CN1277125C - Cyanide-free hemolysin - Google Patents
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Abstract
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技术领域technical field
本发明涉及用于测定血样中总血红蛋白浓度(人工或自动)及用于同时进行白细胞计数或白细胞亚群的分类计数的溶血素组合物。The present invention relates to a hemolysin composition for determining (manually or automatically) total hemoglobin concentration in a blood sample and for simultaneously performing leukocyte count or differential count of leukocyte subsets.
背景技术Background technique
总血红蛋白的测定是血液携氧量的重要指标。迄今为止已经在正常人和血液病患者中发现了300种以上的血红蛋白,这些异常导致血红蛋白浓度的改变或者血红蛋白携氧能力的改变,从而出现镰状细胞性贫血、地中海贫血和血红蛋白异常等疾病。The determination of total hemoglobin is an important indicator of blood oxygen carrying capacity. So far, more than 300 kinds of hemoglobin have been found in normal people and patients with blood diseases. These abnormalities lead to changes in hemoglobin concentration or changes in the oxygen-carrying capacity of hemoglobin, resulting in diseases such as sickle cell anemia, thalassemia and hemoglobin abnormalities.
测定血样中血红蛋白的浓度是相关疾病诊断的十分重要的依据,对监控血红蛋白疾病的治疗以及其他可能影响血红蛋白水平改变的疾病的治疗也是十分重要的。Determining the concentration of hemoglobin in blood samples is a very important basis for the diagnosis of related diseases, and it is also very important for monitoring the treatment of hemoglobin diseases and other diseases that may affect the change of hemoglobin levels.
在用人工或自动测定血样中总血红蛋白浓度及用于同时进行白细胞计数或白细胞亚群的分类计数的分析实验中,尽管通过标准的氰化正铁血红蛋白方法及其改良的自动方法形成的色原稳定可靠,然而,由于使用氰化钾,试剂废物会引起很大的环境污染。在过去十年中,人们付出了巨大的努力以开发不使用氰化物的自动血红蛋白分析方法。In analytical experiments for the manual or automatic determination of the total hemoglobin concentration in blood samples and for simultaneous white blood cell counts or differential counts of white blood cell subsets, although the chromogen formed by the standard cyanide hemoglobin method and its modified automatic method Stable and reliable, however, due to the use of potassium cyanide, reagent waste will cause great environmental pollution. In the past decade, a great effort has been devoted to the development of an automated hemoglobin analysis method that does not use cyanide.
Oshiro等[临床生物化学(Clin.Biochem.),1583(1982)]说明了用于血红蛋白分析所使用的试剂,该试剂包含十二烷基硫酸钠(SLS)和TritonX-100(非离子型表面活性剂)。SLS用于溶解红细胞,并被认为进一步产生SLS-血红蛋白复合物,它在539nm处具有最大吸光度并在572nm处有肩峰。SLS法现为世界公认的一种比较稳妥可靠的无氰化物的测定方法,然而使用oshiro方法不可能在进行血红蛋白测定的同时分析白细胞。因为高浓度的十二烷基硫酸钠将白细胞破坏程度过深。Oshiro et al. [Clinical Biochemistry (Clin. Biochem.), 1583 (1982)] describe the reagents used for the analysis of hemoglobin, which include sodium lauryl sulfate (SLS) and TritonX-100 (non-ionic surface active agent). SLS is used to lyse red blood cells and is thought to further generate the SLS-hemoglobin complex, which has an absorbance maximum at 539 nm and a shoulder at 572 nm. The SLS method is now recognized as a safe and reliable cyanide-free method, but it is impossible to analyze white blood cells at the same time as the hemoglobin measurement using the oshiro method. Because the high concentration of sodium lauryl sulfate will destroy the white blood cells too deeply.
美国专利号5,242,832(属Sakata)公开了用于对血样白细胞计数并测定血红蛋白浓度的无氰化物溶血素。该溶血素包含至少一种表面活性剂包括阳离子表面活性剂和两性表面活性剂以及至少一种选自下列化合物的血红蛋白稳定剂:Tiron、8-羟奎啉、联吡啶、1,10-临菲咯啉、酚类化合物、双酚等等。Sakata说明了白细胞分级分离或三个组(包括淋巴细胞,单核细胞、嗜酸细胞和嗜碱细胞的聚集体以及中性白细胞的聚集体)只有通过使用至少两种适合的表面活性剂和严格控制表面活性剂浓度才能完成。Sakata也说明了溶血素优选的PH值是5.0-8.0。如果PH值是3.0或更小,对白细胞的破坏增加,这样使白细胞的测定困难,如果PH值是9.0或更大,血红蛋白的稳定性随时间变坏。US Patent No. 5,242,832 (genus Sakata) discloses cyanide-free hemolysin for counting white blood cells and determining hemoglobin concentration in a blood sample. The hemolysin comprises at least one surfactant including cationic surfactant and amphoteric surfactant and at least one hemoglobin stabilizer selected from the following compounds: Tiron, 8-hydroxyquinoline, bipyridine, 1,10-phenanthrene Phenols, phenolic compounds, bisphenols, etc. Sakata demonstrated that leukocyte fractionation or three groups (including lymphocytes, aggregates of monocytes, eosinophils and basophils, and aggregates of neutrophils) can only be achieved by using at least two suitable surfactants and strict This can only be accomplished by controlling the surfactant concentration. Sakata also stated that the preferred pH value of hemolysin is 5.0-8.0. If the pH is 3.0 or less, damage to leukocytes increases, thus making measurement of leukocytes difficult, and if the pH is 9.0 or more, the stability of hemoglobin deteriorates over time.
PCT/US95/02897(Kim)公开了用于测定全血样中的血红蛋白的无氰化物方法与试剂。该试剂包括配体(选自下列化合物:咪唑及其衍生物、N-羟乙酰胺、H-羟胺、吡啶、恶唑,噻唑、吡唑、嘧啶、嘌呤、喹啉和异喹啉)以及一种强红细胞溶解能力的表面活性剂(选自十二烷基二甲基胺氧化物和辛基苯氧基聚乙氧基乙醇)。该分析方法快速,不到10秒。然而,该试剂仅在极端碱性pH值11-14条件下操作。此外,Kim没有说明计数白细胞或分别白细胞亚群的能力。PCT/US95/02897 (Kim) discloses a cyanide-free method and reagents for the determination of hemoglobin in whole blood samples. The reagent includes a ligand (selected from the following compounds: imidazole and its derivatives, N-glycolamide, H-hydroxylamine, pyridine, oxazole, thiazole, pyrazole, pyrimidine, purine, quinoline and isoquinoline) and a A surfactant (selected from dodecyldimethylamine oxide and octylphenoxypolyethoxyethanol) with strong erythrocyte lysing ability. The analysis method is fast, less than 10 seconds. However, this reagent only operates at an extremely alkaline pH of 11-14. In addition, Kim does not address the ability to count leukocytes or separate leukocyte subpopulations.
