RU95108591A - METHOD FOR DETERMINING THE STATE OF SEPSIS DISEASE - Google Patents

METHOD FOR DETERMINING THE STATE OF SEPSIS DISEASE

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Publication number
RU95108591A
RU95108591A RU95108591/14A RU95108591A RU95108591A RU 95108591 A RU95108591 A RU 95108591A RU 95108591/14 A RU95108591/14 A RU 95108591/14A RU 95108591 A RU95108591 A RU 95108591A RU 95108591 A RU95108591 A RU 95108591A
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RU
Russia
Prior art keywords
procalcitonin
monoclonal antibody
peptide
antibody
sepsis
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Application number
RU95108591/14A
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Russian (ru)
Other versions
RU2137130C1 (en
Inventor
Бохуон Клод
Original Assignee
Хеннинг Берлин ГмбХ
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Priority claimed from DE4227454A external-priority patent/DE4227454C1/en
Application filed by Хеннинг Берлин ГмбХ filed Critical Хеннинг Берлин ГмбХ
Publication of RU95108591A publication Critical patent/RU95108591A/en
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Publication of RU2137130C1 publication Critical patent/RU2137130C1/en

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Claims (14)

1. Способ раннего выявления, выявления тяжести и оценки курса лечения сепсиса, отличающийся тем, что в образце биологической жидкости пациента определяют содержание пептидного прокальцитонина и/или образующегося из него неполного пептида, который не является созревшим кальцитонином, причем определяемое присутствия и количество определенного пептида является показателем наличия сепсиса, его тяжести и/или успеха терапевтического лечения.1. A method for the early detection, severity and assessment of the course of treatment of sepsis, characterized in that the content of peptide procalcitonin and / or the incomplete peptide that is not matured calcitonin is determined in the patient’s biological fluid sample, and the determined presence and quantity of a particular peptide is an indicator of the presence of sepsis, its severity and / or success of therapeutic treatment. 2. Способ по п. 1, отличающийся тем. что определяют прокальцитонин и/или N-прокальцитонин-(1-57)-пептид и/или С-прокальцитонин-(60-116)- пептиды. 2. The method according to p. 1, characterized in that. that procalcitonin and / or N-procalcitonin- (1-57) -peptide and / or C-procalcitonin- (60-116) -peptides are determined. 3. Способ по п. 1 или 2, отличающийся тем, что при осуществлении иммунодиагностического способа обнаруживают соответствующий пептид или пептиды путем использования моноклонального антитела или комбинации первого моноклонального или поликлонального антитела с вторым моноклональным антителом, которые как таковые или в комбинации друг с другом обладают специфичностью прокальцитонина или образующихся из него пептидов и которые позволяют сделать дифференциацию между ними и зрелым кальцитонином и пептидом CGRP. 3. The method according to p. 1 or 2, characterized in that when implementing the immunodiagnostic method, the corresponding peptide or peptides are detected by using a monoclonal antibody or a combination of a first monoclonal or polyclonal antibody with a second monoclonal antibody, which as such or in combination with each other have specificity procalcitonin or peptides formed from it and which allow differentiation between them and mature calcitonin and the CGRP peptide. 4. Способ по п. 3, отличающийся тем. что прокальцитонин обнаруживают путем иммунометрического анализа, в котором для связывания прокальцитонина образца используется первое моноклональное антитело, связывающее прокальцитонин в другой области как второе моноклональное антитело, используемое для индикации, так что возможна дифференциация между прокальцитонином и продуктами его протеолитического разложения, включая кальцитонин. 4. The method according to p. 3, characterized in that. that procalcitonin is detected by immunometric analysis, in which the first monoclonal antibody that binds procalcitonin in another region is used as the second monoclonal antibody used to indicate the binding of procalcitonin to the sample, so that differentiation between procalcitonin and its proteolytic degradation products, including calcitonin, is possible. 5. Способ по п. 4, отличающийся тем, что не считая первого моноклонального антитела, для связывания прокальцитонина используется по меньшей мере одно дополнительное моноклональное антитело, которое связывает прокальцитониновую молекулу в другой, следующей области. 5. The method according to p. 4, characterized in that in addition to the first monoclonal antibody, at least one additional monoclonal antibody is used to bind procalcitonin, which binds the procalcitonin molecule in another, next region. 6. Способ по любому из пп. 3-5, отличающийся тем. что прокальцитонин обнаруживают путем иммунометрического анализа, который избирательно обнаруживает полный прокальцитонин и/или С-прокальцитонин-(60-116)-пептид. 6. The method according to any one of paragraphs. 3-5, characterized in that. that procalcitonin is detected by an immunometric assay that selectively detects total procalcitonin and / or C-procalcitonin- (60-116) -peptide. 7. Способ по любому из пп. 3-5, отличающийся тем, что прокальцитонин обнаруживают путем иммунометрического анализа, который избирательно обнаруживает полный прокальцитонин и/или N-прокальцитонин-(1-57)-пептид. 