CN114689865A - Optic neuromyelitis antibody detection reagent - Google Patents
Optic neuromyelitis antibody detection reagent Download PDFInfo
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Abstract
The invention provides an antibody detection reagent for neuromyelitis optica, which comprises a slide reagent, a fluorescence-labeled secondary antibody and a phosphate buffer solution, and is characterized in that the slide reagent comprises AQP4 transfected cells for expressing labeled fluorescent protein and blank vector transfected cells for expressing the labeled fluorescent protein; the fluorescence of the fluorescently labeled secondary antibody and the fluorescence of the transfected cells expressing the fluorescent protein are fluorescence of different color systems. The method is applied to judging whether the sample contains the target antibody or not through fluorescence of different color systems and fluorescence combination.
Description
Technical Field
The invention belongs to the field of immunodetection, and particularly relates to an antibody detection reagent for neuromyelitis optica.
Background
Neuromyelitis optica (NMO) is an inflammatory demyelinating disease of the central nervous system that involves the optic nerve and spinal cord primarily selectively. The primary manifestations are rapid and severe visual deterioration of both eyes (eyes develop several hours, days or even weeks apart), and relatively rare eye pain; some patients develop edema of the optic papilla, varicose veins of the retina, dilation and perioptic papillary exudation; visual function recovery is poor and most patients leave behind severe visual impairment of both eyes or at least one eye (final vision below 0.1). The acute spinal cord injury of NMO can occur before, after, or even simultaneously with vision loss, which can be separated by days, weeks, months, or years, manifested as paraplegia, sensory and sphincter dysfunction, and can lead to respiratory muscle paralysis in severe cases.
The pathogenesis of NMO has not been fully elucidated, and the autoantibody aquaporin 4 (AQP 4) -IgG is now thought to play a dominant role. The combination of AQP4-IgG and AQP4 on the foot processes of astrocytes starts the classical complement activation pathway, produces direct toxic effect on astrocytes, releases a series of inflammatory factors to recruit granulocytes, macrophages and the like, and aggravates inflammatory injury and demyelination of the central nervous system, and NMO other related antibodies also comprise MOG, MBP, GFAP and the like.
Monochromatic fluorescence is adopted during the detection and judgment of the neuromyelitis antibody at present, and the monochromatic fluorescence is easy to cause false positive during detection and has low accuracy.
Disclosure of Invention
In order to solve the problems in the detection and improve the accuracy of the detection of the neuromyelitis optica antibody, the invention provides a reagent for detecting the neuromyelitis optica antibody. Whether the fluorescence spots of different color systems are superposed or not and whether the fluorescence characteristics are consistent or not are judged through fluorescence and fluorescence combination of different color systems, and the method is applied to judging whether a sample contains a target antibody or not, so that the accuracy of antibody detection is improved, and qualitative or semi-quantitative analysis can be carried out on the neuromyelitis optica antibody.
The neuromyelitis optica antibody detection reagent comprises a slide glass reagent, a fluorescence-labeled secondary antibody and Phosphate Buffered Saline (PBS), and is characterized in that the slide glass reagent comprises AQP4 transfected cells for expressing labeled fluorescent protein and blank carrier transfected cells for expressing the labeled fluorescent protein; the fluorescence of the fluorescently labeled secondary antibody and the fluorescence of the transfected cells expressing the fluorescent protein are fluorescence of different color systems.
Furthermore, AQP4 transfected cells expressing labeled fluorescent protein and blank vector transfected cells expressing labeled fluorescent protein are fixed on different areas of the same surface of the slide respectively.
Further, the slide reagent also comprises one or more of MOG, MBP and GFAP transfected cells expressing a labeled fluorescent protein.
Further, the fluorescence-labeled secondary antibody is selected from goat anti-human IgG, mouse anti-human IgG, rabbit anti-human IgG, donkey anti-human IgG, horse anti-human IgG or chicken anti-human IgG.
Further, the fluorescent substance used in the fluorescently labeled secondary antibody is selected from fluorescein isothiocyanate, rhodamine, tetramethylrhodamine isothiocyanate, Texas Red, phycoerythrin, propidium iodide, Alexa Fluor series, Dylight series, iFluor series, PE or Cy series.
Further, the fluorescent protein is selected from red fluorescent protein, orange fluorescent protein, yellow fluorescent protein, green fluorescent protein, cyan fluorescent protein or blue fluorescent protein.
