Patent Application
20150004716
1. Field of the Invention
The invention pertains to the field of lateral flow assays. More particularly, the invention pertains to detecting exposure to organophosphate chemical warfare nerve agents with lateral flow assays.
2. Description of Related Art
Chemical nerve agents pose a significant global security and health risk. These nerve agents target the enzyme acetylcholinesterase (AChE), which normally hydrolyses the neurotransmitter acetylcholine. Inhibition of AChE results in an excess of acetylcholine to remain within nerve synapses, causing over-stimulation of the cholinergic nervous system, paralysis, and ultimately death.
There is an unmet need to rapidly identify patients that have been exposed to low levels of Soman, Sarin, Tabun, or VX chemical nerve agents. Low level nerve agent exposure produces vague, nondescript signs and symptoms that are not easily differentiated from other conditions. The lack of an accurate diagnosis of low-level exposure to chemical nerve agents may result in a delay in, or lack of receipt of, needed treatment, the use of life-endangering resuscitation drugs, or the use of high risk anesthetics that can cause injury or death in those who have been exposed to chemical nerve agents.
In the event of a military or terrorist release of a chemical warfare nerve agent, the analysis of biomedical samples for the presence of biomarkers to confirm exposure is imperative to ensure that appropriate medical countermeasures are administered in a timely manner. In addition to identifying those with low level nerve agent poisoning, it is important to verify non-exposure to reassure worried civilian or military personnel.
After inhalation or contact with skin, nerve agents enter the blood and immediately combine with cholinesterases and other blood proteins including albumin, the most abundant serum protein, to form blood protein-nerve agent adducts. Nerve agents are unstable in pure aqueous solutions and are rapidly degraded on entering the body. Therefore, analysis for the presence of intact agents in blood is inappropriate unless samples are collected immediately after exposure.
The inhibition of AChE in red blood cells, or the related enzyme butyrylcholinesterase (BuChE) in serum and plasma, is the foundation of monitoring nerve agent exposure using the Ellman colorimetric/photometric method or modifications. In addition, two other methods to detect exposure to nerve agents have been utilized. The fluoride reactivation method is based on the principle that upon incubation of phosphylated binding with a large excess of fluoride ions, the phosphyl moiety is quantitatively converted into the corresponding phosphonofluoridate or phosphorofluoridate that can be isolated by solid-phase extraction and quantitated by gas chromatography with nitrogen phosphorus detection (GC-NPD) or gas chromatograph/mass spectrometer (GC/MS). Alternatively, mass spectrometric determination of specific nonapeptide adducts that result after pepsin digestion of modified BuChE may be utilized. A limitation of using mass spectrometric analysis to confirm nerve agent exposure is that it requires knowledge and advance input of the suspected specific type of organophosphate poison prior to testing.
Immediately upon entering the bloodstream, nerve agents causes an inhibition of BuChE. Clinical symptoms typically appear once BuChE has reached an inhibition level of approximately 85% following exposure to Sarin. To emulate an exposure, human plasma may be incubated with chemical nerve agents. During this incubation, concentrations of nerve agents from 1 to 25 ng/ml correlate with increasing BuChE inhibition from 10% to 100%.
Rapid, point-of-care assays and methods detect clinically relevant organophosphate (OP) poisoning after low-level exposure to Sarin, Soman, Tabun, or VX chemical nerve agents. In some preferred embodiments, the assays are direct sandwich assays or direct correlation inhibition assays. The test preferably utilizes either a finger stick peripheral blood sample or plasma specimen.
A rapid, point-of-care assay detects clinically relevant organophosphate (OP) poisoning after low-level exposure to Sarin, Soman, Tabun, or VX chemical nerve agents. The test utilizes either a finger stick peripheral blood sample or a plasma specimen. The blood sample or plasma specimen is taken by direct sampling.
While high-level nerve agent exposure can quickly lead to death, low-level exposure produces vague, nondescript signs and symptoms that are not easily clinically differentiated from other conditions. A 10-minute point-of-care assay detects blood protein adducts resulting from low level exposure to organophosphate nerve agents.
After inhalation or contact with skin, nerve agents enter the blood and immediately combine with cholinesterases and other blood proteins including albumin, the most abundant serum protein, to form blood protein-nerve agent adducts. Nerve agents are unstable in pure aqueous solutions and are rapidly degraded upon entering the body. Therefore, analysis for the presence of intact agents in blood is inappropriate unless samples are collected immediately after exposure. However, Sarin, Soman, and Tabun phosphylate a tyrosine residue on albumin in human blood. The blood protein adducts are immediately detectable, do not age rapidly, are extremely stable, persist in the blood stream for up to 20 days post exposure, and are not degraded by therapy with oximes. These protein nerve agent adducts offer a stable and reliable alternative for confirming low level nerve agent poisoning.
Organophosphate nerve agents phosphylate the tyrosine residues on albumin Tyrosine is one of the naturally occurring amino acids that binds with phosphate groups. There are other tyrosine residues on albumin and other blood proteins that can adduct with nerve agents, however, tyrosine 411 residue on albumin has been shown to be the most reactive to form a covalent bond with the benzene ring oxygen leading to the blood protein adduct shown in
ID8.2, shown in
There is a common architecture around the phosphorus atom in all chemical nerve agents. The ID8.2 antibody binds at the methyl phosphoral portion of the albumin tyrosine 411 nerve agent adduct. While similar structurally to nerve agents, pesticides and pesticide metabolites lack a chiral center and do not bind to the albumin tyrosine to form a blood protein adduct that is recognized by the ID8.2 antibody.
An exposure leading to blood nerve agent levels of 10 ng/ml significantly inhibits BuChE, and neurological function becomes compromised, requiring immediate medical care and intervention. Therefore, the clinically relevant lower limit of detection of a qualitative, optically interpreted assay should be at a chemical nerve agent blood exposure level of 10 ng/ml. If an electronic reader is used to quantitate the results, the lower limit of detection should extend below the clinically relevant levels in order to provide a broader range of values for diagnostic interpretation. In preferred embodiments, the methods and devices described herein detect nerve agent blood exposure at levels less than or equal to 10 ng/ml. In one preferred embodiment, the methods and devices detect nerve agent blood exposures at levels in the range of 1 ng/ml through 10 ng/ml.
At 10% to 20% plasma BuChE inhibition, albumin tyrosine adducts are present that represent nerve agent exposure consistent with Sarin at 2 ng/ml, Soman at 1 ng/ml, and Tabun at 5 ng/ml. Additionally, at Sarin exposure of 10 ng/ml, it has been reported that tyrosine adducts develop and represent 70% or greater BuChE inhibition. Since albumin tyrosine adducts are present that represent nerve agent exposure at these levels, in preferred embodiments, the devices and methods are able to detect these extremely low levels of these particular nerve agents. Using a non-invasive finger-stick blood sample in combination with a lateral flow assay provides test results in 10-15 minutes.
Whole blood/plasma is preferably used as the best sample matrix. This permits rapid screening of a large at-risk population at the event scene. The nerve agents are imediately detectable within a few minutes after exposure, and have a long lasting detection window (days). Adducts form with all blood proteins. Obtaining a blood sample is non-invasive. While other matrices could be used, they are not as effective. For example, urine has a time lag for detectable markers to appear. Metabolites and hydrolysis products are only present in body fluids in very low concentrations after exposure. Collection of a cerebrospinal fluid (CSF) sample is invasive and not point-of-care.
The methods and devices described herein protect first responders and at-risk personnel. Routine testing of at-risk personnel leads to early identification and treatment in the event of low-level or chronic exposure. The methods and devices also improve health outcomes at the event scene. They avoid high risk resuscitating drugs and anesthetics that can be deadly for those who have been exposed to chemical nerve agents. Screening with these methods and devices ensures safety and treatment outcomes. This preferably includes screening of the “worried” or “walking well” to confirm if exposure has occurred. Exposure screening provides the most appropriate and expedient care, conserving limited therapeutic treatments for those in need. The assays expedite treatment and improve outcomes with immediate, on-site testing and treatment.
In some preferred embodiments, the devices described herein are packaged with companion antidotes and/or therapeutic drugs.
Exposure occurs when a chemical nerve agent enters the blood stream via inhalation or absorption through the skin. In the blood stream, the nerve agent immediately begins adducting to all blood proteins including Butyrylcholinesterase, albumin, and immunoglobulins. Nerve agents enter red and white blood cells and cross the blood brain barrier to adduct to acetycholinesterase. Nerve agent specific monoclonal antibodies detect the blood protein adducts resulting from nerve agent exposure.
