Abstract:
An immunoassay method for measurement of the content of a target antigen or antibody in a fluid or tissue specimen comprises reacting the target with reagent antibody or antigen which forms a complex with the target and is carried by small tagged mobile units having tagging elements or compounds which are unassociated chemically with said reagent and are protected against reaction with the target and the biological and chemical environment of the assay. The tagged mobile units bearing formed complexes are measured by spectroscopic detection. Preferably the small, tagged mobile units, such as latex particles, are of a size smaller than 0.8 μm. The tagged complexes which are formed may be measured by spectrophotometric detection or by mass spectrometry. Different target antigens or antibodies can be assayed simultaneously by employing different tagged mobile units, and the mobile units with the tagging elements can be recovered for disposal or for reuse.

Description:
This application is a continuation-in-part of application Ser. No. 313,711 filed Oct. 21, 1981. 
    
    
     BACKGROUND OF THE INVENTION 
     1. Field of the Invention 
     This invention relates to an immunoassay method, and to apparatus for carrying out the method. More specifically, the invention relates to an immunoassay method for measurement of the quantity of one or more antigens or antibodies, hereinafter called target antigens or antibodies, in a fluid or tissue specimen. The target antigens or antibodies to be quantitatively determined are reacted with tagged antibodies or antigens which form a complex with the target, and the formed complexes are counted by detection of the tagging elements. 
     2. Description of the Prior Art 
     Raddioimmunoassay (RIA) is currently the best developed methodd of immunoassays. A radioactive isotope, usually I-125, is used to label a known antigen (hereinafter called Ag), and the labeled Ag (Ag*) competes with the target Ag of a specimen for the binding site of a given amount of &#34;monomeric&#34; antibody (hereinafter called Ab). The radioactivity of the Ag*-Ab precipitants, often with a second species specific Ab for precipitation, inversely indicates the amount of non-radioactive Ag-Ab complexes in the system, and therefore the amount of the target Ag of the specimen. When instead the antibodies are labeled (Ab*) to directly measure the Ag or ligand, rather than use of Ag* and a limited amount of Ab, the technique is called immumoradiometricassay (IRA). 
     RIA has been easier to use than IRA due to the difficulties of obtaining monomeric Ab in a consistant purity from an in vivo system that is inherently heterogeneous. Recent progress in monoclonal technology promises to make available the truely monomeric Ab in commercial quantity, and thereby the use of IRA which is a direct and more simple approach. The new method of the invention described herein can be applied either to a direct binding or to a competitive binding assay, and the former direct binding is described for the purpose of illustration. 
     There are about 5×10 16  Ab per ml in a typical animal serum, with each Ab typically having about 20,000 atoms and a molecular weight of about 150,000. If there are 5 million kinds of Ab, each kind would on the average have 10 10  copies per ml. This abundance in copies and richness in variety are what make the immunoassays so easy to prepare and so powerful a tool for measurement. 
     There are, however, several drawbacks in a method as powerful as RIA. If labeled iodine appears at the sensitive position of the Ag, i.e., the epitope, it would alter the immune affinity. Incubation time for RIA, especially when a second antispecies globulin is used for precipitation, is too long. The presence of agglutinating elements in a specimen such as the serum rheumatoid factor (RF) and the Clq unit of the complement can often give rise to unintended agglutinations. But by far, the most serious problem of the method has been the disposal of voluminous radioactive waste. 
     In order to avoid the problem of radioactive waste disposal, two recent non-radio immune methods have developed for clinical applications. One method is the homogeneous enzyme immunoassay where an active enzyme is bound to an Ag and the enzyme activity becomes greatly reduced when the enzyme-conjugated Ag submerges to be an integral part of the Ag-Ab complex. This technique precludes the need for separating bound from free, and enables simple colorimetric detection of the enzyme related rate reactions. The sensitivity of the method and the cost of the enzyme bound Ag, however, must be improved in order to be competitive with RIA. Also like RIA, in this emzymatic approach it can be difficult to assay a large number of different Ag-Ab complexes together. Another non-radio method is the fluorescent immunoassay (FIA) where instead of the radio labeled Ag, fluorescent dye-labeled Ag competes with Ag for the binding sites of a limited amount of Ab. The elute of fluorescent Ag-Ab complex can be counted by a fluorometer, which can be automated, just like that of the automated gamma ray counters for RIA. Except for the radiowastes, FIA shares similar drawbacks of RIA, and at a substantially reduced sensitivity. The FIA method is described in Robert E. Curry et al., Clinical Chemistry, Vol. 25, No. 9, (1979),pages 1591-1595. 
