CN115792246B - Direct antiglobulin microfluidic detection chip card and its application in the detection of red blood cells - Google Patents
Direct antiglobulin microfluidic detection chip card and its application in the detection of red blood cells Download PDFInfo
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Abstract
本发明提供了一种直接抗人球蛋白微流控检测芯片卡及其在检测红细胞方面的应用,该芯片卡包括底片和盖片,底片表面设有加样区、标记区、反应区,标记区标有荧光探针,荧光探针分别标记抗IgG抗体和C3d抗体,反应区分别包被有抗IgG抗体和C3d抗体。本发明省去了多步稀释,操作简单,灵敏度高,针对不同强度的样本可直接得到量化后的准确结果,其准确性更高。
The invention provides a direct anti-human globulin microfluidic detection chip card and its application in the detection of red blood cells. The chip card includes a negative and a cover. The area is marked with fluorescent probes, the fluorescent probes are respectively labeled with anti-IgG antibody and C3d antibody, and the reaction area is coated with anti-IgG antibody and C3d antibody respectively. The invention saves multi-step dilution, is simple to operate, and has high sensitivity, and can directly obtain accurate quantified results for samples with different intensities, and has higher accuracy.
Description
技术领域technical field
本发明属于生物检测领域,尤其是涉及一种直接抗人球蛋白微流控检测芯片卡及其在检测红细胞方面的应用。The invention belongs to the field of biological detection, in particular to a direct anti-human globulin microfluidic detection chip card and its application in the detection of red blood cells.
背景技术Background technique
抗人球蛋白试验是检测红细胞不完全抗体的一种经典方法,是诊断新生儿溶血病、自身免疫性溶血病、免疫溶血性输血反应的重要依据。不完全抗体多是IgG抗体,该抗体能与相应抗原结合,由于只能与一方红细胞抗原的决定簇结合,而不能同时与双方红细胞抗原的决定簇连接,在一般条件下不出现可见反应。抗人球蛋白抗体作为第二抗体达到桥梁的作用,连接与红细胞抗原结合的特异性抗体,使红细胞凝集。Antihuman globulin test is a classic method for detecting incomplete red blood cell antibodies, and is an important basis for diagnosing hemolytic disease of the newborn, autoimmune hemolytic disease, and immune hemolytic transfusion reactions. Most of the incomplete antibodies are IgG antibodies, which can bind to the corresponding antigen. Since they can only bind to the determinants of one red blood cell antigen, but cannot connect to the determinant of both red blood cell antigens at the same time, there is no visible reaction under normal conditions. Anti-human globulin antibody acts as a bridge for the second antibody, connecting the specific antibody that binds to the red blood cell antigen to agglutinate red blood cells.
目前常用的抗人球蛋白检测方法主要有试管法、微板法、微柱凝胶法等,其原理均是利用不完全抗体和红细胞在抗人球蛋白的介导下于体外发生凝集反应。但现有方法均有其局限性。例如,试管法需要通过肉眼对凝集程度进行判定,受主观因素影响较大,容易产生人工误差,且结果无法保存;而且需要在阴性反应试管中加入IgG类型抗体致敏的红细胞,用于确认阴性反应是否准确可靠,操作繁琐。微柱凝胶法对红细胞表面致敏的不完全抗体的量及红细胞的浓度比较敏感,因此,对于致敏的不完全抗体量少或红细胞浓度低的情形时,在检测时往往会出现假阴性的情况,而且在运输过程中试剂凝胶容易变形和产生气泡,气温对凝胶分子筛的大小也会产生影响,从而对最终检测结果的稳定性和可靠性产生影响。At present, the commonly used antiglobulin detection methods mainly include test tube method, microplate method, and microcolumn gel method. However, existing methods have their limitations. For example, the test tube method needs to judge the degree of agglutination by naked eyes, which is greatly affected by subjective factors, is prone to manual errors, and the results cannot be saved; moreover, red blood cells sensitized by IgG antibodies need to be added to the negative reaction test tube to confirm the negative reaction. Whether the reaction is accurate and reliable, the operation is cumbersome. The micro-column gel method is sensitive to the amount of incomplete antibody sensitized on the surface of red blood cells and the concentration of red blood cells. Therefore, when the amount of incomplete antibody sensitized or the concentration of red blood cells is low, false negatives often occur in the detection In addition, the reagent gel is easy to deform and generate bubbles during transportation, and the temperature will also affect the size of the gel molecular sieve, thereby affecting the stability and reliability of the final test result.
