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CN102147409A - Method for determining anti-nucleosome antibody IgG (intravenous gamma globulin) and reagent device - Google Patents

Method for determining anti-nucleosome antibody IgG (intravenous gamma globulin) and reagent device Download PDF

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CN102147409A
CN102147409A CN2010106197509A CN201010619750A CN102147409A CN 102147409 A CN102147409 A CN 102147409A CN 2010106197509 A CN2010106197509 A CN 2010106197509A CN 201010619750 A CN201010619750 A CN 201010619750A CN 102147409 A CN102147409 A CN 102147409A
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reagent
instrument
sample
nucleosome
detection
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CN102147409B (en
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何林
潘荞
肖灿
伍坚
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Shenzhen Yhlo Biotech Co Ltd
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Shenzhen Yhlo Biotech Co Ltd
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Abstract

本发明提供一种基于酶联免疫检测的原理来实现抗核小体抗体IgG的免疫检测的方法及其试剂装置,是一种独立的、单人份的、一次性的用于酶联免疫检测抗核小体抗体IgG的分析方法、试剂装置以及配套试剂。它可以将抗核小体抗体IgG酶联免疫检测所需要的多种试剂盛装在一个分析装置上,通过这种方法可以更方便地根据检测项目的使用需要进行相关的免疫学检测,为临床应用提供了更好的依据。

The present invention provides a method for immunoassay of anti-nucleosomal antibody IgG based on the principle of enzyme-linked immunoassay and its reagent device, which is an independent, single-serve, disposable ELISA Anti-nucleosome antibody IgG analysis method, reagent device and supporting reagents. It can pack a variety of reagents required for anti-nucleosome antibody IgG ELISA on an analysis device, and through this method, it is more convenient to carry out related immunological tests according to the needs of the test items, providing clinical application provide better evidence.

Description

A kind of method and reagent device of measuring anti-nucleosome IgG antibody
Technical field
The present patent application relates to a kind of method and reagent device of measuring anti-nucleosome IgG antibody, belongs to technical field of biological.
Background technology
Systemic loupus erythematosus (SLE) is a kind of whole body connective tissue that involves, and makes the undermined chronic inflammation autoimmune disease of many internal organs.This disease is a kind of a plurality of systems of involving, with chronic nonsuppurative inflammation is feature, the diversified connective tissue disease (CTD) of complicated clinical manifestation, the cause of disease is still not exclusively clear and definite, it is generally acknowledged to belong to multifactor property, promptly relevant with inherent cause, virus infections, endocrine factors, medicine factor, environmental factor etc.
Nucleosome is that the immunogenicity of main autoantigen and this nucleosome is very strong in SLE takes place, and drives helper cell and carries out autoimmune response, induces to produce anti-nucleosome antibody (AnuA).AnuA only works to natural nucleosome and nucleosome substructure (H2A-H2B) DNA, and does not react with wherein DNA or histone, and the formation of AnuA is again prior to anti-dsDNA antibody and histonic antibody.In recent years, though domestic still few to AnuA research, its diagnostic value to SLE has become a hot issue in the world, and AnuA is to the clinical diagnosis susceptibility height of SLE. and high specificity is one of SLE diagnostic flag antibody.It can appear at each different times of disease, and also dynamic observe significant with the activity of disease is closely related to SLE early diagnosis and curative effect morning time of appearance.The positive rate of AnuA is higher than other antibody far away, and the result confirms that nucleosome is that the autoantigen of SLE is the root of multiple antibody.Also point out the detection of AnuA that the diagnosis that improves SLE is had certain clinical meaning and using value, SLE medical diagnosis on disease treatment prognosis is observed having great importance.
So far there have been many different technology to be used to detect AnuA, comprised the LE test cell line, the method for immuno-precipitation, Western blot, indirect immunofluorescence, enzyme linked immunosorbent assay, but these methods all exist weak point;
One, LE test cell line
Because the LE test cell line exists that susceptibility is poor, specificity is strong, can not be quantitatively, during operating cost, limitation such as the technical factor influence is big, thereby as far back as kahn in 1987 with regard to whether also needing to reexamine LE cell statement into question.1994, it was an out-of-date test that the practical parameter of U.S. ACP (ASCP)/measurement result council more clearly proposes LE cytoscopy, and it should be had more deterministic immunological method and replace.
Two, immuno-precipitation
Be mainly used in the qualitative detection of antigen or antibody.Its principle is meant that soluble antigen and corresponding antibodies are under the situation that has electrolyte to exist, by the formed visible precipitate thing of proper proportion phenomenon.This law is single qualitative test, can not quantitative test; And background is easy-clear not, and the result is had a significant impact.
Three, Western blot
Western blotting is that protein transduction is moved on on the film, utilizes antibody to detect then.To known expressing protein, available corresponding antibodies to new expression of gene product, can pass through to merge the antibody test of part as anti-a detection.Its weak point is:
(1) qualitative and semi-quantitative analysis can only be carried out, the concrete amount of analyte can't be drawn.
(2) complex operation step, the test time spent is longer.
(3) sensitivity of Jian Ceing is still waiting to improve.
Four, indirect immunofluorescence
The ultimate principle of this method be with specific antibody with after antigen in the section combine, continue and use indirect fluorescent antibody, combine formation antigen-antibody fluorescent composition with the antigen antibody complex of front.Under fluorescent microscope, determine the antigen that is detected according to the luminous situation of compound.This method is estimated: because the fluorescein antibody that is combined on the antigen antibody complex increases, the fluorescent brightness that sends is strong, thereby its susceptibility is strong.But its deficiency also is tangible:
(1) can't be when analysis result according to the non-specific identification of the size discrimination of molecular weight.
(2) operation relative complex needs the expensive fluorescent microscope of price, is difficult to promote at a lot of basic hospitals, also not too is applicable to the laboratory that specimen amount is more.