     Since the discoveries of RIA and IRA, a major improvement has been the introduction of solid phase systems. With a solid phase, Ab or Ag are absorbed or covalently conjugated onto a matrix such as cellulose, polystyrene (latex) or polyacrylamide to form an &#34;immobilized system&#34;. The solid phase system can be in the form of a wall or beads, can give easy and precise separation of bound from free, requires fewer manipulations, and provides lower non-specific bindings. Other immune assays such as FIA and electrophoretic methods can also use the solid phase systems to take advantage of their inherent ease of bringing reagents into the assay and of separating bound from free. 
     With a sufficiently small solid phase system, the mobility of the solid phase units can also be exploited. In particle immunoassay (PIA), for example, 0.8 μm latex beads are each coated by 10 5  Ab. The coated beads can react like the Ag-Ab complexes with respect to the agglutinating agents such as RF, Clq, or the murine agglutinators. In a PIA, Ag-Ab complexes compete for the agglutinators with a given amount of the coated beads, while the residual, non-agglutinated beads become proportional to the amount of Ag of the specimen. The beads are counted by their scattering of light. A review of various immune methods can be seen from &#34;Immunoassays for the 80s,&#34; edited by Voller et al., University Park Press, Baltimore, Md., 1981. In this publication, PIA is described in an article by P.L. Masson et al. on pages 35-41. 
     In such known labeled immunoassays, the labeling elements, which can be radioactive or fluorescent, are conjugated to the Ag or Ab and exposed to the assaying chemistry. They cannot easily be separated from the system even with the aid of solid phase units. For PIA, light photons are used to count the single beads discriminately, so that the beads must have a dimension of greater than 0.8 μm, about twice the photon wavelength, in order to be observable. Compared to the size of an Ab, the bead is two to three orders of magnitude larger in its longest linear dimension, so that the thermodynamic and chemical characteristics of the bead are very different from those of the Ab. As a result, agglutinating agents must be used in PIA. 
     SUMMARY OF THE INVENTION 
     According to the present invention, there is provided an immunoassay method for measurement of the content of a target antigen or antibody in a fluid or tissue specimen, which comprises reacting the target with reagent antibody or antigen which forms a complex with the target in an assay of direct or competitive binding. The reagent is tagged with specific tagging elements or compounds and retains its mobility. 
     The tagging elements or compounds can be contained in small latex particles. The tagged mobile units coupled with Ab or Ag are reacted with the target Ag or Ab, the unreacted mobile units are separated and the number of reacted mobile units is measured by measurement of the tagging elements, for example by X-ray fluorescence or by laser spectroscopic or some other optical or acoustic methods. 
     Also provided in accordance with the present invention is an immunoassay apparatus for measuring the content of a mobile target antigen or antibody in a fluid which comprises a container for said fluid means for introducing the specimen to the container, means for sequentially introducing to the specimen small tagged mobile units carrying reagent antibody or antigen, means of elution of the tags from the solution and a detector for measuring tagging elements of said tagged mobile units. 
    
    
     BRIEF DESCRIPTION OF THE DRAWING 
     FIG. 1 is a diagrammatic representation of the preferred steps of the present method. 
     FIG. 2.is a sectional side view of the specimen container of the present apparatus. 
     FIG. 3 is a sectional sideview of the neutralized tags eluting from a filter of glass fiber pads. 
     FIG. 4 is a plan view of the present apparatus using dye laser induced responses to measure the tags. 
     FIG. 5 is an alternative measuring apparatus where a simple emission fluorometer is used to measure the tags. 
    
    
     DESCRIPTION OF THE PREFERRED EMBODIMENTS 
     The present invention provides several means of measurements of the tagged immunoassay, hereinafter referred to as TIA. These detection measures are particularly adapted to measure Ag or Ab in fluids such as serum and tissues such as nerve cells. 
