CN113125714A - Human immunodeficiency virus antibody detection kit and application thereof - Google Patents

Human immunodeficiency virus antibody detection kit and application thereof Download PDF

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Publication number
CN113125714A
CN113125714A CN202011637955.XA CN202011637955A CN113125714A CN 113125714 A CN113125714 A CN 113125714A CN 202011637955 A CN202011637955 A CN 202011637955A CN 113125714 A CN113125714 A CN 113125714A
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hiv
reagent
kit
particles
sample
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CN113125714B (en
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洪琳
章春奇
李建武
匡钊
李临
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Beyond Diagnostics Shanghai Co ltd
Chemclin Diagnostics Corp
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Beyond Diagnostics Shanghai Co ltd
Chemclin Diagnostics Corp
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/569Immunoassay; Biospecific binding assay; Materials therefor for microorganisms, e.g. protozoa, bacteria, viruses
    • G01N33/56983Viruses
    • G01N33/56988HIV or HTLV
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/75Systems in which material is subjected to a chemical reaction, the progress or the result of the reaction being investigated
    • G01N21/76Chemiluminescence; Bioluminescence

Abstract

A human immunodeficiency virus antibody detection kit comprising a reagent R1, said reagent R1 comprising a first buffer solution and, suspended therein, receptor particles capable of reacting with reactive oxygen species to produce a chemiluminescent signal, characterized in that: the acceptor particle comprises a carrier, the interior of the carrier is filled with a luminescent composition, and the surface of the carrier is bonded with HIV antigen; the ZETA potential value of the acceptor particles is not higher than 0mV and not lower than-15 mV. The ZETA potential value of the receptor particles of the R1 reagent in the kit is not higher than 0mV and not lower than-15 mV; the R1 reagent is more stable and meets the commercial requirements of mass production, and has ultra-high sensitivity and wide detection range.

Description

Human immunodeficiency virus antibody detection kit and application thereof
Technical Field
The technical scheme relates to the field of chemiluminescence detection, in particular to a human immunodeficiency virus antibody detection kit and application thereof.
Background
Immunoassays have evolved in many varieties over half a century. Depending on whether the substances to be tested are to be separated from the reaction system during the assay, heterogeneous (Heterogenous) immunoassays and Homogeneous (Homogeneous) immunoassays can be used. Heterogeneous immunoassay refers to the operation process of introducing a probe for labeling, wherein various related reagents are required to be separated after mixed reaction, and an object to be detected is separated from a reaction system and then detected, and is the mainstream method in the existing immunoassay. Such as enzyme-linked immunosorbent assay (ELISA method) and magnetic particle chemiluminescence method. Homogeneous immunoassay refers to direct measurement after mixing and reacting an analyte with a relevant reagent in a reaction system in the measurement process, and no redundant separation or cleaning step is needed. Up to now, various sensitive detection methods are applied to homogeneous immunoassays, such as optical detection methods, electrochemical detection methods, and the like.
Acquired immunodeficiency syndrome (AIDS) is a serious infectious disease which causes the death of infected persons by destroying the immune function of human bodies after HIV virus, namely human immunodeficiency virus (HIV for short) invades the human bodies, so that the human bodies generate various incurable infections and tumors. After HIV infection, the immune system is mainly damaged, T4 lymphocytes are damaged, the body resistance is reduced, severe infection and a few cancers are induced, and patients are susceptible to various rare diseases and die due to long-term consumption and general exhaustion. Therefore, the most important link in the prevention and treatment of acquired immunodeficiency syndrome is HIV detection.
Currently, the detection of HIV is as follows:
A. enzyme-linked immunosorbent assay (ELISA)
There are more than 8 kinds of ELISA methods currently used. Their specificity and sensitivity were over 99%.
B. Particle agglutination method (PA)
PA is a rapid and simple screening method. If the plants are positive, they should be confirmed by WB. PA does not need any special instrument, and the result can be distinguished by naked eyes. The whole process only needs 5 minutes. The disadvantages are false positives and high price.
C. Rapid reagent
a) Human Immunodeficiency Virus (HIV)1+2 type antibody diagnostic reagent (colloid selenium method)
The kit is only used for on-site primary screening and clinical emergency of a gratuitous blood donor, and a person who is detected to be positive needs to be further screened and confirmed.
b)InstantCHEKTMHIVL +2 gold-labeled rapid diagnostic reagent
InstantCHEKTMHIV1+2 is a rapid, simple and sensitive test for the detection of antibodies to the HIV viruses HIV-1 and HIV-2. The method is suitable for primary screening, and if the reagent is determined to be positive, another method such as ELISA or western blotting is required for detection.
HIV-antibody confirmation experiment
Immunoblot assay (WB), strip immunoassay (LIATEK HIV III), radioimmunoprecipitation assay (RIPA) and immunofluorescence assay (IFA). The confirmation test method commonly used in China is WB.
a) Immunoblotting experiment (western blot, WB)
The test method widely used for diagnosis of many infectious diseases is the first test method for confirming HIV antibodies in terms of HIV etiology diagnosis, and WB test results are often used as a "gold standard" for identifying the merits of other test methods.
