NON-A, NON-B HEPATITIS-ASSOCIATED ANTIGEN, A CONJUGATE THEROF AND DIAGNOSTIC REAGENT CONTAINING SAME

Abstract: A type non-A, non-B hepatitis-associated antigen is obtained by isolation and purification from non-A, non-B hepatitis autopsy liver and has the following physicochemic­ al properties: molecular weight: 1,500,000 or more (gel filtration) sedimentation constant (10⁻¹³): 51.5S (ultracentrifugal analysis) buoyant density (g/cm³): 1.15 - 1.25 (in cesium chloride and in potassium bromide) particle diameter (nm): 26 - 37 electrophoretic mobility: α₂ -α₁ globulin region (in agarose gel). A type non-A, non-B hepatitis diagnostic reagent con­ tains, as its principal ingredient, a conjugate of the above-­ described antigen.

Description: NON-A, NON-B HEPATITIS-ASSOCIATED ANTIGEN, A COI4JUGATE THEREOF X5D DIAGNOSTIC REAGENT CONTAINING SAI4E This invention relates to a type non-A, non-B hepatitis-associated antigen and a diagnostic reagent utilizing such an antigen. More specifically, the present invention relates to a type non-A, non-B hepatitis-associated antigen, a conjugate of said antigen and a type non-A, non-B hepatitis diagnostic reagent containing said antigen or said conjugate of said antigen as its principal ingredient. The existence of viral hepatitis of types A and B is known and an antigen-antibody system associated with these types of hepatitis has also been clarified. Immunoserological diagnosis using such systems has become possible and development and introduction of vaccines have been accomplished. In the course of research, however, the existence of viral hepatitis which belongs neither to type A hepatitis nor to type B hepatitis, has become known and the frequency of occurrence thereof has been higher than expected. Type non-A, non-B hepatitis accounts for more than 80% up to 90% of post-transfusion hepatitis and it has been reported that type non-A, non-B hepatitis also accounts for about 508 of sporadic acute hepatitis. It has been established that even among normal blood donors, a considerable number of donors carry the non-A, non-B hepatitis virus. The following literature references set forth the state of the art pertaining to non-A, non-B hepatitis: 1) Prince, A.M. et al.: Long-incubation post-transfusion hepatitis without serological evidence of exposure to hepatitis-B virus. Lancet. II: 241-246, 1974. 2) Alter, H.J. et al.: Clinical and serological analysis of transfusion-associated hepatitis. Lancet. II: 838-841, 1975. 3) Feinstone, S.M. et al.: Transfusion-associated hepatitis not due to viral hepatitis type A or B. N. Engl. J. Med. 292: 767-770, 1975. 4) Meyers, J.D. et al.: Parenterally transmitted non-A, non-B hepatitis, Ann. Intern. Med. 87: -57-59, 1977. 5) Villarejos, V.M. et al.: Evidence for viral hepatitis other than type A or type B among persons in Costa Rica. N. Engl. J. Med. 293: 1350-1352, 1975. 6) Dienstag, J.L. et al.: Etiology of sporadic hepatitis B surface antigen-negative hepatitis. Ann. Intern. Med. 87: 1-6, 1977. The term "non-A, non-B hepatitis" used herein refers to those kinds of hepatitis which are believed to occur because of infection with virus(es) other than the previously known viruses, such as, type A hepatitis virus, type B hepatitis virus, cytomegalovirus, Epstein-Barr virus and the like, which non-A, non-B hepatitis- viruses participate in the disease as pathogens, and which do not exhibit a significant rise for HAV antibody, anti-HBs, anti-llBc and/or anti-HBe. Accordingly, non-A, non-B hepatitis patients can be defined as those who suffer from hepatitis resulting from infection by hepatitis viruses, but who are negative in both the type A hepatitis diagnosis and the type B hepatitis diagnosis, and are therefore excluded from having either type A hepatitis or type B hepatitis. Generally, in comparison with type B hepatitis, the average incubation period from transfusion until outbreak, for non-A, non-B hepatitis, is shorter and the maximal value of GPT is also lower. However non-A, non-B hepatitis has a longer duration so that the GPT abnormality, for example, becomes chronic and lasts longer. In any case, non-A, non-B hepatitis accounts for the major proportion of posttransfusion hepatitis. Liver diseases caused by the non-A, non-B hepatitis virus(es) include a variety of diseases such as liver cirrhosis, hepatocellular carcinoma and the like. Accordingly, proper countermeasures must be devised as soon as possible. As to non-A, non-B hepatitis, however, the virus(es) that cause the disease have not yet been identified exactly and an antigen-antibody system associated therewith has not yet been established. Hence, proper diagnosis and vaccine production have not been achieved to date. As prior art relating to a non-A, non-B hepatitisassociated antigen, mention can be made of Japanese Patent Laid-Open No. 122156/1980, which discloses a. substance referred to as an "HC antigen" which is characterized in that it shows an antigen-antibody reaction exclusively with plasma or serum of a convalescent phase of type C hepatitis patients, but does not exhibit a generalized reactivity for non-A, non-B hepatitis. As the starting material for isolating and purifying the HC antigen, it is necessary to use plasma or serum taken from a group of patients suffering from the hepatitis, in the acute period of the illness,after transfusion of HBs negative blood, showing two or more peaks in the GPT rise and having a relatively long latent period. Hence, the foregoing prior invention is greatly restricted by its starting material. In view of the prior art described above, the inventor of the present invention attempted to isolate, as a separate substance, a non-A, non-B hepatitisassociated