上述的无氰化物血红蛋白测定方法中,没有一种可以在血红蛋白测定的同时提供单核细胞和整个粒细胞的数量;然而,这两个参数都是用于各种疾病临床诊断的有价值的工具。这就需要更多用途的无氰化物血红蛋白测定方法和多功能试剂以在单个自动步骤中可以完成若干诊断分析。None of the cyanide-free hemoglobin assays described above provide monocyte and whole granulocyte counts at the same time as hemoglobin; however, both parameters are valuable tools for clinical diagnosis of various diseases . There is a need for more versatile cyanide-free hemoglobin assays and multifunctional reagents that can perform several diagnostic assays in a single automated step.
中国专利申请号98801947属于库而特公司,公开了一种无氰化物试剂组合物,其中含有选自下列化合物的血红蛋白配体三唑及其衍生物、四唑及其衍生物、4,6-二羟基-1,3,5三嗪-2-羧酸的碱金属盐、蜜胺、苯胺-2-磺酸、喹那啶酸、2-氨基-1,3,4-噻二唑、三嗪及其衍生物、尿唑、DL-2-哌啶酸、异烟酰胺、邻氨基苯甲晴、6-氮杂-2-硫代胸腺嘧啶、腺嘌呤、3-(2-噻吩基)丙烯酸、苯甲酸和苯甲酸的碱金属和铵盐、吡嗪及其衍生物的有机配体的水溶液。还有选自季铵盐、吡啶鎓盐、有机磷酸酯和烷基磺酸的溶血性表面活性剂以溶解红细胞释放血红蛋白。然而该方法仍然采用了具有一定毒性或者致癌的化合物,对环境依然有一定的污染。Chinese patent application No. 98801947 belongs to Kurt Corporation, which discloses a cyanide-free reagent composition, which contains hemoglobin ligand triazole and derivatives thereof, tetrazole and derivatives thereof, 4,6- Alkali metal salts of dihydroxy-1,3,5-triazine-2-carboxylic acid, melamine, aniline-2-sulfonic acid, quinalidic acid, 2-amino-1,3,4-thiadiazole, tri Oxazine and its derivatives, urazole, DL-2-piperidine, isonicotinamide, anthranil, 6-aza-2-thiothymine, adenine, 3-(2-thienyl) Aqueous solution of organic ligands of acrylic acid, benzoic acid and alkali metal and ammonium salts of benzoic acid, pyrazine and its derivatives. There are also hemolytic surfactants selected from quaternary ammonium salts, pyridinium salts, organophosphates and alkylsulfonic acids to lyse red blood cells to release hemoglobin. However, this method still uses certain toxic or carcinogenic compounds, which still pollutes the environment to a certain extent.
发明内容Contents of the invention
本发明的目的在于克服以上所述溶血素的缺陷,提供一种不含有氰化物、没有毒性的、能够采用可靠方法测定血红蛋白的溶血素,并且同时白细胞能被分成至少两个亚群用于分别记数。The purpose of the present invention is to overcome the above-mentioned defects of hemolysin, to provide a hemolysin which does not contain cyanide, is non-toxic, can adopt a reliable method to measure hemoglobin, and at the same time leukocytes can be divided into at least two subpopulations for separate Calculate.
本发明的技术方案是所述的无氰化物溶血素含有可以和血色素配合的阴离子表面活性剂,选自烷基磺酸盐、烷基苯磺酸盐以及烷基硫酸盐,以及能溶解红细胞的阳离子表面活性剂,选自季铵盐、吡啶鎓盐、氧化胺型季胺盐,还有起到增溶作用的非离子表面活性剂。此组合物在很宽的pH范围内可以使用。The technical solution of the present invention is that the described cyanide-free hemolysin contains an anionic surfactant that can coordinate with hemoglobin, selected from alkyl sulfonate, alkylbenzene sulfonate and alkyl sulfate, and an anionic surfactant that can dissolve red blood cells The cationic surfactant is selected from quaternary ammonium salts, pyridinium salts, amine oxide type quaternary ammonium salts, and non-ionic surfactants for solubilization. This composition can be used over a wide pH range.
本发明无氰化物溶血素的技术方案进一步形式为至少一种足以溶解红细胞并释放量血红蛋白的量的表面活性剂,该表面活性剂选自由下列物质组成的组:The further form of the technical solution of the cyanide-free hemolysin of the present invention is at least one surfactant in an amount sufficient to dissolve red blood cells and release a certain amount of hemoglobin, and the surfactant is selected from the group consisting of the following substances:
1)至少一种阳离子表面活性剂,该表面活性剂在合适的浓度范围内用特定的仪器能够将人类的红细胞全部溶解并且将白细胞分成两个亚群。包括季铵盐、吡啶鎓盐、氧化胺型季铵盐。1) At least one cationic surfactant, which is capable of lysing all human red blood cells and dividing white blood cells into two subpopulations with a specific instrument within a suitable concentration range. Including quaternary ammonium salt, pyridinium salt, amine oxide quaternary ammonium salt.
其中式中的R1、R5是碳原子数是8-18的长链烷基、烯基或炔基,R2、R3、R4都是碳原子数1-5的短链烷基、烯基、炔基或者氢原子,x-是任何一种阴离子。R1 and R5 in the formula are long-chain alkyl, alkenyl or alkynyl groups with 8-18 carbon atoms, and R2, R3 and R4 are all short-chain alkyl, alkenyl, or alkynyl groups with 1-5 carbon atoms. group or hydrogen atom, x- is any kind of anion.
