NOVEL CORONAVIRUS NUCLEIC ACID RAPID HYBRID CAPTURE IMMUNOFLUORESCENCE DETECTION KIT, AND PREPARATION METHOD AND DETECTION METHOD THEREOF

Information

  • Patent Application
  • 20230221304
  • Publication Number
    20230221304
  • Date Filed
    February 24, 2021
    3 years ago
  • Date Published
    July 13, 2023
    a year ago
Abstract
The invention relates to the technical field of nucleic acid detection and discloses a novel coronavirus nucleic acid rapid hybrid capture immunofluorescence detection kit, and a preparation method and a detection method thereof. The kit includes a COVID-19 reaction solution, wherein the COVID-19 reaction solution is prepared from a COVID-19 fluorescence marker and a COVID-19 probe solution; and the COVID-19 probe solution includes: an ORFlab section probe, an N section probe and an E section probe. Compared with general fluorescence PCR and sequencing detection, the kit has the advantages of stronger signal intensity, better specificity, shorter detection time, no need of professional technicians for operation, no need of refrigeration in transportation and storage, no need of a matched laboratory and a matched PCR instrument, and convenience and rapidness in use.
Description
BACKGROUND OF THE INVENTION
1. Technical Field

The invention relates to the technical field of nucleic acid detection, and more particularly, to a novel coronavirus nucleic acid rapid hybrid capture immunofluorescence detection kit, and a preparation method thereof.


2. Description of Related Art

Corona virus disease 2019 (COVID-19) belongs to (3 coronavirus, which has an envelope, round or elliptical particles and a diameter of 60-140 and is often polymorphous. The gene characteristics of the COVID-19 are obviously different from those of SARSr-CoV and MERSr-CoV, and the homology with bat SARS-like coronavirus (bat-SL-CoVZC45) is more than 85%.


The pneumonia infected by COVID-19 is lung inflammation caused by COVID-19, which has been incorporated into category B infectious disease stipulated in Law of the People's Republic of China on Prevention and Control of Infectious Diseases, and measures for prevention and control of category A infectious disease has been taken. With the spread of the epidemic, there is an urgent need for a detection reagent capable of accurately and rapidly diagnosing COVID-19.


At present, six enterprises have obtained the registration number of COVID-19 nucleic acid detection reagent:


1) COVID-19 nucleic acid detection kit (fluorescence PCR) of Sansure Biotech Co., Ltd. (GXZZ20203400064);


2) COVID-19 nucleic acid detection kit (fluorescence PCR) of Sun Yat-sen University Daan Gene Co., Ltd. (GXZZ20203400063);


3) COVID-19 nucleic acid detection kit (fluorescence PCR) of Shanghai GenenoDx Biotech Co., Ltd. (GXZZ20203400058);


4) COVID-19 nucleic acid detection kit (fluorescence PCR) of Shanghai Liferiver Biotech Co., Ltd. (GXZZ20203400057);


5) COVID-19 nucleic acid detection kit (fluorescence PCR) of BGI Biotech (Wuhan) Co., Ltd. (GXZZ20203400060); and


6) COVID-19 nucleic acid detection kit (combinatorial probe-anchor synthesis) of BGI Biotech (Wuhan) Co., Ltd. (GXZZ20203400059).


The above COVID-19 nucleic acid detection kits mainly adopt a fluorescence PCR nucleic acid detection method. The detection principle is that a fluorescent reporter group and a fluorescent quenching group are added into a PCR reaction system, amplification products accumulate continuously with the progress of the PCR reaction, which leads to the continuous accumulation of fluorescent signals, the fluorescent signals are monitored in real time and threshold cycle (Ct) values of unknown samples are obtained, and the Ct value refers to the minimum cycle number required for generating detectable fluorescent signals and is the cycle number corresponding to an inflection point where the fluorescent signals enter an exponential growth stage from background in the PCR cyclic process. The Ct values of standard samples with different concentrations are usually used to generate a standard curve, and an initial template amount of the unknown sample is calculated automatically from the standard curve.


The fluorescence PCR nucleic acid detection method is accurate in quantification and high in reproducibility, but the method needs professional PCR laboratories, special PCR instruments, specially trained technicians for operation, nucleic acid extraction and purification for samples and cold chain transportation below −20° C., has detection time as long as 1-3 hours, low detection efficiency and nucleic acid amplification in the detection process, is liable to cause laboratory positive product pollution and many other problems, and is inconvenient to use.


BRIEF SUMMARY OF THE INVENTION

In order to solve the above problems, the invention provides a novel coronavirus nucleic acid rapid hybrid capture immunofluorescence detection kit, and a preparation method and a detection method thereof, which is shorter in detection time, does not need professional technicians for operation and matched laboratories and special instruments, and is more convenient and rapid in use.


A first objective of the invention is to provide a corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kit. The kit includes COVID-19 reaction solution, wherein the COVID-19 reaction solution is prepared from a COVID-19 fluorescence marker and a COVID-19 probe solution; the COVID-19 probe solution includes: an ORFlab section probe, an N section probe and an E section probe; and the ORFlab section probe is used for detecting an open reading coding frame lab of the COVID-19, the N section probe is used for detecting an envelope protein gene of the COVID-19, and the E section probe is used for detecting a core-shell protein gene of the COVID-19.


Preferably, a sequence of the ORFlab section probe is:









Aacgattgtgcatcagctgactgaagcatgggttcgcggagttgatcaca





actacagccataacctttccacataccgcagac;






a sequence of the N section probe is:











Agagcagcatcaccgccattgccagccattctagcaggagaagttc;






and


a sequence of the E section probe is:











aaggatggctagtgtaactagcaagaataccacgaaagcaagaaaaa.






Preferably, the COVID-19 fluorescence marker is prepared by coupling a fluorescent material and a COVID-19 marking raw material; the COVID-19 marking raw material adopts a COVID-19 antigen or antibody; and the fluorescent material adopts any one of the followings: a FITC fluorescein, a fluorescent microsphere, a fluorescent particle and a biological fluorescein.


Preferably, the kit further includes a COVID-19 negative reference substance, wherein the negative reference substance includes one or more of the following reference substances: a normal saline reference substance, a purified water reference substance, a non-COVID-19 pathogen reference substance and a pseudovirus not containing a COVID-19 target sequence.


Further, the negative reference substance includes N1-N17: N1-N2 are normal saline reference substances, N3-N4 are purified water reference substances, N5-N13 are human throat swab samples and N14-N17 are pseudoviruses not containing COVID-19 target sequences; in the human throat swab samples, COVID-19 is negative and the non-COVID-19 pathogen reference substance is positive; and the pseudoviruses not containing the COVID-19 target sequences are subtypes of coronaviruses, wherein N14 is positive for a human coronavirus 229E N section, N15 is positive for a human coronavirus NL63 N section, N16 is positive for a human coronavirus OC43 N section, and N17 is positive for a human coronavirus HKU1 N section.


Preferably, the kit further includes a COVID-19 positive reference substance, wherein the positive reference substance is a pseudovirus containing a COVID-19 target sequence; the positive control reference substance includes P1, P2 and P3, P1 being positive for a COVID-19 N section, P2 being positive for a COVID-19 E section, and P3 being positive for a COVID-19 ORF lab section; and a concentration of the positive reference substance is 3000 TU/mL±5%.


Preferably, the kith further includes a precision reference substance and a limit of detection reference substance, wherein the precision reference substance includes J1, J2 and J3, J1-J2 being pseudoviruses containing COVID-19 target sequences and being positive for a COVID-19 ORF lab section, concentrations of J1-J2 being 2000 TU/mL±5% and 5000 TU/mL±5% respectively, J3 being a mixed human negative throat swab sample and being negative for COVID-19; and the limit of detection reference substance includes L1, L2 and L3, L1 being positive for a COVID-19 N section, L2 being positive for a COVID-19 E section, L3 being positive for a COVID-19 ORF lab section, and a concentration of the limit of detection reference substance being 1000 TU/mL±5%.


Preferably, the kit further includes a COVID-19 detection strip, COVID-19 redissolving liquid and COVID-19 sample preserving liquid.


A second objective of the invention is to provide a preparation method of any one of the above corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kits. The preparation method includes: a preparation step of the COVID-19 fluorescence marker as follows:


activation: adding 1% fluorescent microsphere solution with a ratio of 1.0 mg/mL±5% and an EDC solution with a ratio of 0.6 mg/mL±5% into a prepared borate buffer solution of 0.05M±5%, mixing uniformly, placing the mixture on a rotary mixer to rotate for more than 20 minutes, perform centrifugation at 15000-16000 rpm for more than 30 minutes after activating, removing a supernatant, performing resuspension by the borate buffer solution of 0.05M±5% and mixing uniformly;


coupling: adding a COVID-19 antibody in an amount of 0.2 mg/mL into the activated fluorescent microsphere solution, mixing uniformly, and placing the mixture on the rotary mixer to rotate for more than 2 hours to obtain a fluorescent microsphere marking conjugate solution;


closing: adding a 10% BSA solution with a ratio of 0.1 ml/mL±5% into the fluorescent microsphere marking conjugate solution, mixing uniformly, and placing the mixture on the rotary mixer to rotate for 12-16 hours; and


centrifugal resuspension: centrifuging the fluorescent microsphere marking conjugate solution at 15000-16000 rpm, removing a supernatant, washing with an isovolumetric borate buffer solution of 0.05M±5%, and finally resuspending a precipitate with a marker diluent in a volume which is equal to that of the supernatant solution to prepare the COVID-19 fluorescence marker.