微流控芯片卡具有操作简便、反应时间短、诊断结果准确和灵敏度高等优势,但若应用于抗人球蛋白项目时则会由于红细胞较大遮挡荧光信号导致反应时间延长、灵敏度降低和结果重复性不好等问题。有鉴于此,本发明致力于研发出一种操作简单,敏度高,特异性好且质量稳定的抗人球蛋白检测芯片卡。The microfluidic chip card has the advantages of easy operation, short reaction time, accurate diagnostic results and high sensitivity, but if it is applied to the anti-human globulin project, the reaction time will be prolonged, the sensitivity will be reduced and the results will be repeated due to the large red blood cells blocking the fluorescent signal Problems such as bad sex. In view of this, the present invention is committed to developing an anti-human globulin detection chip card with simple operation, high sensitivity, good specificity and stable quality.
发明内容Contents of the invention
有鉴于此,本发明旨在提出一种直接抗人球蛋白微流控检测芯片卡,以解决试管法、微板法、微柱凝胶法检测复杂、操作不灵敏、不准确可靠的问题。In view of this, the present invention aims to propose a direct anti-human globulin microfluidic detection chip card to solve the problems of complex detection, insensitive operation, inaccuracy and reliability of test tube method, microplate method and microcolumn gel method.
为达到上述目的,本发明的技术方案是这样实现的:In order to achieve the above object, technical solution of the present invention is achieved in that way:
直接抗人球蛋白微流控检测芯片卡,包括底片和盖片,底片表面设有加样区、标记区、反应区,标记区标有荧光探针,荧光探针分别标记抗IgG抗体和C3d抗体,反应区分别包被有抗IgG抗体和C3d抗体。Direct anti-globulin microfluidic detection chip card, including a negative film and a cover film. The surface of the negative film is equipped with a sample loading area, a labeling area, and a reaction area. The labeling area is marked with fluorescent probes, which are respectively labeled with anti-IgG antibodies and C3d Antibodies, the reaction area is coated with anti-IgG antibody and C3d antibody respectively.
进一步地,标记区上在荧光探针的下游设有引流柱。Further, a drainage column is arranged downstream of the fluorescent probe on the labeling area.
进一步地,引流柱有多排,相邻排引流柱之间的距离沿样本流动方向逐渐从60μm下降至8μm;Further, there are multiple rows of drainage columns, and the distance between adjacent rows of drainage columns gradually decreases from 60 μm to 8 μm along the sample flow direction;
优选地,相邻排引流柱之间的距离沿样本流动方向分别设置为45-55μm、25-35μm、15-25μm和8-12μm。Preferably, the distances between adjacent rows of drainage posts are respectively set to 45-55 μm, 25-35 μm, 15-25 μm and 8-12 μm along the sample flow direction.
进一步地,荧光探针为荧光微球或乳胶微球,其粒径范围为1μm-10μm。Further, the fluorescent probe is a fluorescent microsphere or a latex microsphere, and its particle size ranges from 1 μm to 10 μm.
进一步地,底片上于反应区的下游方向还设有废液区,盖片上正对加样区位置开设有加样孔,盖片底部正对反应区位置处开设有微通道,盖片底部正对废液区位置处开设有废液槽,废液槽底部设有通气孔。Further, the bottom sheet is also provided with a waste liquid area in the downstream direction of the reaction zone, and the cover sheet is provided with a sample injection hole facing the sample application area, and the bottom of the cover sheet is provided with a microchannel facing the reaction zone position, and the bottom of the cover sheet is directly facing the reaction zone. A waste liquid tank is provided at the position of the waste liquid area, and a ventilation hole is provided at the bottom of the waste liquid tank.
本发明还提供一种所述的直接抗人球蛋白微流控检测芯片卡在检测红细胞方面的应用。The present invention also provides an application of the direct anti-human globulin microfluidic detection chip card in detecting red blood cells.
进一步地,检测红细胞包括如下步骤:Further, detecting red blood cells includes the following steps:
取一定量压积红细胞、红细胞显色荧光染料加入生理盐水中配成悬液,取悬液加入芯片卡的加样孔中,室温放置5-8min后上荧光检测机器上读数。Take a certain amount of packed erythrocytes and erythrocyte chromogenic fluorescent dyes and add them to normal saline to make a suspension. Take the suspension and add it to the sample hole of the chip card. After standing at room temperature for 5-8 minutes, read on the fluorescence detection machine.
进一步地,红细胞显色荧光染料为Di系列染料。Further, the erythrocyte chromogenic fluorescent dyes are Di series dyes.
