Patent Grant
9658225
The present teachings are related to a system and process for performing diagnostic assays, and more particularly to an automated immunoanalyzer system and process for performing diagnostic assays for allergies and autoimmune diseases.
The statements in this section merely provide background information related to the present disclosure and should not be construed as constituting prior art.
During an automated immunochemistry analysis, analyte molecules in a patient's biological sample (e.g., serum or plasma) attach to paramagnetic particles. To remove background signals associated with potential chemical sources that may be present in the sample as well, a number of washing steps are typically implemented into the process. A consequence of these washing steps, however, is that some fraction of the original particles will be lost for subsequent chemistry processes.
As such, there is a need for a process that allows the particles remaining after the washing steps to be quantified in order to normalize the luminescence signal from the patient sample. The present application is intended to improve upon and resolve some of these known deficiencies of the art.
In accordance with one aspect of the present application, a quantitative method for performing an automated diagnostic assay is provided and comprises the steps of incubating a capture reagent with a streptavidin-coated medium to form a solid phase complex; washing the solid phase complex to remove excess capture reagent; incubating the solid phase complex with a serum sample to form an immune complex; washing the immune complex to remove any unbound sample; incubating the immune complex with a conjugate to create an immune-conjugate complex; washing the immune-conjugate complex to remove any unbound conjugate; introducing a substrate capable of generating a quantifiable response; and calibrating the response generated from introducing the substrate.
In accordance with yet another aspect of the present application, a controlled process for binding fluorescent labels to particles within a patient sample is provided. In accordance with this aspect of the present disclosure, the process includes binding luminescent labels to the particles, and quantifying the particles remaining after a series of washing steps in order to normalize a luminescence signal from the patient sample. According to this illustrative process, the luminescent labels are bound to the particles in proportion to a number of bound analyte molecules.
In accordance with still another aspect of the present disclosure, a quantitative method for evaluating an allergen-specific immunoglobulin E (IgE) in a serum sample designed for use on an automated platform is provided. In accordance with this method, biotinylated capture reagent is incubated with a streptavidin-coated solid phase to illicit adhesion of the capture reagent to the solid phase by exploitation of the biotin-streptavidin interaction. The capture-reagent solid phase complex is then washed to remove excess biotinylation capture reagent. A serum sample is then incubated with the capture-reagent solid phase complex to illicit binding of allergen-specific IgE present in the serum to the presented capture reagent and to create an immune complex. The immune complex is then washed to remove unbound IgE and then incubated with labeled anti-IgE conjugates to illicit binding of the conjugate to the allergen-specific IgE component of the immune complex and to create an immune-conjugate complex. The immune-conjugate complex is washed to remove the unbound labeled anti-IgE and then a substrate capable of generating a quantifiable response is introduced. The quantifiable response generated from adding the substrate is calibrated and the reported value adjusted for bead retention.
In accordance with certain aspects herein, the step of incubating the biotinylated capture reagent with a streptavidin-coated solid phase is derived from the biotinylation of a purified allergen, protein, enzyme or antibody.
In accordance with other aspects herein, the step of incubating the biotinylated capture reagent with a streptavidin-coated solid phase is derived from the biotinylation of an allergen extract comprised of a multiplicity of allergens.
In accordance with still other aspects herein, the step of incubating the biotinylated capture reagent with a streptavidin-coated solid phase is derived from the biotinylation of an allergen extract used for in vivo human diagnosis or treatment.
According to specific illustrative aspects of the present disclosure, the biotinylated capture reagent exists as an amalgam of multiple biotinylated capture reagents of different origins including purified allergens, proteins, enzymes, antibodies and allergen extracts.
According to yet another specific illustrative aspect of the present disclosure, the streptavidin-coated solid phase is a universal fluorescent-labeled magnetic microparticle.
In accordance with certain aspects of the present disclosure, one or more of the washing steps include washing the solid phase complexes by magnetically sequestering the complex within a confined area of a reaction cuvette.
In accordance with yet other illustrative aspects of the present disclosure, the step of incubating the capture reagent-solid phase complex with a serum sample includes incubating a capture reagent-solid phase complex that is retained in a suspension by a reaction diluent including a high concentration of human serum albumin (HSA).
In accordance with still another illustrative aspect of the present disclosure, the step of incubating the immune complex with a labeled anti-IgE conjugate comprises incubating an immune complex that is retained in a suspension by a conjugate diluent including a nominal concentration of polyethylene glycol. According to specific aspects of the present teachings, the conjugate diluent is comprised of 100 ng/mL Anti-IgE-HRP, 100 μg/mL apo-HRP, 50 mM sodium phosphate, pH 6.7, 150 mM NaCl, 0.05% TWEEN®-20, 1% BSA, 4% (w/v) PEG 6,000, 1% (v/v) PROCLIN® 950, 0.015% (v/v) Antifoam B (Antifoam B Emulsion is an aqueous emulsion containing 10% active silicone). In accordance with yet another specific aspect of the present teachings, the conjugate diluent is comprised of 10 ng/mL anti-IgG-HRP, 10 μg/mL apo-HRP, 50 mM sodium phosphate, pH 6.7, 150 mM NaCl, 0.05% TWEEN®-20, 1% BSA, 4% (w/v) PEG 6,000, 1% (v/v) PROCLIN®, 0.015% (v/v) Antifoam B.
According to certain specific aspects of the present disclosure, horseradish peroxidase (HRP) conjugated to an anti-IgE antibody can be used as an indirect label when washing the immune complex to remove unbound IgE, particularly as the reaction of PS-Atto with an HRP labeled conjugate generates sustained high-intensity luminescence for maximum detection sensitivity in solution assays.
According to still other specific aspects of the present disclosure, the addition of a substrate to the immune-conjugate complex comprises adding LUMIGEN® PS-Atto as the substrate capable of generating a quantifiable response, the quantifiable response existing as a chemiluminescent signal generated by HRP-PS-Atto reporter system and detected by a luminometer within an optics box.
