JP2021165643A - Highly sensitive anti-HBV antibody detection method - Google Patents
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Abstract
Description
本発明は、抗HBV抗体の検出方法に関するものである。 The present invention relates to a method for detecting an anti-HBV antibody.
B型肝炎ウイルス(HBV)は全世界での患者は2億5,700万人(非特許文献1)と報告され、特に発展途上国においては、検査や治療を受けられる割合も未だ低いため、ウイルス性肝炎による死者は全世界で134万人と、結核やHIVによる死亡者に匹敵する数となっている。近年増加してきている欧州型による慢性肝炎の増加や、既往感染者に対する免疫抑制剤の投与時にHBVの再活性化による劇症化など、依然として、重要な公衆衛生問題であり続けている。 Hepatitis B virus (HBV) is reported to have 257 million patients worldwide (Non-Patent Document 1), and especially in developing countries, the rate of being tested and treated is still low. The death toll from viral hepatitis is 1.34 million worldwide, comparable to the death toll from tuberculosis and HIV. It continues to be an important public health problem, such as the increase in chronic hepatitis due to the European type, which has been increasing in recent years, and the fulminant effect due to the reactivation of HBV when immunosuppressive agents are administered to previously infected persons.
HBVは直径42nmの二重構造をもつ球形粒子で、外皮(エンベロープ)と芯(コア)から成ることが知られている。ヒト等にHBVが感染するとHBVコアに対する抗体(以下「抗HBc抗体」)が産生されるが、抗HBc抗体はHBV感染初期から感染後長期間にわたり血中に存在することが知られている(非特許文献2)。
また抗HBc抗体は、B型肝炎表面抗原(以下「HBs抗原」)が出現した後、血清中に出現するが、急性B型肝炎においてはHBs抗原が消失した後からHBs抗原に対する抗体(以下「抗HBs抗体」)が出現するころまで持続する。これらの事実から、抗HBc抗体は、HBs抗原や抗HBs抗体が血清中に見出されない時期にHBV感染を知見するうえで重要なマーカーということができる(非特許文献3)。また更には、急性B型肝炎時には抗HBc抗体の抗体価が高くなることから、B型慢性肝炎の急性発症と急性B型肝炎を識別するうえでも重要なマーカーである(非特許文献4)。しかし、既存の抗HBc抗体検出試薬において、陽性であるにも関わらず検出されないケースがあり、高感度化が求められている。また、2006年に香港で発生した免疫抑制剤の使用に伴うHBVの再活性化事例などへの対策として免疫抑制、化学療法により発生するB型肝炎対策ガイドライン(2011年改定)が策定されているが、その中でも抗HBc抗体陽性かつ抗HBs抗体陰性の事例は、再活性化リスクが高いことが知られている。既往感染者の抗HBc抗体価は高値を示すが、感染から時間が経過すると抗HBc抗体価が徐々に低下してくるため、HBV−DNA検出下限以上の患者においてもある時点から陰性を示す可能性があり、抗HBc抗体検出試薬の感度向上はそうした点からも重要である。また抗HBc抗体ばかりでなく、抗HBV抗体全般においても、測定感度の向上は重要な課題である。
HBV is a spherical particle having a double structure with a diameter of 42 nm, and is known to consist of an outer skin (envelope) and a core (core). When humans and the like are infected with HBV, an antibody against the HBV core (hereinafter referred to as "anti-HBc antibody") is produced, and it is known that the anti-HBc antibody exists in the blood from the initial stage of HBV infection to a long period after infection (hereinafter, "anti-HBc antibody"). Non-Patent Document 2).