The sensitivity of WB is generally not lower than that of the primary screening experiment, but the specificity is high, which is mainly based on the separation, concentration and purification of different antigen components of HIV, and can detect antibodies aiming at different antigen components, so that the accuracy of the primary screening experiment can be identified by a WB method. From the WB confirmation test results, although the primary screening test selects a reagent with better quality, such as the third-generation ELISA, false positives still occur, and accurate results can be obtained only by the confirmation test.
b) Immunofluorescence assay (IFA)
The IFA method is economical, simple and rapid, and has been recommended by the FDA for diagnosis of WB indeterminate samples. However, expensive fluorescence microscopes are required, well-trained technicians are required, observation and interpretation results are easily affected by subjective factors, the results are not suitable for long-term storage, and the IFA is not suitable for development and application in general laboratories.
The above methods have some difficulties which are difficult to overcome, and the chemiluminescence method has the advantages of high sensitivity, high specificity, wide linearity, rapidness, few influencing factors, accurate result and the like, and is the most widely applied disease detection method in recent years. The kit is gradually applied to HIV detection at present, is helpful for realizing early discovery, early diagnosis and early treatment of infection, and reduces false positive and missed detection rate.
The basic principle of light-activated chemiluminescence is a homogeneous immune response. It is based on two kinds of antigens or antibodies coated on the surfaces of particles, and immune complexes are formed in a liquid phase to draw the two kinds of particles close. Under the excitation of laser, the ionic oxygen transfer between particles occurs, and then high-level red light is generated, and the number of photons is converted into the concentration of target molecules through a single photon counter and mathematical fitting. When the sample does not contain the target molecules, immune complexes cannot be formed between the two particles, the distance between the two particles exceeds the ionic oxygen transmission range, the ionic oxygen is rapidly quenched in a liquid phase, and no high-energy level red light is generated during detection. The detection of HIV by light-activated chemiluminescence methods has the following problems which are difficult to solve at present: (1) the preparation process is complicated, and particularly, the preparation and modification processes of the microspheres are too complicated; (2) the false positive rate is high.
Therefore, there is a need to develop an HIV detection kit that can be mass-produced, has low cost, qualified quality, and stable performance, and can meet both the sensitivity requirement and the linear range requirement.
Disclosure of Invention
The invention aims to solve the technical problem of providing a human immunodeficiency virus antibody detection kit aiming at the defects of the prior art. When the kit is applied to homogeneous chemiluminescence analysis detection, the inventor of the application unexpectedly finds that the kit has ultrahigh sensitivity and wide detection range.
Based on the above, the present invention provides a human immunodeficiency virus antibody detection kit, which comprises a reagent R1, wherein the reagent R1 comprises a first buffer solution and receptor particles suspended therein, the receptor particles being capable of generating a chemiluminescent signal by the action of active oxygen, the receptor particles comprise a carrier, the interior of the carrier is filled with a luminescent composition, and the surface of the carrier is bonded with an HIV antigen; the ZETA potential value of the acceptor particles is not higher than 0mV and not lower than-15 mV, preferably not higher than-5 mV and not lower than-10 mV.
The sugar content in each milligram of the acceptor particles is not lower than 40 mug;
the sugar content per milligram mass of the acceptor particles is not less than 50 mug, preferably not less than 60 mug.
The content of polysaccharide in the first buffer solution is 0.01-1 wt%, preferably 0.05-0.5 wt%.
The variation coefficient C.V value of the particle size distribution of the receptor particles of the R1 reagent in the kit is not less than 5% and not more than 20%. The polysaccharide is selected from carbohydrates containing three or more unmodified or modified monosaccharide units; preferably selected from the group consisting of dextran, starch, glycogen, inulin, fructan, mannan, agarose, galactan, carboxydextran and aminodextran; more preferably selected from dextran, starch, glycogen and polyribose, most preferably dextran or dextran derivatives.
The sugar content was determined by the anthrone method.
The kit also comprises a reagent R2, wherein the reagent R2 comprises a biotin-labeled HIV antigen.
The kit also comprises an Anti-HIV sample diluent.
The kit also includes an Anti-HIV negative control.
The kit also includes an Anti-HIV-1 positive control containing calf serum and HIV-1 positive serum.
The kit also includes an Anti-HIV-2 positive control containing calf serum and HIV-2 polyclonal antibodies.
The kit also includes an Anti-HIV weakly positive control containing calf serum and HIV-1 positive serum.
The invention has the beneficial effects that: the ZETA potential value of the receptor particles of the R1 reagent in the kit is not higher than 0mV and not lower than-15 mV; the R1 reagent is more stable, can meet the commercial requirement of mass production, and has ultrahigh sensitivity and wide detection range. The invention controls the sugar content in the receptor particles, reduces the influence of sugar on detection signals, improves the detection precision and reduces the production cost. At the same time, the user can select the desired position,
drawings
FIG. 1 is a Gaussian distribution plot of the acceptor particles prepared in example 1.
FIG. 2 is a graph of a standard curve for sugar content determination.
Detailed Description
In order that the invention may be readily understood, a detailed description of the invention is provided below. However, before the invention is described in detail, it is to be understood that this invention is not limited to particular embodiments described. It is also to be understood that the terminology used herein is for the purpose of describing particular embodiments only, and is not intended to be limiting. The practice of the invention is not limited to the following examples, and any variations and/or modifications made thereto are intended to fall within the scope of the invention.
Where a range of values is provided, it is understood that each intervening value, to the extent that there is no stated or intervening value in that stated range, to the extent that there is no such intervening value, is encompassed within the invention. The upper and lower limits of these smaller ranges may independently be included in the smaller ranges, and are also encompassed within the invention, subject to any specifically excluded limit in the stated range. Where a specified range includes one or both of the limits, ranges excluding either or both of those included limits are also included in the invention.