7. The method according to any one of paragraphs. 3-5, characterized in that procalcitonin is detected by immunometric analysis, which selectively detects the full procalcitonin and / or N-procalcitonin- (1-57) -peptide. 8. Способ по п. 7, отличающийся тем, что содержания прокальцитонина более, чем 1 нг/мл образца являются показательными для возможного наличия сепсиса и тем, что содержания прокальцитонина в пределах от 10 нг/мл до 500 нг/мл и более связаны с увеличивающейся тяжестью сепсиса и ухудшенным прогнозом. 8. The method according to p. 7, characterized in that the content of procalcitonin more than 1 ng / ml of the sample are indicative of the possible presence of sepsis and the fact that the content of procalcitonin in the range from 10 ng / ml to 500 ng / ml or more are associated with increasing severity of sepsis and poor prognosis. 9. Способ по п. 8, отличающийся тем, что одновременно в параллельном анализе обнаруживают содержание кальцитонина и тем, что отсутствие доказательства повышенных содержаний кальцитонина позволяет поставить диагноз сепсиса. 9. The method according to p. 8, characterized in that at the same time in a parallel analysis detect the content of calcitonin and the fact that the lack of evidence of increased levels of calcitonin allows you to diagnose sepsis. 10. Способ по пп. 8 или 9, отличающийся тем, что содержания прокальцитонина в пределах примерно до 20 нг/мл позволяют поставить диагноз сепсиса, если может быть исключено наличие серьезных вирусных заболеваний, как причины повышенной концентрации прокальцитонина. 10. The method according to PP. 8 or 9, characterized in that the content of procalcitonin in the range of up to about 20 ng / ml makes it possible to diagnose sepsis, if serious viral diseases can be excluded, as the reasons for the increased concentration of procalcitonin. 11. Способ по любому из пп. 1-10, отличающийся тем, что образец сыворотки или плазмы используют как образец биологической жидкости. 11. The method according to any one of paragraphs. 1-10, characterized in that the serum or plasma sample is used as a sample of biological fluid. 12. Способ по любому из пп. 1-11, отличающийся тем, что моноклональное антитело представляет собой моноклональное антитело КС01 (DSM АСС2124) или антитело СТ21 (DSM АСС2125). 12. The method according to any one of paragraphs. 1-11, characterized in that the monoclonal antibody is a monoclonal antibody KC01 (DSM ACC2124) or antibody CT21 (DSM ACC2125). 13. Комплект средств для осуществления способа по любому из пп. 1-12, отличающийся тем, что для обнаружения прокальцитонина в количествах от 0,1 до 500 нг/мл образца сыворотки или плазмы данные средства включают одно (или множество) иммобилизированное (иммобилизированных) первое моноклональное или поликлональное антитело (или моноклональных или поликлональных антител) на носителе для связывания прокальцитонина образца; дополнительное моноклональное антитело, несущее маркер и связывающее прокальцитонин в области, которая отлична от связывающей области первого антитела (или первых антител); и общие вспомогательные средства. 13. A set of tools for implementing the method according to any one of paragraphs. 1-12, characterized in that for the detection of procalcitonin in amounts from 0.1 to 500 ng / ml of a serum or plasma sample, these agents include one (or many) immobilized (immobilized) first monoclonal or polyclonal antibodies (or monoclonal or polyclonal antibodies) on a carrier for binding procalcitonin to a sample; an additional monoclonal antibody carrying a marker and binding procalcitonin in a region that is different from the binding region of the first antibody (or first antibodies); and general aids. 14. Комплект средств по п. 13, в котором первое или дополнительное моноклональное антитело представляет собой антитело КС01 (DSM АСС2124) или антитело СТ21 (DSM АСС2125) соответственно. 14. The kit according to claim 13, in which the first or additional monoclonal antibody is an antibody KC01 (DSM ACC2124) or an antibody CT21 (DSM ACC2125), respectively.
RU95108591A 1992-08-19 1993-08-19 Method for early determining disease gravity and estimating sepsis treatment process and also means for implementing this method RU2137130C1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE4227454A DE4227454C1 (en) 1992-08-19 1992-08-19 Process for early detection, for the detection of the severity as well as for the therapy-accompanying assessment of the course of sepsis as well as means for carrying out the process
DEP4227454.0 1992-08-19
PCT/EP1993/002245 WO1994004927A1 (en) 1992-08-19 1993-08-19 Method for diagnosing and monitoring sepsis

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RU95108591A true RU95108591A (en) 1997-11-27
RU2137130C1 RU2137130C1 (en) 1999-09-10

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JP (1) JP3257796B2 (en)
CN (1) CN1050668C (en)
AT (1) ATE163767T1 (en)
AU (1) AU686114B2 (en)
BR (1) BR9306928A (en)
CA (1) CA2142599C (en)
DE (2) DE4227454C1 (en)
ES (1) ES2114065T3 (en)
HR (1) HRP931147A2 (en)
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RU (1) RU2137130C1 (en)
SI (1) SI9300433A (en)
WO (1) WO1994004927A1 (en)
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JP7205691B2 (en) * 2019-01-23 2023-01-17 ウシオ電機株式会社 Anti-canine procalcitonin antibody and test kit using the same

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