(3) background in the fluorometric assay is higher, and immunofluorence technic is used for quantitative measurement certain difficulty.
(4) result judges needs experienced professional, the objectivity deficiency of analysis result.
Five, enzyme linked immunosorbent assay
Use now the most widely enzyme linked immunosorbent assay (ELISA) detect AnuA.Compare with other biological detection or immune detection, this ELISA detection method, technology, instrument or product still have more deficiency and make its application limited, and these deficiencies mainly comprise the following aspects:
(1) uses the special-purpose microwell plate in 12 * 8 types, 8 * 12 types or complete plate 96 holes as antigen or antibody sandwich articles for use and reaction vessel, can only be divided into 12 batches, 8 batches or whole plate in use and once use;
(2) the used reagent of quantitative measurement can reach 11 kinds, each detectable all will be come splendid attire with reagent bottle, and all need during a kind of reagent of every use to change in the micropore that imbibition nozzle is filled into microwell plate respectively, not only the reagent bottle kind is many, the operation of filling reagent is also very loaded down with trivial details, if do not use the full-automatic enzyme non-analysis meter, then all operation all will be carried out by hand, and the price of full-automatic enzyme non-analysis meter is very expensive, drops into bigger;
(3) each detection or each bar code that detects no reagent information, can only could understand or know the product batch number and the term of validity information of detectable by the sign of checking the kit external packing box, and the information of being known is not controlled in testing process, has very big randomness;
(4) detectable is open mode in testing process, causes the cross pollution between all ingredients easily and influences testing result;
(5) testing process when not adopting the full-automatic enzyme non-analysis meter to detect is manual operations, and the dosage of reagent or sample is not really accurate, and operating process is very loaded down with trivial details and complicated, and bust takes place easily, the inaccuracy of testing result and imprecision height;
(6) in the configuration of the quantity of test item reagent set and use and be item number * 96 person-portions, detect 10 projects if desired, then the configuration of reagent and use number must be 10 * 96 person-portions, if have only a duplicate samples need detect 10 different projects, also need to dispose the reagent of 10 * 96 person-portions.
Summary of the invention
In order to solve the weak point that exists in the existing method of anti-nucleosome IgG antibody analyzing and testing, the present patent application provides a kind of new detection method and reagent device and matched reagent.This method is sought a kind of simpler, accurate and effective methodology and reagent and is carried out detection by quantitative to satisfy the needs of clinical diagnosis based on the enzyme linked immunosorbent detection technology.
This method realizes the immune detection of anti-nucleosome IgG antibody based on the principle of enzyme linked immunosorbent detection, be a kind of independently, single part, disposable analytical approach, reagent device and the matched reagent that is used for the anti-nucleosome IgG antibody of enzyme linked immunosorbent detection, it can will resist the needed plurality of reagents of nucleosome IgG antibody enzyme linked immunosorbent detection to be contained on the analytical equipment, the immunology detection that can be correlated with according to the use needs of test item more easily by this method is for clinical practice provides better foundation.
The present patent application provides a kind of method of measuring anti-nucleosome IgG antibody, be to realize by the kit that the analytical reagent device and the matched reagent of enzyme linked immunosorbent detection are formed, this analytical reagent device comprises matrix that is provided with position, 8 holes and the handle that is positioned at matrix one end, it by special-purpose particular analysis instrument the various particular agent solution between each hole of reagent device is annotated and suction is abandoned, sample and reagent are reacted, measure the numerical value of the back solution color and luster that reacts then, finally obtain testing result by the numerical value of measuring is handled.
The method of the anti-nucleosome IgG antibody of described mensuration, be the to be measured anti-nucleosome IgG antibody in the testing sample and highly purified nucleosome antigen are reacted and to form first immune complex, the second antibody of this first immune complex and enzyme labeling is reacted and is formed second immune complex, the comparative analysis that develops the color of second complex compound that reaction is formed and chromogenic substrate, thus the content of anti-nucleosome IgG antibody to be measured obtained.
The method of the anti-nucleosome IgG antibody of described mensuration, wherein, described second antibody is the anti-human IgG antibody of horseradish peroxidase-labeled.
The present patent application also provides a kind of reagent device of measuring anti-nucleosome IgG antibody, be provided with position, 8 holes matrix, be positioned at the handle of matrix one end, and be used for the gentle component of matched reagent calibration object, Quality Control thing that euzymelinked immunosorbent assay (ELISA) detects the analytical reagent device of anti-nucleosome IgG antibody and respective numbers towards cleansing solution.
The reagent device of the anti-nucleosome IgG antibody of described mensuration, wherein, be pasted with the mark card of detectable bar code on the handle of described matrix one end, the numerical value of described bar code comprises every information that detects the sequence number of pairing test item code, detectable product batch number, the reagent term of validity, qualitative corrected value/quantitative measurement typical curve parameter, enzyme linked immunoassay type, reagent and analytical equipment.
In the reagent device of the anti-nucleosome IgG antibody of described mensuration, position, described hole comprises a reacting hole, a sample well, a dilution holes and five reagent wells, wherein,
1) sample well is contained and is held solution to be measured;
2) dilution holes is used for dilution of sample;
3) reacting hole is flat and has very high light source/light path permeability, when splendid attire colourless/absorbance to visible/ultraviolet/fluorescence during blank reagent solution levels off to zero, the hole endoperidium has the required highly purified nucleosome antigen of the anti-nucleosome IgG antibody of detection, this hole is used for containing appearance test sample and detectable, and with these samples and reagent generation enzyme linked immunoassay, be the container that enzyme linked immunoassay and color and luster show and detect;
4) each reagent wells is loaded with euzymelinked immunosorbent assay (ELISA) and detects the required a kind of reagent of anti-nucleosome IgG antibody, with sealing film the open peristoma of micropore is sealed behind the filling reagent.
