自身抗体检测蛋白芯片制备条件的优化及初步应用

Protein-chip for Autoantibodies Profile Detection

摘要:

选择临床上常用的用于自身免疫性疾病抗体检测所对应的12种抗原, 运用NBT/BCIP显色反应策略, 研制一种可同时检测12种常用自身抗体的蛋白芯片检测系统。应用NBT/BCIP终点检测体系对每一种抗原的点样液、点样浓度、血清稀释度进行优化, 制备出可同时检测12种自身抗体的蛋白芯片, 并通过对678例病人血清和120例非病人血清的检测进行敏感度和特异度评价。优化的点样液为0.1%TBST, 血清稀释度为1:4, 12种抗原的最佳点样浓度分别为: ANA 520 mg/mL, Ro-60/SSa 465 mg/mL, La/SSb 530 mg/mL, Jo-1 530 mg/mL, Scl-70 525 mg/mL, Sm 520 mg/mL, Ro-52/SSa 615 mg/mL, RF 340 mg/mL, CCP 465 mg/mL, u1RNP 410 mg/mL, CENP-B 490 mg/mL, dsDNA 580 mg/mL; 通过对678份阳性血清和120份阴性血清的检测, 该蛋白芯片技术对12种自身抗体检测的敏感度在80%~96.3%之间, 特异度在86.7%~100%之间, 与传统的检测技术有较高的符合率。我们研究的自身抗体检测蛋白芯片技术体系具有快速、方便、高通量、廉价等优势, 易于商业化, 适合不同条件的临床需要。

Abstract:

We selected 12 antigens corresponding to commonly used autoantibodies in clinical practice to prepare antigen microarray. We chose NBT/BCIP color reaction as the end detection strategy to develop a new autoantibody protein chip detection system. Using this system, we optimized the best spotting solution, spotting concentration of the 12 antigens and the dilution of serum. We prepared a protein chip that could detect 12 autoantibodies simultaneously using the optimized antigen concentration. We established a new method to determine the cutoff of each autoantibodies by evaluation of 678 positive and 120 negative serum of clinical sample. We also evaluated the sensitivity and specificity of our new detection system. The optimal spotting solution was 0.1% TBST, the dilution of serum was 1:4 and the best spotting concentration of the 12 antigens were ANA 520 μg/mL, Ro-60/SSa 465 μg/mL, La/SSb 530 μg/mL, Jo-1 530 μg/mL, Scl-70 525 μg/mL, Sm 520 μg/mL, Ro-52/SSa 615 μg/mL, RF 340 μg/mL, CCP 465 μg/mL, u1RNP 410 μg/mL, CENP-B 490 μg/mL and dsDNA 580 μg/mL respectively. It had higher coincidence rate compared to current clinical used methods. We have developed a 12 antigens protein chip for the detection of autoantibodies based on the NBT/BCIP color reaction system. This system was fast, convenient, efficient, and cost-effective.