TWI294967B - Protein microarray for detecting pathogenic antigen inducing fever - Google Patents
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1294967 五、發明說明(1) 【發明所屬之技術領域】: 本發明係關於一種於體外環境下(i n v i t r 〇),快 速、大量且平行的篩選出標的蛋白之蛋白質微陣列 (Protein Microarray),尤指一種適用於臨床診斷 (Clinical Diagnostics)、藥物篩選(Drug Screening )及疫苗製作(Vaccine Production)等方面,以在感染 初期即日守彳貞測出誘導人體發燒之熱原(Thermo gen)之蛋 白質微陣列。 【先前技術】: 生物晶片起源於8 0年代後期,廣義來說,生物晶片是 指在玻璃、尼龍膜(Nylon Membrane)、硝化纖維 (Ni trocel luiose)或塑膠材質上,利用微電子、微機械 等精密技術來製作用於檢測基因序列、生化分析或處理天 然或/及經人工修飾的核酸、蛋白質等生物分子之產品, 其作用對象可以是基因、蛋白質或細胞組織等。生物晶片 相較於傳統分子生化分析技術其優勢主要在於其可信度及 精確性南、分析速度快,樣品及試劑用量小,同時又可以 獲得大量整體性(平行化)的實驗結果。 目前生物晶片的應用在國際上仍屬於發展階段,根據 不同的作用對象及目的,主要分為兩大類型:微流體篩選 糸統(Microfluidics-based Screening System,又稱為 被處理型生物晶片)及微陣列技術(M i c r o a r r a y Technology) 〇 微流體篩選系統係結合生物技術、半導體、微光電及1294967 V. INSTRUCTION DESCRIPTION OF THE INVENTION (1) Technical Field of the Invention: The present invention relates to a protein microarray (Protein Microarray) for screening a protein in a rapid, large-scale and parallel manner in an in vitro environment (invitr). Refers to a clinical diagnostic (Clinical Diagnostics), drug screening (Drug Screening) and Vaccine Production (Vaccine Production), in order to detect the protein microparticles that induce human fever (Thermogen) in the early days of infection. Array. [Prior Art]: Biochips originated in the late 1980s. In a broad sense, biochips refer to microelectronics and micromachines on glass, nylon (Nylon Membrane), nitrocellulose (Ni trocel luiose) or plastic materials. Such precision technology is used to produce a product for detecting a gene sequence, biochemical analysis or processing a natural or/and artificially modified biological molecule such as a nucleic acid or a protein, and the object of action may be a gene, a protein or a cell tissue. Compared with traditional molecular biochemical analysis technology, biochips are mainly based on their reliability and accuracy. The analysis speed is fast, the sample and reagent dosage are small, and a large number of ensemble (parallelization) experimental results can be obtained. At present, the application of biochips is still in the development stage in the world. According to different objects and purposes, it is mainly divided into two types: Microfluidics-based Screening System (also known as processed biochip). Microarray Technology (Miccroarray Technology) 〇Microfluidic screening system combines biotechnology, semiconductor, micro-optoelectronics and
17425閻中原.Ptd 第7頁 1294967 五、發明說明(2) 微機械等技術’將貫驗室中許多儀為的功能微小化到晶片 上來處理,以藉由1 〇至數百微米寬之通道網路(C h a η n e 1 S Ne twork)來連結微幫浦(Μ i cropumps)、電滲透流 (Electroosmotic Flow)、積體閥(Integrated Valves )及控流混合裝置(Mixing Devices Control Liquid Movement)共同執行體外測試。以蛋白質作為微流體篩選 系統的檢測標的物(Detected Target)時,雖可藉由通 道網路來避免反應試劑蒸發而防止蛋白質脫水失活,但是 在缺乏試劑緩衝的情形下,蛋白質與試劑界面間很容易存 在高表面體積比的問題(一般試劑體積由1微升降至〇. 〇 1 微升,表面體積比(Surface to Volume Ratio)將增加 4 6 0 %)而導致蛋白質在液相/固相及液相/氣相界面處變性 而失去活性。 為克服上述問題,科學界另外發展出將樣品整齊點接 到玻㈤或尼龍膜上之微陣列型生物晶片(M i c r 〇 a r r a y Biochip)。而所謂”微陣列MA型晶片n係在晶片上平行 點接南在、度基因片段、募核甘酸(Oligonucleotides)或 經修飾之核酸片段,利用去氧核糖核酸(Deoxyr ibo -nucleic Acid, DNA) A,T,G,C之雜交作用 (H y b r i d i z a t i 〇 n)來偵測出待檢基因。然而,適用於d N A 微陣列技術未必全然適於套用在蛋白質上,其原因在於蛋 白質與DNA在物性及化性上差異很大,DNA在1 0 0°C以上仍 然可以進行乾燥及復水(R e h y d r a t i ο η),並且能夠直接 地與微陣列材質(例如:玻璃或尼龍膜(Nylon Membrane17425阎中原.Ptd Page 7 1294967 V. INSTRUCTIONS (2) Micro-mechanical and other technologies 'micro-machinery functions in the laboratory are miniaturized on the wafer for processing by 1 〇 to hundreds of micrometers wide Network (C ha η ne 1 S Ne twork) to connect crop i cropumps, Electroosmotic Flow, Integrated Valves and Mixing Devices Control Liquid Movement Perform in vitro testing together. When protein is used as the detection target of the microfluidic screening system, the channel network can be used to prevent the evaporation of the reagent to prevent the dehydration of the protein, but in the absence of reagent buffer, the interface between the protein and the reagent It is easy to have a high surface-to-volume ratio problem (generally the reagent volume is increased from 1 microliter to 〇. 〇1 μl, the surface to volume ratio will increase by 460%), resulting in protein in the liquid phase/solid phase. And deactivated at the liquid/gas phase interface to lose activity. In order to overcome the above problems, the scientific community has additionally developed a microarray type biochip (M i c r 〇 a r r a y Biochip) which neatly connects a sample to a glass (f) or nylon membrane. The so-called "microarray MA type wafer n" is connected to the south side of the wafer, the gene fragment, the Oligonucleotides or the modified nucleic acid fragment, using Deoxyr ibo-nucleic acid (DNA). Hybridization of A, T, G, and C (H ybridizati 〇n) to detect the gene to be detected. However, the application of d NA microarray technology may not be fully applicable to proteins, because proteins and DNA are in physical properties. The difference in chemical properties is very large. The DNA can still be dried and rehydrated (R ehydrati ο η) above 100 ° C, and can be directly used with microarray materials (eg glass or nylon membrane (Nylon Membrane)
17425閻中原.ptd 第8頁 1294967 五、發明說明(3) -一^"^ ^ --- ))表面所塗覆之有機塗層接合而不損及DNA活性,但θ 1目反地,蛋白質對於環境極為敏感,在溼度、溫度限制^ $體材質的物理性質和化學性質上要求甚嚴,因此, 標的蛋白在微陣列操作中失活而影響到檢測結果, ,質固^化至液相/固相界面上所需的操作條件是個 双術〇 旦再一方面,由於生物晶片(Biochip)具有快速、大 里、平行化處理樣本的特性,可以快速檢出病患體内各項 ,内生理生化值,找出正確的病因給予適切的治療並且觀 祭病患病程變化而作為用藥依據,因此,基因微陣列技術 (DNA Microarray Technology)和蛋白質微陣列技術 (Protein Microarray Technology)均可以應用在包括 感染性疾病診斷(例如細菌、病毒、真菌及寄生蟲等)、 癌症分類、遺傳性疾病或新生兒篩檢等臨床醫學診斷。 以感染性疾病為例’由於大多數的致病原(path〇gen )侵入人體以後,會啟動體内免疫機制並於感染初期產生 發燒(Fever)症狀;而且病程發展中,發燒症狀往往成 為患者是否具備傳染力的關鍵指標,因此,醫師若能在第 一時間内及早檢驗出誘導發燒產生之致病原,將能大幅減 少廣效性抗生素的使用劑量,對症下藥,以免病患苦等致 病原培養及血清學生化分析結果(至少需要三至五天)而 胎誤治療時機。 一般而言,誘導發燒產生的抗原(Antigen)來源, 包含病毒、細菌、真菌或寄生蟲等致病原外表面的特定蛋17425阎中原.ptd Page 8 1294967 V. Description of the invention (3) -1^"^ ^ --- )) The organic coating coated on the surface does not damage the DNA activity, but θ 1 The protein is extremely sensitive to the environment, and the physical properties and chemical properties of the material in the humidity and temperature limit are very strict. Therefore, the target protein is inactivated in the microarray operation and affects the detection result. The required operating conditions at the liquid/solid phase interface are a further one. Because Biochip has the characteristics of fast, large, and parallel processing of samples, it can quickly detect the body of the patient. Internal physiological and biochemical values, to find the right cause to give appropriate treatment and to observe the disease course of the disease as a basis for drug use, therefore, both DNA Microarray Technology and Protein Microarray Technology can be applied. Clinical medical diagnosis including diagnosis of infectious diseases (such as bacteria, viruses, fungi, and parasites), cancer classification, hereditary diseases, or neonatal screening. Taking infectious diseases as an example, since most pathogens (path〇gen) invade the human body, they will activate the immune mechanism in the body and produce fever (Fever) symptoms at the beginning of the infection; and during the course of the disease, the symptoms of fever often become patients. Whether it has the key indicators of infectious power, therefore, if the doctor can detect the pathogen causing fever in the first time, it will be able to greatly reduce the dose of the broad-spectrum antibiotics, and the right medicine to avoid the disease and other diseases. The results of the original culture and serum student analysis (at least three to five days) and the timing of mistreatment. In general, the source of the antigen (Antigen) produced by the induction of fever, including the specific egg on the outer surface of the pathogen such as a virus, bacteria, fungus or parasite.