Partial chemical structures of the nerve agent adducts to albumin are shown in
Tyrosine, one of 20 natural amino acids, binds with phosphate groups. Tyrosine 411 of human albumin is an established site for covalent attachment of many OPs including Soman, Sarin, Tabun, and VX. Tyrosine 411 is the most active site against nerve agents. Many other less active Tyrosine and Serine sites are present in Albumin Adduct formation for Soman, as an example, occurs as shown in
The nerve agent binding site for antibody ID8.2 (Johnson, J. M., Cerasoli, D. M. and Lenz, D. E., “Role of Immunogen Design in Induction of Soman-Specific Monoclonal Antibodies”, (2005) Immunology Letters 96, 121-127, herein incorporated by reference) is shown in
In initial testing, one of the assays described herein was used to detect the presence of blood protein-nerve agent adducts in exposed blood samples. In order to mimic the in vivo exposure as closely as possible, nerve agents stored in organic solvents were spiked in minute quantities into whole blood samples. For performance testing, 40 plasma samples were spiked with Sarin, Soman, Tabun, or VX and 10 normal plasma samples were used as the negative control. The 40 nerve agent-spiked plasma samples included 10 replicates of each agent. At the clinically relevant low-level exposure of 10 ng/ml, the test demonstrated 100% sensitivity for Soman, Tabun, and VX and 80% sensitivity for Sarin. The test demonstrated greater than 97% specificity with 150 blood samples obtained from healthy adults. No cross-reactivity or interference from pesticide precursor compounds was found.
A rapid test for nerve agent exposure helps identify affected patients earlier in the clinical course and triggers more appropriate medical management in a more timely manner.
Soman-Albumin adducts formed due to exposure to Soman are found in plasma/serum. The hapten Soman may be accessible to bind with the Monoclonals BE2 and/or ID8.2 conjugated to a visual tag, preferably spiked with fluorescenated latex bead conjugates in some embodiments. The sandwich forms with Albegone binding to the Albumin portion of the adduct and the monoclonal antibodies binding to the haptenic Soman in the adduct.
In a direct sandwich assay for chemical warfare nerve agents, Albumin adducts are preferably captured by the recombinant Albegone at the test line and the adducted chemical warfare nerve agents are preferably detected with their appropriate monoclonal antibodies on suitable visual or fluorescence conjugates.
Albegone is a recombinant protein that binds specifically with mammalian Albumin. In preferred embodiments, Albegone is immobilized onto the nitrocellulose membrane as the test line. In other preferred embodiments, monoclonal or polyclonal antibodies to mammalian albumin could alternatively be used as the test line.
As discussed above, Soman, an organophosphate chemical warfare nerve agent, forms a relatively stable adduct with human Serum Albumin by binding to the Tyrosyl residue on Human Serum Albumin Monoclonal antibodies BE2 and ID8.2 were raised against Soman chemically conjugated to Human or Bovine Serum Albumin. These monoclonal antibodies recognize the pinacolyl moiety of Soman. While Soman is being used in this example, the test could alternatively or additionally test for other chemical warfare nerve agents which bind to the Tyrosyl residue on Human Serum Albumin, including, but not limited to, Sarin, Tabun, VX, or Cyclosarin.
In this assay format, the commonly used Bovine Serum Albumin, a common blocking agent, is replaced, for example with casein, gelatin gelatin or any non-albumin related proteins in the assay.
The monoclonal antibodies are conjugated to colloidal gold or dyed latex beads and act as the conjugate (the first binding partner) in the assay. The rest of the surface of the colloidal particle is blocked with casein or gelatin. The recombinant Albegone is preferably immobilized on the nitrocellulose membrane as the test line.
Serum or plasma containing the Soman-albumin adduct from animals or humans exposed to chemical warfare nerve agents is added as the sample. The Albumin portion of the chemical warfare nerve agent adduct is captured by the recombinant Albegone at the test line. In one preferred embodiment, the monoclonal antibody on colloidal gold or latex beads then binds to the chemical warfare nerve agent portion of the protein adduct, giving rise to a visible discernible test line. In other embodiments, any of the configurations discussed above, for example configurations where ½ of the analyte complex sandwich is formed before the sample reaches the test line, could alternatively be used.
In a preferred embodiment, the assay is a lateral flow immunoassay incorporating a lateral flow chromatographic test strip. Samples, preferably blood, are added directly to the test strip. In some preferred embodiments, a sample compressor is added to the device after the sample has been collected and placed on the test strip. The sample compressor does not need to be sterile. In some preferred embodiments with the sample compressor, the sample compressor does not include any reagents for the assay.
The direct sandwich assay may employ any of the assay configurations described herein in
The visual test can be made more sensitive by incorporating fluoresceinated beads. Any of the assays and methods of US Patent Publication No. 2009/0289201, published Nov. 26, 2009, entitled “COMBINED VISUAL/FLUORESCENCE ANALYTE DETECTION TEST”, incorporated herein by reference, may be used to enhance the sensitivity of the test.
The devices and methods may be used to test animals in the field. These animals would have the chemical warfare nerve agents in their blood and adducting to blood proteins where the chemical warfare nerve agents are present. By testing the animal blood for the presence of the chemical warfare nerve agent (CWNA)-albumin adduct, this serves as a “Bio-screen” or “Bio-monitoring” for these agents. The exposure to the chemical warfare nerve agents by humans may also be assessed by this test.
As discussed above, the monoclonal antibody ID8. 2 binds to Soman, Sarin, VX and Tabun. The monoclonal antibody BE2 binds to Soman and some of its analogs. In preferred embodiments, different colored latex beads are combined as the visual tag. In some embodiments, fluorescent latex beads are added to improve the sensitivity.
A competitive inhibition test is established either with a hapten zone or a blocking antibody zone.
Similar to the embodiment described above, the nitrocellulose membrane preferably has Albegone immobilized at the test line. In other preferred embodiments, monoclonal or polyclonal antibodies to bovine serum albumin or human serum albumin are immobilized at the test line.
In one general form of this test, a lateral flow immunoassay includes at least a sample application zone 44, a conjugate zone 903 (which may overlap the sample application zone), a blocking antibody zone 906 and a test line 905. The test line 905 preferably has Albegone immobilized on it to capture any albumin that comes into the detection zone 908. A chemical warfare nerve agent coupled (for example, chemically coupled either through carboxyl or amino ends) to human serum albumin or bovine serum albumin, which provides a binding site for the antibodies in the blocking antibody zone, is conjugated to a label and preferably included in the conjugate zone 903. In between the sample application zone/conjugate zone 44/903 (preferably close to the sample application zone) and the test line 905 is a blocking antibody zone 906. The blocking antibody zone 906 includes antibodies immobilized in the blocking antibody zone 906. These antibodies bind both to the binding site on the conjugated albumin and the target analyte. The target analyte in the sample and the conjugated albumin compete for the binding sites of the antibodies immobilized in the blocking antibody zone 906.
If a sample without the target is added to the assay, the antibodies in the immobilized blocking antibody zone 906 bind to the antibody binding site on the conjugated albumin So, all of the labeled conjugate binds to the antibodies in the blocking antibody zone 906. Consequently, no detectable label makes it to the test line 905.
If a sample with the target is added to the assay, the chemical warfare nerve agents compete with the conjugated albumin for the binding sites on the antibodies in the blocking antibody zone 906. So, some of the conjugated albumin is able to travel to the test line 905. Albegone binds to the albumin, creating a detectable label and a positive result at the test line 905.
In another preferred embodiment, the chemical warfare nerve agent is adducted to human or bovine albumin and the adducted albumin is purified and conjugated to a suitable label and used as the conjugate in the embodiment described above.
In one preferred embodiment, the blood sample is added to the test device 900 at the sample application zone 44, or pad. The conjugate zone 903 is preferably in the same location as the sample application zone 44, and preferably includes a mixture of blue latex beads conjugated to GD-bovine serum albumin and red latex beads conjugated to human serum albumin-GD. In some preferred embodiments, the conjugate zone 906 also has colorless red flash fluorescent beads conjugated to GD-bovine serum albumin (GD-BSA, see
Gelatin, casein or other non-albumin proteins replace bovine serum albumin in the running buffer, and any other buffers, including, but not limited to, conjugate and sample pad release buffer, as well as the blocking protein in latex bead conjugation. The only bovine serum albumin and human serum albumin that binds to Albegone is from GD-bovine serum albumin or human serum albumin-GD. In some preferred embodiments, rabbit anti-chicken is used at the control line 904.
