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WO2019109321A1 - Detection system for memory immunity cells, and applications thereof - Google Patents

Detection system for memory immunity cells, and applications thereof Download PDF

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WO2019109321A1
WO2019109321A1 PCT/CN2017/115130 CN2017115130W WO2019109321A1 WO 2019109321 A1 WO2019109321 A1 WO 2019109321A1 CN 2017115130 W CN2017115130 W CN 2017115130W WO 2019109321 A1 WO2019109321 A1 WO 2019109321A1
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detection system
antigen
stimulating
detection
cells
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French (fr)
Chinese (zh)
Inventor
高大可
陈锦河
杨翔
楼建荣
赵玉慧
谢桂华
邢智浩
王素盈
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Leide Biosciences Co Ltd
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Leide Biosciences Co Ltd
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    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12QMEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
    • C12Q1/00Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/68Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving nucleic acids
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/68Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving proteins, peptides or amino acids

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  • the invention belongs to the field of medical detection applications, and relates to a detection system of memory immune cells and an application thereof.
  • Cytokine refers to a small class of polypeptide glycoproteins that are closely related to the body's inflammation and immune response. When the body is infected with a disease, a series of related cells participate in the immune response process by coordinating the body. Taking tuberculosis immunity as an example, Mycobacterium tuberculosis induces type IV hypersensitivity through T lymphocyte mediation. The body plays a role in T cell immunity, and multiple cytokines participate in the immune response, mainly by CD4+ T cells. Helper type 1 cells (Th1) and CD8+ T cells, T helper type 2 cells (Th2), are mediated. Related cytokines include interleukin-2 (IL-2), interleukin-6 (IL-6), interleukin-10 (IL-10), interferon- ⁇ (IFN- ⁇ ), and the like.
  • IL-2 interleukin-2
  • IL-6 interleukin-6
  • IL-10 interleukin-10
  • IFN- ⁇ interferon- ⁇
  • IGRAs ⁇ -interferon release assay.
  • IGRAs are techniques for detecting the ability of T cells to produce and release gamma-interferon after stimulation with tuberculosis-specific antigens in vitro, thereby determining cell-mediated immune responses.
  • IGRAs stimulates the whole blood or peripheral blood mononuclear cells of the subject with two kinds of antigens specific to E.
  • QuantiFERON-TB Gold In-Tube QFT-GIT
  • QFT QuantiFERON-TB Gold In-Tube
  • QuantiFERON-TB Gold has been approved by the US FDA as an in vitro diagnostic for the detection of M. tuberculosis infection. It uses a mixture of analog ESAT-6, CFP-10 and TB7.7 (p4) proteins to stimulate heparinized cells in whole blood, and IFN-interferon is detected by ELISA to identify in vitro responses to these peptide antigens. The response is associated with M. tuberculosis infection.
  • QFT is the first IGRAs product approved for FDA listing and is a preferred alternative to TST in many national guidelines and recommendations.
  • QFT is a highly specific, controlled hematology test that can be used to aid in the diagnosis of TB infections and provides results to show individuals' T cell responses that are highly specific for M. tuberculosis antigens.
  • QFT uses an enzyme-linked immunosorbent assay (ELISA) to detect gamma-interferon responses in whole blood samples after incubation with TB-specific antigens.
  • ELISA enzyme-linked immunosorbent assay
  • Both QFT and QuantiFERON-TB Gold and TB-IGRA use 0.8-1.2 mL of blood for stimulation experiments.
  • QFT and QuantiFERON-TB Gold are directly collected into the stimulation tube for subsequent testing.
  • TB-IGRA is a stimulation experiment using precise blood separation of 1 mL of blood. T-Spot TB was performed after isolation of PBMC cells from 8 mL of adult blood, requiring 250,000 PBMC cells per well.
  • T-SPOT.TB and QFT-GIT detect changes in the secretion of IFN- ⁇ or the number of IFN- ⁇ secreted by memory T cells stimulated by tuberculosis antigen, thereby judging whether the body is Infected with M. tuberculosis.
  • the sensitivity of T-SPOT.TB in the diagnosis of tuberculosis is 90%, but T-SPOT.TB needs to separate human peripheral blood mononuclear cells (PBMC), which is cumbersome.
  • PBMC peripheral blood mononuclear cells
  • the QFT-GIT method is relatively easy to operate, but the sensitivity to assist in the diagnosis of tuberculosis is only 70%.
  • the sensitivity to assist in the diagnosis of tuberculosis is only 70%.
  • CN 102680684 A discloses the technical field of detection of Mycobacterium tuberculosis, in particular to a method for detecting whole blood T cells specific to tuberculosis antigen, which incubates a tuberculosis specific epitope peptide, an MHC donor and a peripheral whole blood of a subject, directly Signals for detection of complexes formed by MHC donor-Mycobacterium tuberculosis epitope-specific T cells.
  • CN 101446585A discloses an agent and method for detecting Mycobacterium tuberculosis infection in vitro, comprising the M233 polypeptide represented by SEQ ID NO.
  • the detection sample of the above detection method has a volume of 1-5 mL, and the detection sensitivity thereof needs to be further improved.
  • the present patent provides a detection system for memory immune cells and an application thereof, which can improve the sensitivity of detecting cytokines secreted by memory T cells after being stimulated again, and improve the detection of cytokines secreted by memory T cells.
  • the basic auxiliary diagnostic kit has overall sensitivity and reduces the possibility of missed detection.
  • an object of the present invention is to provide a detection system for memory immune cells, wherein the sample amount in the detection system is 0.3-0.8 mL.
  • the inventors have found that by stimulating the incubation time of the antigen, the incubation temperature, and the amount of blood to be incubated, it is found that controlling the amount of blood to be incubated can help the memory of the immune cells to be stimulated again, and the amount of secretion is significantly increased, and the amount of secretion is increased.
  • the experimental verification found that when the sample size is 0.3-0.8 mL, the sensitivity of detecting secreted substances can be significantly improved under the condition that the final concentration of the stimulating antigen is consistent.
  • the sample amount may be, for example, 0.3 mL, 0.4 mL, 0.5 mL, 0.6 mL, 0.7 mL, or 0.8 mL, preferably 0.6 mL.
  • the inventors have further found that when the sample volume is 0.6 mL, the secretion amount of the secretory substance of the memory immune cells is the highest, and the detection sensitivity is the highest.
  • the target of the detection system is a substance secreted by the cells after stimulation
  • the substance secreted by the cells after stimulation is any one of cytokines, chemokines or proteins or a combination of at least two.
  • the cytokine is a cytokine which is stimulated and secreted by immune cells and/or non-immune cells, preferably a cytokine secreted by immune cells.
  • the immune cells may be selected from, but not limited to, T cells, B cells, NK cells or macrophages, and the immune cells pass through specific cell stimulators, and after stimulation, secrete corresponding cytokines, thereby detecting whole blood.
  • the cell secretions in the test are achieved.
  • the detection system further comprises a stimulating antigen and/or a positive control antigen.
  • the stimulating antigen is a specific antigen that stimulates memory T cells.
  • the specific antigen for stimulating memory T cells is any one or a combination of at least two of a natural protein, a polypeptide, a nucleic acid, a polysaccharide, a small molecule compound, a virus-specific antigen or a bacterial-specific antigen, A bacterial specific antigen is preferred, and a Mycobacterium tuberculosis specific antigen is further preferred.
  • the natural protein, polypeptide, nucleic acid, polysaccharide, small molecule compound may be an allergen capable of stimulating a cellular response.
  • the virus-specific antigen or the bacteria-specific antigen is feasible as long as it can stimulate the antigen of the memory T cell, including the virus or bacterial surface, internal antigenic protein, nuclear protein, virus or bacterial secreted protein, and is not special here.
  • the virus-specific antigen may be, for example, a CMV virus
  • the bacterial-specific antigen may be, for example, a Mycobacterium tuberculosis-specific antigen.
  • the positive control antigen is a non-specific stimulator that stimulates immune cells.
