CN101858914A - Syphilis-specific total antibody colloidal gold immunochromatography detection reagent strip and preparation method thereof - Google Patents
Syphilis-specific total antibody colloidal gold immunochromatography detection reagent strip and preparation method thereof Download PDFInfo
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Abstract
梅毒特异性总抗体胶体金免疫层析检测试剂条及其制备方法,涉及一种梅毒特异性总抗体检测试剂。设有载体板、加样垫、胶体金垫、硝酸纤维膜、梅毒特异性总抗体检测线、对照线和吸收垫。制备梅毒重组抗原TPN17和TPN47硝酸纤维素膜的点样;制备胶体金;胶体金与TPN17、TPN47的标记;制备免疫层析检测条。可用于全血、血清、血浆及脑脊液等标本中梅毒特异性总抗体的检测。在检测时,所需的标本量极小,不需要特殊仪器,肉眼直接判读结果,且检测简便快速,特异性强,灵敏度高,准确可靠,成本低,应用广泛。
A syphilis-specific total antibody colloidal gold immunochromatographic detection reagent strip and a preparation method thereof relate to a syphilis-specific total antibody detection reagent. It is equipped with a carrier plate, a sample pad, a colloidal gold pad, a nitrocellulose membrane, a syphilis-specific total antibody detection line, a control line and an absorption pad. Preparation of recombinant syphilis antigen TPN17 and TPN47 nitrocellulose membrane spotting; preparation of colloidal gold; labeling of colloidal gold and TPN17, TPN47; preparation of immunochromatographic detection strips. It can be used for the detection of syphilis-specific total antibodies in samples such as whole blood, serum, plasma and cerebrospinal fluid. In the detection, the required sample volume is extremely small, no special equipment is required, and the results can be directly interpreted with the naked eye. The detection is simple and fast, with strong specificity, high sensitivity, accuracy and reliability, low cost, and wide application.
Description
技术领域technical field
本发明涉及一种梅毒特异性总抗体检测试剂,尤其是涉及一种采用胶体金免疫层析技术(immunochromatography)进行的梅毒特异性总抗体胶体金免疫层析检测试剂条及其制备方法。The invention relates to a syphilis-specific total antibody detection reagent, in particular to a syphilis-specific total antibody colloidal gold immunochromatography detection reagent strip and a preparation method thereof.
背景技术Background technique
梅毒(Syphilis)是一种由梅毒螺旋体(Treponema pallidum,TP)引起的性传播性疾病,其病原体是梅毒螺旋体,属螺旋体科。梅毒螺旋体主要通过性接触、输血、创口或者胎盘等途径传播。梅毒螺旋体从感染区附近的淋巴结进入血液,播散全身,使机体几乎所有的组织及器官受累,临床表现为全身性,可分为不同临床阶段,包括一期、二期、三期和潜伏期。世界卫生组织(WHO)曾乐观地预言:“由于有高敏度检测方法和高效的治疗方案,梅毒是一种能够通过公共卫生措施得到成功控制的性传播性疾病”。遗憾的是,至今梅毒依然是世界范围的公共卫生问题,缺乏有效的行政控制措施,每年全球大约有1200万的患者,其中60万孕妇患者。(参见:Health Protection Agency Centre for Infections.International Encyclopediaof Public Health-Syphilis[M].London,UK:Health Protection Agency Centre,2008,289-297)事实上,梅毒的感染现状可能要比想象中的更让人悲观。Syphilis is a sexually transmitted disease caused by Treponema pallidum (TP), and its pathogen is Treponema pallidum, which belongs to the family Treponemaceae. Treponema pallidum is mainly transmitted through sexual contact, blood transfusion, wound or placenta. Treponema pallidum enters the blood from the lymph nodes near the infected area, spreads throughout the body, and affects almost all tissues and organs of the body. The World Health Organization (WHO) once predicted optimistically: "Due to the availability of highly sensitive detection methods and efficient treatment options, syphilis is a sexually transmitted disease that can be successfully controlled through public health measures." Regrettably, syphilis is still a worldwide public health problem, and there is a lack of effective administrative control measures. There are about 12 million patients worldwide every year, including 600,000 pregnant women. (See: Health Protection Agency Center for Infections. International Encyclopedia of Public Health-Syphilis[M]. London, UK: Health Protection Agency Centre, 2008, 289-297) In fact, the current status of syphilis infection may be worse than imagined pessimistic.
调查发现,梅毒感染者已经较广泛地存在于普通人群中。The survey found that syphilis infection has been widely present in the general population.