Further, the anti-HBc antibody appears in the serum after the appearance of the hepatitis B surface antigen (hereinafter, "HBs antigen"), but in acute hepatitis B, the antibody against the HBs antigen (hereinafter, "HBs antigen") after the HBs antigen disappears. It lasts until the time when "anti-HBs antibody") appears. From these facts, the anti-HBc antibody can be said to be an important marker for detecting HBV infection at a time when HBs antigen or anti-HBs antibody is not found in serum (Non-Patent Document 3). Furthermore, since the antibody titer of the anti-HBc antibody increases during acute hepatitis B, it is an important marker for distinguishing between acute onset of chronic hepatitis B and acute hepatitis B (Non-Patent Document 4). However, there are cases where the existing anti-HBc antibody detection reagent is not detected even though it is positive, and higher sensitivity is required. In addition, guidelines for measures against hepatitis B caused by immunosuppression and chemotherapy (revised in 2011) have been formulated as measures against cases of HBV reactivation associated with the use of immunosuppressants that occurred in Hong Kong in 2006. However, among them, cases of anti-HBc antibody positive and anti-HBs antibody negative are known to have a high risk of reactivation. The anti-HBc antibody titer of a previously infected person shows a high value, but since the anti-HBc antibody titer gradually decreases as time passes after infection, it is possible that even a patient above the lower limit of HBV-DNA detection shows a negative value from a certain point of time. Therefore, it is important to improve the sensitivity of the anti-HBc antibody detection reagent. Further, improving the measurement sensitivity is an important issue not only for anti-HBc antibody but also for anti-HBV antibody in general.
本発明は、検体中の抗HBV抗体を検出する際に、感度が向上する方法を提供することを目的とする。 An object of the present invention is to provide a method for improving sensitivity when detecting an anti-HBV antibody in a sample.
本発明者らは、前記課題を解決すべく鋭意検討を行なった結果、反応系に抗IgG抗体を共存させることにより、感度が向上することを見出し、本発明を完成するに至った。即ち、本発明は以下のとおりである。 As a result of diligent studies to solve the above problems, the present inventors have found that the sensitivity is improved by coexisting an anti-IgG antibody in the reaction system, and have completed the present invention. That is, the present invention is as follows.
(1)
i)検体に由来する抗HBV抗体、
ii)HBV抗原を固相に固定化させた固相化HBV抗原、及び
iii)抗HBV抗体に標識を結合させた標識化抗HBV抗体
を反応させて、
[i)抗HBV抗体−ii)固相化HBV抗原−iii)標識化抗HBV抗体]を有する複合体を形成させ、当該複合体中の標識を検出することにより検体に由来する抗HBV抗体を検出する方法において、
ii)固相化HBV抗原とiii)標識化抗HBV抗体とを反応させるのと同時に又はそれ以前に、
・i)抗HBV抗体とii)固相化HBV抗原とを反応させ、かつ
・iv)抗IgG抗体をi)抗HBV抗体と共存させて、i)抗HBV抗体と反応させる、
ことを特徴とする、抗HBV抗体の検出方法。
(1)
i) Anti-HBV antibody derived from the sample,
The reaction was carried out by reacting ii) an immobilized HBV antigen in which the HBV antigen was immobilized on a solid phase, and iii) a labeled anti-HBV antibody in which a label was bound to the anti-HBV antibody.
An anti-HBV antibody derived from a sample is obtained by forming a complex having [i) anti-HBV antibody-iii) immobilized HBV antigen-iii) labeled anti-HBV antibody] and detecting a label in the complex. In the method of detection
ii) At the same time as or before reacting the immobilized HBV antigen with the ii) labeled anti-HBV antibody.
・ I) Anti-HBV antibody and ii) Immobilized HBV antigen are reacted, and ・ iv) Anti-IgG antibody is made to coexist with i) Anti-HBV antibody, and i) is reacted with anti-HBV antibody.
A method for detecting an anti-HBV antibody.
以下、本発明を詳細に説明する。 Hereinafter, the present invention will be described in detail.
本発明は、上述の反応を行い、検体に由来する抗HBV抗体を検出する方法である。 The present invention is a method for detecting an anti-HBV antibody derived from a sample by carrying out the above-mentioned reaction.
本発明において、HBV抗原としては特に限定されるものではない。例えば、B型肝炎コア抗原(以下「HBc抗原」)、B型肝炎エンベロープ抗原(以下「HBe抗原」)、HBs抗原等があげられる。好ましくはHBc抗原である。 In the present invention, the HBV antigen is not particularly limited. For example, hepatitis B core antigen (hereinafter “HBc antigen”), hepatitis B envelope antigen (hereinafter “HBe antigen”), HBs antigen and the like can be mentioned. It is preferably an HBc antigen.
