M420694 五、新型說明: 【新型所屬之技術領域】 本創作係一種快速檢測試紙。 【先前技術】 結核分枝桿菌(MTBC)常見的實驗室診斷方法主要為抗酸性染 色與細菌培養。利用顯微鏡觀察被染色的抗酸性桿菌是一種用 來快速篩檢臨床檢體的方法,但其敏感性較低,且無法區分結 核性分枝桿菌與常見於免疫功能缺陷病人(例如之非妹 核性分枝桿菌感染(NTM)。細菌培養雖有不錯的敏感性與特異 I1 生但般來說最少需要十天至六週才能檢測出陽性檢體,其 後仍需判別究為MTBC或是NTM。 新一代的檢測方法利用核酸擴增技術,可直接針對MTBc提 供非常快速且具備特異性的檢測結果。理論而言,在該家族 中,雖然這些新一代核酸擴增技術可測得較低分子之基因序 列’但-般市健酸檢驗·顏於臨床檢_示:該反應常 受制於核魏合鱗航應抑機質干擾,實際之敏感性常較 細菌培養為低。本創作賴近研發的—鋪新技術田細 stripassay)可用以檢消JMTBC,並同步報告是否有核酸聚合梅 反應抑制物質之干擾,可有效降低檢測之偽陰性發生率,並可 在抹片陰〖生之低菌數檢體檢測狀況下,提升其對Mtbc之偵 測敏感性。 3 M420694 【新型内容】 本創作係-雜分枝_贿_觀,包含 作為試紙的底層’她上為具吸水性之多層纖維膜,= 區段由試紙下端至上魏序為檢體層、反應物槪層、 測層、以及吸水層,其中結果檢測層 : 對照線、以及-系統控制線。 ]線一内部 本創作裝置之_,細—柯水得_軸構成,並 材質可為不吸水之硬質卿或是性質類似之均等物丨檢體層為 可吸收檢體之吸水性材質所構成;反應物釋放料—種多賊 納性膜之吸水性支撐材質,例如玻璃纖維或其作用均等物,今 層上方並塗覆有膠體金或其作用均等物;結果檢測層為―多^ 性材質,例如石肖化纖維膜或其作用均等物;吸水層由吸水性材 質構成,可增加產生毛細現象之吸水力。 本創作之結果檢測層上塗覆抗體檢測線,由試紙下端至上端依 序為檢測線、内部對照線、以及系統控制線。其中檢測線含有 特’、f生抗體’可與帶有結核純翻(MTB)之核酸聚合酶連鎖 反應(PCR)產物上之抗原形成專—性結合·内部賴線含有特 異性抗體,可與内部對照組之pCR產物上之抗原形成專一性 結合,系統控制線含有複合配體,可與所有pCR產物相結合, 用以檢測試紙是否運作正常。 將檢體層浸入待測的PCR產物後,待測物藉著毛細作用通過 反應物釋放層’而轉體金帶至結果檢现與職抗體結合後 4 M420694 可堆積呈色。 本創作亦包含結核分枝㈣與内部對照組之兩對引子對 ㈣祖㈣’結核分枝桿菌之引子對各標示生物筆_及 =素(FITQ ’内部職㈣子對各標*生物細偷)及洋地 黃毒普(Dig0xigenin);待測檢體可經由聚合酶連鎖反應,同步 大量複製出帶有螢光素、生物素、及洋地黃毒料標示之特定 區域基因相’此PCR產物便可制本_之檢戦紙直接 檢測。 【實施方式】 如圖3,本創作之待測檢體需先經萃取去氧核酶核酸①να)以 及核酸聚合酶連鎖反應(PCR)之前處理。 萃取去氧核醣核酸(DNA)流程如下: -淨化臨床檢體 1-收集Ba床檢體’並存放於4°c冰箱。 2. 在每一只檢體試管上做永久標記 3. 取1克N乙醯半胱胺酸(NALC)溶解於50毫升8%氫氧化鈉 (NaOH)、50毫升5.88%檸檬酸鈉、以及1〇〇毫升2〇q/()十二烷基 硫酸鈉(SDS)之混合液。 4. 在每管臨床檢體中加入等量的步驟3之混合溶液。 5. 震靈檢體試管30秒’並翻轉1〇次以上,再於室溫靜置15分鐘。 6_在檢體試管加入填酸鹽緩衝液(PBS)到50毫升刻度,並於3,8〇〇 5 M420694 離心力(xg)之下離心15分鐘。 7. 由離心機中取出檢體試管並開蓋’慢慢取出上清液丢棄。 8. 在每管檢體加入I毫升PBS,將沉澱物回溶。 9·取i毫升之沉殿物回溶液與1〇毫升二次水混合震盛2〇秒後以 3,800xg離心15分鐘。 10. 自離心機中取出檢體試管並開蓋,慢慢地取出所有上清液丢棄。 11. 則此沉澱物已備妥,可用來萃取DNA。假如未立即萃取DNA, 請將該沉澱物存放於_7〇。〇。M420694 V. New description: [New technical field] This is a rapid test strip. [Prior Art] The common laboratory diagnostic methods for Mycobacterium tuberculosis (MTBC) are mainly acid-resistant staining and bacterial culture. Microscopic observation of stained acid-fast bacilli is a method for rapid screening of clinical specimens, but its sensitivity is low, and it is indistinguishable from distinguishing Mycobacterium tuberculosis from patients with immunodeficiency (eg non-sister nuclear) Mycobacterial infection (NTM). Although bacterial culture has good sensitivity and specific I1 production, it usually takes at least 10 days to 6 weeks to detect a positive sample, and then it needs to be judged as MTBC or NTM. The new generation of detection methods utilizes nucleic acid amplification technology to provide very fast and specific detection results directly for MTBc. In theory, in this family, these new generation nucleic acid amplification techniques can measure lower molecules. The gene sequence 'but the general city acid test · Yan in the clinical examination _ shows: the reaction is often subject to nuclear Wei and