梅毒螺旋体尚不能进行体外培养,梅毒诊断与流行病学调查主要依赖于血清学试验,包括特异性抗体和反应素检测两大类型。梅毒特异性抗体IgM(TP-IgM)和IgG(TP-IgG)抗体分别于2周和4周后产生,即使患者经过足够治疗,其仍能长期存在,甚至终身不消失(参见:Luis J F,Felipe U S,Santa G C,et al.Evaluation of a rapid strip and a particle agglutinationtests for syphilis diagnosis[J].Diagnostic Microbiology and Infectious Disease,2007,59:123-126);而另一种抗体物质反应素产生较晚,一般在受感染后5~7周产生(参见:林月圆.TPPA和TRUST在梅毒诊断中的价值与临床相关问题[J].放射免疫学杂志,2009,22(3):295-297.),而且晚期梅毒、梅毒治疗后期以及潜伏梅毒可能阴性。因此梅毒特异性抗体的阳性率、敏感性显著高于反应素。TP-IgM是梅毒感染后,机体最先出现的特异性抗体。只要有活的梅毒螺旋体存在,其TP-IgM将会维持在一定的水平。Martina H等(参见:Martina H,Daan W N,Mart M,et al.Comparison of a Treponema pallidum IgM immunoblot with a 19S fluorescenttreponemal antibody absorption test for the diagnosis of congenital syphilis[J].DiagnosticMicrobiology and Infectious Disease,2007,59:61-66.)认为TP-IgM是梅毒早期感染并活动的一项血清学标志,李步荣等(参见:李步荣,贺军涛,张毅,等.梅毒螺旋体IgM抗体检测的临床意义[J].第四军医大学学报,2007,28(16):1495-1497)认为TP-IgM与TP-DNA一样,代表着梅毒传染性指标。在排除近期抗梅毒治疗的前提下,TP-IgM若不转阴,提示体内可能残存梅毒螺旋体或治疗不彻底。TP-IgM阴转者随访时再转阳性,表明再次感染梅毒(参见:Rawstron SA,Mehta S,Bromberg K,et al.Evaluation of a Treponema pallidum2specific IgMenzyme immunoassay and Treponema pallidum western blot antibody detection in the diagnosisofmaternal and congenital syphilis[J].Sex Transm Dis,2004,31(2):123-126)。尽管TP-IgM阴性不能完全排除传染性,但TP-IgM阳性必定提示该患者具有传染性。Treponema pallidum cannot be cultured in vitro, and the diagnosis and epidemiological investigation of syphilis mainly rely on serological tests, including two types of specific antibody and reagin detection. Syphilis-specific antibody IgM (TP-IgM) and IgG (TP-IgG) antibodies are produced after 2 weeks and 4 weeks, respectively, and even if the patient receives adequate treatment, they can still exist for a long time, and even persist for life (see: Luis J F , Felipe U S, Santa G C, et al.Evaluation of a rapid strip and a particle agglutinationtests for syphilis diagnosis[J].Diagnostic Microbiology and Infectious Disease, 2007, 59:123-126); while another antibody substance reacts The hormone is produced late, usually 5 to 7 weeks after infection (see: Lin Yueyuan. The value and clinical related issues of TPPA and TRUST in the diagnosis of syphilis [J]. Journal of Radioimmunology, 2009, 22(3) : 295-297.), and late syphilis, late syphilis treatment and latent syphilis may be negative. Therefore, the positive rate and sensitivity of syphilis-specific antibodies were significantly higher than that of reagin. TP-IgM is the first specific antibody that appears in the body after syphilis infection. As long as there are live Treponema pallidum, its TP-IgM will be maintained at a certain level. Martina H et al (see: Martina H, Daan W N, Mart M, et al. Comparison of a Treponema pallidum IgM immunoblot with a 19S fluorescent treponemal antibody absorption test for the diagnosis of congenital syphilis[J].Diagnostic and Microbiology, 2 59:61-66.) believed that TP-IgM is a serological marker of early infection and activity of syphilis, Li Burong et al. Journal of the Fourth Military Medical University, 2007, 28(16): 1495-1497) believes that TP-IgM, like TP-DNA, represents an index of syphilis infectivity. On the premise of excluding the recent anti-syphilitic treatment, if TP-IgM does not turn negative, it indicates that Treponema pallidum may remain in the body or the treatment is not complete. TP-IgM negative turned positive again during follow-up, indicating re-infection with syphilis (see: Rawstron SA, Mehta S, Bromberg K, et al. syphilis [J]. Sex Transm Dis, 2004, 31(2): 123-126). Although a negative TP-IgM does not completely rule out infectivity, a positive TP-IgM must suggest that the patient is infectious.
早期的血清学方法使用完整梅毒螺旋体作为抗原,研究和诊断用的TP是以TP感染兔睾丸获得,这种方法花费大、获得的TP量少、不纯(混有宿主蛋白),与其他病原体存在交叉反应,因此假阳性也时有发生。随着分子生物学技术的普及及梅毒螺旋体抗原的相继克隆,将重组抗原应用于梅毒实验已经越来越多。目前研究比较多的TP抗原有TPN17、TPN47、TPN15、TPN44.5、TPN36、TP0453、TP0684及TPr家族。采用重组DNA技术制备的重组抗原可以克服完整TP抗原的缺点,能快速、经济地制备无限量特异重组TP抗原。Early serological methods used intact Treponema pallidum as an antigen, and TP for research and diagnosis was obtained by infecting rabbit testis with TP. This method was expensive, and the amount of TP obtained was small, impure (mixed with host protein), and other pathogens There is cross-reactivity, so false positives also occur from time to time. With the popularity of molecular biology techniques and the successive cloning of Treponema pallidum antigens, more and more recombinant antigens have been used in syphilis experiments. At present, the TP antigens that have been studied more include TPN17, TPN47, TPN15, TPN44.5, TPN36, TP0453, TP0684 and TPr family. The recombinant antigen prepared by recombinant DNA technology can overcome the shortcomings of the complete TP antigen, and can quickly and economically prepare unlimited specific recombinant TP antigen.
梅毒特异性抗体检测是梅毒确证试验,包括TPHA,TPPA,ELISA,FTA-ABS及Western-blot等,其特异性均较高。然而,面对严峻的防制形式,不但需要特异准确的检测手段,还需要一种更简便快捷的试剂来筛查,以便为临床和疾病防控提供对策。Syphilis-specific antibody detection is a confirmatory test for syphilis, including TPHA, TPPA, ELISA, FTA-ABS and Western-blot, etc., with high specificity. However, in the face of severe forms of prevention and control, not only specific and accurate detection methods are needed, but also a simpler and faster reagent for screening is needed, so as to provide countermeasures for clinical and disease prevention and control.
发明内容Contents of the invention
本发明的目的是提供一种梅毒特异性总抗体胶体金免疫层析检测试剂条及其制备方法。The purpose of the present invention is to provide a syphilis-specific total antibody colloidal gold immunochromatographic detection reagent strip and a preparation method thereof.
本发明所述梅毒特异性总抗体胶体金免疫层析检测试剂条设有载体板、加样垫、胶体金垫、硝酸纤维膜(NC膜)、梅毒特异性总抗体检测线、对照线和吸收垫。The syphilis-specific total antibody colloidal gold immunochromatography detection reagent strip of the present invention is provided with carrier plate, sample pad, colloidal gold pad, nitrocellulose membrane (NC membrane), syphilis-specific total antibody detection line, control line and absorption pad.