2)至少一种阴离子表面活性剂,能在合适的浓度下和血红蛋白结合形成一种色原,从而测定其浓度,该阴离子表面活性剂具有以下结构:2) At least one anionic surfactant can combine with hemoglobin to form a chromogen at a suitable concentration, thereby measuring its concentration. The anionic surfactant has the following structure:
R1-SO4 - X+ R 1 -SO 4 -X +
式中R1是碳原子数是8-18的长链烷基、烯基或炔基,x+是任何碱金属的阳离子或者铵离子。In the formula, R1 is a long-chain alkyl, alkenyl or alkynyl group with 8-18 carbon atoms, and x+ is any alkali metal cation or ammonium ion.
3)至少一种非离子表面活性剂,具有以下结构:3) at least one nonionic surfactant having the following structure:
其中R1是碳原子数是6-8的长链烷基、烯基或炔基,n为4-40的整数。Wherein R1 is a long-chain alkyl group, alkenyl group or alkynyl group with 6-8 carbon atoms, and n is an integer of 4-40.
在优选的方式中,该组合可以用于同时提供总血红蛋白浓度的测定、白细胞的计数和血样中白细胞亚群的分别计数,其中所说的白细胞被区分成包括淋巴细胞、单核细胞和粒细胞的三个亚群。In a preferred form, the combination can be used to simultaneously provide a determination of total hemoglobin concentration, a count of leukocytes and a separate count of leukocyte subpopulations in a blood sample, wherein said leukocytes are differentiated to include lymphocytes, monocytes and granulocytes of the three subgroups.
在溶解红细胞的阳离子表面活性剂中,季铵盐是优选的。在溶血素组合物中的表面活性剂的浓度需要足以溶解红细胞并释放血红蛋白、而同时保存白细胞核。为了对白细胞计数,不需要使白细胞膜保持完整。一般来说,使用上述的本发明溶血素组合物中的溶血性表面活性剂时,当红细胞完全溶解和破坏时,白细胞膜部分溶解。白细胞留下的核使得可以使用直流阻抗方法计数白细胞并将白细胞亚群分别成淋巴细胞、单核细胞和粒细胞。Among the cationic surfactants for lysing red blood cells, quaternary ammonium salts are preferred. The concentration of surfactant in the hemolysin composition needs to be sufficient to lyse red blood cells and release hemoglobin while preserving the white blood cell nuclei. In order to count leukocytes, it is not necessary to leave the leukocyte membrane intact. In general, when the hemolytic surfactant in the hemolysin composition of the present invention described above is used, the white blood cell membrane is partially lysed while the red blood cells are completely lysed and destroyed. The nuclei left by the leukocytes allow the counting of leukocytes and the separation of leukocyte subpopulations into lymphocytes, monocytes, and granulocytes using the DC impedance method.
在上述溶血素组合物中的阳离子表面活性剂浓度是大约2g/L至大约100g/L,优选地是大约15g/L至大约60g/L。The cationic surfactant concentration in the above hemolysin composition is about 2 g/L to about 100 g/L, preferably about 15 g/L to about 60 g/L.
在溶血素中阴离子表面活性剂的浓度要足以使所有的血红蛋白都形成阴离子表面活性剂—血红蛋白复合物。如果阴离子表面活性剂的量不足,使形成的复合物色原不稳定。The concentration of anionic surfactant in hemolysin is sufficient to allow all hemoglobin to form an anionic surfactant-hemoglobin complex. If the amount of anionic surfactant is insufficient, the chromogen of the formed complex is destabilized.
本发明无氰化物溶血素中阴离子表面活性剂的浓度在0.1-10g/L范围,优选0.5-3g/L,最为合适。The concentration of the anionic surfactant in the cyanide-free hemolysin of the present invention is in the range of 0.1-10 g/L, preferably 0.5-3 g/L, which is most suitable.
本发明无氰化物溶血素,非离子表面活性剂的浓度范围可以在0.5-5g/L范围内。The invention has no cyanide hemolysin, and the concentration range of the nonionic surfactant can be in the range of 0.5-5g/L.
本发明无氰化物溶血素,所述阳离子表面活性剂浓度可以是25g/L,阴离子表面活性剂的浓度可以为1.5g/L,非离子表面活性剂的浓度可以为0.58g/L。In the present invention without cyanide hemolysin, the concentration of the cationic surfactant can be 25g/L, the concentration of the anionic surfactant can be 1.5g/L, and the concentration of the nonionic surfactant can be 0.58g/L.
本发明无氰化物溶血素,所述阳离子表面活性剂为十二烷基三甲基溴化铵其浓度是25g/L,阴离子表面活性剂为十二烷基硫酸钠(SLS)其浓度为1.5g/L,非离子表面活性剂为乳化剂OP其浓度为0.58g/L。Cyanide-free hemolysin of the present invention, described cationic surfactant is dodecyltrimethylammonium bromide, and its concentration is 25g/L, and anionic surfactant is sodium lauryl sulfate (SLS), and its concentration is 1.5 g/L, nonionic surfactant is emulsifier OP, its concentration is 0.58g/L.
本发明提供一种使用该溶血素的方法,和适当的血液稀释剂配合用于测定血液中的血红蛋白浓度或同时与白细胞计数或白细胞亚群的分别计数。The present invention provides a method of using the hemolysin, which is used in conjunction with appropriate blood thinners to measure the hemoglobin concentration in the blood or to simultaneously count white blood cells or separately count white blood cell subgroups.
该方法包括用适合的血液稀释剂稀释血样、将足量的溶血素组合物与稀释的样品混合、在预定的用于血红蛋白浓度测定的波长下用光度法测定该样品、同时在装备有直流阻抗测定装置的血液分析仪上计数白细胞或分别别计数白细胞至少两个亚群。The method comprises diluting a blood sample with a suitable blood thinner, mixing a sufficient amount of a hemolysin composition with the diluted sample, measuring the sample photometrically at a wavelength predetermined for the determination of hemoglobin concentration, while The leukocytes are counted or at least two subsets of the leukocytes are counted separately on the hematology analyzer of the measuring device.
将抗凝血或毛细血通过合适的稀释液稀释,将合适量的上述溶血素与稀释后的样品混合(手工或者仪器自动),根据仪器的需要,稀释比从125∶1(总试剂量相对于血液)到大约500∶1,然后在添加溶血素4秒以后,在仪器的光度计上以特定的波长测定样品混合物的吸光度,也可以通过手工引入装备有光度计和具有阻抗测定装置的血液分析仪中,测定血红蛋白浓度或者同时进行白细胞计数。Dilute the anticoagulated blood or capillary blood with a suitable diluent, mix the appropriate amount of the above-mentioned hemolysin with the diluted sample (manually or automatically by the instrument), and the dilution ratio is from 125:1 (total reagent volume relative to to blood) to approximately 500:1, and then 4 seconds after adding hemolysin, measure the absorbance of the sample mixture at a specific wavelength on the instrument's photometer, or manually introduce blood equipped with a photometer and an impedance measurement device In the analyzer, the hemoglobin concentration is measured or the white blood cell count is performed simultaneously.