Further, the preparation method of the neuromyelitis optica antibody detection reagent comprises the following steps:
1) respectively culturing AQP4 transfected cells expressing a labeled fluorescent protein and blank vector transfected cells expressing the labeled fluorescent protein on a flat substrate;
2) removing the culture medium from the cultured cells, and washing with a phosphate buffer solution;
3) adding a fixing solution to fix the cells;
4) sealing the fixed cells with a sealing liquid, and drying;
5) the dried cell-loaded plate matrix was transferred to a slide and fixed with a shadowless gel.
Further, the fixing solution is a solution prepared from one or more of aldehydes, methanol, ethanol, acetone, osmium tetroxide, picric acid, chloroform, chromic acid, mercuric chloride and dichromic acid.
Further, the mounting solution is selected from one or more of polyethylene glycol, BSA, SlowFade Diamond, SlowFade Gold, glycerol, paraffin, gelatin, aloe gel, anti-quenching agent and mineral oil.
The detection method of the neuromyelitis optica antibody detection reagent comprises the following steps:
1) preparing a serum, plasma or cerebrospinal fluid sample, taking the diluted sample and adding the diluted sample into a slide reaction zone;
2) incubation at 37 ℃ or overnight at 4 ℃;
3) washing with PBS;
4) fully draining PBS, adding a fluorescence-labeled secondary antibody into a slide reaction zone, and incubating at 37 ℃;
5) washing with PBS;
6) adding PBS into the reaction zone;
7) the slide was placed under a fluorescent microscope for microscopic examination.
Further, a fluorescence microscope is used for observing the fluorescence spots and the combination of the fluorescence spots, whether the positions of the fluorescence spots are overlapped and whether the fluorescence characteristics are consistent or not is judged, whether the sample contains the anti-AQP 4 antibody or not is judged, and qualitative or semi-quantitative detection and analysis are carried out on the anti-AQP 4 antibody in the sample through the dilution multiple of serum, plasma or cerebrospinal fluid of a subject and the intensity of the spots, so that a basis is provided for clinically judging the severity of the neuromyelitis optica patients.
Furthermore, the detection reagent is in a slide glass form, and the sample amount and the PBS amount can be adjusted according to the structure of the slide glass.
For example, the red fluorescent protein is selected from mCherry, mBanana, mOrange, dTomato, mTangerine, or mStrawberry.
The invention provides a diagnosis method for neuromyelitis optica by using a double-fluorescence positioning interpretation method as a quantitative or qualitative analysis method for neuromyelitis optica.
The dual fluorescence used in the invention is different color systems, so that the color systems of protein fluorescence and labeled fluorescence can be accurately distinguished when a fluorescence interpretation device or naked eyes are used for identification.
The detection reagent of the invention can adopt fluorescence interpretation equipment or naked eye identification when judging the position and the intensity of fluorescence, and preferably adopts fluorescence interpretation equipment for interpretation when carrying out quantitative detection.
The cells used in the invention are selected from HEK293T cells, and can be preserved.
The invention has at least the following beneficial effects:
1) the antibody detection reagent prepared by the invention can detect the AQP4 antibody, has strong specificity, high sensitivity and good repeatability of experimental results, can be popularized and applied, and has extremely important significance clinically. 2) In addition, aiming at the problem that misjudgment is easily caused under the condition of low fluorescence signals in the prior art, the invention reduces the problem that misjudgment is easily caused under the condition of low fluorescence signals by expressing fluorescent protein by cells, adding a fluorescence-labeled secondary antibody and observing whether the positions of fluorescent cells emitted by different color systems can be overlapped and the characteristics of fluorescence.
Drawings
Fig. 1-2: fluorescence image of sample under microscope detected by neuromyelitis optica antibody detection reagent (sample containing anti-AQP 4 antibody)
Fig. 3 to 4: fluorescence image of sample detected by neuromyelitis optica antibody detection reagent under microscope (sample does not contain anti-AQP 4 antibody)
Detailed Description
Other objects, features and advantages of the present invention will become apparent from the following detailed description. However, it should be understood that the detailed description and specific examples are given for purposes of illustration only, since various changes and modifications within the spirit and scope of the invention will become apparent to those skilled in the art from this detailed description.
According to the embodiment of the invention, the anti-AQP 4 antibody detection reagent is prepared, and the anti-AQP 4 antibody in the sample is detected by using the detection reagent, so that whether the sample contains the anti-AQP 4 antibody or not is judged, and a basis is provided for a clinician to diagnose the severity of the neuromyelitis optica.