17425閻中原.ptd 第9頁 1294967 五、發明說明(4) 白質結構’我們稱這些致病原為外因性熱原(Externai Thermogen)。以主要感染上呼吸道之冠狀病毒株 (Coronavir idae)為例,病毒表面的核蛋白 (Nucleocapsid)進入人體黏膜組織以後,人體免疫系統 會於兩週左右主動產生與抗原相對應之抗體。而傳統診斷 個體是否帶有特定致病原蛋白或該特定致病原蛋白相對應 抗之檢方法’包括免疫螢光法(Immun〇flu〇rescence Techniques) > ELISA( Enzyme-1inked Iramuno- sorbent Assay)及試紙呈色法。 惟一般螢光免疫法大都必須使用活病毒感染細胞,危 險性高而且必須在P3級實驗室才能製作,難以廣泛使用。 EL I S A檢測雖能使用高安全性的病毒重組蛋白或抗體來進 行债測’但是以9 6孔盤(9 6 - we 1 1 p 1 a t e)為例,抗原或 受試檢體欲偵測精準,每一槽孔的抗原/檢體量至少需要 達到1 0 0微升,又必須放置隔夜或恆溫3 處理一小時才 能使抗原/檢體反應完全,因此’若進行大規模臨床檢測 時’檢體及反應試劑的消耗量極大,成本高而且時效性 差。再一方面,試紙呈色法雖然也能使用重組蛋白來取代 活病毒,但是喷塗試紙須使用特殊設備,而且抗原需求量 大又無法對偵測結果實施定量,故在準確度及時效性上亦 難達到要求。 為此 ’ 2 0 0 2年 M e z z a s 〇 m a等人於 Clinical C h e m i s t r y 第 48:1卷第 121-130 頁,,AntigenMic roarrays For Serodiagnosis Of Infectious Diseases’’亦揭示一種蛋17425阎中原.ptd Page 9 1294967 V. INSTRUCTIONS (4) White matter structure 'We call these pathogens an external thermogen (Externai Thermogen). Taking the coronavirus idae, which mainly infects the upper respiratory tract, as an example, after the nuclear protein (Nucleocapsid) on the surface of the virus enters the human mucosa, the human immune system actively produces antibodies corresponding to the antigen in about two weeks. Traditional methods for diagnosing individuals with specific pathogenic proteins or corresponding specific pathogenic proteins include Immunofluorescence (Immun〇flu〇rescence Techniques) > ELISA (Enzyme-1inked Iramuno- sorbent Assay) ) and test paper coloring method. However, most of the general fluorescent immunoassays must use live virus to infect cells, which is dangerous and must be produced in a P3 laboratory, and is difficult to use widely. The EL ISA test can use the high-safety virus recombinant protein or antibody for the debt test, but the 96-well plate (9 6 - we 1 1 p 1 ate) is used as an example. The antigen/sample volume of each well must be at least 100 μl, and must be placed overnight or at a constant temperature of 3 for one hour to complete the antigen/sample reaction, so 'if large-scale clinical testing is performed' The consumption of the body and the reagents is extremely high, the cost is high, and the timeliness is poor. On the other hand, although the test paper coloring method can also use the recombinant protein to replace the live virus, the spraying test paper must use special equipment, and the antigen requirement is large, and the detection result cannot be quantified, so the accuracy and timeliness are It is also difficult to meet the requirements. To this end, '02 2 2 M e z z a s 〇 m a et al. in Clinical C h e m i s t r y 48:1, pp. 121-130, AntigenMic roarrays For Serodiagnosis Of Infectious Diseases’’ also reveals an egg
17425閻中原.ptd 1294967 五、發明說明(5) 白質微陣列技術’其中’該微陣列係利用抗原蛋白摘測人 類I g G及I g Μ抗體,經過螢光抗體標定後再以共輛焦顯微 鏡(Confocal Microscopy)觀察抗原與抗體的接合情 形。此種EL I SA晶片法雖已初具生物晶片快速、大量、平 行化的優點’但在外來致病原入侵人體時,可能因為抗體 未及產生而誤判檢測結果。 由於發燒症狀是許多感染性疾病是否具有傳染力之指 標’發燒初期正確彳貞知致病原抗原類型及抗原含量與否再 對症下藥’往往影響患者病程發展及癒後狀況甚鉅。然而 人體免疫系統通常於感染後7至1 4天才會產生最早出現的 抗體I g Μ,因此在發燒症狀產生但免疫系統尚未產生抗體 前,以傳統免疫螢光法、EL I SA技術或試紙呈色法進行檢 測,在時效性及精確度上可能無法達到令人滿意的結果。 此外’由於部分發燒現象非由感染所引起,而是由内 因性熱原(Internal Thermogen),諸如自體免疫疾病或 惡性腫瘤等疾病誘導產生的細胞激素(Cytokine)或是前 列腺素等所產生,這些内因性熱原在一般發燒篩檢中亦未 將其列入篩檢項目而無法檢知。 【發明内容】: 本發明之主要目的在於提供一種在感染初期剛產生發 燒症狀時,經由喉頭、呼吸道黏膜組織或血液檢體及時偵 知誘導發燒產生之致病原(Path〇gen)或熱原 (Thermogen)類型,以供作臨床醫師用藥依據之蛋白質 微陣列。17425阎中原.ptd 1294967 V. Inventive Note (5) White matter microarray technology 'where' the microarray extracts human I g G and I g Μ antibodies by antigenic protein, and then calibrates with fluorescent antibody Confocal Microscopy was used to observe the binding of the antigen to the antibody. Although the EL I SA wafer method has begun to take advantage of the rapid, large-scale, and parallelization of biochips, but when foreign pathogens invade the human body, the detection results may be misjudged because the antibodies are not produced. Because the symptoms of fever are indicators of whether many infectious diseases are infectious, 'the correct type of antigen in the early stage of fever and the antigenic content of the antigen, and then the right medicines' often affect the patient's disease progression and the situation is very large. However, the human immune system usually produces the earliest antibody I g 7 7 to 14 days after infection, so before the symptoms of fever but the immune system has not yet produced antibodies, traditional immunofluorescence, EL I SA technology or test paper The color method is tested and may not achieve satisfactory results in terms of timeliness and precision. In addition, because part of the fever is not caused by infection, but by internal thermogen (Internal Thermogen), such as autoimmune diseases or malignant tumors induced by cytokines (Cytokine) or prostaglandins, These endogenous pyrogens were not included in the screening program during general fever screening and were not detectable. SUMMARY OF THE INVENTION The main object of the present invention is to provide a pathogenic agent (Path〇gen) or pyrogen which is induced to cause fever through a throat, a respiratory mucosa tissue or a blood sample immediately after the onset of fever. (Thermogen) type, a protein microarray for use by clinicians.