When chemical warfare agents are absent, all the latex bead conjugates bind to the antibody zone 906 where both BE2 and ID8.2 are immobilized, because HSA-GD has binding sites for ID8.2 and GD-BSA has binding sites for both ID8.2 and BE2. In preferred embodiments, ID8.2 is used because it binds to soman, sarin, tabun, and VX and BE2 only binds to soman. In some preferred embodiments, both ID8.2 and BE2 are used, increasing the sensitivity of the test. In the presence of the chemical warfare nerve agents, the chemical warfare nerve agents compete for the binding sites of BE2 and ID8.2 antibodies in the blocking antibody zone 906. Since BE2 and ID8.2 bind to the chemical warfare nerve agents, the latex beads pass over the blocking antibody zone 906 and are captured at the test line 905 in the detection zone 908, where they bind to the immobilized Albegone. In a preferred embodiment, the detection zone 908 also includes a control line 904.
If the chemical warfare nerve agent is Soman, Soman binds to both the BE2 and ID8.2 antibodies, and both the blue and red colored latex beads travel to the test line 905, resulting in a red and blue color (making the test line purplish) at the test line 905. If chemical warfare nerve agents other than Soman are present, the chemical warfare nerve agents only bind to the ID8.2 in the antibody zone 906, and the red colored human serum albumin-GD latex beads pass over the blocking antibody zone 906 and get captured at the Albegone test line 905, becoming visible as a red line. In embodiments using fluorescent flash red beads, these beads provide higher sensitivity under fluorescence.
In another general form of this test, the lateral flow immunoassay includes at least a sample application zone 44, a conjugate zone 903 (which may overlap the sample application zone), a hapten zone 906 and a test line 905. In this embodiment, the test line 905 preferably has a binding partner immobilized on it with binding sites to capture the conjugated albumin that comes into the detection zone 908. A human serum albumin or bovine serum albumin with a binding site for the binding partner at the test line is conjugated to a label and preferably included in the conjugate zone 903. In between the sample application zone/conjugate zone 44/903 (preferably close to the sample application zone) and the test line 905 is a hapten zone 906. The hapten zone 906 includes Albegone (or monoclonal or polyclonal antibodies to mammalian albumin). The Albegone binds to mammalian albumin on the conjugated albumin and the adducted target analyte. The target analyte in the sample and the conjugated albumin compete for the binding sites on the Albegone immobilized in the hapten zone 906.
If a sample without the target is added to the assay, Albegone in the hapten zone 906 binds to the conjugated albumin. So, all of the labeled conjugate binds to Albegone in the hapten zone 906. Consequently, no detectable label makes it to the test line 905.
If a sample with the target is added to the assay, the adducted chemical warfare nerve agents compete with the conjugated albumin for the binding sites on the Albegone in the hapten zone 906. So, some of the conjugated albumin is able to travel to the test line 905. The conjugated albumin binds to its binding partner at the test line, creating a detectable label and a positive result at the test line 905.
Unlike other inhibition/competition assays, this assay is a direct correlation of inhibition. Instead of a negative result received in the presence of the target analyte, there is a positive result at the test line 905 in the presence of the target analyte.
In other embodiments, other configurations for the test strip, using some of the elements shown in
Positive Correlation Point of Care Assay with a Hapten Zone
In a general form of this test, a lateral flow immunoassay includes a sample analysis device 1000 with at least a sample application zone 44, a conjugate zone 1003 (which may overlap the sample application zone 44), a hapten zone 1006 and a test line 1005. In preferred embodiments, the detection zone 1008 of the device also includes a control line 1004. The test line 1005 preferably has an antigen to capture any conjugated antibody that comes into the test zone 1005. A binding partner to the analyte, for example, an antibody to the analyte, is conjugated to a label and placed in the conjugate zone 1003. When the analyte in the sample sees the conjugated binding partner, the analyte binds to the conjugate binding partner. In between the sample application zone 44/conjugate zone 1003 and the test line 1005 is a hapten zone 1006. The hapten zone 1006 includes the target, or an analog to the target, immobilized in the hapten zone 1006. In some preferred embodiments, rabbit anti-chicken is used at the control line 1004.
If a sample without the target is added to the assay, the conjugate that contains the binding partner for the target does not have anything to bind because there is no target. So, all of the labeled conjugate binds to the target or target analog in the hapten zone 1006. Consequently, no visible label makes it to the test line 1005. In preferred embodiments with a hapten zone 1006, the hapten zone 1006 is not visible to the user because it is fully encompassed by a housing.
If a sample with the target is added to the assay, the conjugate that contains the binding partner for the target binds to the target. Since it is now bound to the target, it can not also bind to the target or target analog in the hapten zone 1006. Consequently, it passes over the hapten zone 1006, travels to the test line 1005, and binds to the immobilized binding partner for the conjugate (which, in preferred embodiments, has been immobilized to the test line using Fclock, see embodiment described further below) on the test line 1005.
Unlike other inhibition/competition assays, this assay is a direct correlation of inhibition. Instead of a negative result received in the presence of the target, there is a positive result at the test line 1005 in the presence of the target analyte.
In one preferred embodiment to test for chemical warfare nerve agents, the lateral flow immunoassay includes at least a sample application zone 44, a conjugate zone 1003 (which may overlap the sample application zone 44), a hapten zone 1006 and a test line 1005. The test line 1005 preferably includes an immobilized rabbit anti-mouse antibody to capture any conjugated mouse antibody that comes into the test zone 1005. A mouse antibody to the chemical warfare agent is conjugated to a label and included in the conjugate zone 1003. When the analyte in the sample sees the conjugated antibody, the analyte binds to the conjugate. The hapten zone 1006 is located in between the sample application zone 44/conjugate zone 1003 and the test line 1005. The hapten zone 1006 includes the chemical warfare nerve agent, or an analog to the chemical warfare nerve agent, immobilized in the hapten zone 1006.
If a sample without chemical warfare nerve agent is added to the assay, the conjugate that contains the binding partner for the chemical warfare nerve agent does not have anything to bind because there is no chemical warfare nerve agent in the sample. So, all of the labeled conjugate will bind to the chemical warfare nerve agent or analog of the chemical warfare agent in the hapten zone 1006. Consequently, no visible label makes it to the test line 1005.
If a sample with a chemical warfare nerve agent is added to the assay, the conjugate that contains the binding partner for the chemical warfare nerve agent binds to the chemical warfare nerve agent. Since it is now bound to the chemical warfare nerve agent, it can not also bind to the chemical warfare nerve agent or analog to the chemical warfare nerve agent immobilized in the hapten zone 1006. Consequently, it passes over the hapten zone 1006, and travels to the test line 1005, where the rabbit anti-mouse antibody (which, in preferred embodiments, has been immobilized to the test line using Fclock, see embodiment described further below) captures the labeled mouse antibody. The Fc portion of the labeled conjugate is captured.
In initial testing, the test was used to detect the presence of blood protein-nerve agent adducts in exposed blood samples. In order to mimic the in vivo exposure as closely as possible, nerve agents stored in organic solvents were spiked in minute quantities into whole blood samples. For performance testing, 40 plasma samples were spiked with Sarin, Soman, Tabun, or VX and 10 normal plasma samples were used as the negative control. The 40 nerve agent-spiked plasma samples included 10 replicates of each agent. At the clinically relevant low-level exposure of 10 ng/ml, the test demonstrated 100% sensitivity for Soman, Tabun, and VX and 80% sensitivity for Sarin. The test demonstrated greater than 97% specificity with 150 blood samples obtained from healthy adults. No cross-reactivity or interference from pesticide precursor compounds was found.
BE2 and ID8.2 monoclonal antibodies were chosen for the assay. The ID8.2 antibody was raised against the methyl phosphoryl portion of Soman. Antibody ID8.2 (ID8) binds specifically to any nerve agent protein adducts in the blood sample. ID8 was developed and raised by the U.S. Army Medical Research Institute of Chemical Defense against the methyl phosphoryl portion of nerve agents.
The ID8.2 antibody is shown in
The methods and devices described herein use a finger stick blood sample, or plasma sample, and require no prior sample preparation, external blood separation, or extraction steps. In a preferred embodiment, the fingertip is punctured, for example using a lancet. A pipette is held horizontally to collect the blood sample, preferably a 10 μl blood sample. The pipette bulb is pressed to transfer the full amount of the blood sample to the sample application zone of the sample analysis device. The test is then assembled by placing the sample compressor onto the test cassette. The test is then immersed in a buffer vial for approximately 20 seconds to activate lateral flow.
Test results are preferably optically read in 10 minutes. A valid, negative test produces one red line, the control line. A valid, positive test indicating nerve agent poisoning greater than or equal to 10 ng/ml produces a second red test line in addition to the red control line. An example of a negative test result (showing only the single control line) is shown in
To test analytical specificity, whole blood samples from 150 healthy persons were obtained from a major blood bank. A volume of 20 μl of whole blood was pipetted onto the assay and the test was initiated and interpreted according to the instructions for use.