进一步地,悬液中压积红细胞的质量分数为2-4%,悬液中红细胞显色荧光染料的质量分数为0.05-0.2%。Further, the mass fraction of packed erythrocytes in the suspension is 2-4%, and the mass fraction of erythrocyte chromogenic fluorescent dye in the suspension is 0.05-0.2%.
进一步地,加样量为30-40μL。Further, the sample volume is 30-40 μL.
相对于现有技术,本发明具有以下有益效果:Compared with the prior art, the present invention has the following beneficial effects:
1、样本中红细胞首先被荧光染料进行荧光染色,具有荧光信号的红细胞本身则作为荧光信号探针,与传统方法相比较解决了由于红细胞体积过大遮挡荧光微球而导致的荧光信号难以监测的问题。1. The red blood cells in the sample are firstly stained with fluorescent dyes, and the red blood cells with fluorescent signals themselves are used as fluorescent signal probes. Compared with the traditional method, it solves the problem that the fluorescent signal is difficult to monitor due to the large volume of red blood cells blocking the fluorescent microspheres. question.
2、与传统微流控芯片技术相比较本发明采用直径更大的荧光微球,提高对特异性红细胞捕获能力的同时还能够富集特异性红细胞,可在多个特异性红细胞之间起到桥连作用,从而解决了有红细胞体积过大、荧光微球体积过小而导致的信号遮挡、反应时间长和结果重复性较差的问题。2. Compared with the traditional microfluidic chip technology, the present invention adopts fluorescent microspheres with larger diameters, which improves the ability to capture specific red blood cells and enriches specific red blood cells, which can play a role among multiple specific red blood cells. The bridging function solves the problems of signal occlusion, long reaction time and poor repeatability of results caused by too large red blood cell volume and too small volume of fluorescent microspheres.
3、荧光染料和荧光微球两种荧光信号可起到双向放大信号的作用,进一步提高灵敏度。3. Two kinds of fluorescent signals, fluorescent dye and fluorescent microsphere, can amplify the signal in two directions, further improving the sensitivity.
4、标记区上方的引流柱结构能够促进红细胞与标记抗体的充分反应,同时相邻引流柱间距离逐渐缩小至10μm,最终通过其逐级分流的作用仅允许单个红细胞-标记抗体荧光复合物依次有序流向通道反应区,从而避免红细胞聚集,提高检测结果的重复性和稳定性。4. The structure of the drainage column above the labeling area can promote the full reaction of the red blood cells and the labeled antibody, and at the same time, the distance between adjacent drainage columns is gradually reduced to 10 μm, and finally only a single red blood cell-labeled antibody fluorescent complex is allowed to sequentially through its step-by-step shunting. Orderly flow to the channel reaction area, thereby avoiding aggregation of red blood cells and improving the repeatability and stability of the test results.
5、将荧光微球标记抗人球蛋白试剂抗IgG抗体和C3d抗体形成荧光微球抗体偶联物,抗IgG抗体和C3d抗体能够特异性捕获红细胞,并在微通道内流动,而一个单位的荧光微球分子可以结合多个抗IgG抗体和C3d抗体,因此能够提高特异性捕获红细胞的灵敏度,即使特异性红细胞存在数量较少时也能特异性捕获。5. The fluorescent microsphere-labeled anti-human globulin reagent anti-IgG antibody and C3d antibody form a fluorescent microsphere-antibody conjugate. The anti-IgG antibody and C3d antibody can specifically capture red blood cells and flow in the microchannel, while a unit of Fluorescent microsphere molecules can be combined with multiple anti-IgG antibodies and C3d antibodies, so the sensitivity of specific red blood cell capture can be improved, and specific red blood cells can be specifically captured even when there are a small number of specific red blood cells.
6、反应区所包被的抗人球蛋白试剂抗IgG抗体和C3d抗体则能够特异性识别红细胞并再次有效富集。6. The anti-human globulin reagents coated in the reaction area, anti-IgG antibody and C3d antibody can specifically recognize red blood cells and effectively enrich them again.
7、最终包被抗体、特异性红细胞和标记抗体在反应区形成抗体-红细胞-复合性荧光物质。标记抗体高效能捕获,包被抗体特异性富集,并结合荧光探针则能够快速显色显著提高试剂的灵敏度,有效避免当特异性红细胞数量较少时的漏检情况。7. Finally, the coated antibody, specific red blood cells and labeled antibody form antibody-red blood cell-composite fluorescent substances in the reaction area. The high-efficiency capture of labeled antibodies, the specific enrichment of coated antibodies, and the combination of fluorescent probes can quickly develop color and significantly improve the sensitivity of the reagents, effectively avoiding missed detection when the number of specific red blood cells is small.