  • the non-specific stimulating agent for stimulating immune cells is selected from, but not limited to, concanavalin A (Concanavalin A, ConA), Phytohemagglutinin (PHA), human luciferin (PWM), peanut agglutinin (PNA), soybean agglutinin (SBA), staphylococcal A protein (SAC), Any one or a combination of at least two of lipopolysaccharide (LPS) or tumor stimulating agent (PMA) is preferably phytohemagglutinin.
  • Concanavalin A ConA
  • PHA Phytohemagglutinin
  • PWM human luciferin
  • PNA peanut agglutinin
  • SBA soybean agglutinin
  • SAC staphylococcal A protein
  • Any one or a combination of at least two of lipopolysaccharide (LPS) or tumor stimulating agent (PMA) is preferably phytohemagglutinin.
  • the cytokine is cytokine which is stimulated and secreted by immune cells or non-immune cells, and can be selected by a person skilled in the art according to experimental needs.
  • the cytokines in the present invention are IL-1, IL- 2.
  • TGF- ⁇ is preferably any one of IL-2, IL-6, IFN- ⁇ , IP10 or TGF- ⁇ or a combination of at least two, and further preferably IFN - ⁇ .
  • cytokines are glycoproteins having a mass of less than 25 kDa.
  • the present application has verified that the control sample volume is 0.3-0.8 mL by verifying three cytokines such as IL-2, IL-6 and IFN- ⁇ . It does improve the detection sensitivity.
  • the detection of other cytokines is also carried out using the corresponding kit.
  • the detection system of the present application can be used for the detection of most cytokines, and the volume of the test sample is controlled to be 0.3-0.8 mL.
  • the sensitivity of the assay is further increased, and the volume of a particular sample can be fine-tuned by each cytokine by those skilled in the art.
  • the test sample is heparin anticoagulated blood.
  • the detection system further comprises detecting a stimulating antigen of the sample, the stimulating antigen being added to the sample to stimulate secretion of the cytokine for detection.
  • the detection system further comprises a conventional reagent for detecting a sample
  • the conventional reagent refers to a conventional detection reagent used for detecting a cytokine.
  • the detection of the cytokine IFN- ⁇ can be detected by using an IFN- ⁇ detection kit.
  • IL-2 can be detected by IL-2 test kit.
  • the kit is a commercially available kit.
  • the present invention provides a detection method using the detection system according to the first aspect, comprising the steps of:
  • step (2) adding a corresponding stimulating antigen to the sample of step (1), culturing;
  • the culture temperature is 30-40 ° C, for example 30 ° C, 31 ° C, 32 ° C, 33 ° C, 34 ° C, 35 ° C, 36 ° C, 37 ° C, 38 ° C, 39 ° C or 40 ° C It is preferably 35-38 ° C, and more preferably 37 ° C.
  • the culture time is 10-35 h, for example, 10 h, 11 h, 12 h, 13 h, 14 h, 15 h, 16 h, 17 h, 18 h, 19 h, 20 h, 21 h, 22 h, 23 h, 24 h, 25 h, 26 h. 27h, 28h, 29h, 30h, 31h, 32h, 33h, 34h or 35h, preferably 18-24h.
  • the invention provides the detection system of the first aspect for detecting the function of a memory immune cell.
  • the invention provides the use of a detection system according to the first aspect in the manufacture of a kit for disease detection and/or diagnosis.
  • the disease is a disease such as tuberculosis, and any disease that can be detected by detecting a secretory substance of a memory immune cell, particularly a cytokine, is feasible, and is not particularly limited herein.
  • the present invention has the following beneficial effects:
  • the detection system provided by the present invention can significantly improve the sensitivity of detecting cytokines when the final concentration of the stimulating antigen is uniform, but when the sample is reduced to 0.3-0.8 mL, compared with the conventional 1-5 mL sample. Volume, the secretion of cytokines is significantly increased, and the detection sensitivity is more than doubled, which significantly improves the sensitivity of detection and reduces the possibility of missed detection;
  • the detection system provided by the invention has a wide application range and has great market value.
  • LD represents a Mycobacterium tuberculosis-specific stimulating antigen
  • TB represents a patient number
  • FIG. 2 is a view showing the detection result of detecting INF- ⁇ by the detection system of the present invention, wherein P represents phytoagglutinin and TB represents a patient number;
  • LD Mycobacterium tuberculosis-specific stimulating antigen
  • P phytohemagglutinin
  • N represents a blank control
  • WT represents a control tuberculosis-specific stimulating antigen
  • LD represents a Mycobacterium tuberculosis-specific stimulating antigen
  • WT represents a control tuberculosis-specific stimulating antigen
  • Figure 5 is a graph showing the results of detecting the IL-2 sensitivity of a patient sample by the detection system of the present invention, wherein LD represents a Mycobacterium tuberculosis-specific stimulating antigen;
  • FIG. 6 is a diagram showing the results of detecting the IL-2 sensitivity of a healthy human sample by the detection system of the present invention, wherein LD represents a Mycobacterium tuberculosis-specific stimulating antigen;
  • Figure 7 is a graph showing the results of detecting the IL-6 sensitivity of a patient sample by the detection system of the present invention, wherein LD represents a Mycobacterium tuberculosis-specific stimulating antigen;
  • Fig. 8 is a graph showing the results of detecting the IL-6 sensitivity of a healthy human sample by the detection system of the present invention, wherein LD represents a specific stimulation resistance of Mycobacterium tuberculosis.
  • IFN- ⁇ detection kit (ELISA): Guangzhou Reid Biotechnology Co., Ltd.;
  • IGRA kit (ELISA): Wantai Biopharmaceutical Co., Ltd.;
  • Pre-preparation recruit 18-45 year old patient volunteers and healthy volunteers to collect blood samples.
  • Example 1 Effect of different volume detection samples on the detection of IFN- ⁇
  • the blood samples of the collected patients will be subjected to the following experimental steps within 4 hours:
  • step (1) mixture is placed in a 37 ° C incubator, cultured for 20 ⁇ 2h;
  • the results of the six test tubes (T) are shown in Figure 1.
  • the results of the three positive tubes (P) are shown in Figure 2.
  • the detection sensitivity first increases and then decreases.
  • the three volumes of 0.3mL, 0.6mL and 1.0mL are further compared.
  • the sensitivity of the 0.6mL volume sample is the highest. It can be seen that in the range of 0.3mL-0.6mL, the smaller the stimulated blood volume, the stimulating antigen and The stronger the stimuli stimulated by memory T cells, the stronger the IFN- ⁇ secretion.
  • Example 2 Effect of 0.6 mL and 1.0 mL Volume Detection Samples on Detection of IFN- ⁇
  • step (1) mixture is placed in a 37 ° C incubator, cultured for 20 ⁇ 2h;
  • the collected blood samples of healthy people will be subjected to the following experimental steps within 4 hours:
  • step (1) mixture is placed in a 37 ° C incubator, cultured for 20 ⁇ 2h;
  • the collected blood samples of healthy people will be subjected to the following experimental steps within 4 hours:
  • step (1) lead another set of experiments, and loosen the incubation tube cover to keep the oxygen content sufficient;
  • the plasma was aspirated and placed in a 1.5 mL EP tube, and IFN- ⁇ was detected using a gamma interferon-ELISA test kit.
  • step (1) mixture is placed in a 37 ° C incubator, cultured for 20 ⁇ 2h;
  • Fig. 5 - Fig. 6 The results of the test are shown in Fig. 5 - Fig. 6. It can be seen that under the condition that the concentration of the stimulating antigen is uniform, the 0.6 mL group is compared with the 1.0 mL group to increase the degree of response of the stimulating antigen to stimulate the memory T cells. In the patient sample, the 0.6 mL group is secreted. The content of cytokine IL-2 was significantly higher than that of the 1.0 mL group. In healthy patient samples, IL-2 was detected as 0 pg/mL.
  • Example 4 Effect of different volume test samples on IL-6 detection
  • step (1) mixture is placed in a 37 ° C incubator, cultured for 20 ⁇ 2h;
  • the results of the test are shown in Fig. 7 to Fig. 8. It can be seen that under the condition that the concentration of the stimulating antigen is uniform, the 0.6mL group is compared with the 1.0mL group to increase the degree of stimulation of the antigen-stimulated memory T cells. In the patient sample, the 0.6mL group is secreted. The content of cytokine IL-6 was significantly higher than that of the 1.0 mL group. In the healthy patient samples, the secretion of cytokine IL-6 in the 0.6 mL group was also significantly higher than that in the 1.0 mL group.
  • the detection system provided by the present invention can significantly improve the sensitivity of detecting cytokines when the final concentration of the stimulating antigen is uniform, but when the sample is reduced to 0.3-0.8 mL, compared with the conventional 1-5 mL.
  • the sample volume, the secretion of cytokines is significantly increased, and the detection sensitivity is more than doubled, which significantly improves the sensitivity of detection and reduces the possibility of missed detection; the detection system of the invention has a wide application range and has great market value.

