AU2011213911A1 - Homogeneous analyte detection - Google Patents
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Abstract
The present invention provides novel binding pair compositions of defined and limited stability comprising nucleic acid detection markers useful for the homogeneous, sensitive detection of analytes. Also provided are methods for the sensitive homogeneous detection of analytes, particularly analytes of clinical relevance. Kits for preparing binding pairs of the invention and for performing the methods of the invention are also provided.
Description
AUSTRALIA Regulation 3.2 Patents Act 1990 Complete Specification Standard Patent APPLICANT: Iris Molecular Diagnostics, Inc. Invention Title: HOMOGENEOUS ANALYTE DETECTION The following statement is a full description of this invention, including the best method of performing it known to me: WO 2006/137932 PCT/US2005/040133 1 HOMOGENEOUS ANALYTE DETECTION FIELD OF THE INVENTION This invention relates to methods, compositions and kits for determining the presence or concentration of an analyte in a sample. BACKGROUND OF THE INVENTION There is a desire in the field of clinical chemistry to determine the concentrations of proteins, drugs, organisms and other analytes in biological fluids for the purpose of diagnosing and monitoring disease. For example, during myocardial infarction proteins are released from the heart. Detecting the presence, concentration and time course of release of such proteins .can aid in the diagnosis of a heart attack. Most clinically relevant proteins that are currently detected in biological fluids are present at concentrations greater than I picogram/ml. Prostate specific antigen (PSA), for example, is a serum protein useful in the detection of prostate disease that is normally present in males at concentrations of about 0-4 ng/ml. PSA levels above 4 ng/ml are suspicious for prostate disease, particularly prostate cancer. This concentration range is readily detected by conventional immunoassay technology. Following prostate removal, however, the concentration of PSA drops to levels that are undetectable by conventional technology. Increasing PSA levels in cancer patients that have undergone prostate removal is indicative of relapse. An assay with femtogram/ml sensitivity is required to monitor these patients.
WO 2006/137932 PCTUS2005/040133 2 It is estimated that there are approximately 35,000 genes and as many as 500,000 proteins in the human species. The increased diversity of proteins versus genes can be accounted for post transcriptional (e.g., splicing) and posttranslational (e.g., phosphorylation, glycosylation) modifications. Such modifications can significantly alter protein function. Thus, even subtle differences may be clinically relevant. Only 290 proteins have been identified in human plasma even though there are thousands of spots seen in 2D gels. The human plasma proteome may contain hundreds of thousands of proteins that are present at concentrations too low to detect by current technology. Methods to detect the majority of these proteins are not currently available. The difficulty of detecting low concentrations of certain analytes is compounded by the relatively small sample sizes that can be utilized in a clinical assay. Therefore, most immunoassays for protein analytes rely on heterogeneous methodology such as ELISA (enzyme linked immunosorbent assay), in which antibody-bound analyte is physically separated from unbound analyte. Heterogeneous detection methods are complicated and require multiple steps (e.g., binding to a solid phase and repeated washing steps) to separate the bound analyte from the unbound. These steps lead to non specific binding and lowered sensitivity; they can be costly and time consuming. Thus, there is a need for a high sensitivity homogenous assay which avoid non-specific binding. Homogeneous immunoassays (those which do not require a physical separation of the bound-species and the free-species) have been described for small molecules, such as drugs. These assays include SYVA's FRAT* assay, EMIT* assay, enzyme channeling immunoassay, and fluorescence energy transfer immunoassay (FETI) (Dade Behring, Deerfield, Illinois); enzyme inhibitor immunoassays (Hoffman LaRoche and Abbott Laboratories): fluorescence polarization immunoassay (Dandlicker), among others. All of these methods have limited sensitivity, and only a few, including FETI and enzyme WO 2006/137932 PCT/US2005/040133 3 channeling, are suitable for large multiepitopic analytes. Thus, there exists a need for a sensitive, homogeneous method for the detection of large and/or complex analytes present in biological and clinical samples. SUMMARY OF THE INVENTION The present invention provides a binding pair having a first binding member comprising a first specificity molecule coupled to a first nucleic acid, and a second binding member comprising a second specificity molecule coupled to a second nucleic acid, where the first and second nucleic acids form a duplex of defined and limited stability. In certain embodiments, the first and second specificity molecules may be receptors, ligands, or antibodies. The specificity molecules may be identical or different from each other. In one embodiment, the specificity molecules of the present invention interact with two receptors on a single cell. In another embodiment, both the first and second specificity molecules are monoclonal antibodies, which may interact with different epitopes on the same antigen and thereby comprise a sandwich pair. The first and second nucleic acids of the binding pairs are typically single-strand nucleic acids which may be DNA, RNA, or PNA, but may be partially double-stranded nucleic acids or analogues thereof. In certain embodiments of the invention, at least one of the nucleic acids is a chimeric DNAJRNA molecule. The nucleic acids of the invention may be coupled via their 5' ends or their 3' ends. In one aspect of the invention, one nucleic acid of a binding pair is coupled via its 5' end and the other via its 3' end. The duplex between the nucleic acids may be formed between terminal ends of the nucleic acids or may comprise an internal nucleic acid sequence. In a preferred embodiment, the nucleic acid is suitable for amplification by PCR, LCR, SDA, or TMA.
WO 2006/137932 PCT/US2005/040133 4 The present invention also provides methods for detecting an analyte using binding members. According to one embodiment, a binding pair, as described above, is contacted with an analyte to form a complex. The binding pair nucleic acid is then dissociated and then re-associated. Following extension of the 3' ends of the reformed duplex, which is found predominantly in analyte-bound binding pairs, the reformed duplex may be detected, typically by amplifying a nucleic acid comprising the duplex by PCR. Background can be reduced significantly when the PCR primers bind only to sites generated by extending the 3' ends of the reformed duplex but not to the nucleic acids of the binding members themselves. The amplification products can be detected by any one of a variety of methods including staining with ethidium bromide, silver staining, autoradiography, dot blotting, slot blotting, southern blotting, and incorporation of a fluorescent molecule, a fluorescence quencher molecule, a chemiluminescent compound, a chemiluminescence quencher molecule, a bioluminescent compound or a fluorescent nucleotide. In one embodiment of the invention, one of the binding pair nucleic acids is a chimeric DNA/RNA molecule and the other is a DNA molecule, where the duplex formed between the two nucleic acids has a short DNA/DNA hybrid region and longer DNA/RNA hybrid region. The intact duplex of this embodiment is stable, but can be destabilized by digestion with RNAse, which further reduces the background due to binding members that are not bound to analyte. The various embodiments of the invention can be combined to create a homogenous assay for detection of clinically relevant proteins, viruses and cells that is both specific and highly sensitive.
WO 2006/137932 PCT/US2005/040133 5 BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 illustrates the content, conformation and general binding scheme for binding pairs. FIG. 2 provides a general scheme for duplex formation, 3' extension and PCR amplification of a nucleic acid pair comprising SEQ ID NO.: I and SEQ ID NO.:2. FIG. 3 provides a general scheme for duplex formation, 3' extension and PCR amplification of a nucleic acid pair comprising SEQ ID NO.:1 and SEQ ID NO.:3. FIG. 4 shows the real-time PCR amplification (hot start) of both the 9 and 15 base pair overlapping oligonucleotide strands. FIG. 5 shows a schematic representation of a homogeneous NADIATM. FIG. 6 shows the orientation and duplex formation of a nucleic acid pair where one of the oligonucleotides [SEQ ID NO.: 1] is attached via a spacer attached to its 3' end and the other oligonucleotide SEQ ID NO.:3] is attached directly via its 5' end. FIG 7. illustrates the process for use of chimeric RNA/DNA oligonucleotides in analyte detection. "R" indicates the position of ribonucleotide bases, "D" indicates the position of deoxyribonucleotide bases and "S" indicates the position of spacer molecules. FIG 8. shows a graph of the detection of PSA by homogeneous NADIATM DETAILED DESCRIPTION OF THE INVENTION It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive of the invention claimed. As used herein, the use of the singular includes the plural unless specifically stated otherwise. As used herein, "or" means "and/or"unless stated otherwise. Furthermore, use of the term "including" as well as other forms, such as "includes," and "included," is not limiting.
WO 2006/137932 PCT/US2005/040133 6 The section headings used herein are for organizational purposes only and are not to be construed as limiting the subject matter described. All documents, or portions of documents, cited in the application including, but not limited to, patents, patent applications, articles, books, manuals, and treatises are hereby expressly incorporated by reference in their entirety for any purpose. Definitions Before proceeding further with a description of the specific embodiments of the present invention, a number of terms will be defined and described in detail. Unless specific definitions are provided, the nomenclature utilized in connection with, and the laboratory procedures, techniques and methods described herein are those known in the art to which they pertain. Standard chemical symbols and abbreviations are used interchangeably with the full names represented by such symbols. Thus, for example, the terms "hydrogen" and "H" are understood to have identical meaning. Standard techniques may be used for chemical syntheses, chemical analyses, pharmaceutical preparation, formulation, delivery, and treatment of patients. Standard techniques may be used for recombinant DNA methodology, oligonucleotide synthesis, tissue culture and the like. Reactions and purification techniques may be performed e.g., using kits according to manufacturer's specifications, as commonly accomplished in the art or as described herein. The foregoing techniques and procedures may be generally performed according to conventional methods well known in the art and as described in various general or more specific references that are cited and discussed throughout the present specification. See e.g., Sambrook et al. Molecular Cloning: A Laboratory Manual (2d ed,, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y. (1989)), Harlow & Lane, Antibodies: A Laboratory Manual (Cold Spring Harbor Laboratory WO 2006/137932 PCT/US2005/040133 7 Press, Cold Spring Harbor, N.Y. (1988)), which are incorporated herein by reference in their entirety for any purpose. "Binding member" as used herein, refers to a conjugate formed between a specificity molecule and a nucleic acid. Compositions containing two binding members linked by a duplex of defined and limited stability formed between the binding member nucleic acids are referred to as "binding pairs." Binding pairs combine with an analyte to form a binding pair-analyte complex which is herein referred to simply as a "complex." The term "analyte," as used herein, refers to any substance that it is desirable to detect in an assay, and which may be present in a sample. The analyte can be, without limitation, any substance. In a preferred embodiment of the invention, an analyte comprises a substance for which there exists a naturally occurring antibody or for which an antibody can be prepared. The analyte may be, for example, a protein, a polypeptide, a hapten, a carbohydrate, a lipid, a drug, a cell or any other of a wide variety of biological or non-biological molecules, complexes or combinations thereof. In another embodiment, the analyte is a nucleic acid. In still another embodiment the analyte is an antibody. In yet another embodiment, the analyte is a cell (animal, plant, fungal, bacterial, etc.) or a subcomponent or organelle (e.g., mitochondria) thereof. Polyvalent ligand analytes that can be detected using compositions, methods and kits of the present invention will normally be poly(amino acids), i.e., polypeptides, proteins, polysaccharides, nucleic acids, and combinations thereof Such combinations include components of cells, tissues, bacteria, viruses, cell walls, cell membranes, cellular organelles, chromosomes, genes, mitochondria, nuclei and the like. According to one aspect of the invention, certain analytes do not contain nucleic acid.