8、捕获抗体标记有荧光信号微球,红细胞本身在前处理也经过荧光染料进行染色而具有荧光信号,通过使用仪器可将荧光信号转化为数字信号值,荧光信号强度与数字信号值之间呈线性正相关,从而可对样本强度进行量化。经过荧光微球和荧光染料的双向放大后,最终在反应区所形成的复合物会具有较强的荧光信号,较肉眼相比更加灵敏,并且通过仪器读取荧光信号能够对结果进行客观判断,避免肉眼判断导致的主观误差。8. The capture antibody is marked with fluorescent signal microspheres. The red blood cells themselves are also stained with fluorescent dyes before pretreatment to have fluorescent signals. The fluorescent signals can be converted into digital signal values by using instruments. Linear positive correlation, allowing quantification of sample strength. After the two-way amplification of fluorescent microspheres and fluorescent dyes, the final complex formed in the reaction zone will have a stronger fluorescent signal, which is more sensitive than the naked eye, and the results can be objectively judged by reading the fluorescent signal through the instrument. Avoid subjective errors caused by naked eye judgment.
9、目前市场上常用方法操作步骤较复杂,针对不同强度的样本则需要在未知条件下对样本进行多步稀释进行检测得到粗略结果,且所需时间较长。本发明方法可省去多步稀释,样本前处理简单,所需要时间较短,加样后5分钟即可判读结果,与传统方法相比较操作步骤简捷,针对不同强度的样本可直接得到量化后的准确结果,大大缩短了检测时间,避免样本多步稀释造成的人工误差,其准确性更高,并真正做到了有效快速检测。9. At present, the commonly used methods in the market have complicated operation steps. For samples of different strengths, it is necessary to perform multi-step dilution of samples under unknown conditions to obtain rough results, and it takes a long time. The method of the present invention can save multi-step dilution, sample pretreatment is simple, and the required time is short, and the result can be interpreted within 5 minutes after adding the sample. Compared with the traditional method, the operation steps are simple and convenient, and the samples of different intensities can be directly obtained after quantification Accurate results greatly shorten the detection time, avoid manual errors caused by multi-step dilution of samples, have higher accuracy, and truly achieve effective and rapid detection.
附图说明Description of drawings
构成本发明的一部分的附图用来提供对本发明的进一步理解,本发明的示意性实施例及其说明用于解释本发明,并不构成对本发明的不当限定。在附图中:The drawings constituting a part of the present invention are used to provide a further understanding of the present invention, and the schematic embodiments and descriptions of the present invention are used to explain the present invention, and do not constitute an improper limitation of the present invention. In the attached picture:
图1为本发明实施例中所述的底片结构示意图;Fig. 1 is a schematic diagram of the film structure described in the embodiment of the present invention;
图2为本发明实施例中所述的盖片结构示意图;Fig. 2 is a schematic structural diagram of the cover sheet described in the embodiment of the present invention;
图3为本发明实施例中所述的盖片截面示意图;3 is a schematic cross-sectional view of the cover sheet described in the embodiment of the present invention;
图4为本发明实施例中所述的通道结构示意图;Fig. 4 is a schematic diagram of the channel structure described in the embodiment of the present invention;
图5为本发明实施例中所述的引流柱结构放大效果图。Fig. 5 is an enlarged effect diagram of the structure of the drainage column described in the embodiment of the present invention.
附图标记说明:Explanation of reference signs:
1、底片;11、加样区;12、标记区;121、引流柱;13、反应区;14、废液区;2、盖片;21、加样孔;22、微通道;23、废液槽;24、通气孔。1. Negative film; 11. Sample loading area; 12. Marking area; 121. Drainage column; 13. Reaction area; 14. Waste liquid area; Liquid tank; 24, ventilation hole.
具体实施方式Detailed ways
除有定义外,以下实施例中所用的技术术语具有与本发明所属领域技术人员普遍理解的相同含义。以下实施例中所用的试验试剂,如无特殊说明,均为常规生化试剂;所述实验方法,如无特殊说明,均为常规方法。Unless otherwise defined, the technical terms used in the following embodiments have the same meaning as commonly understood by those skilled in the art to which the present invention belongs. The test reagents used in the following examples, unless otherwise specified, are conventional biochemical reagents; the experimental methods, unless otherwise specified, are conventional methods.