更优选的是在进行白细胞计数时根据所获得体积大小直方图进行白细胞亚群分类。More preferably, the leukocyte subsets are classified according to the volume size histogram obtained when the leukocyte count is performed.
在最优选的方式下,白细胞可以分成三个亚群,包括淋巴细胞、中间细胞和粒细胞,其中的中间细胞包含单核细胞嗜酸细胞和嗜碱细胞。In the most preferred manner, leukocytes can be divided into three subpopulations including lymphocytes, intermediate cells and granulocytes, wherein the intermediate cells include monocytes eosinophils and basophils.
采用以上的方案,实现了使用不含有氰化物、没有毒性的溶血素、能够采用可靠方法测定血红蛋白,并且同时白细胞能被分成至少两个亚群用于分别记数。By adopting the above scheme, the hemolysin that does not contain cyanide and is not toxic can be used to measure hemoglobin in a reliable way, and at the same time, white blood cells can be divided into at least two subgroups for separate counting.
附图说明Description of drawings
图1是用本发明溶血素的光谱图。Fig. 1 is a spectrogram of the hemolysin of the present invention.
图2是本发明的溶血素在迈瑞公司生产的BC-3000+血液分析仪上所得到的白细胞直方图。Fig. 2 is the white blood cell histogram obtained by the hemolysin of the present invention on the BC-3000+ hematology analyzer produced by Mindray Company.
图3是本发明的溶血素以作为稀释液时的紫外-可见吸收光谱图。Fig. 3 is an ultraviolet-visible absorption spectrum diagram of the hemolysin of the present invention when it is used as a diluent.
图4是本发明实施例2的溶血素在迈瑞公司生产的BC-3000+血液分析仪上所得到的白细胞直方图。Fig. 4 is a white blood cell histogram obtained by the hemolysin of Example 2 of the present invention on the BC-3000+ blood analyzer produced by Mindray Company.
具体实施方式Detailed ways
一般来说,要用光度测定法测定血样中的总血红蛋白浓度,必须使用溶血试剂溶解红细胞并释放血红蛋白,然后把血红蛋白转化成稳定的色原,这种色原可以在预定的波长白紫外光谱发现和测定。对于定量和精确的测定,所形成的复合物要稳定,至少在测定的时间范围内稳定。红细胞的溶解可以通过酸溶解、渗透溶解和使用各种天然以及合成的表面活性剂完成。释放的血红蛋白包含各种形式,如氧合血红蛋白、脱氧血红蛋白、高铁血红蛋白、碳氧血红蛋白等.大多数把血红蛋白转化成稳定包原的有效方法是提供配体,该配体对血红素铁具有高亲和性以形成稳定的血红蛋白复合物。这已用氰化正铁血红蛋白方法成功地证明,其中氰阴离子对血红素铁具有极高的亲和性。术语血红蛋白复合物和血红蛋白色原在本发明上下文中可以互换使用。通常,在缺少高亲和性配体的情况下,所形成的血红蛋白色原不十分稳定。其吸光度有变化,并且在大多数情况下随时间衰减。在这种情况下,分析方法不可靠(即使很好地监控并校正降解反应的动力学因为色原可能对环境(如温度和样品制备条件等)十分敏感、当提供了适合的血红蛋白配体时,血红蛋白转变可以是定量的,形成的血红蛋白复合物的稳定性确保分析方法的可靠性。In general, to measure the total hemoglobin concentration in a blood sample photometrically, a hemolytic reagent must be used to lyse the red blood cells and release the hemoglobin, which is then converted to a stable chromogen that can be detected at a predetermined wavelength white ultraviolet spectrum and determination. For quantitative and precise assays, the complexes formed need to be stable, at least over the time frame of the assay. Lysis of RBCs can be accomplished by acid lysis, osmolysis, and the use of various natural and synthetic surfactants. The released hemoglobin contains various forms, such as oxyhemoglobin, deoxyhemoglobin, methemoglobin, carboxyhemoglobin, etc. Most effective methods for converting hemoglobin into stable hemoglobin are to provide ligands that have a high affinity for heme iron. affinity to form stable hemoglobin complexes. This has been successfully demonstrated with the cyanide-hemoglobin method, in which the cyanide anion has an extremely high affinity for heme iron. The terms hemoglobin complex and hemoglobin chromogen are used interchangeably in the context of the present invention. Typically, the hemoglobin chromogen formed is not very stable in the absence of high affinity ligands. Its absorbance varies and in most cases decays with time. In this case, the analytical method is unreliable (even if the kinetics of the degradation reaction are well monitored and corrected because the chromogen may be very sensitive to the environment (e.g. temperature, sample preparation conditions, etc.), when a suitable hemoglobin ligand is provided , the hemoglobin transition can be quantified, and the stability of the formed hemoglobin complex ensures the reliability of the analytical method.
配体的选择取决于要完成的分析,例如,仅用于血红蛋白测定,或用于多个诊断分析(如血红蛋白测定同时结合白细胞计数或白细胞亚群分别计数)。如果配体不与其它分析相容,对于血红蛋白测定来说极好的配体可能不适合于后者的应用。Sakata在其文献中提供了一种可以准确测定血红蛋白的方法,用阴离子表面活性剂和非离子表面活性剂溶解红细胞释放血红蛋白,并且试剂中的阴离子表面活性剂SLS和血红蛋白形成SLS-血红蛋白复合物,在539nm处和572nm处有峰值而且具有很高的时间稳定性,但是其一个很大的缺点是不能同时分类计数白细胞,因为用非离子表面活性剂溶解红细胞的时候也很大程度上将白细胞破坏了。另一个缺点就是时间很长,据其文献需要5-10分钟,这在用仪器测定的方法中是不可容忍的。The choice of ligand depends on the analysis to be performed, eg, for hemoglobin determination only, or for multiple diagnostic assays (eg, hemoglobin determination combined with leukocyte count or leukocyte subpopulation count separately). A ligand that is excellent for hemoglobin determination may not be suitable for the latter application if the ligand is not compatible with the other assay. Sakata provides a method that can accurately measure hemoglobin in its literature. Anionic surfactants and nonionic surfactants are used to dissolve red blood cells to release hemoglobin, and the anionic surfactant SLS and hemoglobin in the reagent form SLS-hemoglobin complexes, There are peaks at 539nm and 572nm and have high time stability, but a big disadvantage is that white blood cells cannot be classified and counted at the same time, because white blood cells are also largely destroyed when non-ionic surfactants are used to dissolve red blood cells. up. Another disadvantage is that the time is very long, according to its literature, it takes 5-10 minutes, which is intolerable in the method of measuring with an instrument.
