WO2011030168A1

WO2011030168A1 - Detection method based on time resolved real time fluorescent energy transfer (tr-fret)

Info

Publication number: WO2011030168A1
Application number: PCT/GB2010/051538
Authority: WO
Inventors: John Mcgiven
Original assignee: The Secretary Of State For Environment, Food & Rural Affairs ..
Priority date: 2009-09-14
Filing date: 2010-09-14
Publication date: 2011-03-17
Also published as: GB0915986D0; US20120202191A1; EP2478366A1

Abstract

There is provided a method for detecting the presence of a diagnostic moiety indicative of exposure to an infectious organism in a biological sample taken from a human or animal, said method comprising; a)adding to said sample a first fluorescently labelled reagent which binds a first binding partner, and a second fluorescently labelled reagent which binds to a second binding partner, wherein the diagnostic moiety binds to at least one of the binding partners in competition to either or both of the first or second fluorescently labelled reagents, or wherein the diagnostic moiety binds to at least one of the fluorescently labelled reagents in competition to its binding partner, wherein a label on one of the first or second fluorescently labelled reagents acts as a fluorescent energy donor compound and wherein the other of the first or second fluorescently labelled reagent acts as a fluorescent energy acceptor compound which is able to accept fluorescent energy from said donor compound; b)concurrently or separately adding to the sample the first and second binding reagents; c)exciting the fluorescent energy donor compound by illuminating with light of a wavelength which is absorbed by said fluorescent energy donor compound; d)measuring fluorescent signal emitted by said fluorescent energy acceptor compound as a result of its absorption of the fluorescent energy from the donor compound after a time delay; and e)relating the results to the presence or absence of diagnostic moiety in said sample, wherein a reduction in the fluorescent signal measured in step (d) is indicative of the presence of diagnostic moiety in the sample; wherein the first and second binding partners are identical or are associated in some way such that, when the first and second labelled reagents are bound to their respective binding partners, the donor compound and acceptor compound are in sufficient proximity that fluorescent energy transfer can take place after step (c) has been carried out.

Description

DETECTION METHOD BASED ON TIME RESOLVED REAL TIME FLUORESCENT ENERGY

TRANSFER (TR-FRET)

Field of invention

The present invention relates to a method for the detection of diagnostic moieties, in particular to methods based upon Time Resolved Fluorescent Energy Transfer (TR-FRET) technology to measure the proximity of moieties such as antibodies or antigens in biological samples, which is useful in the diagnosis and screening for diseases caused by infectious organisms such as brucellosis, as well as kits useful in the method. Background

FRET technology has been known for many years. In FRET, a donor fiuorophore is excited by light and, if a suitable acceptor is in close proximity, the excited state energy from the donor can be transferred to the acceptor. For the acceptor to be suitable it must have an excitation wavelength that overlaps with the emission wavelength of the donor. The energy transfer leads to a decrease in the donor's emission intensity and an increase in the acceptor's emission intensity. If the two fiuorophores emit light at different wavelengths then spectral filtration allows measurement of their individual intensities. The degree to which the energy transfer occurs depends on the inverse distance between donor and acceptor. Thus, the relative intensities of the fiuorophores provides a measurement of the distance between the two.

Time resolved FRET (TR-FRET) (Morrison, L.E., 1988. Anal. Biochem., 174 (1) 101) adds another dimension to the technique. TR-FRET was considerably improved by the development of rare earth lanthanide chelates to act as donor fiuorophores in the TR-FRET reaction. This improvement was due to the long fluorescent lifetimes of these donors which allowed for longer time gating periods, thus eliminating more non-specific fluorescence. Lanthanide chelate labels such as terbium are used in this application as they have long fluorescent lifetimes. Natural fluorescence of organic components after light excitation has taken place will produce a background reading. However the fluorescence lifetime of terbium far exceeds that of the background noise. By delaying the time between light emission and measurement (gating), this background can be eliminated from the assay. As a result of temporal filtration the sensitivity of the assay can be improved.

Suitable lanthanide chelates useful in the method include those described for example in US Patent Nos 5,622,821, 5,639,615, 5,656,433 and 4,822,733. TR-FRET is a widely utilised technique in the pharmaceutical industry for compound analysis and drug discovery. In these circumstances, it is applied to relatively simple, pure samples of compounds which are laboratory derived. It may be used in high- throughput screening to screen large numbers of compounds for their ability to interact with a particular biological moiety such as a receptor. The technique has not previously been applied to biological samples for the detection of diagnostic moieties for infectious diseases. Generally such methods are carried out on samples such as blood, serum, milk, urine or cerebrospinal fluid samples which, in contrast to the samples used in drug screening, are complex, impure samples, containing multiple biological constituents, which may contain fluorescence inhibitors. Previous attempts to increase the sensitivity have focused on the addition of additional reagents such as fluoride ions (see US Patent No. 5,627,074) but this has the effect of further complicating the assay, and the results have not been sufficient to ensure that the technique has found widespread use in diagnosis.

US2006/0240571 discusses the potential of using a FRET -based system for detection of chemicals and micro-organisms in foodstuffs. However, the only data provided is for E. coli in known dilutions in phosphate buffered saline, also a relatively simple and pure sample.

Furthermore, diagnosis of disease is relatively infrequently carried out on the basis of high throughput screening. Brucellosis is a zoonotic disease of global significance. The disease is caused by bacteria of the genus Brucella which themselves belong to the a-2 subdivision of Proteobacteria. The genus consists of six classical species, B.abortus, B.melitensis, B.suis, B.ovis, B.canis, and B.neotomae plus more recently discovered strains from marine mammals. Of the Brucella species, B.abortus, B.melitensis and B.suis are of principal human health and economic importance. These species have smooth lipopolysaccharide (LPS) which is considered a major virulence factor of disease (Porte, et al 2003. Infect. Immunol, 71 (3) 1481) whereas B.ovis and B.canis have rough LPS.

Brucellosis is widespread and has only been eradicated from a small number of countries, including Great Britain. Even here its re-introduction remains a real threat to livestock and human health as well as the rural economy. As such the detection of Brucella in livestock is a major issue facing any country with a livestock industry. In order to qualify for OIE (Office International des Epizooties) disease free status, a country must have ceased vaccination for at least three years. The disease must then be controlled by serological testing, conducted periodically in each herd (OIE Terrestrial Animal Health Code 2010, ISBN 978-92-9044-768-9). Once the country has been declared disease free, presumptive diagnosis based on serological testing must continue for five years whereupon the system for control can be decided locally. In the few countries to have eradicated the disease, maintenance of ΌΙΕ disease free' status requires considerable investment in surveillance strategies.

The economic burden of effective brucellosis surveillance, where large numbers of serum and/or milk samples are surveyed annually is high.