如图1-图5所示,本发明的直接抗人球蛋白微流控检测芯片卡,包括底片1和盖片2,底片1表面设有加样区11、标记区12、反应区13,标记区12标有荧光探针,荧光探针上包被有抗人球蛋白试剂,反应区13包被有抗人球蛋白试剂通道,标记区12上在荧光探针的下游设有引流柱121,引流柱121有多排,相邻排引流柱121之间的距离沿样本流动方向逐渐从60μm下降至8μm,荧光探针为荧光微球或乳胶微球,其粒径范围为1μm-10μm,底片1上于反应区13的下游方向还设有废液区14,盖片2上正对加样区11位置开设有加样孔21,盖片2底部正对反应区13位置处开设有微通道22,盖片2底部正对废液区14位置处开设有废液槽23,废液槽23底部设有通气孔24。As shown in Figures 1 to 5, the direct antiglobulin microfluidic detection chip card of the present invention includes a negative film 1 and a cover film 2, and the surface of the negative film 1 is provided with a
以下通过对比例和具体实施例详细说明本发明的实施和所具有的有益效果。The implementation and beneficial effects of the present invention will be described in detail below through comparative examples and specific examples.
实施例1:检测试剂卡的制备Embodiment 1: Preparation of detection reagent card
1.抗人球蛋白试剂前处理1. Antihuman globulin reagent pretreatment
将1mL广谱抗人球蛋白试剂(抗IgG和C3d抗体)分别与2mg的EZ-LINK生物素进行反应,于4℃条件下用0.01M PBS透析过夜后,于紫外分光光度计分别测定蛋白浓度。分别形成生物素化的抗IgG和生物素化的C3d抗体。React 1mL of broad-spectrum anti-human globulin reagent (anti-IgG and C3d antibody) with 2mg of EZ-LINK biotin, and dialyze with 0.01M PBS at 4°C overnight, then measure the protein concentration with a UV spectrophotometer . Biotinylated anti-IgG and biotinylated C3d antibodies were formed, respectively.
2.反应液的制备2. Preparation of reaction solution
根据需要将生物素化的抗IgG和生物素化的C3d抗体分别用0.01M PBS稀释为终浓度0.01-10mg/mL和0.01-10mg/mL,形成反应区反应液,本实施例中生物素化的C3d抗体反应液及生物素化的抗IgG反应液的浓度均为1mg/mL。Dilute biotinylated anti-IgG and biotinylated C3d antibody with 0.01M PBS to final concentrations of 0.01-10mg/mL and 0.01-10mg/mL respectively as required to form a reaction solution in the reaction zone. In this example, biotinylated The concentrations of the C3d antibody reaction solution and the biotinylated anti-IgG reaction solution were both 1 mg/mL.
3.微球-红细胞单抗偶联物的制备3. Preparation of microsphere-erythrocyte monoclonal antibody conjugate
取乳胶微球1mL,加入终浓度为0.1mg/mL的抗IgG抗体,室温反应20min,加入质量浓度为1%的酪蛋白进行封闭10min,离心取上清,最后用0.1mLPBS缓冲液,储存备用。Take 1 mL of latex microspheres, add anti-IgG antibody with a final concentration of 0.1 mg/mL, react at room temperature for 20 min, add casein with a mass concentration of 1% to block for 10 min, centrifuge to get the supernatant, and finally use 0.1 mL of PPBS buffer, store for later use .
取乳胶微球1mL,加入终浓度为0.1mg/mL的抗C3d抗体,室温反应20min,加入质量浓度为1%的酪蛋白进行封闭10min,离心取上清,最后用0.1mLPBS缓冲液,储存备用。Take 1 mL of latex microspheres, add anti-C3d antibody with a final concentration of 0.1 mg/mL, react at room temperature for 20 min, add casein with a mass concentration of 1% to block for 10 min, centrifuge to get the supernatant, and finally use 0.1 mL of PBS buffer, store for later use .