Testing of whole blood samples from 150 healthy persons demonstrated an analytical specificity of 97.3% (146/150). Four samples were found to induce a false positive result. Retesting of the four presumed false positives resulted in two of the four samples testing as negative, however, this was not considered in the calculation of the specificity.
Analytical Sensitivity
In performance testing, 40 plasma samples were spiked with chemical nerve agents and 10 normal plasma samples were used as the negative control. The 40 nerve agent-spiked plasma samples included 10 replicates of each of the four agents. 20 μl of nerve agent-spiked samples and normal plasma controls were tested.
In performance testing at the clinically relevant low-level exposure of 10 ng/ml, the test demonstrated 100% sensitivity for Soman, Tabun, and VX and 80% sensitivity to Sarin. In Table 1, the accuracy of the optical interpretation of the test at exposure levels of 10 ng/ml, 5 ng/ml and 1 ng/ml are shown. Table 1 shows the analytical sensitivity results (optically read positive results by nerve agent exposure concentration. N=10 per concentration of each agent.) The variation of optically confirmed positivity at nerve agent concentrations below 10 ng/ml are attributed to the difference in binding affinities of ID8.2 in each of the different chemical nerve agents.
Cross Reactivity with Organophosphate (OP) Pesticides
The assay was tested for cross reactivity with the following pesticides and their metabolites: malathion, ethyl parathion, methyl parathion, organophosphorous pesticide mixture, malathion-o-analog, dimethyl-p-nitrophenylphosphate, and paraoxon. Each pesticide or pesticide metabolite was spiked into normal whole blood at concentrations of 100 ng/ml. Twenty μl of the spiked blood sample was then pipetted directly onto the assay device. The test was initiated, and the results were interpreted at 10 minutes.
No cross reactivity was identified with any of the following OP pesticides: malathion, ethyl parathion, methyl parathion, organophosphorous pesticide mixture, malathion-o-analog, dimethyl-p-nitrophenylphosphate, or paraoxon.
The lack of an accurate diagnosis of low-level chemical nerve agent exposure may result in a delay in, or lack of receipt of, needed treatment. In addition, the use of life-endangering resuscitation drugs or high-risk anesthetics can cause injury or death in those who have been exposed to chemical nerve agents.
Using the devices and methods described herein to test at-risk populations suspected of being exposed to chemical nerve agents may lead to early identification and treatment in the event of low-level or chronic exposure. This is especially true for the testing of the walking well or individuals who are worried about nerve agent exposure to confirm if low level poisoning has occurred. The assay devices in these embodiments provide a low cost, easy to use capability to meet the need to rapidly identify populations that have been exposed, or suspected of exposure, to low levels of Sarin, Soman Tabun, or VX chemical nerve agents.
One preferred kit using the methods and devices described herein includes gloves, an alcohol prep pad, lancet, gauze, one or more pipettes (a sample collector), a bandage, a test cassette, a sample compressor, activating buffer, and instructions for use.
In one preferred embodiment, the competitive inhibition assays described herein use Albegone recombinant protein and/or Fclock protein.
In this embodiment, a competitive inhibition assay uses the recombinant Albegone and Fclock, which have very high binding constants to Albumin and immunoglobulin. Consequently, antibodies can be used in smaller quantities more efficiently (right side up).
Fclock may be used in any of the configurations for the test strip, as shown in
In one preferred embodiment, the strip is a “universal” strip for all inhibition type assays. Only the antibody to be striped on to the Fclock and the latex beads differ from test to test. Since the recombinants are used, there is a greater chance for longer stability and expiration dating. The cost is also reduced because the recombinant can be produced in greater quantities and the critical reagents such as antibodies are efficiently used.
Fclock (disclosed in PCT patent publication WO2011/068538 GENERAL METHOD FOR GENERATING ULTRA-HIGH AFFINITY BINDING PROTEINS, Hammerstedt et al., published Sep. 6, 2011, incorporated herein by reference) is a protein with an inherent capacity to bind the Fc portion of immunoglobulins. FcLock binds immunoglobulins more tightly than protein A and protein G. There is a FcALock, which binds to IgAs and a FcGlock, which binds to IgGs.
As discussed above, Albegone is a recombinant protein that binds to mammalian albumins. Note that Albegone does not bind to egg albumin (for example, Albegone does not bind to chicken IgY, which may be used in the embodiments described herein as a control).
If Fclock is immobilized on a conjugate zone (or any zone with antibody reagents that need to be “right side up”), and then one or more antibodies are striped on top of the Fclock in the same location, the Fc (bottom of the Y shape) portion of the antibody binds to the Fclock and the FAb portion (top of the Y shape) of the antibody is facing up, available for binding to the target or other reagents in the assay. In addition, since Fclock has such tight binding to the antibody, it is not washed off. Using Fclock permits harsher running buffer conditions (e.g. temperature, humidity, etc.) because the binding between the Fclock and the antibody is so stable.
The Fclock may be used in any zone where antibodies are going to be added to the zone.
One example of a test strip 1100 using Fclock is shown in
In one preferred embodiment, the conjugate in the conjugate zone 1103 is preferably MATP-HSA Antigen. This is a soman derivative methyl phosphonic acid, p-aminophenyl 1,2,2,-trimethyl-propyl diester (MATP) bound to human serum albumin. The clearance/antibody zone 1106 includes the BE2 antibody. In a preferred embodiment, the Fclock recombinant protein is placed in the clearance zone 1106. Then, the BE2 antibody is striped in the clearance zone 1106, and attaches to the Fclock recombinant protein. The test line 1105 is preferably Albegone and the control line 1104 is anti-chicken IgY. The Fclock recombinant is used to arrange antibodies in the desired position on the nitrocellulose membrane of the test strip 1100. For example, the Fclock is preferably striped on the conjugate pad/zone 1103 and/or the clearance zone 1106 before the MATP-HSA and BE2 antibodies are added to those respective zones.
In this example, in the absence of soman, the conjugate binds to the BE2 antibody in the clearance/antibody zone 1106. In the presence of soman, the soman competes with the conjugate for the BE2 antibody, so the conjugate travels to the test line 1105, producing a detectable result at the test line 1105.
In the embodiments described above with a blocking antibody zone or a hapten zone, suppose the antibody conjugate is inactive because it is not right side up. The conjugate escapes these zones because the antibodies are not right side up, but then is captured at the test line. This results in false positives. Therefore, Fclock is preferably used in any or all of the conjugate zones, hapten zones, and/or the blocking antibody zones described herein. This increases the efficiency of the assay, since instead of approximately 30-35% of the antibodies being right side up and available for binding, 100% of the antibodies will be available for binding.
In other embodiments, the Fclock is placed on the label, for example colloidal gold. After the Fclock is placed on the label, the antibody is added and the Fclock binds to the Fc portion of the antibody. This ensures that the antibody is “right side up” for use in the assay.
Detection of Hydrolyzed Soman and Sarin with BE2 and ID8 Monoclonal Antibodies
In J K Johnson, D M Cerasoli and D E Lenz, Immunology Letters 96 (2005) 121-127, herein incorporated by reference, the authors stated that the antibodies' inability to bind to hydrolyzed Soman may be accounted for by the fact that hydrolyzed Soman is ionized in water and contains a negative charge.
This implies that the monoclonal antibodies BE2 and ID8.2 are repelled by the negative charge. One preferred embodiment neutralizes the negative charge on hydrolyzed Soman using positively charged reagents. In one preferred embodiment, the positively charged reagent is polylysine. Once neutralized, these metabolites of Soman may bind to antibodies to Soman, for example BE2 and/or ID8.2 antibodies.
Because of the negative charge, Soman and Sarin can bind to reagents such as polylysine and still retain the pinacolyl motif. In one preferred embodiment, polylysine is added to the samples of hydrolyzed Soman and Sarin before testing. For example, polylysine is dried onto the sample application zone 44 where the sample containing hydrolyzed Soman and Sarin is added. This is “in situ” neutralization. In another embodiment, polylysine is added to the running buffer.
In another preferred embodiment, polylysine is conjugated onto colloidal gold or latex beads and the hydrolyzed Soman and Sarin are added to make visual tags that bind to BE2 and ID8.2 immobilized in the nitrocellulose.
In another preferred embodiment, polylysine is immobilized on the nitrocellulose as a test line or as a hapten zone. Hydrolyzed Soman and Sarin is then bound to polylysine and immobilized. Labelled BE2 and/or ID8.2 directly bind to the Soman or Sarin immobilized in the test zone. This serves as a direct sandwich assay for the hydrolyzed Soman and Sarin. This format may also be a part of an inhibition assay to detect metabolites of Soman.
Polylysine may be used in the sample application zone 44 in any of the assay configurations described herein, including
In another preferred embodiment, a direct sandwich assay for urinary metabolites of chemical warfare nerve agents and/or toxic industrial organic chemicals (TICs) occurs inside a microcapillary tube (for example a microcapillary tube from ChromBA Inc., State College, Pa.).