17425閻中原.ptd17425阎中原.ptd
第11頁 1294967 五、發明說明(6) 本發明之另一目的在於提供一種於發燒期間,以致病 原抗原所製作之蛋白質微陣列來檢驗受試者體内有無特定 致病原抗原(SpecificaHy Pathogenic Antigen)之相 對應抗體,藉以知悉個體是否曾經遭到感染。 本發明之再一目的在於提供一種只需使用極少量之檢 體及檢驗試劑便能迅速、正確而且平行化地大量篩選出誘 導發燒產生之致病因(致病原抗原或熱原),以作為臨床 檢驗依據之蛋白質微陣列。 鑑於上述及其他目的’本發明係提供一種誘導體温升 高致病原之檢測平台,特別是指一種於感染、發燒初期便 能及時檢測出引發人體發燒的致病原抗原(Pathogen i c Ant i gen)或其誘導感染者所產生之相對應抗體,或是誘 導其他產生發燒的熱原之蛋白質微陣列。 此蛋白質微陣列係包括··一載體,該載體表面塗佈有 至少一層含醛基塗層;複數個蛋白質陣列區(Protein Array Regions),係由陣列機(Arrayer)將蛋白質點製 在該含醛基塗層上,並藉由強度介於1. 〇〇至5. 00 GHz之微 波將至少一種誘發體溫升高之致病原抗原,或其相對應之 抗體,或是對抗可誘導體溫升高熱原之抗體固定在該蛋白 質陣列區上;以及一形成於該相鄰蛋白質陣列區間之阻斷 區0 由於絕大部分誘導人體產生發燒症狀之致病原,例 如·嚴重急性呼吸窘迫症候群(S e v e r e A c u ΐ ePage 11 1294967 V. INSTRUCTION DESCRIPTION (6) Another object of the present invention is to provide a protein microarray made of a pathogenic antigen during fever to test for the presence or absence of a specific pathogenic antigen in a subject (SpecificaHy Pathogenic Antigen The corresponding antibody, to know if the individual has been infected. A further object of the present invention is to provide a rapid, correct and parallel screening of the cause (pathogenic antigen or pyrogen) for inducing fever, using only a very small amount of sample and test reagent, A protein microarray based on clinical testing. In view of the above and other objects, the present invention provides a detection platform for inducing pathogenicity-causing pathogens, in particular, a pathogenic antigen capable of detecting human body fever in the early stage of infection and fever (Pathogen ic Ant i) Gen) or a corresponding antibody produced by a person who induces infection, or a protein microarray that induces other pyrogens that produce fever. The protein microarray comprises a carrier coated on the surface with at least one aldehyde-containing coating; a plurality of Protein Array Regions, wherein the protein is spotted by an arrayer. On the aldehyde-based coating, and at least one pathogenic antigen that induces an increase in body temperature, or a corresponding antibody thereof, by a microwave having an intensity of between 1. 〇〇 and 5.00 GHz, or against an inducible temperature rise The antibody of the high pyrogen is immobilized on the protein array region; and a blocking region 0 formed in the adjacent protein array interval is caused by most of the pathogens causing fever symptoms, for example, severe acute respiratory distress syndrome (S) Evere A cu ΐ e
Respiratory Syndrome, SARS)病毒,其核蛋白Respiratory Syndrome, SARS) virus, its nuclear protein
17425閻中原.ptd 第12頁 1294967 五、發明說明(7) (Nucleocapsid)抗原之蛋白結構外圍都大量裸露出帶有 正電的胺基酸,例如離胺酸(Ly s i ne)及精胺酸 (Arginine)等,這些帶有正電的胺基酸與表面具有活性 醛基之載體(例如玻片)接觸後,蛋白分子上的胺基(NH: )會與載體上醛基的碳原子產生Schi ff共價結合而導致蛋 白質固定在載體上。而且,微波短時間、高能態的加熱方 式並不會破壞抗原決定位(Antigen Determinant或 E p i t 〇p e)之共價鍵結構而造成蛋白變性,因此,誘導體 溫升高之致病原抗原可與檢體中人類抗體(IgA, IgM或 IgG)上之抗原接合部(Antigen Binding Site)結合而 正確診斷出導致人體發燒之致_原(Pathogen)。 上述蛋白質微陣列可以應用在臨床檢驗、大量藥物篩 選、遺傳性疾病檢測、疫苗開發或食品安全、環境衛生檢 驗及動植物檢疫等方面。藉由本發明之蛋白質微陣列,只 需使用極少量的檢體及試劑量,便可確認造成人體發燒之 對抗致病原抗原來源及抗體種類,復利用蛋白質微陣列快 速、正確、大量而且平行化之特性,進一步檢驗臨床上常 見引起發燒之致病原,使臨床醫師可以在發燒初期正確判 斷病因,對症下藥而無須使用廣效性抗生素壓制病情來等 待檢驗結果。該蛋白質微陣列應用在個人方面,除可作為 尋找發燒成因之篩選工具外,若用於診斷消化道、呼吸道 疾病(例如流行性感冒或嚴重急性呼吸窘迫症候群(SARS ))時,亦能在人體免疫系統未及生產抗體I g A、I g G或 I g Μ前(人體内最早出現的抗體I g Μ要在發病後7至1 4天17425阎中原.ptd Page 12 1294967 V. Description of the invention (7) (Nucleocapsid) antigens are surrounded by a large number of positively charged amino acids, such as lysine and arginine. (Arginine), etc., when these positively charged amino acids are contacted with a carrier having a reactive aldehyde group on the surface (for example, a slide), the amine group (NH: ) on the protein molecule is generated with the carbon atom of the aldehyde group on the carrier. Schi ff covalently binds to cause the protein to be immobilized on the carrier. Moreover, the short-time, high-energy heating mode of the microwave does not destroy the covalent bond structure of the antigenic epitope (Antigen Determinant or E pit 〇pe) and causes protein denaturation. Therefore, the pathogenic antigen which induces an increase in body temperature can be The antigen binding site (Antigen Binding Site) on the human antibody (IgA, IgM or IgG) in the sample is combined to correctly diagnose the pathogen causing fever in the human body. The above protein microarrays can be used in clinical tests, mass drug screening, genetic disease testing, vaccine development or food safety, environmental sanitation inspection, and animal and plant quarantine. By using the protein microarray of the present invention, it is possible to confirm the source of the anti-pathogenic antigen and the type of the antibody against the fever of the human body by using a very small amount of the sample and the reagent amount, and the complex protein microarray is fast, correct, large and parallel. The characteristics further test the pathogenic cause of fever in the clinic, so that the clinician can correctly judge the cause of the disease at the initial stage of fever, and the right medicine is needed without using a broad-acting antibiotic to suppress the condition to wait for the test result. The protein microarray can be used in the human body, in addition to being used as a screening tool for finding the cause of fever, if it is used to diagnose digestive tract and respiratory diseases (such as influenza or severe acute respiratory syndrome (SARS)), it can also be used in the human body. The immune system is not producing antibodies I g A, I g G or I g ( (the earliest antibody I g in humans is 7 to 14 days after onset)
17425閻中原.ptd 第13頁 1294967 五、發明說明(8) ---— 才能產生),先透過黏膜組織檢體(例如喉頭檢體)來债 測患者體内是否存在特定致病原抗原’以確定患者是否已 經遭到感染。再一方面,本發明如應用在防疫檢測方面, 每片載體可以同時檢測大量檢體樣本數,而降低檢體Γ 成本。 - 版币欢 【實施方式】: 以下係藉由特定的具體實施例說明本發明之實施方 式,熟習此技藝之人士可由本說明書所揭示之内容輕易地 瞭解本發明之其他優點與功效。本發明亦可藉由其他不同 的具體實施例加以施行或應用,本說明書中的各項細節亦 可基於不同觀點與應用,在不悖離本發明之精神下進行各 種修飾與變更。 名詞定義: ◎蛋白質(Protein):係指多數胺基酸(Amin〇 Acids)以胜肽鍵(Peptide Bond)鍵結、摺疊(F〇lding )而成之聚合物分子,該蛋白質可為至少包含有1 〇個以上 月女基酸之單一分子或巨分子複合物(M a c r 〇 m ο 1 e c u 1 a r Complex),亦得為以多肽鏈(P〇iypept ide)、蛋白片段 (Protein Fragments)或短鏈胜肽的形式存在之胺基酸 鏈。以下所稱之蛋白質包含天然蛋白質(Natural Protein)和將多肽鏈中一或多個胺基酸以化學修飾而成 之人工蛋白質(Art i f icial Protein)中任何一種,然本 發明之蛋白質微陣列及其檢測方法所涵蓋之抗原 μ (Antigen)及抗體(Ant i body)皆為一種蛋白質結構。17425阎中原.ptd Page 13 1294967 V. Invention description (8) ---- can be produced), first through the mucosal tissue (such as the throat specimen) to test whether there is a specific pathogenic antigen in the patient' To determine if the patient has been infected. On the other hand, if the present invention is applied to the field of epidemic prevention, each carrier can simultaneously detect a large number of sample samples and reduce the cost of the sample. The present invention is described by way of specific embodiments, and those skilled in the art can readily appreciate the other advantages and advantages of the present invention from the disclosure. The present invention may be embodied or applied in various other specific embodiments, and various modifications and changes may be made without departing from the spirit and scope of the invention. Noun definition: ◎Protein: refers to the polymer molecule of Amin〇Acids, which is bonded and folded by Peptide Bond. The protein can be at least included. There are more than one month of single nucleotide or macromolecular complex (M acr 〇m ο 1 ecu 1 ar Complex), which may also be P〇iypept ide, Protein Fragments or An amino acid chain in the form of a short chain peptide. The protein referred to below includes any of Natural Protein and Artif icial Protein which chemically modifies one or more amino acids in the polypeptide chain, and the protein microarray of the present invention and The antigen μ (Antigen) and the antibody (Ant i body) covered by the detection method are all a protein structure.
