CN118259018B - Preparation of C1s antibody and application thereof in ITP diagnosis - Google Patents
Preparation of C1s antibody and application thereof in ITP diagnosis Download PDFInfo
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Abstract
本发明提供C1s抗体在制备ITP诊断产品中的应用,涉及生物医学技术领域,包括C1s抗体在制备ITP诊断中的应用,所述C1s抗体的氨基酸序列如SEQ ID NO:1所示。本申请中通过具体实施例对C1s抗体在诊断ITP中的具体应用,提供了可靠的实验依据,为后期进一步研发ITP的诊断方法提供了思路。
The present invention provides an application of C1s antibody in the preparation of ITP diagnostic products, relates to the field of biomedical technology, and includes an application of C1s antibody in the preparation of ITP diagnostic products, wherein the amino acid sequence of the C1s antibody is shown in SEQ ID NO: 1. In this application, a reliable experimental basis is provided for the specific application of C1s antibody in the diagnosis of ITP through specific examples, and a train of thought is provided for further research and development of diagnostic methods for ITP in the later stage.
Description
技术领域Technical Field
本发明涉及生物医学技术领域,尤其涉及C1s抗体制备及其在ITP诊断中的应用。The present invention relates to the field of biomedical technology, and in particular to the preparation of C1s antibody and its application in ITP diagnosis.
背景技术Background Art
ITP免疫性血小板减少症是一种常见的出血性疾病,由于免疫系统异常导致血小板数量减少。ITP的发病率在成人和儿童中都有所不同,其中育龄期女性和60岁以上的老年人更容易患病。全球范围内,ITP的发病率约为5~10/10万。ITP immune thrombocytopenia is a common bleeding disorder that causes a decrease in the number of platelets due to an abnormal immune system. The incidence of ITP varies in both adults and children, with women of childbearing age and people over 60 years old more susceptible to the disease. Globally, the incidence of ITP is approximately 5 to 10 per 100,000.
目前,ITP的诊断主要是采取排除法[候明,胡豫.成人原发免疫性血小板减少症诊断与治疗中国指南(2020年版),中华血液学杂志,2020,41(8):617-623.]:①至少连续2次血常规检查示血小板计数减少(<100×109/L),外周血涂片镜检血细胞形态无明显异常;②脾脏一般不增大;③骨髓检查:ITP患者骨髓细胞形态学特点为巨核细胞增多或正常,伴成熟障碍;④须排除其他继发性血小板减少症:自身免疫性疾病、甲状腺疾病、淋巴系统增殖性疾病、骨髓增生异常综合征(MDS)、再生障碍性贫血(AA)、各种恶性血液病、肿瘤浸润、慢性肝病、脾功能亢进、普通变异型免疫缺陷病(CVID)、感染、疫苗接种等所致继发性血小板减少,血小板消耗性减少,药物所致血小板减少,同种免疫性血小板减少,妊娠期血小板减少,先天性血小板减少及假性血小板减少。另一种临床诊断ITP的方法是:对疑似ITP患者进行ITP的方案治疗,治疗有效则诊断为ITP。由此可见,现对于ITP尚缺乏有效的诊断方法和诊断标志物。另需要补充 ITP与C1s间可能的关系的背景知识,以便引入进行本专利开发的意义和临床应用可能性。At present, the diagnosis of ITP is mainly based on the exclusion method [Hou Ming, Hu Yu. Chinese Guidelines for the Diagnosis and Treatment of Primary Immune Thrombocytopenia in Adults (2020 Edition), Chinese Journal of Hematology, 2020, 41 (8): 617-623.]: ① At least 2 consecutive blood routine examinations show a decrease in platelet count (<100×10 9 /L), peripheral blood smear microscopy shows no obvious abnormality in blood cell morphology; ② The spleen is generally not enlarged; ③ Bone marrow examination: The morphological characteristics of bone marrow cells in ITP patients are increased or normal megakaryocytes, accompanied by maturation disorders; ④ Other secondary thrombocytopenias must be excluded: autoimmune diseases, thyroid diseases, lymphoproliferative diseases, myelodysplastic syndrome (MDS), aplastic anemia (AA), various malignant blood diseases, tumor infiltration, chronic liver disease, hypersplenism, common variable immunodeficiency (CVID), secondary thrombocytopenia caused by infection, vaccination, etc., thrombocytopenia caused by platelet consumption, drug-induced thrombocytopenia, alloimmune thrombocytopenia, gestational thrombocytopenia, congenital thrombocytopenia and pseudothrombocytopenia. Another method for clinical diagnosis of ITP is to treat suspected ITP patients with ITP regimens, and if the treatment is effective, it is diagnosed as ITP. It can be seen that there is still a lack of effective diagnostic methods and diagnostic markers for ITP. In addition, additional background knowledge on the possible relationship between ITP and C1s is needed to introduce the significance and clinical application possibilities of the development of this patent.