The OIE prescribed and alternative serological tests (Nielsen, K., Ewalt, D.R., 2004. Bovine brucellosis. Manual of standards for diagnostic tests and vaccines. Office International Des Epizooties, Paris, 409-38) for brucellosis due to infection with smooth strains rely largely upon the measurement of the host's generated antibody response to the O-antigen of the smooth LPS. Classical tests include the Rose Bengal Test (RBT), the Complement Fixation Test (CFT) and the Serum Agglutination Test (SAT) all of which employ a whole cell antigen as the key diagnostic reagent. More contemporary techniques such as the indirect (i) ELISA, competitive (c) ELISA and the Fluorescent Polarisation Assay (FPA) employ purified LPS or O-antigen as the diagnostic reagent. The immunodominance of the LPS O-antigen is the basis for the generally good sensitivity of these assays.

High throughput serological testing is an essential element in monitoring brucellosis and the ELISA tests are the most readily amenable to this due to the standardised nature of the technology and reagents. This allows for many efficiency savings including the introduction of automation. Despite the advantages of ELISA over the more traditional tests in this regard, the ELISA still requires several steps to complete including separation steps. Although these steps can be automated they are a vital part of the assay are a frequent source of imprecision, error and mechanical breakdown. Assays which have the advantages of the ELISA, such as a 96 well format, objective assessment and good sensitivity and specificity parameters, but which reduce the burden of work and opportunity for error are desirable.

The Fluorescent Polarisation Assay (FPA) for the detection of antibodies to Brucella OPS (O-antigen of Lipopolysaccharide) (Neilsen at al. Journal of Immunological Methods (1996) 195, Issues 1-2, pl61-168) is a rapid homogeneous test. However, there are a number of drawbacks. Each sample must be read twice, once before the diagnostic antigen is added and once after. The results can be significantly affected by relatively small changes in ambient temperature of just a few degrees centigrade (Minas et al, Journal of Immunological Methods (2007) 320, 1-2, p94-103) which negatively effects the reproducibility of the assay. The test also requires the use of a highly purified antigen which increases production costs which are in turn passed on to the customer.

Bovine Viral Diarrhoea is a cattle disease caused by the pestivirus BVDV. Common clinical signs of infection include diarrhoea, respiratory infection and abortion or infertility, although effects vary depending on the infection status of a herd. The disease can cause significant financial losses when an outbreak occurs. There is no treatment for the disease, although vaccination programs in the United Kingdom have helped to reduce the occurrence. Current strategies for control focus on the removal of persistently infected individuals which occur due to infection of calves in utero. These animals do not produce an immune response to the virus (as acutely infected animals do) and act as a source of infection for the herd. The virus can be detected directly using virus isolation techniques, by antigen ELISA or using the reverse transcription polymerase chain reaction. Whole blood, milk or other tissues are used as the starting material for these assays. Convalescent individuals (those acutely infected) can be detected based on the presence of antibodies to the virus using serum neutralisation techniques or antibody ELISA. Pestiviruses also cause disease in sheep (nominally known as Border Disease) and pigs (known as Classical Swine Fever). Classical swine fever virus only infects pigs. However, border disease virus (BDV) and BVDV infect cattle, sheep and pigs, leading to confusion when attempting to diagnose classical swine fever in pigs.

Co-pending application no. PCT/GB2009/050303 (the contents of which are hereby incorporated by reference) discloses a method of detecting exposure to diseases such as those mentioned above by the use of a TR-FRET based diagnostic assay. The applicants have now found a new specific embodiment which provides reliable and sensitive diagnostic results.

Summary of Invention

According to a first aspect of the invention, there is provided a method for detecting the presence of a diagnostic moiety indicative of exposure to an infectious organism in a biological sample taken from a human or animal, said method comprising; a) adding to said sample a first f uorescently labelled reagent which binds a first binding partner, and a second fluorescently labelled reagent which binds to a second binding partner, wherein the diagnostic moiety binds to at least one of the binding partners in competition to either or both of the first or second fluorescently labelled reagents, or wherein the diagnostic moiety binds to at least one of the fluorescently labelled reagents in competition to its binding partner, wherein a label on one of the first or second fluorescently labelled reagents acts as a fluorescent energy donor compound and wherein the other of the first or second fluorescently labelled reagent acts as a fluorescent energy acceptor compound which is able to accept fluorescent energy from said donor compound;

b) concurrently or separately adding to the sample the first and/or second binding partner(s);

c) exciting the fluorescent energy donor compound by illuminating with light of a wavelength which is absorbed by said fluorescent energy donor compound;

d) measuring fluorescent signal emitted by said fluorescent energy acceptor compound as a result of its absorption of the fluorescent energy from the donor compound after a time delay; and e) relating the results to the presence or absence of diagnostic moiety in said sample, wherein a reduction in the fluorescent signal measured in step (d) is indicative of the presence of diagnostic moiety in the sample;

wherein the first and second binding partners are identical or are associated in some way such that, when the first and second labelled reagents are bound to their respective binding partners, the donor compound and acceptor compound are in sufficient proximity that fluorescent energy transfer can take place after step (c) has been carried out.

Advantageously, the method provides an accurate and sensitive competitive sandwich assay for detection of exposure of a human or animal individual to an infectious organism.

The first and second binding partners might be two parts of a single entity, for example (but not limited to) two epitopes on the surface of a single cell or on a molecule. In one embodiment, the diagnostic moiety binds to at least one of the binding partners in competition to either or both of the first or second fluorescently labelled reagents. In an alternative embodiment, the diagnostic moiety binds to at least one of the fluorescently labelled reagents in competition to its binding partner.

Where the binding partner(s) are added to the sample concurrently with the first and second labelled reagents, they may be added as a pre-mixture, i.e., the first and/or second labelled reagents may be contacted with the binding partner(s) prior to commencing the method.

The period of time over which the signal from the donor compound is emitted may be longer than the period of time for which a signal is emitted by the acceptor compound. Preferably, the fluorescent signal from the fluorescent energy donor compound is also measured and the ratio of the two signals is used to determine the presence or absence of diagnostic moiety in the sample.

Suitably, the fluorescent signal produced by the donor as well as the acceptor compound is measured in step (d). This allows the ratio of the signals to be calculated providing a clearer indication of the occurrence of FRET and thus the presence or absence of diagnostic moiety in the sample. In particular, the intensity of the light emitted by both the donor and the acceptor are measured in step (d) and then the acceptor intensity is divided by the donor intensity to generate a TR-FRET ratio. This ratio can then be used to express the results for each sample.

The use of ratiometric calculations with the results is particularly suitable for assays on samples with variable matrix compositions (e.g. sera etc) as the ratiometric results method provides some level of resistance from the effects of fluorescence quenching caused by the sample matrix, as compared with the simple intensity results.

In order to ensure that the results of the assay are as accurate as possible, it is useful to ensure that the amount of unlabelled first and second reagent and the amount of unconjugated label (unconjugated fiuorophores) is kept to a minimum. This can be achieved, at least in relation to the direct labelling of unlabelled first and second reagents, by ensuring that they are prepared using an excess of label during the conjugation procedure. However, it is then important to ensure that any excess unbound label or fluorophore is removed after the conjugation process. If the reagents are to be labelled indirectly, though the use of fluorescently labelled secondary reagents, then both the primary and secondary reagents must be titrated against each other to identify the optimal concentrations for use in the application. The term "labelled reagent" encompasses a reagent which is directly labelled and also a reagent which is indirectly labelled, for example, by use of a labelled secondary reagent such as an antibody.