加样垫、胶体金垫、硝酸纤维膜和吸收垫依次粘贴在载体板上表面,加样垫的一端设在胶体金垫的一端上,胶体金垫的另一端设在硝酸纤维膜的一端上,吸收垫的一端设在硝酸纤维膜的另一端上,梅毒特异性总抗体检测线和对照线依次设在硝酸纤维膜上;在梅毒特异性总抗体检测线处包被抗人Ig单克隆抗体或梅毒特异性抗原TPN17和/或梅毒特异性抗原TPN47,在对照线处包被羊抗梅毒抗原TPN17和TPN47的IgG抗体。The sample pad, colloidal gold pad, nitrocellulose membrane and absorbent pad are pasted on the surface of the carrier plate in sequence, one end of the sample pad is set on one end of the colloidal gold pad, and the other end of the colloidal gold pad is set on one end of the nitrocellulose membrane One end of the absorbent pad is set on the other end of the nitrocellulose membrane, and the syphilis-specific total antibody detection line and the control line are sequentially set on the nitrocellulose membrane; the syphilis-specific total antibody detection line is coated with anti-human Ig monoclonal antibody Or syphilis-specific antigen TPN17 and/or syphilis-specific antigen TPN47, coated with IgG antibodies of goat anti-syphilis antigens TPN17 and TPN47 at the control line.
所述载体板可采用PVC板。The carrier board can be a PVC board.
所述梅毒特异性总抗体胶体金免疫层析检测试剂条的制备方法,包括以下步骤:The preparation method of the syphilis-specific total antibody colloidal gold immunochromatography detection reagent strip comprises the following steps:
1)制备梅毒重组抗原TPN17和TPN471) Preparation of recombinant syphilis antigens TPN17 and TPN47
采用基因克隆技术,PCR扩增编码梅毒螺旋体抗原的DNA,并插入大肠杆菌中使其表达,得梅毒重组抗原TPN17和TPN47Using gene cloning technology, PCR amplified DNA encoding Treponema pallidum antigen, and inserted it into Escherichia coli to express it, and obtained syphilis recombinant antigens TPN17 and TPN47
2)硝酸纤维素膜的点样2) Spotting on nitrocellulose membrane
在梅毒特异性总抗体检测线上包被抗人Ig单克隆抗体,在对照线处包被羊抗梅毒抗原TPN17和TPN47 IgG抗体,晾干;Anti-human Ig monoclonal antibody is coated on the syphilis-specific total antibody detection line, and sheep anti-syphilis antigen TPN17 and TPN47 IgG antibody are coated on the control line, and dried;
3)制备胶体金3) Preparation of colloidal gold
采用柠檬酸三钠还原方法制备25nm胶体金,取1%氯金酸1mL加入到100mL去离子双蒸水中,得到的氯金酸浓度为0.01%,置于带冷凝装置的烧瓶中加热至沸腾,磁力加热搅拌下加入1%柠檬酸三钠水溶液2.0mL,继续加热直至溶液呈葡萄酒色为止,冷却后置于棕色瓶中4℃冰箱保存备用;Adopt trisodium citrate reduction method to prepare 25nm colloidal gold, get 1% chloroauric acid 1mL and join in 100mL deionized double distilled water, the chloroauric acid concentration that obtains is 0.01%, is placed in the flask with condensing device and is heated to boiling, Add 2.0mL of 1% trisodium citrate aqueous solution under magnetic heating and stirring, continue to heat until the solution turns wine-colored, and put it in a brown bottle after cooling and store it in a 4°C refrigerator for later use;
4)胶体金与TPN17、TPN47的标记4) Labeling of colloidal gold and TPN17, TPN47
胶体金与梅毒特异性抗原TPN17的标记:取胶体金10ml,用0.1mol/L NaOH调至pH5.4,加100μg TPN17,混匀,放置5min,加入5%BSA 1ml混匀,4℃、10000r/min离心1h,弃上清,将沉淀用TBS缓冲液溶解至10ml,4℃、10000r/min离心1h,弃上清,沉淀用TBS稀释至1ml,得胶体金标记的TPN17抗原;Colloidal gold and syphilis-specific antigen TPN17 labeling: Take 10ml of colloidal gold, adjust to pH5.4 with 0.1mol/L NaOH, add 100μg TPN17, mix well, let stand for 5min, add 1ml of 5% BSA and mix well, 4℃, 10000r Centrifuge for 1 hour at 1/min, discard the supernatant, dissolve the precipitate with TBS buffer to 10 ml, centrifuge at 10,000 r/min at 4°C for 1 hour, discard the supernatant, and dilute the precipitate to 1 ml with TBS to obtain colloidal gold-labeled TPN17 antigen;
胶体金与梅毒特异性抗原TPN47的标记同上操作,得胶体金标记的TPN47抗原;The labeling of colloidal gold and syphilis-specific antigen TPN47 is the same as above to obtain the TPN47 antigen labeled with colloidal gold;
将胶体金标记的TPN17抗原和胶体金标记的TPN47抗原混合后,均匀地涂于玻璃纤维膜上,烘干,制备成胶体金垫;Colloidal gold-labeled TPN17 antigen and colloidal gold-labeled TPN47 antigen are mixed, evenly coated on the glass fiber membrane, and dried to prepare a colloidal gold pad;
5)制备免疫层析检测条5) Preparation of immunochromatographic test strips
将加样垫、胶体金垫、硝酸纤维膜和吸收垫依次粘贴在载体板上表面,加样垫的一端设在胶体金垫的一端上,胶体金垫的另一端设在硝酸纤维膜的一端上,吸收垫的一端设在硝酸纤维膜的另一端上,梅毒特异性总抗体检测线和对照线依次设在硝酸纤维膜上;在梅毒特异性总抗体检测线处包被抗人Ig单克隆抗体,在对照线处包被羊抗梅毒抗原TPN17和TPN47的IgG抗体,用切条机切成条状,得梅毒特异性总抗体胶体金免疫层析检测试剂条。Paste the sample pad, colloidal gold pad, nitrocellulose membrane and absorbent pad on the surface of the carrier plate in sequence, set one end of the sample pad on one end of the colloidal gold pad, and set the other end of the colloidal gold pad on one end of the nitrocellulose membrane One end of the absorbent pad is set on the other end of the nitrocellulose membrane, and the syphilis-specific total antibody detection line and the control line are sequentially set on the nitrocellulose membrane; the syphilis-specific total antibody detection line is coated with anti-human Ig monoclonal The antibody is coated with IgG antibodies of goat anti-syphilis antigens TPN17 and TPN47 at the control line, and cut into strips with a strip cutter to obtain colloidal gold immunochromatographic detection reagent strips for syphilis-specific total antibodies.
