假阳性。本发明方法可同时用于鉴别多种抗原的非特异性反应,并可检测特异性抗体的免疫反应,避免生物学假阳性对临床血清学检测的影响,具有重要的临床应用价值。The present invention discloses a method for identifying biological false positives in antibody detection, wherein multiple denatured antigens and non-denatured antigens are simultaneously coated on a carrier in pairs linearly or dot-shaped, and then the corresponding specific antibodies are detected by immunoassay, which can be used to identify biological false positives of antibodies. The method of the present invention can be used to identify non-specific reactions of multiple antigens at the same time, and can detect the immune reactions of specific antibodies, thereby avoiding the influence of biological false positives on clinical serological detection, and has important clinical application value.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

图1为抗原线性包被模式图;Figure 1 is a diagram of the antigen linear coating pattern;

图2为梅毒抗体检测结果的判读模式图(A.非处理抗原和处理抗原均阳性;B.非处理抗原阳性,处理抗原阴性;C.部分处理抗原阴性,或非处理抗原和处理抗原均阴性);FIG2 is a diagram showing the interpretation mode of syphilis antibody test results (A. both non-treated antigen and treated antigen are positive; B. non-treated antigen is positive and treated antigen is negative; C. part of treated antigen is negative, or both non-treated antigen and treated antigen are negative);

图3为梅毒抗原线性包被模式图;Fig. 3 is a diagram of the linear coating pattern of syphilis antigen;

图4为梅毒抗体检测的结果判读模式图(A.非处理抗原和处理抗原均阳性;B.非处理抗原阳性,处理抗原阴性;C.部分处理抗原阴性,或非处理抗原和处理抗原均阴性);FIG4 is a diagram showing the interpretation of the results of syphilis antibody testing (A. both non-treated antigen and treated antigen are positive; B. non-treated antigen is positive and treated antigen is negative; C. part of the treated antigen is negative, or both non-treated antigen and treated antigen are negative);

图5为梅毒抗体检测结果的实例图(1、2号样本为梅毒阳性样本;3、4、5、6、7、8、10、11、13、15、16号样本为梅毒阴性样本;9号为TP45抗原假阳性样本;12号为TP17抗原假阳性样本;14号为TP45、TP17抗原假阳性样本);FIG5 is an example diagram of syphilis antibody test results (samples 1 and 2 are syphilis positive samples; samples 3, 4, 5, 6, 7, 8, 10, 11, 13, 15, and 16 are syphilis negative samples; sample 9 is a TP45 antigen false positive sample; sample 12 is a TP17 antigen false positive sample; sample 14 is a TP45 and TP17 antigen false positive sample);

图6为结核抗原线性包被模式图;Fig. 6 is a diagram of the linear coating pattern of tuberculosis antigen;

图7为结核抗体检测结果的判读模式图(A.非处理抗原和处理抗原均阳性;B.非处理抗原阳性,处理抗原阴性;C.部分处理抗原阴性,或非处理抗原和处理抗原均阴性);FIG7 is a diagram showing the interpretation mode of tuberculosis antibody test results (A. both untreated antigen and treated antigen are positive; B. untreated antigen is positive and treated antigen is negative; C. part of treated antigen is negative, or both untreated antigen and treated antigen are negative);

图8为结核病人的血清检测结果;Fig. 8 is the serum test result of tuberculosis patients;

图9为自身免疫病人的血清检测结果;FIG9 shows the serum test results of autoimmune patients;

图10为老年人组血清的检测结果;FIG10 is the test results of serum in the elderly group;

图11为儿童组血清的检测结果。FIG. 11 shows the test results of the serum of the children group.

具体实施方式DETAILED DESCRIPTION

下面对本发明的具体实施方式作进一步说明。在此需要说明的是,对于这些实施方式的说明用于帮助理解本发明,但并不构成对本发明的限定。此外,下面所描述的本发明各个实施方式中所涉及的技术特征只要彼此之间未构成冲突就可以相互组合。The specific embodiments of the present invention are further described below. It should be noted that the description of these embodiments is used to help understand the present invention, but does not constitute a limitation of the present invention. In addition, the technical features involved in each embodiment of the present invention described below can be combined with each other as long as they do not conflict with each other.