In a preferred embodiment, the first fluorescently labelled reagent is labelled directly and is substantially free of any unconjugated label which acts as a fluorophore, and similarly the second fluorescently labelled reagent is labelled directly and substantially free of unconjugated label.

As used herein, the expression "substantially free" means that steps have been taken to remove unconjugated labels or fiuorophores from the first and second labelled reagents which are fluorophore conjugated diagnostic reagents. In practice, this will generally mean that, after labelling, the reagent is passed down a desalting column, for example a desalting resin column such as a Zeba™ column available from Pierce, to ensure that the amount of unconjugated label is minimised.

In an embodiment, for the first and second labelled reagents, less than 10% of the corresponding fluorophores within the preparation are unconjugated, for example less than 5% and in particular less than 2%.

The applicants have found that a labelling process in which a reagent is incubated for a suitable period of time with an excess of labelling reagent such as fluorescein and immediately passed down a desalting column, without any previous dialysis, provides a particularly useful method for preparing labelled reagents for use in the method of the invention. Apart from this constraint, the purity of the reagents need not be that high, since the specificity of the TR-FRET procedure will mean that any contaminants, even if labelled, will not generate significant fluorescent signals.

Therefore, the first and second reagents used for the preparation of the labelled first and second reagents respectively do not themselves have to be subjected to extensive purification procedures. The applicants have found that even relatively impure reagents can be used and the assay is able to produce meaningful results. Purification of reagents such as diagnostic antigens in particular, from all the other material that may be in a bacterial/viral/cell culture preparation can be very difficult. Therefore, this finding provides a significant advantage for the assay described herein, in that the reagent preparation may be simplified and the cost of the reagents may be kept low.

The term "diagnostic moiety" means an antigen of an infectious organism, or an antibody to an antigen of an infectious organism, or it may comprise the organism, such as the bacteria or virus itself. Where the diagnostic moiety is an organism, it will generally comprise multiple epitopes or other binding motifs on the surface, allowing the first and second labelled reagents to bind to different epitopes or motifs in close proximity to one another to allow FRET to occur. Particularly suitable diagnostic moieties will vary depending upon the particular infectious agent being diagnosed. However, where the diagnostic moiety is an antibody associated with the infectious agent, particularly suitable antigens for use as labelled reagents will be immunodominant antigens, and these may include protein antigens as well as glycoconjugates such as lipopolysaccharide (LPS) antigens. Antigens associated with bacterial cell membranes may be particularly suitable in some cases.

Therefore, the method directly identifies the presence, in the sample, of a moiety as the result of exposure of a human or animal to a specific infectious organism. There is no requirement for a general immune response to have occurred. Advantageously, this allows the user of the method to detect exposure of a human or animal to a specific infectious organism at an early stage, even in the absence of a more general immune response. Diagnosis of infection of the human or animal by the specific organism is enabled. Furthermore, as mentioned above, the proximity based nature of the method allows for relatively impure preparations of antigen to be used. This may reduce the cost of antigen production techniques or enable the use of antigens whose precise identity is not known.

Antigen detection assays, where multiple identical antigen epitopes exist on a single structure, may also be developed using a single mAb which has been labelled in one instance with a lanthanide donor and in another with the appropriate acceptor. Such an assay could be developed to rapidly detect the presence of 'M dominant' Brucella for example using BM40 antibody.

The labelled reagents are reagents which specifically bind to one or more of the binding partners. Therefore, a labelled reagent and a binding partner may each be any two halves of a specific binding pair. Specific binding pairs are well known in the art and include antibody pairs and antibody-antigen pairs. Other specific binding pairs include, for example, streptavidin-biotin, antigen-bacteriophage or antigen-lectin. Suitable binding pairs will be readily envisaged by the skilled person. Therefore, each labelled reagent forms a specific binding pair with a binding partner, which may be a single entity or a complex of several entities. The binding partner may be may be anything that binds to either, or both, fluorescently labelled reagents in competition to the diagnostic moiety, such as a cell or a part of a cell, for example, a cell surface protein or other marker, and/or an epitope for an antibody. The epitope may be a cell surface protein, fragment thereof, or another cell-surface marker which may be recognised by a labelled reagent such as an antibody. Antibodies may be monoclonal or polyclonal, and are preferably monoclonal, but the term "antibody" also encompasses binding fragments of antibodies such as Fab, F(ab')₂ fragments or single chain antibody fragments.

Any one or more of the first or second labelled reagent and/or binding partner may be associated with a surface, for example, immobilised on the surface of a plate or well.

The diagnostic moiety may be an infectious organism such as a bacteria, virus, fungi, protozoan or multicelluar organism, an antigen of an infectious organism, or an antibody to an antigen of an infectious organism.