在步骤2)中,所述抗人Ig单克隆抗体的浓度为1~4mg/mL,羊抗梅毒抗原TPN17和TPN47的IgG抗体由抗TPN17-IgG抗体与抗TPN47-IgG抗体按体积比1∶1混合,其终浓度为1~4mg/mL;三者点样量为1μL/cm。In step 2), the concentration of the anti-human Ig monoclonal antibody is 1 to 4 mg/mL, and the IgG antibody of goat anti-syphilis antigen TPN17 and TPN47 is composed of anti-TPN17-IgG antibody and anti-TPN47-IgG antibody in a volume ratio of 1: 1 mixed, the final concentration is 1-4 mg/mL; the sample volume of the three is 1 μL/cm.
在步骤3)中,所述柠檬酸三钠的浓度可为2%。In step 3), the concentration of trisodium citrate may be 2%.
在步骤4)中,所述将胶体金标记的TPN17抗原和胶体金标记的TPN47抗原混合,最好胶体金标记的TPN17抗原和胶体金标记的TPN47抗原以体积比1∶(0.2~5)混合;所述烘干的温度可为37℃。In step 4), the TPN17 antigen labeled with colloidal gold and the TPN47 antigen labeled with colloidal gold are mixed, preferably the TPN17 antigen labeled with colloidal gold and the TPN47 antigen labeled with colloidal gold are mixed in a volume ratio of 1: (0.2~5) ; The drying temperature may be 37°C.
本发明提供了一种采用胶体金免疫层析技术建立梅毒特异性总抗体胶体金免疫层析检测试剂条,可用于全血、血清、血浆及脑脊液等标本中梅毒特异性总抗体的检测。在检测时,所需的标本量极小,不需要特殊仪器,肉眼直接判读结果,且检测简便快速,特异性强,灵敏度高,准确可靠,成本低,应用广泛。The invention provides a colloidal gold immunochromatography detection reagent strip for syphilis-specific total antibodies established by colloidal gold immunochromatography technology, which can be used for detection of syphilis-specific total antibodies in samples such as whole blood, serum, plasma, and cerebrospinal fluid. In the detection, the required sample volume is extremely small, no special equipment is required, and the results can be directly interpreted with the naked eye. The detection is simple and fast, with strong specificity, high sensitivity, accuracy and reliability, low cost, and wide application.
附图说明Description of drawings
图1为本发明所述梅毒特异性总抗体胶体金免疫层析检测试剂条实施例的结构组成示意图。Fig. 1 is a schematic diagram of the structure and composition of an embodiment of the syphilis-specific total antibody colloidal gold immunochromatographic detection reagent strip of the present invention.
图2为实验结果模式示意图。在图2中,(1)为使用前的示意图,(2)为无效试验(产品质量问题),(3)毒特异性总抗体阴性,(4)毒特异性总抗体阳性。Figure 2 is a schematic diagram of the experimental results model. In Figure 2, (1) is a schematic diagram before use, (2) is an invalid test (product quality problem), (3) the virus-specific total antibody is negative, and (4) the virus-specific total antibody is positive.
具体实施方式Detailed ways
以下实施例将结合附图对本发明作进一步的说明。The following embodiments will further illustrate the present invention in conjunction with the accompanying drawings.
参见图1,本发明所述梅毒特异性总抗体胶体金免疫层析检测试剂条实施例设有载体板1、加样垫2、胶体金垫3、硝酸纤维膜(NC膜)4、梅毒特异性总抗体检测线5、对照线7和吸收垫8。Referring to Fig. 1, the colloidal gold immunochromatographic detection reagent strip embodiment of syphilis-specific total antibody of the present invention is provided with
加样垫2、胶体金垫3、硝酸纤维膜4和吸收垫8依次粘贴在载体板1上表面,加样垫2的一端设在胶体金垫3的一端上,胶体金垫3的另一端设在硝酸纤维膜4的一端上,吸收垫8的一端设在硝酸纤维膜4的另一端上,梅毒特异性总抗体检测线5和对照线8依次设在硝酸纤维膜4上;在梅毒特异性总抗体检测线5处包被抗人Ig单克隆抗体或梅毒特异性抗原TPN17和/或梅毒特异性抗原TPN47,在对照线7处包被羊抗梅毒抗原TPN17和TPN47的IgG抗体。
所述载体板1采用PVC板。The
所述梅毒特异性总抗体胶体金免疫层析检测试剂条的制备方法,包括以下步骤:The preparation method of the syphilis-specific total antibody colloidal gold immunochromatography detection reagent strip comprises the following steps:
1)制备梅毒重组抗原TPN17和TPN471) Preparation of recombinant syphilis antigens TPN17 and TPN47
采用基因克隆技术,PCR扩增编码梅毒螺旋体抗原的DNA,并插入大肠杆菌中使其表达,得梅毒重组抗原TPN17和TPN47。Using gene cloning technology, PCR amplified the DNA encoding Treponema pallidum antigen, and inserted it into Escherichia coli to express it, and obtained syphilis recombinant antigens TPN17 and TPN47.