In accordance with certain aspects of the present teachings, the step of adjusting a quantifiable response for bead retention includes the steps of: transferring the substrate and immune-conjugate complex to an optics box wherein both fluorescent and chemiluminescent signals are quantified; employing a ratio of initial to final fluorescence to adjust the quantified chemiluminescent signal for bead retention; and calibrating the adjusted chemiluminescent signal to calculate a reported value. To transfer the substrate and immune-conjugate complex to the optics box, an automated pipette arm with a reusable pipette tip aspirating the sample can be utilized. Within the optics box, fluorescence is measured to determine bead retention, and luminescence is measured to detect the RLU signal generated by the chemistry. The measurements are entered into an algorithm to generate a “bead retention adjusted RLU” that is compared the calibration curve RLU, thereafter an IgE concentration is assigned.
In accordance with still other aspects of the present disclosure, the fluorescent label exists as ALEXA FLUOR® 594 Biocytin and the universal magnetic microparticle exists as THERMO SCIENTIFIC® SA-Speed Bead, or Bangs Lab BIOMAG® Plus Streptavidin.
Still other objects and benefits of the invention will become apparent from the following written description along with the accompanying figures.
The above-mentioned aspects of the present invention and the manner of obtaining them will become more apparent and the invention itself will be better understood by reference to the following description of the embodiments of the invention taken in conjunction with the accompanying drawings, wherein:
Corresponding reference characters indicate corresponding parts throughout the several views. Although the exemplification set out herein illustrates embodiments of the invention, in several forms, the embodiments disclosed below are not intended to be exhaustive or to be construed as limiting the scope of the invention to the precise forms disclosed.
The embodiments of the present application described below are not intended to be exhaustive or to limit the application to the precise forms disclosed in the following detailed description. Rather, the embodiments are chosen and described so that others skilled in the art may appreciate and understand the principles and practices of the present application.
Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this application belongs. Although any method and materials similar or equivalent to those described herein can be used in the practice or testing of the present application, the specific methods and materials are now described. Moreover, the techniques employed or contemplated herein are standard methodologies well known to one of ordinary skill in the art and the materials, methods and examples are illustrative only and not intended to be limiting.
Before describing in detail the illustrative automated immunoanalyzer system and method of the present disclosure, it should be understood and appreciated herein that as a way of minimizing background signals from excess or unbound materials, immunoassays generally require that one or more separation phases be carried out in the reaction cuvette. To facilitate the separation or washing process, a variety of techniques can be used, including, but not limited to, well coating techniques, bead coating techniques, or the use of paramagnetic particles. Each of these separation media are coated with a capture reagent that will bind analyte molecules of interest in the patient's blood sample. In accordance with certain aspects of the present teachings, the biotinylated capture reagent can exist as an amalgam or mixture (i.e., capture reagents from a similar category but from different genus species). As those of skill in the art would understand and appreciated herein, numerous capture reagents are available and can be used in accordance with the present teachings, including those available for license from the FDA, such as Mixed Vespid Venom Protein (mixed yellow jacket, yellow hornet, and white faced hornet). It should be understood herein that the amount and volume of each of the individual capture reagents used in accordance with the present teachings depends on their potency (i.e. their ability to produce a detectable response).
When paramagnetic particles are used as the separation media, the paramagnetic particles are pulled to the wall of the cuvette by magnets during the washing process and then all of the liquid is aspirated. As those of skill in the art will understand and appreciate herein, during conventional washing processes, some of the paramagnetic particles may be aspirated along with the liquid and will therefore be lost for further chemistry processing. The loss of the magnetic particles becomes even more significant if the immunoassay procedure involves several wash steps.
One of the objectives of the present teachings is to take into account the loss of paramagnetic particles that occur on an immunochemistry analyzer during these washing processes. To accomplish this, in accordance with certain aspects of the present teachings, the analytes of interest in a patient's blood sample bind to a capture reagent that has in turn been bound to the surface of a paramagnetic particle. Luminescent labels are then bound to these analyte molecules. When a luminescing reagent or substrate is added to the cuvette it reacts with the luminescent label to produce light that is detectable by the analyzer's optical detector. In addition, if the paramagnetic particles have a fluorescent label attached, fluorescently reading the contents within the cuvette will provide a means for determining the fraction of the particles that were lost during the wash steps.
According to certain aspects of the present disclosure, the automated analyzer utilizes common paramagnetic particles for the assays, including, but not limited to, magnetic beads or microparticles. For each assay onboard the analyzer, a capture reagent is incubated and bound to the universal particles in a reaction cuvette to produce an assay-specific, particle-based reagent, sometimes referring to herein as a capture-reagent solid phase complex. In accordance with certain aspects of the present disclosure, a capture reagent that can be used for performing a diagnostic immunoassay is comprised of Biotin-pAb or Biotin-allergens, 10 mM sodium phosphate, pH 7.4, 0.9% NaCl, 0.05% TWEEN®-20, 1% (w/v) human serum albumin, 1% (v/v) PROCLIN® 950, up to 5% (v/v) glycerol. In accordance with still other aspects of the present disclosure, another capture reagent that can be used for performing a diagnostic immunoassay is comprised of Biotin-Ags, 10 mM sodium phosphate, pH 7.4, 0.9% (w/v) NaCl, 0.05% TWEEN®-20, 1% (w/v) bovine serum albumin, 1% (v/v) PROCLIN® 950, 1% protease inhibitor cocktail, 0.1 mM DTT, 25% (up to 30%) (v/v) glycerol.
After undergoing a washing process, the patient sample, and optionally a diluent if needed, is added to the particles in the cuvettes and incubated. This results in the capture of specific analyte molecules in the patient's blood sample. In accordance with one specific illustrative aspect of the present disclosure, the reaction diluent (sample diluent) is comprised of 10 mM sodium phosphate, pH 7.4, 500 mM NaCl, 0.02% TWEEN®-20, 1% (w/v) human serum albumin, 1% (v/v) human IgG, 1% (v/v) PROCLIN® 950, 0.005% Antifoam—B v/v, 2% (w/v) PEG 6,000. In accordance with yet another specific illustrative aspect of the present disclosure, the reaction diluent (sample diluent) is comprised of 10 mM sodium phosphate, pH 7.4, 500 mM NaCl, 0.02% TWEEN®-20, 25% (w/v) human serum albumin, 1% (v/v) PROCLIN® 950.
