用单表位合成肽抗原荧光偏振免疫法检测抗幽门螺旋杆菌尿素酶的抗体

Detection of antibody against Helicobacter pylori UreB by fluorescence polarized immunoassay using single epitope synthetic peptide as antigen

目的:应用单表位合成肽抗原,建立一种新的基于荧光偏振技术(fluorescencepolarization,FP)的抗体检测方法。方法:用幽门螺旋杆菌(Helicobacterpylori,Hp)尿素酶B(UreB)的单表位合成分支肽抗原免疫小鼠,以ELISA法分析免疫的效果。分析FITC标记的合成肽抗原在不同浓度时的FP值,用FP技术分析抗原表位的抗原性以及不同稀释比例的血清样品对FP检测的影响。分别应用FPIA法和ELISA法,对126例样品进行Hp感染检测,对FPIA的检测数据进行受试者工作特征曲线(receiveroperatingcharacteristiccurve,ROC)分析。结果:UreB的单表位抗原肽具有较强的抗原性和免疫原性;1.0nmol/L的FITC标记肽可用于FPIA检测,血清样品做1∶25稀释时可明显区分阳性和阴性检测结果。与ELISA方法检测的结果相比较,用基于UreB单表位合成肽抗原的FPIA法检测Hp感染的灵敏度为85.7%,特异度为98%。结论:应用UreB单表位合成肽抗原,可对抗UreB的抗体进行快速FPIA检测,用此法检测抗体在疾病的临床诊断中具有广阔的应用前景。

AIM: To develop a new method for antibody detection based on fluorescence polarization (FP) technique. METHODS: BALB/c mice were immunized with single epitope synthetic 8 branches peptide antigen (SVEVGKVADL)8 of Helicobacter pylori (Hp) UreB protein. FP values of the corresponding linear peptide antigen labeled with FITC in different concentration were measured to determine the optimal concentration of the antigen. The antigenicity of the synthetic linear peptide was identified by FP assay. Then, the antibody-positive and negative murine sera were used in FP assay to determine the optimal dilution factor of serum samples. To apply FP technique in Hp antibody detection, 126 human serum samples were detected either by FPIA (fluorescence polarized immunoassay) using the single epitope linear synthetic peptide as antigen or by a commercial ELISA kit. Then, receiver operating characteristic (ROC) curve analysis was performed on the FPIA results by MedCalc software. RESULTS: The UreB single epitope peptide had strong antigenicity. 1.0 nmol/L of the synthetic linear peptide labeled with FITC was the optimal concentration of the antigen and the optimal dilution factor of serum sample was 1∶25. In 77 Hp antibody-positive serum samples detected by ELISA, 66 samples were positive by FP detection method. The sensitivity and specificity of the FPIA assay was 85.7% and 98%, respectively. CONCLUSION: The single epitope synthetic peptide antigen can be used in FP method for rapid detection of serum antibody against Hp UreB. The established FP assay for antibody detection may be used in clinical diagnosis in the future.