antigen generally existing in and specific to non-A, non-B hepatitis, and succeeded in obtaining the contemplated substance by isolation and purification of autopsy liver from non-A, non-B hepatitis patients. Thus, the present invention has been completed on the basis of this discovery. The substance of the present invention is isolated and purified from non-A, non-B hepatitis autopsy liver and has the following physicochemical properties. It has a molecular weight of at least 1,500,000 as determined by a gel filtration process. The sedimentation constant (10-13) is 51.5S when measured with a Beckmann Model E ultracentrifuge. The buoyant density (g/cm3) in a cesium chloride solution or potassium bromide solution is 1.15 to 1.25 when measured with an Abbe's refractometer. The particle size (nm) ranges from 26 to 37 (31.5 on the average) under electron microscope observation. The electrophoretic mobility is in the a2 - aS globulin range when determined by immunoelectrophoresis in agarose gel. As is obvious from these properties, the substance of the present invention is essentially different from the HC antigen disclosed in Japanese Patent Laid-Open No. 122156/1980 as to its starting material as well as in its physicochemical properties. As will be illustrated in the Experimental Examples below, the substance of the present invention undergoes a precipitation reaction in an agarose gel with the serum of a convalescent phase from non-A, non-B hepatitis patients and with the serum of multiply-transfused hemophilia patients. Sheep erythrocytes sensitized by the substance of the present invention exhibit specific and highly sensitive passive hemagglutination with the serum of a convalescent phase from non-A, non-B hepatitis patients. On the other hand, the substance of the present invention does not react with HAV antibody, anti-HBs, anti-HBc, anti-HBe, anti-d, HC antibody, EB antibody, Arai antibody, F antibody, normal human liver supernatant antibody and various normal human plasma antibodies. Accordingly, the substance of the present invention is a useful substance which is a specific antigen associated with non-A, non-B hepatitis and which is general to non-A, non-B hepatitis. As will be illustrated in Experimental Example 4, for instance, the substance of the invention is useful for providing accurate information in the course of diagnosis of non-A, non-B hepatitis. An immunized antibody to the substance of the present invention can be produced by repeatedly immunized rabbits with the substance of the invention together with a suitable adjuvant, such as Freund's complete adjuvant. For this reason, the substance of the present invention is expected to be useful as a starting material for producing non-A, non-B hepatitis vaccine. The substance of the present invention can be obtained hepatitis autopsy liver from non-A, non-B patients, as the starting material, by a suitable combination of conventional protein fractionation methods, such as density gradient centrifugation, salting out, electrophoresis, gel filtration, affinity chromatography, isoelectrofocusing, ultrafiltration, Cohn's fractionation, and so forth. In a preferred embodiment of the invention, the autopsy liver homogenate supernatant is first subjected to column chromatography using Sephacryl S-200 and the resulting antigen positive fraction is subjected to ultrafiltration for the purpose of concentration. Then ultracentrifugation and dialysis are carried out. It is preferred to carry out ultracentrifugation once or several times by using successively both sucrose density-gradient centrifugation and cesium chloride density gradient centrifugation. The purified matter thus obtained shows a clear precipitin line with serum of convalescent phase from a non-A, non-B hepatitis patients by agarose gel diffusion, and it is confirmed that the precipitin line completely fuses with a preciptin line in the autopsy liver homogenate supernatant before purification. In other words, it is thereby confirmed that the substance of the present invention can be isolated in accoreance with the isolation purification method of the invention without losing its immunological properties. A diagnostic reagent containing the substance of the present invention as its principal ingredïent may then be suitably prepared in accordance with the immunological detection method to be employed. When a method such as micro-Ouchterlony's test (MO), immunoelectrophoresis (IES, IEP), complement fixation (CF), immune adherence hemagglutination (IAHA) or single radial immunodiffusion (SRID) is to be employed as the detection method, the substance of the present invention may be prepared as such in a suitable preparation. When, for example, the single radial immunodiffusion (SRID) is used, a suitable support is selected from the group consisting of agar, agarose, starch, polyacrylamide gel and the like, and the support is heat-dissolved in a buffer. After the substance of the present invention is added and mixed in, the resulting solution is flowed onto a glass plate or charged into a plastic container and then cooled to cause solidification. Finally, a hole for charging the serum to be tested is bored on the solidified gel plate. However, when a method such as passive hemagglutination (PHA), radioimmunoassay (RIA), enzyme-linked immunoadsorbent assay (ELISA) or the like is used as the detection method, it is necessary to apply the corresponding suitable treatment to the substance of the present invention. For example, when passive hemagglutination is used, the substance of the present invention must be combined with fine carrier particles. The erythrocytes of mammals or birds are preferred as the fine carrier particles, but particles having a size of about 1 to 10 p composed of polystyrene latex, polyester latex, vinyl chloride, bentonite, glass beads and the like can also be used. The substance of the present invention can be combined with these fine particles by the use of glutaraldehyde, formaldehyde, tannic acid, bisdiazotized benzidine, chromium chloride, carbodiimide, and the like. When the radioimmunoassay (RIA) method is used, the substance of the present invention must be labelled with an isotope. 