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Abstract

The present invention provides a detection system for memory immunity cells, and applications thereof. The quantity of samples in the detection system ranges from 0.3 ml to 0.8 ml.

Description

一种记忆性免疫细胞的检测体系及其应用Detection system of memory immune cells and application thereof 技术领域Technical field

本发明属于医学检测应用领域,涉及一种记忆性免疫细胞的检测体系及其应用。The invention belongs to the field of medical detection applications, and relates to a detection system of memory immune cells and an application thereof.

背景技术Background technique

细胞因子(cytokine)泛指一类跟机体炎症和免疫应答反应密切相关的小分子多肽糖蛋白。机体感染疾病时,一系列相关细胞子通过协调参与机体的免疫应答过程。以结核免疫为例,结核分枝杆菌通过T淋巴细胞介导引起机体IV型超敏反应,机体发挥T细胞免疫为主,多种细胞因子协同参与的免疫应答,主要由CD4+T细胞即T辅助性1型细胞(Th1)和CD8+T细胞即T辅助性2型细胞(Th2)介导。相关细胞因子包括白介素-2(IL-2)、白介素-6(IL-6)、白介素-10(IL-10)、干扰素-γ(IFN-γ)等。Cytokine refers to a small class of polypeptide glycoproteins that are closely related to the body's inflammation and immune response. When the body is infected with a disease, a series of related cells participate in the immune response process by coordinating the body. Taking tuberculosis immunity as an example, Mycobacterium tuberculosis induces type IV hypersensitivity through T lymphocyte mediation. The body plays a role in T cell immunity, and multiple cytokines participate in the immune response, mainly by CD4+ T cells. Helper type 1 cells (Th1) and CD8+ T cells, T helper type 2 cells (Th2), are mediated. Related cytokines include interleukin-2 (IL-2), interleukin-6 (IL-6), interleukin-10 (IL-10), interferon-γ (IFN-γ), and the like.

据报道,通过检测记忆T细胞再次受特异性抗原刺激的反应程度,通常表现为分泌各类细胞因子,可以揭示机体感染疾病的状态,这是一种可靠的检测方法,如γ干扰素释放实验(IGRAs)。IGRAs是在体外检测T细胞经结核特异性抗原刺激之后产生和释放γ-干扰素能力的技术,借此判断细胞介导的免疫反应。IGRAs是采用结核分枝杆菌特有的2种抗原ESAT-6和CFP-10刺激受检者全血或外周血单个核细胞使T淋巴细胞产生大量γ-干扰素,然后用酶联免疫吸附法或酶联免疫斑点法检测γ-干扰素浓度或计数分泌γ-干扰素细胞的方法。It has been reported that by detecting the degree of response of memory T cells to specific antigen stimulation, it is usually expressed by the secretion of various cytokines, which can reveal the state of the body's infectious diseases. This is a reliable detection method, such as γ-interferon release assay. (IGRAs). IGRAs are techniques for detecting the ability of T cells to produce and release gamma-interferon after stimulation with tuberculosis-specific antigens in vitro, thereby determining cell-mediated immune responses. IGRAs stimulates the whole blood or peripheral blood mononuclear cells of the subject with two kinds of antigens specific to E. coli, ESAT-6 and CFP-10, to produce a large amount of γ-interferon by T lymphocytes, and then use enzyme-linked immunosorbent assay or Enzyme-linked immunospot assay for detecting gamma-interferon concentration or counting methods for secreting γ-interferon cells.

国际上广泛使用的IGRAs商业试剂盒有以下几种,即澳大利亚Cellistis公司产的QuantiFERON-TB Gold In-Tube(QFT-GIT),德国Qiagen公司的QFT,QFT-Gold;英国Oxford Immunotec产的T-SPOT.TB,中国万泰的TB-IGRA。 The internationally widely used IGRAs commercial kits are the following: QuantiFERON-TB Gold In-Tube (QFT-GIT) manufactured by Cellistis, Australia, QFT, QFT-Gold from Qiagen, Germany; T-produced by Oxford Immunotec, UK SPOT.TB, TB-IGRA of China Wantai.

QuantiFERON-TB Gold已被美国FDA批准作为检测结核分枝杆菌感染的体外辅助诊断。它使用模拟ESAT-6,CFP-10和TB7.7(p4)蛋白的混合多肽来刺激肝素化全血中的细胞,用ELISA的方法检测γ-干扰素来鉴别对这些多肽抗原的体外反应,此反应与结核分枝杆菌感染相关。QuantiFERON-TB Gold has been approved by the US FDA as an in vitro diagnostic for the detection of M. tuberculosis infection. It uses a mixture of analog ESAT-6, CFP-10 and TB7.7 (p4) proteins to stimulate heparinized cells in whole blood, and IFN-interferon is detected by ELISA to identify in vitro responses to these peptide antigens. The response is associated with M. tuberculosis infection.

QFT则是最早被美国FDA批准上市的IGRAs产品,并且在许多国家的指导原则和推荐中是替代TST的优先选择。QFT是一种高特异性、可控的血液学检测方法,可用于辅助诊断TB感染,并且提供结果来显示个体对结核分枝杆菌抗原高特异性的T细胞反应。QFT采用酶联免疫吸附试验(ELISA)来检测与TB特异性抗原共同孵育后全血样本中的γ-干扰素反应。QFT is the first IGRAs product approved for FDA listing and is a preferred alternative to TST in many national guidelines and recommendations. QFT is a highly specific, controlled hematology test that can be used to aid in the diagnosis of TB infections and provides results to show individuals' T cell responses that are highly specific for M. tuberculosis antigens. QFT uses an enzyme-linked immunosorbent assay (ELISA) to detect gamma-interferon responses in whole blood samples after incubation with TB-specific antigens.

QFT和QuantiFERON-TB Gold和TB-IGRA都是用0.8-1.2mL的血液来进行刺激实验。QFT和QuantiFERON-TB Gold是直接采血到刺激管中,从而进行后续检测。TB-IGRA是用精确分血1mL的血液来进行刺激实验。T-Spot TB则是需要从8mL成人的血液中分离出PBMC细胞后进行实验,要求每个检测孔含有25万个PBMC细胞。Both QFT and QuantiFERON-TB Gold and TB-IGRA use 0.8-1.2 mL of blood for stimulation experiments. QFT and QuantiFERON-TB Gold are directly collected into the stimulation tube for subsequent testing. TB-IGRA is a stimulation experiment using precise blood separation of 1 mL of blood. T-Spot TB was performed after isolation of PBMC cells from 8 mL of adult blood, requiring 250,000 PBMC cells per well.

通过细胞因子变化诊断疾病状态的方法依赖于检测标的细胞因子的高敏感度。以IGRAs为原理的商业化试剂盒为例,T-SPOT.TB、QFT-GIT检测记忆T细胞受结核抗原刺激后分泌IFN-γ的含量或分泌IFN-γ细胞数目的变化,从而判断机体是否感染结核分枝杆菌。据报道,T-SPOT.TB辅助诊断结核病的灵敏度达90%,但是T-SPOT.TB需先分离人外周血单核细胞(PBMC),操作步骤繁琐。QFT-GIT方法操作相对比较容易,但是辅助诊断结核病的灵敏度仅达70%。目前有不少报道旨在于通过实验方法的调整提高QFT-GIT整体灵敏度,如提高孵育温度至39℃,即时孵育静脉血等,但在高温下T细胞会发生非特异性的激活,增加了检测的假阳性率。 The method of diagnosing disease states by cytokine changes relies on the detection of high sensitivity of the target cytokine. Taking the commercial kit of IGRAs as an example, T-SPOT.TB and QFT-GIT detect changes in the secretion of IFN-γ or the number of IFN-γ secreted by memory T cells stimulated by tuberculosis antigen, thereby judging whether the body is Infected with M. tuberculosis. According to reports, the sensitivity of T-SPOT.TB in the diagnosis of tuberculosis is 90%, but T-SPOT.TB needs to separate human peripheral blood mononuclear cells (PBMC), which is cumbersome. The QFT-GIT method is relatively easy to operate, but the sensitivity to assist in the diagnosis of tuberculosis is only 70%. At present, there are many reports aimed at improving the overall sensitivity of QFT-GIT through the adjustment of experimental methods, such as increasing the incubation temperature to 39 ° C, incubating venous blood, etc., but the T cells will undergo non-specific activation at high temperatures, increasing the detection. False positive rate.