2)硝酸纤维素膜的点样2) Spotting on nitrocellulose membrane
在梅毒特异性总抗体检测线上包被抗人Ig单克隆抗体,在对照线处包被羊抗梅毒抗原TPN17和TPN47 IgG抗体,晾干,所述抗人Ig单克隆抗体的浓度为1~4mg/mL,羊抗梅毒抗原TPN17和TPN47的IgG抗体由抗TPN17-IgG抗体与抗TPN47-IgG抗体按体积比1∶1混合,其终浓度为1~4mg/mL;三者点样量为1μL/cm。Anti-human Ig monoclonal antibody is coated on the syphilis-specific total antibody detection line, goat anti-syphilis antigen TPN17 and TPN47 IgG antibody are coated on the control line, and dried, and the concentration of the anti-human Ig monoclonal antibody is 1 ~ 4mg/mL, goat anti-syphilis antigens TPN17 and TPN47 IgG antibodies are mixed by anti-TPN17-IgG antibody and anti-TPN47-IgG antibody in a volume ratio of 1:1, and the final concentration is 1-4mg/mL; the sample volume of the three is 1 μL/cm.
3)制备胶体金3) Preparation of colloidal gold
采用柠檬酸三钠还原方法制备25nm胶体金,取1%氯金酸1mL加入到100mL去离子双蒸水中,得到的氯金酸浓度为0.01%,置于带冷凝装置的烧瓶中加热至沸腾,磁力加热搅拌下加入1%柠檬酸三钠水溶液2.0mL,继续加热直至溶液呈葡萄酒色为止,冷却后置于棕色瓶中4℃冰箱保存备用,所述柠檬酸三钠的浓度可为2%。Adopt trisodium citrate reduction method to prepare 25nm colloidal gold, get 1% chloroauric acid 1mL and join in 100mL deionized double distilled water, the chloroauric acid concentration that obtains is 0.01%, is placed in the flask with condensing device and is heated to boiling, Add 2.0 mL of 1% trisodium citrate aqueous solution under magnetic heating and stirring, and continue heating until the solution turns wine-colored. After cooling, place it in a brown bottle and store it in a 4°C refrigerator for later use. The concentration of trisodium citrate can be 2%.
4)胶体金与TPN17、TPN47的标记4) Labeling of colloidal gold and TPN17, TPN47
胶体金与梅毒特异性抗原TPN17的标记:取胶体金10ml,用0.1mol/L NaOH调至pH5.4,加100μg TPN17,混匀,放置5min,加入5%BSA 1ml混匀,4℃、10000r/min离心1h,弃上清,将沉淀用TBS缓冲液溶解至10ml,4℃、10000r/min离心1h,弃上清,沉淀用TBS稀释至1ml,得胶体金标记的TPN17抗原。Colloidal gold and syphilis-specific antigen TPN17 labeling: Take 10ml of colloidal gold, adjust to pH5.4 with 0.1mol/L NaOH, add 100μg TPN17, mix well, let stand for 5min, add 1ml of 5% BSA and mix well, 4℃, 10000r Centrifuge for 1 hour at 1000 rpm, discard the supernatant, dissolve the precipitate in TBS buffer to 10 ml, centrifuge at 10,000 r/min at 4°C for 1 hour, discard the supernatant, and dilute the precipitate to 1 ml with TBS to obtain colloidal gold-labeled TPN17 antigen.
胶体金与梅毒特异性抗原TPN47的标记同上操作,得胶体金标记的TPN47抗原。Colloidal gold and syphilis-specific antigen TPN47 were labeled in the same manner as above to obtain colloidal gold-labeled TPN47 antigen.
将胶体金标记的TPN17抗原和胶体金标记的TPN47抗原混合后,均匀地涂于玻璃纤维膜上,烘干,制备成胶体金垫。The colloidal gold-labeled TPN17 antigen and the colloidal gold-labeled TPN47 antigen are mixed, evenly coated on the glass fiber membrane, and dried to prepare a colloidal gold pad.
所述将胶体金标记的TPN17抗原和胶体金标记的TPN47抗原混合,最好胶体金标记的TPN17抗原和胶体金标记的TPN47抗原以体积比1∶(0.2~5)混合;所述烘干的温度可为37℃。The colloidal gold-labeled TPN17 antigen and the colloidal gold-labeled TPN47 antigen are mixed, preferably the colloidal gold-labeled TPN17 antigen and the colloidal gold-labeled TPN47 antigen are mixed in a volume ratio of 1: (0.2~5); The temperature may be 37°C.
5)制备免疫层析检测条5) Preparation of immunochromatographic test strips
将加样垫、胶体金垫、硝酸纤维膜和吸收垫依次粘贴在载体板上表面,加样垫的一端设在胶体金垫的一端上,胶体金垫的另一端设在硝酸纤维膜的一端上,吸收垫的一端设在硝酸纤维膜的另一端上,梅毒特异性总抗体检测线和对照线依次设在硝酸纤维膜上;在梅毒特异性总抗体检测线处包被抗人Ig单克隆抗体,在对照线处包被羊抗梅毒抗原TPN17和TPN47的IgG抗体,用切条机切成条状,得梅毒特异性总抗体胶体金免疫层析检测试剂条。Paste the sample pad, colloidal gold pad, nitrocellulose membrane and absorbent pad on the surface of the carrier plate in sequence, set one end of the sample pad on one end of the colloidal gold pad, and set the other end of the colloidal gold pad on one end of the nitrocellulose membrane One end of the absorbent pad is set on the other end of the nitrocellulose membrane, and the syphilis-specific total antibody detection line and the control line are sequentially set on the nitrocellulose membrane; the syphilis-specific total antibody detection line is coated with anti-human Ig monoclonal The antibody is coated with IgG antibodies of goat anti-syphilis antigens TPN17 and TPN47 at the control line, and cut into strips with a strip cutter to obtain colloidal gold immunochromatographic detection reagent strips for syphilis-specific total antibodies.