下述实施例中的实验方法,如无特殊说明,均为常规方法,下述实施例中所用的试验材料,如无特殊说明,均为可通过常规的商业途径购买得到。The experimental methods in the following examples are conventional methods unless otherwise specified, and the experimental materials used in the following examples are commercially available unless otherwise specified.

实施例1抗体检测生物学假阳性鉴别方法的建立Example 1 Establishment of a biological false positive identification method for antibody detection

(1)抗原处理:将多种抗原分别溶解于变性缓冲液(即浓度为0.025M、且PH=8.0的Tris-HCl缓冲液,含0.1%蛋白质二硫键还原剂,所述还原剂选自β-巯基乙醇、二硫苏糖醇或三(2-氯乙基)磷酸酯等)中,抗原的终浓度为0.5-1.0mg/mL,经100℃水浴3-5分钟、10000rpm 离心后取上清备用(为处理抗原);再将相同的抗原分别溶解于浓度为0.025M、且PH=8.0 的Tris-HCl缓冲液中,抗原终浓度为0.5-1.0mg/mL,10000rpm离心后取上清备用(为非处理抗原)。(1) Antigen treatment: Dissolve various antigens in denaturing buffer (i.e., Tris-HCl buffer with a concentration of 0.025 M and pH = 8.0, containing 0.1% protein disulfide bond reducing agent, wherein the reducing agent is selected from β-mercaptoethanol, dithiothreitol or tris(2-chloroethyl)phosphate, etc.) to a final antigen concentration of 0.5-1.0 mg/mL, in a 100°C water bath for 3-5 minutes, and centrifuge at 10,000 rpm to obtain the supernatant for use (for treated antigens); then dissolve the same antigens in Tris-HCl buffer with a concentration of 0.025 M and pH = 8.0 to a final antigen concentration of 0.5-1.0 mg/mL, and centrifuge at 10,000 rpm to obtain the supernatant for use (for untreated antigens).

(2)将上述抗原按照相同种类以非处理抗原和处理抗原成对线性(或点状)包被在载体上(以NC膜为例),如图1所示。(2) The above antigens are coated linearly (or dotted) in pairs of non-treated antigens and treated antigens of the same type on a carrier (taking NC membrane as an example), as shown in FIG1 .

(3)将包被抗原的NC膜用含1%脱脂奶粉的0.05M PBS缓冲液(PH=7.4)封闭1小时,然后裁成2.5mm宽的检测用抗原膜条,备用。(3) The NC membrane coated with the antigen was blocked with 0.05 M PBS buffer (PH=7.4) containing 1% skimmed milk powder for 1 hour, and then cut into 2.5 mm wide antigen membrane strips for detection and set aside.

(4)待测标本的孵育:将抗原膜条置于反应槽中,每槽加1mL工作液【0.5%脱脂奶粉的0.05M PBS缓冲液(PH=7.4)】浸湿膜条后,加入待测抗体样本10-20uL,放于摇摆平台上,室温孵育60分钟。(4) Incubation of the sample to be tested: Place the antigen membrane strip in the reaction tank, add 1 mL of working solution [0.5% skim milk powder in 0.05 M PBS buffer (PH = 7.4)] to each tank to wet the membrane strip, then add 10-20 uL of the antibody sample to be tested, place on a rocking platform, and incubate at room temperature for 60 minutes.

(5)洗涤:弃去槽中的液体,并在吸水纸上轻轻扣干,再加入工作液,置于摇摆平台上摇动洗涤3次,每次每槽1mL,每次1分钟。(5) Washing: Discard the liquid in the tank and gently tap dry on absorbent paper. Then add working solution and place on a rocking platform to wash three times, 1 mL per tank each time, each time for 1 minute.

(6)酶标抗体的孵育:用加样器往每槽准确加入1mL工作液,再加入即用酶标二抗,置于摇摆平台上,室温孵育30分钟。(6) Incubation of enzyme-labeled antibody: Use a pipette to accurately add 1 mL of working solution to each well, then add the enzyme-labeled secondary antibody, place on a rocking platform, and incubate at room temperature for 30 minutes.

(7)洗涤:同步骤5。(7) Washing: Same as step 5.