4.芯片制作4. Chip fabrication
取终浓度为5mg/mL的亲和素溶液,点样于反应区,室温孵育1h,用0.01M PBS冲洗。反应区设置有两个位点,由下至上分别为检测位点1和检测位点2。将步骤2中得到的浓度为1mg/mL的生物素化的C3d抗体反应液点样于反应区的检测位点1,将步骤2中得到的浓度为1mg/mL的生物素化的抗IgG反应液点样于反应区的检测位点2,将步骤3中得到的微球-抗IgG抗体的偶联物和微球-C3d抗体的偶联物按照1:1的比例进行混合后,取1μL点样于标记区,常温干燥后,取盖片压合于底片上。Take an avidin solution with a final concentration of 5 mg/mL, apply it to the reaction area, incubate at room temperature for 1 h, and wash with 0.01 M PBS. There are two sites in the reaction area, which are detection site 1 and detection site 2 from bottom to top. Spot the biotinylated C3d antibody reaction liquid with a concentration of 1 mg/mL obtained in step 2 on the detection site 1 of the reaction zone, and react the biotinylated anti-IgG with a concentration of 1 mg/mL obtained in step 2 Spot the liquid on the detection site 2 of the reaction area, mix the microsphere-anti-IgG antibody conjugate obtained in step 3 and the microsphere-C3d antibody conjugate at a ratio of 1:1, and take 1 μL Spot the sample on the marked area, and after drying at room temperature, take the cover sheet and press it on the negative sheet.
5.稀释液配制与分装5. Diluent preparation and packaging
将一定量NaCl用纯水溶解后配制成0.9%的NaCl溶液,将稀释液分装于1mL离心管中,每管500μL,将Did红细胞荧光染料分装于0.5ml离心管中。A certain amount of NaCl was dissolved in pure water to prepare a 0.9% NaCl solution, and the diluted solution was dispensed into 1 mL centrifuge tubes, 500 μL per tube, and the Did red blood cell fluorescent dye was dispensed into 0.5 ml centrifuge tubes.
6.装袋、封口6. Packing and sealing
将一人份试剂卡装在铝箔袋中,放入干燥剂,封口,放于2-8℃保存。Put the one-person reagent card in an aluminum foil bag, put in a desiccant, seal it, and store it at 2-8°C.
试验例:本发明的检测方法与其他抗人球蛋白检测方法的对比研究Test example: comparative study of detection method of the present invention and other antihuman globulin detection methods
所用对比试剂盒为购自上海血液生物医药有限责任公司的抗人球蛋白(抗IgG、C3d)检测试剂盒(试管法)、购自江苏力博医药生物技术股份有限公司的抗人球蛋白(抗IgG、抗C3d)检测卡(微柱凝胶法)以及本公司所制备的传统微流控芯片检测卡,未设置引流柱结构。The comparison kits used were anti-human globulin (anti-IgG, C3d) detection kit (test tube method) purchased from Shanghai Blood Biomedical Co., Ltd., and anti-human globulin (anti-human globulin (anti-IgG) Anti-IgG, anti-C3d) detection card (micro-column gel method) and the traditional microfluidic chip detection card prepared by our company do not have a drainage column structure.
1.试管法:将3%红细胞悬液加入试管中,用生理盐水洗涤三次,加入2滴抗人球蛋白,室温放置5-10min,离心,用肉眼或光镜观察结果。1. Test tube method: Add 3% erythrocyte suspension into a test tube, wash with normal saline three times, add 2 drops of antihuman globulin, place at room temperature for 5-10 minutes, centrifuge, and observe the results with the naked eye or light microscope.
2.微柱凝胶法:取一定量压积红细胞加入生理盐水中配成3%悬液,取50μL加入微柱凝胶卡中,在37℃孵育器中孵育15min后离心5min,观察结果。2. Micro-column gel method: Take a certain amount of packed red blood cells and add them to normal saline to make a 3% suspension, take 50 μL and put them into a micro-column gel card, incubate in a 37°C incubator for 15 minutes, then centrifuge for 5 minutes, and observe the results.
3.传统微流控方法:取一定量压积红细胞加入生理盐水中配成3%悬液,取35μL加入试剂卡中,室温放置5-8min后上机读数。所用微流控芯片结构为传统芯片结构,未设置引流柱结构。3. Traditional microfluidic method: Take a certain amount of packed red blood cells and add them to normal saline to make a 3% suspension, take 35 μL and add them to the reagent card, and put them at room temperature for 5-8 minutes before reading on the computer. The structure of the microfluidic chip used is a traditional chip structure, and no drainage column structure is set.
4.本发明所用方法:取一定量压积红细胞加入生理盐水中配成经荧光染料染色的3%悬液,取35μL加入试剂卡中,室温放置5-8min后上机读数。本发明方法所用微流控芯片为创新更改后的芯片,其结构为引流柱逐级分流结构,如图5所示,相邻引流柱之间的距离沿样本流动方向分别设置为50μm、30μm、20μm和10μm。4. The method used in the present invention: take a certain amount of packed erythrocytes and add them to normal saline to make a 3% suspension stained with fluorescent dyes, take 35 μL and add them to the reagent card, leave it at room temperature for 5-8 minutes, and then read it on the computer. The microfluidic chip used in the method of the present invention is an innovatively modified chip, and its structure is a step-by-step shunt structure of drainage columns. As shown in Figure 5, the distance between adjacent drainage columns is set to 50 μm, 30 μm, 20μm and 10μm.