     Small, tagged latex particles are preferably used in the present method. Such small latex particles conjugated jugated by Ab or Ag can participate in an immunoassay as if they are mobile units of Ab or Ag, and thus are referred to herein as small, tagged mobile units. According to the present invention, it is preferred that the size (longest linear dimension) of said mobile units is smaller than 0.8 μm. More preferably the tagged mobile units are smaller than 0.35 μm, and still more preferably, they are smaller than 0.1 μm. In a particularly preferred embodiment, the tagged mobile units have a size in the range from 0.1 μm to 0.008 μm. 
     The mobile units are tagged with tagging elements or compounds which may comprise any elements that can be detected, such as by X-ray fluorescence, by optical means, or by measurement of radioactive decay. Preferably the tagging elements are heavy tagging elements which have an atomic weight in excess of 50. Examples of these are Fe, Ni, Cu, Co, and the like. 
     Thus, the method of the present invention preferably employs small mobile units, particularly latex particles, which are one to two orders of magnitude smaller than the 0.8 μm particles used in the above-mentioned PIA method. With such smaller particles, the avidity of the Ag-Ab bonds makes it possible to separate bound particles from free particles. This makes the affinity relationship of the Ag-Ab complexes inherently Ag specific, giving rise to the possibility of assaying many Ag-Ab complexes from the same specimen. Also the tagged elements can be embedded into the mobile units unexposed to the chemical reactions of the assay, providing the possibility that a variety of &#34;unstable&#34; or reactive tags can be used and be recovered from the assay. The measuring device to detect the tags can be very simple, yet the method provides high sensitivity, specificity, accuracy, and precision. 
     The TIA method of the present invention has the advantage of being extremely simple and convenient. It will now be described with reference to the drawing. Preferred steps of the method of the present invention are shown in FIG. 1 which illustrates the assay of the target Ag (or Ab) of a serum specimen. First, serum is diluted, buffered, and passed through a solid phase where necessary to remove certain agglutinators and to avoid unintended agglutinations of the mobile units. The reagent of the initial removal solid phase can be a certain &#34;activated Ab&#34; conjugated on a large solid phase matrix. Second, a chosen amount of the mobile units coupled with the specific Ab (or Ag) is added to the system to react in a direct binding like IRA (or in a competitive binding like RIA) with the target Ag (or Ab) in an incubation. Third, the same kind of the target Ag (or Ab) in a solid phase is added to &#34;fish out&#34; or remove the unreacted mobile units in a short incubation without allowing the complexes of the mobile Ag-Ab units and the solid phase Ag-Ab to reach concentration equilibrium. Fourth, the residual mobile units not deleted by the solid phase are eluted and the eluate counted by the presence of their tags. Finally, the measurement is compared with a calibration curve of the Ag (or Ab) concentrations measured by the same amount of the mobile units and the solid phase systems prepared from the same batch. That is, the measurement is compared with a calibration curve of known target antigen or antibody concentration plotted against the same kind of measurements of the tags. The last step is to remove systematic errors, as Ab, even from the same animal, can vary from batch to batch, and this practice has been common in a variety of immunoassays. The five steps listed above can be combined in an automated measuring apparatus. 
     The container for the specimen is shown more fully in FIG. 2 in which the specimen container 1 is shown to have an inlet 6 for admitting fluid, and an elongated section 7. By means of a centrifuge, a part 12 of which is shown generally, and to which container 1 is attached, mobile units 8 are directed into elongated section 7, and move through the elongated section 7 towards the end 10 sequentially, as shown at 9, under the centrifugal field, for reaction with the specimen Ag or Ab. 
     A solid phase latex 11 has Ag or Ab thereon which forms a complex with unreacted reagent Ab or Ag and removes free mobile units. Latex 11 is in contact with the specimen through an opening 13 in elongated section 7, or may be located within section 7. 
     The bound mobile units not removed on latex 11 move to end 10 of elongated section 7 for elution. 