发明内容Summary of the invention
本发明的目的是为了解决现有技术中没有ITP诊断标志物,且诊断方法存在特异性不高、易与其他疾病混淆等技术问题。The purpose of the present invention is to solve the technical problems that there is no ITP diagnostic marker in the prior art, and the diagnostic method has low specificity and is easily confused with other diseases.
为了实现上述目的,本发明采用了如下技术方案:In order to achieve the above object, the present invention adopts the following technical solutions:
C1s抗体在制备ITP诊断产品中的应用,所述C1s抗体的氨基酸序列如SEQ ID NO:1-10所示,其中, SEQ ID NO:1-3为C1s抗体的重链基因序列,SEQID NO:4-5为C1s抗体的重链氨基酸序列,SEQ ID NO:6-8为C1s抗体的轻链基因序列,SEQID NO:9-10为C1s抗体的轻链氨基酸序列。优选的,所述诊断产品包括试剂盒及检测试剂,所述试剂盒及检测试剂以C1s抗体作为待测靶点C1s的特异性检测试剂。Application of C1s antibody in the preparation of ITP diagnostic products, wherein the amino acid sequence of the C1s antibody is shown in SEQ ID NO: 1-10, wherein SEQ ID NO: 1-3 is the heavy chain gene sequence of the C1s antibody, SEQ ID NO: 4-5 is the heavy chain amino acid sequence of the C1s antibody, SEQ ID NO: 6-8 is the light chain gene sequence of the C1s antibody, and SEQ ID NO: 9-10 is the light chain amino acid sequence of the C1s antibody. Preferably, the diagnostic product includes a kit and a detection reagent, wherein the kit and the detection reagent use the C1s antibody as a specific detection reagent for the target C1s to be detected.
本申请还提供了一种用于ITP诊断的试剂盒,所述试剂盒以血小板上C1s为检测靶点。The present application also provides a kit for diagnosing ITP, wherein the kit uses C1s on platelets as a detection target.
优选的,所述试剂盒还包括医学上可接受的其他试剂。Preferably, the kit further comprises other medically acceptable reagents.
本申请还提供了C1s抗体在制备ITP产品中的应用的非诊断性验证方法,所述验证方法包含以下内容:The present application also provides a non-diagnostic validation method for the use of C1s antibody in the preparation of ITP products, wherein the validation method comprises the following contents:
S1:抗体性能验证实验;S1: Antibody performance verification experiment;
S2: C1s抗体FITC标记实验;S2: C1s antibody FITC labeling experiment;
S3:血小板C1s-FITC流式检测实验。S3: Platelet C1s-FITC flow cytometry experiment.
优选的,所述抗体性能验证实验包括ELISA结合实验及SDS-PAGE检测。Preferably, the antibody performance verification experiment includes ELISA binding experiment and SDS-PAGE detection.
优选的,所述血小板C1s-FITC流式检测实验包括两组实验,两组实验分别为正常人血小板C1s-FITC流式检测实验及血小板减少的C1s-FITC流式检测实验。Preferably, the platelet C1s-FITC flow cytometry experiment includes two groups of experiments, which are respectively a normal human platelet C1s-FITC flow cytometry experiment and a thrombocytopenia C1s-FITC flow cytometry experiment.