また抗HBV抗体としては、例えば、前述のHBV抗原に対する抗体があげられ、具体的には抗HBc抗体、抗HBe抗体、抗HBs抗体等があげられ、中でも抗HBc抗体が好ましい。 Examples of the anti-HBV antibody include an antibody against the above-mentioned HBV antigen, specifically, an anti-HBc antibody, an anti-HBe antibody, an anti-HBs antibody, and the like, and an anti-HBc antibody is preferable.
検体としては、例えばヒトの体液、具体的には血液、尿などをあげることができ、好ましい例として血液、中でも全血、血清、血漿等をあげることができる。 Examples of the sample include human body fluids, specifically blood, urine, and the like, and preferred examples include blood, especially whole blood, serum, plasma, and the like.
標識としては、125I、3Hなどの放射性物質、西洋わさびペルオキシダーゼ、β−D−ガラクトシダーゼ、アルカリホスファターゼなどの酵素、フルオレセインなどの蛍光物質、金コロイド、セレンコロイド、ルシフェリンなどの発光又は発色物質などを用いることができる。これらの標識は抗HBV抗体に直接結合させてもよく、又はビオチン−アビジン等を介して間接的に結合させてもよい。 The labeling, radioactive substances such as 125 I, 3 H, horseradish peroxidase, beta-D-galactosidase, an enzyme such as alkaline phosphatase, fluorescent substances such as fluorescein, colloidal gold, selenium colloid, luminescent or chromogenic substances such as luciferin, etc. Can be used. These labels may be bound directly to the anti-HBV antibody or indirectly via biotin-avidin or the like.
固相としては、ビーズ、微粒子、容器自体等を使用することができる。特に微粒子が好ましく、ガラス、金属、セラミツクス等の無機物であってもよく、また高分子ポリマー等の有機物であってもよい。またそれらの微粒子は磁性体を含むものであってもよい。微粒子の粒子径は0.1から50μmが好ましく、さらには1から10μmが好ましい。 As the solid phase, beads, fine particles, the container itself, or the like can be used. Fine particles are particularly preferable, and they may be inorganic substances such as glass, metal and ceramics, and may be organic substances such as a high molecular polymer. Further, those fine particles may contain a magnetic substance. The particle size of the fine particles is preferably 0.1 to 50 μm, more preferably 1 to 10 μm.
iii)標識化抗HBV抗体に用いられる抗体は、ポリクローナル抗体であってもモノクローナル抗体であってもよく、抗体を産生する実際上任意の動物種、例えばウサギ、ヤギ、ヒツジ、ブタ、ウマ、マウスまたはラットなど由来の抗体が使用できる。抗体の形態としては完全抗体や、それを酵素処理や化学処理により切断したF(ab’)2 やFab’等のような抗体断片であってもよい。 iii) The antibody used for the labeled anti-HBV antibody may be a polyclonal antibody or a monoclonal antibody, and practically any animal species that produces the antibody, such as rabbit, goat, sheep, pig, horse, and mouse. Alternatively, an antibody derived from a rat or the like can be used. The form of the antibody may be a complete antibody or an antibody fragment such as F (ab') 2 or Fab' that is cleaved by an enzymatic treatment or a chemical treatment.
本発明に用いられるiv)抗IgG抗体は特に限定されるものではないが、ヒト検体を用いる場合は抗ヒトIgG抗体が好ましい。 The iv) anti-IgG antibody used in the present invention is not particularly limited, but when a human sample is used, an anti-human IgG antibody is preferable.
本発明は、競合法による反応系を用いる。なお、HBV抗原は多価抗原(同じエピトープを複数個有する)であるため、同一の抗体が複数個結合することができる。 The present invention uses a reaction system based on a competitive method. Since the HBV antigen is a multivalent antigen (having a plurality of the same epitopes), the same antibody can bind to a plurality of the same antibodies.
本発明はi)抗HBV抗体、ii)固相化HBV抗原、及びiii)標識化抗HBV抗体を反応させるが、ii)固相化HBV抗原とiii)標識化抗HBV抗体とを反応させるのと同時又はそれ以前に、
・i)抗HBV抗体とii)固相化HBV抗原とを反応させることが必須であり、かつ
・iv)抗IgG抗体をi)抗HBV抗体と共存させることにより、i)抗HBV抗体と反応させることが必須である。
The present invention reacts i) an anti-HBV antibody, ii) a immobilized HBV antigen, and iii) a labeled anti-HBV antibody, but ii) reacts an immobilized HBV antigen with an ii) labeled anti-HBV antibody. At the same time or before
・ I) It is essential to react the anti-HBV antibody with ii) the immobilized HBV antigen, and ・ iv) by coexisting the anti-IgG antibody with the i) anti-HBV antibody, i) react with the anti-HBV antibody. It is essential to let them do it.