一般来说,阴离子表面活性剂和阳离子表面活性剂是不可配合使用的,因为它们会形成阴离子—阳离子复合物,降低溶解性,在溶液里形成沉淀或者乳化,从而无法使用。但是在本发明中,通过适当的两者的比例,形成的复合物不至于形成沉淀,而且加入增溶剂以后复合物溶解,在阳离子表面活性剂溶解红细胞释放血红蛋白以后,由于选定阴离子表面活性剂和血红蛋白的亲和力要高得多,夺取了阴阳离子表面活性剂复合物中的阴离子表面活性剂,形成新的表面活性剂—血红蛋白复合物,通过精密控制两者的浓度,可以实现血红蛋白测定。另一方面阳离子表面活性剂破坏白细胞膜,使白细胞核裸露,通过体积测定的仪器来进行大小分群。Generally speaking, anionic surfactants and cationic surfactants cannot be used together, because they will form anion-cation complexes, reduce solubility, form precipitation or emulsification in solution, and thus cannot be used. But in the present invention, through the appropriate ratio of the two, the complex formed will not form a precipitate, and the complex dissolves after adding a solubilizing agent. After the cationic surfactant dissolves red blood cells to release hemoglobin, due to the selected anionic surfactant The affinity with hemoglobin is much higher, and the anionic surfactant in the anion-cation surfactant complex is taken away to form a new surfactant-hemoglobin complex. By precisely controlling the concentration of the two, hemoglobin determination can be realized. On the other hand, the cationic surfactant destroys the leukocyte membrane, exposes the leukocyte nucleus, and performs size classification by a volumetric instrument.
试验还表明,非离子表面活性剂和阳离子表面活性剂的加入,使得阴离子表面活性剂—血红蛋白复合物形成的速度大大增加,在3-5秒内形成了稳定的复合物,使得用仪器测定成为可能。The test also shows that the addition of nonionic surfactant and cationic surfactant greatly increases the speed of anionic surfactant-hemoglobin complex formation, and forms a stable complex within 3-5 seconds, making it possible to measure with an instrument. possible.
本发明无氰化物溶血素为至少一种足以溶解红细胞并释放量血红蛋白的量的表面活性剂,该表面活性剂选自由下列物质组成的组:The cyanide-free hemolysin of the present invention is at least one surfactant selected from the group consisting of:
1)至少一种阳离子表面活性剂,该表面活性剂在合适的浓度范围内用特定的仪器能够将人类的红细胞全部溶解并且将白细胞分成两个亚群。包括季铵盐、吡啶鎓盐、氧化胺型季铵盐。1) At least one cationic surfactant, which is capable of lysing all human red blood cells and dividing white blood cells into two subpopulations with a specific instrument within a suitable concentration range. Including quaternary ammonium salt, pyridinium salt, amine oxide quaternary ammonium salt.
其中式中的R1、R5是碳原子数是8-18的长链烷基、烯基或炔基,R2、R3、R4都是碳原子数1-5的短链烷基、烯基、炔基或者氢原子,x-是任何一种阴离子。R1 and R5 in the formula are long-chain alkyl, alkenyl or alkynyl groups with 8-18 carbon atoms, and R2, R3 and R4 are all short-chain alkyl, alkenyl, or alkynyl groups with 1-5 carbon atoms. group or hydrogen atom, x- is any kind of anion.
2)至少一种阴离子表面活性剂,能在合适的浓度下和血红蛋白结合形成一种色原,从而测定其浓度,该阴离子表面活性剂具有以下结构:2) At least one anionic surfactant can combine with hemoglobin to form a chromogen at a suitable concentration, thereby measuring its concentration. The anionic surfactant has the following structure:
R1-SO4 - X+ R 1 -SO 4 -X +
式中R1是碳原子数是8-18的长链烷基、烯基或炔基,x+是任何碱金属的阳离子或者铵离子。In the formula, R1 is a long-chain alkyl, alkenyl or alkynyl group with 8-18 carbon atoms, and x+ is any alkali metal cation or ammonium ion.
3)至少一种非离子表面活性剂,具有以下结构:3) at least one nonionic surfactant having the following structure:
其中R1是碳原子数是6-8的长链烷基、烯基或炔基,n为4-40的整数。Wherein R1 is a long-chain alkyl group, alkenyl group or alkynyl group with 6-8 carbon atoms, and n is an integer of 4-40.
在优选的方式中,该组合可以用于同时提供总血红蛋白浓度的测定、白细胞的计数和血样中自细胞亚群的分别计数,其中所说的白细胞被区分成包括淋巴细胞、单核细胞和粒细胞的三个亚群。In a preferred form, the combination can be used to simultaneously provide a determination of total hemoglobin concentration, a count of leukocytes and a separate count of subpopulations of cells in a blood sample, wherein said leukocytes are differentiated to include lymphocytes, monocytes, and granulocytes. Three subpopulations of cells.
在溶解红细胞的阳离子表面活性剂中,季铵盐是优选的。在溶血素组合物中的表面活性剂的浓度需要足以溶解红细胞并释放血红蛋白、同时保存白细胞核不至于被破坏。为了对白细胞计数,不需要使白细胞膜保持完整。一般来说,使用上述的本发明溶血素组合物中的溶血性表面活性剂时,当红细胞完全溶解和破坏时,白细胞膜部分溶解。白细胞留下的核使得可以使用直流阻抗方法计数白细胞并将白细胞亚群分别成淋巴细胞、单核细胞和粒细胞.在溶血素组合物中的表面活性剂浓度是大约2g/L至大约100g/L,优选地是大约15g/L至大约60g/L。Among the cationic surfactants for lysing red blood cells, quaternary ammonium salts are preferred. The concentration of surfactant in the hemolysin composition needs to be sufficient to lyse red blood cells and release hemoglobin while preserving the white cell nuclei from destruction. In order to count leukocytes, it is not necessary to leave the leukocyte membrane intact. In general, when the hemolytic surfactant in the hemolysin composition of the present invention described above is used, the white blood cell membrane is partially lysed while the red blood cells are completely lysed and destroyed. The nuclei left by the leukocytes make it possible to count the leukocytes and separate the leukocyte subpopulations into lymphocytes, monocytes, and granulocytes using the direct current impedance method. The surfactant concentration in the hemolysin composition is about 2 g/L to about 100 g/L L, preferably about 15 g/L to about 60 g/L.