Unless otherwise defined, all terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Although any methods and materials similar or equivalent to those described herein can also be used in the practice or testing of the present invention, the preferred methods and materials are now described.
Term (I)
The term "active oxygen" as used herein refers to a general term for a substance which is composed of oxygen, contains oxygen, and is active in nature, and is mainly an excited oxygen molecule, including superoxide anion (O) which is an electron reduction product of oxygen2(-) and the two-electron reduction product hydrogen peroxide (H)2O2) The three-electron reduction product hydroxyl radical (. OH) and nitric oxide and singlet oxygen (1O)2) And the like.
The term "acceptor particle" as used herein refers to a particle that contains a compound that reacts with reactive oxygen species to produce a detectable signal. The donor particles are induced by energy or an active compound to activate and release reactive oxygen species in a high energy state that are captured by the acceptor particles in close proximity, thereby transferring energy to activate the acceptor particles. In some embodiments of the present invention, the acceptor particle comprises a luminescent composition and a carrier, wherein the luminescent composition is filled in the carrier and/or coated on the surface of the carrier. The "carrier" according to the present invention is selected from the group consisting of tapes, sheets, rods, tubes, wells, microtiter plates, beads, particles and microspheres, which may be microspheres or microparticles known to those skilled in the art, which may be of any size, which may be organic or inorganic, which may be expandable or non-expandable, which may be porous or non-porous, which may have any density, but preferably has a density close to that of water, preferably is capable of floating in water, and which are composed of a transparent, partially transparent or opaque material. The carrier may or may not have a charge, and when charged, is preferably a negative charge. The carrier may be a latex particle or other particle containing organic or inorganic polymers, lipid bilayers such as liposomes, phospholipid vesicles, oil droplets, silica particles, metal sols, cells and microcrystalline dyes.
In the present invention, the "luminescent composition", i.e. a compound referred to as a label, may undergo a chemical reaction in order to cause luminescence, for example by being converted into another compound formed in an electronically excited state. The excited state may be a singlet state or a triplet excited state. The excited state may relax to the ground state to emit light directly, or may return to the ground state itself by transferring excitation energy to an emission energy acceptor. In this process, the energy acceptor particle will be transitioned to an excited state to emit light.
The "variation coefficient C.V value of particle size distribution" described in the present invention refers to the variation coefficient of particle size in Gaussian distribution in the detection result of the nanometer particle size analyzer. The coefficient of variation is calculated as: C.V value (standard deviation SD/Mean) x 100%. The Standard Deviation (SD), also known as the Standard Deviation, describes the mean of the distances of the data from the mean (mean Deviation), which is the square of the Deviation and the root of the mean, expressed as a. The standard deviation is the arithmetic square root of the variance. The standard deviation reflects the degree of dispersion of a data set, and the smaller the standard deviation, the less the values deviate from the mean, and vice versa. The standard deviation σ is a distance between an inflection point (0.607 times the peak height) on the normal distribution curve and a vertical line between the peak height and the time axis, that is, a distance between two inflection points on the normal distribution curve is half. The peak width at half height (Wh/2) is the width of the peak at half the peak height, Wh/2 ═ 2.355 σ. The tangent is drawn by the inflection points on both sides of the normal distribution curve, the intercept at the base line is called the peak width or base line width, and W is 4 sigma or 1.699 Wh/2.
The "ZETA potential value" referred to herein means the potential value of the acceptor particles in a water (pH equal to about 7) dispersion. The ZETA potential (ZETA potential) of a microsphere refers to the potential of the microsphere at the shear plane; i.e. between the continuous phase and a fluid stabilizing layer attached to the microspheresPotential difference. The surface of the dispersed particles is charged to attract the surrounding counter ions, and the counter ions are distributed in a diffusion state at the interface of two phases to form diffusionDouble electric layer. According to the Stern double-layer theory, the double electric layer can be divided into two parts, namely a Stern layer and aDiffusion layer. The Stern layer is defined as a planar layer composed of a layer of ionic (IHP or OHP) charge centers adsorbed on the surface of an electrode, and the potential of this planar layer at a point in the fluid relatively far from the interface is called the Stern potential. A stabilizing layer (Stationarylayer) (including Stern layer andsliding surfacePart of the diffusion layer within the slipping plane) and diffusion layerDispersion mediumThe interface where the relative movement occurs is the sliding surface (slippingplane) where the potential to a point in the fluid away from the interface is called the ZETA potential or electrokinetic potential (ZETA-potential), i.e. the ZETA potential is between the continuous phase and the fluid stabilizing layer attached to the dispersed particlesPotential difference. It can pass throughElectric power Dynamic phenomenonAnd (4) directly measuring. The current methods for measuring the ZETA potential mainly compriseElectrophoresis methodThe electroosmosis method, the streaming potential method, and the ultrasonic method, among which the electrophoresis method is most widely used. The potential of the microsphere ZETA in the embodiment of the invention can be detected by the following method: the ZETA potential values were measured by NICOMP 380Z 3000 using doppler Electrophoresis (ELS). The ZETA potential value is obtained mainly by measuring the electrophoretic migration rate of charged particles in suspension. The stability of the colloid is judged by measuring the ZETA potential of the microspheres.