The infectious organism may be any bacterial, viral, fungal, protozoan, or multicellular organism which is known to invade hosts such as humans or animals. For example, diseases of viral origin include Adenovirus infection, AIDS (HIV) - AIDS Related Complex, Astroviral infections, Bolivian hemorrhagic fever (machupo virus), Borna disease (Borna disease virus (BDV)), Chickenpox (Varicella), Chikungunya (alphavirus), Common cold, Colorado tick fever, Coronavirus infections (e.g. Severe acute respiratory syndrome), Cowpox, Coxsackie A virus e.g. Bornholm disease, Cytomegalovirus Infection, Dengue fever, Ebola hemorrhagic fever, Epstein- Barr virus (mononucleosis), Fifth disease slapcheek, parvovirus, Hantavirus Cardiopulmonary Syndrome, (Andes virus), Hand, foot and mouth disease, Henipavirus (emerging zoonosis from fruit bats), Hepatitis virus A, B and C, Herpes simplex, Herpes zoster, Human Papilloma Virus (HPV), Human T-lymphotropic virus infections, Influenza (Flu), La Crosse encephalitis (arbovirus disease present in USA), Labrea fever a coinfection or superinfection of delta virus and hepatitis B, Lassa fever, Lyssavirus infections (e.g. European and Australian bat lyssavirus infection), Marburg hemorrhagic fever, Measles, Menangle virus infection, Monkeypox, Murray Valley encephalitis virus, Infectious mononucleosis, Meningococcal disease, Mumps, Oropouche fever, Norovirus infection, Parainfluenza virus infection, Pogosta disease (Sindbis virus, belonging to the Alphavirus genus), Poliomyelitis, Rhinovirus infections, Progressive multifocal leukencephalopathy, Progressive outer retinal necrosis, Rabies Lyssavirus, Respiratory syncytial virus (Respiratory tract infections), Rift Valley fever, Ross River virus arbovirus of the genus Alphavirus, Rubella, Simian foamy virus, Smallpox (Variola), Pox virus infections (e.g. Fowlpox Horsepox Sheepox Goatpox Camelpox), Tanapox, Viral encephalitis (eg St. Louis Encephalitis, Tick-borne meningoencephalitis, Equine encephalomyelitis), Viral gastroenteritis (e.g. rotavirus infections), Viral meningitis, Viral pneumonia, Viral hemorrhagic fevers (e.g. Venezuelan hemorrhagic fever), West Nile disease, Yellow fever, African horse sickness, African swine fever, Aujeszky's disease (porcine), Avian infectious bronchitis, Avian infectious laryngotracheitis, Avian influenza, Avian leukosis, Avian pneumovirus (TRT), Avian reticuloendotheliosis, Big liver and spleen disease (poultry), Bluetongue, Bovine viral diarrhoea (BVD), Border disease (ovine), Caprine arthritis/encephalitis, Canine Distemper virus, Chick anaemia virus, Classical swine fever, Duck viral enteritis, Duck virus hepatitis, Egg drop syndrome, Enzootic bovine leucosis, Equine infectious anaemia, Equine rhinopneumonitis, Equine viral arteritis, Feline Immunodeficiency Virus, Feline Panleukopaenia virus, Feline Calicivirus, Foot and mouth disease, Herpes virus infection, (bovine, equine, porcine, caprine, feline, duck), e.g. Bovine herpes mamillitis (bovine herpes virus-2), Pseudo- lumpyskin disease (bovine herpes virus-2), Infectious Bovine Pvhinotracheitis (bovine herpes virus 1), Rhinopneumonitis (equine herpes virus 4), Caprine conjunctivitis, (caprine herpes virus 1), Feline viral Pvhinotracheitis (feline herpes virus 1), Infectious bovine Pvhinotracheitis, Infectious bursal disease (Gumboro disease) (avian), Infectious haematopoietic necrosis (salmon), Infectious pustular vulvovaginitis (bovine), Koi herpesvirus disease, Lumpy skin disease (bovine), Maedi-visna (Sheep and Goats), Malignant catarrhal fever, Marek's disease (Herpes viral disease of chickens), Myxomatosis, Nairobi sheep disease, Newcastle disease (avian), Nipah virus encephalitis (porcine), Ovine pulmonary adenomatosis, Paramyxovirus of pigeons, Peste des petits ruminants, Porcine epidemic diarrhoea (PED), Porcine, Feline, Canine Parvovirus infection, Porcine Reproductive & Respiratory Syndrome, Porcine respiratory corona virus infection, Porcine Transmissible gastroenteritis, Rabbit haemorrhagic disease, Rinderpest (Cattle plague), Sendai virus murine parainfluenza virus type 1, Spring viraemia of carp, Swine vesicular disease (enterovirus), Teschen Disease (porcine), Turkey Rhinotracheitis and Vesicular stomatitis. Diseases of bacterial origin include Acinetobacter baumannii infections, Actinobacillus infections (e.g. Actinobacillus pleuropneumoniae (porcine disease), Actinomycosis, Anthrax, Bartonellosis, Bacterial Meningitis, Botulism, Brucellosis, Burkholderia infections e.g. Glanders, Campylobacteriosis, Capnocytophaga canimorsus infections (zoonosis, can cause sepsis), Cat Scratch Disease, Cholera, Clostridium difficile infections e.g. Pseudomembranous colitis, Diphtheria, Shiga toxin- and verocytotoxin-producing Escherichia coli infection, Gonorrhea infection, Haemophilus infections (eg. H.somnus, H. influenzae, H. parasuis), Legionellosis, Lemierre's syndrome, Leprosy (Hansen's Disease), Leptospirosis, Listeriosis, Borreliosis (e.g. Lyme disease, Relapsing fever), Melioidosis, Meningococcal disease, Rheumatic Fever; MRSA infection, Nocardiosis, Pasteurella infections e.g. Pasteurella multocida (e.g. Fowl Cholera), Bovine Haemorrhagic Septicaemia, Pertussis (Whooping Cough), Plague, Pneumococcal pneumonia, Psittacosis, Q fever, Rat-bite fever, Rickettsial infection e.g. Ehrlichiosis, Rocky Mountain Spotted Fever (RMSF), Heartwater, Anaplasmosis, Salmonellosis, Shigellosis, Staphylococcal infection e.g. Brodie's abscess, Streptococcal infection e.g. Erysipelas, Scarlet Fever, Syphilis (and other Treponema infections e.g. Pinta, Yaws), Tetanus, Trachoma (Chlamydia trachomatis, and other Chlamydia infections), Tuberculosis, Tularemia, Typhoid Fever, Typhus, Yersinia pseudotuberculosis, Yersiniosis (Y. enterocolitica), Caseous lymphadenitis (Corynebacterium pseudotuberculosis), Contagious Epididymitis {Brucella ovis), Contagious equine metritis (infection with Taylorella equigenitalis), Fowl typhoid (Salmonella gallinarum infection), Johne's Disease (Mycobacterium avium subspecies paratuberculosis), Mycoplasmosis (e.g. Mycoplasma mycoides mycoides SC (CBPP), Mycoplasm capricolum subspecies capripneumoniae (CCPP), Mycoplasma agalactiae, Mycoplasma bovis, and Mycoplasma hyopneumoniae), Strangles (Streptococcus equi).

Diseases of eukaryotic origin include Amoebiasis, Ascariasis, Babesiosis (e.g. Equine Piroplasmosis), Chagas Disease, Clonorchiasis, Cryptosporidiosis, Cyclosporosis, Cysticercosis, Diphyllobothriasis, Dracunculiasis, Echinococcosis, Enterobiasis (pinworms), Fascioliasis, Fasciolopsiasis, Filariasis, Free-living amoebic infection, Giardiasis, Gnathostomiasis, Hookworm infections (e.g. Ancylostomiasis, necatoriasis), Hymenolepiasis, Isosporiasis, Leishmaniasis, Malaria, Metagonimiasis, Myiasis, Onchocerciasis (river blindness), Pediculosis, Scabies, Schistosomiasis, Taeniasis, Theileria infections, Toxocariasis, Toxoplasmosis, Trypanosomiasis (e.g. Sleeping sickness, Dourine (equine), Surra (equine)), Trichinellosis, Trichomoniasis, Dirofilaria (Heartworm) of dogs and cats, Lungworm infection e.g. Dictyocaulus infection, Neospora infection, New world screwworm (Cochliomyia hominivorax), Old world screwworm (Chrysomya bezziana ) and Warble fly.

Diseases of fungal origin include Aspergillosis, Blastomycosis, Candidiasis, Coccidioidomycosis, Cryptococcosis, Epizootic lymphangitis (equine), Histoplasmosis and Tinea pedis.

Particular examples include zoonotic infectious organisms as well as organisms which infect humans. The range of infectious diseases for which a diagnostic TR-FRET assay can be developed is very wide.

However, particular targets in the zoonotic field may include Brucella or other diseases included in the list above. Diseases which are relevant to human medicine and which may be detected using the present method include, but are not limited to, tuberculosis (caused by mycobacteria mainly Mycobacterium tuberculosis, but also sometimes Mycobacterium bovis, Mycobacterium africanum, Mycobacterium canetti and Mycobacterium microti), chlamydia, diphtheria (Corynebacterium diphtheriae), tetanus (Clostridium tetani), infection by E.coli, other Clostridium sp. including Clostridium botulinum, Clostridium perfringens and Clostridium difficile or Staphylococcus sp. including Staphylococcus aureus including MRS A and many others.