WO 2006/137932 PCT/US2005/040133 8 A wide variety of protein analytes may be advantageously detected using the methods of the present invention. Such protein analytes can be classified according to family, with each family having similar structural features, biological functions, relationship to specific microorganisms (particularly disease causing microorganisms), and the like. Protein families of particular interest for the present invention include, for example, immunoglobulins, cytokines, enzymes, hormones, cancer antigens, nutritional markers, tissue specific antigens, and biowarfare agents. These protein analytes may be present in blood, serum, plasma, spinal fluid, synovial fluid, saliva, urine, cells or tissues. The following are examples of classes of protein analytes related by structure that may be detected using the compositions, methods and kits of the present invention: protamines histones albumins globulins scleroproteins phosphoproteins mucoproteins The following examples are clinically important proteins found in human plasma that may be detected using the compositions, methods and kits of the present invention: ai-Lipoprotein a 1 -Antitrypsin Transcortin 4.6S-Postalbumin Tryptophan-poor ai-Glycoprotein a 1 l-Glycoprotein Thyroxin-binding globulin Inter-a-trypsin-inhibitor WO 2006/137932 PCT/US2005/040133 9 Ge-globulin (Gc 1-1) (Gc 2-1) (Ge 2-2) Haptoglobin (ip 1-1) (Hp 2-1) (Hp 2-2) Ceruloplasmin Cholinesterase a2 -Lipoprotein(s) Myoglobin C-Reactive Protein a 2 -Macroglobulin a 2 -HS-glycoprotein Zn-a 2 -glycoprotein a2 -Neuramino-glycoprotein Erythropoietin P-lipoprotein Transferrin Hemopexin Fibrinogen Plasminogen P2 -glycoprotein I 2 -glycoprotein Ut Immunoglobulin G (IgG) or yG-globulin Mol. formula: y2k2 or y2)2 Immunoglobulin A (IgA) or yA-globulin Mol. formula: (a2 K 2 )" or (a2 K2)" Immunoglobulin M (IgM) or yM-globulin Mol. formula:(2 K2)5 or (2 X2)5 Immunoglobulin D (IgD) or yD-Globulin (yD) Mol. formula: (.delta.2 K2) or (.delta.2 X 2
)
WO 2006/137932 PCT/US2005/040133 10 Immunoglobulin E (IgE) or yE-Globulin (yE) Mol. formula: (82 -K2) or (62 X 2 ) Free K and % light chains Complement factors: C'1 C'1q C'1r C'ls C2 C'3 Pi A a2 D C'4 C'5 C'6 C07 C'8 C'9 Important blood clotting factors that may be detected using the compositions, methods and kits of the present invention include the examples listed in the Table below. Table I. BLOOD CLOTTING FACTORS International Designation Name I Fibrinogen II Prothrombin Ila Thrombin III Tissue thromboplastin V and VI Proaccelerin, accelerator globulin WO 2006/137932 PCT/US2005/040133 11 VII Proconvertin VIII Antihemophilic globulin (AHG) IX Christmas factor plasma thromboplastin component (PTC) X Stuart-Prower factor, autoprothrombin III XT Plasma thromboplastin XI Fibrin-stabilizing factor Important protein hormones that may be detected using the compositions, methods and kits of the present invention include: Peptide and Protein Hormones Parathyroid hormone (parathromone) Thyrocalcitonin Insulin Glucagon Relaxin Erythropoietin Melanotropin (melanocyte-stimulating hormone; intermedin) Somatotropin (growth hormone) Corticotropin (adrenocorticotropic hormone) Thyrotropin Follicle-stimulating hormone Luteinizing hormone (interstitial cell-stimulating hormone) Luteomammotropic hormone (luteotropin, prolactin Gonadotropin chorionicc gonadotropin) Tissue Hormones Secretin Gastrin Angiotensin I and II Bradykinin Human placental tactogen Cytokines IL 1 IL 2 IL 4 IL 6 WO 2006/137932 PCT[US2005/040133 12 IL 8 IL10 EGF TNF NGF Cancer Antigens PSA CEA a-fetoprotein Acid phosphatase CA19.9 CA125 Tissue Specific Antigens alkaline phosphatase myoglobin CPK-MB Troponin BNP Pro-BNP Calcitonin Myelin basic protein Peptide Hormones from the Neurohypophysis Oxytocin Vasopressin Releasing factors (RF) CRF, LRF, TRF, Somatotropin-RF, GRF, FSH-RF, PIF, MIF Ricin Diptheria toxin Botulism toxin Staphylococcus enterotoxin B Bacteria and viruses are also analytes that may be detected using the compositions, methods and kits of the present invention. Included among these biological analytes are, among others: WO 2006/137932 PCT/US2005/040133 13 Corynebacteria Corynebacterium diphtheria Pneumococci Diplococcus pneumoniae Streptococci Streptococcus pyrogenes Streptococcus salivarus Staphylococci Staphylococcus aureus Staphylococcus albus Neisseria Neisseria meningitidis Neisseria gonorrhea Enterobacteriaciae Colifom Escherichia coli Aerobacter aerogenes Klebsiellapneumoniae Salmonellae Salmonella typhosa Salmonella choleraesuis Salmonella typhimurium Shigellae Shigella dysenteria Shigella schmitzii Shigella arabinotard Shigellaflexneri Shigella boydii Shigella sonnei Other enteric bacilli Proteus vulgaris Proteus mirabilis Proteus species Proteus morgani WO 2006/137932 PCT/US2005/04013 3 14 Pseudomonas aeruginosa Alcaligenesfaecalis Vibrio cholerae Hemophilus-Bordetella Group Hemophilus influenza, Hemophilus ducryi Hemophilus henophilus Hemophilus aegypticus Hemophilus parainfluenza Bordetalla pertussis Pasteurellae Pasteurella pests Pasteurella tulareusis Bracellae Brucella melitensis Brucella abortus Brucella suis Aerobic Spore-forming Bacilli Bacillus anthracis Bacillus subtilis Bacillus megaterium Bacillus cereus Anaerobic Spore-forming Bacilli Clostridium botulinum Clostridium tetani Clostridium perfringens Clostridium novyi Clostridium septicum Clostridium histolyticum Clostridium tertium Clostridium bifermentans Clostridium sporogenes Mycobacteria Mycobacterium tuberculosis hominis WO 2006/137932 PCT/US2005/040133 15 Mycobacterium bovis Mycobacterium aviun Mycobacteriun leprae Mycobacteriun paratuberculosis Actinomycetes (fungus-like bacteria) Actinomyces Isaeli Actinomyces bovis Actinoinyces naeslundil Nocardia asteroides Nocardia brasiliensis The Spirochetes Treponemapallidum Treponema pertenue Treponema carateun Borrelia recurrentis Leptospira icterohemorrhagiae Leptospira canicola Trypanasomes Mycoplasmas Mycoplasmapneumoniae Other pathogens Rickettsiae (bacteria-like parasites) Rickettsiaprowazekii Rickettsia mooseri Rickettsia rickettsii Rickettsia conori Rickettsia australis Rickettsia sibiricus Rickettsia akari Rickettsia tsutsuganushi Chlamydia (unclassifiable parasitesbacterial/viral) Chlamydia agents (naming uncertain) Fungi WO 2006/137932 PCT/US2005/040133 16 Cryptococcus neoformans Blastomyces dermatidis Hisoplasma capsulatum Coccidioides immitis Paracoccidioides brasiliensis Candida alb icons Aspergillusfumigatus Mucor corymbifer (Absidia corymbifera) Rhizopus oryzae Rhizopus arrhizua Phycomycetes Rhizopus nigricans Sporotrichum schenkii Flonsecaeapedrosoi Fonsecacea compact Fonsecacea dermatidis Cladosporium carrionii Phialophora verrucosa Aspergillus nidulans Madurella mycetomi Madurella grisea Allescheria boydii Phialophorajeanselmei Microsporum gypseum Trichophyton mentagrophytes Keratinomyces ajelloi Microsporum cans Microsporwn adouini Trichophyton rubrum Viruses Adenoviruses Herpes Viruses Herpes simplex WO 2006/137932 PCT/US2005040133 17 Varicella (Chicken pox) Herpes Zoster (Shingles) Virus B Cytomegalovirus Pox Viruses Variola (smallpox) Vaccinia Poxvirus bovis Paravaccinia Molluscum contagiosum Picornaviruses Poliovirus Coxsackievirus Echoviruses Rhinoviruses Myxoviruses Parainfluenza (1-4) Mumps Virus Newcastle Disease Virus Measles Virus Rinderpest Virus Canine Distemper Virus Respiratory Syncytial Virus Rubella Virus Arboviruses Eastern Equine Encephalitis Virus Western Equine Encephalitis Virus Sindbis Virus Chikugunya Virus Semliki Forest Virus Mayora Virus St. Louis EncephalitisVirus Rickettsia prowazekii California Encephalitis Virus WO 2006/137932 PCT/US2005/040133 18 Colorado Tick Fever Virus Yellow Fever Virus Dengue Virus Reoviruses Reovirus Types 1-3 Retroviruses Human Immunodeficiency Viruses I and H1 (HI) Human T-cell Lymphotrophic Virus I & II (HTLV) Hepatitis Hepatitis A Virus Hepatitis B Virus Hepatitis C Virus Tumor Viruses Rauscher Leukemia Virus Gross Virus Maloney Leukemia Virus Human Papilloma Virus In addition, it may be desirable to detect the normal or diseased tissue or cells of a patient. The presence or absence of certain circulating cancer or other cells, for example, may be diagnostic for disease. Thus, the endogenous cells of a human patient are analytes that may be advantageously detected using the compositions, methods and kits of the present invention. The term "sample" as used herein refers to an aliquot of material, frequently an aqueous solution or an aqueous suspension derived from biological material. Samples to be assayed for the presence of an analyte by the methods of the present invention include, for example, cells, tissues, homogenates, lysates, extracts, purified or partially purified proteins and other biological molecules and mixtures thereof. Nonlimiting examples of samples typically used in the methods of the invention include human and animal body fluids such as whole blood, serum, plasma, cerebrospinal fluid, sputum, bronchial WO 2006/137932 PCTIUS2005/040133 19 washings, bronchial aspirates, urine, lymph fluids and various external secretions of the respiratory, intestinal and genitourinary tracts, tears, saliva, milk, white blood cells, myelomas and the like; biological fluids such as cell culture supernatants; tissue specimens which may or may not be fixed; and cell specimens which may or may not be fixed. The samples used in the methods of the present invention will vary based on the assay format and the nature of the tissues, cells, extracts or other materials, especially biological materials, to be assayed. Methods for preparing e.g. homogenates and extracts, such as protein extracts, from cells or other samples are well known in the art and can be readily adapted in order to obtain a sample that is compatible with the methods of the invention. The term "contacting 'as used herein, refers generally to providing access of one component, reagent, analyte or sample to another. For example, contacting can involve mixing a solution comprising a binding pair with a sample comprising an analyte. The solution comprising one component, reagent, analyte or sample may also comprise another component or reagent, such as dimethyl sulfoxide (DMSO) or a detergent, which facilitates mixing, interaction, uptake, or other physical or chemical phenomenon advantageous to the contact between components, reagents, analytes and/or samples. In one embodiment of the invention, contacting involves adding a solution comprising a binding pair to a sample comprising an analyte utilizing a delivery apparatus, such as a pipette-based device or syringe-based device. The term "detecting" as used herein refers to any method of verifying the presence of a given molecule. The techniques used to accomplish this may include, but are not limited to, PCR, nucleotide sequencing, PCR sequencing, molecular beacon technology, hybridization, hybridization followed by PCR, fluorescence, radiolabelling, WO 2006/137932 PCT/US2005/040133 20 phosphorescence and absorbance. Examples of reagents that may be used for detection include, but are not limited to, radiolabels, enzymatic labels (e.g. horseradish peroxidase, alkaline phosphatase), fluorescence, phosphorescence, bioluminescence, chemiluminescence, affinity labels (e.g. biotin, avidin, or streptavidin) and other reagents well known by those of skill in the art. As used herein, the term "distinguishable" refers to an ability to distinguish experimentally between different markers, species or analytes. In certain embodiments of the invention, a binding pair or assay of the present invention may be used to detect multiple analytes. In certain of these embodiments, none of the nucleic acid markers will consist of sequences identical in both length and sequence. Two markers may comprise the same core sequence, but the markers will be distinguishable on the basis of size and/or different sequences. In preferred embodiments, the detection products will be different in length. In other embodiments, the markers will have sequences which bind to different sequence-specific probes. These embodiments are not limiting, and other embodiments can be envisioned being used with the invention. The terms "polynucleotide" and "nucleic acid (molecule)" are used interchangeably to refer to polymeric forms of nucleotides of any length. The polynucleotides may contain deoxyribonucleotides, ribonucleotides and/or their analogs. Nucleotides may have any three-dimensional structure, and may perform any function, known or unknown. The term "polynncleotide" includes single-stranded, double stranded and triple helical molecules. "Oligonucleotide" refers generally to polynucleotides of between 5 and about 100 nucleotides of single- or double-stranded nucleic acid, typically DNA. Oligonucleotides are also known as oligomers or oligos and may be isolated from genes, or synthesized (e.g., chemically or enzymatically) by methods known in the art. A "primer" refers to an oligonucleotide, usually single- WO 2006/137932 PCT/US2005/040133 21 stranded, that provides a 3'-hydroxyl end for the initiation of enzyme-mediated nucleic acid synthesis. The following are non-limiting embodiments of polynucleotides: a gene, a gene fragment, exons, introns, mRNA, tRNA, rRNA, ribozymes, cDNA, recombinant polynucleotides, branched polynucleotides, plasmids, vectors, isolated DNA of any sequence, isolated RNA of any sequence, nucleic acid probes and primers. A nucleic acid molecule may also comprise modified nucleic acid molecules, such as methylated nucleic acid molecules and nucleic acid molecule analogs. Analogs of purines and pyrimidines are known in the art, and include, but are not limited to, aziridinycytosine, 4 acetylcytosine, 5-fluorouracil, 5-bromouracil, 5-carboxymethylaminomethyl-2-thiouracil, 5-carboxymethyl-aminomethyluracil, inosine, N6-isopentenyladenine, 1-methyladenine, 1-methylpseudouracil, 1-methylguanine, 1-methylinosine, 2,2-dimethylguanine, 2 methyladenine, 2-methylguanine, 3-methylcytosine, 5-methylcytosine, pseudouracil, 5 pentylnyluracil and 2,6-diaminopurine. The use of uracil as a substitute for thymine in a deoxyribonucleic acid is also considered an analogous form of pyrimidine. Sugar modifications (e.g., 2'-o-methyl, 2-fluor and the like) and phosphate backbone modifications (e.g., morpholino, PNA', thioates, dithioates and the like) can be incorporated singly, or in combination, into the nucleic acid molecules of the present invention. In one embodiment, for example, a nucleic acid of the invention may comprises a modified sugar and a modified phosphate backbone. In another embodiment, a nucleic acid of the invention may comprise modifications to sugar, base and phosphate backbone. The term "nucleic acid marker" refers to a nucleic acid molecule that will produce a detection product of a predicted size or other selected characteristic when used with appropriately designed oligonucleotide primers in a nucleic acid amplification reaction, such as a PCR reaction. Skilled artisans will be familiar with the design of WO 2006/137932 PCT/US2005/040133 22 suitable oligonucleotide primers for PCR and programs are available commercially and over the Internet to facilitate this aspect of the invention (see, for example, the http site: bibiserv.techfak.unibielefeld.de/genefisher). A nucleic acid marker may be linear or circular. In preferred embodiments, the nucleic acid marker will comprise a predetermined, linear nucleic acid sequence with binding sites for selected primers located at or near each end. In a circular DNA nucleic acid molecule, the primers will be internal rather than at an end, and a single primer may be used, e.g. for Rolling Circle Amplification. Amplified DNA may be detected using any available method, including, but not limited to techniques such as real-time PCR, SYBR" Green staining, or ethidium bromide staining. In other embodiments of the invention, the binding sites for the amplification primers flank an undefined DNA sequence of defined length, or a DNA sequence that comprises another identifiable characteristic, such as a detectable sequence, in addition to undefined sequences. In some embodiments, the nucleic acid marker is distinguished by the size or mass of the amplified sequences; thus, the DNA sequence between the primers need not be defined as to the exact sequence, just as to the number of bases. Alternatively, the size and/or sequence of the entire nucleic acid marker need not be defined as long as a binding site for a molecular beacon (see, infra) is supplied. In further embodiments, the DNA sequence located between the primer binding sites comprises a "characteristic identification sequence" capable of being detected during the PCR reaction. Fluorescent signal generation may, for example, be sequence-specific (Molecular Beacons, TaqMan*, fluorogenic primers, such as the LUX h primers (Invitrogen (Carlsbad, CA.)) or mass dependent (e.g., SYBR Green, Ethidium Bromide). The examples provided are not meant to be an exhaustive list of possible nucleic acid detection schemes as those skilled in the art will be aware of alternative markers suitable for use in the methods of the present invention.