In the examples, red fluorescence and green fluorescence are used, where mCherry emits red fluorescence and Dylight 488 emits green fluorescence. The fluorescence of different color systems is selected to ensure that the fluorescence color difference of the two can be easily distinguished by naked eyes.
Example 1: preparation of neuromyelitis optica antibody detection reagent
1) Culturing AQP4 transfected cells expressing a marker mCherry and blank vector transfected cells expressing the marker mCherry on a plate substrate, observing the growth condition of the cells under a microscope, and waiting until the cells expand to nearly 100%;
2) removing the culture medium, and washing with 1 × PBS;
3) adding 50 mul of 4% paraformaldehyde fixing solution to fix the cells for 60min, discarding the fixing solution, and adding 50 mul of 1 XPBS to wash for 2 times;
4) adding 50 mul of 5% BSA blocking solution for blocking for 20min, discarding the blocking solution, adding 50 mul of 1 XPBS for washing for 2 times, and drying;
5) the dried cell-loaded plate matrix was transferred to a slide and fixed with a shadowless gel.
Example 2: neuromyelitis optica antibody detection reagent for sample detection
The reagent prepared in example 1 was used for the detection of the anti-AQP 4 antibody as follows:
1) preparing a serum sample, adding 30-50 mul of the diluted sample into a slide reaction area, and keeping the sample moist in a dark place;
2) incubation at 37 ℃ for 1 hour or overnight at 4 ℃;
3) wash 3 times with 1 × PBS for 3 minutes each;
4) fully draining 1 XPBS, adding 30-50 mul of goat anti-human secondary antibody marked by fluorescent Dylight 488 into a slide reaction area, incubating for 30 minutes at 37 ℃, and keeping moisture in a dark place;
5) 1 × PBS 3 washing, each time 3 minutes;
6) adding 30-50 mu l of 1 XPBS into the reaction area, and keeping the reaction area in a dark place for moisture;
7) the slide was placed under a fluorescent microscope for microscopic examination.
Example 3: use of microscopy for interpretation of anti-AQP 4 antibodies in samples
Example 2 interpretation of the treated slides was as follows:
1) observing the emitted fluorescent spots by using a fluorescence microscope at the wavelength of 518nm and the wavelength of 610nm respectively, and observing whether the green fluorescent spots are emitted or not;
2) comparing the position and the characteristics of the green fluorescent spot with the position of the red fluorescent spot to determine whether the positions and the characteristics of the green fluorescent spot are overlapped;
3) if the positions emitting green fluorescent spots and the positions emitting red fluorescent spots can be overlapped and have basically the same characteristics, the sample can be judged to contain the anti-AQP 4 antibody;
4) if the green fluorescent spot can not be emitted; or the position emitting the green fluorescent spot and the position emitting the red fluorescent spot cannot be overlapped; or the position emitting green fluorescent spots and the position emitting red fluorescent spots can overlap, but the features are greatly different; the sample can be judged to be free of anti-AQP 4 antibody.
FIG. 1 shows the red spot overlaps and has substantially the same characteristics as the green spot of FIG. 2, indicating that the sample contains anti-AQP 4 antibody; FIG. 3 position of red fluorescent spots in FIG. 4 there are no fluorescent spots, indicating that the sample does not contain anti-AQP 4 antibody.
Similarly, a multiplex assay test reagent may be prepared as described in example 1, and the reagent may include one or more of cells transfected with MOG, MBP, GFAP and labeled with fluorescent protein in addition to cells transfected with AQP4 labeled with fluorescent protein, so that a plurality of antibodies in a sample can be simultaneously detected and interpreted.
All technical features disclosed in the present specification may be combined in any combination. Each feature disclosed in this specification may be replaced by an alternative feature serving the same, equivalent, or similar purpose. Thus, unless expressly stated otherwise, each feature disclosed is one example only of a generic series of equivalent or similar features.
Furthermore, from the foregoing description, one skilled in the art can easily ascertain the essential characteristics of this invention, and without departing from the spirit and scope thereof, can make various changes to the invention to adapt it to various usages and conditions, and therefore such changes are intended to fall within the scope of the appended claims.