Preferably, the preparation method includes a preparation step of COVID-19 reaction solution as follows:


preparation of a fluorescence marker: diluting the COVID-19 fluorescence marker with a marker diluent according to a ratio, wherein the ratio of the diluent to a T line marker to a C line marker is equal to 17:2:1;


preparation of a probe solution: diluting a COVID-19 probe with nucleic acid solving liquid to 10 μM±5% to obtain a COVID-19 probe solution;


preparation of reaction solution: mixing the diluted COVID-19 fluorescence marker and the COVID-19 probe solution according to a volume ratio of 1:1 to obtain COVID-19 reaction solution; and


subpackaging of the reaction solution: subpackaging the COVID-19 reaction solution into reaction tubes and drying for 6 to 8 hours under the conditions that the temperature is 18-28° C. and the humidity is less than or equal to 30%.


Preferably, the preparation method further includes a preparation step of a COVID-19 positive reference substance: diluting artificially synthesized COVID-19 RNA with a positive reference substance diluent to 2000 TU/mL±5%; and subpackaging the diluted positive reference substances into vertical tubes and drying for 6 to 8 hours under the conditions that the temperature is 18-28° C. and the humidity is less than or equal to 30%.


A third objective of the invention is to provide a detection method of any one of the above corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kits. The detection method includes the following steps:


acquiring a target nucleic acid fragment in a to-be-detected sample through hybrid capture;


performing nucleic acid hybridization reaction on the target nucleic acid fragment and the COVID-19 reaction solution to obtain to-be-detected liquid; and


adding the to-be-detected liquid into a COVID-19 detection strip for fluorescence signal recognition.


The beneficial effects of the invention are:


the COVID-19 nucleic acid rapid hybrid capture immunofluorescence detection kit provided by the invention adopts a hybrid capture-immunofluorescence analysis (short for HC-IFA), which is a method for acquiring target nucleic acid fragments in samples through hybrid capture and qualitatively, semi-quantificationally and quantificationally judging the number of the target nucleic acid fragments in the samples through fluorescent signal recognition. Compared with general antigen-antibody immunodetection, the invention covers nucleic acid detection, achieves detection sensitivity at molecular level and realizes fluorescence recognition of nucleic acid detection. Compared with general fluorescence PCR and sequencing detection, the kit has the advantages of stronger signal intensity, better specificity, shorter detection time, no need of professional technicians for operation, no need of refrigeration in transportation and storage, no temperature changing link in a reaction process and no need of a matched laboratory and a matched PCR instrument, can perform single sample detection with a detection time of 30 minutes, has short detection tie, and has a detection flux of 100 to 200 copies per hour.





BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS

The accompanying drawings described here are provided for further understanding of the invention, and constitute a part of the invention. The exemplary embodiments and illustrations of the invention are intended to explain the invention, but do not constitute inappropriate limitations to the invention. In the accompanying drawings:



FIG. 1 is a flowchart of a preparation process of a corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kit.



FIG. 2 is S9.6 protein model information used in the specific detection process of a corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kit.





DETAILED DESCRIPTION OF THE INVENTION

In order to make the technical problems to be solved, technical solutions and beneficial effects of the invention more apparent, the invention will be described in more detail with reference to the drawings and embodiments. It should be understood that the specific embodiments described herein are merely intended to explain the invention, rather than to limit the invention.


First Embodiment (Kit)

The embodiment provides a novel coronavirus nucleic acid rapid hybrid capture immunofluorescence detection kit. The kit includes COVID-19 reaction solution, COVID-19 redissolving liquid, a COVID-19 negative reference substance and COVID-19 sample preserving liquid which are subpackaged into reaction tubes or vertical tubes respectively, and further includes a COVID-19 detection strip, an aluminum foil bag card, a kit label, a kit instruction and the like.


The COVID-19 reaction solution is prepared from a COVID-19 fluorescence marker and a COVID-19 probe solution; and the COVID-19 probe solution includes: an ORFlab section probe, an N section probe and an E section probe; wherein the ORFlab section probe is used for detecting an open reading coding frame lab of the COVID-19, the N section probe is used for detecting an envelope protein gene of the COVID-19, and the E section probe is used for detecting a core-shell protein gene of the COVID-19.


A sequence of the ORFlab section probe is:









Aacgattgtgcatcagctgactgaagcatgggttcgcggagttgatcaca





actacagccataacctttccacataccgcagac;






a sequence of the N section probe is:











Agagcagcatcaccgccattgccagccattctagcaggagaagttc;






and


a sequence of the E section probe is:











aaggatggctagtgtaactagcaagaataccacgaaagcaagaaaaa.






The COVID-19 fluorescence marker is prepared by coupling a fluorescent material and a COVID-19 marking raw material; the COVID-19 marking raw material adopts a COVID-19 antibody; and the fluorescent material adopts any one of the followings: a FITC fluorescein, a fluorescent microsphere, a fluorescent particle, a biological fluorescein and other substances capable of emitting fluorescence, but is not limited to this.


The COVID-19 negative reference substance includes one or more of the following reference substances: a normal saline reference substance, a purified water reference substance, a non-COVID-19 pathogen reference substance and a pseudovirus not containing a COVID-19 target sequence. Specifically, the negative reference substance includes N1-N17: N1-N2 are normal saline reference substances, N3-N4 are purified water reference substances, N5-N13 are human throat swab samples and N14-N17 are pseudoviruses not containing COVID-19 target sequences; in the human throat swab samples, COVID-19 is negative and the non-COVID-19 pathogen reference substance is positive; and the pseudoviruses not containing the COVID-19 target sequences are subtypes of coronaviruses, wherein N14 is positive for a human coronavirus 229E N section, N15 is positive for a human coronavirus NL63 N section, N16 is positive for a human coronavirus OC43 N section, and N17 is positive for a human coronavirus HKU1 N section.


The COVID-19 positive reference substance is a pseudovirus containing a COVID-19 target sequence; the positive control reference substance includes P1, P2 and P3, wherein P1 is positive for a COVID-19 N section, P2 is positive for a COVID-19 E section, and P3 is positive for a COVID-19 ORF lab section; and a concentration of the positive reference substance is 3000 TU/mL±5%.


The precision reference substance includes J1, J2 and J3, wherein J1-J2 are pseudoviruses containing COVID-19 target sequences and are positive for a COVID-19 ORF lab section, concentrations of J1-J2 are 2000 TU/mL±5% and 5000 TU/mL±5% respectively, J3 is a mixed human negative throat swab sample and is negative for COVID-19; and the limit of detection reference substance includes L1, L2 and L3, wherein L1 is positive for a COVID-19 N section, L2 is positive for a COVID-19 E section, L3 is positive for a COVID-19 ORF lab section, and a concentration of the limit of detection reference substance is 1000 TU/mL±5. The detail is shown in Table 1 below.