the scales should inhibit the interference of the machine, the actual sensitivity is often lower than the bacterial culture. The R&D-shopping technology stripassay can be used to eliminate JMTBC and simultaneously report whether there is interference with the nucleic acid-polymerized plum reaction inhibitor, which can effectively reduce the false negative rate of detection, and Low number of bacteria smear sample detection condition of a female born 〖enhance its sensitivity to detect the measured Mtbc. 3 M420694 [New content] This creation department - miscellaneous branches - bribe _ view, including the bottom layer of the test paper 'here is a multi-layer fiber membrane with water absorption, = section from the lower end of the test paper to the upper Wei order for the sample layer, reactants The ruthenium layer, the measurement layer, and the water absorbing layer, wherein the result detection layer: the control line, and the - system control line. ] Line 1 internal creator of the creation device, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Reactant release material - a water-absorbing support material of a multi-sonic film, such as glass fiber or its equivalent, coated with colloidal gold or its equivalent on the layer; the result is a multi-material For example, a stone-like fiber membrane or an equivalent of the same; the water-absorbing layer is composed of a water-absorbent material, which can increase the water absorption force of the capillary phenomenon. As a result of the creation, the antibody detection line is coated on the detection layer, and the detection line, the internal control line, and the system control line are sequentially from the lower end to the upper end of the test paper. The detection line contains a special 'f-antibody' which can form a specific binding with an antigen on a nucleic acid polymerase chain reaction (PCR) product with a pure tuberculosis (MTB). The internal ligature contains a specific antibody, which can be combined with The antigen on the pCR product of the internal control group forms a specific binding, and the system control line contains a complex ligand that can be combined with all pCR products to detect whether the test paper is functioning properly. After the sample layer is immersed in the PCR product to be tested, the analyte is passed through the reactant release layer by capillary action and the gold is transferred to the result to detect the binding of the active antibody. 