In accordance with these illustrative embodiments, it should be understood herein that the high percentage of HSA (25%) functions in part to increase the viscosity of the reaction medium in order to retain beads in suspension during the incubation step. In addition, high HSA also reduces non-specific binding during this incubation, and improves relative light unit (RLU) linearity upon dilution of the patient sample.
Another washing process is then performed to remove any excess or unbound sample, and then a luminescent label and a conjugate is added to the cuvette. When added to the cuvette, it can be expected that some portion of the conjugate will bind to the capture reagent/sample complex on the paramagnetic particles after an incubation period. The particles then undergo another wash process to remove any unbound conjugate, and then the substrate is added to the cuvette and incubated for a short period of time to allow the chemiluminescent glow reaction to reach equilibrium.
After equilibrium is reached, luminescence and fluorescence readings of the sample are taken. Since the paramagnetic particles are contained on the analyzer in a common reagent vial and are maintained in a state of uniform suspension before being pipetted into the reaction cuvettes, initial fluorescence measurements of the particles after they are pipetted into the cuvettes, when combined with the final fluorescence measurement for each test, can be used to determine the fraction of the initial particles that remain in the cuvette after the immunoassay process. The fraction remaining is given by the following formula:
where
F represents the corrected fluorescent signal (i.e., the measured signal corrected by the counting efficiency of the optical detector). Because the optical detector has a certain time resolution, as the number of photons detected per unit time increases, the likelihood of two photons arriving at the detector within that time resolution also increases. Since these two photons cannot be resolved by the detector, they will count as a single photon. Thus, the detection efficiency of the optical detector decreases as the incident photon flux increases.
Because of the very high flux of fluorescence excitation photons which interact with and scatter from the container walls for the paramagnetic particles, there will be a certain number of photons that will be counted by the optical detector, even when no fluorescent material is present. This corrected background signal is represented by Fbackground.
The use of a fluorescent measurement to determine the percentage of the initial paramagnetic particles that remain in a reaction cuvette throughout the immunoassay process is beneficial because the process does not limit system throughput, particularly because the process does not restrict the timing or parallel processing that can be achieved. Most conventional immunoassay analyzers, on the other hand, rely on very reproducible processing of paramagnetic particles and samples, which do indeed restrict the timing or parallel processing that can be achieved, and as a result, also limit system throughput. While changes in processing efficiency over time in these conventional immunoassay analyzers may go undetected, these changes can be detected with fluorescence detection. The teachings of the present disclosure permit the use of parallel processing (e.g. multiple wash arms), which vary in wash efficiency due to minor mechanical alignment or fluidic differences. Fluorescence readings taken after each step of an immunoassay process are useful for verifying the equivalent functionality of the parallel processes.
An automated immunoanalyzer instrument and reagent system for performing diagnostic assays for allergies and autoimmune diseases in accordance with the above-described methods and techniques is now described in greater detail. As this process is described, it should be understood and appreciated herein that the disclosed instrumentation used to perform the assay can be configured to accept standard or universal collection tubes so that a variety of different tests can be conducted by the system. Those of skill in the art will also understand and appreciate herein that there are many known methods for isolating antigens, including allergens and autoimmune antigens from source materials. Because these isolating methods are widely known and accepted within the art, they are not discussed in detail herein, particularly as those of skill in the art will recognize that any acceptable antigen isolation methods may be incorporated into the inventive system without departing from its spirit or scope. After the allergen or autoimmune antigens have been isolated, they can then be conjugated with biotin to create biotinylated antigens or capture reagents. The biotinylated antigens are then contacted with a streptavidin-linked solid support or membrane. In accordance with certain aspects of the present disclosure, the biotinylated capture reagents can be derived from components including, but not necessarily limited to, purified allergens, proteins, enzymes, antibodies, DNA, nuclear extracts, cellular extracts and non-protein antigens (e.g., drugs or materials cross-linked to a protein).
As those of skill in the art will understand and appreciate herein, standard biotinylation processes and techniques commonly used for diagnostic allergy immunoassays can be utilized in accordance with the present teachings; however the biotin/protein ratio for the reaction can be optimized as needed to ensure optimum performance of the multiple biotinylated reagents used in the chemistry. In accordance with certain aspects of the present teachings, a specific size linker arm of the biotin reagent is NHS-PEG12-Biotin. Moreover, for non-protein antigens, the material can be crosslinked to a biotinylated protein for coating onto the streptavidin bead solid phase, while for autoimmune antigens, such as DNA, biotinylated dideoxynucleotides can be incorporated into the DNA.
A schematic illustration of an automated diagnostic assay process in accordance with certain aspects of the present disclosure is shown in
As shown in Table 1 below, in accordance with this aspect of the present disclosure, the following beads may be used for the magnetic supports disclosed herein:
While numerous processes can be utilized for mixing or incubating the biotinylated allergen or autoimmune antigens with the streptavidin coated beads, in accordance with certain specific embodiments, the products are mixed in a reaction cuvette so that the allergens or antigens coat the beads due to the biotin/streptavidin interaction. According to one illustrative embodiment, 10 μL of streptavidin (SA)-coated bead is dispensed into the reaction cuvette, followed by 40 μL biotinylated allergen or autoimmune antigens, which is mixed during dispensation. The mixture is incubated for 1-15 minutes. Excess biotinylated allergen or autoimmune antigen can then be washed off by pulling the magnetic beads to one side of the reaction cuvette and immobilizing them while buffer is washed through the reaction cuvette (step 20). In accordance with one illustrative embodiment, the buffer can be comprised of 10 mM sodium phosphate, pH 7.4, 0.9% (w/v) NaCl, 0.05% (v/v) TWEEN®-20, 10 mg/mL HSA and 1% (v/v) PROCLIN® 950. While those of skill in the art can utilize any readily available immobilization techniques known within the art to cause the magnetic beads to stay on one side of the reaction cuvette, in accordance with certain specific illustrative embodiments, an external magnet is used to immobilize the magnetic beads while the washing step is performed.