WO 2006/137932 PCT/US2005/040133 23 The term "specificity molecule" as used herein refers to any molecule that is capable of specifically binding another molecule. In one embodiment, the specificity molecule is an antibody. In other embodiments of the invention, specificity molecules can include, without limitation: biological receptor molecules, such as the insulin receptor; ligands for receptors, (e.g., insulin for the insulin receptor); antigens (e.g., to bind to antibodies) and biological, chemical or other molecules that have affinity for another molecule, such as biotin and avidin. The specificity molecules of the present invention need not comprise an entire naturally occurring molecule but may consist of only a portion, fragment or subunit of a naturally occurring molecule, as for example the Fab fragment of an antibody. Specificity molecules may be generated by any method known in the art. For example, antibodies may be found in an antiserum, prepared from a hybridoma tissue culture supernatant or ascites fluid, or may be derived from a recombinant expression system, as will be well known in the art. Fragments, portions or subunits of e.g., an antibody, receptor or other species, may be generated by chemical, enzymatic or other means, yielding for example, well-known (e.g,, Fab, Fab') or novel molecules. The present invention also contemplates that specificity molecules can include recombinant, chimeric and hybrid molecules, such as humanized and primatized antibodies, and other non-naturally occurring antibody forms. Those skilled in the art will recognized that the non-limiting examples given above describing various forms of antibodies can also be extended to other specificity molecules such that recombinant, chimeric, hybrid, and truncated forms of non-antibody molecules can be used in the methods of the present invention. By the terms "specifically binding" and "specific binding" as used herein is meant that an antibody or other molecule, especially a specificity molecule of the invention, binds to a target such as an antigen, ligand or other analyte, with greater WO 2006/137932 PCT/US2005/040133 24 affinity than it binds to other molecules under the specified conditions of the present invention. Antibodies or antibody fragments, as known in the art, are polypeptide molecules that contain regions that can bind other molecules, such as antigens. In various embodiments of the invention, "specifically binding" may mean that an antibody or other specificity molecule binds to a target analyte molecule with at least about a I 0 6 -fold greater affinity, preferably at least about a 10 7 -fold greater affinity, more preferably at least about a 10 8 -fold greater affinity, and most preferably at least about a 10 9 -fold greater affinity than it binds molecules unrelated to the target molecule. Typically, specific binding refers to affinities in the range of about 106-fold to about 10 9 -fold greater than non-specific binding. In some embodiments, specific binding may be characterized by affinities greater than 10 9 -fold over non-specific binding. Whenever a range appears herein, as in "1-10 or one to ten, the range refers without limitation to each integer or unit of measure in the given range. Thus, by 1-10 it is meant each of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 and any subunit in between. "Polyclonal Antibodies" or "PAbs," are heterogeneous populations of antibody molecules derived from the sera of animals immunized with an antigen, or an antigenic functional derivative thereof For the production of polyclonal antibodies, host animals such as rabbits, mice and goats, may be immunized by injection with an antigen or hapten-carrier conjugate, optionally supplemented with adjuvants. Polyclonal antibodies may be unpurified, purified or partially purified from other species in an antiserum. Techniques for the preparation and purification of polyclonal antibodies are well-known in the art and are described in various general and more specific references, including but not limited to Kabat & Mayer, Experimental Immunochemistry, 2d ed., (Thomas, Springfield, IL (1961)); Harlow & Lane, Antibodies: A Laboratory Manual (Cold Spring WO 2006/137932 PCT/US2005/040133 25 Harbor Laboratory Press, Cold Spring Harbor, N.Y. (1988)); and Weir, Handbook of Experimental Immunology, 5th ed. (Blackwell Science, Cambridge, MA (1996)). "Monoclonal antibodies," or "MAbs," which are homogeneous populations of antibodies to a particular antigen, may be obtained by any technique that provides for the production of antibody molecules, such as by continuous culture of cell lines. These techniques include, but are not limited to the hybridoma technique of K6hler and Milstein, Nature, 256:495-7 (1975); and U.S. Patent No. 4,376,110), the human B-cell hybridoma technique (Kosbor, et al., Immunology Today, 4:72 (1983); Cote, et al., Proc. Nal. Acad Sci. USA, 80:2026-30 (1983)), and the EBV-hybridoma technique (Cole, et al, in Monoclonal Antibodies And Cancer Therapy, Alan R. Liss, Inc., New York, pp. 77-96 (1985)). Such antibodies may be of any immunoglobulin class including IgG, IgM, IgE, IgA, IgD and any subclass thereof. The hybridoma producing the MAb of this invention may be cultivated in vitro or in vivo. Production of high titers of MAbs in vivo makes this a presently preferred method of production. In addition, techniques developed for the production of "chimeric antibodies" (Morrison, et al., Proc. Nat. Acad. Sci., 81:6851-6855 (1984); Takeda, et al., Nature, 314:452-54 (1985)) by splicing the genes from a mouse antibody molecule of appropriate antigen specificity together with genes from a human antibody molecule of appropriate biological activity can be used. A chimeric antibody can be a molecule in which different portions are derived from different animal species, such as those having a variable region derived from a murine MAb and a human immunoglobulin constant region. Alternatively, techniques described for the production of single chain antibodies (U.S. Patent No. 4,946,778; Bird, Science 242:423-26 (1988); Huston, et al., Proc. Nad. Acad. Sci. USA, 85:5879-83 (1988); and Ward, et al., Nature, 334:544-46 (1989)) can be adapted to produce gene-single chain antibodies suitable for use in the present invention.
WO 2006/137932 PCT/US2005/040133 26 Single chain antibodies are typically formed by linking the heavy and light chain fragments of the Fv region via an amino acid bridge, resulting in a single chain polypeptide. Antibody fragments that recognize specific epitopes may be generated by known techniques. For example, such fragments include but are not limited to: the F(ab')z fragments that can be produced by pepsin digestion of the antibody molecule and the Fab fragments that can be generated by reducing the disulfide bridges of the F(ab') 2 fragments. Alternatively, Fab expression libraries may be constructed (Huse, et al, Science, 246:1275-81 (1989)) to allow rapid and easy identification of monoclonal Fab fragments with the desired specificity. The term "hapten" as used herein, refers to a small proteinaceous or non-protein antigenic determinant which is capable of being recognized by an antibody. Typically, haptens do not elicit antibody formation in an animal unless part of a larger species. For example, small peptide haptens are frequently coupled to a carrier protein, such as keyhole limpet hemocyanin, in order to generate an anti-hapten antibody response. "Antigens" are macromolecules capable of generating an antibody response in an animal and being recognized by the resulting antibody. Both antigens and haptens comprise at least one antigenic determinant or "epitope," which is the region of the antigen or hapten which binds to the antibody. Typically, the epitope on a hapten is the entire molecule. The term "sandwich pair antibodies" or "sandwich antibody pairs," as used herein, refers to a pair of typically monospecific antibodies, e.g. monoclonal antibodies, that are suitable for use in a sandwich format immunoassay. Each antibody of the pair binds.to a different epitope on the same molecule and both antibodies of the pair can bind to the antigen at the same time. Methods for identifying pairs of antibodies suitable for sandwich assays will be well known to those in the art. The skilled artisan will also WO 20061137932 PCT/US2005/040133 27 recognize that various other molecules can be used as sandwich pairs. For example, a receptor analyte can be sandwiched between a ligand for that receptor and an antibody that binds to an epitope on the receptor that is not involved in ligand binding. Thus, an antibody and ligand can be used as a sandwich pair for a receptor analyte. "Receptor" or "biological receptor" typically refers to a molecular structure within or on the surface a cell characterized by selective binding of a specific substance (e.g. a "ligand") and resulting in a specific physiologic effect that accompanies the binding. Examples of receptors include cell surface receptors for peptide hormones, neurotransmitters, antigens, complement fragments, immunoglobulins and cytoplasmic receptors for steroid hormones. As used herein, however, the receptor will typically be isolated and purified and need not effect or be capable of effecting a physiological or other biological effect. The methods of the present invention exploit the selective binding of the receptor to the specific substance. The term "ligand" refers generally to a molecule that binds to a receptor. Typically, a ligand is a small, soluble molecule, such as a hormone or neurotransmitter. The term "solid support" refers to any solid phase that can be used to immobilize e.g., an analyte, an antibody or a complex. Suitable solid supports will be well known in the art and include the walls of wells of a reaction tray, such as a microtiter plate, the walls of test tubes, polystyrene beads, paramagnetic or non-magnetic beads, nitrocellulose membranes, nylon membranes, microparticles such as latex particles, and sheep (or other animal) red blood cells. Typical materials for solid supports include, but are not limited to, polyvinyl chloride (PVC), polystyrene, cellulose, nylon, latex and derivatives thereof. Further, the solid support may be coated, derivatized or otherwise modified to promote adhesion of the desired molecules (e.g., analytes) and/or to deter non-specific binding or other undesired interactions. The choice of a specific "solid phase" is usually not critical WO 2006/137932 PCT/US2005/040133 28 and can be selected by one skilled in the art depending on the assay employed. Thus, latex particles, microparticles, paramagnetic or non-magnetic beads, membranes, plastic tubes, wails of microtiter wells, glass or silicon chips, and red blood cells are all suitable sold supports. Conveniently, the solid support can be selected to accommodate various detection methods. For example, 96 or 384 well plates can be used for assays that will be automated, for example by robotic workstations, and/or those that will be detected using, for example, a plate reader. For methods of the present invention that may involve an autoradiographic or chemiluminescent detection step utilizing a film-based visualization, the solid support may be a thin membrane, such as a nitrocellulose or nylon membrane. According to one embodiment of the invention in which sandwich immunoassays are performed, the walls of the wells of a reaction tray are typically employed. In alternative embodiments of the instant invention, paramagnetic beads may be used as a solid support. Suitable methods for immobilizing molecules on solid phases include ionic, hydrophobic, covalent interactions and the like, and combinations thereof. However, the method of immobilization is not typically important, and may involve uncharacterized adsorption mechanisms. A solid support as used herein, may thus refer to any material that is insoluble, or can be made insoluble by a subsequent reaction. The solid support can be chosen for its intrinsic ability to attract and immobilize a capture reagent. Alternatively, the solid phase can retain an additional receptor that has the ability to attract and immobilize a capture reagent. The additional receptor may include a substance that is oppositely charged with respect to either the capture reagent itself or to a charged substance conjugated to the capture reagent. In yet another embodiment of the invention, an additional receptor molecule can be any specific binding member that is immobilized upon (attached to) the solid phase and which has the ability to immobilize a capture reagent through a specific binding reaction. The additional receptor molecule enables WO 2006/137932 PCT/US2005/040133 29 indirect immobilization of the capture reagent to a solid phase before or during the performance of the assay. The solid phase thus can be a plastic, derivatized plastic, paramagnetic or non-magnetic metal, glass or silicon surface of a test tube, microtiter well, sheet, bead, microparticle, chip, or other configurations known to those of ordinary skill in the art. "Peptide" generally refers to a short chain of amino acids linked by peptide bonds. Typically peptides comprise amino acid chains of about 2-100, more typically about 4-50, and most commonly about 6-20 amino acids. "Polypeptide" generally refers to individual straight or branched chain sequences of amino acids that are typically longer than peptides. Polypeptides usually comprise at least about 100 to 1000 amino acids in length, more typically at least about 150 to 600 amino acids, and frequently at least about 200 to about 500 amino acids. 