以下给出免疫层析法检测患者的临床标本:The clinical specimens tested by immunochromatography are given below:
参见图2,取待检标本(全血、血清、血浆、脑脊液)5~80μL,静置20min观察结果。只在检测条对照区C有一紫红色条带出现,则判为阴性;在检测区T及对照区C均有一紫红色条带出现,则判为阳性;加样检测后,检测区T和对照区C均不出现紫红色条带,为无效结果。Referring to Figure 2, take 5-80 μL of the specimen to be tested (whole blood, serum, plasma, cerebrospinal fluid) and let it stand for 20 minutes to observe the results. If only a purple band appears in the control area C of the test strip, it is judged as negative; if a purple band appears in both the test area T and the control area C, it is judged as positive; There is no purple band in area C, which is an invalid result.
以下给出梅毒特异性总抗体胶体金免疫层析检测试剂条的性能检定:The performance verification of the syphilis-specific total antibody colloidal gold immunochromatography detection reagent strip is given below:
1)外观检查:白色包被反应膜平整、干净无污染斑点、无裂缝,胶带无开胶,无切斜现象。1) Appearance inspection: The white coated reaction film is smooth, clean, free of pollution spots, cracks, adhesive tape without glue opening, and without cutting and beveling.
2)阳性标本符合率:用TP-总抗体阳性的不同滴度的阳性参比血清各50份采用梅毒特异性总抗体胶体金免疫层析检测试剂条检定,计算阳性符合率。阳性参比血清的确定采用TPPA(日本富士株式会社)法确定的临床标本。2) Coincidence rate of positive specimens: 50 copies of positive reference sera with different titers positive for TP-total antibody were tested by syphilis-specific total antibody colloidal gold immunochromatographic detection reagent strips, and the positive coincidence rate was calculated. The positive reference serum was determined by clinical specimens determined by the TPPA (Fuji Corporation, Japan) method.
3)阴性标本符合率:用50份阴性参比血清检定,计算阳性符合率。阴性参比血清的确定采用TPPA(日本富士株式会社)法确定的临床标本。3) Negative specimen coincidence rate: use 50 negative reference sera to test, and calculate the positive coincidence rate. The negative reference serum was determined by clinical specimens determined by the TPPA (Fuji Corporation, Japan) method.
4)灵敏度检测:用卫生部室内质控血清检测,最低检出限度应小于或等于4NCU/mL,与TPPA(日本富士株式会社)相当。4) Sensitivity detection: use the indoor quality control serum of the Ministry of Health for detection, the minimum detection limit should be less than or equal to 4NCU/mL, which is equivalent to TPPA (Fuji Corporation, Japan).
5)批内差异:同一批次梅毒特异性总抗体胶体金免疫层析检测试剂条,用特征性血清检测,要求阳性血清检测结果显示色带的颜色深浅一致,阴性血清检测的结果阴性。5) Intra-batch variation: The same batch of syphilis-specific total antibody colloidal gold immunochromatographic detection reagent strips is tested with characteristic serum, and the positive serum test results are required to show that the color of the color band is consistent, and the negative serum test results are negative.
6)批间差异:不同批次梅毒特异性总抗体胶体金免疫层析检测试剂条,用特征性血清检测,要求阳性血清检测结果显示色带的颜色深浅一致,阴性血清检测的结果阴性。6) Batch-to-batch differences: Different batches of syphilis-specific total antibody colloidal gold immunochromatographic detection reagent strips are tested with characteristic serum. It is required that the positive serum test results show that the color of the color band is consistent, and the negative serum test results are negative.
7)干扰试验:检测结果不受标本溶血(n=50)、脂血(n=50)和黄疸(n=50)的干扰。血清(或血浆)来自本申请人临床标本。7) Interference test: The test result is not interfered by specimen hemolysis (n=50), lipemia (n=50) and jaundice (n=50). Serum (or plasma) comes from the applicant's clinical specimens.
8)交叉反应:采用梅毒特异性总抗体胶体金免疫层析检测试剂条,进行系统性红斑狼疮(n=30)、类风湿病(n=30)、免疫性肝炎(n=30)等自身免疫系统疾病的检测,未发现交叉反应。自身免疫系统疾病的血清来自本申请人临床确诊患者。8) Cross-reaction: Use syphilis-specific total antibody colloidal gold immunochromatography detection reagent strips to test for systemic lupus erythematosus (n=30), rheumatoid disease (n=30), immune hepatitis (n=30), etc. In the detection of immune system diseases, no cross-reactivity was found. The sera of autoimmune diseases come from clinically diagnosed patients of the applicant.
9)稳定性检测:应用Arrhenius法则,将试剂条放置37℃ 20天后检测,以上各项指标无显著变化,确保成品在室温干燥条件下保存,有效期为18个月。9) Stability test: Apply the Arrhenius rule, place the reagent strip at 37°C for 20 days and test it. There is no significant change in the above indicators. Ensure that the finished product is stored under dry conditions at room temperature, and the validity period is 18 months.
以下给出具体实施例。Specific examples are given below.
实施例1Example 1
在硝酸纤维素膜(NC膜)总检测线上包被抗人Ig单克隆抗体,在对照线处包被羊抗梅毒抗原(TPN17和TPN47)IgG抗体,室温晾干,密封室温保存备用。其中,抗人Ig单克隆抗体的浓度为1mg/mL,羊抗梅毒抗原(TPN17和TPN47)IgG抗体由抗TPN17-IgG抗体与抗TPN47-IgG抗体按体积比1∶1混合,其终浓度为1mg/mL;二者点样量为1μL/cm。Coat the anti-human Ig monoclonal antibody on the nitrocellulose membrane (NC membrane) total detection line, and coat the goat anti-syphilis antigen (TPN17 and TPN47) IgG antibody on the control line, dry at room temperature, seal and store at room temperature for future use. Wherein, the concentration of anti-human Ig monoclonal antibody is 1mg/mL, goat anti-syphilis antigen (TPN17 and TPN47) IgG antibody is mixed by volume ratio 1: 1 by anti-TPN17-IgG antibody and anti-TPN47-IgG antibody, and its final concentration is 1mg/mL; the sample volume of both is 1μL/cm.