これにより、[iv)抗IgG抗体−i)抗HBV抗体−ii)固相化HBV抗原−iii)標識化抗HBV抗体]を有する複合体が形成され、その複合体中の標識を検出することにより、検体に由来する抗HBV抗体を検出する。このとき、iv)抗IgG抗体は、i)抗HBV抗体と結合して、i)抗HBV抗体をかさ高く修飾することとなり、それによってiii)標識化抗HBV抗体がii)固相化HBV抗原へ結合することを効率よく阻害することができ、その結果として検体に由来する抗HBV抗体の量を感度良く求めることができると考えられる。 As a result, a complex having [iv) anti-IgG antibody-i) anti-HBV antibody-ii) immobilized HBV antigen-iii) labeled anti-HBV antibody] is formed, and the label in the complex is detected. Detects anti-HBV antibody derived from the sample. At this time, the iv) anti-IgG antibody binds to i) the anti-HBV antibody and i) modifies the anti-HBV antibody in a bulky manner, whereby iii) the labeled anti-HBV antibody becomes ii) the immobilized HBV antigen. It is considered that the binding to to can be efficiently inhibited, and as a result, the amount of anti-HBV antibody derived from the sample can be obtained with high sensitivity.
なお、HBV抗原は多価抗原であるため、上述の複合体中のii)固相化HBV抗原には、複数個のi)抗HBV抗体が結合し、また複数個のiii)標識化抗HBV抗体が結合することもあるが、それらも含めて前述のように、[i)抗HBV抗体−ii)固相化HBV抗原−iii)標識化抗HBV抗体]を有する複合体や、[iv)抗IgG抗体−i)抗HBV抗体−ii)固相化HBV抗原−iii)標識化抗HBV抗体]を有する複合体と表記した。 Since the HBV antigen is a polyvalent antigen, a plurality of i) anti-HBV antibodies are bound to the ii) immobilized HBV antigen in the above-mentioned complex, and a plurality of ii) labeled anti-HBVs are bound. Antibodies may bind, but as described above, including these, complexes having [i) anti-HBV antibody-iii) immobilized HBV antigen-iii) labeled anti-HBV antibody] and [iv) It was described as a complex having anti-IgG antibody-i) anti-HBV antibody-ii) immobilized HBV antigen-iii) labeled anti-HBV antibody].
一方、本発明における反応順序は上述の通りであるが、好ましくは以下の態様があげられる。即ち、まず、ii)固相化HBV抗原とi)検体に由来する抗HBV抗体とを混合することにより、ii)固相化HBV抗原とi)検体に由来するHBV抗体が反応する。この後、未反応物をB/F分離や洗浄により除去することが好ましい。次いでその反応生成物に、iii)標識化抗HBV抗体とiv)抗IgG抗体とを同時に加え、反応させる。この後、未反応物をB/F分離や洗浄により除去することが好ましい。最終的に、生成した[iv)抗IgG抗体−i)抗HBV抗体−ii)固相化HBV抗原−iii)標識化抗HBV抗体]を有する複合体中の標識を用いて測定し、検体に由来する抗HBV抗体の量を求めることができる。 On the other hand, the reaction sequence in the present invention is as described above, and the following aspects are preferably mentioned. That is, first, by mixing ii) the immobilized HBV antigen and i) the anti-HBV antibody derived from the sample, the ii) immobilized HBV antigen and the HBV antibody derived from the i) sample react with each other. After that, it is preferable to remove the unreacted product by B / F separation or washing. Then, iii) labeled anti-HBV antibody and iv) anti-IgG antibody are simultaneously added to the reaction product and reacted. After that, it is preferable to remove the unreacted product by B / F separation or washing. Finally, measurement was performed using a label in a complex having the generated [iv) anti-IgG antibody-i) anti-HBV antibody-ii) immobilized HBV antigen-iii) labeled anti-HBV antibody], and the sample was used. The amount of anti-HBV antibody derived can be determined.