1294967 五、發明說明(9) ◎抗體(A n t i b 〇 d y):係指以天然或部份合成方式製 造之免疫球蛋白(Immunoglobulin),可為一種單株抗體 (Monoclonal Antibody)或多株抗體(p〇iyci〇nai Antibody),該抗體具有可與特定分子結構之至少一部份 (一般疋指抗原決定位(A n t i g e n D e t e r m i n a n t或 E p i ΐ 〇 p e ))專一性接合之特定接合部(Specific Binding Site ),其中,本發明實施例所揭示之抗體包括人類抗體I g A、I g Μ、I g G、I g D及I g E,小鼠單株抗體、兔子、山 羊、雞或馬來源的多株抗體。 ◎抗原(Ant i gen):係為一種可與抗體產生專一性 接合之分子,包含例如中間代謝物、激素、填脂質、蛋白 質或其他類型之生物分子,藉以觸發免疫反應並且誘導受 感染之宿主製造抗體。本發明之蛋白質微陣列係以常見引 起發燒症狀之物質當作抗原,包含各類内因性(患者體内 產生)或外因性(感染導致)抗原蛋白,且抗原蛋白的形 式可為含有單一蛋白分子、巨分子複合物 (Macrorao 1 ecu 1 ar Comp lex),亦得為以多肽鏈 (Polypeptide)、蛋白片段(Protein Fragments)或短 鏈胜肽的形式存在之胺基酸鏈。 ◎熱原(Thermogen):發燒(Fever)表示體溫高出 正常範圍,是由於腦部本身因為異常狀態或毒性物質影響 到體溫調節中樞而發生。平常常見的發燒因素包括(1) 感染,(2)中樞神經性疾病’如腦血管障礙、頭部外 傷、腦脊髓病變,(3)自體免疫疾病,如風濕熱,全身1294967 V. INSTRUCTIONS (9) ◎ Antibody (A ntib 〇dy): refers to an immunoglobulin (Immunoglobulin) produced by natural or partial synthesis, which can be a monoclonal antibody (Monoclonal Antibody) or multiple antibodies ( P〇iyci〇nai Antibody), the antibody has a specific junction that can specifically bind to at least a portion of a particular molecular structure (generally an antigenic epitope (A ti D ΐ 〇 pe)) Binding Site), wherein the antibodies disclosed in the examples of the present invention include human antibodies I g A, I g Μ, I g G, I g D and I g E, mouse monoclonal antibodies, rabbits, goats, chickens or horses Multiple antibodies from the source. ◎Antigen (Ant i gen): is a molecule that can specifically bind to an antibody, including, for example, intermediate metabolites, hormones, lipid-filled proteins, proteins or other types of biomolecules, thereby triggering an immune response and inducing an infected host. Make antibodies. The protein microarray of the present invention uses a substance commonly causing fever symptoms as an antigen, and contains various types of endogenous (produced in a patient) or exogenous (infection) antigenic proteins, and the antigen protein may be in the form of a single protein molecule. The macromolecular complex (Macrorao 1 ecu 1 ar Comp lex) may also be an amino acid chain in the form of a polypeptide, a protein fragment (Protein Fragments) or a short chain peptide. ◎Thermogen: Fever means that the body temperature is higher than the normal range, because the brain itself occurs due to abnormal conditions or toxic substances affecting the body temperature regulation center. Frequently seen fever factors include (1) infection, (2) central nervous system diseases such as cerebrovascular disease, head trauma, cerebrospinal disease, (3) autoimmune diseases such as rheumatic fever, whole body
17425閻中原ptd 第15頁 1294967 五、發明說明αο) 性紅斑性狼瘡(System i c Lups Erythema to sns,SLE) 等。另外,心肺梗塞、惡性腫瘤、出血或内分泌疾病等亦 會引起不同程度的發燒。這些影響體溫中樞引起發燒的物 質通稱為「熱原(Thermogen)」。 ◎外因性熱原(Exogenous Thermogen) : 「熱原 (Thermo gen)」中,從體外入侵的發燒誘導物質稱作外 因性熱原,例如細菌、病毒、立克次體、黴菌及寄生蟲等 病原體,或細菌之莢膜(C ap s u 1 e)、病毒之蛋白鞘 (Proteocapsid)、核蛋白(Nucleocapsid)、重組蛋白 (Recombinant Protein)、嗟菌體、生物組織細胞之蛋 白萃取物或細胞核萃取蛋白等。 ◎内因性熱原(Endogenous Thermogen):人體自行 產生的發燒誘導物質,例如巨嗟細胞(Macrophage)和中 性白血球(N e u t r 〇 ph i 1 e)活化所釋放之熱原細胞激素 (Thermogen Cytokine,例如前列腺素E2),或自體抗原 蛋白(Autoantigen)等,稱作「内因性熱原 (Endogenous Thermogen)」〇 ◎體液(Body F1 u i d):生物體組織或器官萃取、分 泌或排泄出之液體物質,可能含有或不含有細胞。本發明 所界定之體液包括,但不限定於血液、血清、尿液、血 漿、腦脊液、淚液、羊水、呼吸道、消化道或生殖泌尿道 之分泌物等。 實施例 » 以下之實施例係進一步詳細說明本發明之觀點,但並17425阎中原ptd page 15 1294967 V. Invention description αο) System i c Lups Erythema to sns (SLE). In addition, cardiopulmonary infarction, malignant tumors, bleeding or endocrine diseases can cause fever of varying degrees. These substances that affect fever in the body temperature are commonly referred to as "Thermogen". ◎Exogenous Thermogen: In Thermogen, a fever-inducing substance that invades from outside the body is called an exogenous pyrogen, such as bacteria, viruses, rickettsia, mold, and parasites. , or bacterial capsule (C ap su 1 e), viral protein sheath (Proteocapsid), nuclear protein (Nucleocapsid), recombinant protein (Recombinant Protein), bacillus, biological tissue cell protein extract or nuclear extract protein Wait. ◎Endogenous Thermogen: Thermogenic Cytokine released by the body's own fever-inducing substances, such as macrophage and neutrophil (N eutr 〇ph i 1 e) activation. For example, prostaglandin E2), or autoantigen, etc., is called "Endogenous Thermogen". Body F1 uid: a liquid that is extracted, secreted, or excreted by a living tissue or organ. Substance, with or without cells. The body fluids defined by the present invention include, but are not limited to, blood, serum, urine, plasma, cerebrospinal fluid, tears, amniotic fluid, respiratory tract, digestive tract or secretions of the genitourinary tract. EXAMPLES The following examples are further details of the present invention, but
17425閻中原.ptd 第16頁 1294967 五、發明說明(11) 非以任何觀點限制本發明之範®壽。 本發明係提供一種誘導體溫升高抗原(A n t i g e η Generated Fever)之檢測平台,特別是指一種於感染、 發燒初期能及時檢測出引發人體發燒的致病原抗原 (Pathogenic Ant i gen)或其誘導感染者所產生之相對應 抗體,或是誘導產生發燒的熱原之蛋白質微陣列來實施個 人或大量篩檢。 首先’以第1圖說明本發明蛋白質微陣列(p r 〇 t e i η Microarray)之組成結構。如第i圖所示,該蛋白質微陣 列包括:一載體,該載體表面塗佈有至少一層含醛基塗 層;複數個蛋白質陣列區(Protein Array Regions)陣 列,藉由陣列機(Arrayer)將蛋白質點製在該含醛基塗 層上,藉由強度介於1. 〇〇至5. 〇0 GHz之微波將至少一種誘 發體溫升高之致病原抗原,或其相對應之抗體,或是對抗 可誘導體溫升高熱原之抗體固定於該蛋白質陣列區上;以 及一形成於該相鄰蛋白質陣列區間之阻斷區(B 1 〇 c k i n g Region) 〇 更詳言之,本發明之蛋白質微陣列(P r〇 t e i n17425阎中原.ptd Page 16 1294967 V. INSTRUCTIONS (11) The scope of the present invention is not limited by any point of view. The present invention provides a detection platform for inducing an elevated temperature antigen (A ntige η Generated Fever), in particular, a pathogenic antigen (Pathogenic Ant i gen) which can detect a fever in a human body in an early stage of infection or fever Individual or large-scale screening is performed by inducing a corresponding antibody produced by the infected person, or a protein microarray that induces a pyrogen-producing pyrogen. First, the composition of the protein microarray (p r 〇 t e i η Microarray) of the present invention will be described with reference to Fig. 1. As shown in Figure i, the protein microarray comprises: a carrier coated with at least one layer containing an aldehyde-based coating; a plurality of Protein Array Regions arrays, which are arrayed by an arrayer The protein is spotted on the aldehyde-containing coating, and at least one pathogenic antigen that induces an increase in body temperature, or a corresponding antibody thereof, by a microwave having an intensity of from 1. 〇〇 to 5. 〇0 GHz, or An antibody against a pyrogen-inducible pyrogen is immobilized on the protein array region; and a blocking region (B 1 〇cking Region) formed in the adjacent protein array region. More specifically, the protein micro of the present invention Array (P r〇tein