Host species therefore include mammals, fish, birds and reptiles, but in particular are mammals such as humans or animals including ruminants such as cattle and sheep as well as goats, pigs, cervids, such as deer, felines such as cats or canines such as dogs. In particular, the host are humans or livestock used in agriculture such as ruminants, pigs, chickens or other farmed fowl.

Therefore, for example, the infectious organism may be a bacteria and at least one of the first or second fluorescently labelled reagents may be an antibody to a bacterial antigen. The first and second fluorescently labelled reagents may be the same antibody labelled with different labels, or distinct antibodies. Alternatively, at least one of the first or second fluorescently labelled reagents may be a bacterial glycoconjugate. The infectious organism may be a Brucella species. At least one of the fluorescently labelled reagents may be an antibody against the LPS antigen of a Brucella species and the binding partner may be a whole cell (in this context, a Brucella bacterial cell). Alternatively, at least one of the fluorescently labelled reagents may be an LPS antigen of a Brucella species and the binding partner may be an antibody which binds said antigen. The antigen may be an O-antigen of Brucella.

The infectious organism may be a virus and one of the first or second fluorescently labelled regents or the binding partner may be an antibody against the virus or a viral protein antigen. For example, the infectious organism may be Bovine Viral Diarrhoea virus, in which case at least one of the first or second fluorescently labelled reagents may be an antibody against a viral protein antigen of Bovine Viral Diarrhoea virus and the binding partner may be a viral protein antigen.

Suitable fluorescent energy donor compounds for use in the labelled reagents of the method of the invention include lanthanide compounds as described for example in US Patent Nos 5,622,821, 5,639,615, 5,656,433 and 4,822,733, the content of which is incorporated herein by reference. In particular, however, the fluorescent energy donor compound may be a europium, samarium or terbium lanthanide compound. These are known to have prolonged emission times, following excitation. The fluorescent energy acceptor compound is suitably selected to ensure that FRET occurs between the donor and the acceptor. In the case of a terbium donor, fluorescein or a derivative thereof, such as FAM, FITC, JOE etc. may be a suitable acceptor.

Where a lanthanide europium compound is used as the donor compound, acceptor fluorophores may include Cy5, allophycocyanin (APC) and a variety of Alexa Fluor dyes, all of which emit light in the infrared spectrum. It has been suggested that emission at these wavelengths is less affected by surrounding compounds such as those found in sera and typical buffer solutions, and therefore this particular combination may be particularly advantageous in the context of the method of the present invention.

The optimal concentrations of the first and second labelled reagents and binding partner added to any particular sample will vary depending upon factors such as the precise nature of the sample, the amount of diagnostic moiety likely to be found in it, the precise nature of the labels and the reagents used etc. Generally however, it may be expected that increasing the number of fiuorophores per labelled reagent will increase the signal-to-noise ratio up to the point whereby the extent of the labelling restricts the binding of the reagents. These concentrations will be determined using conventional methods in accordance with standard practice, as outlined herein.

The biological samples used in the method of the invention may comprise any of the conventionally available sample types, provided any diagnostic moiety is found in them. Thus, they may include blood, serum, milk, urine, plasma, mucous, cerebrospinal fluid, faeces or tissue biopsy samples, depending upon the particular infectious organism being diagnosed.

The method may be carried out on multiple samples simultaneously in separate reaction wells.

According to a second aspect of the invention, there is provided a kit for carrying out a method according to the first aspect of the invention, said kit comprising a first fluorescently labelled reagent which forms a binding relationship with a first binding partner in competition with a moiety diagnostic of disease caused by an infectious organism and a second fluorescently labelled reagent which forms a binding relationship with a second binding partner, wherein a label on one of the first or second fluorescently labelled reagent acts as a fluorescent energy donor compound and wherein the other of the first or second fluorescently labelled reagent acts as a fluorescent energy acceptor compound which is able to accept fluorescent energy from said donor compound, and wherein said donor compound is able to emit fluorescent energy for a prolonged period of time, and further wherein the first and second binding partners are identical or are associated in some way such that, when the first and second labelled reagents are bound to their respective binding partners, the donor compound and acceptor compound are in sufficient proximity that fluorescent energy transfer can take place.

The term "first fluorescently labelled reagent which forms a binding relationship with a first binding partner in competition with a moiety diagnostic of disease" indicates that the moiety diagnostic of disease (or "diagnostic moiety") binds to the first fluorescently labelled reagent or to the first binding partner, so that the binding relationship between the fluorescently labelled reagent and the binding partner is disrupted in a competitive manner in the presence of the diagnostic moiety. In some embodiments, the presence of the diagnostic moiety may disrupt the binding of both the first and second fluorescently labelled reagents to their respective binding partners, whether by binding of the diagnostic moiety to the fluorescently labelled reagents or to the binding partners.

The kit may further comprise at least one of the first and second binding partners.

The second fluorescently labelled reagent may bind the second binding partner in competition with the diagnostic moiety. Two or more of the first and second labelled reagents and first and second binding partners may be together in a single composition. This simplifies the procedure in that it is simply necessary to add the combination of first and second labelled reagents and/or binding partners, as well as any necessary additional reagents such as buffers, plus the sample, to a reaction vessel, which can be placed in suitable apparatus to allow illumination of the sample to cause excitation of the donor and reading of the emitted acceptor signal (and optionally also the donor signal where a TR-FRET ratio is required) after a time delay.

Apparatus used in the method is available commercially. These include excitation sources such as light or laser sources. Suitable light of the desired wavelengths is fed to and read from the reaction vessel using appropriate filters, as would be understood in the art.

Suitable buffers will be those that are conventional in the art. They include neutral buffers which fall within a pH range of from 6 to 8, for example at 7-7.4, such as TRIS buffered saline and phosphate buffered saline. The time delay required to achieve a good signal from the method of the invention will depend upon various factors such as the nature of the labelled reagents, the nature of the sample, the illumination source etc. However, typically, the time delay between excitation of the donor compound and reading of the signal from the acceptor compound will be between 50 and 200 microseconds. Throughout the description and claims of this specification, the words "comprise" and "contain" and variations of the words, for example "comprising" and "comprises", mean "including but not limited to", and do not exclude other moieties, additives, components, integers or steps. Throughout the description and claims of this specification, the singular encompasses the plural unless the context otherwise requires. In particular, where the indefinite article is used, the specification is to be understood as contemplating plurality as well as singularity, unless the context requires otherwise.

Preferred features of each aspect of the invention may be as described in connection with any of the other aspects.

Other features of the present invention will become apparent from the following examples. Generally speaking the invention extends to any novel one, or any novel combination, of the features disclosed in this specification (including the accompanying claims and drawings). Thus, features, integers, characteristics, compounds or chemical moieties described in conjunction with a particular aspect, embodiment or example of the invention are to be understood to be applicable to any other aspect, embodiment or example described herein, unless incompatible therewith.

