GALACTOSE RAPID QUANTITATIVE DETECTION SYSTEM AND USE THEREOF
20200123589 ยท 2020-04-23
Inventors
- Oliver Yoa-Pu HU (Taipei City, TW)
- Sz-Hau CHEN (Hsinchu City, TW)
- Ping YANG (Taipei City, TW)
- Hsin-Ju LIN (Hsinchu City, TW)
- Po-Yuan TSENG (Hsinchu City, TW)
- Thomas Y.S. SHEN (Hsinchu City, TW)
- Johnson Yiu-Nam LAU (Hong Kong, CN)
- Ching-Yuan CHU (Hsinchu City, TW)
Cpc classification
A61B5/14546
HUMAN NECESSITIES
G01N2800/042
PHYSICS
G01N27/3272
PHYSICS
International classification
G01N35/00
PHYSICS
Abstract
A galactose rapid detection system has a galactose composition including a galactose, a buffer solution and an 0-99% antioxidant, which enters a human body after metabolism and produces a biological sample; a test strip or a filter paper, comprising an enzyme, the enzyme would react with the biological sample producing a electrochemical information ;a meter including a power supply unit for providing a signal; a connector for receiving the signal provided by the power supply unit, transmitting the signal to the test strip or the filter paper, wherein the signal reacting with the electrochemical information produce a corresponding response signal, and the connector transmit the corresponding response signal to the meter; a calculation unit for calculating the corresponding response signal; an A/D convertor for receiving the corresponding response signal from the calculation unit, transforming the corresponding response signal into a digital reaction signal calculated by the calculation unit; and a processor for processing the digital reaction signal a display for displaying the digital reaction signal; and a digital terminal for receiving the digital reaction signal.
Claims
1. A galactose rapid quantitative detection system, comprising: a galactose composition including a galactose, a buffer and an 099% antioxidant, which enters a body and after metabolism by the liver and produces a biological sample; a test strip or a filter paper, comprising an enzyme, the enzyme would react with the biological sample producing a electrochemical information; and a meter including: a power supply unit for providing a signal; a connector for receiving the signal provided by the power supply unit and transmitting the signal to the test strip or the filter paper, wherein the signal reacting with the electrochemical information produce a corresponding response signal, and the connector transmit the corresponding response signal to the meter; a calculation unit for calculating the corresponding response signal; an A/D convertor for receiving the corresponding response signal from the calculation unit, transforming the corresponding response signal calculated by the calculation unit into a digital reaction signal; a processor for processing the digital reaction signal; a display for displaying the digital reaction signal; and a digital terminal for receiving the digital reaction signal.
2. The system according to claim 1, wherein the buffer is selected from a group consisting of ascorbic acid buffer, citrate buffer, phosphate buffer, acetate buffer, carbonate buffer, and triethanolamine buffer.
3. The system according to claim 1, wherein the antioxidant is selected from a group consisting of vitamin C or/and sodium bisulfite, vitamin A, vitamin E, flavonoids, polyphenols, Ethylenediaminetetraacetic acid(EDTA), Diethylenetriaminepentaacetic acid (DTPA), NTA-Nitrilotriacetate acid (NTA).
4. The system according to claim 1, wherein the galactose includes D-(+)-galactose, L-()-galactose, stable isotope galactose, cyclic galactose or galactose derivative.
5. The system according to claim 1, wherein the galactose composition is administrated through oral administration, injection, spray, inhalation, buccal, rectal, suppository or other medical acceptable way.
6. The system according to claim 5, wherein the way of oral administration is to let users take the galactose composition in advance, then the content of galactose in the body is measured by measuring the content of galactose in the biological sample.
7. The system according to claim 5, wherein the way of injection is to let users inject the galactose composition into the body in advance, then the content of galactose in the body is measured by measuring the content of galactose in the biological sample.