     The small mobile units are relatively uniform in size and at a distinguishable level of density. They can therefore easily be concentrated for measurements. Methods of elution include simple centrifugation, liquid chromatography (LC), high pressure liquid chromatography (HPLC), or electrophoretic means. FIG. 3 is a simple filter cell 30 composed of glass fiber pads 32 for a size exclusion column where the mobile units 31 are excluded from the eluent and concentrated at the entrance of the column. By introducing a high pressure gradient in the liquid flow, in a manner similar to that of HPLC, the filter cell can be made very small whereby samples of the order of microliters can be eluted. Strong reagents such as acids, e.g. mineral acids, can be introduced at the filter cell to hydrolyze, for example, proteins from a serum specimen such that only the desired mobile tags are eluted. 
     From a high pressure column, the microeluate can be localized into a very small space, in which the particles can be detected and analyzed by a dye laser microbeam. FIG. 4 is a plan view of a dye laser microbeam where the focusing system is simply a compound microscope. Four dye cells 42, each for a different characteristic dye color, are pumped sequentially (or simultaneously) by a nitrogen laser beam 40 through a cylindrical lens 41. The dye laser beam 43 exits through a mirror 44, is focused by an ocular lens 45, is reflected by a mirror 46 with a high reflectivity, and arrives at the analyzing cell 47. Polarizers 49 and quarter-wave plate 48 are the usual parts of the optical system. Instead of several different dyes 42, a continuously tunable dye can be constructed by replacing one window of the dye cell by a grating 39. Different grating angle facilitates different output wavelength, and the tuning can cover the entire fluorescence band of the dye compound used. Photodector for the cell 47 is not included in FIG. 4. 
     Dye lasers are described in Modern Fluorescence Spectroscopy, E.L. Wehry, Heyden, London-New York, pages 83-119, the disclosure of which is incorporated herein by reference. Laser microbeams are described in &#34;Laser Applications in Medicine and Biology&#34;, edited by M.L. Wolbarsht, Vol. 2, Plenum Press, New York, containing the article &#34;Microbeams&#34; by M.W. Berns, pages 1 to 40, the disclosure of which is incorporated herein by reference. 
     The dye laser beam can easily be modulated for acoustic frequencies. The frequency modulation can simply be a mechanical chopper for a continuous wave laser, or can be an electronic chopper for a pulsed laser. The mobile tags, responding to a predetermined dye color, would vibrate to the said acoustic frequency and be detected by a microphone coupled to the cell 47. 
     Instead of a limitless choice of photowavelength from a tunable dye laser, a simple fluorometer can provide several broad band colors at low cost. FIG. 5 illustrates such a fluorometer where the spectral source 51, e.g., a medium-pressure mercury lamp, shines through an excitation filter 52, is split up by the beam splitter 53, and passes through the analytical cell 57 or the reference cell 56 reflected from mirror 58. The emissions are screened by filter 54 and detected by photodiode 55. A fluorometer of this type is described in Instrumental Liquid Chromatography, N.A. Parris, Elsevier Scientific Publishing Company, Amsterdam-Oxford-New York, (1976), pages 81-83, the disclosure of which is incorporated herein by reference. 
     In another embodiment of the invention, tagging elements embedded in individual mobile units can be resolved by conventional instruments such as a mass spectrometer. The mobile units are volatilized in a DC arc, and the resulting particles are accelerated in an electrostatic field. The paths of the particles are bent by a magnetic field, and the metal tagging elements are detected. Typical apparatus and methods are described in &#34;Advances in Mass Spectrometry&#34;, edited by J.D. Waldron, Pergamon Press, New York (1959), particularly pages 136-137, the disclosure of which is incorporated herein by reference. 
     In a competitive binding assay such as RIA, reagents compete for the same binding sites and their order of joining the assay is not important as long as the reagents can reach certain equilibrium. In a direct binding assay such as IRA or TIA, the binding site once occupied with sufficient avidity, can become &#34;inseparable&#34;. If each mobile unit carries only one Ab or Ag, again the order of joining the assay is unimportant. But with each mobile unit carrying on the average 10 or 100 Ab or Ag, it becomes essential to have some of them completely neutralized in the formation of the immune complexes, while the other remain relatively free of the complex. A means of accomplishing this is for t mobile units to be introduced sequentially, as shown in FIG. 2. The arrangement of a relative cross-current would not only assure the sequential occupation of the binding sites, but also aid to the automated designs. A spin down of the mobile units in a centrifugal field would provide sufficient movements relative to the specimen liquid. The mobile units can also be magnetically controlled if the tags are made of magnetic material, although great care must be taken concerning demagnetization of the tags. Another way of accomplishing the reaction so that some mobile units are completely bound and others are relatively free of the complex is to introduce the mobile units to the specimen in small increments for stepwise reaction with the target Ag or Ab. 
