心肌型脂肪酸结合蛋白胶体金检测试纸条的制备和初步应用

目的应用胶体金免疫层析法制备检测全血或血清样本中心肌型脂肪酸结合蛋白（H-FABP）的检测试纸条,用于急性心肌梗塞（AMI）的早期辅助诊断。方法采用柠檬酸三钠还原法制备胶体金,标记鼠抗心肌型脂肪酸结合蛋白单克隆抗体,喷于玻璃纤维膜上制成胶体金结合物垫,将另一株鼠抗心肌型脂肪酸结合蛋白单克隆抗体和抗鼠二抗分别包被检测线和质控线,组装成试纸条进行灵敏性、特异性、精密性、稳定性及临床样品检测。结果该试纸条的检测灵敏度为10ng／mL,15min内可判定结果;与肌钙蛋白I、C反应蛋白、肌酸激酶、人心肌肌红蛋白无交叉反应。检测240份临床标本,与临床诊断结果进行配对分析,阳性符合率95．83％、阴性符合率100％、总符合率97．92％。结论制备的H-FABP检测试纸条有良好的灵敏性、特异性,可用于早期AMI的辅助诊断。     

RF、GPI、抗CCP抗体联合检测对类风湿关节炎的诊断意义

目的:研究类风湿因子(rheumatoid factor,RF)、葡萄糖-6-磷酸异构酶(glucose-6-phosphate isomerase,GPI)和抗环瓜氨酸肽(anti-cyclic citrullinated peptide,anti-CCP)抗体联合检测对类风湿关节炎(rheumatoid arthritis,RA)的诊断意义.方法:收集未经治疗的128例RA患者(RA组)、117例其他风湿病人(非RA组)、74例健康人(正常对照组)血清,采用酶联免疫吸附法(ELISA)检测GPI、抗CCP抗体,采用速率散射比浊法检测RF、C反应蛋白(CRP)、补体(C3、C4)、免疫球蛋白(Iga、IgG、IgM),采用魏氏法测红细胞沉降率(血沉,ESR).结果:(1)GPI、抗CCP抗体诊断RA的特异性分别为91.09%、94.14%,与RF(78.53%)比有显著差异(P<0.01),敏感性分别为75.0%、75.8%,与RF(80.47%)比无统计学差异(P>0.05).(2)GPI和RF、抗CCP抗体和RF、GPI和抗CCP抗体两两组合检测,两个指标均为阳性诊断RA的特异性分别为94.24%、95.81%、96.34%,与单独检测RF比有显著差异(P<0.01);两个指标任一阳性诊断RA的敏感性分别为85.16%、85.94%、87.50%,与单独检测RF比无统计学差异(P>0.05),但与单独检测GPI或抗CCP抗体比有统计学差异(P<0.05)计学.(3)三个指标联合检测均为阳性诊断RA的特异性高达98.43%,与单独检测RF、GPI或抗CCP抗体比有统计学差异(P=0.000,P=0.001,P=0.018),任一阳性诊断RA的敏感性为91.41%,与单独检测RF、GPI或抗CCP抗体比有统计学差异(P=0.012,P=0;000,P=0.001).(4)GPI阳性的RA患者关节炎部位数、CRP、ESR水平明显高于GPI阴性RA患者.且差异有统计学意义(P<0.05).结论:GPI、抗CCP抗体诊断RA比RF更具特异性,三者联合检测可显著提高诊断RA的特异性和敏感性.此外,GPI还可作为RA活动性指标.     