TABLE 1







Composition table of reference products











Type of






Reference
Serial

Sample


Product
Number
Information
Type
Concentration





Positive
P1
Positive for COVID-19 N
Pseudovirus
3000 TU/mL


reference

section


product
P2
Positive for COVID-19 E
Pseudovirus
3000 TU/mL




section



P3
Positive for COVID-19 ORF
Pseudovirus
3000 TU/mL




1ab section


Negative
N1
Normal saline
/
/


reference
N2
Normal saline
/
/


product
N3
Purified water
/
/



N4
Purified water
/
/



N5
Negative for COVID-19
Throat
/




Positive for influenza A virus
swab liquid



N6
Negative for COVID-19
Throat
/




Positive for metapneumovirus
swab liquid



N7
Negative for COVID-19
Throat
/




Positive for influenza B virus
swab liquid



N8
Negative for COVID-19
Throat
/




Positive for parainfluenza virus
swab liquid



N9
Negative for COVID-19
Throat
/




Positive for respiratory
swab liquid




syncytial virus



N10
Negative for COVID-19
Throat
/




Positive for rhinovirus
swab liquid



N11
Negative for COVID-19
Throat
/




Positive for adenovirus
swab liquid



N12
Negative for COVID-19
Throat
/




Positive for mycoplasma
swab liquid




pneumoniae



N13
Negative for COVID-19
Throat
/




Positive for chlamydia
swab liquid




pneumoniae



N14
Negative for COVID-19
Pseudovirus
/




Positive for human coronavirus




229E N section



N15
Negative for COVID-19
Pseudovirus
/




Positive for human coronavirus




NL63 N section



N16
Negative for COVID-19
Pseudovirus
/




Positive for human coronavirus




OC43 N section



N17
Negative for COVID-19
Pseudovirus
/




Positive for human coronavirus




HKU1 N section


Detection
L1
Positive for COVID-19 N
Pseudovirus
1000 TU/mL


limit

section


reference
L2
Positive for COVID-19 E
Pseudovirus
1000 TU/mL


product

section



L3
Positive for COVID-19 ORF
Pseudovirus
1000 TU/mL




1ab section


Precision
J1
Positive for COVID-19 ORF
Pseudovirus
2000 TU/mL


reference

1ab section


product
J2
Positive for COVID-19 ORF
Pseudovirus
5000 TU/mL




lab section



J3
Negative for COVID-19
Throat
/





swab liquid









The detection strip may adopt a chromatography or percolation method. In this embodiment, the detection strip adopts an immunofluorescence chromatography test strip, which includes a water-absorbing pad arranged on an end area of the detection strip, a sample adding area arranged on the other end area of the detection strip, and a nitrocellulose membrane (NC membrane) arranged between the water-absorbing pad and the sample adding area, wherein the nitrocellulose membrane is arranged on a T line detection area. The treated glass fiber pad, the treated nitrocellulose membrane and the water-absorbing pad are sequentially in lap joint with a PVC bottom plate and are cut into test strips with a set width, that is, the detection strip of the invention.


Second Embodiment (Preparation Method)

As shown in FIG. 1, the embodiment provides a preparation method of any one of the above corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kits. The preparation method includes:


(1) a preparation step of a COVID-19 fluorescence marker as follows:


activation: 1% fluorescent microsphere solution with a ratio of 1.0 mg/mL±5% and an EDC solution with a ratio of 0.6 mg/mL±5% were added into a prepared borate buffer solution of 0.05M±5% for uniformly mixing, the mixture was placed on a rotary mixer to rotate for more than 20 minutes, centrifugation was performed at 15000-16000 rpm for more than 30 minutes after activating, a supernatant was removed, resuspension was performed by the borate buffer solution of 0.05M±5% and uniform mixing was performed;


coupling: a COVID-19 antibody in an amount of 0.2 mg/mL±5% was added into the activated fluorescent microsphere solution for uniform mixing, and the mixture was placed on the rotary mixer to rotate for more than 2 hours to obtain a fluorescent microsphere marking conjugate solution;


closing: a 10% BSA solution with a ratio of 0.1 ml/mL±5% was added into the fluorescent microsphere marking conjugate solution for uniform mixing, and the mixture was placed on the rotary mixer to rotate for 12-16 hours; and


centrifugal resuspension: the fluorescent microsphere marking conjugate solution was centrifuged at 15000-16000 rpm, a supernatant was removed, the material was washed with an isovolumetric borate buffer solution of 0.05M±5%, and finally a precipitate was resuspended with a marker diluent in a volume which is equal to that of the supernatant solution to prepare the COVID-19 fluorescence marker.


(2) A preparation step of COVID-19 reaction solution as follows:


preparation of a fluorescence marker: the COVID-19 fluorescence marker was diluted with a marker diluent according to a ratio, wherein the ratio of the diluent to a T line marker to a C line marker is equal to 17:2:1;


preparation of a probe solution: a COVID-19 probe was diluted with nucleic acid solving liquid to 10 μM±5% to obtain a COVID-19 probe solution;


preparation of reaction solution: the diluted COVID-19 fluorescence marker and the COVID-19 probe solution were mixed according to a volume ratio of 1:1 to obtain COVID-19 reaction solution; and


subpackaging of the reaction solution: the COVID-19 reaction solution was subpackaged into reaction tubes (4 μL/tube) and dried for 6 to 8 hours under the conditions that the temperature is 18-28° C. and the humidity is less than or equal to 30%.


(3) A preparation step of a COVID-19 positive reference substance: artificially synthesized COVID-19 RNA was diluted with a positive reference substance diluent to 2000 TU/mL±5%; and the diluted positive reference substances were subpackaged into vertical tubes (5 μL/tube) and dried for 6 to 8 hours under the conditions that the temperature is 18-28° C. and the humidity is less than or equal to 30%.


(4) Coating conditions of the COVID-19 detection strip:


the T line coating concentration is 0.5 mg/mL±5% and the C line coating concentration is 1.0 mg/mL±5%;


the spray amount is 1.0 μL/cm±5%, the speed of a guide rail is 100 mm/s±5%, and nozzle interval is 6 mm±5%; and


drying: temperature is 18-28° C. and humidity is less than or equal to 30%, and drying time: 16 h-20 h.


(5) Detection conditions of the detection reagent:


the adding amount of the reaction tube redissolving liquid is 85 μL±5%;


the sampling amount of the sample is 20 μL±5%;


the uniformly mixed sample of 100 μL±5% was absorbed and added into a sample hole of a detection card;


the nucleic acid hybridization reaction condition is 37° C. and the reaction time is more than 15 minutes; and


the reagent detection reaction time is more than 15 minutes.


(6) Freeze-drying process:


intermediate preparations involved in the reaction process of the preparation method of the embodiment are all freeze-dried products, and it is only necessary to prepare working liquid without complicated operation such as dilution; and the freeze-drying processing method is: freeze drying was performed at −30° C. for 5 hours, the temperature was gradually increased to −10° C. in the subsequent 12-hour freeze-drying process at the heating rate of 5° C./3 h, and finally freeze drying was performed at −10° C. for 7 to 19 hours.


Third Embodiment (Detection Method)

This embodiment further provides a detection method of any one of the above corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kits. The detection method includes the following steps:


a target nucleic acid section in a to-be-detected sample was acquired through hybrid capture;


performing nucleic acid hybridization reaction on the target nucleic acid fragment and the COVID-19 reaction solution to obtain to-be-detected liquid; and


the to-be-detected liquid was added into the COVID-19 detection strip for fluorescent signal recognition. In this embodiment, the to-be-detected liquid was added into a sample adding area of the detection strip, 100 ul of washing liquid was added again from the sample adding area after 90 seconds, and after 10 minutes, a detection area of the detection strip was subjected to fluorescence detection to read the detection result.


The detection result was judged as follows:


irradiation was performed by using 480 nm exciting light to recognize a 520 nm fluorescence emitting signal, and if there is the fluorescence emitting signal, it is interpreted as positive, otherwise, it is interpreted as negative. The intensity of reaction may be interpreted according to the intensity of the emitting signal as required, and the recognition instrument may adopt a general fluorescence reading instrument, for example, a portable immunofluorescence analyzer produced by Suzhou Hemai Science and Technology.


It should be noted that the embodiments in this specification are described in a progressive manner. Each embodiment focuses on a difference from other embodiments. The same or similar part of the embodiments may be referenced to each other. The preparation method and detection method embodiments are basically similar to the kit embodiments, so the description is relatively simple, and the relevant points are referenced to the partial description of the kit embodiments.


The effect comparison of an existing fluorescence PCR nucleic acid detection method and the corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kit based on a nucleic acid hybrid capture immunofluorescence analysis method and the detection method thereof is specifically as follows:









TABLE 2







Technical effect comparison diagram









Comparison




Item
Invention
Prior Art





Methodological
Nucleic acid hybrid capture
Nucleic acid amplification


principle
fluorescence method
(fluorescence PCR method)


Sample
Free of nucleic acid extraction
Nucleic acid extraction and


treatment

purification


Detection time
30 minutes
1 to 3 hours


Usage
On-site detection and on-demand
Three professional PCR


environment
detection are realized without a
laboratories and a large



PCR laboratory
central laboratory are




required; and if polluted,




they cannot be used for a




long time


Staff
No need for professional technicians,
Specially trained technicians


requirement
and personnel can be simply trained
are required


Device
Matched device, which is small,
The PCR instrument is



light and portable
required and cannot swing


Application
Primary medical care, outpatient
Central laboratories of large


Scene
service, clinical laboratory,
Grade III Level A hospitals



emergency treatment, exit and entry,




customs, center for disease control




and prevention, and the like



Potential
No amplification, no pollution of
Nucleic acid amplification,


pollution
laboratory positive products, and the
liable to cause pollution of



redissolving liquid has an “anti-virus”
laboratory positive products,



component
and the pollution cannot be




eliminated for a long time


Transportation
Storage at normal temperature of
Storage at −20° C., and cold


and storage
2-30° C. and transportation at normal
chain transportation is



temperature
required









The specific detection process of the invention is described as follows:


(1) a throat swab sample was used and put into a sample preserving tube (the sample preserving tube contains preserving liquid), a mixture of the preserving liquid and the sample was obtained, and the mixture was defined as a detection sample.