Microarray)其載體可為 CEL Associates或 Telechem International Inc·所生產之表面含醛基玻片,其他具類 似表面結構之酸基塗層玻片、尼龍膜(Nylon Membrane )、多聚離胺酸塗層玻片及硝化纖維塗層玻片等。惟按照 載體接合蛋白在結構及功能上之差異,以下分別以載體上 接合抗原之抗原型微陣列(亦稱為”抗原晶片”)及載體上Microarray) may be a surface-containing aldehyde-based slide produced by CEL Associates or Telechem International Inc., other acid-based coated slides with similar surface structure, nylon membrane (Nylon Membrane), poly-lysine coating Slides and nitrocellulose coated slides. However, according to the difference in structure and function of the carrier ligated protein, the following antigen-type microarray (also referred to as "antigen wafer") and carrier on which the antigen is conjugated to the carrier, respectively
17425閻中原.ptd 第17頁 1294967 五、發明說明(12) 接合抗體之抗體型微陣列(又稱為”抗體晶片”)為例來予 以說明。 A.抗原型微陣歹4 ( Antigen Microarray)_ 本實施例之蛋白質微陣列係用來檢測包括各種對抗導 致人體發燒之外因性熱原及内因性熱原之抗體,舉凡任何 可以誘導人體產生發燒症狀之抗原蛋白,無論致病原抗原 或非致病原抗原,均包含於本發明之可實施範轉。 以篩檢嚴重急性呼吸窘迫症候群(Severe Acute Respiratory Syndrome, SARS)之蛋白質微陣列為例,如 第2圖所示,該蛋白質微陣列係以陣列機(Arrayer)(未 圖示)將SARS冠狀病毒之核蛋白'(Nucieocapsid)、作為 陽性對照組之感冒病毒抗原、作為陰性對照組之H e p — 2喉 癌細胞萃取物、以及可當作自體免疫抗原(Aut〇antigen ))及其他常見外因性熱原’例如披衣菌抗原蛋白、黴漿 菌抗原蛋白或登革熱抗原等,按障列(Array)方式一一 點製於該含酸基塗層玻片上’俾轉由抗原蛋白外圍所含有 之大量帶正電胺基酸’例如離胺竣(Lysine)及精胺酸 (Arginine)接觸到玻片表面的活性醛基,而使抗原蛋白 上的胺基(NH2)與駿基上的碳原子產生Schiff共價結 合,以在不影響抗原及抗體活性接合部(Active Binding17425阎中原.ptd Page 17 1294967 V. Description of the Invention (12) An antibody-type microarray (also referred to as "antibody wafer") for conjugated antibodies is taken as an example. A. Antigen Microarray 4 (Antigen Microarray) The protein microarray of the present embodiment is used to detect various antibodies against pyrogenic pyrogens and endogenous pyrogens that cause fever in the human body, and any of them can induce fever in the human body. The antigenic protein of the symptom, whether it is a pathogenic antigen or a non-pathogenic antigen, is included in the practice of the present invention. For example, a protein microarray for screening for Severe Acute Respiratory Syndrome (SARS) is shown. As shown in Fig. 2, the protein microarray is an arrayer (not shown) for SARS coronavirus. Nucleocapsid, cold virus antigen as a positive control, Hep-2 throat cancer cell extract as a negative control, and autoantigen (Aut〇antigen) and other common external causes A pyrogen, such as a chlamydia antigen protein, a mycoplasma antigen protein, or a dengue antigen, is prepared on the acid-containing coated slide by an Array method. A large number of positively charged amino acids, such as Lysine and Arginine, contact the active aldehyde group on the surface of the slide, and the amine group (NH2) on the antigen protein and the carbon on the base Atom produces Schiff covalent binding to not affect antigen and antibody activity junctions (Active Binding
Site)的分手結構下,與檢體中的抗體產生專一性接合。 第3圖係顯示抗原型微陣列上,抗原及抗體結合之示 意圖。如圖所示,當SARS冠狀病毒抗原固定至玻片上以 後,以稀釋過(例如稀釋倍率1: 5〇〇〇)之受試者血清Under the break-up structure of Site, it has a specific bond with the antibody in the sample. Figure 3 is a diagram showing the combination of antigen and antibody on an antigenic microarray. As shown in the figure, when the SARS coronavirus antigen is immobilized on a slide, the serum of the subject diluted (for example, a dilution ratio of 1:5〇〇〇) is used.
17425閻中原.ptd 第18頁 1294967 五、發明說明(13) (待測檢體)結合各抗原,並與標有螢光劑(Cy 3或Cy 5) 之抗人體 Ig A、Ig Μ或 I g G抗體(Anti-human Ig A / Ig G or Ig M Antibody)進行接合。由於受試者曾經或已經 遭受過SARS病毒感染後,血清中會存在可對抗SARS病毒之 抗體I g A、I g Μ或I g G,因此,若點製有抗原蛋白之玻片 與受試者檢體反應後,在共軛焦顯微鏡(Con focal Microscopy)或雷射掃猫儀(Laser Scanner)下檢出螢 光,則檢測人員可以根據螢光出現位置得知誘導受試者發 燒之抗原來源及抗體種類,並且進一步判定受試者是否曾 經或已經遭到SARS病毒感染。 __选體型微陣列(Antibody Microarrav) 惟上述蛋白質微陣列亦可利用抗體本身所具有之蛋白 質特性來開發出一種抗體型微陣列(Ant i body M i c r o a r r a y)。此抗體型微陣列係藉由例如對各種不同的 抗致病原抗原抗體(Anti-pathogenic antigen antibody )作為特定蛋白質,將其點製到玻片之蛋白質陣列區上來 偵測受試者體内的抗原(致病原),藉此判斷個體是否已 遭感染。 如第4圖及第5圖所示,此種抗體型微陣列係以點製機 (Arrayer)(未圖示)將對抗SARS冠狀病毒抗體、陽性 對照組之抗體(如檢體為血清時,得選用抗白蛋白抗體 (Ant i-albumin Ant i body))、陰性對照組(例如牛血 清白蛋白(BSA))及其他常見的抗致病原抗體,例如: 彼衣菌抗體、黴漿菌抗體或登革熱抗體等——點製於含駿17425阎中原.ptd Page 18 1294967 V. Description of invention (13) (subject to test) binds to each antigen and is resistant to human Ig A, Ig Μ or I labeled with a fluorescent agent (Cy 3 or Cy 5) The g G antibody (Anti-human Ig A / Ig G or Ig M Antibody) was ligated. Since the subject has been or has been infected with SARS virus, there are antibodies against the SARS virus in the serum I g A, I g I or I g G, therefore, if the slide with antigen protein is spotted and tested After the sample reaction, the fluorescence is detected under a Confocal Microscopy or a Laser Scanner, and the tester can know the antigen that induces the fever of the subject based on the position of the fluorescent light. Source and antibody type, and further determine whether the subject has or has been infected with the SARS virus. __Antibody Microarrav The above protein microarray can also develop an antibody type microarray (Ant i body M i c r o a r r a y) by utilizing the protein properties of the antibody itself. The antibody-type microarray detects a subject by, for example, treating a variety of different anti-pathogenic antigen antibodies as specific proteins and spotting them on a protein array region of the slide. The antigen (pathogen), thereby determining whether the individual has been infected. As shown in Fig. 4 and Fig. 5, such an antibody-type microarray is an antibody against a SARS coronavirus antibody or a positive control group by an Arrayer (not shown) (for example, when the sample is serum) An anti-albumin Ant i body), a negative control group (such as bovine serum albumin (BSA)) and other common anti-pathogenic antibodies, such as: Bacillus licheniformis, mycoplasma Antibody or dengue antibody, etc.