The required reagent of institute's splendid attire enzyme linked immunosorbent detection comprises required immune response inhibitor/neutralizing agent/blocking agent/adsorbent, enzyme conjugates solution, chromogenic substrate solution, colour developing stop buffer, increased response agent/promoter, the diluted sample solution of enzyme linked immunoassay that detects anti-nucleosome IgG antibody in the reagent device of the anti-nucleosome IgG antibody of described mensuration, described reagent wells.
The reagent device of the anti-nucleosome IgG antibody of described mensuration, described sample well, reacting hole, dilution holes and reagent wells section shape comprise flat pattern, V-type or U type, or are the combination in any between flat pattern, V-type and the U type.
The method of the anti-nucleosome IgG antibody of described mensuration, described method comprises following step:
1) start: after opening instrument switch, instrument can automatically carry out a series of inspections, thereby prepares for the normal operation of instrument;
2) preparation of scrutiny program: configure corresponding solution on request, comprising: buffering cleansing solution, cleaning fluid, thimerosal and distilled water or deionized water, preparation finish and pack in the corresponding liquid jar;
3) flushing is checked:
4) preheating: after start, instrument can start heating schedule, and temperature is transferred to temperature to be checked;
5) connect machine with main frame: instrument can link to each other with main frame by the RS232 serial ports, handles thereby instrument operate as normal gained result is transferred to integrated system;
6) detection of anti-nucleosome IgG antibody: described detection comprises following step again:
I. open the package from one side that seal is arranged, take the analytical equipment of requirement, behind the deaeration that the sack envelope is tight;
Ii. check the substrate in the analytical equipment reagent wells, should be no color and luster and change, otherwise should discard;
Iii. add the undiluted sample of 50~100 μ L respectively in the sample well of each analytical equipment, the reagent of a lot number of every replacing should be got one of them analytical equipment and calibration object and carry out instrument calibration;
Iv. placing analytical equipment in the corresponding analytical equipment pallet, calibrates and detects according to operation instructions in the instrument;
V. in the analytical equipment pallet, put into the analytical equipment of corresponding quantity according to the quantity of required detection, and before the detection position, put into the analytical equipment that contains calibration object and Quality Control thing, instrument is discriminance analysis device bar code, Quality Control thing bar code and calibration object bar code automatically, selects row can be positioned " sample " hurdle or " detection " hurdle;
Vi. click beginning, the operation repertory scans each analytical equipment bar code, and to the Quality Control thing, calibration object and test sample are numbered;
Vii. operation detects table, and instrument moves automatically according to bar code information, and according to bar code, instrument can be selected the good typical curve of relative set, and program at first detects calibration object, comes curve default in the calibration instrument with this; Secondly the Quality Control thing is detected,, can be used for the detection of sample, begin the trace routine of sample at last if its testing result represents that then built-in curve is qualified in the scope that indicates;
Viii. dilution: the filling pin can be drawn sample automatically from sample well, punctured hole position sealing film is drawn dilution automatically and is carried out diluted sample at dilution holes, after action was finished, diluted sample can be moved to the time of one section program setting of reagent wells reaction by the filling pin, removes liquid afterwards;
Ix. washing: the filling pin can be drawn a certain amount of cleansing solution reagent wells is carried out removing liquid after three to five washings from corresponding flow container;
X. the anti-human IgG antibody that the broken reagent wells sealing film of the acupuncture of annotating is drawn a certain amount of horseradish peroxidase-labeled reacts to reagent wells, removes liquid after the time of one section program setting of reaction;
Xi. repeating step ix washing;
Xii. the broken reagent wells sealing film of the acupuncture of annotating is drawn a certain amount of enzyme reaction substrate carries out one section program setting to reagent wells time response;
Xiii. the broken reagent wells sealing film of the acupuncture of annotating is drawn a certain amount of stop buffer and is annotated to reagent wells, reads the OD value in 450nm in 10 minutes, if select the double wave regular way to measure, reference wavelength is 620nm~690nm;
7) testing result: when trace routine operation finishes, click the data transmission with main frame, instrument can send to main frame with operate as normal gained result automatically and transfer to the analysis of external data process software, generates report at last so that consult;
8) shutdown: after detecting end, before the instrument shutdown, must start cycles of washing, can avoid like this avoiding damaging instrument or causing testing result invalid from the residual salt crystallization in the liquid road in the solution, after washing was finished, instrument power source was closed automatically.
Described analytical reagent device be a kind of measure anti-nucleosome IgG antibody independently, single part, the disposable enzyme-linked immuno assay reagent device that is exclusively used in the particular analysis instrument.
Described detection method and the matched reagent that is used for anti-nucleosome IgG antibody enzyme linked immunological of the present patent application, wherein realize the analytical reagent device of anti-nucleosome IgG antibody immune detection, be a kind of independently, single part, the disposable enzyme linked immunosorbent detection reagent device that is exclusively used in the particular analysis instrument.