The term "test sample" as used herein refers to a mixture to be tested that contains or is suspected of containing a target molecule to be tested. The test sample that can be used in the present invention includes body fluids such as blood (which may be anticoagulated blood commonly seen in collected blood samples), plasma, serum, urine, semen, saliva, cell cultures, tissue extracts, and the like. Other types of samples to be tested include solvents, seawater, industrial water samples, food samples, environmental samples such as soil or water, plant material, eukaryotic cells, bacteria, plasmids, viruses, fungi, and cells from prokaryotes. The sample to be tested can be diluted with a diluent as required before use. For example, to avoid the HOOK effect, the sample to be tested may be diluted with a diluent before the on-line detection and then detected on the detection instrument.
The term "target molecule to be detected" as used herein refers to a substance in a sample to be detected during detection. One or more substances having a specific binding affinity for the target molecule to be detected will be used for the detection of the target molecule. The target molecule to be detected may be a protein, a peptide, an antibody or a hapten which allows it to bind to an antibody. The target molecule to be detected may be a nucleic acid or oligonucleotide that binds to a complementary nucleic acid or oligonucleotide. The target molecule to be detected may be any other substance that can form a member of a specific binding pair. Other examples of typical target molecules to be detected include: drugs such as steroids, hormones, proteins, glycoproteins, mucins, nucleoproteins, phosphoproteins, drugs of abuse, vitamins, antibacterial agents, antifungal agents, antiviral agents, purines, antitumor agents, amphetamines, heteroazoids, nucleic acids, and prostaglandins, and metabolites of any of these drugs; pesticides and metabolites thereof; and a receptor. Analytes also include cells, viruses, bacteria, and fungi.
The term "antibody" as used herein is used in the broadest sense and includes antibodies of any isotype, antibody fragments that retain specific binding to an antigen, including but not limited to Fab, Fv, scFv, and Fd fragments, chimeric antibodies, humanized antibodies, single chain antibodies, bispecific antibodies, and fusion proteins comprising an antigen-binding portion of an antibody and a non-antibody protein. In any case desired, the antibody may be further conjugated to other moieties, such as a member of a specific binding pair member, e.g., biotin or avidin (a member of a biotin-avidin specific binding pair member), and the like.
The term "antigen" as used herein refers to a substance that stimulates the body to produce an immune response and that binds to the immune response product antibodies and sensitized lymphocytes in vitro and in vivo to produce an immune effect.
The term "binding" as used herein refers to direct association between two molecules due to interactions such as covalent, electrostatic, hydrophobic, ionic and/or hydrogen bonding, including but not limited to interactions such as salt and water bridges.
The term "specific binding" as used herein refers to the mutual discrimination and selective binding reaction between two substances, and is the conformation correspondence between the corresponding reactants in terms of the three-dimensional structure. Under the technical idea disclosed by the invention, the detection method of the specific binding reaction comprises but is not limited to the following steps: double antibody sandwich, competition, neutralization competition, indirect or capture.
Detailed description of the preferred embodiments
The present invention will be described in more detail with reference to examples.
In one aspect, the present invention provides a human immunodeficiency virus antibody detection kit, which includes a reagent R1, wherein the reagent R1 includes a first buffer solution and receptor particles suspended therein, which are capable of reacting with active oxygen to generate a chemiluminescent signal, and is characterized in that: the acceptor particle comprises a carrier, the interior of the carrier is filled with a luminescent composition, and the surface of the carrier is bonded with HIV antigen; the sugar content per milligram mass of the acceptor particle is not lower than 40 mug, and meanwhile, the ZETA potential of the acceptor particle is not higher than 0mV and not lower than-15 mV.
The carrier surface is coated with polysaccharide molecules, and the HIV antigen is indirectly bound to the surface of the receptor particles through chemical bonding with the polysaccharide molecules.
When the variation coefficient of the particle size distribution of the receptor particles is more than or equal to 5% and not more than 20%, the kit containing the receptor particles has the capability of detecting low-concentration samples and has better HOOK resistance. The acceptor particle may have a coefficient of variation of particle size distribution C.V value of 5%, 6%, 7%, 8%, 9%, 10%, 11%, 12%, 13%, 14%, 15%, 16%, 17%, 18%, 19%, 20% in the reagent R1.
Preferably the sugar content per milligram mass of the acceptor particles is not less than 50 μ g, preferably not less than 60 μ g.
Preferably, the content of the polysaccharide in the first buffer solution is 0.01-1 wt%, preferably 0.05-0.5 wt%.
In the above examples, the polysaccharide is selected from carbohydrates containing three or more unmodified or modified monosaccharide units; preferably selected from the group consisting of dextran, starch, glycogen, inulin, fructan, mannan, agarose, galactan, carboxydextran and aminodextran; more preferably selected from dextran, starch, glycogen and polyribose, most preferably dextran or dextran derivatives.
In the above examples, the sugar content was determined by the anthrone method.
The receptor particles have a ZETA potential of not more than 0mV and not less than-15 mV, preferably not more than-5 mV and not less than-10 mV.
The kit also comprises a reagent R2, wherein the reagent R2 comprises a biotin-labeled HIV antigen.
The kit also comprises an Anti-HIV sample diluent.
The kit also includes an Anti-HIV negative control.
The kit also includes an Anti-HIV-1 positive control containing calf serum and HIV-1 positive serum.
The kit also includes an Anti-HIV-2 positive control containing calf serum and HIV-2 polyclonal antibodies.
The kit also includes an Anti-HIV weakly positive control containing calf serum and HIV-1 positive serum.
The kit comprises a plurality of reagent strips, wherein each reagent strip is provided with a plurality of reagent hole grooves for containing reagents, and at least one reagent hole groove is used for containing the reagent R1.