(2) A proper amount of detection sample was put into a reaction tube, wherein the reaction tube contains powder after reaction solution is dried and the power is defined as reaction solution powder. The preparation of the reaction solution powder may be referenced to the followings:


preparation of a probe solution: a COVID-19 probe was diluted with nucleic acid solving liquid to 10 μM±5% to obtain a COVID-19 probe solution; preparation of reaction solution: the diluted COVID-19 fluorescence marker and the COVID-19 probe solution were mixed according to a volume ratio of 1:1 to obtain COVID-19 reaction solution; and subpackaging of the reaction solution: the COVID-19 reaction solution was subpackaged into reaction tubes (4 μL/tube) and dried for 6 to 8 hours under the conditions that the temperature is 18-28° C. and the humidity is less than or equal to 30%. The reaction solution powder contains the probe solution and protein marked with a fluorescence signal. The preparation process of the protein marked with the fluorescence signal may be referenced to the followings:


activation: 1% fluorescent microsphere solution with a ratio of 1.0 mg/mL±5% and an EDC solution with a ratio of 0.6 mg/mL±5% were added into a prepared borate buffer solution of 0.05M±5% for uniformly mixing, the mixture was placed on a rotary mixer to rotate for more than 20 minutes, centrifugation was performed at 15000-16000 rpm for more than 30 minutes after activating, a supernatant was removed, resuspension was performed by the borate buffer solution of 0.05M±5% and uniform mixing was performed.


coupling: a COVID-19 antibody in an amount of 0.2 mg/mL was added into the activated fluorescent microsphere solution for uniform mixing, and the mixture was placed on the rotary mixer to rotate for more than 2 hours to obtain a fluorescent microsphere marking conjugate solution.


closing: a 10% BSA solution with a ratio of 0.1 ml/mL±5% was added into the fluorescent microsphere marking conjugate solution for uniform mixing, and the mixture was placed on the rotary mixer to rotate for 12-16 hours.


centrifugal resuspension: the fluorescent microsphere marking conjugate solution was centrifuged at 15000-16000 rpm, a supernatant was removed, the material was washed with an isovolumetric borate buffer solution (PH 8.0) of 0.05M±5%, and finally a precipitate was resuspended with a marker diluent in a volume which is equal to that of the supernatant solution to prepare the COVID-19 fluorescence marker.


The used fluorescence signal is from a fluorescent microsphere. The protein is S9.6 protein produced by Merck, and the specific model of the protein is referenced to FIG. 2.


(3) After the detection sample entered the reaction tube, the reaction solution powder was redissolved under the action of the preserving liquid in the detection sample to form a liquid phase environment. When the redissolving liquid of the reaction solution was insufficient, the redissolving liquid may be properly added, wherein the adding amount is 85 μL±5%, and the redissolving liquid is generally normal saline or normal saline added with a bactericidal component. After the materials were mixed in the reaction tube, the reaction tube was placed in a heater and heated for 37±2° C. In this liquid phase environment, two reactions were carried out, namely:


a. DNA recognized, hybridized, captured and combined a target RNA fragment into a DNA-RNA complex; and b. protein 1 specifically recognized and combined the DNA-RNA complex to form a DNA-RNA-protein-fluorescence signal complex which is defined as a reaction complex.


(4) The reaction complex was taken out and added into a detection reagent card, and was chromatographed on a test strip under the action of auxiliary liquid until a T line, wherein the T line is coated with S9.6 protein produced by Merck. When the COVID-19 virus was detected in the sample, there would be the DNA-RNA-protein-fluorescence signal complex in the reaction complex. The S9.6 protein produced by Merck may specifically recognize and combine the DNA-RNA complex, so the DNA-RNA-protein-fluorescence signal complex in the reaction complex may be fixed on the T line to form a “protein-DNA-RNA-protein-fluorescence signal”, a fluorescence band was formed on the T line, and the fluorescence signal may be detected on the T line through an instrument. The reaction complex passed through the T line and then was continuously chromatographed to pass through a C line, the C line was coated with a rabbit polyclonal antibody, and the rabbit polyclonal antibody may non-specifically combine the S9.6 protein produced by Merck, so on the premise of excessive amount, a certain amount of protein connected with the fluorescence signal would be captured theoretically to form a fluorescence band, which may be recognized through an instrument. The above-mentioned T line marker and C line marker are precisely S9.6 protein produced by Merck and coated on the T line and a rabbit polyclonal antibody coated on the C line, and all the protein are not marked with the fluorescence signals.


The specific experimental data contents of the invention are:


First Part Experiment Preparation


The main research methods of each performance are all combined with the evaluation method actually adopted in China, including positive reference product coincidence rate and negative reference product coincidence rate of products, minimum detection limit, precision, interference experiment, cross reaction and the like, to complete experimental test.









TABLE 3







Material information required for experiment












Batch



Serial

number/model



number
Name
number
Status





1
2019-novel coronavirus (2019-nCoV)
/




nucleic acid assay kit (hybrid capture





immunofluorescence method)




2
Immunoassay analyzer




3
2019-nCoV reference product

/









The information of samples and other materials used in the analytical performance evaluation test is shown in the following table:









TABLE 4







The information of samples and other materials used


in the analytical performance evaluation test










Serial




number
Name







1
2019-nCoV




Throat swab and sputum samples




(positive, negative and critically positive samples)



2
Interferent-endogenous



3
Interferent-medicine



4
Cross-pathogenic microorganism



5
Cross sample




(Samples collected from different regions with




positive endemic coronavirus or positive common




respiratory pathogen and negative COVID-19)










Second part Positive/negative reference product coincidence rate


1. Standard Requirement


1.1 Positive Reference Product Coincidence Rate


13 positive reference products (P1-P13) were detected, including 5 positive samples in the 2019-CoV N section, the 2019-CoV E section and the 2019-CoV ORF lab section and 5 positive samples in sputum and throat swab liquid, and the results should be positive.


1.2 Negative Reference Product Coincidence Rate


19 negative reference products (N1-N19) were detected, and the results should be negative.









TABLE 5







Information of 19 negative reference products (N1-N19)











Serial Number
Reference product Information
Type







N5
Negative for 2019-nCoV and
Throat




positive for influenza A virus
swab liquid



N6
Negative for 2019-nCoV and
Throat




positive for metapneumovirus
swab liquid



N7
Negative for 2019-nCoV and
Throat




positive for influenza B virus
swab liquid



N8
Negative for 2019-nCoV and
Throat




positive for parainfluenza virus
swab liquid



N9
Negative for 2019-nCoV and
Throat




positive for respiratory
swab liquid




syncytial virus




N10
Negative for 2019-nCoV and
Throat




positive for rhinovirus
swab liquid



N11
Negative for 2019-nCoV and
Throat




positive for adenovirus
swab liquid



N12
Negative for 2019-nCoV and
Throat




positive for mycoplasma
swab liquid




pneumoniae




N13
Negative for 2019-nCoV and
Throat




positive for chlamydia
swab liquid




pneumoniae




N14
Negative for 2019-nCoV
Throat




Positive for human coronavirus
swab liquid




229E N section




N15
Negative for 2019-nCoV
Throat




Positive for human coronavirus
swab liquid




NL63 N section




N16
Negative for 2019-nCoV
Throat




Positive for human coronavirus
swab liquid




OC43 N section




N17
Negative for 2019-nCoV
Throat




Positive for human coronavirus
swab liquid




HKU1 N section




N18
Negative for 2019-nCoV
Pseudovirus




Positive for human coronavirus





MERS N section




N19
Negative for 2019-nCoV
Pseudovirus




Positive for human coronavirus





SARS N section










2. Method


8 positive reference products (P1-P8) and 19 negative reference products (N1-N19) were detected for one time by the novel coronavirus (2019-nCoV) nucleic acid assay kit (hybrid capture immunofluorescence method).


3. Result









TABLE 6







Results of reagent positive/negative


reference product coincidence rate










Batch number
401200101















P1
196.77
+



P2
178.78
+



P3
173.80
+



P4
185.63
+



P5
132.54
+



P6
451.26
+



P7
232.15
+



P8
110.23
+



P9
105.46
+



P10
129.75
+



P11
206.18
+



P12
251.46
+



P13
512.48
+



N1
45.35




N2
21.40




N3
31.98




N4
55.50




N5
55.12




N6
26.08




N7
57.01




N8
49.51




N9
55.62




N10
26.87




N11
51.33




N12
20.59




N13
41.55




N14
52.12




N15
39.56




N16
60.48




N17
68.45




N18
32.15




N19
29.52











4. Conclusion


The detection results of 13 positive reference products and 19 negative reference products of three batches of reagents all meet the proposed standard.


Third part Determination of minimum detection limit


1. Objective


The minimum detection limit of the novel coronavirus (2019-nCoV) nucleic acid assay kit (hybrid capture immunofluorescence method) is determined.