The streptavidin coated magnetic beads are then released from the magnetic field and allowed to move freely within the reaction cuvette. A biological sample (serum or plasma) is then added to the reaction cuvette, followed by 40 μL reaction buffer, thereby re-suspending the magnetic beads (step 30). In addition to the biological sample, in accordance with certain aspects of the present disclosure, a high concentration of human serum albumin (HSA) is also used within the suspension to promote macromolecular binding, as well as to keep the magnetic beads within the solution. Human IgG is added into the buffer to keep the reaction linear.
If the sample contains any antibodies (e.g., IgE, IgG) that are reactive to any of the allergen or antigen bead coatings, such antibodies will bind during this sample incubation step. The sample incubation is kept at 37° C. for 40 minutes. After any antibodies within the patient sample bind with the beads, a second washing step is then performed to remove any non-bound patient sample (step 40). 150 μL of wash buffer concentrate (50 mM sodium phosphate, pH 7.4, 4.5% (w/v) NaCl, 0.05% TWEEN®-20, 0.05% (v/v) PROCLIN® 950, 0.02% (v/v) Antifoam-C (Antifoam C Emulsion is an aqueous emulsion containing 30% active silicone) (v/v) is added to resuspend the bead and then the beads are pulled down with a magnet for 1.5 min. After the solution is removed, the magnet is moved away, and 200 μL of wash buffer is added to resuspend the bead. The wash is then repeated one more time.
After the second washing step is performed, the beads are re-suspended in an antibody that is either specific for human immunoglobulin E (IgE) in the case of allergy assays or specific for human immunoglobulin G, M or A (IgG/M/A) in the case of autoimmune assays. In accordance with certain aspects of the present disclosure, the antibody is conjugated to an enzyme (such as horseradish peroxidase) to bind to any specific patient antibodies that have been captured by the beads (step 50). The beads are then washed once again to remove any excess antibody (step 60), and a highly sensitive light-forming reagent (e.g., chemiluminescent substrate) is added to maximize detection sensitivity (step 70). Illustrative reagents that can be used as the chemiluminescent substrate in accordance with the teachings of the present disclosure include, but are not limited to, LUMIGEN® PS-atto, SUPERSIGNAL® ELISA Pico Chemiluminescent Substrate or SUPERSIGNAL® ELISA Femto Maximum Sensitivity Substrate. Those of skill in the art will understand and appreciate that numerous compounds of various structural classes, including xanthene dyes, aromatic amines and heterocyclic amines can be used to produce chemiluminescence under these conditions. These compounds are well-known within the patent literatures and are readily available through many commercial venders. Some non-limiting chemiluminescent compounds include, but are not limited to, dioxetane type molecules, luciferin, LUMIGEN® PS-2, LUMIGEN® PS-3, LUMIGEN® TMA-6, LUMIGEN® TMA-3.
Once the highly sensitive light-forming reagent is added to the reaction cuvette, light is produced (step 80). In accordance with certain embodiments, this light can be measured, by transferring the solution in a pipette tip into a reading station to read both the luminescent signal and fluorescent signal. It should be understood, however, that light emitted in accordance with the present disclosure can be detected by any suitable known detection means available within the art, including, but not limited to, a luminometer, x-ray film, high speed photographic film, a CCD camera, a scintillation counter, a chemical actinometer or visually. As those of skill in the art readily understand and appreciate, each detection means has a different spectral sensitivity, as such; the chosen detection device can be governed by several factors including, the application and use, cost and convenience. Moreover, as used herein, a quantifiable or detectable response that can be measured in accordance with the present disclosure implies that a positive sample with allergen-specific IgE caused binding of Anti-IgE-HRP which would generate luminosity (i.e., RLU=relative light unit) upon addition of the substrate. In addition, it should also be understood herein that a quantifiable or detectable response can also apply to a quantifiable response generated by a negative sample.
In accordance with certain aspects of the present teachings, RLU generated by a positive/negative sample for any allergen-specific IgE (sIgE) is compared to RLU generated by a total IgE (tIgE) calibration curve. The calibration curve is generated by subjecting a range of pre-diluted total IgE (tIgE) calibrators (which are generated from WHO standards) evaluated using a Biotinylated Anti-IgE capture reagent.
To better understand the mechanical aspects of this disclosure,
The fluo-beads may initially be located in the vortexer 102 and be transferred to the reaction rotor 106 by the R1 pipettor 104. The R1 pipettor 104 can aspirate a desired quantity of the fluo-bead mixture and transfer the aspirated quantity to the reaction rotor 106 where it is injected into the cuvette of the reaction rotor 106. Following the injection into the cuvette, the optics pipettor 108 may aspirate a test sample from the cuvette of the reaction rotor 106 and transfer the test sample to the optics box 110. Once the sample is disposed within the optics box 110, fluorescence and luminescence measurements can be recorded. The initial recording of the fluorescence and luminescence signal can be used as a baseline measurement for the fluorescence signal that can correspond to the initial concentration of fluo-beads in a sample. After recording the measurements, the multi rinse pipettor 112 can rinse the cuvettes using a wash buffer.
Next, fluo-beads may be transferred from the vortexer 102 to a cuvette in the reaction rotor 106 via the R1 pipettor 104. Then, the R1 pipettor 104 may aspirate a capture reagent from the reagent rotor 114 and inject the capture reagent into the cuvette located in the reaction rotor 106. After an incubation period, the single rinse pipettor 116 may inject a rinse buffer to resuspend the fluo-bead. A substantial amount of the suspended fluo-bead may then be localized by magnets within the reaction rotor 106 over a period of time. After the magnets have substantially localized the fluo-beads within the cuvette, the multi rinse pipettor 112 may aspirate and dispose of a portion of the rinse buffer, leaving a portion of the fluo-beads localized within the cuvette. The multi rinse pipettor 112 may proceed to inject a wash buffer into the cuvette of the reaction rotor 106, resuspending the fluo-beads. The fluo-beads may again be localized by the magnets within the reaction rotor 106 to be followed by the multi rinse pipettor 112 aspirating and discarding a portion of the sample that was not localized from the cuvette in the reaction rotor 106.