8. A test strip according to claim 1, wherein the test strip comprises: an insulating substrate, an electrode unit configured on the insulating substrate, a first insulating spacer covering a part of the electrode unit and including a reaction zone channel sited at a first edge of the insulating spacer, wherein another part of the electrode unit is exposed to the reaction zone channel; and a second insulating spacer including a second edge, the second insulating spacer covering the reaction zone channel of the first insulating spacer, and the first edge of the first insulating spacer, the second edge of the second insulating spacer, and the same side edge of the insulating substrate are all in a convex arc shape, and the edge of the insulating substrate concaves inwards relative to the front half part of the reaction zone channel; wherein the reaction zone channel comprises at least a reaction layer, the reaction layer is covered by the electrode unit in the reaction zone channel including at least galactose and a conductive medium to react with biological sample through electrochemical reaction; wherein the test strip utilizes the convex tip of the second edge of the second insulating spacer and the concave structure of the insulating substrate relative to the front half part of the reaction zone channel to reduce the cohesive force of the biological sample, and enables the biological sample to go forward rapidly under the action of capillary phenomenon; wherein the enzyme which oxidize, reduce, decompose or metabolize galactose.
9. The test strip according to claim 8, wherein the insulating substrate is selected from the group consisting of polyvinyl chloride (PVC), glass fiber (FR-4), polyester suphone, bakelite plate, polyethylene terephthalate (PET), polycarbonate (PC), polypropylene (PP), polyethylene (PE), polystyrene (PS), glass plate, ceramic or any combination thereof.
10. The test strip according to claim 8, wherein the electrode unit is selected from the group consisting of palladium, platinum, gold colloid, titanium, carbon, silver, copper, gold and silver.
11. The test strip according to claim 8, wherein the reaction layer is selected from the group consisting of enzyme, coenzyme, buffer solution, stabilizer and surfactant.
12. The test strip according to claim 8, wherein the conductive medium is selected from the group consisting of ferrocene, ferrocenium, methylene blue, tris(acetonitrile)ruthenium trichloride, dihydroxybenzoquinone, phenazinemethosulfate, tetrathiafulvalene tetra-cyano-quino-dimethane, methyl viologen, toluidine blue, 5,6-diamino-1,10-phenanthroline, 2,2-bipyridine.
13. The test strip according to claim 8, wherein the conductive medium further compries metal ion compound, the metal ion compound is selected from the group consisting of MgCl.sub.2, BeCl.sub.2, CaCl.sub.2, SrCl.sub.2, BaCl.sub.2 and any one combination thereof
14. The test strip according to claim 11, wherein the buffer solution is selected from the group consisting of Tris, Tris-HCl, PBS, MES, CHES, Borate, Universal buffer mixtures (CPB), MOPS, TES, HEPES, TAPSO, Tricine, Bicine and TAPS.
15. The test strip according to claim 11, wherein the stabilizer is selected from the group consisting of Xylitol, mannitol, polyxylose, araboxylan, mannan, trehalose, PEG, PVA, PEO, Methocel, agarose, sol-gel, collagen, chitosan, BSA, casein, neo protein, amino acid and any one combination thereof.
16. The test strip according to claim 11, wherein the surfactant is selected from the group consisting of a cationic surfactant, an anionic surfactant, a neutral ionic surfactant, and a nonionic surfactant.
17. The test strip according to claim 8, wherein the test range of galactose in the test strip is 50-2000 g/ml.
18. The test strip according to claim 8, wherein the enzyme can be dried, solidified and stored in a neutral, acidic or alkaline environment.
19. A method of performing the system according to claim 1 within a user, comprising: (1) The user takes a preparation with galactose in its composition in advance; (2) A biological sample is obtained by using a biological sampling device; (3) the biological sample is absorbed by a test strip from the biological sampling device; (4) the test strip is inserted into a meter; and (5) the user or a professional medical staff read the value of galactose concentration a disease or liver residual function of the user.