2. Material Information









TABLE 7







Material information required for experiment


for determining the minimum detection limit









Serial




number
Name
Use





1
Pseudovirus (including the 2019-CoV
Establishment of the



N section, the 2019-CoV E section
minimum detection



and the 2019-CoV ORF lab section)
limit


2
2019-nCoV
Establishment of the



Throat swab and sputum positive
minimum detection



samples
limit




Verification of the




minimum detection




limit


3
2019-nCoV
Containment



Throat swab and sputum positive
verification of the



samples
minimum detection




limit









3. Establishment


3.1 Preparation of Pseudovirus Sample


The pseudoviruses at 3 sections (including the 2019-CoV N section, the 2019-CoV E section and the 2019-CoV ORF lab section) were gradiently diluted with mixed negative samples as diluent respectively into 5000 copies/mL, 2500 copies/m, 1000 copies/mL, 800 copies/mL, 500 copies/mL, 250 copies/mL and 100 copies/mL.


3.3 Sample Measurement


The samples (pseudovirus, throat swab sample and sputum sample) were measured by the 2019-novel coronavirus (2019-nCoV) nucleic acid assay kit (hybrid capture immunofluorescence method), each sample was tested for 20 times, and the positive detection rate was detected.


3.4. Determination


The minimum concentration with positive detection rate more than or equal to 95% is the minimum detection limit of this section.


3.5 Sample Detection









TABLE 8







Measurement result of each dilution sample















5000
2500
1000
800
500
250
100

























1
478.70
+
140.58
+
102.13
+
86.19

101.27
+
81.04

65.58



2
470.76
+
145.56
+
104.30
+
104.31
+
99.59

84.15

76.33



3
489.00
+
145.04
+
101.65
+
96.94

100.31
+
107.11
+
64.87



4
487.85
+
153.84
+
100.36
+
109.97
+
83.41

85.45

59.10



5
455.52
+
147.96
+
101.73
+
95.16

106.86
+
89.87

55.45



6
479.44
+
152.99
+
109.75
+
101.23
+
104.12
+
81.07

55.88



7
480.61
+
153.19
+
106.66
+
105.74
+
93.48

75.35

71.57



8
487.43
+
157.88
+
100.94
+
88.88

89.42

74.81

59.89



9
498.15
+
159.06
+
104.81
+
105.03
+
94.98

105.26
+
102.34
+


10
474.14
+
143.43
+
104.61
+
107.44
+
99.14

109.91
+
66.23



11
482.48
+
141.57
+
104.50
+
108.94
+
108.89
+
84.92

62.85



12
482.56
+
146.63
+
105.71
+
96.15

97.19

88.88

58.56



13
486.82
+
150.40
+
108.79
+
98.33

105.89
+
80.79

58.68



14
477.20
+
142.32
+
106.22
+
107.61
+
83.54

107.36
+
74.67



15
495.41
+
144.33
+
102.70
+
107.33
+
88.86

88.28

64.59



16
490.73
+
154.63
+
109.02
+
106.97
+
103.16
+
79.22

55.57



17
497.68
+
154.73
+
107.92
+
107.89
+
105.65
+
80.52

65.79



18
482.99
+
155.77
+
103.52
+
106.34
+
92.23

106.15

63.13



19
455.93
+
153.44
+
107.27
+
102.48
+
102.37
+
89.60

50.94



20
470.77
+
144.19
+
107.99
+
108.58
+
103.45
+
72.95

64.80















Positive
100%
100%
100%
70%
50%
20%
5%


rate









The above result shows that the positive detection rate of the samples with the minimum detection limit concentration of 1000 copies/mL is more than or equal to 95%.


6. Conclusion


In conclusion, when the concentration of each sample of the three batches of reagents is 1000 copies/mL, the positive detection rate is more than or equal to 95%, so the minimum detection limit of the product is 1000 copies/mL.


Fourth Part Precision Test


1. Standard Requirement


(1) The intra-batch precision variable coefficient CV: 10%, and the results are consistent.


(2) The inter-batch precision variable coefficient CV: and the results are consistent.


(3) The intermediate precision variable coefficient CV: and the results are consistent.


2. Material Information









TABLE 9







Material information required for


experiment for determining precision










Serial




number
Name







1
Pseudovirus including the 2019-CoV N




section, the 2019-CoV E section and the




2019-CoV ORF lab section



2
2019-nCoV




Throat swab and sputum samples










3. Method


3.1 Precision Reference Product Measurement


Three batches of 2019-novel coronavirus (2019-nCoV) nucleic acid assay kits (hybrid capture immunofluorescence method) were detected by three precision reference products respectively.


20 groups of data were acquired for precision analysis.


4. Result


4.1 Precision Reference Product Result









TABLE 10





Three batches of reagent verification precision


reference product J1 measurement result






















First
1-1-1
143.19
+
156.02
+
131.95
+


day
1-1-2
143.01
+
153.39
+
137.42
+



1-2-1
134.16
+
136.72
+
131.79
+



1-2-2
150.56
+
134.26
+
130.85
+



2-1-1
145.93
+
149.41
+
140.14
+



2-1-2
152.03
+
140.68
+
138.75
+



2-2-1
158.56
+
141.92
+
158.16
+



2-2-2
131.32
+
157.13
+
132.32
+



3-1-1
135.36
+
141.42
+
138.86
+



3-1-2
136.08
+
132.32
+
159.34
+



3-2-1
141.42
+
157.72
+
158.81
+



3-2-2
134.51
+
141.70
+
135.92
+



4-1-1
136.09
+
144.78
+
156.89
+



4-1-2
145.27
+
142.62
+
154.15
+



4-2-1
155.52
+
142.85
+
151.29
+



4-2-2
153.74
+
139.87
+
146.83
+


Second
1-1-1
148.31
+
137.72
+
157.34
+


day
1-1-2
151.80
+
154.87
+
150.28
+



1-2-1
138.01
+
130.39
+
148.42
+



1-2-2
155.91
+
154.96
+
149.98
+



2-1-1
152.78
+
157.30
+
144.49
+



2-1-2
145.49
+
158.40
+
140.56
+



2-2-1
146.53
+
137.79
+
135.37
+



2-2-2
130.37
+
154.64
+
141.50
+



3-1-1
145.45
+
140.39
+
133.83
+



3-1-2
143.19
+
130.66
+
143.13
+



3-2-1
143.66
+
142.10
+
158.38
+



3-2-2
158.37
+
136.07
+
143.23
+



4-1-1
151.99
+
147.89
+
145.84
+



4-1-2
141.77
+
141.29
+
157.12
+



4-2-1
150.47
+
140.28
+
149.00
+



4-2-2
159.64
+
135.15
+
145.85
+


Third
1-1-1
139.12
+
142.97
+
142.22
+


day
1-1-2
133.25
+
141.35
+
158.86
+



1-2-1
151.58
+
146.31
+
152.48
+



1-2-2
154.63
+
149.21
+
130.30
+



2-1-1
140.32
+
134.87
+
154.00
+



2-1-2
144.45
+
154.14
+
135.14
+



2-2-1
135.08
+
137.08
+
142.94
+



2-2-2
136.90
+
131.04
+
134.50
+



3-1-1
144.70
+
147.85
+
154.06
+



3-1-2
139.18
+
159.91
+
134.30
+



3-2-1
141.10
+
133.03
+
133.34
+



3-2-2
146.53
+
146.77
+
145.76
+



4-1-1
140.10
+
137.69
+
141.26
+



4-1-2
142.40
+
130.33
+
156.42
+



4-2-1
140.03
+
150.03
+
146.48
+



4-2-2
130.83
+
134.23
+
149.10
+


Fourth
1-1-1
152.65
+
151.81
+
155.90
+


day
1-1-2
140.07
+
135.34
+
146.27
+



1-2-1
150.05
+
152.27
+
131.48
+



1-2-2
144.68
+
146.04
+
141.58
+



2-1-1
130.93
+
138.65
+
147.41
+



2-1-2
134.82
+
151.13
+
147.92
+



2-2-1
157.65
+
155.10
+
138.68
+



2-2-2
146.24
+
155.91
+
143.73
+



3-1-1
130.95
+
132.50
+
152.39
+



3-1-2
159.01
+
143.13
+
149.69
+



3-2-1
158.36
+
156.77
+
134.08
+



3-2-2
155.97
+
133.15
+
157.96
+



4-1-1
141.81
+
155.90
+
137.40
+



4-1-2
135.39
+
140.10
+
131.87
+



4-2-1
139.12
+
131.49
+
131.19
+



4-2-2
149.88
+
134.67
+
136.08
+


Fifth
1-1-1
139.58
+
144.48
+
132.37
+


day
1-1-2
145.98
+
141.89
+
144.37
+



1-2-1
140.56
+
142.87
+
150.13
+



1-2-2
146.31
+
142.76
+
145.09
+



2-1-1
155.69
+
136.51
+
132.72
+



2-1-2
146.21
+
157.54
+
150.66
+



2-2-1
142.93
+
136.56
+
140.59
+



2-2-2
152.48
+
150.50
+
157.51
+



3-1-1
143.65
+
133.76
+
135.82
+



3-1-2
133.17
+
143.60
+
133.49
+



3-2-1
134.58
+
141.09
+
146.31
+



3-2-2
140.71
+
156.01
+
142.23
+



4-1-1
136.64
+
148.33
+
156.66
+



4-1-2
156.38
+
138.11
+
142.04
+



4-2-1
141.65
+
148.78
+
155.72
+



4-2-2
146.64
+
156.64
+
150.29
+










Average valueX
144.39
144.04
144.48


Standard deviation (SD)
7.98
8.52
8.81


Intra-batch CV
5.53%
5.91%
6.10%








Inter-batch CV
5.83%









4.2 5. Conclusion


The products were respectively measured for precision reference products, the variable coefficient CV is not greater than 10%, and the inter-batch variable coefficient CV is not greater than 10%.