CN 102680684A公开了结核杆菌检测技术领域,具体地说是一种结核病抗原特异的全血T细胞检测方法,将结核杆菌特异抗原表位肽,MHC供体和受检者的外周全血孵育,直接检测MHC供体-结核分枝杆菌抗原表位-特异性T细胞形成的复合物的信号。CN 101446585A公开了一种体外检测结核杆菌感染的试剂和方法,其包含SEQ ID NO.1所代表的M233多肽;通过使用M233多肽或其类似物,与结核杆菌宿主的T细胞相接触,检测从T细胞释放的细胞因子,确定T细胞是否识别M233多肽类似物。上述检测方法的检测样本的体积都在1-5mL,其检测灵敏度还有待进一步提高。CN 102680684 A discloses the technical field of detection of Mycobacterium tuberculosis, in particular to a method for detecting whole blood T cells specific to tuberculosis antigen, which incubates a tuberculosis specific epitope peptide, an MHC donor and a peripheral whole blood of a subject, directly Signals for detection of complexes formed by MHC donor-Mycobacterium tuberculosis epitope-specific T cells. CN 101446585A discloses an agent and method for detecting Mycobacterium tuberculosis infection in vitro, comprising the M233 polypeptide represented by SEQ ID NO. 1; by contacting with T cells of Mycobacterium tuberculosis host by using M233 polypeptide or the like, detecting The cytokine released by the T cell determines whether the T cell recognizes the M233 polypeptide analog. The detection sample of the above detection method has a volume of 1-5 mL, and the detection sensitivity thereof needs to be further improved.

因此,开发一种能够进一步提高检测记忆性免疫细胞的灵敏度的检测方法意义重大。Therefore, it is of great significance to develop a detection method capable of further improving the sensitivity of detecting memory immune cells.

发明内容Summary of the invention

针对现有技术中,本专利提供了一种记忆性免疫细胞的检测体系及其应用,其能够提高检测记忆T细胞再次受刺激后分泌的细胞因子灵敏度,提高以检测记忆T细胞分泌细胞因子为基础的辅助诊断试剂盒整体地灵敏度,减少漏检的可能。In view of the prior art, the present patent provides a detection system for memory immune cells and an application thereof, which can improve the sensitivity of detecting cytokines secreted by memory T cells after being stimulated again, and improve the detection of cytokines secreted by memory T cells. The basic auxiliary diagnostic kit has overall sensitivity and reduces the possibility of missed detection.

第一方面,本发明的目的在于提供一种记忆性免疫细胞的检测体系,所述检测体系中的样本量为0.3-0.8mL。In a first aspect, an object of the present invention is to provide a detection system for memory immune cells, wherein the sample amount in the detection system is 0.3-0.8 mL.

本发明中,发明人通过对刺激抗原孵育时间,孵育温度,孵育血液量等研究发现,控制孵育血液量有助于记忆免疫细胞再次受刺激后分泌的物质,且分泌量明显增多,且通过大量实验验证发现,当检测样本量在0.3-0.8mL时,在刺激抗原终浓度一致的情况下,能够明显提高检测分泌物质的灵敏度。In the present invention, the inventors have found that by stimulating the incubation time of the antigen, the incubation temperature, and the amount of blood to be incubated, it is found that controlling the amount of blood to be incubated can help the memory of the immune cells to be stimulated again, and the amount of secretion is significantly increased, and the amount of secretion is increased. The experimental verification found that when the sample size is 0.3-0.8 mL, the sensitivity of detecting secreted substances can be significantly improved under the condition that the final concentration of the stimulating antigen is consistent.

所述样本量例如可以是0.3mL、0.4mL、0.5mL、0.6mL、0.7mL或0.8mL,优选为0.6mL。 The sample amount may be, for example, 0.3 mL, 0.4 mL, 0.5 mL, 0.6 mL, 0.7 mL, or 0.8 mL, preferably 0.6 mL.

本发明中,发明人进一步发现,但样本体积为0.6mL的时候,其记忆性免疫细胞的分泌物质的分泌量最高,检测灵敏度最高。In the present invention, the inventors have further found that when the sample volume is 0.6 mL, the secretion amount of the secretory substance of the memory immune cells is the highest, and the detection sensitivity is the highest.

根据本发明,所述检测体系的靶标为细胞受刺激后分泌的物质,所述细胞受刺激后分泌的物质为细胞因子、趋化因子或蛋白中的任意一种或至少两种的组合。According to the present invention, the target of the detection system is a substance secreted by the cells after stimulation, and the substance secreted by the cells after stimulation is any one of cytokines, chemokines or proteins or a combination of at least two.

根据本发明,所述细胞因子为免疫细胞和/或非免疫细胞受刺激分泌的细胞因子,优选为免疫细胞分泌的细胞因子。According to the invention, the cytokine is a cytokine which is stimulated and secreted by immune cells and/or non-immune cells, preferably a cytokine secreted by immune cells.

本发明中,所述免疫细胞可以选自但不限于T细胞、B细胞、NK细胞或巨噬细胞,免疫细胞通过特定的细胞刺激物,刺激后会分泌相应的细胞因子,从而通过检测全血中的细胞分泌物实现检测。In the present invention, the immune cells may be selected from, but not limited to, T cells, B cells, NK cells or macrophages, and the immune cells pass through specific cell stimulators, and after stimulation, secrete corresponding cytokines, thereby detecting whole blood. The cell secretions in the test are achieved.

根据本发明,所述检测体系还包括刺激抗原和/或阳性对照抗原。According to the invention, the detection system further comprises a stimulating antigen and/or a positive control antigen.

根据本发明,所述刺激抗原为刺激记忆性T细胞的特异性抗原。According to the invention, the stimulating antigen is a specific antigen that stimulates memory T cells.

根据本发明,所述刺激记忆性T细胞的特异性抗原为天然蛋白、多肽、核酸、多糖、小分子化合物、病毒特异性抗原或细菌特异性抗原中的任意一种或至少两种的组合,优选为细菌特异性抗原,进一步优选为结核杆菌特异性抗原。According to the present invention, the specific antigen for stimulating memory T cells is any one or a combination of at least two of a natural protein, a polypeptide, a nucleic acid, a polysaccharide, a small molecule compound, a virus-specific antigen or a bacterial-specific antigen, A bacterial specific antigen is preferred, and a Mycobacterium tuberculosis specific antigen is further preferred.

所述天然蛋白、多肽、核酸、多糖、小分子化合物可以是能够刺激细胞反应的过敏原。The natural protein, polypeptide, nucleic acid, polysaccharide, small molecule compound may be an allergen capable of stimulating a cellular response.

所述病毒特异性抗原或细菌特异性抗原为只要能够刺激记忆T细胞的抗原都是可行的,包括病毒或细菌表面,内部的抗原蛋白、核蛋白,病毒或细菌分泌的蛋白,在此不作特殊限定,所述病毒特异性抗原例如可以是CMV病毒,所述细菌特异性抗原例如可以是结核杆菌特异性抗原。The virus-specific antigen or the bacteria-specific antigen is feasible as long as it can stimulate the antigen of the memory T cell, including the virus or bacterial surface, internal antigenic protein, nuclear protein, virus or bacterial secreted protein, and is not special here. The virus-specific antigen may be, for example, a CMV virus, and the bacterial-specific antigen may be, for example, a Mycobacterium tuberculosis-specific antigen.

根据本发明,所述阳性对照抗原为刺激免疫细胞的非特异性刺激剂。According to the invention, the positive control antigen is a non-specific stimulator that stimulates immune cells.

根据本发明,所述刺激免疫细胞的非特异性刺激剂选自但不限于刀豆素A (ConcanavalinA,ConA)、植物血凝素(Phytohemagglutinin,PHA)、人美洲商陆素(PWM)、花生凝集素(PNA)、大豆凝集素(SBA)、葡萄球菌A蛋白的菌体(SAC)、脂多糖(LPS)或肿瘤刺激剂(PMA)中的任意一种或至少两种的组合,优选为植物血凝素。According to the present invention, the non-specific stimulating agent for stimulating immune cells is selected from, but not limited to, concanavalin A (Concanavalin A, ConA), Phytohemagglutinin (PHA), human luciferin (PWM), peanut agglutinin (PNA), soybean agglutinin (SBA), staphylococcal A protein (SAC), Any one or a combination of at least two of lipopolysaccharide (LPS) or tumor stimulating agent (PMA) is preferably phytohemagglutinin.

