JP2010271295A - Measuring reagent - Google Patents

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JP2010271295A
JP2010271295A JP2009142744A JP2009142744A JP2010271295A JP 2010271295 A JP2010271295 A JP 2010271295A JP 2009142744 A JP2009142744 A JP 2009142744A JP 2009142744 A JP2009142744 A JP 2009142744A JP 2010271295 A JP2010271295 A JP 2010271295A
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antibody
nephritis
peptide
urine
antibodies
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Morisuke Yokoyama
司甫 横山
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Abstract

<P>PROBLEM TO BE SOLVED: To detect nephritis, prepare an animal model, and develop a nephritis therapeutic agent using peptide originating in type-IV collagen NC1 region and its antibody. <P>SOLUTION: Peptides and their antibodies (newly purified autoantibodies and antibodies of animal origin prepared by the conventional method) are used. Specifically, a measuring reagent of an EIA method (including an ELISA method) using these peptides as antigens is developed, and an anti-peptide antibody is found from a nephritis sample. The measuring method may be any method as long as it is immunoreaction, and can be speedily introduced when it is a method used for a reagent presently available in the market. Detection of a peptide antibody has extremely higher sensitivity than that of detection of an anti-NC1 antibody. <P>COPYRIGHT: (C)2011,JPO&INPIT

Description

本発明は、タイプIVコラーゲン由来のペプチド及びその抗体の利用に関する。特にタイプIVコラーゲンのNC1領域由来のペプチド及びその抗体を利用した測定試薬である。The present invention relates to the use of peptides derived from type IV collagen and antibodies thereof. In particular, it is a measurement reagent using a peptide derived from the NC1 region of type IV collagen and its antibody.

タイプIVコラーゲンは、三本鎖螺旋構造の7Sと中央螺旋域(以下、TH)、非螺旋構造のNC1領域とに分けられる。従来、タイプIVコラーゲンの三本鎖螺旋領域はタイプIVコラーゲンの名称で、腎炎尿より検出されるとして、その測定試薬は臨床診断薬に用いられている。又、タイプIVコラーゲンのNC1領域(以下、NC1)は、腎炎でNC1の尿中濃度測定が有用であることが判明した(特願2003−436150)。Type IV collagen is divided into a triple-stranded helical structure 7S, a central helical region (hereinafter referred to as TH), and a non-helical NC1 region. Conventionally, the triple-stranded helical region of type IV collagen is the name of type IV collagen, and it is detected from nephritic urine, and its measuring reagent is used for clinical diagnostics. Further, it was found that the NC1 region of type IV collagen (hereinafter referred to as NC1) is useful for measuring the urinary concentration of NC1 in nephritis (Japanese Patent Application No. 2003-436150).

タイプIVコラーゲンはa1鎖からa6鎖までの6鎖があり、タイプIVコラーゲン1分子はa鎖三本で構成されている(文献;J Cell Biol 130(5):1219−1229,1995)。稀な腎炎であるグッドパスチャー症候群(狭義の抗糸球体基底膜(GBM)抗体腎炎)の抗原は、NC1のa3鎖上の特定の立体構造部位であると考えられている(文献;J Biol Chem 274(16):11267−11274,1999.)。抗糸球体基底膜(GBM)抗体腎炎では、a3鎖のNC1以外も含む巨大なGBMを抗原とした測定法で抗GBM抗体が血中より測定され、その測定試薬キットは臨床診断薬に用いられている。Type IV collagen has six chains from a1 chain to a6 chain, and one type IV collagen molecule is composed of three a chains (Reference: J Cell Biol 130 (5): 1219-1229, 1995). The antigen of Goodpascher's syndrome (a narrow sense anti-glomerular basement membrane (GBM) antibody nephritis), which is a rare nephritis, is considered to be a specific conformation site on the a3 chain of NC1 (Reference: J Biol Chem). 274 (16): 11267-11274, 1999.). In anti-glomerular basement membrane (GBM) antibody nephritis, anti-GBM antibody is measured in blood by a measurement method using a huge GBM other than NC1 of a3 chain as an antigen, and its reagent kit is used as a clinical diagnostic agent. ing.