'Proteins" include single polypeptides as well as complexes of multiple polypeptide chains, which may be the same or different. Multiple chains in a protein may be characterized by secondary, tertiary and quaternary structure as well as the primary amino acid sequence structure; may be held together, for example, by disulfide bonds; and may include post-synthetic modifications such as, without limitation, glycosylation, phosphorylation, truncations or other processing. Antibodies such as IgG proteins, for example, are typically comprised of four polypeptide chains (i.e., two heavy and two light chains) that are held together by disulfide bonds. Furthermore, proteins may include additional components such associated metals (e.g., iron, copper and sulfur), or other moieties. The definitions of peptides, polypeptides and proteins include, without limitation, biologically active and inactive forms; denatured and native forms; as well as variant, modified, truncated, hybrid, and chimeric forms thereof. The peptides, polypeptides and proteins of the present invention may be derived from any source or by any method, including, but not limited to extraction from naturally occurring tissues or WO 2006/137932 PCT/US2005/040133 30 other materials; recombinant production in host organisms such as bacteria, fungi, plant, insect or animal cells; and chemical synthesis using methods that will be well known to the skilled artisan. The term "conjugate" as used herein refers to two molecules that have been covalently attached or otherwise linked together. In one embodiment, a nucleic acid conjugate is generated by covalently linking a nucleic acid to a protein, polypeptide or other specificity molecule. In a preferred embodiment of the invention, the protein, polypeptide or other specificity molecule is covalently attached to a nucleic acid via a linking group to form a conjugate. A "kit" for detecting the presence of an analyte in a sample by the methods of the invention may, by way of example, comprise at least one container means having disposed therein a binding pair specific for the selected analyte. The kit may further comprise other container means comprising one or more of the following: buffers, solutions or other reagents and materials necessary for performing analyte detection; reagents capable of amplifying the nucleic acid probe components of the binding pairs; and reagents capable of detecting the presence of nucleic acid components following amplification. Preferably, the kit further comprises instructions for use. The kit, if intended for diagnostic use, may also include notification of a FDA approved use and instructions therefor. Specifically, a compartmentalized kit includes any kit in which reagents are contained in separate containers. Such containers include small glass containers, plastic containers or strips of plastic or paper. Such containers allow the efficient transfer of reagents from one compartment to another compartment such that the samples and reagents are not cross-contaminated and the agents or solutions of each container can be added in a quantitative fashion from one compartment to another. Such containers may WO 2006/137932 PCT/US2005/040133 31 include a container which will accept a test sample, a container which contains the probe or primers used in the assay, containers which contain buffers and reagents (such as phosphate buffered saline, Tris-buffers, and the like), and containers which contain the reagents used to detect the marker nucleic acid, amplified product, or the like. One skilled in the art will readily recognize that preformed binding pairs and/or materials, supplies and reagents necessary to prepare binding pairs can readily be incorporated into one of the established kit formats that are well known in the art. A kit for coupling DNA to an antibody or other specificity molecule by the methods of the invention may comprise at least one container means having disposed therein lyophilized, activated DNA. The kit may further comprise other containers comprising one or more of the following: reagents, buffers and agents capable of detecting the presence of nucleic acid after the reaction. Preferably, the kit further comprises instructions for use. One skilled in the art will readily recognize that the activated nucleic acids described in the present invention can readily be incorporated into one of the established kit formats that are well known in the art. Homogeneous Analyte Detection Assay The present invention generally provides compositions, methods and kits for the use of novel nucleic acid labeled-binding pairs of defined and limited stability under defined conditions for the detection of analytes, particularly homogenous sensitive analyte detection. Binding Pairs In one embodiment, the invention provides binding pairs that are useful for detecting analytes. Binding pairs of the present invention are formed between two binding members, each having a specificity molecule coupled to a nucleic acid, as shown WO 2006/137932 PCT/US2005/040133 32 in FIG. 1. The nucleic acid component of the binding members are complementary over at least a part of their length, and can form a duplex through which the two members of the binding pair are joined (see FIG. 1). Specificity Molecule Components of Binding Pairs The specificity molecules of each binding pair direct the interaction of the pair to a desired analyte. A specificity molecule of the invention, as described supra, can be any molecule that is capable of interacting with another molecule, such as an analyte, In a preferred embodiment, specificity molecules interact with an analyte with high specificity and affinity. In one aspect of the invention, the specificity molecule is a receptor. In another aspect, the specificity molecule is a ligand. In yet another aspect of the invention, the specificity molecule is an antibody. The individual specificity molecules of a binding pair can both be the same type of molecule or can be different types of molecules. In one embodiment, both specificity molecules in a pair are receptors. In another embodiment, both specificity molecules in pair are ligands. In another, both are antibodies. In still another, both are antigens. In yet another embodiment, one specificity molecule is a ligand and the other specificity molecule is a receptor. In still another embodiment, one or both of the specificity molecules in a binding pair is a nucleic acid. In one aspect of this embodiment, the target analyte is a complementary nucleic acid. In another aspect of this embodiment, the target analyte is a DNA, an RNA or a protein, or a component of a complex thereof. In still another aspect of this embodiment, the target analyte is a complex comprising a nucleic acid and a protein and one of the specificity molecules of the binding pair is a nucleic acid that is complementary to the nucleic acid component of the target analyte and the other specificity molecule of the binding pair is a protein (i.e., an antibody, antigen, WO 2006/137932 PCT/US2005/040133 33 ligand, receptor, etc.) that binds specifically to the protein component of the target analyte. In a preferred embodiment, at least one specificity molecule of a binding pair is an antibody. Antibodies are particularly useful as specificity molecules. All types of antibodies described supra are useful for imparting specificity to a binding pair, including but not limited to monoclonal antibodies, polyclonal antibodies, chimeric antibodies, hybrid antibodies, recombinant antibodies, humanized antibodies, primatized antibodies, truncated antibodies, single chain antibodies and the like. When two antibodies are used to form a binding pair, the two antibodies may have the same or different specificities. In one embodiment of the invention, the two antibodies recognize the same epitope and that epitope is present multiple times on a single analyte. For example, both antibodies in a binding pair may recognize a receptor that is present in multiple copies on the surface of a cell analyte. In another embodiment, the antibodies recognize different epitopes on a single analyte molecule. In certain aspects of this embodiment, both antibodies can bind simultaneously to a single analyte molecule. The so called "sandwich pair" antibodies of this aspect of the invention will be well known to those skilled in the art. Nucleic Acid Components of Binding Pairs Each specificity molecule in a binding pair is coupled to or "labeled" with a nucleic acid molecule (i.e., a nucleic acid marker). According to one aspect of the invention, the nucleic acids are single-stranded. In another aspect, the nucleic acids are partially single-stranded. In yet another embodiment, the nucleic acid is all DNA, all RNA or a mixture of DNA and RNA. In other embodiments, nucleotide analogs or derivatives may be used. In another embodiment PNA is used as part or all of the nucleic acid. The specificity molecule may be coupled to either the 3' or 5' end of the nucleic WO 2006/137932 PCT/US2005/040133 34 acid. In one embodiment of the invention, the terminal free ends of the two nucleic acids in a binding pair are complementary such that they can hybridize to form a duplex nucleic acid region of limited and defined stability. In one aspect of this embodiment, the terminal free ends that form a duplex are the 3' ends of the nucleic acids. In another embodiment, the terminal free end of one of the nucleic acids of a binding pair is complementary to a sequence of the other nucleic acid of that binding pair at a point other than the terminal end of one of the nucleic acid. In one aspect of the invention, the 3' end of the first nucleic acid forms a duplex with an internal sequence of the second nucleic acid. In certain embodiments, the nucleic acid is coupled to a specificity molecule via one or more linkers or spacers. The nucleotide sequence of the nucleic acids of the present invention is of less importance than the functional roles they are required to perform. Accordingly, the sequence of the nucleic acids, as well as the length of the nucleic acid component of the binding pair, may vary considerably, provided the nucleic acid component of the binding pair can still perform the functional roles they are required to perform. Importantly, the sequence and length of the nucleic acids of the binding pair are not limited to those exact sequences and lengths of the exemplary binding pairs disclosed herein. The nucleic acids of the binding pair thus can be of different lengths and or sequence. An important function of the nucleic acid component of the binding pairs of the present invention is to provide a highly sensitive label for analyte detection. In one embodiment the nucleic acid is amplified and detected as a measure of analyte concentration. The nucleic acid can be amplified using well established methods. Exemplary amplification methods include those described in various U.S. patents, the contents of which are incorporated by reference herein in their entirety: PCR (see e.g. U.S. Patent No. 4,683,202), TMA (see WO 2006/137932 PCT/US2005/040133 35 e.g. U.S. Patent No.5,399,49 1); SDA (see e.g. U.S. Patent No. 5,270,184), and LCR (see e.g. U.S. Patent No. 5,427,930). A wide variety of nucleotide sequences can be used for amplification. Similarly, the length of the nucleic acid can be varied considerably. In one embodiment, the nucleic acids of the invention are designed to avoid intramolecular hairpin formation in order to increase the efficiency with which they can be amplified. In certain aspects of the invention, the nucleic acid is detected using a nonspecific intercalating fluorescent dye, such as SYBR* Green. According to this embodiment, the strength of the detection signal will be a function of the length of the nucleic acid detected. It is well known that the stability of a nucleic acid duplex is dependent in part on the length of the region of complementarity between the nucleic acid strands in the duplex. A longer complementarity region or "overlap" between nucleic acids increases the stability of the duplex that is formed. Conversely, a shorter overlap leads to a less stable duplex. Nucleic acids of the present invention are designed to have defined stability that can be manipulated by altering length, temperature, solvent and other conditions. Factors that influence the stability of the hybrid include, but are not limited to, the concentration of the nucleic acid-labeled binding pairs, salt concentration, temperature, organic solvents such as ethanol, DMSO, tetramethylammonium ions
(TMA
t ), base pair mismatches and the like. In one aspect of the invention, the nucleic acids are designed to form intra-binding pair duplexes. In another aspect of the invention, the nucleic acid duplexes of a binding pair can be dissociated under defined conditions and thus have limited stability under certain conditions. In one embodiment of the invention, reaction conditions are designed to maximize duplex formation between the members of binding pairs bound to their respective target WO 2006/137932 PCT/US2005/040133 36 analytes while minimizing duplex formation between members of binding pairs that are not bound to target analytes. In another embodiment, the duplexes remain stable during binding to an analyte, but can be selectively dissociated or melted by an assay operator. Under these conditions, the thermodynamic conditions favors the unbound pairs to be unhybridized. In certain embodiments of the invention, less than about 1% of the binding pairs are not bound to analyte. In other embodiments, less than about 0.1%, 0.01%, or 0.001% of the binding pairs are not bound to analyte. In other embodiments, a competitor nucleic acid (e.g., complementary to a region of duplex formation between binding pair nucleic acids) may be used to prevent free binding members from re associating. A similar effect may be obtained by designing one of the nucleic acids in a binding pair to form a small hairpin when it is not hybridized to the nucleic acid of its binding partner. Once formed, the stability of the complex between the binding pair and the target analyte can be enhanced by using a polymerase enzyme to extend 3' ends of the nucleic acid duplex as described in U.S. Patent No. 5,635,602, the contents of which are incorporated by reference herein in its entirety. Nucleic acid markers of the present invention can be detected by incorporating any one of a number of labels into one or both of the binding pair nucleic acids. Examples of markers suitable for use in the present invention include intercalating fluorescent molecules such as SYBR* Green and ethidium bromide; FRET fluorescent resonance energy transfer pairs, such as fluorescein and rhodamine; radioactive compounds, bioluminescent compounds, chemiluminescent compounds such as acridinium ester; chemiluminescent quencher pairs; and reagents that hybridize to nucleic acid in a sequence-specific manner, such as Molecular Beacons (Kramer), TaqMan, and fluorogenic primers (e.g. LUXTM primers; Invitrogen, Carlsbad, CA). In addition WO 2006/137932 PCT/US2005/040133 37 fluorescent nucleic acid triphosphates (NTPs and dNTPs) can be incorporated during an extension of the 3' ends of the duplexed nucleic acid pairs. Furthermore, it is possible to incorporate the labels by nick translation and other means. Nucleic Acid Binding Pair Analyte Assay The present invention also provides methods for detecting analytes using binding pairs. In one embodiment, an analyte-specific binding pair, as described above, is contacted with its analyte, to form a complex. The members of the binding pair are joined by the intermolecular duplex of defined and limited stability