A patient sample may be contained in a sample tube on in the sample rotor 118. The patient sample may further be partially diluted with a sample diluent. At this point, the sample pipettor 120 may aspirate a portion of the patient sample and inject the patient sample into the cuvette of the reaction rotor 106 to resuspend the fluo-beads. The cuvette containing the patient sample within the reaction rotor 106 may then incubate at a specific temperature, for a specific amount of time. After incubation, the single rinse pipettor 116 may inject the rinse buffer to again resuspend the fluo-beads. Another localization process is performed by the reaction rotor 106 by allowing the fluo-beads to substantially collect within the cuvette near the magnets in the reaction rotor 106. After the localization of the fluo-beads, the multi rinse pipettor 112 may aspirate and discard a portion of the fluid within the cuvette of the reaction rotor 106 that was not localized during the localization process.
A couple of rinse cycles may then be performed on the sample within the cuvette of the reaction rotor 106. The rinse cycle may comprise using the multi rinse pipettor 112 to inject a wash buffer into the cuvette to resuspend the fluo-beads. Another localization step may allow the fluo-beads to collect within the cuvette by the magnets within the reaction rotor 106. After a period allowing for adequate localization of the fluo-beads, the multi rinse pipettor 112 may aspirate and unintentionally discard a portion of the sample, leaving a portion of the fluo-beads within the cuvette of the reaction rotor 106. Another rinse cycle may then occur by using the multi rinse pipettor 112 to again inject wash buffer into the cuvette and allow the fluo-beads to resuspend. Another fluo-bead localization process may utilize the magnets within the reaction rotor 106 to localize the fluo-beads from the rest of the sample. Finally, the multi rinse pipettor 112 may aspirate a portion of the sample that was not localized by the localization process.
At this point, the R2 pipettor 122 may aspirate a conjugate contained in a conjugate cuvette within the reagent rotor 114. The R2 pipettor 122 may then inject the previously aspirated conjugate into the cuvette of the reaction rotor 106. After incubating the cuvette under controlled time and temperature in the reaction rotor 106, the single rinse pipettor 116 may inject a rinse buffer into the cuvette in the reaction rotor 106. Another fluo-bead localization cycle may be performed by allowing magnets within the reaction rotor 106 to substantially localize the fluo-beads within the cuvette. The multi rinse pipettor 112 may aspirate and discard a portion of the sample within the cuvette that has not been localized during the localization cycle.
Two more rinse cycles may be performed on the sample within the cuvette of the reaction rotor 106. The multi rinse pipettor 112 may inject a wash buffer to resuspend the fluo-beads within the cuvette. Another fluo-bead localization cycle may localize the fluo-beads by locating the cuvette within close proximity to the magnets in the reaction rotor 106 over an adequate period of time. After the localization cycle, the multi rinse pipettor 112 may aspirate and discard a portion of the sample that was not localized during the localization cycle. A second wash cycle may then occur by using the multi rinse pipettor 112 to inject the wash buffer to resuspend the fluo-beads. Another localization cycle may utilize the magnets within the reaction rotor 106 to localize the fluo-beads within the cuvette. After the localization process, the multi rinse pipettor 112 may again aspirate and discard a portion of the sample that was not localized during the localization cycle.
At this point, the R2 pipettor 122 may aspirate a portion of conjugate from the reagent rotor 114 and inject the conjugate into the mixed substrate container 124 creating a mixed substrate sample. The R2 pipettor may then aspirate the mixed substrate sample from the mixed substrate container 124 and inject the mixed substrate sample into the cuvette of the reaction rotor 106, resuspending the fluo-bead with the mixed substrate sample. The sample in the cuvette of the reaction rotor 106 may then be aspirated by the optics pipettor 108 and placed in the optics box 110. After the optics box makes fluorescence and luminescence optical observations, the sample is discarded and the multi rinse pipettor rinses the cuvettes of the reaction rotor 106 in preparation for the next test.
Advantages and improvements of the processes, methods of the present disclosure are demonstrated in the following examples. These examples are illustrative only and are not intended to limit or preclude other embodiments of the present disclosure.
2 μL of NHS-PEG12-Biotin (Pierce) 250 mM in DMSO is added to 1 mL of affinity purified anti-human IgE (ImmunoReagents) 5.0 mg/mL in Phosphate Buffered Saline (PBS). Or, 1.6 μL of NHS-PEG12-Biotin (Pierce) 250 mM in DMSO is added to 1 mL of allergen extracts 1.0 mg/mL in Phosphate Buffered Saline (PBS).
The reagent solution is mixed and placed on ice for 2 hours. Free biotin reagent is separated from the biotinylated antibody by dialysis against two changes of PBS (volume ratio of antibody to buffer—1:100) at 2-8° C. for 4 hours and overnight.
5 μL of Biotin-Fluo (ALEXA FLUOR® 594 Biocytin, Sodium Salt, Life Technologies) 1 mM in ddH2O is added into 45 mL of PBSTHP Buffer (10 mM sodium phosphate, pH 7.4, 0.9% (w/v) NaCl, 0.05% (v/v) TWEEN®-20, 10 mg/mL HSA, 1% (v/v) PROCLIN® 950). Mix well.
5 mL of SA-Speed Bead (Sera-mag Speedbeads Streptavidin-Coated Magnetic Particles, Thermo) 10 mg/mL is added into the Biotin-Fluo solution and mixed well.
10 μL Fluo-Bead (Fluorescence labeled para-magnetic microparticles) at bead concentration 1 mg/mL is dispensed into the reaction cuvette; 40 μL of biotin-allergen (e.g., Egg white, Milk, Peanut, etc) or biotin-anti-IgE antibody, is dispensed and mixed into the Fluo-Bead, and incubated for 1-10 min at 37° C. After washing, allergen- or anti-IgE-coated beads are resuspended in 40 μL of reaction buffer. Serum samples obtained from atopic and non-atopic individuals are assayed against allergens. A 10 μL sample was added to 40 μL of suspended allergen-coated beads in reaction cuvette. For the six point standard curve, 10 μL of serum standards (secondary standards calibrated against the WHO IgE Standard 75/502) are each added to 40 μL of anti-IgE-coated beads in a reaction cuvette. While various different labeled anti-IgE conjugates can be utilized in accordance with the present teachings, in accordance with certain teachings, the following anti-IgE conjugates are utilized: for allergy assays—Anti-IgE-HRP; for autoimmune assays—Anti-IgA-HRP, Anti-IgG-HRP and Anti-IgM-HRP; for ECP—Anti-ECP-HRP; and for Tryptase—Anti-Tryptase-HRP. Moreover, as used herein, each conjugate has an optimized HRP incorporation ratio for use in the chemistry. In accordance with certain aspects of the present teachings, the rage of HRP incorporation ratio used for the listed conjugates is between about 1.2 and about 5.4. In addition, the present teachings also contemplate the incorporation of other types of conjugate-reporter systems including, but not limited to: alkaline phosphatase conjugate and b-galactosidase conjugate.