Fifth Part Endogenous Interference Experiment


1. Objective


The influence on the detection result of the 2019-novel coronavirus (2019-nCoV) nucleic acid assay kit (hybrid capture immunofluorescence method) by endogenous interference substances such as hemoglobin and mucoprotein in the common samples was analyzed, and the anti-interference performance of the products was evaluated.


2. Material Information









TABLE 11







Material information required for


endogenous interference experiment










Serial number
Name







1
2019-nCoV




Throat swab



2
Hemoglobin



3
Mucoprotein










3. Method


3.1 Selection of Throat Swab


3.2 Preparation of Basic Sample


Basic sample: clinical sample 0.072 mL+0.008 mL normal saline


3.2 Preparation of Interference Sample


The following interferents were added into the above samples respectively to prepare the corresponding interference samples:


Hemoglobin interference sample: Sample 0.072 mL+0.008 mL 20 g/L hemoglobin


Sample 0.072 mL+0.008 mL 10 g/L hemoglobin


Sample 0.072 mL+0.008 mL 5 g/L hemoglobin


Mucoprotein interference sample: Sample 0.072 mL+0.008 mL 200 mg/mL mucoprotein


Sample 0.072 mL+0.008 mL 100 mg/mL mucoprotein


Sample 0.072 mL+0.008 mL 50 mg/mL mucoprotein


3.3 Measurement


The above preparation samples were detected by the 2019-novel coronavirus (2019-nCoV) nucleic acid assay kits (hybrid capture immunofluorescence method) respectively, and a ratio of the interference sample detection value to the basic sample detection value was calculated.


4. Result


4.1 Throat Swab Sample Interference Result


4.1.2 Hemoglobin Interference Detection Result









TABLE 12







Three batches of reagent throat swab negative sample interference


experiment (interferent: hemoglobin) detection result











401200101
401200102
401200103

















Critically
Interferent
Basic


Basic


Basic




positi
concen
value
Interference
Ratio
value
Interference
Ratio
value
Interference
Ratio





















L1
2
g/L
125.48
130.5
1.04
126.73
128.00
1.01
129.24
132.17
1.02



1
g/L
110.37
114.7
1.04
109.27
108.17
0.99
101.54
105.46
1.04



0.5
g/L
100.45
102.4
1.02
103.46
107.88
1.04
108.49
112.83
1.04


L2
2
g/L
110.64
102.9
0.93
109.53
120.49
1.10
120.60
129.04
1.07



1
g/L
121.80
109.6
0.90
125.45
117.93
0.94
125.45
124.20
0.99



0.5
g/L
127.29
115.8
0.91
133.65
124.30
0.93
124.74
116.01
0.93


L3
2
g/L
100.72
106.6
1.06
104.52
106.88
1.02
108.78
110.95
1.02



1
g/L
100.65
108.6
1.08
102.66
103.69
1.01
116.58
119.53
1.03



0.5
g/L
125.66
119.3
0.95
130.69
142.45
1.09
116.86
114.53
0.98









5. Conclusion


The interference samples prepared by the above samples and the corresponding basic samples have the consistent detection result, which shows that the hemoglobin with the concentration content of 2 g/L and the mucoprotein with concentration content of 20 mg/mL in the samples do not affect the detection.


Sixth Part Cross Reaction Experiment


1. Objective


The influence on the detection result of the 2019-novel coronavirus (2019-nCoV) nucleic acid assay kit (hybrid capture immunofluorescence method) by the common respiratory pathogen was analyzed, and the specificity of the products was evaluated.


2. Material Information









TABLE 13





Material information required for cross reaction experiment


















1
2019-nCoV




Throat swab sample



2
2019-nCoV



3
Various pathogenic microorganisms



4
Cross samples (samples collected from different




regions with positive endemic coronavirus or positive




common respiratory pathogen and negative COVID-19)










3. Method


3.1.2 Preparation of Basic Sample


The basic sample is directly applied to detection and the detection result is a basic value.


Basic sample: basic sample 0.09 mL+0.01 mL normal saline


Preparation of the sample, that is, preparation of 2 cases of negative samples and 2 cases of critically positive samples crossed by each pathogenic microorganism.


4) Preparation Method of Cross Sample


Virus cross sample: sample 0.072 mL+0.008 mL 106 pfu/mL


Cross samples of bacteria, mycoplasma and chlamydia: sample 0.072 mL+0.008 mL 107 cfu/mL









TABLE 14







Various pathogenic microorganism information

















Cross


Serial




concen-


Number
Pathogen
Species
Concentration
Titer test
tration





 1
H1N1 (Novel
A-H1N1-2009
106pfu/mL
Plaque test
105pfu/



influenza A H1N1



mL



virus (2009))