根据本发明,所述细胞因子为免疫细胞或非免疫细胞受刺激分泌的细胞因子都是可行的,本领域技术人员可以根据实验需要进行选择,本发明中的细胞因子为IL-1、IL-2、IL-3、IL-4、IL-5、IL-6、IL-7、IL-8、IL-9、IL-10、IL-11、IL-12、IL-13、IL-14、IL-17、IFN-α、IFN-β、IFN-γ、TNF-β、SCF、G-CSF、M-CSF、GM-CSF、神经白细胞素、IgA、IgG、穿孔素、颗粒素、IP10或TGF-β中的任意一种或至少两种的组合,优选为IL-2、IL-6、IFN-γ、IP10或TGF-β中的任意一种或至少两种的组合,进一步优选为IFN-γ。According to the present invention, the cytokine is cytokine which is stimulated and secreted by immune cells or non-immune cells, and can be selected by a person skilled in the art according to experimental needs. The cytokines in the present invention are IL-1, IL- 2. IL-3, IL-4, IL-5, IL-6, IL-7, IL-8, IL-9, IL-10, IL-11, IL-12, IL-13, IL-14, IL-17, IFN-α, IFN-β, IFN-γ, TNF-β, SCF, G-CSF, M-CSF, GM-CSF, neuroleukocytidine, IgA, IgG, perforin, granulin, IP10 or Any one or a combination of at least two of TGF-β is preferably any one of IL-2, IL-6, IFN-γ, IP10 or TGF-β or a combination of at least two, and further preferably IFN - γ.

本发明中,所述细胞因子大多数为质量小于25kDa的糖蛋白,本申请通过验证IL-2、IL-6、IFN-γ这三个细胞因子,发现其控制样本体积在0.3-0.8mL,确实提高了检测灵敏度,其他细胞因子的检测同样都采用相应的试剂盒进行,而通过本申请检测体系,其可用于大多数细胞因子的检测,通过控制检测样本的体积在0.3-0.8mL,从而进一步提高检测的灵敏度,而具体样本的体积,本领域技术人员可以根据每个细胞因子进行微调。In the present invention, most of the cytokines are glycoproteins having a mass of less than 25 kDa. The present application has verified that the control sample volume is 0.3-0.8 mL by verifying three cytokines such as IL-2, IL-6 and IFN-γ. It does improve the detection sensitivity. The detection of other cytokines is also carried out using the corresponding kit. However, the detection system of the present application can be used for the detection of most cytokines, and the volume of the test sample is controlled to be 0.3-0.8 mL. The sensitivity of the assay is further increased, and the volume of a particular sample can be fine-tuned by each cytokine by those skilled in the art.

根据本发明,所述检测样本为肝素抗凝的血液。According to the invention, the test sample is heparin anticoagulated blood.

根据本发明,所述检测体系还包括检测样本的刺激抗原,所述刺激抗原加入样本中,刺激其分泌细胞因子,从而进行检测。According to the present invention, the detection system further comprises detecting a stimulating antigen of the sample, the stimulating antigen being added to the sample to stimulate secretion of the cytokine for detection.

根据本发明,所述检测体系还包括检测样本的常规试剂,所述常规试剂指的是检测细胞因子采用的常规检测试剂,如检测细胞因子IFN-γ可采用IFN-γ检测试剂盒进行检测,如检测IL-2可采用IL-2检测试剂盒进行检测,其检测试 剂盒是市面上可买到的试剂盒即可。According to the present invention, the detection system further comprises a conventional reagent for detecting a sample, and the conventional reagent refers to a conventional detection reagent used for detecting a cytokine. For example, the detection of the cytokine IFN-γ can be detected by using an IFN-γ detection kit. For example, IL-2 can be detected by IL-2 test kit. The kit is a commercially available kit.

第二方面,本发明提供一种采用如第一方面所述的检测体系的检测方法,包括如下步骤:In a second aspect, the present invention provides a detection method using the detection system according to the first aspect, comprising the steps of:

(1)采集血液样本到肝素抗凝采血管中,混匀,分装成0.3-0.8mL;(1) collecting blood samples into heparin anticoagulation blood collection tubes, mixing, and dispensing into 0.3-0.8 mL;

(2)向步骤(1)的样本中加入相应的刺激抗原,培养;(2) adding a corresponding stimulating antigen to the sample of step (1), culturing;

(3)检测上清中所述细胞因子的含量。(3) Detecting the content of the cytokine in the supernatant.

根据本发明,所述培养的温度为30-40℃,例如可以是30℃、31℃、32℃、33℃、34℃、35℃、36℃、37℃、38℃、39℃或40℃,优选为35-38℃,进一步优选为37℃。According to the invention, the culture temperature is 30-40 ° C, for example 30 ° C, 31 ° C, 32 ° C, 33 ° C, 34 ° C, 35 ° C, 36 ° C, 37 ° C, 38 ° C, 39 ° C or 40 ° C It is preferably 35-38 ° C, and more preferably 37 ° C.

根据本发明,所述培养的时间为10-35h,例如可以是10h、11h、12h、13h、14h、15h、16h、17h、18h、19h、20h、21h、22h、23h、24h、25h、26h、27h、28h、29h、30h、31h、32h、33h、34h或35h,优选为18-24h。According to the invention, the culture time is 10-35 h, for example, 10 h, 11 h, 12 h, 13 h, 14 h, 15 h, 16 h, 17 h, 18 h, 19 h, 20 h, 21 h, 22 h, 23 h, 24 h, 25 h, 26 h. 27h, 28h, 29h, 30h, 31h, 32h, 33h, 34h or 35h, preferably 18-24h.

第三方面,本发明提供如第一方面所述的检测体系用于检测记忆性免疫细胞的功能。In a third aspect, the invention provides the detection system of the first aspect for detecting the function of a memory immune cell.

第四方面,本发明提供如第一方面所述的检测体系在制备疾病检测和/或诊断的试剂盒中的应用。In a fourth aspect, the invention provides the use of a detection system according to the first aspect in the manufacture of a kit for disease detection and/or diagnosis.

本发明中,所述疾病为结核病等疾病,只要能够通过检测记忆性免疫细胞的分泌物质,特别是细胞因子进行检测的疾病都是可行的,在此不作特殊限定。In the present invention, the disease is a disease such as tuberculosis, and any disease that can be detected by detecting a secretory substance of a memory immune cell, particularly a cytokine, is feasible, and is not particularly limited herein.

与现有技术相比,本发明具有如下有益效果:Compared with the prior art, the present invention has the following beneficial effects:

(1)本发明所提供的检测体系在刺激抗原终浓度一致的情况下,能够明显提高检测细胞因子的灵敏度,但样本缩小到0.3-0.8mL的时候,相比于常规的1-5mL的样本体积,其细胞因子的分泌量明显增高,且检测灵敏度提高了1倍以上,显著提高了检测的灵敏度,减少漏检的可能; (1) The detection system provided by the present invention can significantly improve the sensitivity of detecting cytokines when the final concentration of the stimulating antigen is uniform, but when the sample is reduced to 0.3-0.8 mL, compared with the conventional 1-5 mL sample. Volume, the secretion of cytokines is significantly increased, and the detection sensitivity is more than doubled, which significantly improves the sensitivity of detection and reduces the possibility of missed detection;

(2)本发明提供的检测体系使用方法简便,快速高效;(2) The detection system provided by the invention is simple, rapid and efficient;

(3)本发明所提供的检测体系的应用范围广泛,具有巨大的市场价值。(3) The detection system provided by the invention has a wide application range and has great market value.