The method and the device of the anti-nucleosome IgG antibody of the described mensuration of the present patent application, inherited the high specificity that other detection methods had, highly sensitive, characteristics such as accuracy is good, cost is lower, request for utilization is not high, the operation is comparatively easy, the acquisition testing result time lacks, is widely used, solve many deficiencies of other detection methods, be embodied in the following aspects:
1. this detection method, its utilization enzyme-linked immuno assay principle, utilize specific analytical instrument, adopt the detection kit and the analytical reagent device of supporting special use, automatically realize the qualitative/quantitative measurement of anti-nucleosome IgG antibody, be a kind of brand-new, that be suitable for, practical, detect the scheme of anti-nucleosome IgG antibody efficiently, fast;
It is a kind of independently, single part detectable and analytical equipment, need not as general ELISA method, to use 12 * 8 types, 8 * 12 types or complete plate 96 hole special enzyme-linked immune microwell plates as antigen or antibody sandwich articles for use and reaction vessel, do not have the waste of reagent as long as there is a duplicate samples can carry out the detection of respective items purpose in use.If the quantity of sample surpasses a, use this reagent and analytical equipment to get final product by the actual sample number;
3. no matter be qualitative detection or detection by quantitative, it detects necessary reagent with each and is contained in the reagent wells position of an analytical reagent device, and detectable need not be come splendid attire with different reagent bottles respectively, not only operation is very easy, and be not easy to cause bust, thereby guarantee the correctness of testing result;
4. it all has a special-purpose bar code to each analytical reagent device, the numerical value of bar code comprises the information such as sequence number that detect pairing test item code, detectable product batch number, the reagent term of validity, quantitative measurement typical curve parameter, concrete enzyme linked immunoassay type, reagent and analytical equipment, can not arbitrarily be changed, strictness is controlled during use, especially when using above term of validity detectable, to be identified and stop and send examining report, thereby can guarantee the accuracy that detects;
5. it is effectively separated each detectable and seals, and can not cause the cross pollution between all ingredients and influences testing result;
6. it is a kind of analytical reagent device that is exclusively used in the particular analysis instrument, in testing process with full automatic accurate charger annotate detectable or sample, operation automation, dosage is accurate, the accuracy of testing result and precision height;
7. in the configuration of the quantity of test item reagent set and use, all use to be equipped with by reality and get final product, especially multinomial visual inspection are being surveyed, and are equipped with more in right amount, can not occur surpassing and dispose and operating position;
Description of drawings
Fig. 1 is the cross-sectional view of an embodiment of the reagent device of the anti-nucleosome IgG antibody of the described mensuration of the present patent application;
Fig. 2 is the top plan view of an embodiment of the reagent device of the anti-nucleosome IgG antibody of the described mensuration of the present patent application;
Fig. 3 is the cross-sectional view of another embodiment of the reagent device of the anti-nucleosome IgG antibody of the described mensuration of the present patent application;
Fig. 4 is the top plan view of another embodiment of the reagent device of the anti-nucleosome IgG antibody of the described mensuration of the present patent application;
Fig. 5 and Fig. 6 are the cross-sectional view of other embodiment of the reagent device of the anti-nucleosome IgG antibody of the described mensuration of the present patent application;
Wherein, 1 is that sample well, 2,3,4,5,6 is that reagent wells, 7 is that reacting hole, 8 is that dilution holes, 9 is that handle, 10 is that sealing film, 11 is that matrix, 90 is a labeling.
Embodiment
Below in conjunction with concrete pick-up unit and implementation step described detection method of the present patent application and reagent device are further described, purpose is for the public better understands the described technical scheme of the present patent application, rather than to the restriction of described technical scheme.In fact, in spirit of the present invention, to the improvement of described method step, and to increase and decrease, replacement and the improvement of corresponding reagent apparatus structure all within the present patent application technical scheme required for protection.
Embodiment 1 detects indirect enzyme-linked immunosorbent detection method and the kit and the reagent device of anti-nucleosome IgG antibody
The present invention is based on technical a kind of simpler, the accurate and effective methodology of enzyme linked immunosorbent detection, and its ultimate principle that adopts is the indirect enzyme-linked immunosorbent method.To be adsorbed on the solid phase by highly purified nucleosome antigen, combine with antigen by the specific antibody of hatching in the human serum that makes dilution, the antibody that does not combine with solid phase is removed in washing, adds the anti-human immunoglobulin(HIg) enzyme connection thing with horseradish peroxidase-labeled, hatches.Remove unconjugated enzyme connection thing, add enzyme chromogen substrate.The color that produces is directly proportional with specific antibody concentration in the detection sample.This method mainly is to realize the immune detection of anti-nucleosome IgG antibody by analytical reagent device that is used for enzyme linked immunosorbent detection and matched reagent.By this kind of enzyme linked immunoassay method, use the analytical reagent device and the reagent of particular analysis instrument simultaneously, can be quick, make accurately and judge the needs that are used for clinical diagnosis.Its analytical equipment concrete structure is as follows:
Shown in Fig. 1-6, it is the described a kind of reagent device that anti-nucleosome IgG antibody enzyme linked immunosorbent detection is analyzed of measuring of the present patent application, comprise matrix 11, on described matrix 11, be provided with position, 1~8 hole (1,2,3,4,5,6,7,8), its mesopore position 1 is the sample well that is used for the splendid attire testing sample, and at the bottom of its bottom surface is " V " type groove, all the other positions, hole are reacting holes 7, dilution holes 8, reagent wells (2,3,4,5,6), described reacting hole 7 is to be used to receive test sample and detectable and as the reacting hole of the container of enzyme linked immunoassay and colorimetric, this reacting hole is the penetrating hole of light source/light path, be provided with handle 9 at described matrix one end, on described handle, be pasted with the labeling 90 that detects anti-nucleosome IgG antibody reagent information bar code.In the present embodiment, described label is the 2,3,4,5, the 6th, reagent wells, during use, these labels are to be loaded with in 2,3,4,5,6 reagent wells to detect required reagent, and its open peristoma can be square or circular, at the bottom of its bottom surface is " V " type groove, seal with sealing film 10 splendid attire reagent or vacant back, described label is 8 to be dilution holes, is used for dilution of sample, does not cover sealing film above.
Other reagent in the kit outside the analytical reagent device comprise: calibration object, Quality Control thing, buffering cleansing solution, cleaning fluid, thimerosal and distilled water or deionized water.