Claims (10)
1. The reagent for detecting the neuromyelitis optica antibody comprises a slide reagent, a fluorescence-labeled secondary antibody and a phosphate buffer solution, and is characterized in that the slide reagent comprises AQP4 transfected cells for expressing labeled fluorescent protein and blank vector transfected cells for expressing the labeled fluorescent protein; the fluorescence of the fluorescently labeled secondary antibody and the fluorescence of the transfected cells expressing the fluorescent protein are fluorescence of different color systems.
2. The reagent for detecting neuromyelitis optica antibody of claim 1, wherein AQP4 transfected cells expressing a labeled fluorescent protein and blank vector transfected cells expressing a labeled fluorescent protein are immobilized on the same surface of a slide at different regions, respectively.
3. The reagent for detecting neuromyelitis optica antibody of claim 1, wherein said slide reagent further comprises one or more of cells transfected with MOG, MBP, GFAP expressing labeled fluorescent protein.
4. The reagent of claim 1, wherein the fluorescently labeled secondary antibody is selected from goat anti-human IgG, mouse anti-human IgG, rabbit anti-human IgG, donkey anti-human IgG, horse anti-human IgG, and chicken anti-human IgG.
5. The reagent for the detection of neuromyelitis optica antibody as claimed in claim 1, wherein said fluorescently labeled secondary antibody uses a fluorescent substance selected from the group consisting of fluorescein isothiocyanate, rhodamine, tetramethylrhodamine isothiocyanate, Texas Red, phycoerythrin, propidium iodide, Alexa Fluor series, Dylight series, iFluor series, PE and Cy series.
6. The reagent for detecting neuromyelitis optica antibody of claim 1, wherein said fluorescent protein is selected from the group consisting of red fluorescent protein, orange fluorescent protein, yellow fluorescent protein, green fluorescent protein, cyan fluorescent protein and blue fluorescent protein.
7. The method for preparing an neuromyelitis optica antibody detection reagent of any one of claims 1 to 6, comprising:
1) respectively culturing AQP4 transfected cells expressing a labeled fluorescent protein and blank vector transfected cells expressing the labeled fluorescent protein on a flat substrate;
2) removing the culture medium from the cultured cells, and washing with a phosphate buffer solution;
3) adding a fixing solution to fix the cells;
4) sealing the fixed cells with a sealing liquid, and drying;
5) the dried cell-loaded plate matrix was transferred to a slide and fixed with a shadowless gel.
8. The method according to claim 7, wherein the fixative is selected from the group consisting of solutions prepared from one or more of aldehydes, methanol, ethanol, acetone, osmium tetroxide, picric acid, chloroform, chromic acid, mercuric chloride, dichromic acid; the confining liquid is one or more selected from polyethylene glycol, BSA, SlowFade Diamond, SlowFade Gold, glycerol, paraffin, gelatin, aloe gel, anti-quenching agent and mineral oil.
9. The method for detecting an neuromyelitis optica antibody detection reagent of any one of claims 1 to 6, comprising the steps of:
1) preparing a serum, plasma or cerebrospinal fluid sample, taking the diluted sample and adding the diluted sample into a slide reaction zone;
2) incubation at 37 ℃ or overnight at 4 ℃;
3) washing with PBS;
4) fully draining PBS, adding a fluorescence-labeled secondary antibody into a slide reaction zone, and incubating at 37 ℃;
5) washing with PBS;
6) adding PBS into the reaction zone;
7) the slide was placed under a fluorescent microscope for microscopic examination.
10. The method for detecting an neuromyelitis optica antibody test reagent of claim 9, wherein a fluorescent spot and a combination of fluorescent spots are observed with a fluorescence microscope, and whether or not the anti-AQP 4 antibody is contained in the sample is determined by determining whether or not the positions of the fluorescent spots overlap and whether or not the fluorescent characteristics are identical; and carrying out qualitative or semi-quantitative detection analysis on the anti-AQP 4 antibody in the sample through the dilution multiple of the sample and the strength of the spots.
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CN102388307A (en) * | 2008-11-12 | 2012-03-21 | 耶达研究与发展有限公司 | Diagnosis of multiple sclerosis |
CN106318974A (en) * | 2016-08-29 | 2017-01-11 | 南方医科大学南方医院 | Cell immobilization technology and AQP4 antibody detection kit prepared through same |
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CN102388307A (en) * | 2008-11-12 | 2012-03-21 | 耶达研究与发展有限公司 | Diagnosis of multiple sclerosis |
CN106318974A (en) * | 2016-08-29 | 2017-01-11 | 南方医科大学南方医院 | Cell immobilization technology and AQP4 antibody detection kit prepared through same |
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