附图说明DRAWINGS

图1为本发明检测体系检测INF-γ的检测结果图,其中,LD表示结核杆菌特异性刺激抗原,TB表示病人编号;1 is a view showing the detection result of detecting INF-γ by the detection system of the present invention, wherein LD represents a Mycobacterium tuberculosis-specific stimulating antigen, and TB represents a patient number;

图2为本发明检测体系检测INF-γ的检测结果图,其中,P代表植物凝聚素,TB表示病人编号;2 is a view showing the detection result of detecting INF-γ by the detection system of the present invention, wherein P represents phytoagglutinin and TB represents a patient number;

图3为本发明检测体系对健康人血样检测的影响结果图,其中,LD表示结核杆菌特异性刺激抗原,P代表植物凝聚素,N代表空白对照,WT代表对照的结核杆菌特异性刺激抗原;3 is a graph showing the effect of the detection system of the present invention on blood sample detection in healthy humans, wherein LD represents Mycobacterium tuberculosis-specific stimulating antigen, P represents phytohemagglutinin, N represents a blank control, and WT represents a control tuberculosis-specific stimulating antigen;

图4为含氧量对本发明检测体系的影响结果图,其中,LD表示结核杆菌特异性刺激抗原,WT代表对照的结核杆菌特异性刺激抗原;4 is a graph showing the effect of oxygen content on the detection system of the present invention, wherein LD represents a Mycobacterium tuberculosis-specific stimulating antigen, and WT represents a control tuberculosis-specific stimulating antigen;

图5为本发明检测体系检测病人样本的IL-2灵敏度的结果图,其中,LD表示结核杆菌特异性刺激抗原;Figure 5 is a graph showing the results of detecting the IL-2 sensitivity of a patient sample by the detection system of the present invention, wherein LD represents a Mycobacterium tuberculosis-specific stimulating antigen;

图6为本发明检测体系检测健康人样本的IL-2灵敏度的结果图,其中,LD表示结核杆菌特异性刺激抗原;6 is a diagram showing the results of detecting the IL-2 sensitivity of a healthy human sample by the detection system of the present invention, wherein LD represents a Mycobacterium tuberculosis-specific stimulating antigen;

图7为本发明检测体系检测病人样本的IL-6灵敏度的结果图,其中,LD表示结核杆菌特异性刺激抗原;Figure 7 is a graph showing the results of detecting the IL-6 sensitivity of a patient sample by the detection system of the present invention, wherein LD represents a Mycobacterium tuberculosis-specific stimulating antigen;

图8为本发明检测体系检测健康人样本的IL-6灵敏度的结果图,其中,LD表示结核杆菌特异性刺激抗。Fig. 8 is a graph showing the results of detecting the IL-6 sensitivity of a healthy human sample by the detection system of the present invention, wherein LD represents a specific stimulation resistance of Mycobacterium tuberculosis.

具体实施方式Detailed ways

为更进一步阐述本发明所采取的技术手段及其效果,以下结合本发明的附图和实施例来进一步说明本发明的技术方案,但本发明并非局限在实施例范围 内。In order to further illustrate the technical means and effects of the present invention, the technical solutions of the present invention will be further described below in conjunction with the drawings and embodiments of the present invention, but the present invention is not limited to the scope of the embodiments. Inside.

实施例中未注明具体技术或条件者,按照本领域内的文献所描述的技术或条件,或者按照产品说明书进行。所用试剂或仪器未注明生产厂商者,均为可通过正规渠道商购获得的常规产品。The specific techniques or conditions are not indicated in the examples, according to the techniques or conditions described in the literature in the art, or in accordance with the product specifications. The reagents or instruments used are not specified by the manufacturer, and are conventional products that are commercially available through formal channels.

材料:material:

IFN-γ检测试剂盒(ELISA):广州市雷德生物科技有限公司;IFN-γ detection kit (ELISA): Guangzhou Reid Biotechnology Co., Ltd.;

IGRA试剂盒(ELISA):万泰生物药业股份有限公司;IGRA kit (ELISA): Wantai Biopharmaceutical Co., Ltd.;

IL-2检测试剂盒(ELISA):广州市雷德生物科技有限公司;IL-2 Test Kit (ELISA): Guangzhou Reid Biotechnology Co., Ltd.;

IL-6检测试剂盒(ELISA):广州市雷德生物科技有限公司;IL-6 Test Kit (ELISA): Guangzhou Reid Biotechnology Co., Ltd.;

原料:raw material:

特异性结核杆菌刺激抗原(LD,广州市雷德生物科技有限公司):Specific Mycobacterium tuberculosis stimulating antigen (LD, Guangzhou Reid Biotechnology Co., Ltd.):

阳性刺激物植物凝聚素(P,Sigma的PHA):Positive stimulator phytohemagglutinin (P, Sigma's PHA):

特异性结核杆菌刺激抗原(WT,万泰生物药业股份有限公司):Specific Mycobacterium tuberculosis stimulating antigen (WT, Wantai Biopharmaceutical Co., Ltd.):

前期准备:招募18-45岁的病人志愿者和健康人志愿者,分别采集血液样本。Pre-preparation: Recruit 18-45 year old patient volunteers and healthy volunteers to collect blood samples.

实施例1:不同体积检测样本对IFN-γ的检测的影响Example 1: Effect of different volume detection samples on the detection of IFN-γ

将采集的病人的血样,在4小时内进行以下实验步骤:The blood samples of the collected patients will be subjected to the following experimental steps within 4 hours:

(1)上下颠倒5次混匀新鲜人静脉血,依次混匀加0.3,0.6,1.0mL血样至3个阳性管(P),6个检测管(T)分别加入0.3,0.4,0.5,0.6,0.8,1.0mL血样,6个阴性管(N)分别加入0.3,0.4,0.5,0.6,0.8,1.0mL血样,不同体积的血液控制加入刺激抗原(LD),阳性刺激物(P)的终浓度一致;(1) Mix the fresh human venous blood upside down 5 times, add 0.3, 0.6, 1.0 mL blood samples to 3 positive tubes (P), and add 6 0.3, 0.4, 0.5, 0.6 to each of the 6 detection tubes (T). , 0.8, 1.0mL blood sample, 6 negative tubes (N) were added 0.3, 0.4, 0.5, 0.6, 0.8, 1.0mL blood samples respectively, different volumes of blood were controlled to add stimulation antigen (LD), the end of positive stimuli (P) Consistent concentration;

(2)将步骤(1)混合物置于37℃培养箱中,培养20±2h;(2) The step (1) mixture is placed in a 37 ° C incubator, cultured for 20 ± 2h;

(3)吸出血浆,置于1.5mL EP管中,采用γ-干扰素ELISA检测试剂盒进 行IFN-γ检测。(3) Aspirate the plasma, place it in a 1.5 mL EP tube, and use the γ-interferon ELISA kit. IFN-γ detection was performed.

6个检测管(T)的检测结果如图1所示,3个阳性管(P)的结果如图2所示,从图1可见,在0.3-1mL范围内,阴性对照管无非特异性刺激,随着血液样本的体积的增加,检测灵敏度呈现先升高后下降的趋势。从图2可以看出,三个体积0.3mL、0.6mL和1.0mL进一步比较,0.6mL的体积样本的灵敏度最高,可见,在0.3mL-0.6mL范围内,刺激血液体积越小,刺激抗原与阳性刺激物刺激记忆T细胞反应强度越强,表现为IFN-γ分泌量大幅增加。The results of the six test tubes (T) are shown in Figure 1. The results of the three positive tubes (P) are shown in Figure 2. As can be seen from Figure 1, there is no non-specific stimulation in the negative control tubes in the range of 0.3-1 mL. As the volume of the blood sample increases, the detection sensitivity first increases and then decreases. As can be seen from Figure 2, the three volumes of 0.3mL, 0.6mL and 1.0mL are further compared. The sensitivity of the 0.6mL volume sample is the highest. It can be seen that in the range of 0.3mL-0.6mL, the smaller the stimulated blood volume, the stimulating antigen and The stronger the stimuli stimulated by memory T cells, the stronger the IFN-γ secretion.

实施例2:0.6mL与1.0mL体积检测样本对IFN-γ的检测的影响Example 2: Effect of 0.6 mL and 1.0 mL Volume Detection Samples on Detection of IFN-γ

将采集的32例病人(TB8-TB39)的血样,在4小时内进行以下实验步骤:The blood samples of 32 patients (TB8-TB39) collected will be subjected to the following experimental steps within 4 hours:

(1)上下颠倒5次混匀新鲜人静脉血,依次混匀加0.6,1.0mL血样至2个检测管(T),控制加入刺激抗原(LD),使得其终浓度一致;(1) Mix the fresh human venous blood upside down 5 times, mix and add 0.6, 1.0mL blood sample to 2 test tubes (T), and control the addition of stimulating antigen (LD) to make the final concentration consistent;

(2)将步骤(1)混合物置于37℃培养箱中,培养20±2h;(2) The step (1) mixture is placed in a 37 ° C incubator, cultured for 20 ± 2h;

(3)吸出血浆,置于1.5mL EP管中,采用γ-干扰素ELISA检测试剂盒进行IFN-γ检测。(3) The plasma was aspirated and placed in a 1.5 mL EP tube, and IFN-γ was detected using a γ-interferon ELISA kit.