formed between the two nucleic acids. Furthermore, the binding members are locked in place in close proximity, and therefore high local concentration, by virtue of their association with the analyte. The nucleic acid duplexes may then be dissociated and allowed to reassociate. Any method known in the art may be used to dissociate the duplexes. In one embodiment of the invention, dissociation may be accomplished by heating the complexes above the melting temperature of the nucleic acid duplex. In another aspect of the invention, the salt concentration or ionic strength may be decreased. In yet another aspect of the invention, a chemical or biological agent may be added to the complex to dissociate the duplexes. In another aspect of the invention, the reassociation of the nucleic acids of binding pair members not complexed with analyte may be prevented or eliminated by dilution. In another aspect, the dilution or other condition of the reaction does not allow substantial reassociation of excess free binding members. Generally, conditions which do not allow substantial reassociation involve less than 5%, typically less than 1%, frequently less than 0.1% and most often less than 0.01% reassociation of excess free binding members. According to this embodiment, binding pairs are contacted with an analyte such that a complex between the binding pair and the analyte is formed. The complexes are then WO 20061137932 PCT/US2005/040133 38 diluted such that hybridization of proximity-bound nucleic acid markers is favored but hybridization in bulk solution is disfavored. Under these conditions, the extension of 3' ends of the marker nucleic acid occurs predominantly or exclusively in the complexes and hybridized marker nucleic acids, while the uncomplexed nucleic acids are not hybridized and therefore extension from 3' ends does not occur. According to this method of the invention, the extended duplexes are then detected as a means for analyte detection. In one embodiment of the invention, a nucleic acid comprising the duplex is amplified to facilitate detection. Amplification may be accomplished by any method known in art. Suitable methods include, but are not limited to PCR, LCR, SDA, and TMA. Typically, nucleic acid amplification methods rely on primed enzymatic synthesis of DNA. According to such methods, a primer with a free 3' OH is hybridized to a single strand DNA or RNA template. The 3' OH can then form the initiation point for extension using a polymerase, examples of which are well known in the art and include, without limitation, Taq DNA polymerase, DNA Polymerase I, Klenow Fragment of DNA Polymerase, T4 DNA polymerase, T7 DNA Polymerase, Reverse Transcriptase, phi29 DNA Polymerase, Bst DNA Polyinerase, AccuPrimeTM (Invitrogen), Pfx DNA Polymerase (Invitrogen), FideliTaqTM DNA Polymerase(Amersham Biosciences), SequenaseTm, Thermo SequenaseT'4 DNA, Hot TubTm DNA Polymerase (Amersham Biosciences), Vent® Polymerase (New England Biolabs), and 9*Nm, DNA Polymerase. In one aspect of the invention, the template for PCR is a nucleic acid molecule comprising the duplex region of the two strands of nucleic acid complexed to the analyte via their respective specificity molecules. As will be understood by those skilled in the art, a template for PCR may be longer than the desired PCR product. The two individual PCR primers may hybridize internally and initiate DNA synthesis, each at a particular site WO 2006/137932 PCT/US2005/040133 39 on one strand of the nucleic acid template. The resulting PCR product typically has a 5' terminus defined by one primer and a 3' terminus defined by the other primer. The amplification products can then be detected, for example by staining with ethidium bromide, silver staining, autoradiography, dot blotting, slot blotting, or southern blotting. Alternatively, detection can be accomplished by incorporating a detection molecule into one or both of the nucleic acids, the amplification product or the duplex region of the complex. Detection molecules suitable for use in the methods of the present invention include, but are not limited to fluorescent molecules, fluorescence quencher molecules, chemiluminescent compound, chemiluminescence quencher molecules, a fluorescent nucleotides, enzymatic labels, and radiolabels. In certain embodiments of the invention, duplex detection may be facilitated by incorporating an acridinium ester into the duplex region of the complex and selectively hydrolyzing the label in first and second binding pair members that have not formed a nucleic acid duplex. 3' Extension From Duplexes and Generation of Primer Binding Sites The present invention provides methods for detecting analytes through the amplification of binding pair nucleic acid duplexes in which one or both primer binding sites are absent from nucleic acid marker sequences. According to this embodiment, one or more primer binding sites are generated after the binding pair has bound an analyte. For example, one or both of the nucleic acid marker sequences may incorporate a sequence identical to the desired primer sequence, outside of the duplex region. In other words, the primer binding sites for amplification are not present in the binding pair nucleic acids but are only formed after the 3' ends of nucleic acid duplexes are extended. In this embodiment, no region complementary to the primer (i.e., no primer site) is present in the marker nucleic acid. Following hybridization, however, the 3' end of one or WO 2006/137932 PCT/US2005/040133 40 both of the markers may be extended using a suitable polymerase. The extension encompasses the sequence identical to the desired primer sequence, thereby generating a complementary primer binding site which may be used in subsequent amplification steps for binding to the primer (FIGS. 2 and 3). In one aspect of this embodiment, the amplification primer will neither hybridize nor initiate nucleic acid synthesis/amplification unless a duplex region is formed between the first and second nucleic acid markers and subsequently extended. In another aspect of the invention, the background non-specific detection is reduced because only hybridized molecules are detected. Oligonucleotides 60 bases long having a 5' amino C 12 spacer arm (Spacer C1 2 CE Phosphoramidite;12-(4,4'-Dimethoxytrityloxy)dodecyl-1-[(2-cyanoethyl)-(N,N diisopropyl)]-phosphoramidite) with the following nucleotide sequences have been found suitable for use in this aspect of the of the present invention: (1) 5'NH 3 -C12-GCTACGGCTAGATCGTGTCCATGCGCTTACGACT TCGATGCTCGGCTCGCTAGCTAGATG 3'[SEQ ID NO.:I] (2) 5'NH 3 -C12-TCTCCAACTCTTCAACGCCATGTTCTTATGATAC GAGAGAITCAGCGGAGGCATCTAGCT 3' [SEQ ID NO.:2] (3) 5'NH 3 -CI2-TCTCCAACTCTTCAACGCCATGTTCTTATOATAC GAGAG ATTCATCATCTAGCTAGCGAG-3' [SEQ ID NO.:3] Oligonucleotide (1) [SEQ ID NO.: 1] is complimentary to both oligonucleotide (2) [SEQ ID NO.:2] and oligonucleotide (3) [SEQ ID NO.:3] for the last 9 and 15 bases, respectively, at the 3' ends. The length of the duplex formed between the oligos has a specific Gibbs Free Energy (AG), which is controlled by nearest neighbor base sequence. See Breslauer, et aL, Proc. Nat'l. Acad. Sci. USA, 83: 3746-3750 (1986). The 9 and 15 WO 2006/137932 PCT/US2005/040133 41 base-pair overlaps have melting temperatures (Tm's) of 260 C and 420 C, respectively, in 50 mM NaCl according to the formula: Tm=64.9+41 * (yG+zC - 16A)/(wA +xT-I-yG+zC) where w, x, y, z are the number of the bases A, T, G, C in the sequence, respectively. See e.g., http://www.basic.nwu.edu/biotools/oligocal.html. The overlapping strands hybridize (> 50% duplex) when present in solution at concentrations greater than 50 nM at 25" C, 50 mM NaCl. The strands exist predominately as monomers (< 50% hybrid) at concentrations less than 100 pM at equilibrium. According to the principles of thermodynamics, complementary DNA strands such as these may transition between single-and double-stranded forms as a function of temperature, DNA concentration and salt effects. When hybridized, the 3' end of each strand can serve as the initiation point for synthesis of nucleic acid complementary to the other strand. Each strand may be extended in the presence of an appropriate DNA polymerase and nucleotide triphosphates, resulting in a 111 (FIG. 2) or 105 (FIG. 3) base pair DNA duplex. The newly formed duplex contains sequences that were not present initially in the partially overlapped structure. These new sequences can be replicated exponentially by PCR in the presence of the following downstream primers: 5' GCTACGGCTAGATCGTGTCCA 3' [SEQ ID NO.:4] and 5' TCTCCAACTCTTCAACGCCATGTTC 3'[SEQ ID NO.:5] Individual strands cannot replicate in the presence of these primers without forming the first chain extension product. FIG. 4 shows the real-time PCR amplification (hot start) of both the 9 and 15 base pair overlapping oligonucleotide strands. It can be seen from this Figure that WO 2006/137932 PCT/US2005/040133 42 amplification does not occur until a sufficient concentration of strands are present to ensure the probability that one strand will be close enough to a complementary strand for hybridization and first chain extension. Increasing the concentration of overlapping strands results in an exponential increase in template generation, as measured by real-time PCR threshold cycle. Conversely, diluting this concentration, by washing a support for instance, exponentially decreases signal. Amplification of a normal 60-mer template is shown for comparison. Proximity Effects in Bindin! Pair-Analyte Complexes Sandwich immunoassays employing overlapping oligonucleotide labels have been termed NADIATM (Nucleic Acid Detection ImmunoAssay). Both homogenous and heterogeneous formats of NADIA have been demonstrated. A schematic representation of a homogeneous NADIA is given in FIG. 5. Antibody binding members labeled with overlapping oligonucleotides also exhibit the PCR amplification effect shown in FIG. 4. Binding such DNA-Ab conjugates to the same antigen, or to an antigen coated surface, fixes the overlapping oligonucleotide strands in proximity to one another. This effectively increases the relative concentrations of both strands and the probability of template formation. The template, once formed, exhibits a linear relationship between concentration and real-time PCR threshold signal. This proximity effect has implications for greatly reducing background signal arising from the nonspecific binding of template DNA-Ab conjugate when a capturing support is used (ie. in a heterogeneous assay). The individual overlapping oligonucleotide sequences are not template molecules for amplification and, unlike DNA Ab conjugates previously described, cannot be amplified by themselves with the selected primer set. Although the overlapping conjugates still bind nonspecifically, the binding is WO 2006/137932 PCT/US2005/040133 43 random. Random nonspecific binding of a relatively small number of copies of conjugate greatly diminishes the opportunity for proximal interaction and first chain extension. The proximity effect may also be the basis for homogeneous sandwich assay formats of the present invention, in which a capturing solid support is unnecessary. According to a method of the present invention, conditions must be used which favor the hybridization and first chain extension of proximally bound overlapping conjugates and disfavor hybridization in the bulk solution. Any nonspecific hybridization of the conjugate pair in solution will elicit signal, as shown in FIG. 4. One embodiment of the present invention, therefore, entails employing the lowest conjugate concentration possible to maintain an acceptable immune complex formation rate. Adjustment of overlap length, salt conditions and temperature effects are also available to minimize random hybridization of the overlap sequences in the bulk solution. Immunodetection of Cellular Analytes Affinity purified polyclonal antibodies to E. coli 0157 have been conjugated to the overlapping oligonucleotide strands in order to demonstrate a heterogeneous NADIA format for the detection of intact microorganisms. Antibody attached to magnetic particles (Dynal, Lake Success, NY) has been used to isolate and enrich E. coli 0157 cells from water samples and meat homogenate. The cell surface is estimated to exhibit several thousand copies of the specific antigen that was detected. Calculations show that the distance between randomly distributed sites fall within the spanning distance of overlapping oligonucleotides conjugated to anti-E. coli 0157. In this case, proximity binding is due to individual antigen spacing, as opposed to separate epitopes on a single protein antigen. According to methods of the present invention (described below under Examples), polyclonal anti-F. coli 0157 (KPL, Gaithersburg, MD) was labeled in three separate WO 2006/137932 PCT[US2005/040133 44 reactions with sequences (1) (2) and (3) and maintained as individual conjugates. K coli 0157:H17 was obtained from ATCC (700728) and grown at 37* C. Cells from liquid culture were diluted in fresh media and incubated with 10 nM overlapping oligonucleotide-Ab conjugates for 1 hour at room temperature. The resulting cell antibody complex was washed free of excess, unbound conjugate by centrifugation and resuspension in cold tris-buffered saline, effectively diluting the overlapping antibody reagent to below 1.0 pM. The washed cells were simultaneously streaked onto plates and assayed by incubation in PCR reagent mixture for 10 min at 33* C, followed by 40 cycles of real-time PCR in the presence of downstream primers. The presence of 10-50 cells, as determined by colony formation in overnight culture at 370 C, was sufficient to elicit signal above background in 2-3 hour assay, without culture. Homogeneous Assays for Cellular Analytes The present invention provides a method for detecting intact cells or viruses by forming a complex on the cell surface with a binding pair reagent. The binding pair reagent used for detecting intact cells, such as bacterial cells, is similar to that used for detecting a protein analyte that has two binding sites for two or more MAbs. In this case, the binding sites may comprise the same protein embedded in the cell surface. The binding pair reagent spans the distance between individual protein units. The cells that may be detected according to this method include bacterial, animal, plant, insect and fungal cells. In one embodiment, the animal cell is a human cell, which may be diseased or healthy. For example, the method may be used to detect circulating cancer cells by employing binding pair comprising antibodies to cell surface tumor antigens.