Making-the indirect method of embodiment 2 reagent devices or kit detects anti-nucleosome IgG antibody
As the testing sample container containing, add fluid sample with position, hole 1 in use, take during for detection;
, seal as emptying aperture with position, hole 2 with sealing film, standby for detecting;
, add and seal with sealing film after sample dilutes reagent as reagent container with position, hole 3, take during for detection;
As reagent container, adding stops sealing with sealing film behind the reagent with position, hole 4, uses during for detection;
, seal with sealing film behind anti-human IgG antibody's reagent of adding horseradish peroxidase-labeled as reagent container with position, hole 5, use during for detection;
, seal with sealing film behind the adding enzyme reaction substrate reagent as reagent container with position, hole 6, use during for detection;
As encrusting substance hole/reaction vessel/colorimetric hole, be coated with highly purified nucleosome antigen with position, hole 7, and, added at last and carry out absorbance measurement after enzyme reaction substrate is hatched as reaction vessel filling fluid sample and detectable and cleansing solution to be measured;
, use during as the diluted sample container with position, hole 8 for dilute sample;
Be pasted with the bar code 90 of anti-nucleosome IgG antibody detectable and analytical equipment information at handle 9, this bar code comprises the sequence number of test item code, detectable product batch number, the reagent term of validity, qualitative correction coefficient/detection by quantitative correction coefficient, enzyme linked immunoassay type, reagent and analytical equipment.
Prepare some analytical equipments according to the method described above, prepare reagent corresponding in addition, comprise calibration object, Quality Control thing, buffering cleansing solution, cleaning fluid, thimerosal and distilled water or deionized water etc.So promptly constitute complete anti-nucleosome IgG antibody and measured reagent constituents.With detecting pack into the external packing box of kit of the reagent device of anti-nucleosome IgG antibody and supporting use component, promptly make and detect anti-nucleosome IgG antibody kit.
The analysis operation flow process that embodiment 3 detects the anti-nucleosome IgG antibody of sample by the fully-automatic analyzer realization
Fully-automatic analyzer comprises an analytical equipment pallet, and it is to match with the shape of analytical equipment, and one has 30 positions can place for analytical equipment, is used for check and analysis.Comprise the integrated mechano-electronic structure of modular in addition, can realize the application of sample of robotization, dilution is hatched, washing and reading process.Each position independent quantitative is analyzed, and an electronic sensor monitoring instrument operation surplus having 200, guarantees result's accuracy.After the instrument operation, the analytical equipment pallet can turn to different positions voluntarily and carry out application of sample, and dilution is hatched, the step of washing and reading.
(1) start
After opening instrument switch, instrument can automatically carry out a series of inspections, thereby prepares for the normal operation of instrument.
(2) preparation of scrutiny program
Configure corresponding solution on request, comprising: buffering cleansing solution, cleaning fluid, thimerosal and distilled water or deionized water, preparation finish and pack in the corresponding liquid jar.
(3) flushing is checked
(4) preheating
After start, instrument can start heating schedule, and temperature is transferred to temperature to be checked.
(5) connect machine with main frame
Instrument can link to each other with main frame by the RS232 serial ports, handles thereby instrument operate as normal gained result is transferred to integrated system.
(6) detection of anti-nucleosome IgG antibody
1) open the package from one side that seal is arranged, take the analytical equipment of requirement, behind the deaeration that the sack envelope is tight;
2) substrate in the inspection analytical equipment reagent wells 6 should be no color and luster and changes, otherwise should discard;
3) add the undiluted sample of 50~100 μ L respectively in the sample well 1 of each analytical equipment, the reagent of a lot number of every replacing should be got one of them analytical equipment and calibration object and carry out instrument calibration;
4) place analytical equipment in the instrument in the corresponding analytical equipment pallet, calibrate (if being necessary) and detect according to operation instructions;
5) in the analytical equipment pallet, put into the analytical equipment of corresponding quantity according to the quantity of required detection, and before the detection position, put into the analytical equipment that contains calibration object and Quality Control thing, instrument is discriminance analysis device bar code, Quality Control thing bar code and calibration object bar code automatically, selects row can be positioned " sample " hurdle or " detection " hurdle;
6) click beginning, the operation repertory scans each analytical equipment bar code, and to the Quality Control thing, calibration object and test sample are numbered;
7) operation detects table, and instrument moves automatically according to bar code information, and according to bar code, instrument can be selected the good typical curve of relative set, and program at first detects calibration object, comes curve default in the calibration instrument with this; Secondly the Quality Control thing is detected,, can be used for the detection of sample if its testing result represents that then built-in curve is qualified in the scope that indicates; Begin the trace routine of sample at last;
8) dilution: the filling pin can be drawn sample automatically from sample well 1, punctured hole position sealing film 10 is drawn dilution automatically and is carried out diluted sample at dilution holes 8, after action is finished, diluted sample can be moved to the time of one section program setting of reagent wells 3 reactions by the filling pin, removes liquid afterwards;
9) washing: the filling pin can be drawn a certain amount of cleansing solution reagent wells 3 is carried out removing liquid after three to five washings from corresponding flow container;
10) broken reagent wells 5 sealing films of the filling acupuncture anti-human IgG antibody that draws a certain amount of horseradish peroxidase-labeled reacts to reagent wells 3, removes liquid after the time of one section program setting of reaction;
11) repeating step 9) washing;
12) broken reagent wells 6 sealing films of filling acupuncture are drawn a certain amount of enzyme reaction substrate to reagent wells 3 and are carried out the time response of one section program setting;
13) broken reagent wells 4 sealing films of filling acupuncture are drawn a certain amount of stop buffer and are annotated to reagent wells 3, read OD value in 450nm in 10 minutes, if select double wave regular way mensuration, reference wavelength is 620nm~690nm;
(7) testing result
When trace routine operation finishes, click the data transmission with main frame, instrument can send to main frame with operate as normal gained result automatically and transfer to the analysis of external data process software, generates report at last so that consult;
(8) shutdown
After detecting end, before the instrument shutdown, must start cycles of washing, can avoid like this avoiding damaging instrument or causing testing result invalid from the residual salt crystallization in the liquid road in the solution, after washing was finished, instrument power source was closed automatically.
The Quality Control of detection application, interpretation of result and the detection of embodiment 4 patient's samples
Adopt method of operating and the program of embodiment 3, using method is used embodiment 2 described kits, can be used for the anti-nucleosome IgG antibody level in the quantitative measurement human serum.