発明が解決しょうとする課題Problems to be solved by the invention

これらは次のような問題があった。測定試薬キットで、タイプIVコラーゲン三本鎖領域を標準品に用いるときや抗タイプIVコラーゲン三本鎖領域抗体作製時には、通常ヒトもしくは動物の胎盤や腎臓や眼球から三本鎖を抽出する必要があり、多大の時間と格別の技術を要する。NC1も三本鎖と同様に抽出と精製には多大の労力と技術を要する。三本鎖螺旋領域(以下、三本鎖)やNC1を含めてタイプIVコラーゲンは分子量が大きいので、尿中に測定される三本鎖やNC1の分子全体が同じように疾患に関与しているのでは無く、一部が中核として疾患に関与している可能性がある。
そのような観点も入れて、腎炎に関しては、タイプIVコラーゲンに限らず広く健常者と異なる蛋白やペプチドを患者の血液や尿から得る努力が払われている。が、未だ、健常者と腎炎患者を識別する物質の特定には至っていない。
実際、患者さんの試料(組織、抽出物、血液、尿など)から蛋白やペプチドを電気泳動で分離して解析することは、疾患に関わる中核部分を見出そうとする試みであるが、蛋白やペプチドの特定にはやはり至っていない。
抗GBM抗体腎炎では抗原部位が特定されているが、患者さんの尿や血清試料からの抗原はもちろん、それに代わる蛋白やペプチド検出の報告も無い。
These had the following problems. When using a type IV collagen triple chain region as a standard product with a measurement reagent kit or preparing an anti-type IV collagen triple chain region antibody, it is usually necessary to extract the triple chain from the placenta, kidney or eyeball of a human or animal. Yes, it takes a lot of time and special skills. NC1 requires much labor and technology for extraction and purification as well as triple strand. Since type IV collagen has a large molecular weight, including triple-stranded helical region (hereinafter referred to as triple-stranded) and NC1, the entire triple-stranded and NC1 molecules measured in urine are equally involved in the disease. Instead, some may be involved in the disease as a core.
In view of nephritis, efforts are being made to obtain proteins and peptides different from those of healthy individuals from the blood and urine of patients, not limited to type IV collagen. However, the substance which distinguishes a healthy person from a nephritis patient has not been specified yet.
In fact, separating proteins and peptides from patient samples (tissues, extracts, blood, urine, etc.) by electrophoresis is an attempt to find the core part related to the disease. Neither peptide nor peptide has been identified.
In anti-GBM antibody nephritis, the antigenic site is specified, but there is no report of detection of protein or peptide as an alternative to the antigen from patient's urine and serum samples.

課題を解決するための手段Means for solving the problem

本願発明者は、長年のタイプIVコラーゲン研究の結果、本願を成し遂げた。それは、既に報告しているペプチド(文献;医学と薬学57(5):605−613,2007.yp5,8,10,12,13)及び、それらの抗体(新規に精製できた自己抗体及び従来手法で作製の動物由来抗体)を用いることである。The inventor of the present application has accomplished this application as a result of many years of research on type IV collagen. It has already reported peptides (literature; medicine and pharmacy 57 (5): 605-613, 2007. yp5, 8, 10, 12, 13) and their antibodies (newly purified autoantibodies and conventional ones). Animal-derived antibody produced by the technique).

具体的には、これらのペプチド(以下、ペプチド)を抗原としたEIA法(ELISA法も含む)の測定試薬を開発し、腎炎試料から抗ペプチド抗体が見出した。測定方法は、免疫反応である限り、どのような方法でも良く、現在市販されている試薬に用いられている方法なら速やかに導入できる。
ペプチド抗体の検出は、抗NC1抗体の検出に比べ格段に高感度である。
高感度であることは、少ない検体量で健常者と腎炎との識別がより明瞭にする。例えば、尿を試料とするなら、抗NC1抗体の測定では4−5倍の希釈で100ul使用であるが、抗ペプチド抗体の測定は10−20倍の希釈で50ul使用で済み、特に採取量が少ない血清が試料なら、充分に希釈して使用できることは検査として望ましい。希釈倍率を上げなければ同じ免疫方法では、より短時間の測定をも可能にする。
Specifically, a reagent for measuring the EIA method (including ELISA method) using these peptides (hereinafter referred to as peptides) as an antigen was developed, and anti-peptide antibodies were found from nephritis samples. As long as the measurement method is an immune reaction, any method may be used, and any method used for a commercially available reagent can be introduced quickly.
The detection of peptide antibodies is much more sensitive than the detection of anti-NC1 antibodies.
The high sensitivity makes distinction between a healthy person and nephritis clearer with a small amount of specimen. For example, if urine is used as a sample, the measurement of anti-NC1 antibody uses 100 ul at a dilution of 4-5 times, but the measurement of anti-peptide antibody only requires 50 ul at a dilution of 10-20 times. If a small amount of serum is a sample, it is desirable as a test that it can be used after sufficiently diluted. If the dilution ratio is not increased, the same immunization method enables a shorter measurement time.

続いて、本願発明者は、ペプチドを動物(ラット、モルモット及びウサギ)に投与して作製した抗ペプチド抗体を用いて、尿中から抗原ペプチドをEIA法で検出した。Subsequently, the inventor of the present application detected the antigenic peptide from urine by the EIA method using an anti-peptide antibody prepared by administering the peptide to animals (rats, guinea pigs and rabbits).