(8)显色及终止:每槽加入1mL即用显色剂【0.01%4-氯-1奈酚的0.05M PBS缓冲液(PH=7.4)】,充分摇匀,室温孵育5分钟,弃去槽中的液体,用0.05M PBS缓冲液(PH=7.4)漂洗2次,弃去液体,在槽中观察结果即可。(8) Color development and termination: Add 1 mL of the color developer [0.01% 4-chloro-1-naphthol in 0.05 M PBS buffer (PH = 7.4)] to each tank, shake well, incubate at room temperature for 5 minutes, discard the liquid in the tank, rinse twice with 0.05 M PBS buffer (PH = 7.4), discard the liquid, and observe the results in the tank.

(9)结果判读:如图2所示:(9) Result interpretation: as shown in Figure 2:

A:非处理抗原和处理抗原均阳性,说明样本中有针对包被抗原的特异性抗体存在。A: Both the untreated antigen and the treated antigen are positive, indicating that there are specific antibodies against the coated antigen in the sample.

B:非处理抗原阳性,处理抗原阴性,说明样本中有针对包被抗原的非特异性抗体存在,即存在生物学假阳性。B: The non-treated antigen is positive and the treated antigen is negative, indicating that there are non-specific antibodies against the coated antigen in the sample, that is, there is a biological false positive.

C:非处理抗原和处理抗原均阴性,说明样本中没有针对该包被抗原的特异性抗体存在。C: Both the untreated antigen and the treated antigen are negative, indicating that there is no specific antibody against the coated antigen in the sample.

实施例2一种用于鉴别临床梅毒抗体检测生物学假阳性的方法Example 2 A method for identifying biological false positives in clinical syphilis antibody detection

按照实施例1建立的抗体检测生物学假阳性鉴别方法鉴别临床梅毒抗体检测生物学假阳性,具体方法包括以下步骤:The method for identifying biological false positives in antibody detection established in Example 1 is used to identify biological false positives in clinical syphilis antibody detection. The specific method comprises the following steps:

(1)购置目前世界上公认的临床梅毒特异性抗体诊断所用四种基因工程抗原:TP47、 TP45、TP17、TP15(购于厦门英博迈生物科技有限公司,但不同供应商产品可能有不同的命名),-20℃保存备用。(1) Purchase four genetically engineered antigens currently recognized in the world for clinical syphilis-specific antibody diagnosis: TP47, TP45, TP17, and TP15 (purchased from Xiamen Inboma Biotechnology Co., Ltd., but products from different suppliers may have different names) and store them at -20°C for future use.

(2)基因工程抗原处理:将上述四种基因工程抗原分别溶解于变性缓冲液中(即浓度为 0.025M、且PH=8.0的Tris-HCl缓冲液,含0.1%β-巯基乙醇),抗原的终浓度为0.5-1.0mg/mL,经过100℃水浴3-5分钟、10000rpm离心后取上清备用(为处理抗原);将上述四种相同的基因工程抗原分别溶解于0.025M Tris-HCl缓冲液(PH=8.0)中,抗原的终浓度为0.5-1.0mg/mL, 10000rpm离心后取上清备用(为非处理抗原)。(2) Treatment of genetically engineered antigens: The above four genetically engineered antigens were dissolved in a denaturing buffer (i.e., Tris-HCl buffer with a concentration of 0.025 M and pH = 8.0, containing 0.1% β-mercaptoethanol) to a final concentration of 0.5-1.0 mg/mL. After being incubated in a 100°C water bath for 3-5 minutes and centrifuged at 10,000 rpm, the supernatant was collected for later use (as the treated antigen); the above four identical genetically engineered antigens were dissolved in 0.025 M Tris-HCl buffer (pH = 8.0) to a final concentration of 0.5-1.0 mg/mL. After being centrifuged at 10,000 rpm, the supernatant was collected for later use (as the untreated antigen).

(3)将上述四种抗原按照相同种类以非处理抗原和处理抗原成对线性包被在载体NC膜上,如图3所示,。(3) The above four antigens are linearly coated on the carrier NC membrane in pairs of non-treated antigens and treated antigens of the same type, as shown in FIG3 .

(4)将包被抗原的NC膜用含1%脱脂奶粉的0.05M PBS缓冲液(PH=7.4)封闭1小时,然后裁成2.5mm宽检测用的抗原膜条,备用。(4) The NC membrane coated with the antigen was blocked with 0.05 M PBS buffer (pH = 7.4) containing 1% skimmed milk powder for 1 hour, and then cut into 2.5 mm wide antigen membrane strips for detection and set aside.