本発明では、反応時に蛋白質、糖、緩衝液や塩類を共存させてもよく、蛋白質としては、例えばウシ血清アルブミン、コラーゲンペプチド、乳タンパク質等を使用することができる。蛋白質は0.1〜20%(重量/容量)の濃度範囲とすることが好ましく、特に1〜10%(重量/容量)の濃度範囲とすることが好ましい。糖であれば例えばスクロース、マンニトール、トレハロースやイノシトール等を使用することができる。緩衝液としては、例えばTris、MOPSO、MOPSやMES等を使用することができ、塩類としては、例えば塩化ナトリウム、塩化カリウム、塩化マグネシウム、塩化亜鉛、エチレンジアミン四酢酸二ナトリウム等を使用することができる。なお、反応時にはこれら以外にも、必要に応じて他の試薬成分等を共存させることもできる。 In the present invention, proteins, sugars, buffers and salts may coexist during the reaction, and as the proteins, for example, bovine serum albumin, collagen peptide, milk protein and the like can be used. The protein is preferably in the concentration range of 0.1 to 20% (weight / volume), and particularly preferably in the concentration range of 1 to 10% (weight / volume). As for sugar, for example, sucrose, mannitol, trehalose, inositol and the like can be used. As the buffer solution, for example, Tris, MOPSO, MOPS, MES and the like can be used, and as the salts, for example, sodium chloride, potassium chloride, magnesium chloride, zinc chloride, disodium ethylenediamine tetraacetate and the like can be used. .. In addition to these, other reagent components and the like can coexist as necessary during the reaction.
本発明によれば、抗IgG抗体を用いて、i)抗HBV抗体をかさ高く修飾することがてき、それによってiii)標識化抗HBV抗体がii)固相化HBV抗原へ結合することを効率よく阻害することができ、その結果、検体中の抗HBV抗体の量を感度良く求めることができる。また、本発明は競合法でありながら、サンドイッチ法と同程度の測定感度を得ることができる。 According to the present invention, anti-IgG antibody can be used to i) bulk modify the anti-HBV antibody, thereby making it efficient for iii) labeled anti-HBV antibody to bind to ii) immobilized HBV antigen. It can be well inhibited, and as a result, the amount of anti-HBV antibody in the sample can be determined with high sensitivity. Further, although the present invention is a competitive method, it is possible to obtain the same measurement sensitivity as the sandwich method.
以下、実施例により本発明をさらに詳細に説明するが、本発明は本実施例により限定されるものではない。 Hereinafter, the present invention will be described in more detail with reference to Examples, but the present invention is not limited to the present Examples.
[実施例1]
免疫測定装置として全自動エンザイムイムノアッセイ装置(AIA−CL2400、東ソー(株)製)と当該装置用抗HBc抗体免疫反応試薬(試薬A)を用い、2ステップ競合法により測定を行った。なお、抗HBc抗体免疫反応試薬(試薬A)は以下のようにして調製した。
[Example 1]
As an immunoassay device, a fully automatic enzyme immunoassay device (AIA-CL2400, manufactured by Tosoh Corporation) and an anti-HBc antibody immunoreactivity reagent (reagent A) for the device were used, and measurement was performed by a two-step competitive method. The anti-HBc antibody immune reaction reagent (reagent A) was prepared as follows.
(1)固相懸濁液の調製
HBc抗原を磁性微粒子に固定化させ作製したHBc抗原固相化磁性微粒子を、コラーゲンペプチド、動物血清、糖、塩類を含むMOPSO緩衝液で希釈・混合し、固相懸濁液を作製し、樹脂製2穴容器の一方の穴に分注した。
(1) Preparation of solid phase suspension HBc antigen-immobilized magnetic fine particles prepared by immobilizing HBc antigen on magnetic fine particles are diluted and mixed with a MOPSO buffer solution containing collagen peptide, animal serum, sugar and salts, and mixed. A solid phase suspension was prepared and dispensed into one hole of a resin 2-hole container.