The invention also provides a use method of the human immunodeficiency virus antibody detection kit, which comprises the following steps of diluting a sample to be detected by using a diluent, adding a reagent R1 and a reagent R2 into the diluted sample, adding a photosensitive reagent into the diluted sample, performing laser irradiation, calculating the photon quantity, and judging whether the HIV of the sample to be detected is negative or positive according to the photon quantity.
The use method of the preferred human immunodeficiency virus antibody detection kit comprises the following steps:
step 1: diluting a sample to be detected by using Anti-HIV sample diluent, and fully and uniformly mixing;
step 2: adding the diluted sample and Anti-HIV negative control, Anti-HIV-1 positive control, Anti-HIV-2 positive control and Anti-HIV weak positive control into the reaction well respectively;
and step 3: sequentially adding a reagent R1, a reagent R2 and a photosensitive reagent into the reaction hole;
and 4, step 4: putting the reaction hole into a light-excited chemical luminescence detector, irradiating the reaction hole by laser, calculating the quantity of photons emitted by the reaction hole, and judging whether HIV is positive or negative according to the quantity of photons.
The invention also provides an application of the human immunodeficiency virus antibody detection kit in a chemiluminescence analyzer.
Example III
Example 1 preparation of acceptor particles a
1.1 preparation of polystyrene latex microspheres
1) A100 mL three-necked flask was prepared, 40mmol of styrene, 5mmol of acrolein, and 10mL of water were added thereto, and the mixture was stirred for 10min and then N was introduced thereinto230min;
2) 0.11g of ammonium persulfate and 0.2g of sodium chloride were weighed and dissolved in 40mL of water to prepare an aqueous solution. Adding the aqueous solution into the reaction system in the step 1), and continuously introducing N230min;
3) Heating the reaction system to 70 ℃ and reacting for 15 h;
4) the emulsion after completion of the reaction was cooled to room temperature and filtered through a suitable filter cloth. Washing the obtained emulsion with deionized water by secondary centrifugal sedimentation until the conductivity of the supernatant at the beginning of centrifugation is close to that of the deionized water, then diluting with water, and storing in an emulsion form;
5) the average particle size of the latex microspheres in a Gaussian distribution measured by a nanometer particle size analyzer was 202.2 nm.
1.2 landfill Process of luminescent composition
1) A25 mL round-bottom flask was prepared, and 0.1g of a dimethylthiophene derivative and 0.1g of europium (III) complex (MTTA-EU) were added3+) 10mL of 95% ethanol, magnetically stirring, heating in a water bath to 70 ℃ to obtain a complex solution;
2) preparing a 100mL three-neck flask, adding 10mL 95% ethanol, 10mL water and 10mL aldehyde polystyrene latex microspheres with the concentration of 10% obtained in the step 1.1, magnetically stirring, and heating to 70 ℃ in a water bath;
3) slowly dripping the complex solution in the step 1) into the three-neck flask in the step 2), reacting at 70 ℃ for 2h, stopping stirring, and naturally cooling;
4) centrifuging the emulsion for 1h at 30000G, and removing supernatant after centrifugation to obtain the aldehyde polystyrene microspheres embedded with the luminescent composition.
1.3 surface coating of the acceptor particles with polysaccharides
1) Taking 50mg of aminodextran solid, putting the aminodextran solid in a 20mL round-bottom flask, adding 5mL of 50mM/pH 10 carbonate buffer solution, and stirring and dissolving the aminodextran solid at 30 ℃ in the dark;
2) adding 100mg of prepared aldehyde polystyrene microspheres in which the luminescent composition is buried into aminodextran solution, and stirring for 2 hours;
3) dissolving 10mg of sodium borohydride in 0.5mL of 50mM/pH 10 carbonate buffer solution, dropwise adding the solution into the reaction solution, and reacting overnight at 30 ℃ in a dark place;
4) after the reaction, the mixture 30000G was centrifuged, the supernatant was discarded, and 50mM/pH 10 carbonate buffer was added thereto for ultrasonic dispersion. After repeated centrifugal washing for three times, the solution is subjected to volume fixing by using 50mM/pH 10 carbonate buffer solution to ensure that the final concentration is 20 mg/mL;
5) adding 100mg aldehyde dextran solid into a 20mL round-bottom flask, adding 5mL 50mM/pH 10 carbonate buffer, and stirring and dissolving at 30 ℃ in the dark;
6) adding the microspheres into an aldehyde dextran solution and stirring for 2 hours;
7) dissolving 15mg of sodium borohydride in 0.5mL of 50mM/pH 10 carbonate buffer solution, dropwise adding the solution into the reaction solution, and reacting overnight at 30 ℃ in a dark place;
8) after the reaction, the mixture 30000G was centrifuged, the supernatant was discarded, and 50mM/pH 10 carbonate buffer was added thereto for ultrasonic dispersion. After repeating the centrifugal washing three times, the volume was adjusted to 20mg/mL using 50mM/pH 10 carbonate buffer.
9) The average particle size of the microspheres in a Gaussian distribution at this time was 241.6nm (as shown in FIG. 1) as measured by a nanometer particle sizer.
1.4 coupling Process of HIV antigens to receptor particles
1) HIV antigen i was dialyzed into 50mM CB buffer at pH 9.0 to a measured concentration of 1 mg/mL.
