Specific embodiment
To facilitate the understanding of the present invention, it below with reference to embodiment to invention is more fully described, is given below
Presently preferred embodiments of the present invention.But the present invention can be realized with many different forms, however it is not limited to described herein
Embodiment.Purpose of providing these embodiments is makes the disclosure of the present invention more thorough and comprehensive.It should be understood that
In the following examples, the experimental methods for specific conditions are not specified, usually according to normal condition, for example (,) Sambrook et al., molecule gram
It is grand: condition described in laboratory manual (New York:Cold Spring Harbor Laboratory Press, 1989),
Or according to the normal condition proposed by manufacturer.Used various common agents, are commercial product in embodiment.
Unless otherwise defined, all technical and scientific terms used herein and belong to technical field of the invention
The normally understood meaning of technical staff is identical.Used term is intended merely to describe specific reality in the description of the invention
Apply the purpose of example, it is not intended that in the limitation present invention.Term as used herein "and/or" includes one or more relevant institutes
Any and all combinations of list of items.
The present invention provides a kind of kits of auxiliary detection Placenta acrreta, include the reagent for detecting VEGF-A concentration,
The reagent is used to detect the VEGF-A concentration in maternal blood, also includes VEGF-A standard items in kit.Wherein one
In a little embodiments, the VEGF-A detection reagent in kit is VEGF-A MBP enzyme linked immuno-adsorbent assay reagent, VEGF-A chemistry hair
Light immunologic function test reagent.Preferably, the VEGF-A detection reagent is Bio-Plex Assay 171AC600M.
The present invention also provides a kind of aided detection method of Placenta acrreta, step includes:
Sampling: maternal blood sample to be checked is acquired respectively;
It prepares standard curve: using the VEGF-A standard items of the reagent detection gradient concentration of detection VEGF-A concentration, drawing
Standard curve;
Detection: maternal blood sample to be checked is detected using the reagent of detection VEGF-A concentration, is calculated by standard curve
Obtain the VEGF-A concentration in maternal blood sample to be checked.
Wherein, the sampling may also include acquisition normal labor peripheral blood sample;Peripheral blood is non-anticoagulation cirumferential blood serum,
After acquisition, 900 × g~1100 × g is centrifuged 9~11min, it is preferable that is centrifuged 10min in 1000 × g, removes blood platelet and sink
Starch.If acquisition after cannot detect at once, can be saved in ultra low temperature freezer, ultra low temperature freezer temperature setting for -70 DEG C~-
85℃。
In addition, the aided detection method of Placenta acrreta, further includes: detect normal pregnancies periphery using VEGF-A detection reagent
Blood sample calculates to obtain VEGF-A concentration in the maternal blood sample by standard curve;Calculate maternal blood to be checked
The ratio of the VEGF-A concentration in VEGF-A concentration and normal pregnancies peripheral blood sample in sample;Antenatal for Placenta acrreta is examined
It is disconnected that reference data is provided.Its ratio is greater than 1.0, the method that should be taken a step forward in pregnant woman childbirth through iconography detection, in conjunction with
Above-mentioned reference data is predicted, is judged.The doubtful person of Placenta acrreta height should reinforce clinical monitoring as early as possible, and prevention is serious bad pregnant
It is pregnent final result.
In wherein some embodiments, the VEGF-A detection reagent are as follows: VEGF-A MBP enzyme linked immuno-adsorbent assay reagent,
VEGF-A chemiluminescence immunoassay detection reagent.Preferably, the reagent of the detection VEGF-A concentration is Bio-Plex Assay
171AC600M。
Embodiment 1
One, material and equipment
Kit: Bio-Plex Assay 171AC600M;Instrument model: Bio-Plex 200;Vortex mixed instrument;It is applicable in
1.5-2ml the refrigerated centrifuge of centrifuge tube;Microplate oscillator (revolving speed that 500rpm can be reached);Magnetic Isolation plate (Hand-
Held Magnetic Plate Washer);2 μ l-1000 μ l single track pipettors;20 μ l-300 μ l multichannel pipettors;Multiple tracks is moved
Liquid device reservoir;Deionized water, beaker, test tube, blotting paper etc..