(2)標識抗体及び抗IgG抗体を含む溶液の調製
アルカリ性フォスファターゼを抗HBc抗体に結合させ作製したアルカリ性フォスファターゼ標識化抗HBc抗体及び抗ヒトIgG抗体を、コラーゲンペプチド、動物血清、糖、塩類を含むMOPSO緩衝液で希釈・混合し、標識抗体及び抗ヒトIgG抗体を含む溶液を作製し、前述の樹脂製2穴容器の他方の穴に分注した。
(2) Preparation of solution containing labeled antibody and anti-IgG antibody An alkaline phosphatase-labeled anti-HBc antibody and anti-human IgG antibody prepared by binding alkaline phosphatase to an anti-HBc antibody, containing collagen peptide, animal serum, sugar and salts. A solution containing a labeled antibody and an anti-human IgG antibody was prepared by diluting and mixing with a MOPSO buffer, and dispensed into the other hole of the above-mentioned resin 2-hole container.
(3)抗HBc抗体免疫反応試薬(試薬A)の調製
上述の(1)(2)で作製した2穴容器を凍結乾燥し、抗HBc抗体免疫反応試薬(試薬A)を調製した。
(3) Preparation of Anti-HBc Antibody Immune Response Reagent (Reagent A) The 2-well container prepared in (1) and (2) above was lyophilized to prepare an anti-HBc antibody immunoreaction reagent (Reagent A).
(4)測定
上述の(3)の試薬Aを用いて、2ステップ競合法により測定を行った。具体的には、試薬Aの2穴のうち、固相懸濁液の凍結乾燥物が入っている穴に溶解液を入れて溶解し、そこへ検体(患者血清)を分注し、37℃で6分間反応させ(第一反応)、未反応物をB/F分離及び洗浄液で3回洗浄することにより除去した。次に、検出用標識抗体溶液の凍結乾燥物が入っている穴に溶解液を入れて溶解し、それをもう一方の穴に分注し、37℃で3分間反応させた(第二反応)。その後B/F分離及び洗浄液で3回洗浄して未反応物質を除去した後、発光基質(化合物名DIFURAT:3−(5−tert−ブチルー4,4−ジメチルー2,6,7−トリオキサビシクロ[3.2.0]ヘプト−1−イル)フェニルリン酸エステル ジナトリウム塩)を分注して4分間反応させ、固相に結合したアルカリホスファターゼ活性を発光量から測定し、陽性/陰性を判定した。
(4) Measurement Using the reagent A of (3) above, measurement was performed by a two-step competitive method. Specifically, of the two holes of Reagent A, the solution is put into the hole containing the freeze-dried product of the solid phase suspension to dissolve it, and the sample (patient serum) is dispensed into the hole to dispense the sample (patient serum) at 37 ° C. The reaction was carried out for 6 minutes (first reaction), and the unreacted material was removed by B / F separation and washing with a washing solution three times. Next, the lysate was placed in the hole containing the lyophilized product of the labeled antibody solution for detection to dissolve it, and the solution was dispensed into the other hole and reacted at 37 ° C. for 3 minutes (second reaction). .. Then, after removing the unreacted substance by B / F separation and washing with a washing solution three times, the luminescent substrate (compound name DIFURAT: 3- (5-tert-butyl-4,4-dimethyl-2,6,7-trioxabicyclo) [3.2.0] Hept-1-yl) phenyl phosphate disodium salt) was dispensed and reacted for 4 minutes, and the alkaline phosphatase activity bound to the solid phase was measured from the amount of luminescence, and positive / negative was obtained. Judged.
本測定は、競合法であるため、陰性コントロール即ち検体中に抗HBc抗体が存在しない時の測定値を基準にする。また陽性コントロールは、抗HBc抗体を検体希釈液にて希釈系列を作製して本測定法にて測定した際に、測定値に変化が見られなくなった濃度をさし、そのときの測定値を100INH%と定めた。一方、検体中に抗HBc抗体が存在する場合には、それによって、標識化抗HBc抗体が固相化HBc抗原に結合することが抑制される割合(INH(%))から抗HBc抗体量を表す。それらは、以下の式に従って計算した。
INH(%)=[(陰性コントロールの測定値−検体の測定値)/(陰性コントロールの測定値−陽性コントロールの測定値)]×100
この計算で50%に等しいか又は50%より大きい値は陽性(+)と判断し、それ以外は陰性(−)と判断した。
Since this measurement is a competitive method, it is based on the negative control, that is, the measured value when the anti-HBc antibody is not present in the sample. The positive control refers to the concentration at which no change is observed in the measured value when a dilution series of anti-HBc antibody is prepared with a sample diluent and measured by this measurement method, and the measured value at that time is used. It was set to 100 INH%. On the other hand, when the anti-HBc antibody is present in the sample, the amount of the anti-HBc antibody is determined from the ratio (INH (%)) at which the labeled anti-HBc antibody is suppressed from binding to the immobilized HBc antigen. show. They were calculated according to the following formula.