CCP、AKA、APF联合RF检测对 类风湿性关节炎的诊断意义

目的 探究抗环瓜氨酸肽(CCP)抗体、抗角质蛋白(AKA)抗体、抗核周围因子(APF)抗体联合类风湿因子(RF)检测对类风湿性关节炎(RA)的临床诊断价值。方法 检测94例RA患者和69例非RA自身免疫疾病患者血清中该4项指标,并将该4种指标的敏感度、特异度、阳性预测值以及阴性预测值进行比对分析。结果 RA组患者该4项指标的阳性率均明显高于非RA组(P0.05)。RA组中CCP、AKA、APF和RF的敏感度分别为79.79%、45.74%、48.94%、75.53%,特异性分别为95.65%、94.20%、91.30%、79.71%,其中抗CCP与RF比较差异有统计学意义(P0.05)。RA组中CCP、AKA、APF和RF阳性预测值分别为96.15%、91.49%、88.46%、83.53%。4项指标联合检测中,任一指标阳性即判定RA阳性的敏感度为89.36%,4项指标均为阳性即判定RA阳性的特异度高达98.55%,阳性预测值达96.77%。结论 抗CCP抗体具有较高的灵敏度和特异性。4项指标联合检测可提高RA诊断的准确性,有利于RA患者早期诊断和治疗。     

量子点免疫层析快速定量检测HCG

近年来,量子点以其独特的光学性质被广泛应用到医学检测上.血清中人绒毛膜促性腺激素(HCG)的含量是诊断早期妊娠的常用指标,也可用于异常妊娠性疾病的早期发现和鉴别诊断.本文采用超声乳化法制备了高质量的亲水性量子点,并将其与免疫层析试纸条技术相结合,在此基础上自主研发了用于试纸条检测的量子点免疫荧光检测仪,对血清中HCG的含量进行了高灵敏度的快速定量检测.结果表明,对于血清中的HCG含量检测,最优检测条件为加样体积50μl,反应时间15 min,检测的灵敏度达到0.85 U/L,高于商品化的胶体金试纸条.这种检测技术简单、快速、灵敏,有望在其他蛋白质类标志物的检测中得到广泛应用.     

类风湿关节炎患者RF、ANA、CCP、Ig及炎症因子的水平测定及临床意义

目的:探讨类风湿关节炎(RA)患者血清类风湿性因子(RF)、抗核抗体(ANA)、抗环瓜氨酸肽(CCP)抗体、免疫球蛋白(Ig)、补体(C3、C4)以及炎症因子的水平及临床意义。方法:收集2016年9月至2017年4月我院收治的165例RA患者为RA组,其中RA活动期患者93例(RA活动组),RA缓解期患者72例(RA缓解组),并于同期随机选取30例健康体检者为对照组。采用免疫散射比浊法检测各组血清RF、IgM、IgG、IgA、C3、C4水平,采用酶联免疫吸附法(ELISA)检测各组血清CCP抗体,电化学发光法检测白介素-6(IL-6)、化学发光法检测白介素-8(IL-8)。免疫荧光法检测ANA。比较不同组别各检测指标水平,并分析RA患者RF、ANA、CCP抗体、Ig、C3、C4与炎症因子的相关性。结果:RA活动组、RA缓解组血清RF、ANA、CCP抗体、IgM、IgG、IgA、IL-6、IL-8水平高于对照组,且RA活动组血清RF、ANA、CCP抗体、IgM、IgG、IgA、IL-6、IL-8水平高于RA缓解组,差异均有统计学意义(P0.05)。RA活动组、RA缓解组血清C3、C4水平低于对照组,且RA活动组血清C3、C4水平低于RA缓解组,差异均有统计学意义(P0.05)。经Pearson积矩相关分析,RA活动期和缓解期患者血清RF、ANA、CCP抗体、IgM、IgG、IgA与炎症因子IL-6、IL-8呈正相关关系(P0.05),血清C3、C4与炎症因子IL-6、IL-8呈负相关关系(P0.05)。结论:RA患者体内RF、ANA、CCP抗体、Ig及IL-6、IL-8水平明显较高,C3,C4水平明显较低,活动期RA患者更为显著,联合检测可早期辅助诊断RA及判断病情进展,在临床上有重要的参考意义。     