Two, peripheral blood sample is acquired
After informed consent, acquired respectively before childbirth suspected case non-anticoagulation cirumferential blood serum and 30-50 normal point
The non-anticoagulation cirumferential blood serum of pregnant and lying-in women is given birth to, is solidified at room temperature 30-45 minutes, 4 DEG C of 1000g are centrifuged 15 minutes, are then shifted
Into cryogenic vial.It freezes in -80 DEG C of ultra low temperature freezers.After to sample collection, 4 DEG C of 50 μ l serum of freeze thawing, 1000g weight
It is centrifuged 10 minutes again, to completely remove blood platelet and other sediments.
Three, blood serum designated object of the verifying VEGF-A as auxiliary detection Placenta acrreta
1, Sample Dilution:
According to the ratio distilled water dilute serum sample of 1:4, using the VEGF- of Quality Control qualification producer such as Bio-Plex
A detection kit detects the VEGF-A concentration of all samples on same plate to specifications.
2, reagent dilutions:
Wash buffer (10 × → 1 ×): it is diluted with ddH2O 9:1.
Beads (50 × → 1 ×): Beads is vortexed 30s, and every 50 × Beads of pipe takes out 100 μ L, 1 × wash is added
Buffer to final volume 5mL is mixed.
Detection Antibody (50 × → 1 ×): every 50 × Detection of pipe Antibody takes out 60ul, adds
Enter detection antibodydiluent to final volume 3mL, mixes.
3, standard items are dissolved
(1) standard items are taken out, 2000 × g is centrifuged 10s;
(2) the Universal Assay Buffer of 50 μ L is respectively added into standard quality control;
(3) 30s is mixed gently;
(4) it is placed in 5-10min on ice;
(5) standard items are mixed into a pipe, Universal Assay Buffer is added, it is final to obtain 250 μ L mixing
Standard items.
4, the dilution (4 times) of standard items
8 union of PCR provided in kit is taken out for dilution standard product;
The hybrid standard product of 200 μ L are added into the first pipe as standard items 1;
1 × Universal Assay Buffer of 150 μ L is separately added into pipe 2-8;
From taking 50 μ L hybrid standard product to be added in pipe 2 in pipe 1,10 mixings of piping and druming, avoid the generation of bubble as far as possible up and down;
The pipette tips more renewed are transferred in pipe 3 from the dilution standard product for drawing 50 μ L in pipe 2, up and down 10 mixings of piping and druming.
It successively shifts, completes the gradient dilution of hybrid standard product,;
It is placed in spare on ice.
5, prepare microballoon
(1) vortex microballoon 30s;
(2) 50 μ L premix microballoon is added in every hole into 96 orifice plates.
(3) 96 orifice plates are put into Magnetic Isolation plate, it is ensured that orifice plate is by stuck fast.To the static 2min of plate, make microballoon heavy
Bottom.Then magnetic sheet is quickly inverted, pours out the liquid in orifice plate.96 orifice plates can not be taken from Magnetic Isolation plate during this
Out;
(4) the Wash Buffer of 150 μ L 1X is added into every hole, stands 30s, then magnetic sheet is inverted, pours out orifice plate
In liquid;
(5) in the state of inversion, with the residual liquid of paper handkerchief absorption orifice surface.
6, microballoon and sample incubation
(1) the Universal Assay Buffer of 25 μ L is separately added into every hole;
(2) standard items or sample of 25 μ L are separately added into the hole of Xiang Zhiding;
(3) 25 μ L Universal Assay Buffer are added into blank control;
(4) orifice plate sealer, 500rpm shakes at room temperature is incubated for 30min, stands overnight in 4 degree.It takes out within second day, 500rpm
Concussion is incubated for 30min at room temperature.
7, board-washing
(1) 96 orifice plates are placed in Magnetic Isolation plate, stand 2min;
(2) sealer is gently removed, liquid splash is avoided;
(3) the liquid inversion in orifice plate is removed;
(4) 150 μ L 1X Wash Buffer are added into every hole, stand 30s, the liquid inversion in orifice plate is removed.Weight
Multiple step, is washed 3 times altogether;
(5) at the end of last time is cleaned, residual liquid is adsorbed with paper handkerchief.
8, detection antibody is added
(1) 25 μ L 1X detection antibody mixed liquor is added into every hole;
(2) orifice plate is sealed using new sealer;
(3) 96 orifice plates are taken out from Magnetic Isolation plate, shakes 30min as 500rpm room temperature in the plate oscillator of hole.
