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Procalcitonin (PCT) detection reagent and preparation method thereof

A procalcitonin, single-reagent technology, applied in the field of medical immunodiagnosis, can solve the problems of false negative or false positive test results, influence test precision, difference in production level, etc., achieve simple composition, shorten test time, and simplify operation Effect

Pending Publication Date: 2020-04-14
SUZHOU KANGHESHUN MEDICAL TECH
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

On the instrument platforms commonly used in tertiary hospitals, the dilution and mixing operations can be completed by slightly larger automatic biochemical analyzers, but on small semi-automatic platforms, especially POCT portable platforms (commonly used in hospitals below the third level and medical service units at the county and township level) The test performed on the computer requires the operator to manually implement it, which brings additional operation steps and introduces more operational errors, which affects the precision of the test.
[0009] The fluorescence chromatography detection method is to spray antibodies and some detection solutions on the NC membrane. It belongs to dry POCT. Its advantage is that the detection speed is fast, but the production level of different manufacturers is different, and its sensitivity is between 0.5-2ng / mL
According to the reference standard summarized by Roche chemiluminescence method, the level of 0.5ng / mL indicates that there may be inflammation, and the low repeatability of fluorescence chromatography detection at 0.5ng / mL may lead to false negative or false positive results.

Method used

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  • Procalcitonin (PCT) detection reagent and preparation method thereof
  • Procalcitonin (PCT) detection reagent and preparation method thereof
  • Procalcitonin (PCT) detection reagent and preparation method thereof

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0037] 1) Preparation of latex reagent

[0038] Carboxylated polystyrene microspheres were purchased from JSR Life Sciences, Japan.

[0039] PCT antibody was purchased from Hytest Biotech, Finland.

[0040] EDC was purchased from sigma.

[0041] There are differences between preparation methods 1 and 2 in the combination of surfactants.

[0042] Preparation method 1: Prepare activated latex particles: Take 0.18mL of carboxylated polystyrene microspheres with a particle size of 309nm and a concentration of 10mg / mL, add 3.6mL of 25mM MES with pH6.5, stir for 10min, and add 7.04mg of EDC activator powder After stirring at room temperature for 2.5 hours, the precipitate was collected by centrifugation at 12000 rpm, and the precipitate was resuspended in 1.8 mL of 25 mM MES with pH 6.5.

[0043] Preparation of sensitized latex particles: 0.18 mL of PCT polyclonal antibody with a concentration of 4.0 mg / mL was added to 1.8 mL of 25 mM MES at pH 6.5, and stirred for 1 min to prepa...

Embodiment 2

[0053] Analytical sensitivity of reagents (blank limit)

[0054] Using the reagents in Example 1, select the zero-value calibrator as a blank sample test, and test the concentration on the POCT device. The test was repeated 20 times, and the mean (X) and standard deviation (SD) of the 20 test results were calculated according to the standard curve established in Example 1, and X+2SD was calculated as the analytical sensitivity of the reagent. The test results are shown in Table 1, showing that the analytical sensitivity of Preparation Method 1 is 0.17ng / mL, and the analytical sensitivity of Preparation Method 2 is 0.31ng / mL, indicating that the combination of surfactants can significantly improve the sensitivity of reagent detection . The clinical reference value for the detection of procalcitonin (PCT) is about 0.5 ng / mL, and the analytical sensitivity of the PCT latex-enhanced immune turbidimetric reagent prepared in Preparation Method 1 of the present invention is 3 times ...

Embodiment 3

[0058] Reagent repeatability

[0059] With the single reagent test prepared in Example 1, the PCT concentration is the control substance of the normal value level of about 0.3ng / mL and the control substance of the abnormal value level of the PCT concentration of about 7ng / mL, and the test is repeated 10 times, and the measured value is calculated mean (X) and standard deviation (SD). Calculate the coefficient of variation (CV) according to formula (1). The test results are shown in Table 2. According to the measurement results, the coefficients of variation CV=7.11% and 4.95% are calculated, which meet the technical requirements of reagent CV<10%.

[0060] CV=(SD / X)×100%……………………(1)

[0061] In the formula:

[0062] CV - coefficient of variation;

[0063] SD - standard deviation;

[0064] X - the average value of the measured values.

[0065] Table 2. Repeatability measurement results of Example 1

[0066]

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Abstract

The invention discloses a latex enhanced immunoturbidimetric assay single reagent for procalcitonin (PCT, Procalcitonin) and a preparation method thereof. The reagent comprises PCT antibody sensitizedlatex particles, disodium ethylene diamine tetraacetate, arginine, bovine serum albumin, sodium polyethylene sulfonate, dodecyl polyethylene glycol ether and Proclin 300, wherein the ratio of the sodium polyethylene sulfonate to the dodecyl polyethylene glycol ether is 5: 1. The invention also discloses a preparation method capable of improving the detection sensitivity of the procalcitonin detection single reagent by virtue of the proper surfactant combination. A single reagent is adopted, mixing is not needed, the sensitivity is high, the detection speed is high, various samples such as whole blood, serum and plasma can be directly measured, and therefore the method can be widely applied to various transmission or scattering analyzers including a common biochemical analyzer, a specificprotein analyzer and the like.

Description

technical field [0001] The invention belongs to the field of medical immunodiagnosis, and in particular relates to the preparation and application of a procalcitonin (PCT) latex-enhanced immune turbidimetric detection single reagent. Background technique [0002] Procalcitonin (PCT for short) is the precursor hormone of calcitonin, which is secreted by thyroid C cells under normal circumstances and is an active ingredient formed after hydrolysis by intracellular proteolytic enzymes. Its polypeptide chain has 114 or 116 amino acids composition. In severe systemic bacterial, fungal and parasitic infections, PCT is ectopically produced and its level is abnormally elevated, and the degree of elevation is related to the severity of infection and prognosis. PCT has high value in diagnosis and guidance of treatment in different medical fields. Compared with the currently applied diagnostic indicators, PCT provides additional information in differential diagnosis and control of inf...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G01N33/74G01N21/51G01N21/59
CPCG01N33/74G01N21/51G01N21/59
Inventor 王明汪春芳陈胜胜
Owner SUZHOU KANGHESHUN MEDICAL TECH