WO 2006/137932 PCT/US2005/040133 45 Analyte Detection Using Binding Pairs Having 3'-5' Conu nation of Overlap DNA Markers Greatly enhanced assay sensitivity can be achieved by the use of binding pair reagents comprising one binding pair member (5' conjugate) comprising a first nucleic acid of an overlapping pair conjugated to the first specificity molecule (e.g. first MAb of a sandwich pair) at the 5' end and the other binding pair member (3'conjugate) comprising the complementary second nucleic acid strand of an overlapping pair conjugated to a second specificity molecule (e.g. second Mab) via the 3' end as illustrated in FIG. 6. According to this method, the 3' end of the 5' conjugate hybridizes to an internal sequence of the 3' conjugate, producing a binding pair where extension of the 3' end is directed away from the center of mass of the formed complex and towards a freely rotating terminus (the 5' end of the 3' complex). This orientation improves the efficiency of chain extension when compared to 3'-3' overlap binding pairs thereby allowing for greater steric access of polymerase and the dissipation of torsional stress during initial polymerization. Homogeneous Assay Employing Enzymatic Digestion Improved sensitivity for the homogeneous detection of analytes can be achieved by using binding members comprising specificity molecules, such as antibodies, conjugated to single-strand nucleic acids that have deoxyribose bases at the 5' end and ribose bases at the 3' end. According to this method, the DNA/RNA labels are complementary on the 3' ends for the entire stretch of RNA sequence and for short stretch of DNA sequence. In certain embodiments, the RNA sequence is at least about 20 bases long. In other embodiments the RNA sequence is at least about 30, 40, 50 or 60 bases long. According to one aspect of the invention, the RNA sequence is 26 bases long. The DNA-DNA duplex region is short, typically comprising less than 15 base pairs, WO 2006/137932 PCT/US2005/040133 46 frequently less than about 12 base pairs, and preferably less than about 10 base pairs in length. In various aspects of the invention, the DNA-DNA duplex is 12, 11, 10, 9, 8 or 7 base pairs in length. According to this method, a nucleic acid duplex region of the analyte-binding pair complex, particularly the DNA/RNA heteroduplex regions, is stable at elevated temperatures, thereby ensuring the formation of a complex containing binding members locked into a specific orientation and distance from each other in the binding pair complex. Following complex formation, the RNA component of both the complexed and excess binding pair can be digested by the addition of RNase, leaving a short, relatively unstable binding pair joined by the residual DNA/DNA duplex. In one embodiment, the RNase is RNase H. Following RNase treatment, the unstable binding pair dissociates into its respective binding members upon raising the temperature. Only the binding members fixed into position on the complex rapidly reassociate upon reducing the temperature. The dissociated binding members that are not held in close proximity by the analyte cannot reform into a binding pair due to low concentration and limited stability of a short DNA/DNA duplex. In one aspect of this method, binding members with nucleic acid components of shortened 3'DNA overlap reduces the requirement for dilution of the complex formation reaction and, therefore, improves sensitivity further. Nucleic acid strands comprising both deoxyribose and ribose nucleotide monomer, and having a 5' amino function may be synthesized by standard phosphoramidite chemistry. Alternatively, a short 3' DNA/DNA overlap may be filled in enzymatically with RNA polymerase. Sensitive Homogeneous Assay for Analytes By combining the features described above, a homogeneous assay has been devised for analytes such as protein antigens and microorganism that approaches the WO 2006/137932 PCT/US2005/040133 47 sensitivity achieved for nucleic acid detection. According to this method of the invention, a first specificity molecule (e.g. a first MAb of a sandwich pair or a first portion of polyclonal antibody) is conjugated to the 5' end of a chimeric DNA/RNA oligonucleotide. In one aspect of this method, the RNA portion of the DNA/RNA oligo comprises 30 bases at the 3' end. Typically, a unique primer site is located at the 5' DNA terminus of the DNA/RNA oligo. The second specificity molecule (e.g., second MAb or a second portion of polyclonal antibody) is conjugated to the 3' end of a DNA oligonucleotide optionally synthesized with one or more 3' phosphoranidite spacers to increase overall length. In one aspect of this method, the DNA oligo is at least 60 bases long. Typically, a unique primer binding site is located at the 5' end of the DNA oligo. According to this method, the oligonucleotides form a duplex of relatively long RNA-DNA hybrid, typically 20-40 base pairs in length, followed by a short stretch of DNA-DNA hybrid, of approximately 7-15 base pairs. (FIG. 7), After analyte complex formation, RNA digestion, melting and reannealing, the binding pairs of this embodiment can be extended by polymerase in only one direction from the exposed 3' DNA terminus (FIG. 7). Steric and torsional constraints imposed by 3' overlaps are eliminated, as described above. Enzymatic digestion of the binding pair results in a short, DNA-DNA duplex, which is relatively unstable and thereby minimizes reformation of binding pair from free binding members in the bulk solution. It will be understood that the application of the teachings of the present invention to a specific problem or situation will be within the capabilities of one having ordinary skill in the art in light of the teachings contained herein. The invention will be further illustrated by reference to the following non-limiting Examples. The following examples, including experiments and results achieved, are provided for illustrative purposes only and are not to be construed as limiting the present invention.
WO 2006/137932 PCT/US2005/040133 48 EXAMPLES Example 1: Activation of 5' Amino DNA Template Two 60-base single-strand DNA sequences [SEQ ID NOS. 1 and 3] were synthesized to contain a single primary amine group attached to the 5'end via a 12 carbon spacer ann (Glen Research, Sterling, VA). The sequences were complimentary to each other for the last 15 bases on the 3' terminus. Both were treated identically. The 5' amino-DNA (350 jg) was dissolved in 25 d 0.05 M sodium phosphate buffer, pH 7.0. Disuccinimidyl suberate was dissolved in dry DMSO at a concentration of 10 mg/ml, and a 50 Rl aliquot was added immediately to the DNA solution and mixed by gentle re pipetting. After one minute at room temperature, the reaction mixture was injected onto a 0.5 x 20 cm G-25 (fine) column plumbed to a Pharmacia FPLC system. The column was equilibrated in 5 mM citric acid, adjusted to pH 5.4 with 0.1 M sodium hydroxide, and developed at a flow rate of 0.5 ml/min at room temperature. The first eluted peak was collected directly into an Microcon* YM- 10 centrifugal ultra filtration (Millipore, Billerica, Mass.) unit embedded in ice. The suberate-activated template DNA was concentrated at 4* C and 5000 x g for 30 minutes, to 200-300 p1. The DNA concentration was quickly assessed by absorbance at 260 nm. Aliquots containing 1.0 A 260 unit (approximately 30 RI) were dispensed into micro centrifuge tubes containing 5 gi of 10% mannitol, and frozen immediately in dry ice/acetone bath. The frozen aliquots were lyophilized to dryness, sealed under dry argon and stored at -20* C. The activity of the lyophilized, activated DNA was assessed by conjugation to a small aminecontaining molecule. Glutathione at 50 mg/ml in 0.1 M sodium phosphate, pH 8.0 was reacted with a stoichiometric amount of N-ethyl maleimide (NEM). The pH WO 2006/137932 PCT/US2005/040133 49 was re-adjusted to 8.0 with sodium hydroxide. One A 260 unit of suberate-activated DNA was dissolved in 10 gl of NEM-treated glutathione, then diluted 25-fold with water to 4.0 A 260 units/ml. Conjugation with alkylated glutathione resulted in a slower migrating band compared to 5' amino DNA when electrophoresed on a 15% polyacrylamide TBE urea gel. Suberate-activated DNA, purified and lyophilized under the conditions described above, typically exhibited nearly 100% conjugation to NEM-treated glutathione, indicating complete suberate activation and maintenance of amine reactivity. Example 2: Coniugation of Sandwich-Paired Anti-PSA MAb to Suberate Activated DNA The labeling of sandwich paired anti-PSA monoclonal antibodies (cMAb and rMAb) has previously been reported. See U.S. Patent Application Serial No. 10/70 1,347. In certain experiments, cMAb was labeled with single-strand DNA oligonucleotides comprising SEQ ID NO.: 1, and rMAb was conjugated to either SEQ ID NO.:2 or SEQ ID NO.:3 using the methods described in U.S. Patent Application Serial No. 10/701,347 (the contents of which is incorporated herein by reference in its entirety). For the experiments of the present invention, sandwich-paired MAbs, directed against different epitopes on PSA, were obtained from BiosPacific, Inc. (Emeryville, CA) and each was conjugated to one of the activated overlap DNA sequences. One hundred microliters MAb (1 mg/ml) was buffer exchanged and concentrated into 0.1 M sodium phosphate, 0.15 M sodium chloride, pH 8.25 by two passes through a Microcon* 50 centrifugal ultra filtration unit (Millipore, Billerica, Mass.) at 10,000 x g in a micro centrifuge at room temperature. The final volume of 25-50 gl was collected by centrifugation into a micro centrifuge tube and added to a lyophilized pellet of activated DNA (prepared as described above in Example 1). The conjugation reaction was allowed to proceed for several hours at room temperature.