Moreover, unless stated otherwise, any feature disclosed herein may be replaced by an alternative feature serving the same or a similar purpose. Brief Description of Figures

Embodiments of the invention will now be described, by way of example only, with reference to Figures 1-9 in which:

Figure 1 is a diagram of the competitive sandwich system of the invention with (A) showing the binding relationships with no sample antibodies (diagnostic moiety) present, (B) showing sample antibodies inhibiting binding of one labelled reagent, (C) showing sample antibodies inhibiting binding of the other labelled reagent and (D) showing sample antibodies inhibiting binding of both labelled reagents;

Figure 2 is a diagram showing the competitive sandwich assay when the binding partner is a cell carrying multiple epitopes for antibodies used as labelled reagents, with (A) showing the binding relationship with no sample antibodies present, and (B) showing sample antibodies inhibiting binding of both labelled reagents;

Figure 3 is a line graph showing the TR-FRET ratio (520 nm emission/488 nm emission) for different volumes and types of sera (SP: strong positive; WP: weak positive; N: Negative; CC: conjugate control) over different incubation times;

Figure 4 is a line graph showing the TR-FRET ratio results for samples SP1, WP1 and Nl at different volumes and incubation times expressed as the percentage inhibition of the TR-FRET ratio for the conjugate control as read for that incubation time (100% - (sample TR-FRET ratio / conjugate control TR-FRET ratio)); Figure 5 is a line graph showing the TR-FRET ratio for all 6 samples at different test volumes after 30 minutes incubation;

Figure 6 is a line graph showing the TR-FRET ratio results for all samples at different volumes at a 30 minute incubation time expressed as the percentage inhibition of the TR-FRET ratio for the conjugate control at a 30 minute incubation time (100% - (sample TR-FRET ratio / conjugate control TR-FRET ratio));

Figure 7 is a line graph showing the reduction in TR-FRET as the concentration of B. melitensis whole cells (a competitor to the original binding partner) increases;

Figure 8 is a line graph showing the Optical Density (OD) value for the Brucella cELISA for each volume and each type of sera and the conjugate control; and Figure 9 is a line graph showing the cELISA results for all samples at different volumes expressed as the percentage inhibition of the conjugate control OD (100%) - (sample OD ratio / conjugate control OD)).

Examples

Figure 1 is a diagram outlining the competitive sandwich assay system forming the basis of the present method. (A) shows the binding relationships in the absence of any diagnostic moiety such as serum antibodies. An FITC-labelled reagent (1) and a Terbium-labelled reagent (5) both bind to a binding partner (10). The proximity of the labelled reagents allows a TR-FRET signal to be detected when the Terbium donor is excited. As shown in (B-D), in the presence of serum antibodies (15) in the sample, binding of one or both of the labelled reagents (1, 5) to the binding partner (10) is prevented, with the result that the detectable TR-FRET signal is reduced.

By way of exemplification, the competitive double antibody sandwich (csw) Brucella TR-FRET assay was developed using two populations of differentially labelled monoclonal antibodies specific to Brucella sLPS and a Brucella whole cell antigen, as outlined in Figure 2. In this embodiment, two populations of the monoclonal antibody (mAb) BM40 (1, 5) were prepared. The use of two differently labelled populations of the same monoclonal antibody is possible in this circumstance owing to the presence of multiple epitopes on the binding partner reagent - in this case B. melitensis strain 16M whole cells (20). However, it would also be possible to use monoclonal antibodies of differing specificity if they bind within sufficient proximity to each other on the binding partner for TR-FRET to occur, even if there is only one epitope of each type present on that reagent. Differently labelled populations (one with donor and the other with acceptor fluorophores) of secondary (e.g. anti-species) antibodies to the mAbs can be used to produce a TR-FRET assay providing that only one such labelled antibody is able to bind to each mAb. Drawing the mAbs into proximity though partner binding will, by consequence, draw the anti-species antibodies into proximity too and thus enable FRET. If sufficient binding takes place then it is possible to use anti-species antibodies that make no distinction between any populations of partner binding mAbs used.

Methods

B. melitensis strain 16M cells were grown on serum dextrose agar plates for 5 days at 10% C0₂ and 37°C and then harvested into sterile PBS. The cell content was quantified by counting Brucella colonies on serum dextrose agar plates inoculated with a known volume from a dilution series of the antigen and incubated for 5 days at 10% CO₂ and 37°C. These results enabled the determination of the concentration of B. melitensis strain 16M cells to be expressed in colony forming units (CFUs) per ml. The cells were heat killed by incubation at 80°C for 10 hrs prior to use.

The BM40 mAb used was a mouse IgGi antibody specific to Brucella 'M' O-antigen epitopes (Greiser-Wilke & Moenning, Ann Inst. Pasteur Microbiol. 1987 138 (5) 549- 60). The supernatant from a BM40 producing B-cell hybridoma cell culture was affinity purified using a protein G column. One population of BM40 was labelled with terbium (Tb) (5 in Figure 2). To label the antibody, 3 ml of BM40 was dialysed against sodium carbonate buffer (pH 9.5) for 21 hours at 4°C using a 1-3 ml 10 kDa Molecular Weight Cut-Off (MWCO) Slide-a- lyzer (Pierce™) dialysis cassette. The BM40 mAb was recovered from the cassettes and centrifuged in 3 kDa MWCO Centricons (Millipore, Billerica, MA) at 4000g for 90 minutes at +4°C which decreased the volume to 0.7 ml. This was spectrometrically determined to be at a concentration of 2.48 mg/ml, therefore the total amount of mAb was 1.74 mg. The Tb chelate (100 μg) was reconstituted with 20 μΐ of sodium carbonate buffer (pH 9.5) and left to stand at room temperature for 5 minutes prior to the addition of the 1.74 mg of BM40 in 0.7 ml sodium carbonate buffer. After addition of the BM40 mAb, the container was wrapped in aluminium foil and incubated for 6 hrs. To remove any residual unbound Tb, the mAb preparation was de-salted using a 5 ml Zebra™ column, MWCO 7kDa, according to the manufacturer's instructions (Pierce). Quantification of BM40 labelling with Tb was performed spectrophotometrically. The absorbance of the Tb labelled BM40 conjugate (BM40-Tb) was measured at 280 nm and 343 nm and the concentrations of Tb and BM40 were calculated as below:

[Tb-chelate] (M) = (A₃4₃/12,570) x dilution factor

[BM40] (M) = ((A₂8o-(l .lxA₃43))/210,000) x dilution factor When the Tb-chelate is conjugated to an amine, its extinction coefficient at 280 nm is 1.1 times its value at 343 nm. This was the basis for the derivation of the above formulae.