在溶血素中阴离子表面活性剂的浓度要足以使所有的血红蛋白都形成阴离子表面活性剂—血红蛋白复合物。如果阴离子表面活性剂的量不足,使形成的复合物色原不稳定。试验发现,本发明中阴离子表面活性剂的浓度在0.1-10g/L范围,优选0.5-3g/L,最为合适。The concentration of anionic surfactant in hemolysin is sufficient to allow all hemoglobin to form an anionic surfactant-hemoglobin complex. If the amount of anionic surfactant is insufficient, the chromogen of the formed complex is destabilized. Tests have found that the concentration of the anionic surfactant in the present invention is in the range of 0.1-10g/L, preferably 0.5-3g/L, which is the most suitable.
在本发明中,我们使用的非离子表面活性剂的浓度范围视所采用的具体的种类而定,但范围在0.5-5g/L范围内,经过试验证明低于0.5g/L时,起不到应有的作用,而高于5g/L时,就会对白细胞的分类测定,甚至血色素的测定产生显著影响,甚至无法分类。In the present invention, the concentration range of the nonionic surfactant that we use depends on the concrete kind that adopts, but scope is in the scope of 0.5-5g/L, when it is proved through experiments that it is lower than 0.5g/L, it will not play a role. When it is higher than 5g/L, it will have a significant impact on the classification and determination of white blood cells, and even the determination of hemoglobin, and even cannot be classified.
本发明还涉及使用上述无氰化物溶血素组合物测定血样中的总血红蛋白浓度、或同时对白细胞计数或对白细胞亚群的分别计数的方法。The present invention also relates to a method for determining the total hemoglobin concentration in a blood sample, or simultaneously counting leukocytes or separately counting leukocyte subsets using the above-mentioned cyanide-free hemolysin composition.
将抗凝血或外周血通过合适的稀释液稀释,将合适量的上述溶血素与稀释后的样品混合(手工或者仪器自动),根据仪器的需要,稀释比从125∶1(总试剂量相对于血液)到大约500∶1,然后在添加溶血素4秒以后,在仪器的光度计上以特定的波长测定样品混合物的吸光度,也可以通过手工引入装备有光度计和具有阻抗测定装置的血液分析仪中,测定血红蛋白浓度或者同时进行白细胞计数,更优选的是在进行白细胞计数时根据所获得体积大小直方图进行白细胞亚群分类。在最优选的方式下,白细胞可以分成三个亚群,包括淋巴细胞、中间细胞和粒细胞,其中的中间细胞包含单核细胞嗜酸细胞和嗜碱细胞。Dilute the anticoagulated blood or peripheral blood with a suitable diluent, mix the appropriate amount of the above-mentioned hemolysin with the diluted sample (manually or automatically by the instrument), and the dilution ratio is from 125:1 (total reagent volume relative to to blood) to approximately 500:1, and then 4 seconds after adding hemolysin, measure the absorbance of the sample mixture at a specific wavelength on the instrument's photometer, or manually introduce blood equipped with a photometer and an impedance measurement device In the analyzer, the hemoglobin concentration is measured or the white blood cell count is performed at the same time, and more preferably, the white blood cell subsets are classified according to the volume size histogram obtained during the white blood cell count. In the most preferred manner, leukocytes can be divided into three subpopulations including lymphocytes, intermediate cells and granulocytes, wherein the intermediate cells include monocytes eosinophils and basophils.
具体来说,我们采用迈瑞公司生产BC-3000血液分析仪,取13ul静脉抗凝血,经过3.5ml稀释液稀释以后,加入0.5ml本发明所述的溶血素,在白细胞通道进行白细胞计数和血红蛋白分析,得出的结果的直方图如附图2所示。Specifically, we use the BC-3000 blood analyzer produced by Mindray Company, take 13ul of venous anticoagulant blood, after dilution with 3.5ml of diluent, add 0.5ml of hemolysin according to the present invention, and perform white blood cell count and hemoglobin in the white blood cell channel Analysis, the histogram of the result is shown in Figure 2.
本发明的溶血素组合物和使用该组合物的方法提供了精确的血红蛋白测定、精确的白细胞计数以及白细胞亚群的分别计数。表1说明了该溶血素在使用迈瑞公司生产BC-3000血液分析仪测定血红蛋白浓度方面和五分类血液分析仪GENS的结果高度相关性。在BC-3000上获得的血红蛋白浓度和在相同的仪器上使用经典的溶血素所获得的结果之间具有极好的相关性。表3说明了在BC-3000上获得的白细胞计数和在相同的仪器上使用该仪器配套的溶血素所获得的结果之间具有极好的相关性。The hemolysin compositions and methods of using the compositions of the present invention provide accurate hemoglobin measurements, accurate white blood cell counts, and separate counts of white blood cell subsets. Table 1 shows that the hemolysin is highly correlated with the results of the five-category blood analyzer GENS in measuring the hemoglobin concentration using the BC-3000 blood analyzer produced by Mindray. There is an excellent correlation between the hemoglobin concentrations obtained on the BC-3000 and those obtained on the same instrument using classical hemolysin. Table 3 illustrates the excellent correlation between white blood cell counts obtained on the BC-3000 and those obtained on the same instrument using the instrument's companion hemolysin.
表1本发明的溶血素结果和Coulter公司的GENS结果的相关系数。
每次试验的样本数目在40-50之间。The sample size for each trial was between 40-50.