C18 (an octadecyl carbon chain) binds to all organics through hydrophobic interactions. Urinary metabolites of chemical warfare nerve agents are mainly hydrophobic and should bind non-specifically to C18 coated microcapillaries. Suitably labeled specific monoclonal antibodies are then added to interact with the bound metabolites, giving rise to visibly discernable color. These embodiments preferably detect the chemical warfare nerve agents by themselves rather than their adducts to albumin A C18 type matrix effectively captures such small molecular weight organics. This method detects various metabolites of chemical warfare nerve agents as long as specific monoclonal reagents are available. Any organic compound, be it an industrial pollutant or toxic industrial chemical, may be directly detected in this format.
C18 coated microcapillaries are available in various forms from ChromBA (State College, Pa.). One practical form is at the end of a syringe or a pipette tip. Urine containing the chemical warfare nerve agents metabolites is allowed to pass through the microcapillary. All organic compounds adhere or bind strongly to the C18 through hydrophobic bonds. A simple washing step is included to remove all the unbound materials. Specific antibodies, which bind to the metabolites immobilized in the microcapillary tubes bound to C18, conjugated to colloidal gold or dyed latex beads, are added. Another simple washing step removes all the unbound materials, leaving behind a visibly discernable tip in the presence of the chemical warfare nerve agents.
Detecting Chemical Warfare Nerve Agents with C18
C18 (an octadecyl carbon chain) is commercially available in a matrix or gel for HPLC columns Since C18 binds to anything organic, it someone is trying to detect an organic, it can be passed through a C18 column C18 gathers the organic molecules in a sample. In other embodiments, hydrocarbon removal filter materials, which specifically bind to organic molecules, could be substituted for C18. For example, the Emerald 240 Series “Oil Guzzler” Cartridges (Filtration Technology Corporation, Houston, Tex.) could be used.
Raw agents, as well as the metabolites of chemical warfare nerve agents or sulfur mustard are organic in nature. Urine from individuals exposed to chemical warfare nerve agents has these metabolites.
In one preferred embodiment using any of the lateral flow chromatographic test strips, C18 is immobilized as the test line, as shown in
The test line 1205 preferably has C18 or a similar material immobilized on it to capture any organics that travel to the detection zone 1208. If a sample without the target organic analyte is added to the assay, the conjugate in the conjugate zone 1203 does not bind to the organic analyte, and no labeled conjugate binds to C18 in the test zone 1205. If a sample with the target organic analyte is added to the assay, the labeled conjugate binds to the organic analyte, and the organic analyte binds to C18 in the test zone 1205, resulting in a visible line (a positive result) in the test zone 1205. In a preferred embodiment, the detection zone 1208 also includes a control line 1204.
In one preferred embodiment, an aqueous sample, such as urine, is added to the test strip 1200. The organic analytes that are to be tested for are chemical warfare nerve agents. Visual and/or fluorescent labels conjugated to chemical warfare nerve agent antibodies (for example BE2 and/or ID8.2) act as the conjugate. The binding of the antibody conjugate to the chemical warfare nerve agent metabolites bound to C18 on the test line 1205 indicates the presence of the metabolites (or raw agents) directly. The sensitivity of the assay may be adjusted either by fluorescence or any other amplification methods.
The visual test can be made more sensitive by incorporating fluoresceinated beads. Any of the assays and methods of US Patent Publication No. 2009/0289201, published Nov. 26, 2009, entitled “COMBINED VISUAL/FLUORESCENCE ANALYTE DETECTION TEST”, incorporated herein by reference, may be used to enhance the sensitivity of the test.
In alternative embodiments, C18 may be used at the test line in inhibition assays.
While
As another example, benzene is the organic analyte of interest and the assay is a competitive inhibition assay. In this embodiment, shown in
The test line 1305 preferably has C18 or a similar material immobilized on it to capture any organics that travel to the detection zone 1308. The competition zone 1303 includes benzene tagged with a label. If a sample without benzene is added to the assay, the labeled benzene in the competition zone 1303 binds to C18 at the test line 1305. If the sample contains benzene, the benzene in the sample competes with the labeled benzene from the competition zone 1303, so there is less of the label at the C18 test line 1305. In a preferred embodiment, the detection zone 1308 also includes a control line 1304.
These embodiments could be used with any type of sample, for example fluid samples from biologics, soil or water.
This method and device is preferably used to detect urinary metabolites of chemical warfare nerve agents from humans or animals. In other embodiments, this method and device are used to detect organic Toxic Industrial Chemicals (TICs).
Any lateral flow assay format known in the art may be used to detect the chemical warfare nerve agents or other organic analytes in the different assay embodiments described herein. The assay formats described below are particularly useful for sandwich assays, but components of many of them could alternatively be used in the direct correlation inhibition assays described herein, or inhibition assays using C18 in the assays.
U.S. Published Patent Application No. 2005/0175992 discloses a method for detecting targets, such as pathogens and/or allergy-associated components, in a human body fluid where the body fluid sample is collected by a collection device, such as a swab member. The samples are transferred from the swab member to a sample analysis device, on which an analysis of the targets can occur by immunochemical or enzymatic means. The test result is capable of being displayed within a very short period of time and can be directly read out by the user.
The chromatographic test strip shown in
In a method of the invention, it is possible to make use of different biochemical testing procedures to detect constituents on one or several biochemical binding reactions. In a preferred embodiment, as shown in
The test strip also includes a detection zone 3. The detection zone 3 includes at least one test zone 12, which is preferably a test line. Although only one test line is shown in the figure, multiple test lines are within the spirit of the invention. In some embodiments where there are multiple targets, the presence of each target preferably corresponds to a separate test line. In other embodiments where there are multiple targets, the presence of multiple targets may be indicated on the same test line such that the presence of more than one target has different characteristics than the presence of a single target. For example, the presence of multiple targets on the same test line may be visually indicated by a different color than the presence of each of the targets alone. The test strip 100 also preferably includes at least one control zone 13, which is preferably a control line. As shown in
The test strip 200, 300 also includes a detection zone 3 containing a section for detection of the target, e.g. a test line 12, including an immobilized specific binding partner, complementary to the reagent complex formed by the target and its labeled binding partner. Thus, at the test line 12, detection zone binding partners trap the labeled binding partners from the conjugate zone 15 along with their bound targets. This localization of the target with its labeled binding partners gives rise to an indication at the test line 12. At the test line 12, the presence of the target is determined by qualitative and/or quantitative readout of the test line 12 indication resulting from the accumulation of labeled binding partners.
Optionally, the detection zone 3 may contain further test lines to detect other targets, as well as a control line 13. The control line 13 indicates that the labeled specific binding partner traveled through the length of the assay, even though it may not have bound any targets, thus confirming proper operation of the assay. As shown in
In a preferred embodiment, the control line 13 includes an antibody or other recombinant protein which binds to a component of the elution medium or other composition being used in the test.
While assay configurations with sample collectors, such as swab members, are described herein, the embodiments described herein preferably directly obtain a blood or plasma sample (for example by a finger stick) and do not require a swab member or any pretreatment before being transferred to the lateral flow device.
The conjugate zone 15 preferably includes both a mobile conjugate 26, which includes a portion that binds to the analyte 23 and a detectable label, and a control zone binding partner 27 with a detectable label, which may be, for example, a control zone antibody with a visual label. In some embodiments, the mobile conjugate is a test antibody conjugate with a visual label. The control zone binding partner 27 binds with an immobilized binding partner for it in the control zone 13 and indicates whether the test has run correctly. If the analyte 23 is present in the sample 22, the analyte 23 binds to the conjugate 26, and the conjugate 26—analyte 23 complex travel to the test zone 12 in the detection zone 3. The analyte 23 then binds to an immobilized binding partner 28 for the analyte 23, to form the full “sandwich” in a sandwich-type assay.
The transfer of the sample from the sample collector 21 to the sample application zone 2 on the sample analysis device is preferably a direct transfer, i.e. the transfer takes place without pretreatment of the sample on the sample collector 21. In embodiments without pretreatment of the sample or the sample collector 21, pressure 17 is applied and microfiltration occurs in the region where the sample collector fleece directly contacts the fleece on the sample analysis device 20. The fibers of the fleece interlock to form a grating or physical interference. Thus, larger elements contained in the sample, for example cell debris and interfering particles 24 are held back and not eluted.