优选的,所述血小板C1s-FITC流式检测包含以下步骤:Preferably, the platelet C1s-FITC flow cytometry assay comprises the following steps:
A1:标本的采集及处理;A1: Specimen collection and processing;
A2:染色和固定细胞;A2: staining and fixing cells;
具体包括阴性对照及样本检测:Specifically including negative control and sample testing:
阴性对照:取50ulPBS(ph7.2)加入已标记的A1试管中,再加入1ul全血,并分别加入相应的同型对照作为荧光抗体阴性对照5ul,涡旋振荡后避光孵育15min,离心(1500rpm,5min),吸取上清(避免吸到红细胞),再加入450ulPBS后充分混匀,待测;Negative control: Take 50ul PBS (pH 7.2) and add it to the labeled A1 test tube, then add 1ul whole blood, and add 5ul of the corresponding isotype control as the negative control of the fluorescent antibody, vortex and incubate in the dark for 15min, centrifuge (1500rpm, 5min), aspirate the supernatant (avoid aspirating red blood cells), add 450ul PBS and mix well, and then test;
样本检测:取50ulPBS加入已标记的B1试管中,再加入1ul全血,分别加入CD61-PE、C1s-FITC荧光抗体各5ul,涡旋振荡后避光孵育15min,离心(1500rpm,5min),吸取上清(避免吸到红细胞),再加入450ulPBS后充分混匀,待测;Sample detection: Take 50ul PBS and add it to the marked B1 test tube, then add 1ul whole blood, add 5ul CD61-PE and C1s-FITC fluorescent antibodies respectively, incubate in the dark for 15min after vortexing, centrifuge (1500rpm, 5min), aspirate the supernatant (avoid aspirating red blood cells), add 450ul PBS and mix well, and then test;
A3:上机检测、分析结果。A3: Test on the computer and analyze the results.
综上所述,本申请中通过具体实施例对C1s抗体在ITP诊断中的具体应用,提供了可靠的实验依据,为后期进一步研发ITP的诊断方法提供了思路。In summary, the specific application of C1s antibody in the diagnosis of ITP through specific examples in this application provides a reliable experimental basis and provides ideas for further research and development of diagnostic methods for ITP in the future.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1为本发明一实施方式中C1s抗体SDS-PAGE检测示意图(R:还原SDS-PAGE;N-R:非还原SDS-PAGE);FIG1 is a schematic diagram of SDS-PAGE detection of C1s antibody in one embodiment of the present invention (R: reducing SDS-PAGE; N-R: non-reducing SDS-PAGE);
图2为本发明一实施方式中展示了活化C1s膜结合的血小板的检测,其中,A:对血小板进行标记(CD61阳性门里为血小板);B:血小板检测的同型对照;C:正常对照活化C1s膜结合的血小板的检测;D:非ITP血小板减少活化C1s膜结合的血小板的检测;E:ITP活化C1s膜结合的血小板的检测;F:正常对照组(NC)、非ITP血小板减少组(CC)、ITP组间活化C1s膜结合的血小板差异统计学分析。Figure 2 shows the detection of activated C1s membrane-bound platelets in one embodiment of the present invention, wherein A: platelets are labeled (platelets are in the CD61-positive gate); B: isotype control for platelet detection; C: detection of activated C1s membrane-bound platelets in normal control; D: detection of activated C1s membrane-bound platelets in non-ITP thrombocytopenia; E: detection of activated C1s membrane-bound platelets in ITP; F: statistical analysis of the differences in activated C1s membrane-bound platelets between the normal control group (NC), non-ITP thrombocytopenia group (CC), and ITP group.
具体实施方式DETAILED DESCRIPTION
以下结合具体实施例,对本发明作进一步地详细说明。The present invention is further described in detail below in conjunction with specific embodiments.
本申请提供了C1s抗体在的制备及其在ITP诊断产品中的应用,所述C1s抗体的氨基酸序列如SEQ ID NO:1-10所示,其中, SEQ ID NO:1-3为C1s抗体的重链基因序列,SEQID NO:4-5为C1s抗体的重链氨基酸序列,SEQ ID NO:6-8为C1s抗体的轻链基因序列,SEQID NO:9-10为C1s抗体的轻链氨基酸序列。The present application provides the preparation of C1s antibody and its application in ITP diagnostic products. The amino acid sequence of the C1s antibody is shown in SEQ ID NO:1-10, wherein SEQ ID NO:1-3 is the heavy chain gene sequence of the C1s antibody, SEQID NO:4-5 is the heavy chain amino acid sequence of the C1s antibody, SEQ ID NO:6-8 is the light chain gene sequence of the C1s antibody, and SEQID NO:9-10 is the light chain amino acid sequence of the C1s antibody.