本发明的溶血素组合物提供了不同的病人样本的精确的血红蛋白测定。在我们使用的样本中,有70%是来自各科的临床病人,有感染内科、血液科、肿瘤科等其中有的来自血液科病人的血样含有不同类型的异常血红蛋白,然而用本发明的溶血素和方法测定结果与用常用的氰化物一Hgb方法也有着高度的相关性(在迈瑞公司BC-3000上测定相关系数为0.99以上见表1),这表明各种临床样品的总血红蛋白浓度都可以通过使用本发明的溶血素组合物测定。The hemolysin compositions of the present invention provide accurate hemoglobin measurements in different patient samples. Among the samples we use, 70% are clinical patients from various departments, including infectious medicine, hematology, oncology, etc. Some of the blood samples from hematology patients contain different types of abnormal hemoglobin, but hemolysis of the present invention There is also a high degree of correlation between the element and method determination results and the commonly used cyanide-Hgb method (the correlation coefficient measured on the BC-3000 of Mindray Company is more than 0.99 and sees Table 1), which shows that the total hemoglobin concentration of various clinical samples is different. It can be determined by using the hemolysin composition of the present invention.
一般来说,包含上述阴离子表面活性剂配体和表面活性剂的本发明溶血素组合物可以在非常大范围的pH值内测定血样的总血红蛋白浓度。优选地,一种或几种季按盐与任何有机配体的结合用于提供通过DC阻抗测定方法测定血样中的总血红蛋白浓度和白细胞计数。更优选地,一种或几种季按盐与和白细胞差别分析相容的有机配体的结合用于提供血样的总血红蛋白浓度的测定、白细胞计数和白细胞亚群的分别计数。在最优选的方式中,白细胞被分成三个亚群,包括淋巴细胞、单核细胞和粒细胞。In general, the hemolysin compositions of the present invention comprising the above-described anionic surfactant ligands and surfactants can measure the total hemoglobin concentration of a blood sample over a very wide range of pH values. Preferably, the combination of one or several quaternary salts with any organic ligand is used to provide the determination of total hemoglobin concentration and white blood cell count in a blood sample by DC impedance assay methods. More preferably, the combination of one or more quaternary salts with an organic ligand compatible with differential analysis of leukocytes is used to provide determination of total hemoglobin concentration, leukocyte count and separate enumeration of leukocyte subpopulations of a blood sample. In the most preferred form, leukocytes are divided into three subpopulations including lymphocytes, monocytes and granulocytes.
无氰化物溶血素组合物和使用该组合物的方法与现有技术的血红蛋白测定方法相比具有几个优点。本发明使得可以在无氰化物的条件下精确测定血样中的血红蛋白浓度,并确定白细胞数量或将白细胞亚群分别成淋巴细胞、单核细胞和粒细胞。溶血素组合物将存在于血样中的血红蛋白在大约5秒后迅速转化成稳定的色原,使得可以进行快速自动分析。血红蛋白复合物一旦形成,在测定时期是很稳定的。The cyanide-free hemolysin composition and method using the composition have several advantages over prior art hemolysin assay methods. The invention makes it possible to accurately measure the concentration of hemoglobin in a blood sample under cyanide-free conditions, and to determine the number of white blood cells or to divide the white blood cell subgroups into lymphocytes, monocytes and granulocytes. The hemolysin composition rapidly converts hemoglobin present in a blood sample into a stable chromogen after about 5 seconds, allowing rapid automated analysis. Once formed, the hemoglobin complex is very stable during the assay period.
本发明的溶血素组合物可以与许多适合的血液稀释剂一起使用。我们采用配方阳离子表面活性剂为十二烷基三甲基溴化铵其浓度是25g/L,阴离子表面活性剂为十二烷基硫酸钠(SLS)其浓度为1.5g/L,非离子表面活性剂为乳化剂OP其浓度为0.58g/L的溶血素,使用标准的磷酸缓冲盐溶液和商业血液稀释剂由迈瑞公司生产的M30稀释液,由上述方法处理的全血样,如图3所示的图谱。用这两种稀释剂,基本上形成了相同的血红蛋白色原,可以在540nm下测定。The hemolysin compositions of the invention can be used with a number of suitable blood thinners. We use formula cationic surfactant as dodecyltrimethylammonium bromide, its concentration is 25g/L, anionic surfactant is sodium lauryl sulfate (SLS), its concentration is 1.5g/L, non-ionic surface Active agent is the hemolysin of emulsifier OP, its concentration is 0.58g/L, uses standard phosphate buffered saline solution and commercial blood thinner to be produced by Mindray's M30 dilution, the whole blood sample processed by the above method, as shown in Figure 3 the graph shown. With these two diluents, essentially the same hemoglobin chromogen is formed, which can be measured at 540nm.
不同于以前的试剂,本发明的溶血素组合物具有宽范围的pH值,以前的中性和碱性试剂不可能使用这种化学物质用于血红蛋白的测定。Sakata在美国专利号5,242,832中说明:如果pH值是3.0或更低,对白细胞的破坏增加,这样使白细胞的测定变得困难。图2显示了按照本发明的方法使用实施例的溶血素组合物(M30作为稀释剂)所获得的白细胞亚群分布直方图。白细胞清楚地分成淋巴细胞、单核细胞和粒细胞。Unlike previous reagents, the hemolysin composition of the present invention has a wide range of pH values, and it was impossible for previous neutral and alkaline reagents to use this chemical substance for the determination of hemoglobin. Sakata in US Patent No. 5,242,832 states that if the pH value is 3.0 or lower, the destruction of leukocytes increases, thus making the measurement of leukocytes difficult. Fig. 2 shows a histogram of leukocyte subpopulation distribution obtained by using the hemolysin composition of the example (M30 as diluent) according to the method of the present invention. White blood cells are clearly divided into lymphocytes, monocytes and granulocytes.
另一种使用表面活性剂稳定血红蛋白的功能的方式是,将其作为一个独立的成分添加到稀释后的血液中,提前或者然后加入可以溶血的阳离子表面活性剂,释放出的血红蛋白仍然可以和阴离子表面活性剂结合形成复合物而测定。Another way to use surfactants to stabilize the function of hemoglobin is to add it as a separate component to diluted blood, before or after adding cationic surfactants that can hemolyze, and the released hemoglobin can still interact with anions. Surfactants are determined by combining to form complexes.