9, board-washing
(1) 96 orifice plates are placed in Magnetic Isolation plate, stand 2min;
(2) sealer is gently removed, liquid splash is avoided;
(3) the liquid inversion in orifice plate is removed;
(4) 150 μ L 1X Wash Buffer are added into every hole, stand 30s, the liquid inversion in orifice plate are removed, altogether
It washes 3 times;
(5) at the end of last time is cleaned, residual liquid is adsorbed with paper handkerchief.
10, SA-PE is added
(1) 50 μ L SA-PE are added into every hole;
(2) orifice plate is sealed using new sealing film;
(3) 96 orifice plates are taken out from Magnetic Isolation plate, shakes 30min as 500rpm room temperature in the plate oscillator of hole.
11, board-washing
(1) 96 orifice plates are placed in Magnetic Isolation plate, stand 2min;
(2) sealer is gently removed, liquid splash is avoided;
(3) the liquid inversion in orifice plate is removed;
(4) 150 μ L 1X Wash Buffer are added into every hole, stand 30s, the liquid inversion in orifice plate are removed, altogether
It washes 3 times;
(5) at the end of last time is cleaned, residual liquid is adsorbed with paper handkerchief.
12, upper machine testing
(1) 120 μ L Reading Buffer are added into every hole;
(2) orifice plate is sealed using new sealing film;
(3) 96 orifice plates are taken out from Magnetic Isolation plate, shakes 5min as 500rpm room temperature in the plate oscillator of hole;
(4) gently removal seals film, is put into 200 instrument of Bio-Plex and reads.
According to the above method, the pregnant woman and normal labor pregnant and lying-in women to definitive pathological diagnosis after childbirth with Placenta acrreta respectively
The non-anticoagulation cirumferential blood serum acquired before childbirth carries out VEGF-A Concentration Testing.After informed consent, three batches of detections have been carried out altogether
And analysis.The fit standard curve by the way of nonlinear regression, calculates concentration value.Resultant content includes standard curve, every
The fluorescence intensity median in a hole and the concentration calculated according to standard curve.With the detectable concentration of normal labor pregnant and lying-in women
Average value is reference value, calculates separately out detected value/reference value ratio of each suspected case sample.Wherein:
First testing result is as shown in Figs. 1-2, and wherein Fig. 1 is VEGF-A relative concentration, and CON-1 is normal labor motherhood
Woman, PA-1 are the pregnant woman that definitive pathological diagnosis suffers from Placenta acrreta.Fig. 2 is Receiver operating curve (receiver
Operating characteristic curve, abbreviation ROC curve) and its area under the curve AUC value.As the result is shown with 1.0
As cut-off value, to the differentiation performance of pregnant woman and normal labor pregnant woman with moderate strength with Placenta acrreta.
Second batch testing result is as shown in Figure 3-4, and wherein Fig. 3 is VEGF-A relative concentration, and CON-2 is normal labor motherhood
Woman, PA-2 are the pregnant woman that definitive pathological diagnosis suffers from Placenta acrreta.Fig. 4 is ROC curve and its AUC value.As the result is shown using 1.0 as
Cut-off value, to the differentiation performance of pregnant woman and normal labor pregnant woman with moderate strength with Placenta acrreta.
As seen in figs. 5-6, wherein Fig. 5 is VEGF-A relative concentration to third batch testing result, and CON-3 is normal labor motherhood
Woman, PA-3 are the pregnant woman that definitive pathological diagnosis suffers from Placenta acrreta.Fig. 6 is ROC curve and its AUC value.As the result is shown using 1.0 as
Cut-off value, to the differentiation performance of pregnant woman and normal labor pregnant woman with moderate strength with Placenta acrreta.
The statistical result of all three comprehensive batches obtains Testing index as shown in table 1, table 2.
Table 1 is the testing result of all pregnant and lying-in women of threshold value with VEGF-A relative concentration 1.0
The sensibility and specificity that table 2 is detected with VEGF-A relative concentration 1.0
It can be seen from the above result that detection pregnant woman blood in VEGF-A concentration, and with normal pregnancies blood VEGF-A concentration
Compare, using ratio 1.0 as cut-off value, pregnant woman and normal labor pregnant woman for Placenta acrreta have moderate strength
It distinguishes performance (AUC value 0.69, fall between 0.62-0.75), the detection of VEGF-A can be as auxiliary detection pregnant women placental
VEGF-A detection reagent can be applied to the kit of preparation auxiliary detection pregnant women placental implantation by one of means of implantation.