The solutions are mixed and incubated for 40 min at 37° C. After washing, beads are resuspended in 50 μL of anti-human IgE-HRP conjugate, and incubated at 37° C. for 30 min. 50 μL of PS-atto (Lumigen) is added into each cuvette and the beads resuspended. The bead suspension is transferred into a pipette tip and read in the optic box for both fluorescence and luminescence signal. The standard curve was determined using a four parameter logistic function equation and levels of specific IgE to allergens interpolated from the standard curve.
A list of illustrative reagents and components that may be used in accordance with the present teachings include, but are not necessarily limited to: Bead: Fluo-Bead (SA-Speed Bead, Atto 590 labeled), 1 mg/mL; Capture Reagent Diluent: IgE:10 mM sodium phosphate, pH 7.4, 0.9% (w/v) NaCl, 0.05% TWEEN®-20, 1% (w/v) human serum albumin, 1% (v/v) PROCLIN® 950, up to 5% (v/v) glycerol; ANA: 10 mM sodium phosphate, pH 7.4, 0.9% (w/v) NaCl, 0.05% TWEEN®-20, 1% (w/v) bovine serum albumin, 1% Protease inhibitor cocktail, 0.1 mM DTT, 1% (v/v) PROCLIN® 950, 25% (up to 30%) (v/v) glycerol; Wash Buffer Concentrate (5×): 50 mM sodium phosphate, pH 7.4, 4.5% (w/v) NaCl, 0.05% TWEEN®-20, 0.05% (v/v) PROCLIN® 950, 0.02% (v/v) Antifoam-C v/v; Reagent Diluent (Reaction Diluent & Sample Diluent) IgE—10 mM sodium phosphate, pH 7.4, 500 mM NaCl, 0.02% TWEEN®-20, 1% (w/v) human serum albumin, 1% (v/v) human IgG, 1% (v/v) PROCLIN® 950, 0.005% Antifoam—B v/v, 2% (w/v) PEG 6,000; ANA—10 mM sodium phosphate, pH 7.4, 500 mM NaCl, 0.02% Tween-20, 25% (w/v) human serum albumin, 1% (v/v) PROCLIN® 950; Calibrator & Control: Calibrator: Patient sample diluted into Sample Diluent; Control: Patient Sample pool; Conjugate: Conjugate Diluent: 50 mM sodium phosphate, pH 6.7, 150 mM NaCl, 0.05% TWEEN®-20, 1% BSA, 5% (w/v) PEG 6,000, 1% (v/v) PROCLIN® 950; IgE:100 ng/mL anti-IgE-HRP, 100 μg/mL apo-HRP, in diluent, 0.015% Antifoam—B v/v; and Substrate: PS-atto A & B, 0.01% Antifoam—B v/v.
While an exemplary embodiment incorporating the principles of the present application has been disclosed hereinabove, the present application is not limited to the disclosed embodiments. Instead, this application is intended to cover any variations, uses, or adaptations of the application using its general principles. Further, this application is intended to cover such departures from the present disclosure as come within known or customary practice in the art to which this present application pertains and which fall within the limits of the appended claims.
The terminology used herein is for the purpose of describing particular illustrative embodiments only and is not intended to be limiting. As used herein, the singular forms “a”, “an” and “the” may be intended to include the plural forms as well, unless the context clearly indicates otherwise. The terms “comprises,” “comprising,” “including,” and “having,” are inclusive and therefore specify the presence of stated features, integers, steps, operations, elements, and/or components, but do not preclude the presence or addition of one or more other features, integers, steps, operations, elements, components, and/or groups thereof. The method steps, processes, and operations described herein are not to be construed as necessarily requiring their performance in the particular order discussed or illustrated, unless specifically identified as an order of performance. It is also to be understood that additional or alternative steps may be employed.
This application is related to and claims priority to U.S. Provisional Patent Application Ser. Nos. 61/791,295 and 61/791,879, each of which were filed on Mar. 15, 2013, the complete and entire disclosures of which are hereby expressly incorporated by reference herein.