INH (%) = [(measured value of negative control-measured value of sample) / (measured value of negative control-measured value of positive control)] x 100
In this calculation, a value equal to or greater than 50% was judged to be positive (+), and other values were judged to be negative (-).
[比較例1]
実施例1と同様にして、但し抗HBc抗体免疫反応試薬(試薬A)の代わりに、抗HBc抗体免疫反応試薬(試薬B)を用いて測定を行った。なお、抗HBc抗体免疫反応試薬(試薬B)は、抗IgG抗体を用いることなく作製した以外は、抗HBc抗体免疫反応試薬(試薬A)と同様にして作製した。
[Comparative Example 1]
The measurement was carried out in the same manner as in Example 1, except that the anti-HBc antibody immunoreaction reagent (reagent B) was used instead of the anti-HBc antibody immunoreaction reagent (reagent A). The anti-HBc antibody immune reaction reagent (reagent B) was prepared in the same manner as the anti-HBc antibody immune reaction reagent (reagent A) except that it was prepared without using an anti-IgG antibody.
[測定結果]
試薬Bの検出感度付近まで陰性血清で希釈した希釈陽性検体8例と陰性検体7例の測定を行い、その判定結果を比較した。結果を表1に示す。表中、括弧のついた値は、マイナスの値を表す。
[Measurement result]
Eight diluted positive samples and seven negative samples diluted with negative serum to the vicinity of the detection sensitivity of reagent B were measured, and the determination results were compared. The results are shown in Table 1. In the table, the values in parentheses represent negative values.
また、患者検体137例(陽性検体47例、陰性検体90例)]の測定を行いその測定結果を比較した。結果を図1に示す。 In addition, 137 patient samples (47 positive samples, 90 negative samples)] were measured and the measurement results were compared. The results are shown in FIG.
表1及び図1から明らかなように、抗IgG抗体を使用した反応系である試薬Aは、試薬Bに比べて、陽性検体をより感度よく測定することができた。 As is clear from Table 1 and FIG. 1, Reagent A, which is a reaction system using an anti-IgG antibody, was able to measure positive samples more sensitively than Reagent B.
Claims (1)
ii)HBV抗原を固相に固定化させた固相化HBV抗原、及び
iii)抗HBV抗体に標識を結合させた標識化抗HBV抗体
を反応させて、
[i)抗HBV抗体−ii)固相化HBV抗原−iii)標識化抗HBV抗体]を有する複合体を形成させ、当該複合体中の標識を検出することにより検体に由来する抗HBV抗体を検出する方法において、
ii)固相化HBV抗原とiii)標識化抗HBV抗体とを反応させるのと同時に又はそれ以前に、
・i)抗HBV抗体とii)固相化HBV抗原とを反応させ、かつ
・iv)抗IgG抗体をi)抗HBV抗体と共存させて、i)抗HBV抗体と反応させる、
ことを特徴とする、抗HBV抗体の検出方法。 i) Anti-HBV antibody derived from the sample,
The reaction was carried out by reacting ii) an immobilized HBV antigen in which the HBV antigen was immobilized on a solid phase, and iii) a labeled anti-HBV antibody in which a label was bound to the anti-HBV antibody.
An anti-HBV antibody derived from a sample is obtained by forming a complex having [i) anti-HBV antibody-iii) immobilized HBV antigen-iii) labeled anti-HBV antibody] and detecting a label in the complex. In the method of detection
ii) At the same time as or before reacting the immobilized HBV antigen with the ii) labeled anti-HBV antibody.
・ I) Anti-HBV antibody and ii) Immobilized HBV antigen are reacted, and ・ iv) Anti-IgG antibody is made to coexist with i) Anti-HBV antibody, and i) is reacted with anti-HBV antibody.
A method for detecting an anti-HBV antibody.
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