1294967 五、發明說明(14) 基塗層玻片上。 藉由抗原之抗原決定位(Antigen Determinant Site )與抗體Fab片段、F(ab’)片段其抗原接合部(Antigen Binding Site)間產生專一性接合(Specific Bonding) 之關係。當對抗S A R S病毒抗體及其他致病原抗體或非致病 原抗體固定到玻片上以後,以稀釋過(例如稀釋倍率q : 5 0 0 0)之受試者體液(如喉頭檢體)結合各抗體,復用標 有生物素(β i 〇 t i η)之偵測抗體(d e t e c t i ο n A n t i b 〇 d y) 及標有螢光劑(Cy3或Cy5)且能與生物素專一性結合之生 蛋白鏈菌素(Streptavidin)進行反應,若體液中的抗原 與玻片上固定化抗體結合,便可從螢光結果判斷受試者體 液檢體中是否含有SARS病毒。 尤其,因為抗體中最早出 至1 4天才會產生,發燒初期若 恐因抗體未及產生而難以檢出 列來檢測血液、喉頭、鼻腔分 受試者是否已遭SARS病毒感染 列之製彳土」__ 本發明之蛋白質微陣列( 應用在g品床檢驗、大量藥物篩 開發或食品安全、環境衛生檢 製作方式包含以下步驟: 現的I g Μ必須等到發病後7 以抗原型微陣列偵測抗體, ’此時便需使用抗體型微陣 泌物中之抗原類型,以判斷 〇1294967 V. Description of the invention (14) on the base coated slide. The relationship between the antigen binding site (Antigen Determinant Site) and the antibody Fab fragment and the F(ab') fragment is specifically bonded to the antigen binding site (Antigen Binding Site). When anti-SARS virus antibodies and other pathogenic antibodies or non-pathogenic antibodies are immobilized on the slide, the body fluids (such as the laryngeal specimens) of the subjects diluted (eg, dilution ratio q:500) are combined. Antibody, multiplexed with biotin (β i 〇ti η) detection antibody (detecti ο n A ntib 〇dy) and biotin-specific protein labeled with fluorescent agent (Cy3 or Cy5) Streptavidin reacts, and if the antigen in the body fluid binds to the immobilized antibody on the slide, it can be judged from the fluorescence result whether the body fluid sample contains the SARS virus. In particular, because the antibody is produced as early as 14 days, it is difficult to detect the presence of antibodies in the early stage of the fever to detect whether the blood, throat, or nasal cavity has been infected with SARS virus. __ The protein microarray of the present invention (applied to the g-bed test, mass drug screen development or food safety, environmental sanitation inspection production method includes the following steps: the current I g Μ must wait until the onset 7 to detect by antigenic microarray Antibody, 'At this time, you need to use the type of antigen in the antibody-type micro-strand to judge 〇
Protein Microarray)可以 選、遺傳性疾病檢測、疫苗 驗及動植物檢疫各方面,其 I表面上塗佈至少一層含駿 疋義出複數個蛋白質陣列區 、、(a)備一載體,於該載| 基塗層,並於該含醛基塗層上Protein Microarray) can be selected, genetic disease detection, vaccine test and animal and plant quarantine. Its surface is coated with at least one layer containing a plurality of protein arrays containing Junyi, and (a) a carrier is provided on the surface. a base coating on the aldehyde-containing coating
Ϊ294967 ^^^___— 五、發明說明(15) (Protein Array Regions)及形成於該相鄰蛋白質陣列 區間之阻斷區; (b) 將至少一種特定蛋白質點製到該蛋白質陣列區 上’並以強度1 · 〇 〇至5 . 0 0 GHz之微波固定化該特定蛋白 質’其中,該至少一部份特定蛋白係包括一或多種可誘導 體溫升高之致病原抗原,或對抗可誘導體溫升高之内因性 熱原之抗體,或對抗特定致病原抗原之抗體; (c) 以阻斷劑覆蓋該含醛基塗層,斷絕該含醛基塗 層於後續反應時所產生之非專一性接合; (d) 去除多餘阻斷劑,復以經處理之受試者檢體接 觸該特定蛋白;以及 (e) 藉至少一種顯示劑標定該特定蛋白質所結合之 受試者檢體,以供讀取裝置判讀。 此蛋白質微陣列利用微波(M i cr owave)短時間、高 能態的加熱方式來避免致病原抗原上之抗原決定位 (Ant i gen De term inant或Epitope)或抗體之抗原接合部 (Antigen Binding Site)所具有之共價鍵結構受到破 壞;因此,無論是抗原型微陣列或抗體型微陣列,載體上 所接合之特定蛋白質均能與受試者檢體產生專一性結合, 以正確檢測出導致人體發燒之熱原類型。 以下則以S A R 狀病毒核蛋白(Nucleocapsid)為例 來說明之抗原型微陣列之製作步驟: (a)將SARS冠狀病毒抗原、感冒病毒抗原及喉癌細 胞萃取物各取20" 1加入9 6孔盤(96 - well plate)中,以Ϊ294967 ^^^___—5, (Protein Array Regions) and a blocking region formed in the adjacent protein array interval; (b) at least one specific protein is spotted onto the protein array region' Immobilizing the specific protein with a microwave having an intensity of 1 · 〇〇 to 5.0 GHz, wherein the at least a portion of the specific protein line comprises one or more pathogenic antigens that induce an increase in body temperature, or against inducible body temperature An antibody to an elevated endogenous pyrogen, or an antibody against a specific pathogenic antigen; (c) covering the aldehyde-containing coating with a blocking agent to sever the non-aldehyde-based coating in the subsequent reaction Specific binding; (d) removing excess blocker, contacting the treated subject with the particular protein; and (e) calibrating the subject's sample to which the particular protein is bound by at least one indicator, For reading by the reading device. The protein microarray utilizes microwave (M i cr owave) short-time, high-energy heating to avoid antigenic epitopes on the pathogenic antigen (Ant i gen De terminant or Epitope) or antigen junction of the antibody (Antigen Binding) Site) has a covalent bond structure that is disrupted; therefore, whether it is an antigenic microarray or an antibody-type microarray, the specific protein bound to the carrier can specifically bind to the subject's specimen for proper detection. The type of pyrogen that causes the body to have a fever. The following is an example of the preparation of an antigenic microarray using SAR-like viral nucleoprotein (Nucleocapsid) as an example: (a) Adding SARS coronavirus antigen, cold virus antigen and laryngeal cancer cell extract 20" 1 to 9 6 In the well plate (96 - well plate)
17425閻中原.Ptd 第21頁 1294967 五、發明說明(16) 陣列機(Arrayer)點製於醛基塗層玻片上; (b) 待點製完成,置入微波爐,並以能量強度介於 1. 00至5· 00 GHz (以2. 45GHz較佳),功率約8 0 0 W之微波 加熱6 0秒; (c) 以 PBS騰衝液(Phosphate Buffer + 2% Skim M i 1 k ’填酸鹽緩衝溶液加上2 %重量/體積比之脫脂奶粉) 微波加熱3分鐘,阻斷含酸基塗層於後續製程之蛋白接合 性; (d) 以室溫之 PBST緩衝液(Phosphate Buffer + 0· 0 2 5% Tween 20,磷酸鹽緩衝溶液加上〇. 0 2 5 %重量/重量比 之Tween 20 (商品名))攪動清洗3分鐘,再以磷酸鹽緩 衝液浸潤並且離心1 2 0 0 RPM甩乾; (e) 加入經處理之受試者血清(一級抗體),於室 溫下反應3 0分鐘,復重複進行步驟(d)之清洗動作; (0分別加入經螢光(例如Cy3或Cy5)標定之抗人 類Ig A抗體、抗人類I g G抗體或抗人類I g Μ抗體(二次抗 體),於室溫下反應3 0分鐘,再重複進行步驟(d)之清 洗動作;以及 (g)以晶片掃描儀(Axon Genepix 4 0 0 0B)判讀各 項結果。 其中,該一級抗體若為受試者體液之檢體,例如全 血、血清、唾液、鼻腔及喉頭分泌物或内視鏡採得之黏膜 組織等,使用前必須經過蛋白收集,並經PBSMT緩衝液 (Phosphate Buffer + Skim Milk + Tween 20)稀釋方17425阎中原.Ptd Page 21 1294967 V. Description of the invention (16) The arrayer (Arrayer) is made on the aldehyde-based coated slide; (b) After the point is completed, the microwave oven is placed and the energy intensity is between 1 00 to 5· 00 GHz (better 2.45 GHz), microwave heating of about 800 W for 60 seconds; (c) PBS transpiration (Phosphate Buffer + 2% Skim M i 1 k 'filled acid Salt buffer solution plus 2% w/v ratio skim milk powder) Microwave heating for 3 minutes to block the protein binding of the acid-containing coating in subsequent processes; (d) Room temperature PBST buffer (Phosphate Buffer + 0) · 0 2 5% Tween 20, phosphate buffer solution plus 〇. 0 2 5 % weight / weight ratio of Tween 20 (trade name)) agitated for 3 minutes, then infiltrated with phosphate buffer and centrifuged 1 2 0 0 RPM is dried; (e) adding the treated subject serum (primary antibody), reacting at room temperature for 30 minutes, repeating the washing action of step (d); (0 separately adding fluorescence (eg Cy3) Or Cy5) labeled anti-human Ig A antibody, anti-human I g G antibody or anti-human I g Μ antibody (secondary antibody) at room temperature The reaction is repeated for 30 minutes, and the cleaning operation of step (d) is repeated; and (g) the results are interpreted by a wafer scanner (Axon Genepix 4 0 0B), wherein the primary antibody is a test for the body fluid of the subject. Body, such as whole blood, serum, saliva, nasal and laryngeal secretions or mucosal tissue from endoscopy, must be collected by protein and diluted in PBSMT buffer (Phosphate Buffer + Skim Milk + Tween 20).