| Number | Name | Date | Kind |
|---|---|---|---|
| 3628682 | Paulson | Dec 1971 | A |
| 3729556 | Schwarz | Apr 1973 | A |
| 4291230 | Heiss | Sep 1981 | A |
| 4778751 | El Shami et al. | Oct 1988 | A |
| 4849337 | Calenoff | Jul 1989 | A |
| 5001049 | Klein et al. | Mar 1991 | A |
| 5395752 | Law et al. | Mar 1995 | A |
| 5395938 | Ramakrishnan | Mar 1995 | A |
| 5468453 | Holt et al. | Nov 1995 | A |
| 5543332 | Lihme et al. | Aug 1996 | A |
| 5583001 | Bobrow et al. | Dec 1996 | A |
| 5643566 | Hanisch et al. | Jul 1997 | A |
| 5672475 | Lee et al. | Sep 1997 | A |
| 5674698 | Zarling et al. | Oct 1997 | A |
| 5686253 | Skold et al. | Nov 1997 | A |
| 5690907 | Lanza et al. | Nov 1997 | A |
| 5698397 | Zarling et al. | Dec 1997 | A |
| 5736353 | Weavers et al. | Apr 1998 | A |
| 5770700 | Webb et al. | Jun 1998 | A |
| 5776487 | Maxfield Wilson et al. | Jul 1998 | A |
| 5776785 | Lin et al. | Jul 1998 | A |
| 5804391 | Klemt et al. | Sep 1998 | A |
| 5807997 | Batista | Sep 1998 | A |
| 5879885 | Becker | Mar 1999 | A |
| 5879888 | Aizawa et al. | Mar 1999 | A |
| 5922558 | Akhavan-Tafti | Jul 1999 | A |
| 5942407 | Liotta et al. | Aug 1999 | A |
| 5952238 | Tsuji et al. | Sep 1999 | A |
| 5965378 | Schlieper et al. | Oct 1999 | A |
| 5973124 | Bayer et al. | Oct 1999 | A |
| 5994519 | Osbourn et al. | Nov 1999 | A |
| 6059561 | Becker | May 2000 | A |
| 6066448 | Wohlstadter et al. | May 2000 | A |
| 6066462 | Goueli | May 2000 | A |
| 6068979 | Akhavan-Tafti | May 2000 | A |
| 6087188 | Johansen et al. | Jul 2000 | A |
| 6090545 | Wohlstadter et al. | Jul 2000 | A |
| 6103537 | Ullman et al. | Aug 2000 | A |
| 6140045 | Wohlstadter et al. | Oct 2000 | A |
| 6153442 | Pirio et al. | Nov 2000 | A |
| 6159699 | Brown et al. | Dec 2000 | A |
| 6165800 | Jiang et al. | Dec 2000 | A |
| 6180336 | Osbourn et al. | Jan 2001 | B1 |
| 6180340 | Nelson | Jan 2001 | B1 |
| 6235480 | Shultz et al. | May 2001 | B1 |
| 6303325 | Mehta et al. | Oct 2001 | B1 |
| 6328934 | Ljung et al. | Dec 2001 | B1 |
| 6342588 | Osbourn et al. | Jan 2002 | B1 |
| 6348310 | Goueli | Feb 2002 | B1 |
| 6350579 | Nelson | Feb 2002 | B1 |
| 6379909 | Ipsen et al. | Apr 2002 | B1 |
| 6399299 | Bobrow et al. | Jun 2002 | B1 |
| 6399397 | Zarling et al. | Jun 2002 | B1 |
| 6432662 | Davis et al. | Aug 2002 | B1 |
| 6489123 | Osbourn et al. | Dec 2002 | B2 |
| 6489309 | Mehta et al. | Dec 2002 | B1 |
| 6528322 | Carlsson et al. | Mar 2003 | B1 |
| 6537829 | Zarling et al. | Mar 2003 | B1 |
| 6730479 | Shultz et al. | May 2004 | B2 |
| 6733980 | Venge et al. | May 2004 | B1 |
| 6737278 | Carlsson et al. | May 2004 | B1 |
| 6753157 | Goueli | Jun 2004 | B2 |
| 6777198 | Mendel-Hartvig et al. | Aug 2004 | B2 |
| 6806058 | Jesperson et al. | Oct 2004 | B2 |
| 6812038 | Mendel-Hartvig et al. | Nov 2004 | B1 |
| 6872828 | Akhavan-Tafti et al. | Mar 2005 | B2 |
| 6897036 | Akhavan-Tafti et al. | May 2005 | B2 |
| 6902889 | Carlsson et al. | Jun 2005 | B1 |
| 6924154 | Evangelista et al. | Aug 2005 | B2 |
| 6939681 | Ipsen et al. | Sep 2005 | B1 |
| 6949524 | Singh et al. | Sep 2005 | B2 |
| 6958214 | Braun | Oct 2005 | B2 |
| 6972326 | Haugland et al. | Dec 2005 | B2 |
| RE39047 | Aizawa et al. | Mar 2006 | E |
| 7018847 | Mendel-Hartvig et al. | Mar 2006 | B2 |
| 7074622 | Qiao et al. | Jul 2006 | B2 |
| 7083986 | Natrajan et al. | Aug 2006 | B2 |
| 7097995 | Jiang et al. | Aug 2006 | B2 |
| 7102005 | Agnew et al. | Sep 2006 | B2 |
| 7183072 | Hainfeld | Feb 2007 | B1 |
| 7183119 | Qiao et al. | Feb 2007 | B2 |
| 7247726 | Akhavan-Tafti et al. | Jul 2007 | B2 |
| 7262019 | Kovalenko | Aug 2007 | B2 |
| 7297555 | Evangelista et al. | Nov 2007 | B2 |
| 7300655 | Hansen et al. | Nov 2007 | B2 |
| 7309615 | Natrajan et al. | Dec 2007 | B2 |
| 7319041 | Natrajan et al. | Jan 2008 | B2 |
| 7364872 | Hainfeld | Apr 2008 | B1 |
| 7381797 | Woerner et al. | Jun 2008 | B2 |
| 7393638 | Chou | Jul 2008 | B2 |
| 7405084 | Mendel-Hartvig et al. | Jul 2008 | B1 |
| 7439014 | Pamula et al. | Oct 2008 | B2 |
| 7445894 | Agnew et al. | Nov 2008 | B2 |
| 7459284 | Jiang et al. | Dec 2008 | B2 |
| 7491553 | Brown et al. | Feb 2009 | B2 |
| 7501498 | Hansen et al. | Mar 2009 | B2 |
| 7514223 | Yang et al. | Apr 2009 | B2 |
| 7521184 | Radka et al. | Apr 2009 | B2 |
| 7521577 | Gee et al. | Apr 2009 | B2 |
| 7556928 | Jespersen et al. | Jul 2009 | B2 |
| 7560556 | Akhavan-Tafti et al. | Jul 2009 | B2 |
| 7563566 | Woerner et al. | Jul 2009 | B2 |
| 7592153 | Hainfeld | Sep 2009 | B2 |