Anti-nucleosome antibody is regarded as a kind of SLE diagnosis marker.In the inactivity SLE patient body of 100% activity SLE patient almost and 62%, can detect this kind antibody (probability that detects anti-dsDNA antibody in inactivity SLE patient only is 3.3%).Because than the Zao appearance of anti-dsDNA antibody, so anti-nucleosome antibody is regarded as the early sign thing that SLE worsens.Therefore we can carry out clinical diagnosis according to the result who detects, and tentatively judge the situation that the patient is ill, finally make a definite diagnosis and should take all factors into consideration in conjunction with clinical manifestation or other diagnostic method/indexs.
Below be the analysis of testing result:
(1) reference value (term of reference)
Normal reference value: 0~25AU/mL; Detect the negative sample of some (having statistical significance), result's mean value adds 3 times of standard deviations (promptly
Figure BDA0000042475570000151
) be the upper limit of normal reference value.Advise that each laboratory according to actual conditions, sets up the normal reference value of oneself.
Clinical practice for convenience, we recommend:
Sample value<20AU/mL feminine gender
20AU/mL≤sample value≤30AU/mL is suspicious
Sample value>30AU/mL the positive
(2) explanation of testing result
The result explains: during sample value>30AU/mL, show that antibody concentration obviously raises, should make a definite diagnosis whether suffer from systemic loupus erythematosus in conjunction with clinical manifestation or other diagnostic method/indexs; During sample value<20AU/mL, show that the anti-nucleosome IgG antibody of body level do not have obvious rising; During 20AU/mL≤sample value≤30AU/mL, should detect again, if be suspicious still, 2-3 gathers pattern detection again after week.
Below be positive and negative quality controlled serum with the testing process duplicate detection of embodiment 3, the repeatability of check result obtains following result:
Figure BDA0000042475570000161
According to the present invention, can automatically carry out the detection of the anti-nucleosome IgG antibody of several samples simultaneously by identical analytic process, this just makes, and detection is more simplified, cost reduces, shorten detection time, be difficult for that cross pollution takes place, detecting operation carries out easily; And the high specificity that detects, highly sensitive, accuracy good.

Claims (9)

1.一种测定抗核小体抗体IgG的方法,其特征在于:所述方法是通过酶联免疫检测的分析试剂装置和配套试剂组成的试剂盒来实现的,这种分析试剂装置包括设有8个孔位的基体和位于基体一端的手柄,它通过专用特定分析仪器对试剂装置各孔之间的各种特定试剂溶液进行加注和吸弃,使样品与试剂发生反应,然后测量发生反应后溶液色泽的数值,最终通过对测量的数值进行处理而获得检测结果。1. A method for measuring anti-nucleosomal antibody IgG is characterized in that: the method is realized by an analysis reagent device of enzyme-linked immunoassay and a test kit composed of supporting reagents, and this analysis reagent device includes a The base body with 8 holes and the handle at one end of the base body, it fills and absorbs various specific reagent solutions between the wells of the reagent device through a special specific analytical instrument, so that the sample reacts with the reagent, and then measures the reaction Finally, the value of the color of the solution is finally obtained by processing the measured value to obtain the detection result. 2.根据权利要求1所述的测定抗核小体抗体IgG的方法,其特征在于:所述的方法是将待测样品中的待测抗核小体抗体IgG与高度纯化的核小体抗原进行反应而形成第一免疫络合物,该第一免疫络合物与酶标记的第二抗体进行反应形成第二免疫络合物,将反应形成的第二络合物与显色底物进行显色对比分析,从而获得待测抗核小体抗体IgG的含量。2. the method for measuring anti-nucleosome antibody IgG according to claim 1, is characterized in that: described method is the anti-nucleosome antibody IgG to be tested in the sample to be tested and highly purified nucleosome antigen The reaction is carried out to form a first immune complex, the first immune complex reacts with the enzyme-labeled second antibody to form a second immune complex, and the second complex formed by the reaction is reacted with a chromogenic substrate Color contrast analysis is performed to obtain the IgG content of the anti-nucleosome antibody to be tested. 3.根据权利要求2所述的测定抗核小体抗体IgG的方法,其特征在于:所述的第二抗体为辣根过氧化物酶标记的抗人IgG抗体。3. The method for measuring anti-nucleosome antibody IgG according to claim 2, characterized in that: the second antibody is an anti-human IgG antibody labeled with horseradish peroxidase. 4.一种用于测定抗核小体抗体IgG的试剂装置,其特征在于:所述的试剂装置设有8个孔位的基体、位于基体一端的手柄,以及用于酶联免疫法检测抗核小体抗体IgG的分析试剂装置以及相应数量的配套试剂校准品、质控物和缓冲洗涤液的组份。4. A reagent device for measuring anti-nucleosome antibody IgG, characterized in that: the reagent device is provided with a matrix with 8 holes, a handle at one end of the matrix, and is used for enzyme-linked immunoassay detection of anti-nucleosome antibodies. Analytical reagent set for nucleosome antibody IgG and the corresponding quantity of matching reagent calibrator, quality control substance and components of buffer washing solution. 5.根据权利要求4所述的用于测定抗核小体抗体IgG的试剂装置,其特征在于:所述基体一端的手柄上粘贴有检测试剂条形码的标帖,所述条形码的数值包含每项检测所对应的检测项目代码、检测试剂生产批号、试剂有效期、定性校正值/定量测定标准曲线参数、酶联免疫反应类型、试剂及分析装置的序列号的信息。