この結果、尿蛋白がマイナスやプラスマイナスの健常者や軽症腎炎とされる尿中にも、抗NC1抗体やNC1、抗ペプチド抗体やペプチドを検出し、尿蛋白の結果と腎障害の程度とが必ずしも一致しないことを見出した。As a result, anti-NC1 antibody, NC1, anti-peptide antibody and peptide are also detected in urine where urine protein is negative or positive or negative, and in urine where mild nephritis is considered. I found that they do not necessarily match.

患者さんからの試料を尿とするときには、早朝尿を除く日中のものを、特に午前に採取したものがふさわしい。更に、高血圧疾患なら午前採取が良い。
従来の尿蛋白試験では、一日の中でもっとも蛋白が濃縮されているとして早朝尿を用いる。しかし、発明者は、腎炎(慢性腎炎、高血圧性腎炎、糖尿病性腎炎、IgA腎症他)の検討で、抗NC1抗体は、一日の中で日中、特に午前がもっとも高くなることを見出した。腎炎の早朝尿は一日の中でもっとも抗NC1抗体が低く、症例によっては健常者の平均プラス2倍の標準偏差(2SD)以内で健常範囲となり、腎炎としての識別は困難であった。
健常者の測定では、運動を行っても、一日の間に大きな変動は無かった。
高血圧性腎炎や降圧剤を投与中の腎炎患者さんでは特に午前の検査試料を用いることが有効である。又、健常者に比べ腎炎での腎臓は、負荷の時の耐用域が狭いものと考える。従って、心臓の検査でトレッドミルでの負荷試験を行う様に、腎臓機能検査も負荷を与えて調べる事は、患者さんの体に適した労働を選ぶのに有効と考える。その意味では、特別な負荷試験を行わず、腎機能検査として日常生活の中で尿を終日頻回採取して調べるのが現在の生活環境や労働環境がふさわしいのかを判断するのに最も良いと考える。なお、トレッドミルによる心臓機能検査は、明らかに心臓に障害が認められる時には、危険とされている。
When urine is used as a sample from a patient, it is appropriate to collect samples during the day except for morning urine, especially in the morning. Furthermore, morning collection is good for hypertensive diseases.
In the conventional urine protein test, early morning urine is used because the protein is most concentrated in the day. However, the inventor found that anti-NC1 antibody was highest during the day, especially in the morning, in the study of nephritis (chronic nephritis, hypertensive nephritis, diabetic nephritis, IgA nephropathy, etc.). It was. The early morning urine of nephritis had the lowest anti-NC1 antibody in the day, and in some cases it was within the normal range within an average plus 2 times the standard deviation (2SD) of healthy subjects, making it difficult to identify as nephritis.
In the measurement of healthy subjects, there was no significant fluctuation during the day even after exercise.
The use of morning test samples is especially effective for patients with hypertensive nephritis and nephritis who are taking antihypertensive drugs. In addition, kidneys with nephritis are considered to have a narrower tolerable range when loaded than healthy individuals. Therefore, it is considered effective to select a labor suitable for the patient's body by examining the kidney function test with a load as in the case of performing a load test with a treadmill in the examination of the heart. In that sense, it is best to determine whether the current living environment or working environment is appropriate by examining urine frequently in daily life as a renal function test without conducting a special stress test. Think. It should be noted that the heart function test by the treadmill is considered dangerous when the heart is clearly damaged.

発明の効果The invention's effect

抗ペプチド抗体とペプチドの測定結果は、抗NC1抗体と同じ傾向であったので、抗ペプチド抗体やペプチドの検出は、NC1や抗NC1抗体の測定に代えて利用できるだけでなく、より高感度な結果をもたらす。
利用するペプチドは合成品なので生体抽出のNC1と異なり一定品質を得られる。ペプチドは抗ペプチド抗体の抗原としても、ペプチド測定の標準品としても利用できる。抗ペプチド抗体は、免疫反応の一種である免疫組織染色法にも使用できる。
更に、ペプチド及び抗ペプチド抗体は動物に投与することで腎炎モデルの作製、腎炎の治療薬として利用可能である。
以下、実施例を示すがこれに本願は限定されるものではない。
Since the measurement results of the anti-peptide antibody and the peptide were the same as those of the anti-NC1 antibody, the detection of the anti-peptide antibody and the peptide can be used in place of the measurement of the NC1 or anti-NC1 antibody, and the result is more sensitive. Bring.
Since the peptide to be used is a synthetic product, a certain quality can be obtained unlike NC1 of biological extraction. The peptide can be used as an antigen of an anti-peptide antibody or as a standard for peptide measurement. Anti-peptide antibodies can also be used for immunohistochemical staining, which is a type of immune reaction.
Furthermore, peptide and anti-peptide antibodies can be used as nephritis models and therapeutic agents for nephritis by administering them to animals.
Hereinafter, although an Example is shown, this application is not limited to this.