葡萄糖-6-磷酸异构酶抗原对类风湿关节炎的诊断价值

目的:通过比较类风湿关节炎(Rheumatoid arthritis,RA)患者、非RA风湿病患者及健康对照者血清中葡萄糖-6-磷酸异构酶(glucose-6-phosphate isomerase,GPI)抗原的阳性率来探讨GPI对RA的诊断意义,并探讨GPI,抗CCP抗体和RF联合应用对RA的诊断价值.方法:对110例RA患者、223例非RA风湿病患者和55例健康对照者共388份血清标本进行了检测.GPI抗原和抗CCP抗体采用ELISA方法,RF采用免疫比浊法定量检测.结果:RA组、非RA风湿病组和健康对照组血清中的GPI抗原阳性率分别为83.64%,30.04%和20.00%,RA组阳性率显著高于其它组(P＜0.01).GPI抗原对RAt诊断的敏感性和特异性分别为83.64%和71.58%.GPI和抗CCP抗体联合检测的敏感性和特异性分别为90.91%和71.22%,GPI和RF联合检测的敏感性和特异性分别为92.73%和 61.87%,如果三者同时检测,其敏感性和特异性分别为94.55%和60.43%.结论:RA患者的血清GPI阳性率明显高于其它自身免疫性疾病患者和健康对照者.GPI抗原时RA具有诊断价值,联合检测GPI、抗CCP抗体和RF可以提高RA诊断的敏感性.     

抗环瓜氨酸肽抗体联合类风湿因子在检测类风湿关节炎中的临床价值

目的：探讨抗环瓜氨酸肽抗体（抗CCP抗体）以及类风湿因子（RV）检测对类风湿关节炎（RA）诊断的意义。方法：采用酶联免疫吸附试验（ELISA）检测355份人血清的抗CCP抗体,同时采用使用贝克曼库尔特Image800双光镜免疫浊度分析仪定量监测类风湿因子（RF）,其中包括门诊及住院RA患者135例,非RA组170例,正常对照组来自本院的健康体检人员50例。结果：抗-CCP检测在RA组与非RA组（和正常对照组）之间的检测结果有统计学差异（P〈0．05）。RF检测在RA组与非RA组（和正常对照组）之间的检测结果有统计学差异（P〈0．05）。在135例RA病人中,抗CCP抗体的阻性率为70．4％,在非RA病人中的阳性率为3．5％,抗CCP抗体对RA的敏感性和特异性分别为70．4％、96．5％。RF的阳性率为63．7％,在非RA病人中的阳性率为14．1％,RF对RA的敏感性和特异性分别为63．7％、81．1％。联合应用抗CCP抗体与RF进行诊断,串联时敏感性为59．3％,特异性为97．1％。并联时敏感性为74．8％,特异性为85.3％。结论：抗CCP抗体和RF对RA具有较好的敏感性和很高的特异性,二者联合检测可提高对RA早期诊断的准确性。     

单增李斯特菌磁性试纸条层析体系的研究

将单增李斯特菌的多克隆抗体和羊抗鼠IgG(二抗)喷涂于硝酸纤维素膜(NC膜)上分别作为检测线C和质控线T。将单增李斯特菌的单克隆抗体与磁性纳米材料进行化学偶联构建磁性纳米探针,建立双抗夹心模式的检测试纸条。通过在层析体系中分别添加表面活性剂、盐离子、杂蛋白和糖类,探讨其对层析的影响,以提高检测的准确性和灵敏度。研究发现,在层析体系中添加一定浓度的Tween-20、KCl、BSA和葡聚糖,可以实现单增李斯特菌的快速检测。本文研究对今后研发类似磁性试纸条检测技术具有重要参考价值。     