如果不使用稀释液直接使用溶血素溶解血样,那么可以在一定比例下大范围调节溶血素各化学成分的浓度,并且可以认为加入合适的电解质使之达到合适的电导率,适合特定的粒子分析仪器使用,如果这样使用,组合物的浓度范围应该和溶血素与稀释血样配合后的最终浓度相同。If hemolysin is directly used to dissolve the blood sample without diluent, the concentration of each chemical component of hemolysin can be adjusted in a large range under a certain ratio, and it can be considered that adding a suitable electrolyte to achieve a suitable conductivity is suitable for a specific particle analysis instrument Used, if so used, the concentration range of the composition should be the same as the final concentration of hemolysin after complexing with the diluted blood sample.
溶血素可以包含其他可有可无的添加剂,例如无机和有机的盐类,防腐剂,抗氧化剂以及其他所有不影响血红蛋白测定和白细胞记数或分类记数的化学成分。Hemolysin may contain other optional additives, such as inorganic and organic salts, preservatives, antioxidants and all other chemical components that do not affect the determination of hemoglobin and white blood cell count or differential count.
另一种使用表面活性剂稳定血红蛋白的功能的方式是,将其作为一个独立的成分添加到稀释后的血液中,提前或者然后加入可以溶血的阳离子表面活性剂,释放出的血红蛋白仍然可以和阴离子表面活性剂结合形成复合物而测定。Another way to use surfactants to stabilize the function of hemoglobin is to add it as a separate component to diluted blood, before or after adding cationic surfactants that can hemolyze, and the released hemoglobin can still interact with anions. Surfactants are determined by combining to form complexes.
实施例1Example 1
按照下列比例配成溶液:Prepare a solution in the following proportions:
1、十二烷基硫酸钠 5g1. Sodium lauryl sulfate 5g
2、十二烷基三甲基溴化铵 25g2. Dodecyltrimethylammonium bromide 25g
3、聚乙二醇辛基苯基醚 5ml3. Polyethylene glycol octylphenyl ether 5ml
4、蒸馏水 1L4. Distilled water 1L
以G4砂滤器循环过滤,以适合的血液分析仪,或者其他的粒子分析仪器监控空白记数值使之符合空白记数要求。Use a G4 sand filter to circulate and filter, and use a suitable hematology analyzer or other particle analysis instruments to monitor the blank count value to meet the blank count requirements.
移取13ul全血加入到3.5ml稀释液中,搅拌均匀后加入0.5ml溶血素,在BC系列血液分析仪上测定。Pipette 13ul whole blood and add it to 3.5ml diluent, stir evenly, add 0.5ml hemolysin, and measure it on a BC series hematology analyzer.
图1是稀释血加入溶血素后马上进行扫描的紫外-可见吸收光谱图。在540nm处有吸收峰。Fig. 1 is the ultraviolet-visible absorption spectrum that is scanned immediately after the diluted blood is added with hemolysin. There is an absorption peak at 540nm.
图2是本发明的溶血素在迈瑞公司生产的BC-3000+血液分析仪上所得到的白细胞直方图。Fig. 2 is the white blood cell histogram obtained by the hemolysin of the present invention on the BC-3000+ hematology analyzer produced by Mindray Company.
图3是本发明的溶血素以作为稀释液时的紫外-可见吸收光谱图。Fig. 3 is an ultraviolet-visible absorption spectrum diagram of the hemolysin of the present invention when it is used as a diluent.
实施例2Example 2
按照下列比例配成溶液:Prepare a solution in the following proportions:
1、十六烷基三甲基氯化铵 10g1. Cetyltrimethylammonium chloride 10g
2、十二烷基硫酸钠 1.5g2. Sodium lauryl sulfate 1.5g
3、乳化剂OP 0.58g3. Emulsifier OP 0.58g
4、双蒸水 1L4. Double distilled water 1L
以G4砂滤器循环过滤,以适合的血液分析仪,或者其他的粒子分析仪器监控空白记数值使之符合空白记数要求。Use a G4 sand filter to circulate and filter, and use a suitable hematology analyzer or other particle analysis instruments to monitor the blank count value to meet the blank count requirements.
以磷酸盐缓冲液(PBS)作为稀释剂稀释血样,加入上述配方的溶血素,测定吸收紫外-可见吸收光谱如图3所示,同时以预稀释的模式用血液分析仪进行分析,得出的直方图如图4所示。Dilute the blood sample with phosphate buffer saline (PBS) as a diluent, add the hemolysin of the above formula, measure the absorption UV-visible absorption spectrum as shown in Figure 3, and analyze it with a blood analyzer in the pre-dilution mode at the same time, the obtained The histogram is shown in Figure 4.
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| CN102662067A (en) * | 2012-05-20 | 2012-09-12 | 烟台卓越生物技术有限责任公司 | Cyanide-free hemolysin for determining hemoglobin concentration and carrying out white blood cell count by groups |
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| US7465584B2 (en) * | 2005-01-24 | 2008-12-16 | Sysmex Corporation | Method and reagent for classifying leukocytes in animal blood |
| CN101464453B (en) * | 2007-12-18 | 2016-09-07 | 深圳迈瑞生物医疗电子股份有限公司 | A kind of hemolytic agent |
| WO2014143332A1 (en) * | 2013-03-12 | 2014-09-18 | Abbott Laboratories | Reagents, systems and methods for analyzing white blood cells |
| CN103698501B (en) * | 2013-12-23 | 2015-07-29 | 深圳开立生物医疗科技股份有限公司 | A kind of Cyanide-free hemolytic agent |
| CN107015007B (en) * | 2017-03-29 | 2019-02-19 | 苏州康铭诚业医用科技有限公司 | A kind of hemoglobin concentration hemolytic agent |
| CN110132899A (en) * | 2018-02-02 | 2019-08-16 | 深圳市帝迈生物技术有限公司 | A kind of hemolytic agent for leukocyte differential count |
| CN111006990A (en) * | 2019-12-31 | 2020-04-14 | 山东博科生物产业有限公司 | Reagent for analyzing blood cells and use thereof |
| CN116929882A (en) * | 2023-07-28 | 2023-10-24 | 中夏医学科技(青岛)有限公司 | Hemolytic agent for blood cell analysis and preparation method thereof |
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| CN102662067A (en) * | 2012-05-20 | 2012-09-12 | 烟台卓越生物技术有限责任公司 | Cyanide-free hemolysin for determining hemoglobin concentration and carrying out white blood cell count by groups |
| CN102662067B (en) * | 2012-05-20 | 2014-07-02 | 烟台卓越生物技术有限责任公司 | Cyanide-free hemolysin for determining hemoglobin concentration and carrying out white blood cell count by groups |
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