| 7611909 | Natrajan et al. | Nov 2009 | B1 |
| 7674629 | Waheed et al. | Mar 2010 | B2 |
| 7759133 | Van Neerven | Jul 2010 | B2 |
| 7785904 | Natrajan et al. | Aug 2010 | B2 |
| 7799534 | Akhavan-Tafti | Sep 2010 | B2 |
| 7824928 | Evangelista et al. | Nov 2010 | B2 |
| 7833983 | Mahler | Nov 2010 | B2 |
| 7842475 | Zheng et al. | Nov 2010 | B2 |
| 7842784 | Nakayama et al. | Nov 2010 | B2 |
| 7851184 | Pollack et al. | Dec 2010 | B2 |
| 7871781 | Rundstrom et al. | Jan 2011 | B2 |
| 7875467 | Natrajan et al. | Jan 2011 | B2 |
| 7879575 | Kricka et al. | Feb 2011 | B2 |
| 7888060 | Hainfeld et al. | Feb 2011 | B2 |
| 7892853 | Brown et al. | Feb 2011 | B2 |
| 7906293 | Mattingly et al. | Mar 2011 | B2 |
| 7923214 | Akhavan-Tafti | Apr 2011 | B2 |
| 7951554 | Hainfeld et al. | May 2011 | B2 |
| 7951910 | Schwarz et al. | May 2011 | B2 |
| 7985557 | Kosmeder et al. | Jul 2011 | B2 |
| 8034631 | Brown et al. | Oct 2011 | B2 |
| 8034632 | Brown et al. | Oct 2011 | B2 |
| 8093066 | Brown et al. | Jan 2012 | B2 |
| 8342736 | Luotola et al. | Jan 2013 | B2 |
| 8349620 | Brown et al. | Jan 2013 | B2 |
| 9075055 | Diamond et al. | Jul 2015 | B2 |
| 20030031685 | Stumvoll et al. | Feb 2003 | A1 |
| 20030042428 | Peukert et al. | Mar 2003 | A1 |
| 20030073121 | Mendel-Hartvig et al. | Apr 2003 | A1 |
| 20040023309 | Noll | Feb 2004 | A1 |
| 20040023412 | Carlsson et al. | Feb 2004 | A1 |
| 20040202577 | McNeil et al. | Oct 2004 | A1 |
| 20040222384 | Lee et al. | Nov 2004 | A1 |
| 20050244828 | Kreitman et al. | Nov 2005 | A1 |
| 20060008895 | Chen et al. | Jan 2006 | A1 |
| 20060127281 | Bjornson et al. | Jun 2006 | A1 |
| 20060252097 | Deutscher et al. | Nov 2006 | A1 |
| 20070161055 | Corry et al. | Jul 2007 | A1 |
| 20070166776 | Noll | Jul 2007 | A1 |
| 20070183978 | Preuss et al. | Aug 2007 | A1 |
| 20070254308 | Bobrow et al. | Nov 2007 | A1 |
| 20070282362 | Berg et al. | Dec 2007 | A1 |
| 20080003142 | Link et al. | Jan 2008 | A1 |
| 20080124738 | Green et al. | May 2008 | A1 |
| 20080293161 | Deutscher et al. | Nov 2008 | A1 |
| 20090088336 | Burd et al. | Apr 2009 | A1 |
| 20090176201 | Jablonski et al. | Jul 2009 | A1 |
| 20090286258 | Kaur et al. | Nov 2009 | A1 |
| 20090298199 | Corry et al. | Dec 2009 | A1 |
| 20100075374 | Lim et al. | Mar 2010 | A1 |
| 20100190689 | Thornton et al. | Jul 2010 | A1 |
| 20100284583 | Ljung | Nov 2010 | A1 |
| 20100332143 | Onell et al. | Dec 2010 | A1 |
| 20110076692 | Sista et al. | Mar 2011 | A1 |
| 20110151582 | Basile | Jun 2011 | A1 |
| 20110275095 | Babson | Nov 2011 | A1 |
| 20110287455 | Venge | Nov 2011 | A1 |
| 20120264230 | Brown et al. | Oct 2012 | A1 |
| 20150177145 | Diamond et al. | Jun 2015 | A1 |
| 20150177146 | Diamond et al. | Jun 2015 | A1 |
| 20150204867 | Van Cleve et al. | Jul 2015 | A1 |
| 20150204871 | Van Cleve et al. | Jul 2015 | A1 |
| Number | Date | Country |
|---|---|---|
| 101696973 | Apr 2010 | CN |
| 102478571 | May 2010 | CN |
| 0353592 | Feb 1990 | EP |
| 0355849 | Feb 1990 | EP |
| 0981043 | Feb 2000 | EP |
| 1054250 | Nov 2000 | EP |
| 1279946 | Jan 2003 | EP |
| 1684060 | Jul 2006 | EP |
| WO 02076477 | Oct 2002 | WO |
| 2007133710 | Nov 2007 | WO |
| 2014145581 | Sep 2014 | WO |
| 2014145619 | Sep 2014 | WO |
| Entry |
|---|
| Sista, et al. Heterogeneous immunoassays using magnetic beads on a digital microfluidic platform. Lab Chip. 2008;8(12):2188-2196. |
| International Search Report and Written Opinion for PCT/US2014/030373 dated Jul. 30, 2014 (11 pages). |
| Levy, HR; Bal, T and Hovanec-Burns, D (2010).In Vitro methods for diagnosing allergy and directing therapy. US Respiratory Disease. vol. 6, pp. 63-67. |
| International Application No. PCT/US2015/023408 filed on Mar. 30, 2015. |
| International Search Report and Written Opinion for PCT/US2014/030414 dated Aug. 8, 2014. |
| International Search Report and Written Opinion for PCT/US2015/023408 dated Jul. 2, 2015. |
| Sanchez-Guerrero et al., Utility of Anti-Sm, Anti-Ro/SS-A and Anti-La/SS-b (Extractable Nuclear Antigens) Detected by Enzyme-Linked Immunosorbent Assay for the Diagnosis of Systemic Lupus Erythematosus. Arthritis & Rheumatism, 39(6), pp. 1055-1061 (1996). |
| Nichkova et al., Multiplexed immunoassays for proteins using magnetic luminescent nanoparticles for internal calibration. Analytical Biochemistry 369:34-40 (2007). |
| Number | Date | Country | |
|---|---|---|---|
| 20140274784 A1 | Sep 2014 | US |
| Number | Date | Country | |
|---|---|---|---|
| 61791879 | Mar 2013 | US | |
| 61791295 | Mar 2013 | US |