The sample application device 20 preferably also includes a blocking zone 18 that includes one or more capturing reagents. This blocking zone 18 captures interfering proteins and/or genes 25 that may be in the sample 22. Capture of an interfering substance 24, 25 by one or more capturing reagents occurs when the capturing reagent interacts in some manner with the interfering substance to keep the interfering substance from interfering with the detection of the analyte. While a blocking zone 18 is shown in
The sample analysis device 20 also optionally includes an absorbent pad 1 upstream of the conjugate zone 15 and the sample application zone 2. Buffer is added and travels in the direction of the arrow 14 to elute the test components, including the sample 22, the conjugate 26, and the control zone binding partner 27, to the detection zone 3. The sample analysis device 20 also preferably includes a waste pad 4 at the downstream end of the device 20. The sample analysis device 20 may also optionally include a backing 5.
The devices and methods of the present invention preferably include a sample compressor 30. Some schematic examples of sample compressors 30 that could be used are shown in
In one example, both the first binding partner 37 and the second binding partner 38 are different antibodies to the analyte. The control zone binding partner 61 is also preferably an antibody, and its binding partner at the control zone is an antigen (or vice versa). In other embodiments, specific binding partners may also be antigens capable of binding to antibodies against the analyte. Other types of binding partners are bioorganic macromolecules like aptamers or receptors, or nanoparticles. The device shown in
In operation, the sample collector 35 is placed such that the sample is directly above the sample application zone 44. In some embodiments, placement of the sample collector 35 above the sample application zone 44 is not simultaneous with placement of the sample compressor 30. In other words, in these embodiments, some of the sample is transferred to the sample application zone 44 before the sample compressor 30 is added to the vertical stack.
The sample compressor 30 exerts pressure 51 on the sample collector 35, using pressure to transfer the sample, including the analyte 40 (if present), and the conjugate 36 onto the sample application zone 44. If there is also a control zone binding partner 61 on the sample compressor 30, the control zone binding partner 61 is also transferred. Note that the transfer is due to pressure, not due to flow or capillary action. Then, buffer 43 is added to permit flow of the conjugate 36—analyte 40 complex (if present) to the detection zone 52. An immobilized binding partner 38 in the test zone 45 then binds the analyte, forming the complete sandwich. Since the conjugate 36 includes a label 41, the complex that forms is detectable and indicates a positive result. Proper operation of the test also results in a detectable positive result in the control zone 46 due to the interaction between the control zone binding partner 61 and its immobilized partner in the control zone 46.
In the embodiment of
In some preferred embodiments using tags, the detection zone includes an antibody against the tag. The antibody may be a monoclonal, polyclonal or single domain antibody. For example, when the tag is biotin, an anti-biotin antibody is immobilized in the test zone instead of avidin, neutravidin, or streptavidin.
The test zone 45 in this embodiment includes an immobilized tag 50 that binds to the tag 39 of the second binding partner 38. In this embodiment, a first binding partner 37, which is part of the conjugate 36 and is preferably pre-loaded and dried on the pad 33 of the sample compressor 30, binds the analyte 40 in the test sample to form a half sandwich. The second binding partner 38 in this embodiment is also preferably pre-loaded and dried on the pad 33 of the sample compressor. The second binding partner 38 also includes a tag 39.
The full sandwich 320 that forms between the binding partner 37 of the conjugate 36, the analyte 40, and the second binding partner 38 in this embodiment (as well as the embodiments in
In one example, both the first binding partner 37 and the second binding partner 38 are different antibodies to the analyte. The control zone binding partner 61 is also preferably an antibody, and its binding partner at the control zone is an antigen (or vice versa). In other embodiments, specific binding partners may also be antigens capable of binding to antibodies against the analyte. Other types of binding partners are bioorganic macromolecules like aptamers or receptors, or nanoparticles. The device shown in
In one preferred embodiment, the second binding partner 38 is tagged with biotin 39. In embodiments where the tag 39 on the second binding partner 38 is biotin, the immobilized tag 50 in the detection zone is preferably avidin, neutravidin, or streptavidin. In other embodiments, the second binding partner 38 is tagged 39 with avidin, neutravidin, or streptavidin. In these embodiments, the immobilized tag 50 in the detection zone 52 is preferably biotin. Alternatively, the tag 39 on the second binding partner 38 may be a lectin and the immobilized tag 50 may be a glycosyl moiety. For example, in some embodiments, the lectin is the Garden pea Lectin and the glycosyl moiety is an erythrocyte glycosyl unit. The tag on the second binding partner and the immobilized tag may be reversed within the spirit of the present invention. For example, the glycosyl moiety may be the tag on the second binding partner, with an immobilized lectin tag in the detection zone. In other embodiments, other receptors and ligands may be used for the tags.
In operation, the sample collector 35 is placed such that the sample is directly above the sample application zone 44. The sample compressor 30 exerts pressure 51 on the sample collector 35. The pressure transfers the sample (including the analyte 40, if present), the conjugate 36, and the tagged second binding partner 38 onto the sample application zone 44. If there is also a control zone binding partner 61 on the sample compressor 30, the control zone binding partner 61 is also transferred. Note that the transfer is due to pressure, not due to flow or capillary action. Then, buffer 43 is added to permit flow of the conjugate 36—analyte 40 (if present)—second binding partner 38 complex (a complete sandwich) to the detection zone 52. An immobilized tag 50 in the test zone 45 then binds the tag 39. Since the conjugate 36 includes a label 41, the complex that forms is detectable and indicates a positive result. Proper operation of the test also results in a detectable positive result in the control zone 46 due to the interaction between the control zone binding partner 61 and its immobilized partner in the control zone 46.
In other embodiments, the conjugate zone can contain both the binding partners for the analyte in the sample to form a “full sandwich”. One of the binding partners preferably has a suitable marker such as biotin, avidin, lectin, a glycosyl moiety, a specific ligand, or a specific receptor. The other can be conjugated to the appropriate nanoparticles as mentioned below. The full sandwich is then captured at the test zone where the binding partner of the suitable marker, including, but not limited to, avidin for biotin, biotin for avidin, glycosyl moiety for lectin, lectin for the glycosyl moiety, a receptor for the ligand, or a ligand for the receptor, is immobilized.
Alternatively, the second binding partner 38 and/or the labeled conjugate zone 15 may be located anywhere on the test strip upstream of the detection zone 52 including, but not limited to, overlapping the sample application zone 44, upstream of the sample application zone 44, or between the sample application zone 44 and the detection zone 52. In one preferred embodiment, approximately 75-80% of the labeled 41 conjugate 36 is upstream of the sample application zone (with approximately 20-25% of the labeled conjugate 36 overlapping the sample application zone 44) and approximately 75-80% of the second binding partner 38 is located downstream of the sample application zone 44 (with approximately 20-25% of the second binding partner overlapping the sample application zone 44). Although not preferred, in other embodiments, either the labeled conjugate 36, the second binding partner 38, or both may be located in the buffer or pre-mixed with the sample before the sample is added to the test strip. In still other embodiments, any or all of the components could overlap the detection zone 52.
In some embodiments, both the first binding partner 37 and the second binding partner 38 are different antibodies to the analyte 40. In other embodiments, specific binding partners may also be antigens capable of binding to antibodies against the analyte. Other types of binding partners are bioorganic macromolecules like aptamers or receptors, or nanoparticles. The device shown in
In operation, a sample collector containing the sample is placed such that the sample is directly above the sample application zone 44. In preferred embodiments, the sample has not been subject to pretreatment prior to application to the test strip. Instead, the sample is still in its native form.
The sample is transferred to the sample application zone 44 of the test strip. A sandwich forms with the labeled conjugate 36 as one piece of bread and the second binding partner 38 as a second piece of bread, with the analyte 40 in between them, when the three components come into contact with each other during flow 43. The labeled conjugate 36—analyte 40 (if present)—second binding partner 38 complex (a complete sandwich) flow to the detection zone 52. An immobilized tag 50 in the test zone 45 then binds the tag 39. Since the labeled conjugate 36 includes a label 41, the complex that forms is detectable and indicates a positive result. Proper operation of the test also results in a detectable positive result in the control zone 46, preferably due to the interaction between a control line binding partner and its immobilized partner in the control zone 46.
In another embodiment, the two binding partners for the analyte are located in such a way to achieve a “vertical sandwich” where the sample binds with the conjugate being compressed from the second plane and can bind simultaneously or concurrently with the other binding partner located on the strip in the plane of the strip. Thus a sandwiching of the analyte in the sample is achieved by binding to the partner from the conjugate delivered from above the plane of the strip and binding to the second binding partner located on the plane of the strip below the sample delivering material.