尿中ペプチドの検索/実験No.71219
実験概要;EIA法による
試料の固相化;マイクロプレート(Maxi soap NUNK)に希釈尿を固相化
健常者(n=10)腎炎患者(n=9);2倍希釈尿 50ul/well
ブロック剤;0.2%Tween−PBS 300ul/well
検出抗体;抗yp8抗体(ウサギ由来)X1,000 50ul/well、抗yp12抗体(ウサギ由来)X1,000 50ul/well、
酵素標識抗ウサギ抗体;(ヤギ由来CAPPEL)X5,000 50ul/well
発色基質;TMB(+)(DAKO) 50ul/well
反応停止液(1N硫酸)50ul/well
抗体希釈液及びサンプル希釈液は0.05%Tween−PBS
操作後、吸光度をA450nmにて測定
測定結果;
yp8 yp12
健常者No.01 0.132 0.214
02 0.321 0.572
03 0.042 0.057
04 0.000 0.000
05 0.016 0.037
11 0.002 0.028
12 0.000 0.029
13 0.000 0.000
14 0.728 1.829
15 0.026 0.042
AVE. 0.128 0.281
SD. 0.233 0.571
AVE+2SD/0.594 1.423
腎炎患者No.N02 0.216 0.245
N03 0.289 0.367
N04 0.781 0.834
N05 0.722 0.749
N11 0.249 0.890
N12 0.277 0.602
N13 0.000 0.019 ネフローゼ症候群の回復後
N14 0.086 0.222
N15 0.306 0.779
陽性標準 0.625 0.636
(いずれもブランク控除後)
ブランク値 0.082 0.144
Search for peptide in urine / experiment 71219
Outline of experiment; Immobilization of sample by EIA method; Immobilization of diluted urine on microplate (Maxi soap NUNK) Healthy patient (n = 10) Nephritis patient (n = 9); 2-fold diluted urine 50ul / well
Blocking agent: 0.2% Tween-PBS 300ul / well
Detection antibody: anti-yp8 antibody (rabbit derived) X1,000 50 ul / well, anti-yp12 antibody (rabbit derived) X1,000 50 ul / well,
Enzyme-labeled anti-rabbit antibody; (goat-derived CAPPEL) X5,000 50ul / well
Chromogenic substrate; TMB (+) (DAKO) 50ul / well
Reaction stop solution (1N sulfuric acid) 50ul / well
Antibody dilution and sample dilution are 0.05% Tween-PBS
After the operation, the absorbance was measured at A450 nm and measured;
yp8 yp12
Healthy person no. 01 0.132 0.214
02 0.321 0.572
03 0.042 0.057
04 0.000 0.000
05 0.016 0.037
11 0.002 0.028
12 0.000 0.029
13 0.000 0.000
14 0.728 1.829
15 0.026 0.042
AVE. 0.128 0.281
SD. 0.233 0.571
AVE + 2SD / 0.594 1.423
Nephritis patient no. N02 0.216 0.245
N03 0.289 0.367
N04 0.781 0.834
N05 0.722 0.749
N11 0.249 0.890
N12 0.277 0.602
N13 0.000 0.019 After recovery from nephrotic syndrome
N14 0.086 0.222
N15 0.306 0.779
Positive standard 0.625 0.636
(All after blank deduction)
Blank value 0.082 0.144