 2
Seasonal H1N1
A-H1N1
106pfu/mL
Plaque test
105pfu/



influenza virus



mL


 3
H3N2
A-H3N2
106pfu/mL
Plaque test
105pfu/







mL


 4
H5N1
A-H5N1
106pfu/mL
Plaque test
105pfu/







mL


 5
H7N9
A-H7N9
106pfu/mL
Plaque test
105pfu/







mL


 6
Influenza B virus
B-Yamagata
106pfu/mL
Plaque test
105pfu/



Yamagata



mL


 7
Influenza B virus
B-Victoria
106pfu/mL
Plaque test
105pfu/



Victoria



mL


 8
Respiratory syncytial
RSV-A2
106pfu/mL
Plaque test
105pfu/



virus type A



mL


 9
Respiratory syncytial
RSV-B
106pfu/mL
Plaque test
105pfu/



virus type B



mL


10
Enterovirus A
CV-A10
106pfu/mL
Plaque test
105pfu/







mL


11
Enterovirus B
Echovirus 6
106pfu/mL
Plaque test
105pfu/







mL


12
Enterovirus C
CV-A21
106pfu/mL
Plaque test
105pfu/







mL


13
Enterovirus D
EV-D68
106pfu/mL
Plaque test
105pfu/







mL


14
Parainfluenza virus
HPIVs-1
106pfu/mL
Plaque test
105pfu/



type 1



mL


15
Parainfluenza virus
HPIVs-2
106pfu/mL
Plaque test
105pfu/



type 2



mL


16
Parainfluenza virus
HPIVs-3
106pfu/mL
Plaque test
105pfu/



type 3
VR-93


mL


17
Rhinovirus A
HRV-9
106pfu/mL
Plaque test
105pfu/




VR-489


mL


18
Rhinovirus B
HRV-52
106pfu/mL
Plaque test
105pfu/




VR-1162


mL




HRV-3







VR-1113





19
Rhinovirus C
HRV-16
106pfu/mL
Plaque test
105pfu/




VR-283


mL


20
Adenovirus type 1
H AdV-1 VR-1
106pfu/mL
Plaque test
105pfu/







mL


21
Adenovirus type 2
HAdV-2
106pfu/mL
Plaque test
105pfu/




VR-846


mL


22
Adenovirus type 3
HAdV-3
106pfu/mL
Plaque test
105pfu/







mL


23
Adenovirus type 4
HAdV-4
106pfu/mL
Plaque test
105pfu/




VR-1572


mL


24
Adenovirus type 5
HAdV-5
106pfu/mL
Plaque test
105pfu/




VR-1578/1516


mL


25
Adenovirus type 7
HAdV-7 VR-7
106pfu/mL
Plaque test
105pfu/







mL


26
Adenovirus type 55
HAdV-5 5
106pfu/mL
Plaque test
105pfu/







mL


27
Human interstitial
HMPV
106pfu/mL
Plaque test
105pfu/



pneumonia



mL


28
Human
HMPV
106pfu/mL
Plaque test
105pfu/



metapneumovirus



mL


29
EB virus
HHV-4
106pfu/mL
Plaque test
105pfu/




VR-1492


mL


30
Measles virus
MV VR-24
106pfu/mL
Plaque test
105pfu/







mL


31
Human
HHV-5
106pfu/mL
Plaque test
105pfu/



cytomegalovirus
VR-977


mL


32
Rotavirus
RVVR-2018
106pfu/mL
Plaque test
105pfu/







mL


33
Norovirus
NOR
106pfu/mL
Plaque test
105pfu/







mL


34
Mumps virus
MuV VR-106
106pfu/mL
Plaque test
105pfu/







mL


35
Varicella-zoster virus
VZV
106pfu/mL
Plaque test
105pfu/




VR-1367


mL


36

Legionella

33152
107cfu/mL
Colony
105cfu/






counting
mL


37

Bordetella pertussis

BAA-589
107cfu/mL
Colony
106cfu/






counting
mL


38

Haemophilus

Hib
107cfu/mL
Colony
106cfu/




influenzae



counting
mL


39

Staphylococcus

CGMCC
107cfu/mL
Colony
106cfu/




aureus

1.2910

counting
mL


40

Streptococcus

CGMCC
107cfu/mL
Colony
106cfu/




pneumoniae

1.8722

counting
mL


41
Pyogenic
CGMCC
107cfu/mL
Colony
106cfu/



streptococcus
1.8868

counting
mL


42

Klebsiella

CGMCC
107cfu/mL
Colony
106cfu/




pneumoniae

1.1736

counting
mL


43

Mycobacterium

25177
107cfu/mL
Colony
106cfu/




tuberculosis



counting
mL


44

Mycoplasma

39505
107cfu/mL
Colony
106cfu/




pneumoniae



counting
mL


45

Chlamydia

VR-2282
107cfu/mL
Colony
106cfu/




pneumoniae



counting
mL


46
Aspergillus fumigatus
AF293
107cfu/mL
Colony
106cfu/






counting
mL


47
Candida albicans
SC5314
107cfu/mL
Colony
106cfu/






counting
mL


48
Candida glabrata
ATCC 2001
107cfu/mL
Colony
106cfu/






counting
mL


49
Cryptococcus
H99
107cfu/mL
Colony
106cfu/






counting
mL


50
Cryptococcus Gattii
R265
107cfu/mL
Colony
106cfu/






counting
mL


51
Coronavirus 229E
VR-740
106pfu/mL
Plaque test
105pfu/







mL


52
Coronavirus OC43
VR-1558
106pfu/mL
Plaque test
105pfu/







mL


53
Coronavirus NL63
COV-NL63
106pfu/mL
Plaque test
105pfu/







mL


54
Coronavirus HKU1
COV-HKU1
106pfu/mL
Plaque test
105pfu/







mL


55
Coronavirus MERS
MERS
108TU/mL
Digital PCR
107TU/







mL


56
Coronavirus SARS
SARS
108TU/mL
Digital PCR
107TU/







mL









3.1.4 Measurement


The above preparation samples were detected by the 2019-novel coronavirus (2019-nCoV) nucleic acid assay kits (hybrid capture immunofluorescence method) respectively, and a ratio of the cross sample detection value to the basic sample detection value was calculated.









TABLE 15







Reagent cross experiment detection result











Basic
Interference



Pathogenic microorganism
value
value
Ratio













H1N1 (Novel influenza A H1N1 virus
52.81
53.45
1.01


(2009))





Seasonal H1N1 influenza virus
54.61
50.41
0.92


H3N2
54.24
52.31
0.96


H5N1
45.59
42.05
0.92


H7N9
42.99
43.74
1.02


Influenza B virus Yamagata
47.67
46.99
0.99


Influenza B virus Victoria
49.92
50.76
1.02


Respiratory syncytial virus type A
43.69
45.32
1.04


Respiratory syncytial virus type B
49.17
44.86
0.91


Enterovirus A
57.68
53.47
0.93


Enterovirus B
46.6
45.68
0.98


Enterovirus C
50.71
49.39
0.97


Enterovirus D
57.93
54.99
0.95


Parainfluenza virus type 1
42.49
39.15
0.92


Parainfluenza virus type 2
53.43
52.17
0.98


Parainfluenza virus type 3
57.72
62.95
1.09


Rhinovirus A
49.79
51.42
1.03


Rhinovirus B
43.52
46.82
1.08


Rhinovirus C
56.86
61.42
1.08


Adenovirus type 1
55.88
53.51
0.96


Adenovirus type 2
44.13
43.11
0.98


Adenovirus type 3
41.84
39.89
0.95


Adenovirus type 4
47.54
51.11
1.08


Adenovirus type 5
53.79
55.41
1.03


Adenovirus type 7
47.45
52.05
1.10


Adenovirus type 55
51.2
48.58
0.95


Human interstitial pneumonia
46.47
41.84
0.90


human metapneumovirus
54.15
57.07
1.05


EB virus
46.21
43.99
0.95


Measles virus
40.82
41.17
1.01


Human cytomegalovirus
50.31
46.43
0.92


Rotavirus
54.68
53.76
0.98


Norovirus
44.1
47.86
1.09


Mumps virus
51.54
51.25
0.99


Varicella-zoster virus
59.03
62.39
1.06


Legionella
47.01
45.7
0.97



Bordetella pertussis

43.73
40.61
0.93



Haemophilus influenzae

43.67
40.46
0.93



Staphylococcus aureus

54.98
58.07
1.06



Streptococcus pneumoniae

57.51
58.41
1.02


Pyogenic streptococcus
49.55
52.47
1.06



Klebsiella pneumoniae

51.69
55.87
1.08



Mycobacterium tuberculosis

47.07
47.6
1.01



Mycoplasma pneumoniae

47.12
51.82
1.10



Chlamydia pneumoniae

53.49
54.68
1.02


Aspergillus fumigatus
58.82
62.28
1.06


Candida albicans
58.43
58.14
1.00


Candida glabrata
40.27
37.9
0.94


Cryptococcus neoformans
45.39
45.35
1.00


Cryptococcus Gattii
43.04
42.55
0.99


Coronavirus 229E
45.69
41.78
0.91


Coronavirus OC43
47.4
51.15
1.08


Coronavirus NL63
49.16
48.21
0.98


Coronavirus HKU1
54.97
58.85
1.07


Coronavirus MERS
40.75
37.32
0.92


Coronavirus SARS
44.39
40.27
0.91









5. Conclusion


In conclusion, the detection results of the cross sample prepared by the above sample and the corresponding basic sample are consistent, a ratio of the cross sample detection value to the basic sample detection value is between 0.9 and 1.1, the common pathogenic microorganisms in different regions are positive, and the detection result of the 2019-nCoV negative samples are negative, indicating that there is no cross phenomenon between the reagent and the following common respiratory pathogens.









TABLE 16







The common respiratory pathogens which do not cross with the 2019-nCoV negative sample













H1N1








(Novel


influenza
Seasonal

H5N1
H7N9


A H1N1
H1N1
H3N2
avian
avian
Influenza
Influenza


virus
influenza
influenza
influenza
influenza
B virus
B virus


(2009))
virus
virus
virus
virus
Yamagata
Victoria





Respiratory
Respiratory
Enterovirus
Enterovirus
Enterovirus
Enterovirus
Parainfluenza


syncytial
syncytial
A
B
C
D
virus


virus type A
virus type B




type 1


Parainfluenza
Parainfluenza
Rhinovirus
Rhinovirus
Rhinovirus
Adenovirus
Adenovirus


virus
virus
A
B
C
type 1
type 2


type 2
type 3


Adenovirus
Adenovirus
Adenovirus
Adenovirus
Adenovirus
Human
human


type 3
type 4
type 5
type 7
type 55
interstitial
metapneumovirus







pneumonia


EB virus
Measles
Human
Rotavirus
Norovirus
Mumps
Varicella-



virus
cytomegalovirus


virus
zoster virus



Legionella


Bordetella


Haemophilus


Staphylococcus


Streptococcus

Pyogenic

Klebsiella





pertussis


influenzae


aureus


pneumoniae


streptococcus


pneumoniae




Mycobacterium


Mycoplasma


Chlamydia


Aspergillus


Candida


Candida


Cryptococcus




tuberculosis


pneumoniae


pneumoniae


fumigatus


albicans


glabrata


neoformans




Cryptococcus

Coronavirus
Coronavirus
Coronavirus
Coronavirus
Coronavirus
Coronavirus



Gattii

229E
OC43
NL63
HKU1
MERS
SARS









Seventh part Human genome DNA cross reaction experiment


1. Objective


The influence on the detection result of the 2019-novel coronavirus (2019-nCoV) nucleic acid assay kit (hybrid capture immunofluorescence method) by the human genome DNA was analyzed, and the specificity of the products was evaluated.