In preferred embodiments, the pad 33 on the sample compressor 30 also includes a control zone binding partner 61 (shown in
In one example, both the first binding partner 37 and the second binding partner 38 are different antibodies to the analyte. The control zone binding partner 61 is also preferably an antibody, and its binding partner at the control zone is an antigen (or vice versa). In other embodiments, specific binding partners may also be antigens capable of binding to antibodies against the analyte. Other types of binding partners are bioorganic macromolecules like aptamers or receptors, or nanoparticles. The device shown in
A universal test strip 80, as shown in
Although the sample compressor and the sample collector are shown as separate entities in
In some embodiments, the sample compressor 30 is rotatably connected to the housing 85 as shown in
Alternatively, the pad 33 may be separate from the sample compressor within the spirit of the present invention. The pad may be on a binding partner applicator similar to the sample collector. In these embodiments, the binding partner applicator may be located between the sample collection portion and the sample application zone when the pressure is applied by the sample compressor to transfer the sample to the sample application zone.
In this embodiment, the entire sandwich (first binding partner 37—analyte 40—second binding partner 38) forms in the sample application zone 44. The test zone 45 in this embodiment includes an immobilized tag 50 that binds to the tag 39 of the second binding partner 38. In this embodiment, a first binding partner 37, which is part of the conjugate 36 and is preferably pre-loaded and dried on the pad 33 of the sample compressor 30, binds the analyte 40 in the test sample to form a half sandwich. The second binding partner 38 in this embodiment is preferably pre-loaded and dried on the sample application zone 44 of the test strip. The second binding partner 38 also includes a tag 39. Alternatively, the second binding partner 38 in this embodiment may be located anywhere on the test strip upstream of the detection zone including, but not limited to, overlapping the sample application zone, upstream of the sample application zone, and between the sample application zone and the detection zone. Similarly, the sample application zone 44 may be upstream of the diverting zone 500, downstream of the diverting zone 500, or overlapping or on top of the diverting zone 500.
In preferred embodiments, the pad 33 on the sample compressor 30 also includes a control zone binding partner 61 with a detectable label. The control zone binding partner 61 complexes with its binding partner 110 in the control zone 46 when the test has run correctly.
The diverting zone 500 completely stops flow until the sample compressor 30 is brought into contact with the rest of the device, and creates a bridge along which the fluid can flow, as shown by the dotted line 520 in
In other embodiments, the control zone binding partner 61 could be located on the test strip, for example upstream of the sample application zone, on the sample application zone, or downstream of the sample application zone. In any of the embodiments with a control zone binding partner 61, the control zone binding partner 61 will not reach the control zone 46 unless the sample compressor 30 has effectively formed the bridge, allowing flow to continue past the barrier 510 (as it travels through the sample compressor 30 in an alternate plane) and then back onto the test strip.
In operation, the sample collector 535 is placed such that the sample is directly above the sample application zone 44. The barrier 510 in the diverting zone 500 stops lateral flow 43 on the test strip. When the sample compressor 30 is added, it exerts pressure 51 on the sample collector 535, and creates a bridge over the barrier 510. Flow is diverted 520 into the sample compressor 30 in a separate plane. When the elution medium, sample or buffer flows through the sample compressor 30, it collects the first analyte binding partner 37 of the conjugate 36 and the control zone binding partner 61. Flow travels through the collecting portion 560 of the sample collector 535 as it returns to the test strip after the end of the barrier 510, where the components traveling in the flow interact with the sample of interest. If the analyte 40 is present in the sample, the analyte 40 binds to the first analyte binding partner 36 and the second binding partner 38, creating a “vertical” sandwich with the conjugate 36 as the top piece and the second binding partner 38 as the bottom piece, with the analyte 40 in between them (see
Note that, while
Although the barrier is shown as a specific length relative to the rest of the test strip in
In one preferred embodiment, the barrier 510 includes encapsulated components. The barrier 510 in these embodiments is made of a material that dissolves over time (as disclosed in US Patent Publication No. 2013/0017559, published Jan. 17, 2013, herein incorporated by reference), releasing the encapsulated components. The barrier 510 may include any or all of the same reagents that have been discussed herein as being able to be encapsulated. A dissolving barrier 510 performs dual functions. Similar to the other barriers 510, it acts as a wall to force flow into the sample compressor. In addition, it time delays certain components by encapsulating them. Buffer or elution medium slowly dissolves the barrier 510, and these time-delayed components will impact the test line complex after the other components of the assay have reached the test line.
The diverting zone 500 completely stops flow until the sample compressor 30 is brought into contact with the rest of the device, and creates a bridge along which the fluid can flow, as shown by the dotted line 520 in
In other embodiments, the control zone binding partner 61 could be located on the test strip, for example upstream of the sample application zone 44, on the sample application zone 44, or downstream of the sample application zone 44. In any of the embodiments with a control zone binding partner 61, the control zone binding partner 61 will not reach the control zone 46 unless the sample compressor 30 has effectively formed the bridge, allowing flow to continue past the gap (as it travels through the sample compressor 30 in an alternate plane) and then back onto the test strip.
In operation, the sample collector 535 is placed such that the sample is directly above the sample application zone 44. The gap 525 in the diverting zone 500 stops lateral flow 43 on the test strip. When the sample compressor 30 is added, it exerts pressure 51 on the sample collector 535, and creates a bridge over the gap 525. Flow is diverted 520 into the sample compressor 30 in a separate plane. When the elution medium, sample or buffer flows through the sample compressor 30, it collects the first analyte binding partner 37 of the conjugate 36 and the control zone binding partner 61. Flow travels through the collecting portion 560 of the sample collector 535 as it returns to the test strip after the end of the gap 525, where the components traveling in the flow interact with the sample of interest. If the analyte 40 is present in the sample, the analyte 40 binds to the first analyte binding partner 36 and the second binding partner 38, creating a “vertical” sandwich with the conjugate 36 as the top piece and the second binding partner 38 as the bottom piece, with the analyte 40 in between them (see
Note that, while
Although the gap 525 is shown in
In other preferred embodiments, more than one barrier, more than one gap, or a combination of at least one barrier and at least one gap may make up the diverting zone.
While
One or more separator papers 660 or 760 may be used as the sample collector in any of the embodiments described herein.
In this embodiment, ½ of the sandwich (the first binding partner 37—analyte 40) begins to form on the sample compressor 30, and the entire sandwich (first binding partner 37—analyte 40—second binding partner 38) forms before the sample reaches the test zone 45. The second binding partner 38 in this embodiment is preferably pre-loaded and dried on the sample application zone 44 of the test strip. Alternatively, the second binding partner 38 in this embodiment may be located anywhere on the test strip upstream of the detection zone including, but not limited to, overlapping the sample application zone, upstream of the sample application zone, and between the sample application zone and the detection zone.
In operation, the sample is placed on the sample compressor 30. The barrier 510 in the diverting zone 500 stops lateral flow 43 on the test strip. When the sample compressor 30 is added, it creates a bridge over the barrier 510. Flow is diverted 520 into the sample compressor 30 in a separate plane. When the elution medium, sample or buffer flows through the sample compressor 30, it collects the sample, the first analyte binding partner 37 of the conjugate 36 and the control zone binding partner 61. Flow returns to the test strip after the end of the barrier 510. If the analyte 40 is present in the sample, the analyte 40 binds to the first analyte binding partner 36 and the second binding partner 38, creating a “vertical” sandwich with the conjugate 36 as the top piece and the second binding partner 38 as the bottom piece, with the analyte 40 in between them. If there is also a control zone binding partner 61 on the sample compressor 30, the control zone binding partner 61 is also transferred. An immobilized tag 50 in the test zone 45 then binds the tag 39. Since the conjugate 36 includes a label 41, the complex that forms is detectable and indicates a positive result. Proper operation of the test also results in a detectable positive result in the control zone 46 due to the interaction between the control zone binding partner 61 and its immobilized partner in the control zone 46.
In this embodiment, ½ of the sandwich (the first binding partner 37—analyte 40) begins to form on the sample compressor 30, and the entire sandwich (first binding partner 37—analyte 40—second binding partner 38) forms before the sample reaches the test zone 45. In this embodiment, a first binding partner 37, which is part of the conjugate 36 and is preferably pre-loaded and dried on the pad 33 of the sample compressor 30, binds the analyte 40 in the test sample to form a half sandwich. The second binding partner 38 in this embodiment is preferably pre-loaded and dried on the sample application zone 44 of the test strip. The second binding partner 38 also includes a tag 39. Alternatively, the second binding partner 38 in this embodiment may be located anywhere on the test strip upstream of the detection zone including, but not limited to, overlapping the sample application zone, upstream of the sample application zone, and between the sample application zone and the detection zone.