5.用四种方法分别对10例阳性和5例阴性样本进行检测,记录实验结果。5. Use four methods to test 10 positive and 5 negative samples respectively, and record the experimental results.
表1 四种检测方法比较Table 1 Comparison of four detection methods
表2 四种检测方法阳性率比较Table 2 Comparison of positive rates of four detection methods
表3 微流控方法荧光信号值结果Table 3 Fluorescence signal value results of microfluidic method
结果说明:阳性样本1为强阳性样本,通过试管法,将该样本稀释256倍后,IgG能够看到78个凝集,C3d能够看到78个凝集,传统微流控方法读取信号值分别为165948(强阳性)和195366(强阳性),本发明方法读取信号值分别为156859(强阳性)和256311(强阳性)。The result shows: Positive sample 1 is a strong positive sample. After diluting the sample 256 times by the test tube method, IgG can see 78 agglutinations, and C3d can see 78 agglutinations. The signal values read by the traditional microfluidic method are respectively 165948 (strong positive) and 195366 (strong positive), the signal values read by the method of the present invention are 156859 (strong positive) and 256311 (strong positive) respectively.
阳性样本2也为强阳性样本,通过试管法,将该样本稀释128倍后,IgG能够看到70个凝集,C3d能够看到56个凝集,传统微流控方法读取信号值分别为102284(强阳性)和215129(强阳性),本发明方法读取信号值分别为125541(强阳性)和195002(强阳性)。Positive sample 2 is also a strong positive sample. After diluting the sample 128 times by the test tube method, IgG can see 70 agglutinations, and C3d can see 56 agglutinations. The signal values read by the traditional microfluidic method are 102284 ( Strong positive) and 215129 (strong positive), the read signal values of the method of the present invention are 125541 (strong positive) and 195002 (strong positive) respectively.
阳性样本3为强阳性样本,通过试管法,将该样本稀释256倍后,IgG能够看到76个凝集,C3d能够看到72个凝集,传统微流控方法读取信号值分别为96654(强阳性)和115688(强阳性),本发明方法读取信号值分别为163594(强阳性)和231688(强阳性)。Positive sample 3 is a strong positive sample. After diluting the sample 256 times by the test tube method, 76 agglutinations can be seen for IgG, 72 agglutinations can be seen for C3d, and the signal values read by the traditional microfluidic method are 96654 (strong positive) and 115688 (strong positive), the read signal values of the method of the present invention are 163594 (strong positive) and 231688 (strong positive) respectively.
阳性样本4为强阳性样本,通过试管法,稀释256倍时IgG能够看到68个凝集,稀释128倍时C3d能够看到78个凝集,传统微流控方法读取信号值分别为126843(强阳性)和65537(中阳性),本发明方法读取信号值分别为168436(强阳性)和186349(强阳性)。Positive sample 4 is a strong positive sample. Through the test tube method, IgG can see 68 agglutinations when diluted 256 times, and C3d can see 78 agglutinations when diluted 128 times. The signal values read by traditional microfluidic methods are 126843 (strong Positive) and 65537 (moderately positive), the signal values read by the method of the present invention are 168436 (strongly positive) and 186349 (strongly positive) respectively.
阳性样本5为中阳性样本,通过试管法,将该样本稀释64倍后,IgG能够看到56个凝集,C3d能够看到64个凝集,传统微流控方法读取信号值分别为46337(中阳性)和102678(强阳性),本发明方法读取信号值分别为88433(中阳性)和113699(中阳性)。Positive sample 5 is a moderately positive sample. After diluting the sample 64 times by the test tube method, IgG can see 56 agglutinations, C3d can see 64 agglutinations, and the signal values read by traditional microfluidic methods are 46337 (middle Positive) and 102678 (strongly positive), the signal values read by the method of the present invention are 88433 (medium positive) and 113699 (medium positive) respectively.
阳性样本6为中阳性样本,通过试管法,将该样本稀释64倍后,IgG能够看到32个凝集,C3d能够看到64个凝集,传统微流控方法读取信号值分别为23684(弱阳性)和63114(中阳性),本发明方法读取信号值分别为80322(中阳性)和120059(中阳性)。Positive sample 6 is a medium positive sample. After diluting the sample 64 times by the test tube method, 32 agglutinations can be seen for IgG, 64 agglutinations can be seen for C3d, and the signal values read by traditional microfluidic methods are 23684 (weak positive) and 63114 (moderately positive), the signal values read by the method of the present invention are 80322 (moderately positive) and 120059 (moderately positive) respectively.