WO 2006/137932 PCTIUS2005/040133 50 The degree of antibody labeling with DNA was assessed by SDS and/or native protein gel electrophoresis. The incorporation of one or more strands of DNA into an antibody structure increased both the molecular weight and electronegativity. Antibody labeled with DNA appeared as distinct, slower migrating bands when electrophoresed on 4% polyacrylamide-SDS gels, with the rate of electrophoretic migration corresponding to the degree of DNA incorporation. The same conjugated molecules migrated faster than the corresponding underivatized antibody on 4-12% native protein gel electrophoresis. The separation was more dramatic, but less defined for higher order conjugates on native gels. The extent of DNA conjugation varied from 50 to 100%, depending on the relative reactivity and exposure of lysine amine groups in each antibody structure. The conjugates were found to have an average labeling density of 2.5. In some experiments, the reaction mixture containing antibody-DNA conjugates was added to a second lyophilized pellet of activated DNA to increase the extent of antibody labeling with DNA. Unreacted DNA was removed from the conjugate by FPLC gel filtration chromatography using a SephacryltM S-200 column (Amersham Biosciences) equilibrated with TBS, at a flow rate of 0.4 mL/min. The first eluted peaks consist of conjugated and unconjugated MAb. Pure conjugate was obtained by FPLC anion exchange chromatography using a Mono QTM column (Amersham Biosciences) equilibrated in 20 mM Tris buffer, pH 7.4 and eluted with NaCl salt gradient (0.0-1.0 M) at a flow rate of 0.5 ml/min. MAb-DNA conjugate eluted at 60-70% salt. The MAb-DNA conjugates were individually concentrated by centrifugal ultrafiltration and assayed for protein using a BCA Protein Assay (Pierce Biotechnology, Inc., Rockford, K,). Equal amounts of both conjugates were combined to form the WO 2006/137932 PCT/US2005/040133 51 binding pair, which hybridize to form a single molecule. Sodium azide was added to a final concentration of 0.1% and the binding pair reagent was stored at 4" C. Example 3: Homogeneous Assay for Prostate Specific Antigen The binding pair of Example 2 was diluted to 20 pM and combined with an equal volume of a dilution series of antigen containing 0 to 1 ng/ml PSA. The antigen-binding pair mixture was incubated for two hours at 370 C. The incubation allowed formation of binding complexes comprising one antigen molecule and one binding pair molecule, with the antibody regions of each member of the binding pair bound to a distinct epitope on the PSA antigen. All salts were intentionally omitted to diminish hybridization of the overlap oligonucleotide labels in the reaction solution. Following incubation, an aliquot of the incubation mixture was removed, diluted 1:100 in 10 mM Tris, 0.1% BSA, pH 8.0 to reduce the conjugate concentration to below 1 pM and warmed for 3 min. at 45* C. The warming step effectively separated the members of the binding pair from each other by dissociating the overlap duplex regions of both uncomplexed binding members free in solution and antigen-complexed binding pairs. An equal volume of 2X PCR mix (20 mM tris-HCI, pH 8.3; 100 mM KCl; 7 mM MgCl 2 ; 400 pM each dNTP; 50 U/ml AmpliTaq* (Applied Biosystems, Foster City, CA) containing 400 pM of each primer (SEQ ID NOS.: 4 and 5) was added. The temperature was lowered to 23* C to preferentially reanneal DNA strands associated with analyte-binding pair complexes and initiate the first chain extension, and the reaction mixture was incubated at room temperature for 3 minutes. Under these conditions, the complementary DNA regions of complexed binding pair members re-anneal rapidly to reform the overlap hybrid of the binding pair reagent due to their close proximity and orientation. Thus, the DNA regions of complexed binding pairs can be extended by Taq polymerase, thereby forming a template for PCR.
WO 2006/137932 PCT/US2005/040133 52 Uncomplexed, free binding pair members, however, do not re-anneal to a significant extent prior to or during the amplification reaction because they are too dilute. The reaction solution (50 ld) was transferred to the well of a microtiter plate, sealed and subjected to real-time PCR thermocycling. The temperature was ramped from 50' C to 85* C over 3 minutes and then held at 950 C for 2 minutes. 45 cycles of 95* C for 15 seconds and 62' C for I minute were then performed. The results of a typical experiment are shown in FIG. 8. As shown in this Figure, a sample containing 100 fg/ml PSA was detectable over background (i.e., when compared to control samples containing no PSA). Example 4: Homogeneous Assay for . coli 0157 E. coli cells were obtained from ATCC (Manassas, VA) and grown in liquid culture. Cell concentration was determined by the appearance of colonies on agar media grown overnight at 370 C. Polyclonal antibodies against . coli 0157 were obtained from KPL, Inc. (Gaithersburg, Maryland) and conjugated to nucleic acid marker oligos having complementary overlapping sequences, according to the procedures described in Examples 1 and 2. Aliquots of the same polyclonal antibody preparation were labeled individually, each with one of the two overlap oligonucleotides, purified and combined stoichiometrically to produce a binding pair reagent. Bacterial cells were suspended in neutral buffer (10 mM Tris, pH 7.5) to stop active growth and treated with an equal volume of 20 to 200 pM binding pair reagent for two hours at room temperature. The binding of one antibody member of the binding pair to a cell surface protein enhances the binding of the second member, forming a molecular bridge joining two adjacent binding sites on a cell. The cell suspension was then diluted 1:100 in 10 mM Tris, pH 7.5, and warmed to 45*-50* C to dissociate excess binding pair WO 2006/137932 PCT/US2005/040133 53 reagent to independent binding pair members. An equal volume of 2X PCR mix containing 400 pM primers was added and the mixture incubated for 3 minutes at room temperature. The reaction (50 lI) was transferred to the well of a microtiter plate, sealed and subjected to real-time PCR under the conditions described above in Example 3. Prior to PCR, a sample was also removed for determination of bacterial cell number by plating onto solid media. Following 45 amplification cycles, a lower limit of 10-50 intact cells were detected using this method. Example 5: Homogeneous Assay for PSA Troponin T using 3'-3' and 3'-5' Overlap of Conjugated DNA Labels Enhanced assay sensitivity may be gained by the use of binding pair reagents comprising one binding pair member composed of one DNA strand of an overlapping pair conjugated to one MAb of a sandwich pair at the 5' end as described in Example 1 and the second DNA strand conjugated to the other MAb via the 3' end. The 3' end of the 5' conjugate hybridizes to an internal sequence of the 3' conjugate, producing a binding pair where extension of the free 3' end occurs away from the center of mass of a formed complex and towards a freely rotating terminus. Such an orientation may improve the efficiency of chain extension over previously described 3'-3' overlap binding pairs by allowing for greater steric access of polymerase and the dissipation of torsional stress during initial polymerization. The binding members of this example are formed and purified as described in Examples 1 and 2, using monoclonal antibody sandwich pair obtained from Roche Diagnostics, Indianapolis, IN. The 5' DNA labels [SEQ ID NOS. 6 and 7] were comprised of 60 bases having the 3' terminus complimentary for 9 bases. In addition, SEQ ID NO. 6 was complimentary with an internal 9 base sequence of a 3' DNA label of 75 bases [SEQ ID NO 8]. The 3' DNA label may also be synthesized to contain one or WO 2006/137932 PCT/US2005/040133 54 several Spacer Phosphoramidites (Glenn Research) on the 3'end to compensate for the lost length of the binding pair crated by the internalized hybridization. SEQ ID NO. 6 was arbitrarily conjugated to monoclonial antibody designated, MAK<TNT>M-7. SEQ ID NOS. 7 and 8 were conjugated to monoclonial antibody designated, MAK<TN-T>M 11-7. The conjugation chemistry and purification remained the same. The binding pair comprising a stable internal overlap hybrid segment is diluted, reacted with Troponin-T and amplified in the presence of downstream primers (SEQ ID NOS. 9 and 10) as described for Example 3. The free and complexed binding pair has similar melting and re-association properties as that of a 3'-3' overlap binding pair of the same sequence. The outward orientation of initial polymerization of a 3'-5- overlap improves efficiency of template sequence generation in those instances where the sandwich complex bulk may hinder the progression of the Taq polymerase. Amplification of a greater number of initial template molecules allows faster signal threshold in real-time PCR and greater assay sensitivity. The homogeneous assay for Troponin-T using a 3'-3' overlap binding pair reagent exhibited detection sensitivity similar to that of PSA (example 3). The corresponding homogeneous assay for Troponin T using the 3'-5' overlap orientation yielded a 2-4 fold improvement. Example 6. Homogeneous Assay for Streptavidin using 3'-3' and 3'-5' Biotin Labeled Overlap DNA. An example of the extreme sensitivity that can be achieved in a homogeneous immuno-PCR format was demonstrated by the detection of streptavidin. Streptavidin serves as the "antigen" in this model system, having a molecular diameter of approximately 60 angstroms. The terminal amino functions of SEQ ID NOS. 6, 7 and 8 were labeled with sulfosuccinimidyl 2-(biotinamido) ethyl-1,3'dithiopropionate (Pierce Biotechnology, Inc., Rockford, IL) and purified by FPLC gel filtration chromatography.
WO 2006/137932 PCT/US2005/040133 55 Each DNA label is over 200 angstroms in length when fully extended, and guarantees ability to span the distance required to achieve overlap hybridization. Streptavidin (Prozyme, San Leandro, CA) was dissolved in 10 mM Tris containing 0.05% tween-20 and 0.05% sodium azide, pH 8.0 and allowed to form a complex with both 3'-3' and 3'-5' overlap DNA labeled with biotin, present at a final concentration of 10-100 pM. The complex was detected by treatment with the addition 2X PCR mix for 15 minutes, warmed to 37C, and subjected to real-time PCR cycling in the presence of downstream primers (SEQ ID NOS. 9 and 10). Streptavidin could be detected at an input of approximately 500 molecules (50 attograms) when assayed in the 3'-5' overlap configuration and 2000 molecules in the 3'-3' orientation. SEQ ID NO. 6 5'(C6) NH2 ATATACCCCC GCTGCCATGA TATCACTCTG TATAAATITG TATGCTATTC ACGATTGGGA 3' SEQ ID NO. 7 5'(C6) NH2 ACTCTTCGCA ACAGATCCAC ACGTACACAT CCAAACTAGC TTCCACCACC ATCCCAATCG 3' SEQ ID NO. 8 5' ACTCTTCGCA ACAGATCCAC ACGTACGTCC CAATCGAAAG TAAACAGTTT AAACATATGT AGCGCGTCTC CTCAT NH2 (C6) 3' SEQ ID NO. 9 5' ATATACCCCC GCTGCCATGA TATC 3' SEQ ID NO. 10 5' ACTCTTCGCA ACAGATCCAC ACGT 3' WO 2006/137932 PCT/US2005/040133 56 Example 7: Homogeneous Assay for PSA using 3 '-5' Conjugation of Overlap DNA Labels The binding members of this method can be formed and purified as described in Examples 1 and 2, except that one of the nucleic acids is coupled via its 3' end. The 5' DNA label is a 60 base oligonucleotide with a 3' terminus complimentary to 15 bases of an internal sequence of the 3' DNA label. The 3' DNA label is synthesized to contain spacer phosphoramidites (Glenn Research, Sterling, VA) on the 3' end to compensate for the lost length of the binding pair created by the internalized hybridization. The conjugation chemistry and purification are performed as described above. The binding pair comprising a stable internal overlap hybrid segment is diluted, reacted with PSA and amplified as described in Example 3. The free and complexed binding pairs have similar melting and re-association properties as 3'-3' overlapped binding pairs, which are dictated by the thermodynamic properties of DNA base-pairing. The outward orientation of initial polymerization improves efficiency of template sequence generation. Amplification of a greater number of initial template molecules allows faster signal threshold in real-time PCR and greater assay sensitivity. Example 8: Homogeneous Assay of PSA Employing Enzymatic Digestion Improved sensitivity for the homogeneous detection of protein antigens and microorganisms can be achieved by the use of binding members comprising antibody conjugated to single-strand nucleic acids with deoxyribose bases at the 5' end and ribose bases at the 3' end. Nucleic acid strands composed of both deoxyribose and ribose nucleotide monomer containing a 5' amino function, are synthesized by standard phosphoramidite chemistry. Alternatively, a short 3' DNAIDNA overlap may be filled in enzymatically with RNA polymerase. Overlapping nucleic acid labels made up of both WO 20061137932 PCT/US2005/040133 57 DNA and RNA are synthesized starting with RNA phosphoramidite for the first 26 bases. The remaining 59 bases are synthesized with DNA phosphoramidite, terminating in a
(C
12 ) amino function. The first 25 bases from the 5' ends represent unique primer sequences. The next 26 DNA bases are complimentary to the 26 RNA bases of the overlapping strand. The next 9 DNA bases are complimentary to the next 9 DNA bases of the overlapping strand, thus the DNA/RNA labels are complementary on the 3' ends for the entire stretch of RNA sequence and for about 9 bases of DNA sequence. The binding pair consists of two binding members attached via a relatively lengthy stretch of DNA/RNA duplex and a relatively short stretch of DNA/DNA duplex. When conjugated to sandwich MAbs against PSA, as described in Examples 2 & 3, and combined stoichiometrically, the resulting binding pair contains a 110 base nucleotide bridge of which 60 internal bases were paired. This reagent is used as in Example 3 to detect PSA. The binding pair forms a complex with analyte by recognition of two PSA epitopes by the two antibody members of the pair. The nucleic acid duplex region of the antigen-binding pair complex, particularly the DNA/RNA heteroduplex region, is stable at elevated temperatures and ensures the formation of a complex containing binding members locked into a specific orientation and distance from each other in the binding pair complex. Upon formation of the antigen-binding pair complex, the reaction is diluted only 10-fold and treated with RNAse H (Promega Corp., Madison, WI) for 30 min. at room temperature to digest the RNA strands of both the complexed and excess binding pairs, leaving a short, relatively unstable binding pair joined by the residual DNA/DNA duplex. The resulting binding pair is thermally dissociated by warming to 45" C for 3 minutes, then cooled to room temperature. The remaining short DNA/DNA overlap reassociate rapidly, if only WO 2006/137932 PCT/US2005/040133 58 transiently, in the immune complex. Only the binding members fixed into position on the complex rapidly reassociate upon reducing the temperature. The dissociated binding members are unable to reform binding pairs due to their low concentration and the limited stability of the short DNA/DNA overlap. Having binding members with DNA labels of shortened 3' overlap reduces the requirement for dilution of the complex formation reaction and, therefore, improves sensitivity of the assay as compared to the assay of Example 3, above. PCR mix and primers are added, and real-time PCR amplification is performed as described above. Example 9: Homogeneous Assay for PSA Using Enzymatic Digestion and 3 '-5' Con iugation. By combining the features described above, a homogeneous assay can be devised for protein antigens and microorganism that approaches the sensitivity achieved for nucleic acid detection. The first MAb of a sandwich pair is conjugated to the 5' end of a chimeric DNA/RNA oligonucleotide. It will be appreciated that a first portion of polyclonal antibody can be used in place of the Mab. The RNA portion of the DNA/RNA oligo comprises 30 bases at the 3' end. A unique primer site is located at the 5' DNA terminus of the DNA/RNA oligo. The second Mab (which could be substituted by a second portion of polyclonal antibody) is conjugated to the 3' end of a 64-mer DNA oligonucleotide which is synthesized with several 3' phosphoramidite spacers to increase overall length. The 5' terminal 25 bases from the 5' end of the 64-mer represent a unique primer site. The next 30 bases are complimentary to the 30 RNA bases of the DNA/RNA oligo. The last 9 bases are complimentary to the DNA segment adjacent to the RNA segment (FIG. 7). Combining both binding members produces a binding pair with an internal 9 base pair DNA/DNA hybrid adjacent to a 30 base pair DNA/DNA hybrid, as illustrated in WO 2006/137932 PCT/US2005/040133 59 Figure 7. After immune complex formation, RNA digestion, melting and reannealing, the binding pair could be extended by polymerase in only one direction from the exposed 3' DNA terminus (see Fig. 7). Steric and torsional constraints imposed by 3' overlaps are eliminated, as in Example 5. Enzymatic digestion of the binding pair results in a short 9 base pair overlap, which is relatively unstable and minimizes reformation of the binding pair in the bulk solution. PCR amplification is carried out as described above.