尿中抗ペプチド抗体の測定/実験No.80501
実験概要;;
ペプチド固相化マイクロプレート(固相化 10ug/ml,100ul/well;NC1、(yp5,yp8,yp12))、ブロック剤(PBS−0.2%Tween)、検体尿;検体希釈液(PBS−0.05%Tween)にて10倍希釈100ul/well,室温×1時間、検出抗体(酵素標識抗ヒトIgG/CAPPELを5,000倍希釈)室温×30分、基質液(TMB(+)DAKO)100ul/well 室温×15分、停止。液(1N硫酸)100ul/wellA450nm
健常者(n=21)
NO. NC1 yp5 yp8 yp12
6 0.056 0.012 0.706 0.025
7 0.033 0.000 0.573 0.003
8 0.044 0.037 1.314 0.004
9 0.026 0.000 0.905 0.004
10 0.021 0.000 0.513 0.011
17 0.003 0.000 1.296 0.034
18 0.352 0.023 0.078 0.029
19 0.101 0.036 0.946 0.008
20 0.069 0.013 0.424 0.000
21 0.010 0.001 0.000 0.005
22 0.282 0.070 1.346 0.082
24 0.030 0.000 1.228 0.018
25 0.065 0.007 0.152 0.019
26 0.019 0.000 0.251 0.000
27 0.013 0.017 0.456 0.000
28 0.022 0.000 1.148 0.009
29 0.090 0.000 0.488 0.015
30 0.015 0.000 1.048 0.009
32 0.166 0.080 1.748 0.057
33 0.003 0.005 0.178 0.000
34 0.232 0.035 0.732 0.013
Ave. 0.080 0.016 0.739 0.016
SD. 0.097 0.023 0.490 0.021
Ave.+2SD 0.274 0.062 1.719 0.058
腎炎患者
(n=9)
6 0.449 0.512 2.754 0.301
7 0.661 0.630 2.754 0.300
8 0.304 0.474 2.754 0.196
9 0.113 0.050 1.420 0.022
10 0.306 0.233 2.752 0.094
16 0.225 0.412 2.754 0.125
17 0.792 0.998 2.754 0.502
18 0.122 0.223 2.354 0.088
19 0.209 0.068 2.053 0.071
ブランク 0.089 0.172 0.746 0.075
Measurement of urinary anti-peptide antibody / Experiment No. 80501
Outline of experiment;
Peptide-immobilized microplate (immobilized 10 ug / ml, 100 ul / well; NC1, (yp5, yp8, yp12)), blocking agent (PBS-0.2% Tween), sample urine; sample diluent (PBS- 0.05% Tween) 10-fold diluted 100 ul / well, room temperature x 1 hour, detection antibody (enzyme-labeled anti-human IgG / CAPPEL diluted 5,000 times) room temperature x 30 minutes, substrate solution (TMB (+) DAKO ) 100 ul / well Room temperature x 15 minutes, stop. Liquid (1N sulfuric acid) 100ul / wellA 450nm
Healthy people (n = 21)
NO. NC1 yp5 yp8 yp12
6 0.056 0.012 0.706 0.025
7 0.033 0.000 0.573 0.003
8 0.044 0.037 1.314 0.004
9 0.026 0.000 0.905 0.004
10 0.021 0.000 0.513 0.011
17 0.003 0.000 1.296 0.034
18 0.352 0.023 0.078 0.029
19 0.101 0.036 0.946 0.008
20 0.069 0.013 0.424 0.000
21 0.010 0.001 0.000 0.005
22 0.282 0.070 1.346 0.082
24 0.030 0.000 1.228 0.018
25 0.065 0.007 0.152 0.019
26 0.019 0.000 0.251 0.000
27 0.013 0.017 0.456 0.000
28 0.022 0.000 1.148 0.009
29 0.090 0.000 0.488 0.015
30 0.015 0.000 1.048 0.009
32 0.166 0.080 1.748 0.057
33 0.003 0.005 0.178 0.000
34 0.232 0.035 0.732 0.013
Ave. 0.080 0.016 0.739 0.016
SD. 0.097 0.023 0.490 0.021
Ave. + 2SD 0.274 0.062 1.719 0.058
Nephritis patients (n = 9)
6 0.449 0.512 2.754 0.301
7 0.661 0.630 2.754 0.300
8 0.304 0.474 2.754 0.196
9 0.113 0.050 1.420 0.022
10 0.306 0.233 2.752 0.094
16 0.225 0.412 2.754 0.125
17 0.792 0.998 2.754 0.502
18 0.122 0.223 2.354 0.088
19 0.209 0.068 2.053 0.071
Blank 0.089 0.172 0.746 0.075