所述诊断产品包括检测试剂、检测试剂盒。The diagnostic products include detection reagents and detection kits.
本申请中的C1s抗体按照氨基酸序列由上海百英生物技术有限公司制备。The C1s antibody in the present application was prepared by Shanghai Bio-Tech Co., Ltd. according to the amino acid sequence.
以下结合具体实施例对本申请上述内容进行阐述。The above contents of the present application are described below in conjunction with specific embodiments.
实施例1:C1s抗体性能验证Example 1: C1s antibody performance verification
S1:ELISA结合实验S1: ELISA binding assay
包被:包被 2μg/mL B22750901,100μL/well,37℃ 1h,洗板 6 次,拍干;Coating: Coating with 2 μg/mL B22750901, 100 μL/well, 37°C for 1 h, washing the plate 6 times, and patting dry;
封闭:酪蛋白封闭液200μL/well,温度保持25℃ ,持续时间1h,洗板 6 次,拍干;Blocking: casein blocking solution 200 μL/well, temperature maintained at 25°C, duration 1 hour, wash the plate 6 times, and pat dry;
结合:首孔400nM,用封闭液3倍稀释,11 个梯度,末孔空白,100μL/well, 25℃ 1h,洗 6 次,拍干;Binding: 400 nM in the first well, 3-fold dilution with blocking solution, 11 gradients, blank in the last well, 100 μL/well, 25°C for 1 hour, wash 6 times, and pat dry;
HRP:Anti-Mouse Fc specific HRP用封闭液1:65000 稀释,100μL/well, 25℃1h,洗板 6 次,拍干;HRP: Anti-Mouse Fc specific HRP was diluted with blocking solution at 1:65000, 100 μL/well, 25℃ for 1 hour, washed 6 times, and patted dry;
显色:100μL/well 显色液,室温避光显色 4min;Color development: 100 μL/well color development solution, color development at room temperature in the dark for 4 minutes;
终止:50μL/well 终止液;Stop: 50 μL/well stop solution;
读数:OD450;Reading: OD450;
结论:制备的C1s抗体与C1s抗原具有良好的结合效果。Conclusion: The prepared C1s antibody has a good binding effect with C1s antigen.
表1: C1s抗体与C1s抗原结合情况表Table 1: C1s antibody and C1s antigen binding table
S2:SDS-PAGE检测S2: SDS-PAGE detection
样品变性处理:还原加热99℃ 6min;非还原加热99℃ 3min;Sample denaturation treatment: reducing heating at 99°C for 6 min; non-reducing heating at 99°C for 3 min;
加样:10µL/孔 电泳(ve180):180V电压,设定时间 40min,当溴酚蓝跑至红色胶条处即可结束电泳;Sample loading: 10µL/well Electrophoresis (ve180): 180V voltage, set time 40min, end electrophoresis when bromophenol blue runs to the red gel strip;
染色脱色:设置染脱时间13min;Dyeing and bleaching: Set the dyeing and bleaching time to 13 minutes;
使用凝胶成像仪,设置参数为白光并进行拍照。Use a gel imager, set the parameters to white light and take pictures.
请参阅图1,结果显示,重组C1s抗体还原SDS-PAGE上为两条带,非还原SDS-PAGE为一条带。Please refer to Figure 1. The results show that the recombinant C1s antibody is two bands on reducing SDS-PAGE and one band on non-reducing SDS-PAGE.
实施例2:C1s抗体FITC标记实验Example 2: C1s antibody FITC labeling experiment
S1:用天平称取FITC溶于DMSO中,配成浓度10mg/mL的溶液;S1: Use a balance to weigh FITC and dissolve it in DMSO to make a solution with a concentration of 10 mg/mL;
S2:用超滤管将C1s抗体的缓存体系置换成10mM的碳酸缓冲液体系:将抗体分别加入超滤管,并加入10mM的碳酸缓冲液,5000*g 30min,4度30min。S2: Use an ultrafiltration tube to replace the buffer system of C1s antibody with a 10 mM carbonate buffer system: add the antibodies to the ultrafiltration tubes respectively, and add 10 mM carbonate buffer, 5000*g for 30 min, 4 degrees for 30 min.