20. The method according to claim 19, wherein the method can be manipulated by the subject or professional staff
21. The method according to claim 19, wherein the disease is neonatal galactosemia.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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[0040]
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[0043]
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[0048]
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0049] The present invention is exemplified in the following embodiments, but is not limited thereby. Otherwise stated, the materials used in the present invention are all available on market.
[0050] The galactose rapid detection system shown in
Embodiment 1: Method for the Use of the Galactose Rapid Quantitative Detection System
[0051] 1-1 The Use of Test Strip for Galactose Detection
[0052] The galactose test strip shown in
[0053] 1-2 Sample Acquisition and Preparation
[0054] The user needs to drink the oral galactose composition first, wherein the content of the galactose is 1%-80%, preferably 4%-40%, by weight of the total galactose composition, wherein the buffer solution can be not added or can be added to the total weight of 0.001%-5%, and the antioxidant can be not added or can be added to the total weight of 0.001%-5%. Appropriate formula can be prepared by selecting the buffer and the antioxidant, and adding the content of the following ingredients: antioxidant of 0.01M-1M selected from a group including vitamin C, sodium bisulfite, vitamin A, vitamin E, flavonoids, polyphenols, Ethylenediaminetetraacetic acid (EDTA), Diethylenetriaminepentaacetic acid (DTPA), and NTA-Nitrilotriacetate acid (NTA); and/or buffer solution of 0.01M-1M selected from a group including acetic buffer, citrate buffer, phosphate buffer, acetate buffer, carbonate buffer, ascorbic acid buffer, and triethanolamine buffer with adjustment of the pH values ranged 4.0-9.0. A stable formula can be obtained by adding 0.01% citrate buffer and 0.5% sodium bisulfite with a pH value of 4.5. After drinking the above galactose composition for 60 minutes, fingers are cleaned with soap and warm water and wiped dry, then fingertips are wiped with alcohol cotton before biological sampling. After the fingertips are completely dry, biological samples are obtained by using a biological sampling device to lightly prick the fingertips, and should avoid excessive squeezing during the biological sampling part.
[0055] 1-3 Use Procedure
[0056] (1) Password Card Calibration
[0057] In order to measure a correct galactose value, the galactose meter should be re-calibrated when a new box of galactose test strip is used every time. When in calibration, only the password card attached on the box is allowed to be used, and confirm that the password of the password card is the same as the password on the test strip box used for galactose detection; then insert the contact electrode of the password card into a password card slot of the galactose meter. After inserting the galactose test strip into the test strip slot of the meter, the meter will automatically activated and show the example on the screen. The user needs to confirm that the password is the same as the password card, and then the password card is taken out. So the calibration is completed and the galactose test can be carried out.
[0058] (2) Galactose Detection
[0059] The user first washes and completely wipes dry the fingers, and then and put the biological sampling needle into the biological sampling device at the fixed place. After inserting a galactose test strip into the test strip slot of the meter, the meter is automatically activated, and shows , example on the screen. The user confirms that the password on the screen is the same as that on the test strip box, and may sample biological sample when a blood drop symbol
flashes on the screen.
[0060] Before sampling biological sample, wipe the fingertips with alcohol cotton. After the fingertips are completely dry, biological samples are obtained by using a biological sampling device to lightly prick the fingertips. By enabling the biological sample to lightly touch a biological sample absorption opening of the test strip, the test strip would automatically absorb the biological sample to a reaction zone. When seeing that a transparent test window in the test strip reaction zone completely appears red and hearing a beep sound, the fingertip biological sample can be moved. At the end of the test (after about 1 minute), a galactose value will be displayed on the screen. In addition, the potential of this readout can be transmitted to the others including medical practitioners through Bluetooth or similar connection through a mobile phone or computer.
[0061] After the test is completed, the test strip is taken out and discarded properly. If no test is performed consecutively, then the meter will be automatically deactivated after three minutes.