检测结果如表1所示。The test results are shown in Table 1.

表1Table 1

Figure PCTCN2017115130-appb-000001
Figure PCTCN2017115130-appb-000001

Figure PCTCN2017115130-appb-000002
Figure PCTCN2017115130-appb-000002

Figure PCTCN2017115130-appb-000003
Figure PCTCN2017115130-appb-000003

从表1可以看出,同样的刺激抗原浓度,采用0.6mL的样本血液量与1.0mL组相比,明显提高了抗原刺激T细胞的反应程度,0.6mL组分泌细胞因子IFN-γ的含量明显高于1.0mL组,分泌量0.6mL组/分泌量1.0mL组≥2的百分比达81.25%。It can be seen from Table 1 that the same stimulating antigen concentration, compared with the 1.0 mL group, significantly increased the response level of antigen-stimulated T cells, and the content of cytokine IFN-γ was significantly increased in 0.6 mL group. Above the 1.0 mL group, the secretion amount of 0.6 mL group/secretion amount 1.0 mL group ≥ 2 percentage reached 81.25%.

对比例1 健康人IFN-γ的检测Comparative Example 1 Detection of IFN-γ in healthy volunteers

将采集的健康人的血样,在4小时内进行以下实验步骤:The collected blood samples of healthy people will be subjected to the following experimental steps within 4 hours:

(1)上下颠倒5次混匀新鲜人静脉血,依次混匀加1.0血样至阴性管(N),阳性管(P),2个检测管(T)分别加入0.6mL,1.0mL血样,同时以IGRA试剂盒检测抗原(WT)为对照组;(1) Mix the fresh human venous blood upside down 5 times, mix and add 1.0 blood sample to the negative tube (N), positive tube (P), and 2 test tubes (T) respectively to add 0.6mL, 1.0mL blood sample. The antigen (WT) was detected by the IGRA kit as a control group;

(2)将步骤(1)混合物置于37℃培养箱中,培养20±2h;(2) The step (1) mixture is placed in a 37 ° C incubator, cultured for 20 ± 2h;

(3)吸出血浆,置于1.5mL EP管中,采用γ-干扰素ELISA检测试剂盒进行IFN-γ检测。(3) The plasma was aspirated and placed in a 1.5 mL EP tube, and IFN-γ was detected using a γ-interferon ELISA kit.

检测结果如图3所示,可见,健康人中0.6mL血样组的IFN-γ分泌量与阴性对照组,WT对照组无明显差异,表明该方法对健康人血样无非特异性刺激。The results of the test are shown in Fig. 3. It can be seen that the amount of IFN-γ secreted by the 0.6 mL blood sample group in healthy people is not significantly different from that of the negative control group and the WT control group, indicating that the method has no specific stimulation on healthy human blood samples.

对比例2 含氧量对IFN-γ的检测的影响Comparative Example 2 Effect of oxygen content on the detection of IFN-γ

将采集的健康人的血样,在4小时内进行以下实验步骤:The collected blood samples of healthy people will be subjected to the following experimental steps within 4 hours:

(1)上下颠倒5次混匀新鲜人静脉血,依次混匀加1.0mL血样至阴性管(N),阳性管(P),对照管(WT),2个检测管(T)分别加入0.6mL,1.0mL 血样,拧紧孵育管盖子,同时以IGRA试剂盒检测抗原(WT)为对照组;(1) Mix the fresh human venous blood upside down 5 times, mix and add 1.0mL blood sample to the negative tube (N), positive tube (P), control tube (WT), and 2 test tubes (T) respectively. mL, 1.0mL Blood sample, tighten the lid of the incubation tube, and use the IGRA kit to detect the antigen (WT) as the control group;

(2)按步骤(1)设置领另一组实验,全部拧松孵育管盖,保持氧气含量充足;(2) According to the step (1), lead another set of experiments, and loosen the incubation tube cover to keep the oxygen content sufficient;

(3)将两组实验置于37℃培养箱中,培养20±2h;(3) The two sets of experiments were placed in a 37 ° C incubator and cultured for 20 ± 2 h;

(4)吸出血浆,置于1.5mL EP管中,采用γ干扰素-ELISA检测试剂盒进行IFN-γ检测。(4) The plasma was aspirated and placed in a 1.5 mL EP tube, and IFN-γ was detected using a gamma interferon-ELISA test kit.

检测结果如图4所示,可见,0.6mL血液量提高刺激抗原的刺激程度跟孵育管含氧量无关。The test results are shown in Figure 4. It can be seen that the 0.6mL blood volume increases the stimulation level of the stimulating antigen regardless of the oxygen content of the incubation tube.

实施例3 不同体积检测样本对IL-2检测的影响Example 3 Effect of different volume detection samples on IL-2 detection

将采集的病人,健康人的血样,在4小时内进行以下实验步骤:The collected blood samples of the patient and healthy person will be subjected to the following experimental steps within 4 hours:

(1)上下颠倒5次混匀新鲜人静脉血,依次混匀加0.6,1.0mL病人,健康人的血样至2个检测管(T),控制加入刺激抗原(LD),使得其终浓度一致;(1) Mix the fresh human venous blood upside down 5 times, and then mix and add 0.6, 1.0mL patients, blood samples from healthy people to 2 test tubes (T), control the addition of stimulating antigen (LD), so that the final concentration is consistent. ;

(2)将步骤(1)混合物置于37℃培养箱中,培养20±2h;(2) The step (1) mixture is placed in a 37 ° C incubator, cultured for 20 ± 2h;

(3)吸出血浆,置于1.5mL EP管中,采用IL-2 ELISA检测试剂盒进行IL-2检测。(3) Aspirate the plasma, place it in a 1.5 mL EP tube, and use the IL-2 ELISA test kit for IL-2 detection.

检测结果如图5-图6所示,可见,刺激抗原浓度一致条件下,0.6mL组与1.0mL组相比,提高刺激抗原刺激记忆T细胞的反应程度,在病人样本中,0.6mL组分泌细胞因子IL-2的含量明显高于1.0mL组的分泌量。健康病人样本中,IL-2检测为0pg/mL。The results of the test are shown in Fig. 5 - Fig. 6. It can be seen that under the condition that the concentration of the stimulating antigen is uniform, the 0.6 mL group is compared with the 1.0 mL group to increase the degree of response of the stimulating antigen to stimulate the memory T cells. In the patient sample, the 0.6 mL group is secreted. The content of cytokine IL-2 was significantly higher than that of the 1.0 mL group. In healthy patient samples, IL-2 was detected as 0 pg/mL.

实施例4 不同体积检测样本对IL-6检测的影响Example 4 Effect of different volume test samples on IL-6 detection

将采集的病人,健康人的血样,在4小时内进行以下实验步骤:The collected blood samples of the patient and healthy person will be subjected to the following experimental steps within 4 hours:

(1)上下颠倒5次混匀新鲜人静脉血,依次混匀加0.6,1.0mL病人,健康人的血样至2个检测管(T),控制加入刺激抗原(LD),使得其终浓度一致; (1) Mix the fresh human venous blood upside down 5 times, and then mix and add 0.6, 1.0mL patients, blood samples from healthy people to 2 test tubes (T), control the addition of stimulating antigen (LD), so that the final concentration is consistent. ;

(2)将步骤(1)混合物置于37℃培养箱中,培养20±2h;(2) The step (1) mixture is placed in a 37 ° C incubator, cultured for 20 ± 2h;

(3)吸出血浆,置于1.5mL EP管中,采用IL-6 ELISA检测试剂盒进行IL-6检测;(3) Aspirate the plasma, place it in a 1.5 mL EP tube, and use the IL-6 ELISA test kit for IL-6 detection;

检测结果如图7-图8所示,可见,刺激抗原浓度一致条件下,0.6mL组与1.0mL组相比,提高刺激抗原刺激记忆T细胞的反应程度,在病人样本中,0.6mL组分泌细胞因子IL-6的含量明显高于1.0mL组的分泌量。健康病人样本中,0.6mL组分泌细胞因子IL-6的含量同样明显高于1.0mL组的分泌量。The results of the test are shown in Fig. 7 to Fig. 8. It can be seen that under the condition that the concentration of the stimulating antigen is uniform, the 0.6mL group is compared with the 1.0mL group to increase the degree of stimulation of the antigen-stimulated memory T cells. In the patient sample, the 0.6mL group is secreted. The content of cytokine IL-6 was significantly higher than that of the 1.0 mL group. In the healthy patient samples, the secretion of cytokine IL-6 in the 0.6 mL group was also significantly higher than that in the 1.0 mL group.