基于胶体金的8-羟基-2′-脱氧鸟苷免疫层析试纸条北大核心CSCD

8-羟基-2′-脱氧鸟苷(8-hydroxy-2′-deoxyguanosine,8-OHdG)是评价DNA氧化损伤较灵敏和稳定的生物标志物。文中采用竞争法建立一种快速、灵敏检测8-OHdG的胶体金免疫层析试纸条。将样品垫(玻璃纤维素膜)、结合垫(玻璃纤维素膜)、硝酸纤维素膜和吸水垫依此粘贴在聚氯乙烯(polyvinyl chloride,PVC)底板上,构建试纸条。通过柠檬酸钠还原三水合四氯金酸制备胶体金(gold nanoparticles,AuNPs),8-OHdG配对的抗体(antibody,Ab)包被于AuNPs的外层(Ab coated AuNPs,Ab@AuNPs)作为探针。牛血清蛋白(bovine serum protein,BSA)与8-OHdG用碳二亚胺盐酸盐偶联制备人工抗原,作为检测线的包被抗原。羊抗鼠多抗(imunoglobulin G,IgG)作为质控线的包被抗体。对试纸条的硝酸纤维素膜、上样液的配方、金标抗体喷涂量等实验参数进行了优化。结果表明,硝酸纤维素膜(nitrocellulose film,NC)膜采用CN 95,上样液的最优配方为1%BSA+3%吐温-20+3%蔗糖+0.9%NaCl溶液,最适金标抗体喷涂量为4μL。利用试纸条在可见光下检测8-OHdG,根据检测线(test line,T线)和质控线(control line,C线)的显色强度对比,可初步判断尿液中8-OHdG的含量水平。并通过T线的灰度值计算尿液中的8-OHdG的浓度,检测限为2.55μg/L。该方法简单、快速且有较好的特异性,可检测人体尿液中的8-OHdG含量,以初步评价人体的健康状态。     

新型冠状病毒(2019-nCoV)IgM /IgG抗体检测试剂的研制及性能评价

目的:建立新型冠状病毒(2019 novel coronavirus,2019-nCoV)IgM /IgG胶体金抗体联合检测试剂的制备方法,并对检测试剂的性能指标进行评价。方法: 采用柠檬酸三钠还原法制备胶体金溶液,分别用刺突蛋白(S蛋白)受体结合域(receptor binding domain, RBD)和核衣壳蛋白(nucleocapsid protein, NP)作为标记抗原,硝酸纤维素膜上包被鼠抗人IgM单抗(M线)和鼠抗人IgG单抗(G线),并用二硝基苯酚-牛血清白蛋白(DNP-BSA)和兔抗DNP多抗为独立C线质控系统制备胶体金检测试剂;比较RBD蛋白和NP蛋白临床测试符合率,选取较优抗原制备检测试剂,对试剂交叉、干扰反应性,加速稳定性及临床诊断特异性和灵敏度进行性能评价。结果: RBD蛋白临床测试总符合率 98.48%(389/395);NP蛋白临床测试总符合率89.11%(352/395),RBD蛋白总符合率高于NP蛋白。选用RBD蛋白制备检测试剂盒,与13种常见病原体抗体阳性样本均无交叉反应;样本中的甘油三酯、血红蛋白、胆红素、类风湿因子(RF)、人抗鼠抗体(HAMA)、抗核抗体(ANA)对测试结果无干扰。试剂盒50℃加速破坏6周稳定。临床确诊样本及排除样本测试,IgM灵敏度为78.31%(65/83),特异性为98.90%(721/729);IgG灵敏度为92.77%(77/83),特异性为99.31%(724/729);IgM和IgG联合检测灵敏度为92.77%(77/83),特异性为98.35%(717/729);一致性检验Kappa值为0.883 0,P<0.05。结论: 2019-nCoV IgM/IgG抗体检测试剂(胶体金法)检测性能的特异性和灵敏度高,检测速度快,操作便携,可作为已有的2019-nCoV核酸检测法的补充手段。     

Development of a one-step immunochromatographic strip test using gold nanoparticles for the rapid detection of Salmonella typhi in human serum

An immunochromatographic strip test using gold nanoparticles was developed for the rapid detection of Salmonella typhi (S. typhi) in human serum. The strip test based on the principle of sandwich immunoassay by the specific binding of antigens from S. typhi O901 and antibody of S. typhi O901 on a nitrocellulose membrane. Antibody-gold nanoparticle conjugate was used as the label and was coated onto a glass fiber membrane, which was used as a conjugate pad. To create a test and control zone, antibody of S. typhi O901 and an anti-IgG were dotted on the nitrocellulose membrane, respectively. Positive samples were displayed as red dots at the test and control zones of the nitrocellulose membrane, while negative samples resulted in a red dot only in the control zone. The limit of detection (LOD) was found to be 1.14×10(5) cfu mL(-1), which could be visually detected by the naked eye within 15 min. This strip test provided a lower detection limit and analysis time than a dot blot immunoassay (8.88×10(6) cfu mL(-1) for LOD and 110 min for reaction time). In addition, our immunochromatographic strip test was employed to detect S. typhi in human serum effectively, with high accuracy. This strip test offers great promise for a rapid, simple and low-cost analysis of S. typhi.     