4 M420694 can be stacked and colored. This creation also contains two pairs of primer pairs of tuberculosis (4) and the internal control group. (IV) Progenitor (4) 'Induction of Mycobacterium tuberculosis for each marker biograph _ and = prime (FITQ 'internal position (four) sub-to-label * bio thief ) and Dig0xigenin; the test sample can simultaneously replicate a large number of specific phase genes with luciferin, biotin, and digitalis toxicant via the polymerase chain reaction. It can be directly detected by the inspection paper. [Embodiment] As shown in Fig. 3, the sample to be tested of the present invention needs to be treated by extracting deoxyribozyme nucleic acid 1να and nucleic acid polymerase chain reaction (PCR). The process of extracting deoxyribonucleic acid (DNA) is as follows: - Purification of clinical specimens - Collection of Ba bed specimens ' and storage in a 4 °c refrigerator. 2. Make a permanent mark on each test tube. 3. Take 1 gram of N-acetyl cysteine (NALC) dissolved in 50 ml of 8% sodium hydroxide (NaOH), 50 ml of 5.88% sodium citrate, and 1 ml of a mixture of 2 〇q/() sodium dodecyl sulfate (SDS). 4. Add an equal amount of the mixed solution of step 3 to each tube of the clinical specimen. 5. Shock the test tube for 30 seconds' and turn it over 1 time, then let it stand at room temperature for 15 minutes. 6_ Add the Potassium Buffer (PBS) to the 50 ml mark in the test tube and centrifuge for 15 minutes at 3,8 〇〇 5 M420694 centrifugal force (xg). 7. Remove the sample tube from the centrifuge and open the lid. Slowly remove the supernatant and discard. 8. Add 1 ml of PBS to each tube and dissolve the pellet back. 9. Take the i ml of the sinking material and mix it with 1 ml of secondary water for 2 seconds and centrifuge at 3,800 xg for 15 minutes. 10. Remove the test tube from the centrifuge and open the lid. Slowly remove all supernatant and discard. 11. The precipitate is ready for DNA extraction. If the DNA is not extracted immediately, store the pellet in _7〇. Hey.
-萃取DNA U^^LysisTubemM25_4^^^LysisBuff>er) 1 ’並震盪1分鐘,在於室溫靜置1〇分鐘。 2. 將此LysisTube移至已預熱之乾浴器,再以1〇0它繼續加 熱20分鐘。 3. 置於室溫至少5分鐘冷卻Lysis Tube,讓蒸氣揮發,再快速離心 使管中的檢體下沉。 4_吸取20微升之LysisBuffer2及15微升之1〇毫莫耳濃度三 羟甲基氨基甲烷鹽酸(Tris-HCl)(酸鹼度8.0)加進Lysis Tube,震盪 1分鐘。 5.以14,000 X g離心2分鐘,收集DNA溶解液並小心地吸取5〇微 升之上清液(本次檢測僅需5微升)至一微量離心管,丟棄剩餘的 溶液。假如不馬上處理該DNA溶解液,應存放於_7〇。〇。 核酸聚合酶連鎖反應(PCR)流程如下: 6- Extract DNA U^^LysisTubemM25_4^^^LysisBuff>er) 1 ' and shake for 1 minute, and let stand at room temperature for 1 minute. 2. Move the LysisTube to the preheated dry bath and continue heating for 20 minutes at 1〇0. 3. Allow the Lysis Tube to cool at room temperature for at least 5 minutes, allow the vapor to evaporate, and then quickly centrifuge to sink the sample in the tube. 4_ Pipette 20 μl of LysisBuffer 2 and 15 μl of 1 mM molar Tris-HCl (pH 8.0) into the Lysis Tube and shake for 1 minute. 5. Centrifuge at 14,000 X g for 2 minutes, collect the DNA lysate and carefully pipet 5 μl of the supernatant (only 5 μl in this assay) into a microcentrifuge tube and discard the remaining solution. If the DNA lysate is not treated immediately, it should be stored at _7〇. Hey. The nucleic acid polymerase chain reaction (PCR) process is as follows: 6