The second population of BM40 was labelled with FITC (1 in Figure 2). This labelling was performed by adding 8 μΐ of FITC in DMSO (at 5 μg/μl) to 1 ml BM40 in sodium carbonate buffer pH 9.5 (at 1 mg/ml). This was incubated in the dark at 21°C for 4 hours on a rotary shaker. After this period the unbound FITC was separated from the BM40 conjugated FITC using a Zebra desalting column (Pierce) in accordance with the manufacturers' instructions. The 1 ml of reagent mixture was desalted and buffer exchanged into 50 mM Tris.HCl, 150 mM NaCl pH 7.4 by centrifugation with a 5 ml Zebra™ desalting column (Pierce) in accordance with the manufacturers' instructions. The concentration and molar ratio of the FITC labelled BM40 monoclonal antibody (BM40-FITC) was examined by spectrophotometer.

To determine the optimal conditions for the csw Brucella TR-FRET assay a range of concentrations of BM40-Tb and BM40-FITC (the relative concentration of the BM40-Tb mAb and the BM40-FITC mAb was always equal) were added to a 96 well microtitre plate (½ area black polystyrene non-binding surface 96 well plates (Corning No. 3686)) with a dilution range of heat killed B. melitensis 16M cells. All dilutions were made in phosphate buffered saline (PBS). Different concentrations of sera from (smooth) Brucella infected and non-infected ruminants was also added to these regent combinations in a checker board fashion.

The assay plates were read using a Tecan GENios Pro under the following conditions. For Tb (donor fluorophore) excitation a 340 nm filter with a 60 nm bandwidth was selected (Tecan part No. 30000349). For measurement of Tb emission a 488 nm filter with a 10 nm bandwidth was selected (Tecan part No. 30000451). For measurement of fluorescein (acceptor fluorophore) emission a 520 nm filter with a 10 nm bandwidth was selected (Tecan part No. 30000463). These were installed into the reader according to the manufacturers' instructions. The plates were read with the (previously optimised) lag and Integration times of 80 and 50 respectively. The plates were read at several different time intervals to optimise incubation times. The data from the optimisation study (not shown) demonstrated that optimal conditions were a (final) concentration of 10⁹ CFUs/ml of B. melitensis 16M whole cells (20 in Figure 2) and a final 8 nM concentration of each mAb population (1 , 5 in Figure 2) in a total of 100 μΐ (including test/control sera) per well. These conditions were then used to test a small panel of sera at different concentrations and at different incubation times. The serum panel consisted of two high titre ('strong positive' - SP) samples, two lower titre ('weak positive' - WP) samples and two negative (N) samples. The positive and negative samples represented a mix of bovine, ovine and caprine sources. All positive samples came from culturally confirmed Brucella infected animals. Negative samples came from animals within brucellosis free zones. The different (final) concentrations (volumes) of positive sera added to the test wells were: 2/5 (40 μΐ), 1/5 (20 μΐ), 1/10 (10 μΐ), 1/20 (5 μΐ), 1/40 (2.5 μΐ), 1/80 (1.25 μΐ), 1/160 (0.625 μΐ), 1/320 (0.3125 μΐ), 1/640 (0.1563 μΐ), 1/1280 (0.0781 μΐ). For the negative sera only the 2/5, 1/5, and 1/10 dilutions were done. A no-serum conjugate control that contained the mAbs and the B. melitensis 16M cells only, was also included.

To perform the test 40 μΐ of sera/PBS was added to each well (at 2.5 times final concentration), then 10 μΐ of mAbs were added to each well (at 10 times final concentration) and finally 50 μΐ of B. melitensis 16M cells were added to each well (at 2 times final concentration). The test plate was then incubated (statically) on the laboratory bench and TR-FRET readings taken after 5, 15, 30, 60, 120 and 240 minutes - the same plate being read on each of these occasions. The same sera and concentrations were also tested by Brucella cELISA. Blank Nunc Polysorb plates were coated with B. melitensis 16 M sLPS antigen overnight at 4°C and subsequently washed five times with distilled H₂0 (dH₂0). Optimal dilutions of conjugate and antigen were identified by checkerboard titration. Samples were tested individually by adding 40 μΐ serum/PBS to each well. Horseradish peroxidase (HRP)- labeled BM40 conjugate was added (80 μΐ per well), and plates were incubated on an orbital shaker at 160 rpm for 30 min at room temperature before being washed five times with dH₂0. Plates were developed with H₂0₂ substrate and OPD chromogen. Plates were analyzed using a Thermo Multiskan Ascent reader at 450 nm.

The Brucella competitive sandwich TR-FRET format, using 4 nM of both populations of labelled BM40, was assessed to evaluate the effect of increased concentrations of B. melitensis 16M whole cells above that used as the standard concentration for the csw TR-FRET assay (10⁹ CFUs/ml). The cell dilutions were prepared in 100% TBS (Tris-buffered Saline pH 7.4 (0.05 M Tris (Sigma) and 0.15 M NaCl (BDH) adjusted to pH 7.4 with HC1 (BDH) and 50% TBS with either serum, whole milk, or liquid cell culture media (Brodie and Sintons' media). The order of reagent addition was as follows: 50 μΐ TBS/serum/milk/culture, both mAb populations in TBS and Brucella cells.

Results

The results from the optimised csw Brucella TR-FRET assay are shown in Figures 3-6. Figure 3 shows the results for three samples only (SP1, WP1 and Nl) tested at different volumes, plus the conjugate control. The figure also shows the TR-FRET results for all incubation times. The results for the strong positive sample (solid lines) show that the TR-FRET ratio decreases with increasing sample volume until 2.5 μΐ is added whereupon increasing volume has little effect on the TR-FRET ratio - it remains low. Even at a very low volume the TR-FRET ratio for this sample is much lower than that of the conjugate control. The results for the weak positive sample (dashed lines) also show a decreasing TR-FRET ratio with increasing sample volume although this decease does not become apparent until larger volumes are used and there is a large difference in the TR-FRET ratio between the 20 and 40 μΐ volumes. At higher concentrations there is little difference between the weak positive sample and the conjugate control. There is also little difference between the TR-FRET ratios of the negative sample (dotted lines) and the conjugate control although there is a small decrease as serum volume increases from 10 to 40 μΐ.

In Figure 3 the effect of incubation time is clearly apparent. With increasing incubation time the TR-FRET ratios increase for the more dilute and weaker samples but for larger volumes of positive samples, the TR-FRET ratio remains low. For example, the differences between the TR-FRET ratios for the 40 μΐ volumes of the weak positive sample at 15 - 240 minutes are relatively small. The differences in TR- FRET ratio between incubation times for the strong positive sample (from 2.5 μΐ upwards) are practically nonexistent. As incubation time increases, the ability of the assay to detect differences between volumes of the weak positive sera in the range of 0.625 to 5 μΐ improves and thus the assay appears to have greater analytical sensitivity with longer incubation periods. However these improvements are subject to diminishing returns with increasing incubation time as the differences eventually narrow, for example there is a big difference between the 5 and 15 minute incubation times but not the 120 and 240 minute incubation times. Despite the analytical benefits of increased incubation times it is still the case that after 5 minutes there is a large proportional difference between the strong positive, weak positive and negative sera at a 40 μΐ volume. After 15 minutes there is a large difference between these sera at 40 and 20 μΐ volumes. Figure 4 shows the results from the csw Brucella TR-FRET where the individual data has been converted to a proportion of the TR-FRET ratio for the conjugate control and subtracted from 1 (100%) to generate a figure for the percentage inhibition of the conjugate control. This normalises the data at each time point and therefore the data for different incubation times is less varied than seen in Figure 3. The data for the 5 minute incubation time has not been included as this information is less harmonious. However, the data for the remaining time periods is very close, especially for sample volumes in the range of 1.25 to 40 μΐ. Therefore, normalising the data in this way enables a robust representation of the sample result that changes little with incubation time. This allows for a relatively large window of opportunity within which to gather accurate data.