Embodiment 2: Detection System Principle and Test
[0062] The present invention mainly provides a system for measuring galactose content in biological sample. Users take aforementioned galactose composition beforehand. After the galactose composition is metabolized by liver in the human body, the galactose or the metabolites thereof will presence in the blood. The users take a blood sample from fingertips, and drop the sample on the test strip which is claimed by the present invention. Due to the enzyme in the test strip, the enzyme could react with the galactose or metabolites thereof, then generate electric current through electrochemical reaction. Insert the test strip into the meter of the present invention, the meter detect the amount of galactose in the human body by detecting the electric current signal in the test strip. The users could thereby supervise the health condition of the users. Because the process of the detection is very simple, it could reduce the time of detecting galactose compared to the prior arts with high accuracy and precision.
[0063]
[0064] 2-1 Accuracy Test
[0065] First, preparing five different concentrations of galactose samples (which are respectively 200 g/ml, 500 g/ml, 900 g/ml, 1200 g/ml and 1500 g/ml), each taking 24 groups, and adding venous blood into them, then using the meter of the present invention to test the concentration values, calculating their average (g/ml), standard deviation (S.D.) and coefficient of variations (% C.V.), and making a regression analysis chart, wherein the detection environment is room temperature (255 C.) and the relative humidity is 20-60%, as shown in
[0066] 2-2 Precision Test
[0067] First, preparing five different concentrations of galactose samples (which are respectively 200 g/ml, 500 g/ml, 900 g/ml, 1200 g/ml and 1500 g/ml) at a room temperature (255 C.) and 20-60% of relative humidity, each taking 3 groups, and adding venous blood into them, then using the meter of the present invention to test the concentration values and repeating the tests for eight days, calculating their average of the coefficient of variation (% C.V.) (as shown in
[0068] In light of foregoing result, the procedure of the galactose detection system of present invention is simple and rapid. It is because the formula of the galactose composition of the present invention can be metabolized rapidly by the liver in the human body, allowing the blood or body fluid contain galactose or metabolites thereof. Then, take the sample by fingertips. After the sample react with the enzyme in the test strip via electrochemical reaction, take the meter to detect the galactose for only 1 minute without preparing test specimen additionally. The procedure deduct the amount of steps to detect galactose which further reduce the detecting time. Therefore, the present invention provide a rapid, simple and highly accurate detecting galactose method for patients who need to detect galactose.
Embodiment 3: Test Strip Detection
[0069]
[0070] In this embodiment, the insulating substrate 110 has a flat surface which has electrical insulation and heat resistance between 40-120 C. The material of the insulating substrate 110 is selected from polyvinyl chloride (PVC), glass fiber (FR-4), polyester suphone, bakelite plate, polyethylene terephthalate (PET), polycarbonate (PC), polypropylene (PP), polyethylene (PE), polystyrene (PS), glass plate, ceramic or any combination of the above-described materials.
[0071] As shown in
[0072] The materials of the first insulating spacer 130 may include but not limited to the polyvinyl chloride (PVC) insulating adhesive tape, ethylene terephthalic acid ester insulating adhesive tape, heat dried insulating varnish, or ultraviolet light cured insulating varnish. The first insulating spacer 130 covers a part of the electrode unit 120 (namely the part of the first end 122), and includes a reaction zone channel 134 located on a first edge 132 of the first insulating spacer 130. The first end 122 is exposed to the reaction zone channel 134. The sample (for example, blood) is suitable for filling the reaction zone channel 134 to perform the subsequent electrochemical reaction. The two long sides of the reaction zone channel 134 are ladder shaped, and the width of the reaction zone channel 134 adjacent to the first edge 132 is greater than the width away from the first edge 132.
[0073] The reaction zone channel 134 has at least one reaction layer 150 covering at least one electrode unit 120 in the reaction zone channel 134 and containing at least one galactose and a conductive medium, with samples (such as blood) to generate chemical reaction. The reaction layer 150 can further include a galactose enzyme measuring area and a conductive medium measuring area.