(5)待测标本的孵育:将抗原膜条置于反应槽中,每槽加1mL工作液浸湿膜条后,加入临床待测样本(患者血清或脑脊液,来源于本院实验室的样本库)10-20uL,置于摇摆平台上,室温孵育60分钟。(5) Incubation of the specimen to be tested: Place the antigen membrane strip in the reaction tank, add 1 mL of working solution to each tank to soak the membrane strip, then add 10-20 uL of the clinical specimen to be tested (patient serum or cerebrospinal fluid, from the sample library of our hospital laboratory), place on a rocking platform, and incubate at room temperature for 60 minutes.

(6)洗涤:弃去槽中的液体,并在吸水纸上轻轻扣干,再加入工作液,置于摇摆平台摇动洗涤3次,每次每槽1mL,每次1分钟。(6) Washing: Discard the liquid in the tank and gently tap it dry on absorbent paper. Then add the working solution and place it on a rocking platform to wash three times, 1 mL per tank each time, for 1 minute each time.

(7)酶标抗体的孵育:用加样器往每槽中准确加入1mL工作液,加入即用酶标二抗(抗人IgG或抗人IgM酶标二抗),置于摇摆平台上,室温孵育30分钟。(7) Incubation of enzyme-labeled antibodies: Use a pipette to accurately add 1 mL of working solution to each well, add the enzyme-labeled secondary antibody (anti-human IgG or anti-human IgM enzyme-labeled secondary antibody), place on a rocking platform, and incubate at room temperature for 30 minutes.

(8)洗涤:同步骤6。(8) Washing: Same as step 6.

(8)显色及终止:每槽加入即用显色剂1mL,充分摇匀,室温孵育5分钟,弃去槽中的液体,用0.05M PBS缓冲液(PH=7.4)终止漂洗2次,弃去液体,在槽中观察结果即可。(8) Color development and termination: Add 1 mL of the color developer to each tank, shake well, incubate at room temperature for 5 minutes, discard the liquid in the tank, rinse twice with 0.05 M PBS buffer (PH = 7.4), discard the liquid, and observe the results in the tank.

10、结果判读:如图4和5所示,该出结果判读如下:10. Result interpretation: As shown in Figures 4 and 5, the result interpretation is as follows:

A:非处理抗原和处理抗原均阳性,说明样本中有针对包被抗原的特异性抗体存在,即样本中有梅毒TP47、TP45、TP17、TP15抗原的特异性抗体。A: Both the untreated antigen and the treated antigen are positive, indicating that there are specific antibodies against the coated antigen in the sample, that is, there are specific antibodies against syphilis TP47, TP45, TP17, and TP15 antigens in the sample.

B:非处理抗原阳性,处理抗原阴性,说明样本中有针对包被抗原的非特异性抗体存在,即出现的梅毒TP47、TP45、TP17、TP15抗原的抗体为生物学假阳性。B: The non-treated antigen is positive and the treated antigen is negative, indicating that there are non-specific antibodies against the coated antigen in the sample, that is, the antibodies against syphilis TP47, TP45, TP17, and TP15 antigens are biological false positives.

C:非处理抗原和处理抗原均阴性,说明样本中没有针对该包被抗原的特异性抗体存在,该抗原的抗体为阴性。若出现只有阳性对照条带,其余条带均不出现,此样本为梅毒阴性样本。C: Both the untreated antigen and the treated antigen are negative, indicating that there is no specific antibody against the coated antigen in the sample, and the antibody to the antigen is negative. If only the positive control band appears and the other bands do not appear, this sample is a syphilis-negative sample.

实施例3一种用于鉴别临床结核抗体检测生物学假阳性的方法Example 3 A method for identifying biological false positives in clinical tuberculosis antibody detection