17425閻中原.ptd 第22頁 1294967 五、發明說明(17) 可使用。 蛋白質微陣列應用於俩人臨床檢给」__ 本實施例即以導致上呼吸道感染之冠狀病毒株 (C〇 r οna v i r i da e)為例,詳細說明本發明之蛋白質微陣 列在患者發燒初期時,用以檢測導致人體發燒之致病原, 並且正確地診斷出傭體是否曾經遭受SARS病毒感染。 抗原之取得: 以引起人體發燒之嚴重急性呼吸窘迫症候群(SARS) Λί*狀病毒株為檢測目標,選殖(Cloning) SARS冠狀病毒 株之核蛋白(Nucleocapsid)基因,經過大腸桿菌(E·17425阎中原.ptd Page 22 1294967 V. Invention description (17) Can be used. The protein microarray is applied to two people for clinical examination. __ In this example, the coronavirus strain (C〇r οna viri da e) which causes upper respiratory tract infection is taken as an example to explain in detail the protein microarray of the present invention in the early stage of the patient's fever. To detect the pathogen causing fever in the human body and to correctly diagnose whether the maid has been infected with SARS virus. Acquisition of antigen: The nuclear factor (Nucleocapsid) gene of Cloning SARS coronavirus strain is selected by the severe acute respiratory distress syndrome (SARS) 病毒ί* virus strain causing fever in human body, and passed through Escherichia coli (E·
Col i ·)表現以及純化後,以處理過的核蛋白當作抗原, 和感冒病毒抗原及Hep-2喉癌細胞萃取物(Ce 1 1 Lysate) 一同點製至該蛋白質陣列區。 其中,該感冒病毒抗原係當作外因性抗原 (E X 〇 g e η 〇 u s A n t i g e η)(例如S ARS冠狀病毒抗原)之陽 性對照組。由於幾乎所有人均感染過感冒病毒,檢驗個體 血请中之Ig G抗體時,皆可測得對抗該感冒病毒之I g G, 故若受試者是因為再度感染到感冒病毒而發燒時,該抗感 冒病毒之Ig G濃度將會升高。 而H e p - 2喉癌細胞萃取物則是當作外因性抗原之陰性 對照組,同時也可作為内因性抗原(E n d 〇 g e η 〇 u s A n t i g e η )以偵測檢體中之自體免疫抗體(Autoant i body),常見 者例如對抗細胞核抗體(Anti_nuclear Antibody, ANA) 等。由於在正常人的血清當中不會有抗體與之反應,但在Col i ·) After performance and purification, the treated nuclear protein was used as an antigen, and the cold virus antigen and Hep-2 laryngeal cancer cell extract (Ce 1 1 Lysate) were spotted into the protein array region. Among them, the cold virus antigen is used as a positive control group of an exogenous antigen (E X 〇 g e η 〇 u s A n t i g e η) (e.g., S ARS coronavirus antigen). Since almost everyone has been infected with a cold virus, Ig G against the cold virus can be detected when testing the Ig G antibody in the individual's blood, so if the subject has a fever due to re-infection with a cold virus, The concentration of Ig G against the cold virus will increase. The extract of Hep-2 throat laryngeal carcinoma cells is used as a negative control group for exogenous antigens, and can also be used as an endogenous antigen (E nd 〇ge η 〇us A ntige η ) to detect autologous in the specimen. Autoant i body, such as anti-nuclear antibody (ANA). Because there is no antibody in the normal human serum, but in
17425閻中原.ptd 第23頁 1294967 五、發明說明(18) 些發生自體免疫(Auto i mmune)之受試者往往會出現 A ΝΑ而與Hep-2喉癌細胞萃取物產生結合。利用喉癌細胞萃 取物之陰性對照組可使得不同批蛋白質微陣列的品質趨於 致’以將實驗誤差控制在合理範圍内。 比%例: 相較於傳統免疫螢光法、E L I S A或試紙呈色法,本發 明之蛋白質微陣列製備用蛋白質需求量少(一般只需要 I S A方法的十萬分之一)、檢體及試劑需求量少、製程 簡單’反應時間短、可運用重組蛋白或抗體來取代活體致 病原(降低製造者在準備過程中感染之風險,而且不需要 P3級實驗室),以及可於同一片載體上點製多種標的抗原 或抗體等優點。 、如第6圖所示,以檢測SARS冠狀病毒之抗原型微陣列 ^測又.式者血清中之I g A、I g μ及I g ◦抗體,其中,陣列 ,1行為牛血清白蛋白(Bovine Serum Albumin,BSA) ^ 控制組);陣列第2行為SARS病毒核蛋白;陣列第[ =為^冒=毒抗原蛋白(陽性控制組),每組均點製6重17425阎中原.ptd Page 23 1294967 V. INSTRUCTIONS (18) Subjects who develop autoimmunity (Auto i mmune) often develop A ΝΑ and combine with Hep-2 laryngeal cancer cell extract. The use of a negative control group of laryngeal cancer cell extracts can converge the quality of different batches of protein microarrays to keep experimental error within a reasonable range. %: Compared to traditional immunofluorescence, ELISA or test paper coloring, the protein microarray preparation of the present invention requires less protein (generally only one hundred thousandth of the ISA method), samples and reagents. Low demand, simple process, short reaction time, replacement of live pathogens with recombinant proteins or antibodies (reducing the risk of infection in the preparation process of the manufacturer, and no need for P3 laboratories), and the same vector The advantages of a variety of standard antigens or antibodies. As shown in Fig. 6, the antigenic microarray of the SARS coronavirus is used to detect I g A, I g μ and I g ◦ antibodies in the serum of the formula, wherein the array, 1 acts as bovine serum albumin (Bovine Serum Albumin, BSA) ^ control group); array second behavior SARS virus nucleoprotein; array number [= for ^ 冒 = toxic antigen protein (positive control group), each group is ordered 6
Tg A _所了不,文試者血清中具有對抗SARS病毒之抗體 染;而在陣列第3行感:;! ί二ί者確已遭到SAM病毒感 測到針栌片η 主/目病毋〇P V,患者血中可以明顯檢 K對抗感自病毒之IgG抗體,以顯示本發明微陣列之精 而從抗原型微陣列 縯監控受試者血清中抗 之結果(如第7圖所示),亦能持 SARS病毒抗體(例如Ig G或Ig M)Tg A _ is not, the tester has anti-SARS virus antibody stain in the serum; and in the third line of the array: :! ί 2 ί has indeed been affected by SAM virus to the needle η main / mesh In the case of the disease PV, the patient's blood can be clearly detected against the IgG antibody against the virus, to show the results of the microarray of the present invention and to monitor the serum resistance of the subject from the antigenic microarray (as shown in Fig. 7). Show), can also hold SARS virus antibodies (such as Ig G or Ig M)
1294967 五、發明說明(19) -~一— 之變化,以觀察受試者病程發展而作為用藥評 依據。 L2·蛋鱼+質微陣列應用於籂烚: 女旦古上述抗原性微陣列或=體型微陣列亦可應用在 大檢方面,使同一蛋白質微陣列裡可以分別接受多位 ΐ ΐ ϊ ΐ,1打測# °如f 8圖所示’若使用SARS病毒核 蛋白之抗原型微陣列來檢蜊香 ^ SARS抗體,而一次僅能偵測—:二攻之疋否含有抗 Μ或Ig G等),則同一片载體種抗體^型態(例如4 A、k 體;同樣地,*使用抗體型;可以容納十二位受試者檢 具有SARS冠狀病毒時,每片恭車列來偵測受試者體内是否 同受試者的體液樣本來進行=上亦能同時接受十二位不 之蛋白質陣列區數量、受檢:’惟蛋白質微陣列所容納 檢體配置位置等均可視實=二原(或抗體)類型及受試者 而未受限於本發明實施例Γ、況予以變更、置換或調整, 此外,本發明之蛋白質 區,並於同一區内點製不同^車列更能將多位受試者分 示,受試者Α及受試者以:〒士檢測標的,如第8圖所 且A, Β兩位受試者可以分別^時容納於一蛋白質微陣列, 區分別偵測血清中j g Α、:發1, 2, 3, 4四個蛋白質陣列 ,如鼻腔、喉頭、氣管或肺% M、I g G或其他分泌物檢體 等。如第9圖所示,比較正。卩)致病原抗原之相對應抗體 乙在Ig G及IS 之血、主1 I粗、^以患者甲及SARS患者 内均清檢測結果,顯示患者甲及患者乙1 " 呵里的對柷SARS病毒之Ig G及Ig Μ,但是患者月^1294967 V. Description of the invention (19) -~1 - The change is observed as the basis for drug evaluation by observing the development of the subject's disease course. L2·Egg fish + quality microarray applied to 籂烚: The above-mentioned antigenic microarray or body type microarray can also be applied to the large-scale inspection, so that multiple ΐ ϊ ΐ can be accepted in the same protein microarray. 