     In RIA, the radioactivity of Ag*-Ab is inversely proportional to the amount of Ag. In IRA or TIA, the direct binding gives a linear relationship between the tags measured and the amount of the target Ag or Ab. An error analysis can show that the linear relationship gives a larger range of accurate calibration while the inverse relationship must limit the most accurate range of the place where the amount of complexes between Ag*-Ab and Ag-Ab are about the same. 
     About 10 amino acids are required to form an epitope; the sensitive portion of an Ag. Haptens are generally too small a molecule to be recognized as an Ag in an animal, and often must be conjuated with a carrier protein in order to initiate an immune reaction and produce Ab specific to the hapten. Sometimes the hapten-specific Ab cannot be produced in this manner, and an indirect method of immunoassay must be used. Using the carrier protein as an Ag, Hapten can then become an inhibitive agent when it forms a ligand with the Ag as it changes the immune affinity. This change of the immune affinity can also become a means for measuring hapten by the present TIA method. There are many compounds which can participate with the commonly used substrate protein to alter their specificity, so that this inhibitive means of measuring hapten may or may not be accurate by choice. 
     Thus, the present TIA method can provide higher sensitivity than RIA or IRA in general, and can in fact provide the highest sensitivity amongst all known immunoassays for most Ag and Ab. The immune affinity is fully explored for the agglutination in TIA, so that multiple kinds of Ag or Ab can be measured in the same specimen with very high specificity. Direct binding gives a linear relationship on the calibration and provides a high accuracy for a large range of the target concentrations. Tags can be made of elements independent of the biological and chemical environment of the assay, and thereby the assay can be reproduced for high precision. 
     For use in the present invention, small tagged mobile units can be formed in a number of ways. Latex beads, such as those supplied by Polyscience, Inc. (Paul Valley Industrial Park, Warrington, Pa 18976), or E.F. Fullam Inc. (900 Albany-Shaker Road, Lathan, NY. 12110) can be ordered for dimensions much less than 0.1 μm. The lyophilized beads can be spread out on the surface of a low vapor pressure liquid to avoid the beads stacking upon each other. Metals, serving as the tagging elements, can be ion implanted into the beads in a system which includes the supporting liquid. The depth of penetration of the ion beam is easily adjusted by settings of the accelerating voltage, and a penetration of about 5 nm would serve nicely. A variety of metals can be selected as the source of the embedded elements, and their chemical stability as shielded by the latex matrix is not important. For the determination of multiple kinds of Ag or Ab, each embedded element as tag must correspond to a particular reagent Ab or Ag for its target Ag or Ab. 
     The tagged mobile units may also be formed by mixing tagging elements with the latex and forming precursor beads, or coating precursor beads with the tagging elements. A further coating of latex may then be applied, thereby forming the small mobile units. 
     An alternative to ion implantation is simply a vapor coating of a layer of metal, perhaps 20 nm thick, on one side of the beads, followed on the same side by a second coating with a stable element or compound to isolate the metal if necessary. Reagent Ab or Ag are to be conjugated on the bare side of the latex matrix. If a more exact configuration of the mobile units is desired, such as in the form of a cylinder or a cube where a relatively flat surface can be used to conjugate the reagent Ab or Ag, the vapor coating can be performed on large thin latex sheet, and by pressing the coated faces together, the tagging element becomes sandwiched in the middle. An electron or ion beam focused on the sheet can cut it into little circles or squares. The cut edges can be sealed, e.g. by formation of an oxide of the exposed tagging elements, when necessary. The focusing dimension of the beam can be much smaller than that of the mobile units, and with the beam-scan electronically controlled, the cutting patterns can be generated very quickly. 