2) Adding 0.5mL of the acceptor particles obtained in the step 2.3 and 0.5mL of HIV antigen I into a 2mL centrifuge tube, uniformly mixing, adding 100 mu L of 10mg/mL NaBH4The solution (50mM CB buffer) (activating agent) was reacted at 2-8 ℃ for 4 hours.
3) After completion of the reaction, 0.5mL of 100mg/mL BSA solution (50mM CB buffer) (blocking agent) was added thereto, and the reaction was carried out at 2-8 ℃ for 2 hours.
4) After completion of the reaction, the reaction mixture was centrifuged at 30000G for 45min, and the supernatant was discarded after centrifugation and resuspended in 50mM MES buffer. The centrifugal washing was repeated four times, and diluted to a final concentration of 100. mu.g/mL to obtain a solution of HBsAg antigen I-conjugated receptor particles, giving receptor agent A.
5) The average particle size of the Gaussian distribution of the particle size of the microspheres at this time was 247.1nm as measured by a nanometer particle sizer.
Example 2 detection of sugar content of microspheres
1) Pretreatment of microsphere samples:
the receptor reagent A containing 1mg of receptor microspheres a in example 1 is taken and centrifuged at 20000G for 40min, supernatant is poured out, purified water is used for ultrasonic dispersion, and the centrifugation and dispersion are repeated for three times, and then purified water is used for fixing the volume to 1 mg/mL.
2) Preparing a glucose standard solution:
the 1mg/mL glucose stock solution was prepared as a standard solution at 0mg/mL, 0.025mg/mL, 0.05mg/mL, 0.075mg/mL, 0.10mg/mL, 0.15mg/mL with purified water.
3) Preparing an anthrone solution: the solution is prepared into 2mg/mL by 80 percent sulfuric acid solution (the solution is stable within 24 hours at room temperature, and the solution is prepared as before use).
4) 0.1mL of glucose standard solution with each concentration and a sample to be detected are respectively added into a centrifuge tube, and 1mL of anthrone test solution is respectively added into each tube.
5) Incubate at 85 ℃ for 30 min.
6) Centrifuging the sample reaction tube at 15000G for 40min, and sucking clear liquid from the bottom of the tube by a pipette tip to measure absorbance so as to avoid sucking suspended matters on the upper part.
7) The temperature was returned to room temperature and the absorbance at 620nm was measured (the measurement was preferably carried out within 2 h).
8) The relationship between the sugar content concentration and the absorbance of the standard solution is shown in table 1, the sugar content concentration of the standard solution is taken as the X value, the absorbance is taken as the Y value, one-time linear regression is carried out, the sugar content determination standard curve shown in figure 2 is obtained, and the sugar content concentration of the sample to be detected is determined on the basis of the sugar content determination standard curve.
TABLE 1
Serial number Concentration mg/mL Absorbance A Absorbance B Absorbance mean value
1 0 0.0008 0.0008 0.0008
2 0.025 0.0880 0.0916 0.0898
3 0.05 0.1547 0.1611 0.1579
4 0.075 0.2375 0.2471 0.2423
5 0.1 0.3190 0.332 0.3255
6 0.15 0.4855 0.5053 0.4954
And (3) detection results:
the absorbance of the solution of the acceptor microsphere a in example 1 was measured to be 0.1984, and the sugar content of the acceptor microsphere a was calculated to be 60.5. mu.g/mg microsphere based on the standard curve for sugar content measurement.
Example 3 preparation of HIV detection kit and Performance test thereof
The kit consists of a reagent R1 (prepared in example 1), a reagent R2 (biotin labeled HIV antigen), and a sensitizing reagent R3 containing donor particles, an Anti-HIV negative control, an Anti-HIV-1 positive control, an Anti-HIV-2 positive control, an Anti-HIV weak positive control and an Anti-HIV sample diluent. The components are prepared respectively, the reagent R1 and the reagent R2 are combined into an Anti-HIV kit, and negative and positive controls, a weak positive control and a sample diluent are independently packaged respectively and then assembled into a kit. The preparation process is summarized as follows:
first reagent R1 (receptor particle coated HIV antigen): the receptor particles prepared in example 1 were added to the first buffer solution to prepare a solution having a concentration of 50. mu.g/mL.
The reagent R2 (biotin labeled HIV antigen): the treated HIV antigen and biotin are mixed uniformly according to a certain concentration and proportion to form a connector, and a certain amount of buffer solution is added after dialysis to prepare the HIV antigen-biotin conjugate.
A third Anti-HIV negative control: Anti-HIV qualitative reference dilution.
Fourth Anti-HIV-1 positive control: and diluting HIV-1 positive serum by using Anti-HIV qualitative reference substance diluent.
Fifthly, Anti-HIV-2 positive control: and diluting the HIV-2 polyclonal antibody by using Anti-HIV qualitative reference substance diluent.
Sixthly, Anti-HIV weak positive contrast: and diluting HIV-1 positive serum by using Anti-HIV qualitative reference substance diluent.
The kit can be used for qualitatively detecting the HIV (1+2 type) antibody of the human immunodeficiency virus, and the test is carried out by using an Anti-HIV weak positive control, an Anti-HIV negative control, an Anti-HIV-1 positive control and an Anti-HIV-2 positive control which are matched with each other, wherein 2 holes are added to the Anti-HIV weak positive control, 2 holes are added to the Anti-HIV negative control, the Anti-HIV-1 positive control and 1 hole is added to the Anti-HIV-2 positive control respectively. The reagents were allowed to equilibrate to ambient temperature before use.