2. Material Information









TABLE 17







Material information required for human


genome DNA cross reaction experiment










Serial




number
Name







1
2019-nCoV




Throat swab sample



2
Human genome DNA










3. Method


3.1 Source, Preparation and Valuation of Human Genome DNA


Three whole blood samples from different sources were taken, 1 mL of each of the three whole blood samples were subjected to DNA extraction by a blood genome DNA extraction system (0.1-20 mL) kit of Tiangen Biotech (Beijing) Co., Ltd., and the extracted DNA was subjected to concentration test by an ultraviolet spectrophotometer.


3.3 Sample Preparation


Basic sample: basic sample 0.072 mL+0.008 mL normal saline


Cross sample: sample 0.072 mL+0.008 mL DNA extracting solution


3.4 Measurement


The above preparation samples were detected by three batches of 2019-novel coronavirus (2019-nCoV) nucleic acid assay kits (hybrid capture immunofluorescence method) respectively, and a ratio of the cross sample detection value to the basic sample detection value was calculated.


4. Result


4.1 DNA Extracting Solution Concentration









TABLE 18







DNA extracting solution concentration











DNA extracting
DNA extracting
DNA extracting



solution 1
solution 2
solution 3
















Concentration
95
μg/mL
90
μg/mL
102
μg/mL


Volume
0.1
mL
0.1
mL
0.1
mL









4.2 Throat Swab Sample Cross Result









TABLE 19







Reagent cross experiment detection result


(critically positive throat swab sample 1)











401200101













Basic
Interference





value
value
Ratio







DNA extracting solution 1
118.10
112.42
0.95



DNA extracting solution 2
116.28
107.06
0.92



DNA extracting solution 3
111.66
110.98
0.99










5. Conclusion


In conclusion, the detection results of the cross sample prepared by the above sample and the corresponding basic sample are consistent, and a ratio of the cross sample detection value to the basic sample detection value is between 0.9 and 1.1, indicating that there is no cross phenomenon between the reagent and the following common respiratory pathogens.


The above description shows and describes the preferred embodiments of the invention, it should be understood that the invention is not limited to the form disclosed herein and should not be regarded as an exclusion of other embodiments, but may be applied to various other combinations, modifications and environments and can be modified by the above teaching or technology or knowledge in the related field within the scope of the invention concept. However, the modifications and changes made by those skilled in the art do not depart from the spirit and scope of the invention and should fall within the protection scope of the appended Claims of the invention.

Claims
  • 1. A corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kit, comprising a COVID-19 reaction solution, wherein the COVID-19 reaction solution is prepared from a COVID-19 fluorescence marker and a COVID-19 probe solution; the COVID-19 probe solution comprises: an ORF1ab section probe, an N section probe and an E section probe; and the ORF1ab section probe is used for detecting an open reading coding frame lab of the COVID-19, the N section probe is used for detecting an envelope protein gene of the COVID-19, and the E section probe is used for detecting a core-shell protein gene of the COVID-19.
  • 2. The corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kit according to claim 1, wherein a sequence of the ORF1ab section probe is:
  • 3. The corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kit according to claim 1, wherein the COVID-19 fluorescence marker is prepared by coupling a fluorescent material and a COVID-19 marking raw material; the COVID-19 marking raw material adopts a COVID-19 antigen or antibody; and the fluorescent material adopts any one of the followings: a FITC fluorescein, a fluorescent microsphere, a fluorescent particle and a biological fluorescein.
  • 4. The corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kit according to claim 1, further comprising a COVID-19 negative reference substance, wherein the negative reference substance comprises one or more of the following reference substances: a normal saline reference substance, a purified water reference substance, a non-COVID-19 pathogen reference substance and a pseudovirus not containing a COVID-19 target sequence.
  • 5. The corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kit according to claim 4, wherein the negative reference substance comprises N1-N17: N1-N2 are normal saline reference substances, N3-N4 are purified water reference substances, N5-N13 are human throat swab samples and N14-N17 are pseudoviruses not containing COVID-19 target sequences; in the human throat swab samples, COVID-19 is negative and the non-COVID-19 pathogen reference substance is positive; and the pseudoviruses not containing the COVID-19 target sequences are subtypes of coronaviruses, N14 being positive for a human coronavirus 229E N section, N15 being positive for a human coronavirus NL63 N section, N16 being positive for a human coronavirus OC43 N section, and N17 being positive for a human coronavirus HKU1 N section.
  • 6. The corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kit according to claim 1, further comprising a COVID-19 positive reference substance, wherein the positive reference substance is a pseudovirus containing a COVID-19 target sequence; the positive control reference substance comprises P1, P2 and P3, P1 being positive for a COVID-19 N section, P2 being positive for a COVID-19 E section, and P3 being positive for a COVID-19 ORF 1ab section; and a concentration of the positive reference substance is 3000 TU/mL±5%.
  • 7. The corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kit according to claim 1, further comprising a precision reference substance and a limit of detection reference substance, wherein the precision reference substance comprises J1, J2 and J3, J1-J2 being pseudoviruses containing COVID-19 target sequences and being positive for a COVID-19 ORF lab section, concentrations of J1-J2 being 2000 TU/mL±5% and 5000 TU/mL±5% respectively, J3 being a mixed human negative throat swab sample and being negative for COVID-19; and the limit of detection reference substance comprises L1, L2 and L3, L1 being positive for a COVID-19 N section, L2 being positive for a COVID-19 E section, L3 being positive for a COVID-19 ORF lab section, and a concentration of the limit of detection reference substance being 1000 TU/mL±5%.
  • 8. The corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kit according to claim 1, further comprising a COVID-19 detection strip, COVID-19 redissolving liquid and COVID-19 sample preserving liquid.
  • 9. A preparation method of the corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kit according to claim 1, comprising a preparation step of the COVID-19 fluorescence marker as follows: activation: adding 1% fluorescent microsphere solution with a ratio of 1.0 mg/mL±5% and an EDC solution with a ratio of 0.6 mg/mL±5% into a prepared borate buffer solution of 0.05M±5%, mixing uniformly, placing the mixture on a rotary mixer to rotate for more than 20 minutes, perform centrifugation at 15000-16000 rpm for more than 30 minutes after activating, removing a supernatant, performing resuspension by the borate buffer solution of 0.05M±5% and mixing uniformly;coupling: adding a COVID-19 antibody in an amount of 0.2 mg/mL±5% into the activated fluorescent microsphere solution, mixing uniformly, and placing the mixture on the rotary mixer to rotate for more than 2 hours to obtain a fluorescent microsphere marking conjugate solution;closing: adding a 10% BSA solution with a ratio of 0.1 ml/mL±5% into the fluorescent microsphere marking conjugate solution, mixing uniformly, and placing the mixture on the rotary mixer to rotate for 12-16 hours; andcentrifugal resuspension: centrifuging the fluorescent microsphere marking conjugate solution at 15000-16000 rpm, removing a supernatant, washing with an isovolumetric borate buffer solution of 0.05M±5%, and finally resuspending a precipitate with a marker diluent in a volume which is equal to that of the supernatant solution to prepare the COVID-19 fluorescence marker.
  • 10. The preparation method according to claim 9, comprising a preparation step of COVID-19 reaction solution as follows: preparation of a fluorescence marker: diluting the COVID-19 fluorescence marker with a marker diluent according to a ratio, wherein the ratio of the diluent to a T line marker to a C line marker is equal to 17:2:1;preparation of a probe solution: diluting a COVID-19 probe with nucleic acid solving liquid to 10 μM±5% to obtain a COVID-19 probe solution;preparation of reaction solution: mixing the diluted COVID-19 fluorescence marker and the COVID-19 probe solution according to a volume ratio of 1:1 to obtain COVID-19 reaction solution; andsubpackaging of the reaction solution: subpackaging the COVID-19 reaction solution into reaction tubes and drying for 6 to 8 hours under the conditions that the temperature is 18-28° C. and the humidity is less than or equal to 30%.
  • 11. The preparation method according to claim 9, further comprising a preparation step of a COVID-19 positive reference substance: diluting artificially synthesized COVID-19 RNA with a positive reference substance diluent to 2000 TU/mL±5%; and subpackaging the diluted positive reference substances into vertical tubes and drying for 6 to 8 hours under the conditions that the temperature is 18-28° C. and the humidity is less than or equal to 30%.
  • 12. A detection method of the corona virus disease 2019 nucleic acid rapid hybrid capture immunofluorescence detection kit according to claim 1, comprising the following steps: acquiring a target nucleic acid fragment in a to-be-detected sample through hybrid capture;performing nucleic acid hybridization reaction on the target nucleic acid fragment and the COVID-19 reaction solution to obtain to-be-detected liquid; andadding the to-be-detected liquid into a COVID-19 detection strip for fluorescence signal recognition.
Priority Claims (1)
Number Date Country Kind
202010199077.1 Mar 2020 CN national
PCT Information
Filing Document Filing Date Country Kind
PCT/CN2021/077652 2/24/2021 WO