In operation, the gap 525 in the diverting zone 500 stops lateral flow 43 on the test strip. When the sample compressor 30 is added, it creates a bridge over the gap 525. Flow is diverted 520 into the sample compressor 30 in a separate plane. When the elution medium, sample or buffer flows through the sample compressor 30, it collects the sample, the first analyte binding partner 37 of the conjugate 36 and the control zone binding partner 61. Flow returns to the test strip after the end of the gap 525. If the analyte 40 is present in the sample, the analyte 40 binds to the first analyte binding partner 36 and the second binding partner 38, creating a “vertical” sandwich with the conjugate 36 as the top piece and the second binding partner 38 as the bottom piece, with the analyte 40 in between them. If there is also a control zone binding partner 61 on the sample compressor 30, the control zone binding partner 61 is also transferred. An immobilized tag 50 in the test zone 45 then binds the tag 39. Since the conjugate 36 includes a label 41, the complex that forms is detectable and indicates a positive result. Proper operation of the test also results in a detectable positive result in the control zone 46 due to the interaction between the control zone binding partner 61 and its immobilized partner in the control zone 46.
The entire sandwich (first binding partner 37—analyte 40—second binding partner 38) forms in the sample application zone 44. In this embodiment, a first binding partner 37, which is part of the conjugate 36 and is preferably pre-loaded and dried on the pad 33 of the sample compressor 30, binds the analyte 40 in the test sample to form a half sandwich. The second binding partner 38 in this embodiment is preferably pre-loaded and dried on the sample application zone 44 of the test strip. The second binding partner 38 also includes a tag 39. Alternatively, the second binding partner 38 in this embodiment may be located anywhere on the test strip upstream of the detection zone including, but not limited to, overlapping the sample application zone, upstream of the sample application zone, and between the sample application zone and the detection zone. Similarly, the sample application zone 44 may be upstream of the diverting zone 500, downstream of the diverting zone 500, or overlapping or on top of the diverting zone 500.
In operation, the sample is placed on the sample application zone 44. The barrier 510 in the diverting zone 500 stops lateral flow 43 on the test strip. When the sample compressor 30 is added, it exerts pressure 51 on the test strip, and creates a bridge over the barrier 510. Flow is diverted 520 into the sample compressor 30 in a separate plane. When the elution medium, sample or buffer flows through the sample compressor 30, it collects the first analyte binding partner 37 of the conjugate 36 and the control zone binding partner 61. Flow returns to the test strip after the end of the barrier 510, where the components traveling in the flow interact with the sample of interest. If the analyte 40 is present in the sample, the analyte 40 binds to the first analyte binding partner 36 and the second binding partner 38, creating a “vertical” sandwich with the conjugate 36 as the top piece and the second binding partner 38 as the bottom piece, with the analyte 40 in between them. If there is also a control zone binding partner 61 on the sample compressor 30, the control zone binding partner 61 is also transferred. An immobilized tag 50 in the test zone 45 then binds the tag 39. Since the conjugate 36 includes a label 41, the complex that forms is detectable and indicates a positive result. Proper operation of the test also results in a detectable positive result in the control zone 46 due to the interaction between the control zone binding partner 61 and its immobilized partner in the control zone 46.
The entire sandwich (first binding partner 37—analyte 40—second binding partner 38) forms in the sample application zone 44. In this embodiment, a first binding partner 37, which is part of the conjugate 36 and is preferably pre-loaded and dried on the pad 33 of the sample compressor 30, binds the analyte 40 in the test sample to form a half sandwich. The second binding partner 38 in this embodiment is preferably pre-loaded and dried on the sample application zone 44 of the test strip. The second binding partner 38 also includes a tag 39. Alternatively, the second binding partner 38 in this embodiment may be located anywhere on the test strip upstream of the detection zone including, but not limited to, overlapping the sample application zone, upstream of the sample application zone, and between the sample application zone and the detection zone. Similarly, the sample application zone 44 may be upstream of the diverting zone 500, downstream of the diverting zone 500, or overlapping or on top of the diverting zone 500.
In operation, the gap 525 in the diverting zone 500 stops lateral flow 43 on the test strip. When the sample compressor 30 is added, it creates a bridge over the gap 525. Flow is diverted 520 into the sample compressor 30 in a separate plane. When the elution medium, or buffer flows through the sample compressor 30, it collects the first analyte binding partner 37 of the conjugate 36 and the control zone binding partner 61. Flow returns to the test strip after the end of the gap 525, where the components traveling in the flow interact with the sample of interest. If the analyte 40 is present in the sample, the analyte 40 binds to the first analyte binding partner 36 and the second binding partner 38, creating a “vertical” sandwich with the conjugate 36 as the top piece and the second binding partner 38 as the bottom piece, with the analyte 40 in between them (see
Although
Embodiments with the second binding partner 38 in the test zone 45 are shown in
In other preferred embodiments, as alternatives to the embodiment of any of
In other embodiments with a sample compressor 30, the sample compressor does not include any reagents for the test, and is used only to provide pressure or to bridge a diverting zone on the test strip. In still other embodiments, both the first binding partner and the second binding partner are located on the sample compressor.
In inhibition assays, only a ½ sandwich is formed, but diverting zones, sample compressors, and other components of the assay configurations of
Accordingly, it is to be understood that the embodiments of the invention herein described are merely illustrative of the application of the principles of the invention. Reference herein to details of the illustrated embodiments is not intended to limit the scope of the claims, which themselves recite those features regarded as essential to the invention.
This application is a continuation-in-part patent application of: Co-pending application Ser. No. 12/782,162, filed May 18, 2010, entitled “METHOD AND DEVICE FOR COMBINED DETECTION OF VIRAL AND BACTERIAL INFECTIONS”, which claims one or more inventions which were disclosed in Provisional Application No. 61/179,059, filed May 18, 2009, entitled “METHOD AND DEVICE FOR COMBINED DETECTION OF VIRAL AND BACTERIAL INFECTIONS”, which is also a continuation-in-part application of application Ser. No. 12/469,207, filed May 20, 2009, entitled “NANOPARTICLES IN DIAGNOSTIC TESTS”, which claimed priority from Provisional Application No. 61/071,833, filed May 20, 2008, entitled “NANOPARTICLES IN DIAGNOSTIC TESTS” and PCT application Serial Number PCT/US2009/057775, filed Sep. 22, 2009, entitled “METHOD AND DEVICE FOR COMBINED DETECTION OF VIRAL AND BACTERIAL INFECTIONS”; Co-pending application Ser. No. 12/481,631, filed Jun. 10, 2009, entitled “COMBINED VISUAL/FLUORESCENCE ANALYTE DETECTION TEST”, which claimed priority from Provisional Application No. 61/060,258, filed Jun. 10, 2008, entitled “COMBINED VISUAL/FLUORESCENCE ANALYTE DETECTION TEST”; Co-pending application Ser. No. 12/958,454, filed Dec. 2, 2010, entitled “MULTIPLANAR LATERAL FLOW ASSAY WITH SAMPLE COMPRESSOR”, which claimed priority from Provisional Application No. 61/266,641, filed Dec. 4, 2009, entitled “LATERAL FLOW NUCLEIC ACID DETECTOR”, Provisional Application No. 61/331,966, filed May 6, 2010, entitled “MULTIPLANAR LATERAL FLOW ASSAY WITH SAMPLE COMPRESSOR”, Provisional Application No. 61/352,093, filed Jun. 7, 2010, entitled “LATERAL FLOW ASSAYS”, and Provisional Application No. 61/392,981, filed Oct. 14, 2010, entitled “MULTIPLANAR LATERAL FLOW ASSAY WITH SAMPLE COMPRESSOR”. Co-pending application Ser. No. 13/788,616, filed Mar. 7, 2013, entitled “MULTIPLANAR LATERAL FLOW ASSAY WITH DIVERTING ZONE”. The benefit under 35 USC §119(e) of the United States provisional applications are hereby claimed, and the aforementioned applications are hereby incorporated herein by reference.
This invention was made with Government support under SBIR Grant No. W81XWH-06-C-0367, awarded by the Department of Defense. The government has certain rights in the invention.
| Number | Date | Country | |
|---|---|---|---|
| 61179059 | May 2009 | US | |
| 61071833 | May 2008 | US | |
| 61060258 | Jun 2008 | US | |
| 61266641 | Dec 2009 | US | |
| 61331966 | May 2010 | US | |
| 61352093 | Jun 2010 | US | |
| 61392981 | Oct 2010 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | 12782162 | May 2010 | US |
| Child | 13796560 | US | |
| Parent | 12469207 | May 2009 | US |
| Child | 12782162 | US | |
| Parent | PCT/US2009/057775 | Sep 2009 | US |
| Child | 12782162 | US | |
| Parent | 12481631 | Jun 2009 | US |
| Child | PCT/US2009/057775 | US | |
| Parent | 12958454 | Dec 2010 | US |
| Child | 12481631 | US | |
| Parent | 13788616 | Mar 2013 | US |
| Child | 12958454 | US |