Step 1: diluting the sample to be detected by 11 times with Anti-HIV sample diluent, and fully mixing (for example, adding 10ul of sample into 100 mu L of sample diluent);
step 2: adding 25 mu L of diluted sample and Anti-HIV negative control, Anti-HIV-1 positive control, Anti-HIV-2 positive control and Anti-HIV weak positive control into the reaction hole respectively;
and step 3: adding 25 mu L of reagent R1, 25 mu L of reagent R2 and 25 mu L of reagent R3 into the reaction hole in sequence;
and 4, step 4: putting into LiCA500 full-automatic light-activated chemical luminescence detector produced by Boyang Biotechnology (Shanghai) Limited company, and automatically operating by the detector, wherein the specific steps are as follows:
A. vibration
B.37 ℃ incubation for 15min
C. Add photosensitizing reagent 175. mu.L automatically
D.37 ℃ incubation for 10min
E. Irradiating the micropores with laser light and calculating the quantity of photons emitted from each hole
F. And (3) calculating an S/CO value (the ratio of the light signal value of the sample to be detected to the Anti-HIV weak-positive control light signal) by software, and judging whether the sample is negative or positive.
[ method for determining effectiveness of kit ]
Anti-HIV weak positive control, Anti-HIV negative control, Anti-HIV-1 positive control, Anti-HIV-2 positive control are added in each test
The S/CO value of the Anti-HIV negative control is less than 0.6, the S/CO value of the Anti-HIV-1 positive control is more than or equal to 3, and the S/CO value of the Anti-HIV-2 positive control is more than or equal to 3.
[ METHOD FOR DETERMINING DETECTION RESULT IN KIT ]
S: the optical signal value of the sample to be detected;
CO: Anti-HIV weak positive control light signal value (CUT OFF reference);
the software automatically calculates the S/CO value, the sample to be detected is judged to be negative when the S/CO is less than 1, and the sample to be detected is judged to be positive when the S/CO is more than or equal to 1.
Through detection, the kit of the embodiment has the following good performances:
(1) negative reference product compliance rate: detecting with national reference substance, wherein the coincidence rate of 20 parts of HIV antibody negative reference substance is not less than 18 parts;
(2) positive reference compliance rate: the national reference substances are used for detection, 18 HIV-1 type antibody positive reference substances cannot generate false negative, and RLUP12 is more than or equal to RLUP 11; false negatives cannot occur in 2 HIV-2 type antibody positive samples;
(3) sensitivity: performing detection by using national reference substances, wherein 1 part of matrix serum is negative in 6 parts of sensitivity reference substance serum, and at least 3 parts of diluted serum are positive in 5 parts of diluted serum;
(4) precision: the detection is carried out by national reference products, C.V is less than or equal to 15 percent (n is 10);
(5) clinical sensitivity, clinical specificity: in the test of 511 clinically judged positive serum samples, 511 samples were all tested positive, the clinical sensitivity was 100%, and in the test of 581 clinically judged negative serum samples, 580 samples were all tested negative, and the clinical specificity was 99.83%.
Example 4 influence of sugar content on assay results
The experimental steps are as follows:
1. selecting 10 tumor patient interference samples, and verifying the samples as HIV non-reactive samples through a confirmation reagent; and 20 HIV positive samples validated with validation reagents;
2. preparing receptor particles with different sugar contents coupled with HIV antigens, preparing the receptor particles into a concentration of 20 mu g/mL, and testing signal values after reacting with 30 samples;
3. after the S/CO value of each sample is calculated, when the S/CO is more than or equal to 1, the detection result is positive, otherwise, the detection result is negative;
4. and if the positive result appears in the tumor interference sample, the false positive result is judged, and if the negative result appears in the HIV positive sample, the false positive result is judged to be missed.
The results are shown in table 2 below:
TABLE 2
Figure BDA0002877250500000151
Figure BDA0002877250500000161
Figure BDA0002877250500000171
When the sugar content of the acceptor particles is not less than 40 mu g, the sensitivity is high, the detection capacity of low-value samples is high, and the interference of false positive samples is small.
Example 5: determination of ZETA potential of receptor particles in receptor reagent
The invention adopts a detection method of ZETA potential: the ZETA potential values were measured by NICOMP 380Z 3000 using doppler Electrophoresis (ELS). The ZETA potential value is obtained mainly by measuring the electrophoretic migration rate of charged particles in suspension. The stability of the colloid is judged by measuring the ZETA potential of the microspheres. The influence factor of the ZETA potential of the particles is mainly the charge on the surface of the particles.
The method for measuring the ZETA potential comprises the following steps:
1) receptor reagents of different ZETA potentials (obtained by adjusting the amounts of the blocking agent and the activating agent added during the coupling of the HIV antigen to the receptor particles, etc.) in which the content of sugar per mg of the receptor particles measured by the anthrone method was not less than 40 μ g were prepared in the manner described in example 1.
2) Samples were prepared and the different acceptor reagents prepared in step 1) were diluted into deionized water at a concentration of 10. mu.g/mL.
3) The NICOMP 380Z 3000 instrument is calibrated by a standard substance and then the ZETA potential is measured. The results are shown in Table 3.
4) HOOK sample preparation for HIV project
Defining the lowest detection limit as 0.5NCU, judging the detection capability of the quality control product of kangtiantan, and when the test signal of a certain experimental group sample is just greater than the CO signal, namely RLU (Cx) > RLU (C0), the test result is positive. The HOOK sample is defined as the sample with the concentration of the analyte higher than the concentration of the antigen antibody in the reagent, the test result has the risk of low false, and the test result is S/CO ═ RLU (Cx)/RLU (C0).