EIA法による抗ペプチド抗体の測定
1 検体と方法
1)検体 腎炎患者(19例)の尿を検体とした。対照は尿試験紙で尿蛋白が陰性の健常者尿(34例)とした(表1)。
2)方法
(1)ペプチドとしてyp5(a5(IV)NC1の61〜80位のアミノ酸配列、STMPFMFCNINNVCNFASRN)、yp8(106〜125位のアミノ酸配列、PFISRCAVCEAPAVVIAVHS)、yp12(166〜185位のアミノ酸配列、SCLEEFRSAPFIECHGRGTC)をそれぞれ異なる96穴マイクロプレートに0.5μg/穴塗布し、4〜8℃にて一夜放置して固相化した。
(2)固相化したマイクロプレートにブロック剤としてPBS(0.2%−Tween20含有)を加えて2時間放置した。
(3)次にPBS(0.05%−Tween20含む)で洗浄し、PBSで10倍に希釈した尿を50μl/穴加えて、室温で2時間放置した。
(4)続いて洗浄し、酵素標識抗ヒトIgG抗体(ウサギ由来、DAKO社)を50μl/穴加えて、室温で1時間放置した。
(5)さらに洗浄し、酵素基質液(TMB(+)、DAKO社)を50μl/穴加えて10分経過後、反応停止液(1N−硫酸)を50μl加え、直ちに波長450nmで吸光度(A450nm)をバイオラッドラボラトリーズ社のModel680を測用いて測定した。
2 測定結果
各抗ペプチド抗体のA450nmでの吸光度は、次のとおりであった。
(1)抗yp5抗体;健常者尿34例は平均(0.347)及び標準偏差(SD,0.108)で、腎炎患者尿19例は平均(0.989)及び標準偏差(0.400)であった。健常者の平均+2SDをカットオフポイント(0.563)とすると、健常者での陽性は2例(陽性率6%)、腎炎患者での陽性は18例(陽性率95%)であった。
(2)抗yp8抗体;健常者尿34例は平均(0.369)及び標準偏差(SD,0.121)で、腎炎患者尿19例は平均(1.820)及び標準偏差(0.746)であった。健常者の平均+2SDをカットオフポイント(0.611)とすると、健常者での陽性は無く(陽性率0%)、腎炎患者での陽性は18例(陽性率95%)であった。
(3)抗yp12抗体;健常者尿34例は平均(0.067)及び標準偏差(SD,0.016)で、腎炎患者尿25例は平均(0.300)及び標準偏差(0.194)であった。健常者の平均+2SDをカットオフポイント(0.099)とすると、健常者での陽性は2例(陽性率6%)、腎炎患者での陽性は16例(陽性率84%)であった。
実測値は下記の通り。
H4NA5−5 H4N5−8 H4N5−12
0.460 0.508 0.065
0.574 0.298 0.089
0.322 0.275 0.058
0.394 0.546 0.063
0.295 0.285 0.060
0.344 0.434 0.071
0.216 0.217 0.055
0.386 0.469 0.065
0.395 0.404 0.059
0.310 0.265 0.053
0.421 0.567 0.067
0.232 0.269 0.056
0.330 0.285 0.061
0.682 0.457 0.120
0.294 0.297 0.057
0.236 0.390 0.063
0.314 0.257 0.087
0.416 0.388 0.057
0.250 0.486 0.061
0.248 0.242 0.057
0.409 0.569 0.113
0.360 0.490 0.088
0.215 0.335 0.054
0.307 0.237 0.054
0.288 0.251 0.054
0.328 0.448 0.059
0.303 0.574 0.055
0.383 0.502 0.075
0.184 0.330 0.065
0.289 0.228 0.059
0.531 0.321 0.070
0.401 0.170 0.065
以下腎炎 以下腎炎 以下腎炎
1.251 2.247 0.442
0.813 1.363 0.189
0.842 1.881 0.259
1.187 2.536 0.322
1.093 2.299 0.625
1.739 2.704 0.523
1.414 2.362 0.456
0.796 2.108 0.227
0.596 0.882 0.085
0.664 1.489 0.228
0.660 1.284 0.121
1.498 2.467 0.508
0.245 0.241 0.060
0.655 0.624 0.117
1.328 2.659 0.504
0.723 1.182 0.092
1.606 2.728 0.685
0.721 1.493 0.201
0.957 2.041 0.239
採取時間帯で測定値に違いが生じるのかを1例につき検討した。本例(女性、52歳)は、高血圧症としてかかりつけていた大学病院専門外来にて慢性腎炎と診断されて間もないものである。尿は連続した2日間の勤務中の合間に随時採取したもので、測定は表題の測定と同時に行い、結果は次のとおりであった。
抗yp5抗体(初日午後6時頃;1.264→初日午後11時頃;0.713→2日午前6時頃;0.486→2日午前10時頃;0.957→2日午後3時頃;0.612)、抗yp8抗体(初日午後6時頃;2.374→初日午後11時頃;1.468→2日午前6時頃;1.015→2日午前10時頃;2.041→2日午後3時頃;1.562)、抗yp12抗体(初日午後6時頃;0.345→初日午後11時頃;0.158→2日早朝尿/午前6時頃;0.129→2日午前10時頃;0.239→2日午後3時頃;0.195)。
同時測定時のカットオフポイントは、抗yp5抗体が0.563、抗yp8抗体が0.611、抗yp12抗体が0.099なので、測定した慢性腎炎の早朝尿(午前6時頃)ではいずれの抗体もカットオフポイント以内であり、健常者域にある。しかし、その他の時間帯での採取尿はいずれの抗体も全て陽性を示した。この結果から、本例では休息の重要性(2日目早朝尿の正常化)と勤務形態が腎臓に負荷を与えていること(初日夕6時の高値)をうかがわせた。又、健常者(2例)ではスポーツを行った後でも尿中の抗体がカットオフポイント内で健常域にとどまったので、測定に用いる腎炎尿の採取時間帯は、体に負荷のかかる活動時に採取することが腎機能を反映する検体としてふさわしいことと思われた。
3 結論
測定結果は、腎炎尿にはa5(IV)NC1上のペプチドを抗原とする抗体が広く存在し、これらの抗体測定は腎炎の検出に有用である。