5. The reagent device for measuring anti-nucleosomal antibody IgG according to claim 4, characterized in that: the handle at one end of the substrate is pasted with a label of the barcode of the detection reagent, and the value of the barcode includes each item Information about the test item code corresponding to the test, the production batch number of the test reagent, the expiration date of the reagent, the qualitative correction value/quantitative determination standard curve parameters, the type of enzyme-linked immunosorbent reaction, the serial number of the reagent and the analysis device. 6.根据权利要求4所述的用于测定抗核小体抗体IgG的试剂装置,其特征在于:所述孔位包括一个反应孔、一个样品孔、一个稀释孔和五个试剂孔,其中,6. The reagent device for measuring anti-nucleosomal antibody IgG according to claim 4, wherein the wells include a reaction well, a sample well, a dilution well and five reagent wells, wherein, 1)样品孔盛容待测溶液;1) The sample hole contains the solution to be tested; 2)稀释孔用于样品的稀释;2) The dilution hole is used for sample dilution; 3)反应孔为平底并具有很高的光源/光路通透性,当盛装无色/空白试剂溶液时对可见光/紫外光/荧光的吸光度值趋近于零,孔内包被有检测抗核小体抗体IgG所需的高度纯化的核小体抗原,该孔用于盛容检测样品和检测试剂,并与这些样品和试剂发生酶联免疫反应,是酶联免疫反应和色泽显示及检测的容器;3) The reaction well has a flat bottom and has high light source/light path permeability. When the colorless/blank reagent solution is filled, the absorbance value of visible light/ultraviolet light/fluorescence approaches zero, and the well is coated with a detection antinuclear small Highly purified nucleosomal antigen required for antibody IgG, the hole is used to hold test samples and test reagents, and has an enzyme-linked immunoreaction with these samples and reagents, and is a container for enzyme-linked immunoreaction and color display and detection ; 4)每一个试剂孔盛装有酶联免疫法检测抗核小体抗体IgG所需的一种试剂,加注试剂后用薄膜将微孔的开放口缘进行封闭。4) Each reagent well is filled with a reagent required for the detection of anti-nucleosome antibody IgG by ELISA, and the open edge of the microwell is sealed with a thin film after the reagent is filled. 7.根据权利要求6所述的用于测定抗核小体抗体IgG的试剂装置,其特征在于:所述试剂孔内所盛装酶联免疫检测所需的试剂包括检测抗核小体抗体IgG之酶联免疫反应所需的免疫反应抑制剂/中和剂/阻断剂/吸附剂、酶结合物溶液、显色底物溶液、显色终止液、反应增强剂/促进剂、样品稀释溶液。7. The reagent device for measuring anti-nucleosome antibody IgG according to claim 6, characterized in that: the reagents required for ELISA detection contained in the reagent well include the reagents for detecting anti-nucleosome antibody IgG. Immunoreaction inhibitors/neutralizers/blockers/adsorbents, enzyme conjugate solutions, chromogenic substrate solutions, chromogenic stop solutions, reaction enhancers/promoters, sample dilution solutions required for ELISA. 8.根据权利要求6所述的用于测定抗核小体抗体IgG的试剂装置,其特征在于:所述样品孔、反应孔、稀释孔和试剂孔剖面形状包括平型、V型或U型,抑或是平型、V型和U型之间的任意组合。8. The reagent device for measuring anti-nucleosome antibody IgG according to claim 6, characterized in that: said sample well, reaction well, dilution well and reagent well cross-sectional shapes include flat, V-type or U-type , or any combination between flat, V and U shapes. 9.根据权利要求1所述的测定抗核小体抗体IgG的方法,其特征在于:所述的方法包括如下的步骤:9. the method for measuring anti-nucleosome antibody IgG according to claim 1, is characterized in that: described method comprises the steps: 1)开机:打开仪器开关后,仪器会自动地进行一系列检查,从而为仪器的正常运行做准备;1) Start up: After turning on the switch of the instrument, the instrument will automatically conduct a series of checks to prepare for the normal operation of the instrument; 2)检查程序的准备:按要求配置好相应的溶液,包括:缓冲洗涤液、清洗液、消毒液和蒸馏水或去离子水,配制完毕装入相应的液体罐中;2) Preparation of inspection procedures: Configure corresponding solutions according to requirements, including: buffer washing solution, cleaning solution, disinfectant and distilled water or deionized water, and put them into corresponding liquid tanks after preparation; 3)冲洗检查:3) Flush inspection: 4)预热:在开机后,仪器会启动加热程序,将温度调至待检温度;4) Preheating: After starting up, the instrument will start the heating process and adjust the temperature to the temperature to be tested; 5)与主机连机:仪器通过RS232串口可以和主机相连,从而将仪器正常工作所得结果交由集中式系统处理;5) Connect with the host: the instrument can be connected to the host through the RS232 serial port, so that the results obtained from the normal operation of the instrument can be processed by the centralized system; 6)抗核小体抗体IgG的检测:所述的检测又包括如下的步骤:6) Detection of anti-nucleosome antibody IgG: the detection further includes the following steps: i.从有密封口的一边打开包装袋,取用所需数量的分析装置,排除空气后将袋口封紧;i. Open the packaging bag from the side with the sealing port, take the required number of analysis devices, and seal the bag tightly after removing the air; ii.检查分析装置试剂孔中的底物,应为无色泽改变,否则应弃掉;ii. Check the substrate in the reagent well of the analysis device, there should be no color change, otherwise it should be discarded; iii.分别在每个分析装置的样品孔中加50~100μL未稀释的样品,每更换一个批号的试剂,应取其中一个分析装置及校准品进行仪器校准;iii. Add 50-100 μL of undiluted sample to the sample well of each analysis device, and each time a batch of reagent is replaced, one of the analysis devices and calibrators should be used for instrument calibration; iv.放置分析装置到仪器中相应的分析装置托盘中,按照使用说明书进行校准和检测;iv. Place the analysis device in the corresponding analysis device tray in the instrument, and perform calibration and testing according to the instruction manual; v.