S3:重复步骤S2两次;S3: Repeat step S2 twice;
S4:将超滤好的抗体吸出,加入EP管,加入5UL的FITC溶液,放入恒温混匀仪上反应3h(25度,500转)。S4: Aspirate the ultrafiltered antibody, put it into an EP tube, add 5UL of FITC solution, and place it in a constant temperature mixer for reaction for 3 hours (25 degrees, 500 rpm).
S5:反应完的抗体进行超滤:将抗体分别加入超滤管,并加入2mL 0.2M PH=7.4PBS(EDTA)缓冲液。5000×g 30min,4度离心。S5: Ultrafiltration of the reacted antibodies: Add the antibodies to the ultrafiltration tubes respectively, and add 2 mL of 0.2M pH=7.4 PBS (EDTA) buffer. Centrifuge at 5000×g for 30 min at 4 degrees.
S6:重复步骤S5两次;S6: Repeat step S5 twice;
S7:取出超滤完的抗体,用200uL 0.2M PH=7.4 PBS(EDTA)缓冲液对超滤管进行润洗,将润洗液加入到抗体中。S7: Take out the ultrafiltered antibody, rinse the ultrafiltration tube with 200uL 0.2M PH=7.4 PBS (EDTA) buffer, and add the rinse solution to the antibody.
实施例3:Embodiment 3:
血小板C1s-FITC流式检测实验Platelet C1s-FITC flow cytometry assay
(一)、血小板正常(100~300×109)样本C1s-FITC流式检测:1. C1s-FITC flow cytometry of normal platelet count (100-300×10 9 ) samples:
1、标本采集:使用EDTA-K2抗凝真空采血管,抽取静脉血2mL。1. Specimen collection: Use EDTA-K 2 anticoagulation vacuum blood collection tube to draw 2 mL of venous blood.
2、染色和固定细胞:2. Staining and fixing cells:
①阴性对照,取50uL PBS(ph=7.2)加入已标记的A1试管中,再加入1ul全血,并分别加入相应的同型对照作为荧光抗体阴性对照5ul,涡旋振荡后避光孵育15min,离心(1500rpm,5min),吸取上清(避免吸到红细胞),再加入450uL PBS后充分混匀,待测。① For negative control, take 50uL PBS (ph=7.2) and add it to the labeled A1 test tube, then add 1ul whole blood and 5ul of the corresponding isotype control as the negative control of fluorescent antibody. Vortex and incubate in the dark for 15min, centrifuge (1500rpm, 5min), aspirate the supernatant (avoid aspirating red blood cells), add 450uL PBS and mix thoroughly before testing.
②样本检测,取50uL PBS加入已标记的B1试管中,再加入1uL全血,分别加入CD61-PE、C1s-FITC荧光抗体各5uL,涡旋振荡后避孵育15min,离心(1500rpm,5min),吸取上清(避免吸到红细胞),再加入450uL PBS后充分混匀,待测。② For sample testing, take 50uL PBS and add it to the labeled B1 test tube, then add 1uL whole blood, add 5uL of CD61-PE and C1s-FITC fluorescent antibodies respectively, vortex and incubate for 15min, centrifuge (1500rpm, 5min), aspirate the supernatant (avoid aspirating red blood cells), add 450uL PBS and mix thoroughly before testing.
3、上机检测、分析结果。用FACSComp调整仪器前向角(FSC)、侧向角(SSC)、荧光一(FL1)、荧光二(FL2)的电压及补偿。以SSC为纵坐标,CD61-PE为横坐标获取数据(见图2-A),在A图上分别选定血小板群设门(见图2-A),用CELLQuest软件获取5000个血小板进行分析,以IgG1-PE作同型对照(见图2-B),计算C1s阳性血小板占的比例(见图2-C)。3. Test and analyze the results on the machine. Use FACSComp to adjust the voltage and compensation of the instrument's forward angle (FSC), side angle (SSC), fluorescence 1 (FL1), and fluorescence 2 (FL2). Use SSC as the ordinate and CD61-PE as the abscissa to obtain data (see Figure 2-A). Select the platelet groups and set the gates on Figure A (see Figure 2-A). Use CELLQuest software to obtain 5,000 platelets for analysis, use IgG1-PE as an isotype control (see Figure 2-B), and calculate the proportion of C1s-positive platelets (see Figure 2-C).