Figure 2010271295
Figure 2010271295
Figure 2010271295
Figure 2010271295
Figure 2010271295
Figure 2010271295
Measurement of Anti-Peptide Antibody by EIA Method 1 Sample and Method 1) Sample Urine from nephritis patients (19 cases) was used as a sample. The controls were urine test paper and urine protein negative healthy urine (34 cases) (Table 1).
2) Method (1) yp5 (amino acid sequence at positions 61-80 of a5 (IV) NC1, STMPFMFCCNNNVCNFASRN), yp8 (amino acid sequence at positions 106-125, PFISRCAVCEAPAVVIAVHS), yp12 (amino acid sequence at positions 166-185) SCLEEFRSAPFIECHGRRGTC) was applied to different 96-well microplates at 0.5 μg / hole and allowed to stand overnight at 4-8 ° C. to be solid-phased.
(2) PBS (containing 0.2% -Tween 20) as a blocking agent was added to the solid-phased microplate and left for 2 hours.
(3) Next, the plate was washed with PBS (containing 0.05% -Tween 20), urine diluted 10-fold with PBS was added at 50 μl / well, and left at room temperature for 2 hours.
(4) Subsequently, the plate was washed, 50 μl / well of enzyme-labeled anti-human IgG antibody (from rabbit, DAKO) was added, and left at room temperature for 1 hour.
(5) Further washing, 50 μl / well of enzyme substrate solution (TMB (+), DAKO) was added, 10 minutes later, 50 μl of reaction stop solution (1N-sulfuric acid) was added, and the absorbance immediately at a wavelength of 450 nm (A450 nm) Was measured using a Bio-Rad Laboratories Model 680.
2 Measurement Results The absorbance of each anti-peptide antibody at A450 nm was as follows.
(1) Anti-yp5 antibody: 34 healthy subject urine samples had an average (0.347) and standard deviation (SD, 0.108), and 19 urine patients with nephritis had an average (0.989) and standard deviation (0.400) )Met. Assuming that the average + 2SD of healthy subjects is the cut-off point (0.563), there were 2 positive cases (positive rate 6%) in healthy subjects and 18 positive cases (positive rate 95%) in nephritis patients.
(2) Anti-yp8 antibody: 34 healthy subject urine samples with mean (0.369) and standard deviation (SD, 0.121), 19 nephritis patient urine samples with mean (1.820) and standard deviation (0.746) )Met. Assuming that the average + 2SD of healthy subjects is the cut-off point (0.611), there were no positives in healthy subjects (positive rate 0%), and 18 positive cases (positive rate 95%) in nephritis patients.
(3) Anti-yp12 antibody: 34 healthy subject urine samples had a mean (0.067) and standard deviation (SD, 0.016), and 25 urine patients with nephritis had a mean (0.300) and standard deviation (0.194). )Met. Assuming that the average of healthy subjects + 2SD is a cut-off point (0.099), there were 2 positive cases (positive rate 6%) in healthy subjects and 16 positive cases (positive rate 84%) in nephritis patients.
The measured values are as follows.
H4NA5-5 H4N5-8 H4N5-12
0.460 0.508 0.065
0.574 0.298 0.089
0.322 0.275 0.058
0.394 0.546 0.063
0.295 0.285 0.060
0.344 0.434 0.071
0.216 0.217 0.055
0.386 0.469 0.065
0.395 0.404 0.059
0.310 0.265 0.053
0.421 0.567 0.067
0.232 0.269 0.056
0.330 0.285 0.061
0.682 0.457 0.120
0.294 0.297 0.057
0.236 0.390 0.063
0.314 0.257 0.087
0.416 0.388 0.057
0.250 0.486 0.061
0.248 0.242 0.057
0.409 0.569 0.113
0.360 0.490 0.088
0.215 0.335 0.054
0.307 0.237 0.054
0.288 0.251 0.054
0.328 0.448 0.059
0.303 0.574 0.055
0.383 0.502 0.075
0.184 0.330 0.065
0.289 0.228 0.059
0.531 0.321 0.070
0.401 0.170 0.065
Below nephritis Below nephritis Below nephritis 1.251 2.247 0.442
0.813 1.363 0.189
0.842 1.881 0.259
1.187 2.536 0.322
1.093 2.299 0.625
1.739 2.704 0.523
1.414 2.362 0.456
0.796 2.108 0.227
0.596 0.882 0.085
0.664 1.489 0.228
0.660 1.284 0.121
1.498 2.467 0.508
0.245 0.241 0.060
0.655 0.624 0.117
1.328 2.659 0.504
0.723 1.182 0.092
1.606 2.728 0.685
0.721 1.493 0.201
0.957 2.041 0.239
Each case was examined to see if the measured values differed during the sampling time. This example (female, 52 years old) has just been diagnosed with chronic nephritis at a university hospital outpatient clinic that had been used as hypertension. Urine was collected from time to time during two consecutive days of work, and the measurement was performed simultaneously with the measurement of the title. The results were as follows.
Anti-yp5 antibody (about 6 pm on the first day; 1.264 → about 11 pm on the first day; 0.713 → about 6 am on the 2nd; 0.486 → about 10 am on the 2nd; 0.957 → 3 pm on the 2nd 0.612), anti-yp8 antibody (around 6 pm on the first day; 2.374 → 11 pm on the first day; 1.468 → 6 am on the 2nd; 1.015 → 10 am on the 2nd; 2.041-> 2 days around 3:00 pm; 1.562), anti-yp12 antibody (first day around 6:00 pm; 0.345-> first day around 11 pm; 0.158-> 2 days early morning urine / around 6:00 am; 0.129-> 2 days around 10 am; 0.239-> 2 days around 3:00 pm; 0.195).
The cut-off point at the time of simultaneous measurement is 0.563 for anti-yp5 antibody, 0.611 for anti-yp8 antibody, and 0.099 for anti-yp12 antibody, so any early morning urine of chronic nephritis measured (around 6 am) The antibody is also within the cut-off point and is in the normal range. However, the urine collected at other times was positive for all antibodies. From this result, in this example, the importance of resting (normalization of early morning urine on the second day) and the burden of work on the kidneys (high value at 6 pm on the first day) were shown. In healthy subjects (2 cases), the urinary antibody remained in the healthy range within the cut-off point even after playing sports. It seems that collection is appropriate as a sample reflecting kidney function.
3 Conclusion As a result of measurement, there are a wide range of antibodies having a peptide on a5 (IV) NC1 as an antigen in nephritis urine, and these antibody measurements are useful for detecting nephritis.
Figure 2010271295
Figure 2010271295
Figure 2010271295
Figure 2010271295
Figure 2010271295
Figure 2010271295