     The ccupling of protein onto latex matrix is known for a long time, and is routinely used by various designs of solid phase systems. Bio-Rad Labs (2200 Wright Ave., Richmond, Ca 94804), for example, provides a reagent coupling kit &#34;EDAC&#34; which couples the latex matrix and the reagent by carbodiimide. The matrix can be conjugated directly by Ab or Ag, or by a species specific anti-Fc globulin first and then the specific Ab in order to assure that the (Fab&#39;) 2  portion of the specific Ab retains its full immune affinity, or that only the (Fab&#39;) 2  portion is conjugated with the Fc section cleaved off by the enzyme pepsin in order to avoid Fc related agglutinations. The coupling of the reagent onto the latex matrix can be followed by the tagging process if necessary. 
     In RIA, each Ag* can be labeled with an I-125 and it competes with the cold, target Ag. About 10 7  labeled Ag* cr the Ag*-Ab complexes are required to provide a meaningful signal of 100 counts per minute. Assume that the mobile units of TIA are also tagged with 10 7  atoms each, and if they are also radioactive isotopes such as I-125, and with each mcbile unit conjugated on the average by 10 Ag, then the present TIA method becomes more sensitive than RIA by a factor of 10 6 , provided of course that the radiation exposure is short enough such that the affinity and the avidity are not seriously altered. Furthermore, the mobile units can be recovered for easy disposal in a concentrated volume, or even for reprocessing. 
     In a X-ray fluorescent analysis of trace metals, the relative sensitivity is about 10 -6  g per ml, with the metal&#39;s molecular weight at about 60. This value implies a sensitivity of the tags at 10 9  per ml. With a sampling volume for the X-ray analysis at 10 31  2 ml, the sensitivity becomes 10 7  tags per sampling. The mobile units can be highly concentrated by centrifugation, or they can be eluted, with a high pressure gradient, by a small size exclusion column. With concentrated mobile units for measurement, the TIA method of the present invention with X-ray fluorescence can be more sensitive than RIA by a couple of orders of mangitude. The final stage of elution can be designed as a part of the fully automated assay process. If higher sensitivity is desired, the X-ray fluorescent analysis can be pushed by six or more orders of magnitude by incorporating a focused electron beam to excite the tagging elements, or by simply pyrolyzing the complex in vacumn and ionizing the metal atoms embedded in the tags and detecting the metal ions by a mass spectrometer. 
     In RIA and IRA, radioactive isotopes such as Co-57, H-3, C-14, and I-125 can replace their non-radioactive counterparts as labels. In addition, with catalysts such as Chloramine-T, oxidizing enzymes, or with electrolysis etc., I-125 can react with various reagent proteins and serve as the most commonly used label. Using different isotopes in these methods, several kinds of Ag-Ab complexes can in principle be assayed in the same batch. But in practice, with limits of detector resolution, and with I-125 as the common label for proteins, usually only one kind of Ag-Ab complex is measured in an assay. In the TIA method of the present invention, the tagged elements can be incorporated into the system regardless of the biochemical environment, and various elements can therefore be designed simply for the convenience of the detector sensitivities. 
     Various colored latex particles, for example, can be selectively excited by photons of the said color. Traditionally, immune methods do not provide multicomponent capability, while in methods such as liquid chromatography, a single assay can provide the sample with a complete profile or components. For TIA, not only can the desired components of the specimen be assayed simultaneously, the eluates can also be concentrated in such a convenient spot that they become ideal to be analyzed by an automated system. 
     The specificity of the agglutinations and the freedom of assigning the tagged elements or compounds are what enable the present TIA method to assay multiple Ag-Ab complexes simultaneously and with ease. Currently used and available RIA kits can also be used in the present TIA method, as the specific Ab to bind the Ag such as: 
     adrenocorticotropin 
     aldosterone 
     angiotensin 
     barbiturates 
     carcinoembryonic antigen 
     cortisol 
     digitoxin estrogen 
     folic acid 
     follicle-stimulating hormone 
     gastrin 
     gentamicin 
     hapatitis associated antigen 
     human chorionic gonadotropin 
     human growth hormone 
     human placental lactogen-human chorionic somatotropin 
     immunoglobulin E 
     Insulin 
     morphine 
     testosterone 
     thyroid stimulating hormone 
     thyroxine and triiodothyroxine 
     Vasopressin 
     Vitamin B 12 . 
     Such Kits are further described in &#34;Practical radioimmunoassay&#34; A.J. Moss, Jr., 1976, the C.V. Mosby Company, Saint Louis, Mo., the disclosure of which is incorporated herein by reference, especially starting on page 139.