按照所需检测的数量在分析装置托盘中放入相对应数量的分析装置,并在检测位置之前放入含有校准品和质控物的分析装置,仪器可自动地识别分析装置条码、质控物条码和校准品条码,选择行可定位于“样品”栏或“检测”栏;v. Put a corresponding number of analysis devices in the analysis device tray according to the number of tests required, and put the analysis devices containing calibrators and quality control materials in front of the detection position. The instrument can automatically identify the barcode and quality of the analysis devices The barcode of the control object and the barcode of the calibrator, the selection line can be located in the "sample" column or the "test" column; vi.点击开始,运行项目表,扫描各个分析装置条码,对质控物,校准品以及检测样品进行编号;vi. Click Start, run the project list, scan the barcodes of each analysis device, and number the quality control materials, calibrators and test samples; vii.运行检测表,仪器根据条码信息自动运行,根据条码,仪器会选择相应设置好的标准曲线,程序首先检测校准品,以此来校准仪器内预设的曲线;其次对质控物进行检测,如果其检测结果在标示的范围内,则表示内置曲线合格,可用于样品的检测,最后开始样品的检测程序;vii. Run the test table, the instrument will automatically run according to the barcode information, according to the barcode, the instrument will select the corresponding standard curve, the program first detects the calibrator, so as to calibrate the preset curve in the instrument; secondly, detect the quality control substance , if the test result is within the marked range, it means that the built-in curve is qualified and can be used for sample testing, and finally the sample testing procedure starts; viii.稀释:加注针会从样品孔自动吸取样品,刺破孔位密封薄膜自动吸取稀释液在稀释孔进行样品稀释,动作完成后,被稀释的样品会被加注针移至试剂孔反应一段程序设定的时间,之后移除液体;viii. Dilution: The filling needle will automatically draw the sample from the sample hole, and the sealing film of the hole will be pierced to automatically draw the diluent to dilute the sample in the dilution hole. After the action is completed, the diluted sample will be moved to the reagent hole by the filling needle for reaction A programmed period of time, after which the liquid is removed; ix.洗涤:加注针会从相应的液罐中吸取一定量的洗涤液对试剂孔进行三到五次洗涤后移除液体;ix. Washing: The filling needle will draw a certain amount of washing liquid from the corresponding liquid tank to wash the reagent well three to five times and then remove the liquid; x.加注针刺破试剂孔密封薄膜吸取一定量的辣根过氧化物酶标记的抗人IgG抗体至试剂孔进行反应,反应一段程序设定的时间后移除液体;x. The injection needle punctures the sealing film of the reagent hole to draw a certain amount of horseradish peroxidase-labeled anti-human IgG antibody to the reagent hole for reaction, and remove the liquid after a period of time set by the program; xi.重复步骤ix洗涤;xi. Repeat step ix for washing; xii.加注针刺破试剂孔密封薄膜吸取一定量的酶反应底物至试剂孔进行一段程序设定的时间反应;xii. The injection needle punctures the sealing film of the reagent hole to draw a certain amount of enzyme reaction substrate to the reagent hole for a period of time reaction set by the program; xiii.加注针刺破试剂孔密封薄膜吸取一定量的终止液加注至试剂孔,在10分钟内于450nm读取OD值,如果选择双波长法测定,参考波长为620nm~690nm;xiii. The filling needle pierces the sealing film of the reagent hole, draws a certain amount of stop solution and injects it into the reagent hole, and reads the OD value at 450nm within 10 minutes. If the dual-wavelength method is selected for measurement, the reference wavelength is 620nm~690nm; 7)检测结果:当检测程序运行完毕,点击与主机的数据传输,仪器会自动将正常工作所得结果发送到主机交由外接数据处理软件分析,最后生成报告单以便查阅;7) Test results: When the test program is finished, click on the data transmission with the host, the instrument will automatically send the results obtained from normal work to the host for analysis by external data processing software, and finally generate a report for reference; 8)关机:检测结束后,在仪器关机前,必须启动洗涤循环,这样可以避免来自溶液中的残留盐份在液路中结晶,避免损坏仪器或导致检测结果无效,洗涤完成后,仪器电源自动关闭。8) Shutdown: After the test is completed, the washing cycle must be started before the instrument is turned off, so as to prevent the residual salt from the solution from crystallizing in the liquid path, avoiding damage to the instrument or invalid test results. After the washing is completed, the power of the instrument will automatically closure.
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CN103185788B (en) * 2011-12-30 2015-02-04 深圳市亚辉龙生物科技有限公司 Method for detecting rheumatoid factor
CN103185787B (en) * 2011-12-30 2015-02-04 深圳市亚辉龙生物科技有限公司 Method for detecting anti-SSA antibody
CN103185781B (en) * 2011-12-30 2015-02-04 深圳市亚辉龙生物科技有限公司 Reagent device for detecting anti-glomerular basement membrane antibody and method thereof
CN102968575B (en) * 2012-10-31 2016-03-02 东南大学 A kind of nucleosome Forecasting Methodology based on nucleosomal dna masterplate
CN102968575A (en) * 2012-10-31 2013-03-13 东南大学 Nucleosome prediction method based on nucleosome deoxyribonucleic acid (DNA) template
CN105301235A (en) * 2015-11-16 2016-02-03 北京中航赛维生物科技有限公司 Kit used for quantitative determination anti-nucleosome antibody Ig G via magnetic micro particle chemiluminiscence, and preparation method and detection method thereof
CN105807040A (en) * 2016-05-31 2016-07-27 四川金域医学检验中心有限公司 Reagent device for biochemical index detection
CN107290524A (en) * 2017-06-08 2017-10-24 赵怀 A kind of immunity detection reagent
CN107290524B (en) * 2017-06-08 2024-03-19 杭州遂真生物技术有限公司 Immunodetection kit
CN121027506A (en) * 2025-10-31 2025-11-28 深圳市亚辉龙生物科技股份有限公司 Single-sample indirect immunofluorescence detection method and system

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