Claims (4)

ペプチドとして
yp5(a5(IV)NC1の61〜80位のアミノ酸配列、STMPFMFCNINNVCNFASRN)、yp8(106〜125位のアミノ酸配列、PFISRCAVCEAPAVVIAVHS)、yp12(166〜185位のアミノ酸配列、SCLEEFRSAPFIECHGRGTC)
を用いて、対応する抗体を試料から免疫反応で腎炎を検出する方法。
Yp5 (amino acid sequence at positions 61 to 80 of a5 (IV) NC1, STMPFMFCCNNNVCNFASRN), yp8 (amino acid sequence at positions 106 to 125, PFISRCAVCEAPAVVIAVHS), yp12 (amino acid sequence at positions 166 to 185, SCLEEFRSSAPFIEGGRGC)
A method for detecting nephritis by immune reaction from a sample using a corresponding antibody.
請求項のペプチドにより作製した抗ペプチド抗体を用いて、試料中から対応するペプチドを免疫反応で腎炎を検出する方法。A method for detecting nephritis by immunoreaction of a corresponding peptide from a sample, using an anti-peptide antibody produced by the peptide of claim 1. 請求項1のペプチド及び/又は請求項2の抗ペプチド抗体を用いて作製する腎炎モデル。A nephritis model prepared using the peptide of claim 1 and / or the anti-peptide antibody of claim 2. 請求項1のペプチド及び/又は請求項2の抗ペプチド抗体を用いた腎炎治療剤。A therapeutic agent for nephritis using the peptide of claim 1 and / or the anti-peptide antibody of claim 2.
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103424546A (en) * 2012-05-18 2013-12-04 苏州市红冠庄国药饮片有限公司 Specific identification method for biological active components in deer leather gel

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103424546A (en) * 2012-05-18 2013-12-04 苏州市红冠庄国药饮片有限公司 Specific identification method for biological active components in deer leather gel
CN103424546B (en) * 2012-05-18 2015-03-11 苏州红冠庄国药股份有限公司 Specific identification method for biological active components in deer leather gel

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