将已纯化的金标记的梅毒重组抗原TPN17和TPN47以体积比1∶1混合后,均匀地涂于玻璃纤维纸上,在37℃烘干,制备成金胶体垫,密封备用。将固相化的纤维膜与胶体金结合的玻璃纤维、吸水纸等按一定顺序,通过PVC不干胶底板组合在一起,用切条机切成一定宽度检测条。把梅毒特异性总抗体胶体金免疫层析检测试剂条与干燥剂一起装入铝箔袋中,机器封口,密封保存。The purified gold-labeled recombinant syphilis antigens TPN17 and TPN47 were mixed at a volume ratio of 1:1, evenly spread on glass fiber paper, dried at 37°C, prepared into a gold colloid pad, and sealed for later use. The solid-phase fiber membrane combined with colloidal gold, glass fiber, absorbent paper, etc. are combined in a certain order through the PVC self-adhesive bottom plate, and cut into a certain width of detection strips with a strip cutter. Put the syphilis-specific total antibody colloidal gold immunochromatographic detection reagent strip together with the desiccant into an aluminum foil bag, seal it with the machine, and keep it sealed.
取待检标本血清50μL,加样于梅毒特异性总抗体胶体金免疫层析检测试剂条加样区,静置20min观察结果。只在梅毒特异性总抗体胶体金免疫层析检测试剂条对照区有一紫红色条带出现,则判为阴性;在检测区及对照区均有一紫红色条带出现,则判为阳性;加样检测后,检测区和对照区均不出现紫红色条带,为无效结果。Take 50 μL of the serum of the specimen to be tested, add the sample to the sample area of the syphilis-specific total antibody colloidal gold immunochromatography detection reagent strip, and let it stand for 20 minutes to observe the results. If only a purple-red band appears in the control area of the syphilis-specific total antibody colloidal gold immunochromatography test reagent strip, it is judged as negative; if a purple-red band appears in both the detection area and the control area, it is judged as positive; After the test, no purple-red band appears in the detection area and the control area, which is an invalid result.
实施例2Example 2
与实施例1相似,区别在于金胶体垫仅由TPN17组成,不含有TPN47。结果判断与实施例1相同。Similar to Example 1, the difference is that the gold colloid pad is only composed of TPN17 and does not contain TPN47. Result judgment is identical with
实施例3Example 3
与实施例1相似,区别在于金胶体垫仅由TPN47组成,不含有TPN17。结果判断与实施例1相同。Similar to Example 1, the difference is that the gold colloid pad is only composed of TPN47 and does not contain TPN17. Result judgment is identical with
实施例4Example 4
与实施例1相似,区别在于待检标本为脑脊液标本,结果判断与实施例1相同。Similar to Example 1, the difference is that the sample to be tested is a cerebrospinal fluid sample, and the result judgment is the same as that of Example 1.
实施例5Example 5
性能验证试验:按实施例1的方案制备梅毒特异性总抗体快速检测试剂,然后进行性能验证。Performance verification test: Prepare the rapid detection reagent for syphilis-specific total antibodies according to the scheme in Example 1, and then perform performance verification.
1)外观检查:白色包被反应膜平整、干净无污染斑点、无裂缝,胶带无开胶,试剂条宽度在3±0.1mm,无切斜现象。1) Appearance inspection: The white coated reaction film is smooth, clean, free of pollution spots, no cracks, no adhesive tape, the width of the reagent strip is 3±0.1mm, and there is no bevel phenomenon.
2)阳性标本符合率:50份梅毒螺旋体特异性抗体明胶凝集试验(TPPA)(日本富士株式会社)检测确定的TP-总抗体阳性参比血清,采用梅毒特异性总抗体胶体金免疫层析检测试剂条检出TP-总抗体阳性50份,阳性标本符合率100%。2) Conformity rate of positive specimens: 50 TP-total antibody positive reference sera determined by Treponema pallidum-specific antibody gelatin agglutination test (TPPA) (Fuji Corporation, Japan) were detected by syphilis-specific total antibody colloidal gold immunochromatography The reagent strips detected 50 positive samples of TP-total antibody, and the coincidence rate of positive samples was 100%.
3)阴性标本符合率:50份梅毒螺旋体特异性抗体明胶凝集试验(TPPA)(日本富士株式会社)阴性参比血清,采用梅毒特异性总抗体胶体金免疫层析检测试剂条检测未检出阳性标本,阴性标本符合率100%。3) Negative specimen coincidence rate: 50 copies of treponema pallidum specific antibody gelatin agglutination test (TPPA) (Fuji Co., Ltd., Japan) negative reference sera were not detected positive by colloidal gold immunochromatographic detection reagent strip for syphilis specific total antibody Specimen, the negative specimen coincidence rate was 100%.
4)灵敏度检测:用卫生部室内质控血清检测,最低检出限度应小于或等于4NCU/mL,与TPPA(日本富士株式会社)相当。4) Sensitivity detection: use the indoor quality control serum of the Ministry of Health for detection, the minimum detection limit should be less than or equal to 4NCU/mL, which is equivalent to TPPA (Fuji Corporation, Japan).
5)批内差异:同一批次梅毒特异性总抗体胶体金免疫层析检测试剂条,用特征性阳性血清(TPPA(日本富士株式会社)检测确定的临床标本阳性TP-总参比高、中、低血清)检测,相同滴度检测结果显示色带的颜色深浅一致,阴性血清检测的结果阴性。5) Intra-batch differences: the same batch of syphilis-specific total antibody colloidal gold immunochromatographic detection reagent strips, positive clinical samples determined by the detection of characteristic positive serum (TPPA (Fuji Co., Ltd.) Low serum) detection, the same titer detection results show that the color shades of the color bands are consistent, and the negative serum detection results are negative.
6)批间差异:不同批次梅毒特异性总抗体胶体金免疫层析检测试剂条,用特征性阳性血清(TPPA(日本富士株式会社)检测确定的临床标本阳性TP-总参比高、中、低血清)检测,相同滴度检测结果显示色带的颜色深浅一致,阴性血清检测的结果阴性。6) Batch-to-batch differences: different batches of syphilis-specific total antibody colloidal gold immunochromatographic detection reagent strips, positive clinical samples determined by the detection of characteristic positive serum (TPPA (Fuji Co., Ltd., Japan)) Low serum) detection, the same titer detection results show that the color shades of the color bands are consistent, and the negative serum detection results are negative.