[0074] The composition of the reaction layer 150 can be but is not limited to the enzyme, coenzyme, conductive medium, buffer solution, stabilizer and surfactant. Wherein the conductive medium is used to receive the electrons generated after an active substance is reacted with the sample, conducts the electrons to the meter 200 via the electrode unit 120, and includes but is not limited to: ferrocene, ferrocenium, methylene blue, tris(acetonitrile)ruthenium trichloride, 2,5-dihydroxybenzoquinone, phenazinemethosulfate, tetrathiafulvalene, tetra-cyano-quino-dimethane, methyl viologen, toluidine blue, 5,6-diamino-1,10-phenanthroline, [M(bpy)3]2+(M=Ru or Os; BPY=2,2-bipyridine). In addition, the conductive medium could be a metallic ion compound, wherein the metallic ion compound includes but is not limited to MgCl.sub.2, BeCl.sub.2, CaCl.sub.2, SrCl.sub.2, BaCl.sub.2 or a combination thereof which can be dissolved in an aqueous solution in a metallic ion manner under the absorption action between electrons and charges; the buffer solution includes but is not limited to neutral and alkaline buffer solutions of Tris, Tris-HCl, PBS, MES, CHES, Borate, Universal buffer mixtures (CPB), MOPS, TES, HEPES, TAPSO, Tricine, Bicine and TAPS; The stabilizer comprises but is not limited to Xylitol, mannitol, polyxylose, araboxylan, mannan, trehalose, PEG, PVA, PEO, Methocel, agarose, sol-gel, collagen, chitosan, BSA, casein, neo protein, amino acid or any one combination thereof; The surfactant includes but is not limited to a cationic surfactant, an anionic surfactant, a neutral ionic surfactant, and a nonionic surfactant.
[0075] In the present embodiment, the second insulating spacer 140 covers the first insulating spacer 130, a part of the electrode unit 120 and a part of the insulating substrate 110. Since the second insulating spacer 140 completely covers the reaction zone channel 134 of the first insulating spacer 130, the upper, lower, left and right surfaces of the reaction zone channel 134 are enclosed by three wall surfaces of the second insulating spacer 140, an insulating substrate 110 and the first insulating spacer 130 beside the reaction zone channel 134 to form a pentahedral enclosed pipe. When the sample enters the reaction zone channel 134 via a biological sampling opening, the adhesive force of the biological sample in the reaction zone channel 134 is greater than the cohesive force of the biological sample, such that the biological sample can go forward persistently.
[0076] In the present embodiment, the first edge 132 of the first insulating spacer 130, the second edge 142 of the second insulating spacer 140, and the same side edge of the insulating substrate 110, as a whole, are all in a convex arc shape. In addition, as shown in
[0077] Due to the instability of the enzyme protein, the enzyme cannot be preserved in an alkaline environment or dry condition. Therefore, the enzyme is generally stored in an acidic solution, such as preserved in acidic amine sulphate solution with a very short storage time. The enzyme will lose activity once becoming dry, so the enzyme cannot be stored in solid state. However, the test strip in the present invention with the above formula and structure allow the enzyme not only to be preserved in an acidic environment, but also be solidified and stored in a neutral or alkaline environment. Furthermore, the enzyme with the formula can retain activity in a dry state and can be preserved for a long time. Therefore, the invention has broken through the previous restrictions to ensure that the enzyme can be solidified and dried which is effective to dry the enzyme on the test strip and still remain active.