(二)血小板数量减少(<100×109)的C1s-FITC流式检测实验(II) C1s-FITC flow cytometry experiment for reduced platelet count (<100×10 9 )
1、标本采集:使用EDTA-K2抗凝真空采血管,抽取静脉血2mL。1. Specimen collection: Use EDTA-K 2 anticoagulation vacuum blood collection tube to draw 2 mL of venous blood.
2、标本处理:离心,3000rpm,5min,离心后轻轻取出放于试管架上。2. Specimen processing: Centrifuge at 3000rpm for 5min. After centrifugation, gently take out and place on the test tube rack.
3、染色和固定细胞:3. Staining and fixing cells:
①阴性对照,取40uL PBS加入已标记的A1试管中,再加入10uL上层血浆,并分别加入相应的同型对照作为荧光抗体阴性对照5uL,涡旋振荡后避光孵育15min,离心(1500rpm,5min),吸取上清(避免吸到红细胞),再加入450uL PBS后充分混匀,待测。① For negative control, take 40uL PBS and add it to the labeled A1 test tube, then add 10uL upper plasma, and add 5uL of the corresponding isotype control as a fluorescent antibody negative control, vortex and incubate in the dark for 15min, centrifuge (1500rpm, 5min), aspirate the supernatant (avoid aspirating red blood cells), add 450uL PBS and mix thoroughly before testing.
②样本检测,取40uL PBS加入已标记的A1试管中,再加入10uL上层血浆,分别加入CD61-PE、C1s-FITC荧光抗体各5uL,涡旋振荡后避光孵育15min,离心(1500rpm,5min),吸取上清(避免吸到红细胞),再加入450uL PBS后充分混匀,待测。② For sample testing, take 40uL PBS and add it to the labeled A1 test tube, then add 10uL of upper plasma, and add 5uL of CD61-PE and C1s-FITC fluorescent antibodies respectively. After vortexing, incubate in the dark for 15min, centrifuge (1500rpm, 5min), aspirate the supernatant (avoid aspirating red blood cells), add 450uL PBS and mix thoroughly for testing.
3、上机检测、分析结果。用FACSComp调整仪器前向角(FSC)、侧向角(SSC)、荧光一(FL1)、荧光二(FL2)的电压及补偿。以SSC为纵坐标,CD61-PE为横坐标获取数据(见图2-A),在A图上分别选定血小板群设门(见图2-A),用CELLQuest软件获取5000个血小板进行分析,以IgG1-PE作同型对照(见图2-B),计算C1s阳性血小板占的比例(见图2-D、E)。3. Test and analyze the results on the machine. Use FACSComp to adjust the voltage and compensation of the instrument's forward angle (FSC), side angle (SSC), fluorescence 1 (FL1), and fluorescence 2 (FL2). Use SSC as the ordinate and CD61-PE as the abscissa to obtain data (see Figure 2-A). Select the platelet groups and set the gates on Figure A (see Figure 2-A). Use CELLQuest software to obtain 5,000 platelets for analysis, use IgG1-PE as an isotype control (see Figure 2-B), and calculate the proportion of C1s-positive platelets (see Figures 2-D and E).
请参阅图2,结果显示,ITP患者C1s阳性血小板的比例显著高于正常人群和其它类型的血小板减少患者(见图2-D、E、F)。Please refer to Figure 2. The results show that the proportion of C1s-positive platelets in ITP patients is significantly higher than that in the normal population and patients with other types of thrombocytopenia (see Figure 2-D, E, F).
综上所述,本申请中通过具体实施例对C1s抗体在ITP诊断中的具体应用,提供了可靠的实验依据,为后期进一步研发ITP的诊断方法提供了思路。In summary, the specific application of C1s antibody in the diagnosis of ITP through specific examples in this application provides a reliable experimental basis and provides ideas for further research and development of diagnostic methods for ITP in the future.
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