7)干扰试验:检测结果不受标本溶血(n=50)、脂血(n=50)和黄疸(n=50)的干扰。7) Interference test: The test result is not interfered by specimen hemolysis (n=50), lipemia (n=50) and jaundice (n=50).
8)交叉反应:采用梅毒特异性总抗体胶体金免疫层析检测试剂条,进行系统性红斑狼疮(n=30)、类风湿病(n=38)、免疫性肝炎(n=40)等自身免疫系统疾病的检测,未发现交叉反应。8) Cross-reaction: Use syphilis-specific total antibody colloidal gold immunochromatography detection reagent strips to test for systemic lupus erythematosus (n=30), rheumatoid disease (n=38), immune hepatitis (n=40), etc. In the detection of immune system diseases, no cross-reactivity was found.
9)稳定性检测:将梅毒特异性总抗体胶体金免疫层析检测试剂条放置37℃ 20天后检测,以上各项指标无显著变化。9) Stability test: Put the syphilis-specific total antibody colloidal gold immunochromatographic detection reagent strip at 37°C for 20 days and then detect it. The above indicators have no significant changes.
本发明的检测在一条梅毒特异性总抗体胶体金免疫层析检测试剂条上进行,通过两种方式实现梅毒特异性总抗体的检测。The detection of the present invention is carried out on a syphilis-specific total antibody colloidal gold immunochromatographic detection reagent strip, and the detection of the syphilis-specific total antibody is realized in two ways.
方式一:利用胶体金免疫层析技术,在硝酸纤维素膜上总抗体检测线和对照线处分别包被抗人Ig单克隆抗体[或梅毒特异性抗原(TPN17和/或TPN47)]和羊抗梅毒抗原(TPN17和/或TPN47)IgG抗体。将已纯化的金标记的梅毒重组抗原TPN17和TPN47以一定的比例混合后预包被在玻璃纤维纸上,干燥处理,制备成金胶体垫,再辅以恰当的样品处理垫,组合试剂条(组装方式见图1)。检测阳性样本时,样本中梅毒特异性总抗体与胶体金标记的重组抗原TPN17和/或TPN47结合形成免疫复合物。由于层析作用,复合物沿纸条吸水纸方向向前移动。经过检测线时,①TP总抗体免疫复合物与预包被的抗人Ig单克隆抗体[或梅毒特异性抗原(TPN17和/或TPN47)]结合形成“Au-TPN17(和/或TPN47)-特异性抗梅毒总抗体-抗人Ig单克隆抗体-固相材料”或“Au-TPN17(和/或TPN47)-特异性抗梅毒总抗体-抗人Ig单克隆抗体-固相材料”夹心物而凝聚显色;②游离金标抗原则在对照线处与羊抗梅毒抗原(TPN17和TPN47)的抗体结合而富集显色。阴性标本则仅在对照线处显色。Method 1: Using colloidal gold immunochromatography technology, the total antibody detection line and the control line on the nitrocellulose membrane were respectively coated with anti-human Ig monoclonal antibody [or syphilis-specific antigen (TPN17 and/or TPN47)] and sheep IgG antibodies against syphilis antigens (TPN17 and/or TPN47). The purified gold-labeled syphilis recombinant antigens TPN17 and TPN47 are mixed in a certain ratio, pre-coated on glass fiber paper, dried, and prepared into gold colloid pads, supplemented with appropriate sample processing pads, combined reagent strips (assembled The method is shown in Figure 1). When a positive sample is detected, the syphilis-specific total antibody in the sample combines with the colloidal gold-labeled recombinant antigen TPN17 and/or TPN47 to form an immune complex. Due to chromatography, the complex moves forward along the direction of the absorbent paper. When passing through the detection line, ① TP total antibody immune complex combines with pre-coated anti-human Ig monoclonal antibody [or syphilis-specific antigen (TPN17 and/or TPN47)] to form "Au-TPN17 (and/or TPN47)-specific Anti-syphilis total antibody-anti-human Ig monoclonal antibody-solid phase material" or "Au-TPN17 (and/or TPN47)-specific anti-syphilis total antibody-anti-human Ig monoclonal antibody-solid phase material" sandwich Agglomeration and color development; ②The principle of free gold-labeled antibody combined with goat anti-syphilis antigen (TPN17 and TPN47) antibodies at the control line to enrich and develop color. Negative specimens develop color only at the control line.
方式二,将方式一的包被抗原、抗体对调:在硝酸纤维素膜上总抗体检测线和对照线处分别包被梅毒重组抗原(TPN17/TPN47组合)和人IgG抗体,将金标记的抗人Ig单克隆抗体预包被在玻璃纤维纸上。Method 2: Swap the coated antigen and antibody of method 1: syphilis recombinant antigen (TPN17/TPN47 combination) and human IgG antibody were respectively coated on the total antibody detection line and control line on the nitrocellulose membrane, and the gold-labeled anti- Human Ig monoclonal antibody pre-coated on glass fiber paper.
两种方式所制备的梅毒特异性总抗体胶体金免疫层析检测试剂条,均可用于全血、血清、血浆及脑脊液等标本中梅毒特异性总抗体的检测,标本用量微小,不需要特殊仪器,肉眼直接判读结果。且检测简便快速,特异性强,灵敏度高,准确可靠,成本低,应用广泛。The syphilis-specific total antibody colloidal gold immunochromatographic detection reagent strip prepared by the two methods can be used for the detection of syphilis-specific total antibody in samples such as whole blood, serum, plasma, and cerebrospinal fluid. The amount of sample is small and no special equipment is required. , and directly interpret the results with the naked eye. Moreover, the detection method is simple and fast, has strong specificity, high sensitivity, accuracy and reliability, low cost and wide application.
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