Figure 5 shows the csw Brucella TR-FRET data for all 6 samples at the 30 minute incubation period. The results show that both strong positive samples have very low TR-FRET ratios at volumes greater than 0.625 μΐ. At volumes of 2.5 to 40 μΐ both weak positive samples have lower TR-FRET ratios than any of the values for the negative samples and also well below the conjugate control value. Figure 6 shows this data as a percentage inhibition of the conjugate control. This effectively mirrors the data in Figure 5 and shows how the samples inhibit the TR-FRET reaction compared to the conjugate control.

The results shown in Figure 7 demonstrate that the addition of agents that compete with the binding reagent (in this example the addition of extra B. melitensis 16M cells) results in a decrease in the TR-FRET signal. The results shown are for a 30 minute incubation period with all regents. Without wishing to be bound by theory, the reduction in TR-FRET is likely to be due to the increased binding sites for the labelled antibodies which serves to space them out further apart and which leads to a reduction in TR-FRET.

Figures 8 and 9 show the data from the cELISA. Like the csw Brucella TR-FRET assay there is clear dose response reaction whereby as the serum volume (for positive samples) decreases the degree of inhibition decreases and the OD rises. The dose response curves for the cELISA are less smooth than those for the csw TR-FRET assay. This could be due to the elimination of washing and coating steps in the csw TR-FRET assay and therefore the removal of sources of assay variation. The csw TR- FRET data has superior analytical sensitivity to the cELISA as (comparing the 30 minute incubation TR-FRET data) the positive samples inhibit the TR-FRET signal at lower volumes than they do in the cELISA. Taken together this data shows that the csw Brucella TR-FRET assay is capable of quantitatively detecting anti-Brucella antibodies to a degree of sensitivity similar to, if not superior than, the Brucella cELISA. Although exemplification of the invention is provided herein by the assay for detection of anti-Brucella antibodies, it is within the routine non-inventive capability of the skilled person to adapt this assay for detection of antibodies to other infectious organisms, such as the bacterial, viral, fungal, protozoan or multicellular organisms disclosed elsewhere in this specification.

Claims

A method for detecting the presence of a diagnostic moiety indicative of exposure to an infectious organism in a biological sample taken from a human or animal, said method comprising;

a) adding to said sample a first fluorescently labelled reagent which binds a first binding partner, and a second fluorescently labelled reagent which binds to a second binding partner, wherein the diagnostic moiety binds to at least one of the binding partners in competition to either or both of the first or second fluorescently labelled reagents, or wherein the diagnostic moiety binds to at least one of the fluorescently labelled reagents in competition to its binding partner, wherein a label on one of the first or second fluorescently labelled reagents acts as a fluorescent energy donor compound and wherein the other of the first or second fluorescently labelled reagent acts as a fluorescent energy acceptor compound which is able to accept fluorescent energy from said donor compound;

b) concurrently or separately adding to the sample the first and second binding reagents;

d) measuring fluorescent signal emitted by said fluorescent energy acceptor compound as a result of its absorption of the fluorescent energy from the donor compound after a time delay; and

e) relating the results to the presence or absence of diagnostic moiety in said sample, wherein a reduction in the fluorescent signal measured in step (d) is indicative of the presence of diagnostic moiety in the sample;

2. A method according to claim 1 wherein the diagnostic moiety binds to one of the binding partners in competition to one of the first or second fluorescently labelled reagents.

3. A method according to claim 1 wherein the diagnostic moiety binds to at least one of the binding partners in competition to both of the first and second fluorescently labelled reagents.

4. A method according to claim 1 wherein the diagnostic moiety binds to at least one of the fluorescently labelled reagents in competition to its binding partner.

5. A method according to any of claims 1-4 wherein the fluorescent signal from the fluorescent energy donor compound is also measured and the ratio of the two signals is used to determine the presence or absence of diagnostic moiety in the sample.

6. A method according to any preceding claim wherein the diagnostic moiety is an infectious organism, an antigen of an infectious organism, or an antibody to an antigen of an infectious organism.

7. A method according to any preceding claim wherein the infectious organism is a bacteria, virus, fungi, protozoan or multicelluar organism.

8. A method according to claim 7 wherein the infectious organism is a bacteria and wherein at least one of the first or second fluorescently labelled reagents is an antibody capable of binding to the bacterium.

9. A method according to claim 7 or claim 8 wherein the infectious organism is a Brucella species.

10. A method according to claim 9 wherein at least one of the fluorescently labelled reagents is an antibody which binds to a binding partner which is an LPS antigen of a Brucella species.

11. A method according to claim 10 wherein the antigen is an O-antigen of Brucella.

12. A method according to any preceding claim where the fluorescent energy donor compound is a lanthanide.

13. A method according to any preceding claim wherein the fluorescent energy donor compound is a terbium lanthanide compound and the fluorescent energy acceptor compound is fluorescein or a derivative thereof.

14. A method according to any preceding claim wherein the fluorescent energy donor compound is a europium lanthanide compound and the fluorescent energy acceptor compound is Cy5, allophycocyanin (APC) or an Alexa Fluor dye.

15. A method according to any preceding claim wherein the biological sample is a blood, serum, plasma, milk, urine, mucous, cerebrospinal fluid, faecal or a tissue biopsy sample.

16. A method according to any preceding claim which is carried out on multiple samples simultaneously in separate reaction wells.

17. A kit for carrying out a method according to any preceding claim, said kit comprising a first fiuorescently labelled reagent which forms a binding relationship with a first binding partner in competition with a moiety diagnostic of disease caused by an infectious organism and a second fiuorescently labelled reagent which forms a binding relationship with a second binding partner, wherein a label on one of the first or second fiuorescently labelled reagent acts as a fluorescent energy donor compound and wherein the other of the first or second fiuorescently labelled reagent acts as a fluorescent energy acceptor compound which is able to accept fluorescent energy from said donor compound, and wherein said donor compound is able to emit fluorescent energy for a prolonged period of time, and further wherein the first and second binding partners are identical or are associated in some way such that, when the first and second labelled reagents are bound to their respective binding partners, the donor compound and acceptor compound are in sufficient proximity that fluorescent energy transfer can take place.

18. A kit according to claim 17 further comprising at least one of the first and second binding partners.

19. A kit according to claim 17 or 18 wherein the first and second labelled reagents are together in a single composition.

20. A kit according to claim 18 or 19 wherein the first and second labelled reagents and at least one of the binding partners are together in a single composition.