(1)将TB4、Ce85c(一种结核分枝杆菌的分泌蛋白)、L88a(是结核分枝杆菌的CFP10+38KD+48KD三个抗原融合表达的片段)、Mtb8(即Rv0379,结核分枝杆菌的转铁蛋白)这四种抗原分别溶解于变性缓冲液(即浓度为0.025M、且PH=8.0的Tris-HCl缓冲液,含0.1%β-巯基乙醇)中,抗原的终浓度为0.5-1.0mg/mL,经100℃水浴3-5分钟、10000rpm离心后取上清备用(为处理抗原);将四种相同的抗原分别溶解于0.025M Tris-HCl缓冲液(PH=8.0) 中,抗原的终浓度为0.5-1.0mg/mL,10000rpm离心后取上清备用(为非处理抗原)。(1) Dissolve the four antigens, TB4, Ce85c (a secretory protein of Mycobacterium tuberculosis), L88a (a fusion expression fragment of three antigens CFP10+38KD+48KD of Mycobacterium tuberculosis), and Mtb8 (i.e., Rv0379, transferrin of Mycobacterium tuberculosis) in a denaturing buffer (i.e., a Tris-HCl buffer with a concentration of 0.025 M and a pH of 8.0, containing 0.1% β-mercaptoethanol) to a final concentration of 0.5-1.0 mg/mL. After centrifugation at 10000 rpm in a 100°C water bath for 3-5 minutes, remove the supernatant for later use (for treated antigens); dissolve the four identical antigens in a 0.025 M Tris-HCl buffer (pH=8.0) to a final concentration of 0.5-1.0 mg/mL. After centrifugation at 10000 rpm, remove the supernatant for later use (for untreated antigens).

(2)将以上四种抗原按照相同种类以非处理抗原和处理抗原成对线性包被在载体NC膜上(如图6所示)。(2) The above four antigens are linearly coated on the carrier NC membrane in pairs of non-treated antigens and treated antigens of the same type (as shown in FIG. 6 ).

(3)将包被抗原的NC膜用含1%脱脂奶粉的0.05M PBS缓冲液(PH=7.4)封闭1小时,然后裁成2.5mm宽检测用的抗原膜条,备用。(3) The NC membrane coated with the antigen was blocked with 0.05 M PBS buffer (pH = 7.4) containing 1% skimmed milk powder for 1 hour, and then cut into 2.5 mm wide antigen membrane strips for detection and set aside.

(4)将抗原膜条置于反应槽中,每槽加1mL工作液浸湿膜条后,加临床待测样本【结核病组,非结核疾病组(自身免疫病人血清),健康组的血清(老年人血清和儿童血清)样本,所有样本均来源于本院实验室的样本库】10-20uL,置于摇摆平台上,室温孵育60分钟。(4) Place the antigen membrane strip in the reaction tank, add 1 mL of working solution to each tank to soak the membrane strip, add 10-20 uL of clinical samples to be tested [tuberculosis group, non-tuberculosis disease group (autoimmune patient serum), healthy group serum (elderly serum and children serum) samples, all samples are from the sample library of our hospital laboratory], place on a rocking platform, and incubate at room temperature for 60 minutes.

(5)洗涤:弃去槽中的液体,并在吸水纸上轻轻扣干,再加入工作液,置于摇摆平台上摇动洗涤3次,每次每槽1mL,每次1分钟。(5) Washing: Discard the liquid in the tank and gently tap dry on absorbent paper. Then add working solution and place on a rocking platform to wash three times, 1 mL per tank each time, each time for 1 minute.

(6)酶标抗体的孵育:用加样器往每槽准确加入1mL工作液,加入即用酶标二抗(抗人IgG酶标二抗),置于摇摆平台上,室温孵育30分钟。(6) Incubation of enzyme-labeled antibody: Use a pipette to accurately add 1 mL of working solution to each well, add the ready-to-use enzyme-labeled secondary antibody (anti-human IgG enzyme-labeled secondary antibody), place on a rocking platform, and incubate at room temperature for 30 minutes.

(7)洗涤:同步骤5。(7) Washing: Same as step 5.

(8)显色及终止:每槽加入1mL显色剂,充分摇匀,室温孵育5分钟,弃去槽中的液体,用0.05M PBS缓冲液(PH=7.4)终止漂洗2次,弃去液体,在槽中观察结果即可。(8) Color development and termination: Add 1 mL of color developer to each tank, shake well, incubate at room temperature for 5 minutes, discard the liquid in the tank, rinse twice with 0.05 M PBS buffer (PH = 7.4), discard the liquid, and observe the results in the tank.

(9)结果判读:如图7-11所示,给出的结果判读说明如下:(9) Result interpretation: As shown in Figure 7-11, the result interpretation instructions are as follows:

A:非处理抗原和处理抗原均阳性,说明样本中有针对包被抗原的特异性抗体存在,即样本中有结核TB4、CeB5c、L88a、Mtb8抗原的特异性抗体。A: Both the untreated antigen and the treated antigen are positive, indicating that there are specific antibodies against the coated antigen in the sample, that is, there are specific antibodies against tuberculosis TB4, CeB5c, L88a, and Mtb8 antigens in the sample.