A simple and rapid colloidal gold-based immunochromatogarpic strip test for detection of FMDV serotype A

A sandwich format immunochromatographic assay for detecting foot-and-mouth disease virus (FMDV) serotypes was developed. In this rapid test, affinity purified polyclonal antibodies from Guinea pigs which were immunized with sucking-mouse adapted FMD virus (A/AV88(L) strain) were conjugated to colloidal gold beads and used as the capture antibody, and affinity purified polyclonal antibodies from rabbits which were immunized with cell-culture adapted FMD virus (A/CHA/09 strain) were used as detector antibody. On the nitrocellulose membrane of the immunochromatographic strip, the capture antibody was laid on a sample pad, the detector antibody was printed at the test line(T) and goat anti-guinea pigs IgG antibodies were immobilized to the control line(C). The lower detection limit of the test for a FMDV 146S antigen is 11.7ng/ml as determined in serial tests after the strip device was assembled and the assay condition optimization. No cross reactions were found with FMDV serotype C, Swine vesicular disease (SVD), Vesicular stomatiti svirus (VSV) and vesicular exanthema of swine virus (VES) viral antigens with this rapid test. Clinically, the diagnostic sensitivity of this test for FMDV serotypes A was 88.7% which is as same as an indirect-sandwich ELISA. The specificity of this strip test was 98.2% and is comparable to the 98.7% obtained with indirect-sandwich ELISA. This rapid strip test is simple, easy and fast for clinical testing on field sites; no special instruments and skills are required, and the result can be obtained within 15 min. To our knowledge, this is the first rapid immunochromatogarpic assay for serotype A of FMDV.     

Development and evaluation of an immunochromatographic strip for rapid detection of porcine hemagglutinating encephalomyelitis virus

ABSTRACT: BACKGROUND: The incidence of PHE among pigs in many countries is on the rise, and it has caused great economic losses to the pig industry. Therefore, the development of a sensitive, specific, and easily-performed assay is crucial for the rapid detection and surveillance of PHE-CoV infection and transmission. RESULTS: An immunochromatographic strip was developed for the detection of PHE-CoV. The colloidal gold-labeled MAb 4D4 was used as the detection reagent, and the MAb 1E2 and goat anti-mouse IgG coated the strip's test and control lines, respectively. The immunochromatographic strip was capable of specifically detecting PHE-CoV with a HA unit of 2 within 10 min. Storage of the strips at room temperature for 6 months or at 4 [DEGREE SIGN]C for 12 months did not change their sensitivity or specificity. Using RT-PCR as a reference test, the relative specificity and sensitivity of the immunochromatographic strip were determined to be 100% and 97.78%, respectively. There was an excellent agreement between the results obtained by RT-PCR and the immunochromatographic strips (kappa = 0.976). Additionally, there was a strong agreement between the sandwich enzyme-linked immunosorbent assay (ELISA) and immunochromatographic strips (Kappa = 0.976). When the immunochromatographic strips were used for diagnosing PHE-CoV infection in the Jilin Province, the PHE-CoV-positive rate ranged from 61.54% in the Jilin district to 17.95% in the Songyuan district. CONCLUSIONS: Based on its high specificity, sensitivity, and stability, the immunochromatographic strip would be suitable for on-site detection of PHE-CoV for surveillance and epidemiological purposes.     