The experimental procedure was as follows:
(1) taking a 0.5NCU kanchestan quality control sample as a detection limit sample, and judging and detecting capacity difference through S/CO value and negative and positive;
(2) diluting the HOOK sample into a series of samples to be detected by 2-time gradient;
5) different Zeta potential receptor particles are selected to prepare a reagent, a HOOK sample of an HIV project is detected, and the deviation between a calculated theoretical value and an original time under different dilution times is observed.
TABLE 3
Figure BDA0002877250500000181
And (4) analyzing results: the experimental group shows that when a HOOK sample of an HIV project is measured, the original time-doubled measurement value result is low when the Zeta potential (mV) is lower than-15 mV, the theoretical value deviation is large, and the HOOK phenomenon is easy to occur; when the concentration is higher than-15 mV, the phenomenon does not occur, which indicates that the HOOK resistance is stronger.
Example 6: detection of HIV antibody levels in samples from normal humans and patients suspected of being infected with HIV virus
Clinical validation of HIV agents (receptor particles of example 1):
1. randomly selecting 100 normal physical examination samples, 50 tumor patient samples and 50 samples suspected to be infected with HIV virus;
2. receptor particles with 60 mu g of sugar content are coupled with HIV antigens to be prepared into a concentration of 20 mu g/mL, and the signal value is tested after the reaction with 200 samples;
3. after the S/CO value of each sample is calculated, when the S/CO is more than or equal to 1, the detection result is positive, otherwise, the detection result is negative;
the results are shown in table 5 below:
TABLE 5
Figure BDA0002877250500000191
Figure BDA0002877250500000201
Figure BDA0002877250500000211
And (4) analyzing results: the coincidence rate of 150 negative samples is 100%, and false positives do not exist; the coincidence rate of 50 positive samples is 100%, no missing detection exists, and the clinical diagnosis requirement of the HIV reagent is met.

Claims (14)

1. A human immunodeficiency virus antibody detection kit comprising a reagent R1, said reagent R1 comprising a first buffer solution and, suspended therein, receptor particles capable of reacting with reactive oxygen species to produce a chemiluminescent signal, characterized in that: the acceptor particle comprises a carrier, the interior of the carrier is filled with a luminescent composition, and the surface of the carrier is bonded with HIV antigen; the ZETA potential value of the acceptor particles is not higher than 0mV and not lower than-15 mV.
2. The kit of claim 1, wherein: the ZETA potential value of the acceptor particle is preferably not higher than-5 mV and not lower than-10 mV.
3. The kit according to claims 1-2, characterized in that: the sugar content per milligram mass of the acceptor particles is not less than 40 mug.
4. The kit according to any one of claims 3, wherein: the carrier surface is coated with polysaccharide molecules, and the HIV antigen is indirectly bound to the surface of the receptor particles through chemical bonding with the polysaccharide molecules.
5. The kit according to any one of claims 3 to 4, characterized in that: the sugar content per milligram mass of the acceptor particles is not less than 50 mug, preferably not less than 60 mug.
6. The kit according to any one of claims 1 to 5, characterized in that: the content of polysaccharide in the first buffer solution is 0.01-1 wt%, preferably 0.05-0.5 wt%.
7. The HIV antibody detection kit according to any one of claims 4 to 6, wherein: the polysaccharide is selected from carbohydrates containing three or more unmodified or modified monosaccharide units; preferably selected from dextran or dextran derivatives.
8. The kit according to any one of claims 1 to 7, characterized in that: the variation coefficient C.V value of the particle size distribution of the receptor particles of the R1 reagent in the kit is not less than 5% and not more than 20%.
9. The kit according to any one of claims 1 to 8, wherein the kit further comprises reagent R2, reagent R2 comprising a biotin-labeled HIV antigen.
10. The kit of any one of claims 1 to 9, wherein the kit further comprises an Anti-HIV sample diluent.
11. The kit of any one of claims 1 to 10, wherein the kit further comprises one or more of an Anti-HIV negative control, an Anti-HIV-1 positive control, an Anti-HIV-2 positive control, and an Anti-HIV weak positive control.
12. The method of using the HIV antibody detection kit according to any one of claims 1 to 11, comprising the steps of diluting a sample to be tested with a diluent, adding a reagent R1 and a reagent R2 thereto, adding a photosensitive reagent thereto, irradiating with laser light, calculating the amount of photons, and judging whether the sample to be tested is HIV negative or positive based on the amount of photons.
13. A method of using the human immunodeficiency virus antibody detection kit of claim 12, comprising the steps of:
step 1: diluting a sample to be detected by using Anti-HIV sample diluent, and fully and uniformly mixing;
step 2: adding the diluted sample and Anti-HIV negative control, Anti-HIV-1 positive control, Anti-HIV-2 positive control and Anti-HIV weak positive control into the reaction well respectively;
and step 3: sequentially adding a reagent R1, a reagent R2 and a photosensitive reagent into the reaction hole;
and 4, step 4: putting the reaction hole into a light-excited chemical luminescence detector, irradiating the reaction hole by laser, calculating the quantity of photons emitted by the reaction hole, and judging whether HIV is positive or negative according to the quantity of photons.
14. Use of the human immunodeficiency virus antibody detection kit according to any one of claims 1 to 11 in a chemiluminescence analyzer.
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