Claims (35)
- 2. The binding pair of claim 1, wherein the first and second specificity molecules interact with different molecules.
- 3. The binding pair of claim 2, wherein the different molecules are two receptors on a single celi.
- 4. The binding pair of any preceding claim, wherein the first and second antibodies are monoclonal antibodies.
- 5. The binding pair of claim 4, wherein the first antibody and the second antibody interact independently with epitopes on the same antigen.
- 6. The binding pair of claim 4 or claim 5, wherein the first antibody and the second antibody comprise a sandwich pair.
- 7. The binding pair of any preceding claim, wherein the first and second nucleic acids are single-strand nucleic acids.
- 8. The binding pair of any preceding claim, wherein the first nucleic acid comprises SEQ ID NO.1 and the second nucleic acid comprises SEQ ID NO.:2 or SEQ ID NO.3.
- 9. The binding pair of any one of claims I to 7, wherein the first and second nucleic acids are each independently selected from DNA, RNA, and PNA.
- 10. . The binding pair of any one of claims I to 7, wherein at least one of the first and second nucleic acids is a chimeric DNA/RNA molecule. 61
- 11. The binding pair of any preceding claim, wherein the duplex is formed between the terminal 3' end of the first nucleic acid and an internal sequence of the second nucleic acid.
- 12. The binding pair of any preceding claim, wherein the nucleic acid hybrid is suitable for amplification by PCR, LCR, SDA, or TMA.
- 13. A method for detecting an analyte, comprising: a) contacting a binding pair comprising: a first binding member comprising a first specificity molecule coupled to a first nucleic acid; and a second binding member comprising a second specificity molecule coupled to a second nucleic acid, wherein the first and second nucleic acids form a duplex of defined and limited stability, with an analyte to form a complex; b) dissociating the duplex; c) allowing the first and second nucleic acids to reassociate, thereby generating a reformed duplex; d) extending the 3' ends of the reformed duplex; and e) detecting the reformed duplex, thereby detecting the analyte,
- 14. The method of claim 13, wherein step (b) comprises heating the complex to a temperature in excess of the melting temperature of the duplex, and optionally further comprises diluting the complex.
- 15. The method of claim 13 or claim 14, wherein the complex is formed in an aqueous solution comprising a salt and step (b) comprises decreasing the salt concentration of the aqueous solution.
- 16. The method of any one of claims 13 to 15, wherein step (e) comprises amplification of a nucleic acid molecule comprising the reformed duplexes and detecting a product of the amplification, wherein optionally the amplification is accomplished by PCR, LCR, SDA, or TMA. 17, The method of claim 16, wherein the amplification is accomplished by PCR using primers that bind only to sites generated by extending the 3' ends of the reformed duplex in step (d).
- 18. The method of claim 16 or claim 17, wherein the product of the amplification is detected by a method selected from: staining with ethidium bromide, silver staining, autoradiography, dot blotting, slot blotting, and southern blotting. 62
- 19. The method of any one of claims 13 to 18, wherein detecting the reformed duplex is accomplished by incorporating a detection molecule into at least one of: the first single-strand nucleic acid, the second single-strand nucleic acid, the duplex region of the binding pair, and the amplification product.
- 20. The method of claim 19, wherein the detection molecule is selected from: a fluorescent molecule, a fluorescence quencher molecule, a chemiluminescent compound, a chemiluminescence quencher molecule, a bioluminescent molecule, a radioactive molecule and a fluorescent nucleotide.
- 21. The method of any one of claims 13 to 20, wherein at least one of the first and second nucleic acids is a chimeric DNA/RNA molecule and the complex of step (a) is digested with RNAse prior to dissociating the duplex in step (b).
- 22. A method for the detection of PSA, said method comprising: a) providing a first binding member comprising a monoclonal antibody directed to a first epitope on prostate specific antigen coupled to a first single-strand nucleic acid and a second binding member comprising a monoclonal antibody directed to a second epitope on prostate specific antigen coupled to a second single-strand nucleic acid, wherein the first single-strand nucleic acid hybridizes to the second single-strand nucleic acid, thereby forming a binding pair that is linked through a nucleic acid duplex; b)contacting the binding pair with a sample, wherein the sample comprises PSA in a solution, thereby forming a binding pair-PSA complex; c) heating the binding pair-PSA complex to dissociate nucleic acid duplexes; d) incubating the binding pair-PSA complex under conditions that permit reassociation of binding members bound to PSA, but does not allow substantial reassociation of excess free binding members in the solution; and e) detecting binding pair duplexes, thereby detecting PSA.
- 23. The method of claim 22, wherein the first and second monoclonal antibodies together form a sandwich pair of monoclonal antibodies to PSA.
- 24. The method of claim 22 or claim 23, wherein the sample is selected from a blood sample, a serum sample, a plasma sample or a tissue sample. 63
- 25. The method of any one of claims 22 to 24, wherein the first single-strand nucleic acid comprises SEQ ID NO.:! and the second single-strand nucleic acid comprises SEQ ID NO.:2 or 3.
- 26. The method of any one of claims 22 to 25, wherein step (c) is performed at 45*C, and step (d) is performed at room temperature.
- 27. The method of any one of claims 22 to 26, wherein the detecting step comprises amplifying the duplex region, wherein optionally the amplifying comprises the steps of: a) extending the 3' ends of the duplex with a DNA polymerase, wherein the extension generates at least one primer binding site; and b) performing polymerase chain reaction on the extended duplex using at least one primer complementary to the at least one primer binding site of step (a).
- 28. A method for the detection of a cell, comprising: a) providing a sample comprising at least one cell; b) providing a first binding member comprising an antibody directed to an epitope on the cell coupled to a first single-strand nucleic acid, and a second binding member comprising an antibody directed to an epitope on the cell coupled to a second single strand nucleic acid, wherein the first single-strand nucleic acid hybridizes to the second single-strand nucleic acid, thereby forming a binding pair that is linked through a nucleic acid duplex; c) contacting the binding pair with a sample, thereby forming a binding pair-cell complex; d) dissociating the nucleic acid duplex; e) incubating the duplex under conditions that permit reassociation of binding members bound to the cell, but does not allow substantial reassociation of excess free binding members, thereby generating a reformed duplex; f detecting a nucleic acid containing the reformed duplex, thereby detecting the cell.
- 29. The method of claim 28, wherein the cell is selected from, a bacterial cell, an animal cell, a plant cell and a fungal cell, wherein optionally the cell is a human cell, and further optionally wherein the human cell is diseased. 64
- 30. The method of claim 28 or claim 29, wherein the first nucleic acid comprises SEQ ID NO.:1 and the second nucleic acid comprises SEQ 10 NO.:2 or 3.
- 31. The method of any one of claims 28 to 30, wherein the first and second antibodies are polyclonal antibodies, wherein optionally the first and second antibodies are aliquots of the same polyclonal antibody.
- 32. The method of any one of claims 28 to 31, wherein step (d) comprises heating the solution, wherein optionally the heating is performed at about 454C, and further optionally the heating is performed at temperature above the melting temperature of the duplex.
- 33. The method of any one of claims 28 to 32, wherein step (e) comprises diluting the complex; and incubating the diluted complex at room temperature, wherein optionally the complex is diluted at least 10 fold, and further optionally the complex is diluted at 20 least 100 fold.
- 34. The method of any one of claims 28 to 33, wherein step (f) comprises amplifying a nucleic acid comprising the reformed duplex, wherein optionally amplifying comprises the steps of a) extending the 3' ends of the duplex with a polymerase, wherein extending generates a binding site for at least one primer; and b) performing polymerase chain reaction on the extended duplex using at least one primer complementary to the binding site generated in step (a).
- 35. The method of claim 34, wherein the at least one primer comprises SEQ ID NO.:4 or 5.
- 36. The method of any one of claims 28 to 35, wherein the first nucleic acid is coupled to the first antibody through its 3' terminus and the second nucleic acid is coupled to the second antibody through its 5' terminus, and wherein optionally at least one of the first and second nucleic acids is attached to its respective antibody through a spacer.
- 37. A method for detecting an analyte, the method comprising the steps of: a) providing a sample comprising an analyte; b) providing a first binding member comprising an antibody that interacts with the analyte coupled to a first single-strand nucleic acid, wherein the first single-strand nucleic acid comprises a 5' DNA sequence and a 3' RNA sequence, wherein the first single-strand nucleic acid is coupled to the binding member through its 5' end; 65 c) providing a second binding member comprising an antibody that interacts with the analyte coupled to a second single-strand nucleic acid, wherein the second single-strand nucleic acid comprises DNA coupled to the binding member through its 3' end, wherein the second single-strand nucleic acid hybridizes to the first single-strand nucleic acid, thereby forming a binding pair that is linked through a nucleic acid duplex consisting of regions of both DNA-DNA hybrid and DNA-RNA hybrid; d) contacting the binding pair with the sample, thereby forming a binding pair-analyte complex; e) digesting the complex with RNase; f) dissociating the nucleic acid duplex; g) incubating the solution under conditions that permit reassociation of binding members bound to the analyte, but does not allow substantial reassociation of excess free binding members, hereby generating a reformed duplex; h) extending the 3' ends of the reformed duplex, wherein the extending generates at least one PCR primer binding site; i) amplifying a nucleic acid comprising the reformed duplex by PCR using at least one primer that binds to the at least one PCR primer binding site generated in step (h); and j) detecting the amplified nucleic acid of step (i), thereby detecting the cell.
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CN112730840A (en) * | 2021-01-29 | 2021-04-30 | 章毅 | Method for identifying CD44 and CD24 molecular phenotype |
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CN112730840A (en) * | 2021-01-29 | 2021-04-30 | 章毅 | Method for identifying CD44 and CD24 molecular phenotype |
CN112730840B (en) * | 2021-01-29 | 2023-10-17 | 章毅 | Method for identifying CD44 and CD24 molecular phenotypes |
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