细胞骨架蛋白4荧光免疫层析检测方法的建立

采用基于免疫层析技术与荧光微球标记技术相结合的方式,建立一种快速、简单的定量检测肝癌肿瘤标记物的方法。依据双抗体夹心原理,将细胞骨架蛋白4(CKAP4)配对抗体分别作为标记与包被抗体,羊抗兔多抗作为质控线包被抗体,制备CKAP4荧光免疫层析试纸条,并对试纸条的线性、精密性、稳定性等各项性能指标进行评价。结果表明,采用时间分辨荧光微球所制备的CKAP4免疫层析试纸条灵敏度高,特异性好,精密性在15%以内,回收率在85%–115%之间,线性范围为25–1 000 pg/mL,可在37℃稳定保存20 d,与商业化的ELISA试剂盒的相关性良好。结论:初步建立了CKAP4荧光免疫层析方法,能够定量检测血清中CKAP4的含量,且具有快速、灵敏、简便、经济、可单人份操作等优点,有望成为肝癌辅助诊疗的新方法。     

Diagnostic value of antibodies against a modified citrullinated vimentin in rheumatoid arthritis

Antibodies directed against citrullinated vimentin are members of the family of autoantibodies reactive with citrullinated proteins and are among the most specific serological markers for the diagnosis of rheumatoid arthritis (RA). This study was performed to test the diagnostic value of a newly developed enzyme-linked immunosorbent assay (ELISA) for the detection of antibodies against a genetically modified citrullinated vimentin (anti-MCV) in comparison with a second-generation anti-cyclic citrullinated peptides (anti-CCP2) ELISA test system. Blinded sera from 631 patients (409 consecutive out-patients and 222 randomly selected stored sera) with RA (n = 164) and non-RA (osteoarthritis [n = 120], polymyalgia rheumatica/giant cell arteritis [n = 80], spondyloarthritis [n = 36], and other inflammatory rheumatic or non-inflammatory disease [n = 67]) were tested for the presence of anti-MCV and anti-CCP2 antibodies according to the manufacturers' instructions. The diagnostic performance of the anti-MCV was comparable with the anti-CCP2 assay for the diagnosis of RA according to the calculated area under the curve (0.824; 95% confidence interval (CI) 0.778-0.870 versus 0.818; 95% CI 0.767-0.869) as analysed by receiving operating characteristic curve. When categorised with a cutoff value of 20.0 U/ml (as recommended by the manufacturer), sensitivity and specificity of the anti-MCV ELISA were 69.5% (95% CI 61.9%-76.5%) and 90.8% (86.9%-93.8%), respectively, compared with 70.1% (62.5%-77.0%) and 98.7% (96.7%-99.6%) of the anti-CCP2 assay. Using the cutoff values of 19.0 U/ml and 81.5 U/ml for the anti-MCV test to obtain a sensitivity and specificity identical to the anti-CCP2 assay, showed a reduced specificity (89.8%; 85.8%-92.9%) and sensitivity (53.7%; 45.7%-61.5%), respectively, of the anti-MCV ELISA compared with the anti-CCP2 test. In conclusion, the serum ELISA testing for anti-MCV antibodies as well as the anti-CCP-2 assay perform comparably well in the diagnosis of RA. In the high-specificity range, however, the anti-CCP2 assay appears to be superior to the anti-MCV test.     

基于N蛋白单克隆抗体的小反刍兽疫病毒抗体检测胶体金试纸条的研制

本研究旨在建立一种简便、快捷、可直观检测小反刍兽疫病毒(peste des petits ruminants virus,PPRV)抗体的检测方法。将pET-32a-N重组质粒转化至大肠杆菌(Escherichia coli) Rosetta(DE3)感受态细胞中进行诱导表达,以纯化的PPRVN蛋白免疫8周龄BALB/c小鼠,取其脾细胞与SP2/0骨髓瘤细胞进行融合,间接酶联免疫吸附试验(enzyme-linked immunosorbent assays, ELISA)筛选及亚克隆,获得了抗PPRV N蛋白的单克隆抗体。将PPRV N蛋白分别作为金标抗原及检测线(T线)包被抗原、单克隆抗体作为质控线(C线)包被抗体,组装成检测PPRVN蛋白抗体的胶体金免疫层析试纸条。结果显示：成功获得1株能稳定分泌抗N蛋白抗体的杂交瘤细胞株,命名为1F1;间接ELISA检测1F1腹水效价为1:128000;亚类鉴定结果为IgG1,轻链为kappa链。Westernblotting结果显示,1F1能与PPRV N蛋白特异性结合;间接免疫荧光(indirect immunofluorescent ass...