[0078] 3-1 Detection of Test Strip Detectable Volume
[0079]
[0080] 3-2 Test of Test Strip Long Term Stability
[0081] To evaluate the service condition of the test strip under the severe environment, the preservation days is estimated in a 4 C. environment. Five different concentrations of galactose samples (which are 200 g/ml, 500 g/ml, 1200 g/ml, 900 g/ml and 1500 g/ml, respectively) were prepared, and they were divided into three groups of 30 C., 40 C. and 45 C., respectively, and then the reading value of galactose was measured one by one, wherein the acceptable average C.V value of galactose below the concentration of 250 g/ml is less than 20%, while the acceptable average C.V. value of galactose in the range of 251-1500 g/ml needs less than 15%, and the correlation coefficient (R) should be greater than 0.9. According to the results of
[0082] 3-3 Hematocrit Evaluation Test
[0083] In order to evaluate whether the test strip can detect the different hematocrits (HCT) of samples in a normal range, five different concentrations of galactose biological samples (200 g/ml, 450 g/ml, 800 g/ml, 1150 g/ml and 1500g/ml, respectively) were prepared, and each HCT sample of 20%, 30%, 40%, 50% and 60% were prepared. The reading values of galactose were then measured one by one. Among them, the acceptable average C.V value of galactose below the concentration of 250 g/ml needs less than 20%, while the acceptable average C.V value of galactose in the range of 251-1500 g/ml needs less than 15%, and the correlation coefficient (R) should be greater than 0.9. As shown in
[0084] 3-4 Repeatability Test
[0085] In order to evaluate whether the test result of the galactose rapid quantitative detection system is repeatable, a repeatability test is performed as follows: five different concentrations of galactose samples (200 g/ml, 450 g/ml, 900 g/ml, 1200 g/ml and 1500 g/ml, respectively) were prepared to add into the biological samples, wherein each concentration will be tested by three meters, and each meter will repeat the test six times. The acceptable average C.V value of galactose below the concentration of 250 g/ml needs less than 20%, and the acceptable average C.V value of galactose in the range 251-1500 g/ml needs less than 15%. From the result of
[0086] In light of foregoing result, the test strip of the present invention can detect the 1 L volume of the biological sample at the minimum. Due to aforementioned enzyme and formula, the test strip can be stored for 60 days at room temperature, for 180 days at 4 C. It overcome the obstacle of preserving problem. In addition, because the minimal volume of biological sample is 1 L which avoid discomfort caused by large wound per test, while maintaining high accuracy of test results. The present invention provide the users a preferred tool for detecting galactose.
Embodiment 4: Using the Detection System to Determine Liver Function
[0087] 4-1 Comparison Between Oral Administration Galactose OGSP Result and Intravenous Injection Galactose GSP Result
[0088] As shown in
[0089] Table 1 The intravenous injection galactose GSP result and oral administration galactose OGSP result of the subjects (averagestandard error)
TABLE-US-00001 Mild or moderate Severe Normal impairment impairment liver function of liver of liver function (N = 56) function (N = 31) (N = 40) IV GSP(g/ml) 247 16.5*** 423 26.0*** 630 41.0*** Digestion 1992; 52: 222-231 IV GSP (g/ml) 174 8*** 359 10*** 667 29*** OGSP(g/ml) 318 27*** 590 40*** 777 48*** ***P < 0.005 (ANOVA & LSD analysis)
[0090] Embodiment 5: Neonatal Galactosemia Screening
[0091] Galactosemia is a hereditary disease which is attributed to the fact that there is not enough galactose clastic enzyme in the patient, so that galactose accumulates in the body. This results in the symptoms of sleepiness, emesis, diarrhea, incapability of normal growth, jaundice, and the like. Through newborn screening, one can be sure there will be no adverse effects in infants breast milk. The galactose meter of the present invention can be used for the screening of neonatal galactosemia. The test neonatal galactosemia screening does not rely on protein or lactose digestion, but adopts a first biological sample of infants, so the galactose composition is not required to be taken before the screening and biological sample is sampled from a toe tip. If the galactose value of the biological sample is detected to be greater than 100 g/ml, which represents the risk of neonatal galactosemia in the newborn, and further examination is needed.
[0092] Embodiment 6: Semiautomatic Arm Operation Analysis
[0093]
[0094] In summary, the galactose rapid quantitative detection system provided by the invention has already been tested by accuracy and precision, can be used to detect liver functions and examine galactose related diseases, such as neonatal screening for galactosemia, and can determine the physical state of medical staffs or patients to then judge whether a further examination is required.