1 test # ° as shown in Figure 8 'If you use the antigenic microarray of SARS virus nucleoprotein to detect the scent of SARS antibody, and only detect it at a time -: whether the second attack contains anti-caries or Ig G Etc.), the same vector carrier antibody type (for example, 4 A, k body; similarly, * use antibody type; can accommodate 12 subjects with SARS coronavirus, each piece of Christine Detecting whether the body fluid sample of the subject is the same as the body fluid sample of the subject, and can also accept the number of 12 protein array regions at the same time, and is examined: 'only the position of the sample disposed in the protein microarray can be visualized. Real = di-original (or antibody) type and subject without being restricted by the embodiment of the present invention, changing, replacing or adjusting, in addition, the protein region of the present invention, and different parts in the same area The column is more able to distinguish multiple subjects, the subject and the subject are: gentleman For the target, as shown in Fig. 8 and A, the two subjects can be separately accommodated in a protein microarray, and the regions detect the jg 血清 in the serum, and the four protein arrays of 1, 2, 3, and 4 respectively. Such as nasal cavity, larynx, trachea or lung % M, I g G or other secretion samples, etc. As shown in Figure 9, it is more positive. 卩) The corresponding antibody B of pathogenic antigen in Ig G and IS Blood, the main 1 I thick, ^ in the patient A and SARS patients within the uniform detection results, showing patients A and patients B &1; Haoli against the SARS virus Ig G and Ig Μ, but patients monthly ^
17425閻令原· _ 1294967 五、發明說明(20) 在Ig G之陰性控制組(即圖中陣列第1行所示之喉癌Hep-2 蛋白萃取物)亦會發生螢光反應(患者甲無),顯見患者 乙體内出現原因未明之自體免疫反應而導致對抗細胞核抗 體(Anti - nuclear Antibody,ANA)檢出,對預後可能較 為不利。 上述實施例僅為例示性說明本發明之原理及其功效, 而非用以限制本發明。任何熟習此技藝之人士均可在不違 背本發明之精神及範疇下,對上述實施例進行修飾與變 化。因此,本發明之權利保護範圍,應如後述之申請專利 範圍所列。17425阎令原· _ 1294967 V. INSTRUCTIONS (20) Fluorescence reaction also occurs in the negative control group of Ig G (ie, the laryngeal cancer Hep-2 protein extract shown in the first line of the array) (patient No) It is obvious that the patient's unidentified autoimmune reaction in the B body leads to the detection of anti-nuclear antibody (ANA), which may be unfavorable for the prognosis. The above embodiments are merely illustrative of the principles of the invention and its advantages, and are not intended to limit the invention. Modifications and variations of the above-described embodiments can be made by those skilled in the art without departing from the spirit and scope of the invention. Therefore, the scope of protection of the present invention should be as set forth in the scope of the patent application to be described later.
17425閻中原.ptd 第26頁 1294967 圖式簡單說明 【圖式簡早說明】: 第1圖係本發明之蛋白質微陣列之立體及局部上視示 意圖; 第2圖係本發明之蛋白質微陣列中,用以檢測SARS病 毒核蛋白之抗原型微陣列其致病原抗原(Pathogenic Ant igen)點製示意圖; 第3圖係本發明之蛋白質微陣列中,用以檢測受試者 檢體是否具有抗體(例如I g A、I g Μ或I g G)之抗原性微 陣列之作用示意圖; 第4圖係本發明之蛋白質微陣列中,用以檢測SARS病 毒核蛋白之抗體型微陣列其對抗致病原抗原抗體 (Anti-pathogenic antigen antibody)點製示意圖; 第5圖係本發明之蛋白質微陣列中,用以檢測受試者 檢體是否具有特定致病原抗原之抗體型微陣列之作用示意 圖; 第6圖係本發明之蛋白質微陣列中,用以偵測個人體 内對抗S A R S病毒抗體之抗原型微陣列之螢光標定結果(陣 列第1行係表示牛血清白蛋白(B〇vine Serum Albumin, BSA)(陰性控制組)、陣列第2行為^以病毒核蛋白,陣 列第3行則為感冒病毒抗原蛋白(陽性控制組))·, ^第7圖係以本發明之蛋白質微陣列檢測受試者血清中 對抗f ARS病毒之抗體丨g G及丨g M之濃度變化示意圖; 第8圖係本發明之蛋白質微陣列中,用以大量之 抗原型微陣列/抗體型微陣列之上視示意圖;以及17425阎中原.ptd Page 26 1294967 Schematic description of the figure [Simplified description of the drawings]: Figure 1 is a schematic perspective view of a protein microarray of the present invention; Figure 2 is a diagram of the protein microarray of the present invention. Schematic diagram of the pathogenic antigen (Pathogenic Ant igen) for detecting the antigenic microarray of SARS virus nucleoprotein; Figure 3 is a diagram of the protein microarray of the present invention for detecting whether the subject has an antibody Schematic diagram of the action of an antigenic microarray (for example, I g A, I g Μ or I g G); Figure 4 is an antibody microarray for detecting SARS virus nucleoprotein in the protein microarray of the present invention. Schematic diagram of an anti-pathogenic antigen antibody; Figure 5 is a schematic diagram of the action of an antibody-type microarray for detecting whether a subject has a specific pathogenic antigen in the protein microarray of the present invention. Figure 6 is a graph showing the results of a fluorescent microarray for detecting an anti-SARS virus antibody in an individual in a protein microarray of the present invention (line 1 shows bovine serum white) White (B〇vine Serum Albumin, BSA) (negative control group), array second behavior ^ viral nucleoprotein, array 3 is cold virus antigen protein (positive control group) ·, ^ Figure 7 The protein microarray of the present invention detects a change in the concentration of the antibodies 丨g G and 丨g M against the f ARS virus in the serum of the subject; FIG. 8 shows a large number of antigen-type microarrays in the protein microarray of the present invention. a top view of the /antibody type microarray;
17425閻中原.ptd17425阎中原.ptd
第27頁 1294967 圖式簡單說明 第9圖係本發明之蛋白質微陣列中,用以大量篩檢之 SARS病毒抗原型微陣列之螢光標定結果(陣列第1行係表 示用於檢測對抗細胞核抗體(A n t i - n u c 1 e a r A n t i b 〇 d y, AHA),而作為自體免疫指標之抗原),其中,該陰性對 照組係以H e ρ - 2喉癌細胞蛋白萃取物作為抗原來源(陣列 第2行則表示SARS病毒之核蛋白抗原)。 (本案無元件符號及其所代表之意義)Page 27 1294967 Brief Description of the Drawing Figure 9 is a fluorescing result of a large number of screened SARS virus antigen-type microarrays in the protein microarray of the present invention (array 1 is used to detect anti-nuclear antibodies) (A nti - nuc 1 ear A ntib 〇dy, AHA), and as an antigen of autoimmune indicators), wherein the negative control group uses He ρ - 2 laryngeal cancer cell protein extract as an antigen source (array Line 2 indicates the nucleoprotein antigen of the SARS virus). (There is no component symbol in this case and the meaning it represents)
17425閻中原.ptd 第28頁17425阎中原.ptd第28页
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