综上所述,本发明所提供的检测体系在刺激抗原终浓度一致的情况下,能够明显提高检测细胞因子的灵敏度,但样本缩小到0.3-0.8mL的时候,相比于常规的1-5mL的样本体积,其细胞因子的分泌量明显增高,且检测灵敏度提高了1倍以上,显著提高了检测的灵敏度,减少漏检的可能;本发明检测体系应用范围广泛,具有巨大的市场价值。In summary, the detection system provided by the present invention can significantly improve the sensitivity of detecting cytokines when the final concentration of the stimulating antigen is uniform, but when the sample is reduced to 0.3-0.8 mL, compared with the conventional 1-5 mL. The sample volume, the secretion of cytokines is significantly increased, and the detection sensitivity is more than doubled, which significantly improves the sensitivity of detection and reduces the possibility of missed detection; the detection system of the invention has a wide application range and has great market value.

申请人声明,本发明通过上述实施例来说明本发明的详细方法,但本发明并不局限于上述详细方法,即不意味着本发明必须依赖上述详细方法才能实施。所属技术领域的技术人员应该明了,对本发明的任何改进,对本发明产品各原料的等效替换及辅助成分的添加、具体方式的选择等,均落在本发明的保护范围和公开范围之内。 The Applicant declares that the present invention is described by the above-described embodiments, but the present invention is not limited to the above detailed methods, that is, it does not mean that the present invention must be implemented by the above detailed methods. It should be apparent to those skilled in the art that any modifications of the present invention, equivalent substitution of the various materials of the products of the present invention, addition of auxiliary components, selection of specific means, and the like, are all within the scope of the present invention.

Claims (13)

一种记忆性免疫细胞的检测体系,其特征在于,所述检测体系中的样本量为0.3-0.8mL。A detection system for memory immune cells, characterized in that the sample amount in the detection system is 0.3-0.8 mL. 根据权利要求1所述的检测体系,其特征在于,所述检测体系中的样本量为0.6mL。The detection system according to claim 1, wherein the sample amount in said detection system is 0.6 mL. 根据权利要求1或2所述的检测体系,其特征在于,所述检测体系的靶标为细胞受刺激后分泌的物质;The detection system according to claim 1 or 2, wherein the target of the detection system is a substance secreted by the cells after being stimulated; 优选地,所述细胞受刺激后分泌的物质为细胞因子、趋化因子、抗体或蛋白中的任意一种或至少两种的组合;Preferably, the substance secreted by the cell after stimulation is any one of a cytokine, a chemokine, an antibody or a protein or a combination of at least two; 优选地,所述细胞因子为免疫细胞和/或非免疫细胞受刺激分泌的细胞因子,优选为免疫细胞分泌的细胞因子。Preferably, the cytokine is a cytokine stimulated and secreted by immune cells and/or non-immune cells, preferably a cytokine secreted by immune cells. 根据权利要求1-3中任一项所述的检测体系,其特征在于,所述检测体系还包括刺激抗原和/或阳性对照抗原;The detection system according to any one of claims 1 to 3, wherein the detection system further comprises a stimulating antigen and/or a positive control antigen; 优选地,所述刺激抗原为刺激记忆性T细胞的特异性抗原;Preferably, the stimulating antigen is a specific antigen that stimulates memory T cells; 优选地,所述刺激记忆性T细胞的特异性抗原为天然蛋白、多肽、核酸、多糖、小分子化合物、病毒特异性抗原或细菌特异性抗原中的任意一种或至少两种的组合,优选为细菌特异性抗原,进一步优选为结核杆菌特异性抗原。Preferably, the specific antigen for stimulating memory T cells is any one of natural proteins, polypeptides, nucleic acids, polysaccharides, small molecule compounds, virus-specific antigens or bacterial-specific antigens, or a combination of at least two, preferably Further, a bacterial specific antigen is more preferably a Mycobacterium tuberculosis specific antigen. 根据权利要求4所述的检测体系,其特征在于,所述阳性对照抗原为刺激免疫细胞的非特异性刺激剂;The detection system according to claim 4, wherein said positive control antigen is a non-specific stimulating agent that stimulates immune cells; 优选地,所述刺激免疫细胞的非特异性刺激剂为刀豆素A、植物血凝素、人美洲商陆素、花生凝集素、大豆凝集素、葡萄球菌A蛋白的菌体、脂多糖或肿瘤刺激剂中的任意一种或至少两种的组合,优选为植物血凝素。Preferably, the non-specific stimulating agent for stimulating immune cells is concanavalin A, phytohemagglutinin, human porphyrin, peanut agglutinin, soybean lectin, staphylococcal A protein, lipopolysaccharide or tumor Any one or a combination of at least two of the stimulating agents is preferably phytohemagglutinin. 根据权利要求1-5中任一项所述的检测体系,其特征在于,所述细胞因子为IL-1、IL-2、IL-3、IL-4、IL-5、IL-6、IL-7、IL-8、IL-9、IL-10、IL-11、IL-12、 IL-13、IL-14、IL-17、IFN-α、IFN-β、IFN-γ、TNF-β、SCF、G-CSF、M-CSF、GM-CSF、神经白细胞素、IgA、IgG、穿孔素、颗粒素、IP10或TGF-β中的任意一种或至少两种的组合,优选为IL-2、IL-6、IFN-γ、IP10或TGF-β中的任意一种或至少两种的组合,进一步优选为IFN-γ。The detection system according to any one of claims 1 to 5, wherein the cytokines are IL-1, IL-2, IL-3, IL-4, IL-5, IL-6, IL. -7, IL-8, IL-9, IL-10, IL-11, IL-12, IL-13, IL-14, IL-17, IFN-α, IFN-β, IFN-γ, TNF-β, SCF, G-CSF, M-CSF, GM-CSF, neuroleukocytidine, IgA, IgG, Any one or a combination of at least two of perforin, granullin, IP10 or TGF-β, preferably any one or at least two of IL-2, IL-6, IFN-γ, IP10 or TGF-β The combination of the species is further preferably IFN-γ. 根据权利要求1-6中任一项所述的检测体系,其特征在于,所述样本为肝素抗凝的血液。The detection system according to any one of claims 1 to 6, wherein the sample is heparin anticoagulated blood. 根据权利要求1-7中任一项所述的检测体系,其特征在于,所述检测体系还包括检测样本的刺激抗原;The detection system according to any one of claims 1 to 7, wherein the detection system further comprises detecting a stimulating antigen of the sample; 优选地,所述检测体系还包括检测样本的常规试剂。Preferably, the detection system further comprises a conventional reagent for detecting a sample. 一种采用如权利要求1-7中任一项所述的检测体系的检测方法,其特征在于,包括如下步骤:A detection method using the detection system according to any one of claims 1 to 7, characterized in that it comprises the following steps: (1)采集样本,分装成0.3-0.8mL;(1) Collect samples and pack them into 0.3-0.8 mL; (2)向步骤(1)的样本中加入相应的刺激抗原,培养;(2) adding a corresponding stimulating antigen to the sample of step (1), culturing; (3)检测上清中所述细胞因子的含量。(3) Detecting the content of the cytokine in the supernatant. 根据权利要求9所述的检测方法,其特征在于,所述培养的温度为30-40℃,优选为35-38℃,进一步优选为37℃。The detecting method according to claim 9, wherein the culture temperature is 30 to 40 ° C, preferably 35 to 38 ° C, and more preferably 37 ° C. 根据权利要求9所述的检测方法,其特征在于,所述培养的时间为10-35h,优选为18-24h。The detection method according to claim 9, wherein the culture is carried out for a period of 10 to 35 h, preferably 18 to 24 h. 根据权利要求1-7中任一项所述的检测体系用于检测记忆性免疫细胞的功能。The detection system according to any one of claims 1 to 7 for detecting the function of a memory immune cell. 根据权利要求1-7中任一项所述的检测体系在制备疾病检测和/或诊断的试剂盒中的应用。 Use of a detection system according to any of claims 1-7 in the preparation of a kit for disease detection and/or diagnosis.
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