阳性样本7为中阳性样本,通过试管法,将该样本稀释32倍后,IgG能够看到28个凝集,C3d能够看到16个凝集,传统微流控方法读取信号值分别为76332(中阳性)和32697(强阳性),本发明方法读取信号值分别为65664(中阳性)和83678(中阳性)。Positive sample 7 is a moderately positive sample. After diluting the sample 32 times by the test tube method, 28 agglutinations can be seen for IgG, 16 agglutinations can be seen for C3d, and the signal values read by the traditional microfluidic method are 76332 (middle Positive) and 32697 (strongly positive), the signal values read by the method of the present invention are 65664 (medium positive) and 83678 (medium positive) respectively.
阳性样本8为弱阳性样本,通过试管法,将该样本稀释2倍后,IgG能够看到6个凝集,C3d能够看到6个凝集,传统微流控方法读取信号值分别为1005(阴性)和2641(阴性),本发明方法读取信号值分别为6029(弱阳性)和10026(弱阳性)。Positive sample 8 is a weakly positive sample. After diluting the sample 2 times by the test tube method, 6 agglutinations can be seen for IgG, 6 agglutinations can be seen for C3d, and the signal values read by the traditional microfluidic method are 1005 (negative ) and 2641 (negative), the signal values read by the method of the present invention are 6029 (weak positive) and 10026 (weak positive) respectively.
阳性样本9为弱阳性样本,通过试管法,将该样本稀释4倍后,IgG能够看到6个凝集,稀释8倍后C3d能够看到2个凝集,传统微流控方法读取信号值分别为2001(阴性)和1322(阴性),本发明方法读取信号值分别为15266(弱阳性)和21335(弱阳性)。Positive sample 9 is a weak positive sample. After diluting the sample 4 times by the test tube method, 6 agglutinations can be seen for IgG, and 2 agglutinations can be seen for C3d after dilution 8 times. The signal values read by the traditional microfluidic method are respectively are 2001 (negative) and 1322 (negative), and the read signal values of the method of the present invention are 15266 (weak positive) and 21335 (weak positive) respectively.
阳性样本10为弱阳性样本,通过试管法,将该样本稀释4倍后,IgG能够看到2个凝集,C3d能够看到4个凝集,传统微流控方法读取信号值分别为2638(阴性)和998(阴性),本发明方法读取信号值分别为9988(弱阳性)和16645(弱阳性)。5个阴性样本试管法、传统微流控方法和本发明方法检测结果都为阴性。Positive sample 10 is a weak positive sample. After diluting the sample 4 times by the test tube method, IgG can see 2 agglutinations, and C3d can see 4 agglutinations. The signal values read by the traditional microfluidic method are 2638 (negative ) and 998 (negative), the signal values read by the method of the present invention are 9988 (weak positive) and 16645 (weak positive) respectively. The detection results of 5 negative samples test tube method, traditional microfluidic method and the method of the present invention are all negative.
本发明方法和试管法的一致性和符合性较好,传统微流控方法存在阳性漏检、符合性较差和反应时间较长等问题。试管法结果判读时,首先将其稀释成一定倍数,然后数凝集个数,如果凝集数目太多,则继续稀释然后再数,直至稀释至较合适的倍数以计数凝集个数来记录结果,所以读取结果步骤较复杂,且容易由主观判断导致人为误差。而本发明方法直接有荧光信号值的方式输出结果,结果读取方式更加简单,所需反应时间短,且不存在人肉眼主观因素,更加准确。The method of the present invention has better consistency and compliance with the test tube method, but the traditional microfluidic method has problems such as positive missed detection, poor compliance, long reaction time and the like. When interpreting the results of the test tube method, first dilute it to a certain multiple, and then count the number of agglutinations. If the number of agglutinations is too large, continue to dilute and then count until it is diluted to a more appropriate multiple to count the number of agglutinations to record the results. The steps to read the results are complicated, and it is easy to cause human error due to subjective judgment. However, the method of the present invention directly outputs results in the form of fluorescence signal values, and the result reading method is simpler, the required reaction time is shorter, and there is no subjective factor of human eyes, which is more accurate.
以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. Any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present invention shall be included in the scope of the present invention. within the scope of protection.
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