B:非处理抗原阳性,处理抗原阴性,说明样本中有针对包被抗原的非特异性抗体存在,即出现的结核TB4、CeB5c、L88a、Mtb8抗原的抗体为生物学假阳性。B: The non-treated antigen is positive and the treated antigen is negative, indicating that there are non-specific antibodies against the coated antigen in the sample, that is, the antibodies against tuberculosis TB4, CeB5c, L88a, and Mtb8 antigens are biological false positives.

C:非处理抗原和处理抗原均阴性,说明样本中没有针对该包被抗原的特异性抗体存在,该抗原的抗体为阴性。若出现只有阳性对照条带,其余条带均不出现,此样本为结核抗体阴性样本。C: Both the untreated antigen and the treated antigen are negative, indicating that there is no specific antibody against the coated antigen in the sample, and the antibody to the antigen is negative. If only the positive control band appears and the other bands do not appear, this sample is a tuberculosis antibody negative sample.

以上对本发明的实施方式作了详细说明,但本发明不限于所描述的实施方式。对于本领域的技术人员而言,在不脱离本发明原理和精神的情况下,对这些实施方式进行多种变化、修改、替换和变型,仍落入本发明的保护范围内。The embodiments of the present invention are described in detail above, but the present invention is not limited to the described embodiments. For those skilled in the art, various changes, modifications, substitutions and variations of these embodiments are made without departing from the principles and spirit of the present invention, and still fall within the protection scope of the present invention.

Claims (4)

1. A method for identifying biological false positives for antibody detection for non-diagnostic purposes, comprising the steps of:
S1, respectively dissolving a plurality of antigens in a denaturation buffer solution containing a protein disulfide bond reducing agent, carrying out high-temperature water bath at 100 ℃ for 3-5 minutes, and centrifuging to collect supernatant to prepare a treated antigen; respectively dissolving the same antigen in a buffer solution without protein disulfide bond reducing agent, centrifuging, and collecting supernatant to obtain non-treated antigen; in the denaturation buffer solution containing the protein disulfide bond reducing agent and the buffer solution without the protein disulfide bond reducing agent, the adopted buffer solutions are Tris-HCl buffer solution with the pH of 8.0 and the concentration of 0.025M; the concentration of the protein disulfide bond reducing agent in the denaturation buffer is 0.1%; the final concentration of each antigen in the denaturation buffer solution containing the protein disulfide bond reducing agent and the buffer solution without the protein disulfide bond reducing agent is 0.5-1.0mg/mL;
s2, coating antigen supernatant obtained in the step S1 on a solid phase carrier in pairs linearly or punctiform according to the same kind by using a treated antigen and a non-treated antigen, and preparing a solid phase carrier coated with the antigen;
s3, cutting the solid phase carrier coated with the antigen into antigen detection strips after the solid phase carrier coated with the antigen is sealed by 1% skimmed milk powder;
s4, soaking an antigen detection strip by using an immunoblotting working solution, adding an antibody sample to be detected, and observing a result after incubation, washing, adding an enzyme-labeled secondary antibody, washing and developing;
S5, judging a result: the non-treated antigen and the treated antigen are positive, which indicates that the specific antibody aiming at the coated antigen exists in the sample; non-treatment antigen positive, treatment antigen negative, the existence of non-specific antibody aiming at the coating antigen in the sample, namely the existence of biological false positive; both the non-treated antigen and the treated antigen were negative, indicating that no specific antibodies to the coated antigen were present in the sample.
2. A method for identifying biological false positives for antibody detection for non-diagnostic purposes according to claim 1, wherein the protein disulfide bond reducing agent comprises β -mercaptoethanol, dithiothreitol, tris (2-chloroethyl) phosphate.
3. The method for identifying biological false positives for antibody detection for non-diagnostic purposes according to claim 1, wherein the solid support comprises NC membrane, PVDF membrane, glass slide, organic plastic sheet, silicon sheet.
4. The method for identifying biological false positives for antibody detection for non-diagnostic purposes according to claim 1, wherein the antibody sample to be tested comprises serum or cerebrospinal fluid, and the amount of the added serum or cerebrospinal fluid is 10-20uL.
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