125I and 131I can be used as the isotope and can be combined with the substance of the invention by the chloramine T method. When the enzyme-linked immunoadsorbent assay (ELISA) method is used, the substance of the present invention must be combined with an enzyme. Examples of usable enzymes include glucose oxidase, alkali phosphatase, peroxidase, 6-galactosidase, and the like. Glutaraldehyde can be used as the coupling agent. The diagnostic reagent of the present invention is used for the diagnosis of non-A, non-B hepatitis, but it can be used, of course, as an experimental detection reagent or determination reagent for the non-A, non-B hepatitis antibody. Accordingly, the term "diagnostic reagent in the present invention must not be interpreted as limiting the invention to diagnosis of non-A1 non-B hepatitis. BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 is a schematic diagram showing the formation of the precipitin line when agarose gel diffusion was carried out according to micro-Ouchterlony's test in Experimental Example 1, and shows the arrangement of areas in which A represents the substance of the present invention, B is serum No. 1 of a convalescent phase from non-A, non-B hepatitis patients. - C is serum No. 2 of such a patient, D is serum of a multiply-transfused hemophilia patients, E is normal human serum and F is normal human liver homogenate supernatant. Figures 2 through 5 show clinical course, in respect to the non-A, non-B hepatitis antibody titer (line represented by o) and GPT (line represented by o) in serum from non-A, non-B hepatitis patients in Experimental Example 4. Figure 6 is an electron micrograph showing the morphology of particles of the substance of the present invention. Figure 7 is an electron micrograph showing the morphology of the antigen-antibody complex formed by the substance of the present invention. The utility of the substance and the reagent of the present invention will be explained with reference to the following Experimental Examples. Experimental Example 1 Samples: A. Substance of the present invention, prepared in Example 1 below B. A convalescent phase serum from non-A, non-B hepatitis patient , No. 1 C. A convalescent phase serum from non-A, non-B hepatitis patient, No. 2 D. Serum from multiply-transfused hemophilia patient E. Normal human serum F. Normal human liver homogenate supernatant Method: 0.8% (w/v) of Agarose A-45 (Nakarai Kagaku), 0.02M EDTA.3Na, 0.lM sodium chloride and 0.1% NaN3 were dissolved in a Tris-HCQ buffer (0.01M, pH 7.5) and a 1.5mm-thick gel plate was prepared A detection test was carried out for each sample A to F in accordance with the micro-Ouchterlony's test. Results: The result is shown in Figure 1. As is obvious from Figure 1, the substance of the present invention forms a precipitin line with both the convalscent phase serum from non-A, non-B hepatitis patient and with the serum from multiply-transfused hemophilia patient, and these precipitin lines completely fused with each other. According, it was found that they formed an antigen antibody system having immunologically identity. This antigen-antibody system did not at all show a cross reaction with the normal human serum and with the normal human liver homogenate supernatant. Experimental Example 2 Sample: Sheep erythrocytes were fixed by a glutaraldehyde solution and treated with a tannic acid solution. Thereafter, they were sensitized by the substance of the present invention prepared in Example 1 below and the resulting sensitized blood cells were used as the blood cell sample using the substance of the present invention Method: 25 pQ of a phosphate buffered saline (0.15M, pH 7.2) containing 2% normal rabbit serum was droped into a microtitration plate (V-type) and the test serum was diluted by 2n times in two series. 25 pQ of a phosphate buffered saline (0.15M, pH 7.2) containing 2% normal rabbit serum was added to one of the series while 25 pQ-of the substance of the present invention was added to the other After incubation at 370C for 30 minutes, the sensitized blood cells were added to each well, and the plate was further incubation at room temperature for 2 hours so as to confirm the occurrence of agglutination When the agglutination titer was three tubes (dilution of 8 times) or more for the buffer-containing samples and inhibition of agglutination due to the addition of the substance of the present invention was confirmed for at least two tubes, the solution was determined as being antibody positive and the titer was expressed as the highest dilution of the sample that showed hemagglutination. Results: The sensitivity of the hemagglutination reaction due to the antigen-sensitized blood cells prepared as described above was 100 to 200 times that of the agarose gel diffusion in Experimental Example 1. The specificity of the agglutination antibody could be clearly confirmed by the existence of agglutination inhibition due to both the present antigen and the normal human liver homogenate supernatant. Experimental Example 3 Samples: 1. Sensitized blood cells described as the sample of Experimental Example 2; and 2. Test samples of the following four kinds (a) through (d): (a) serum from 14 patients with acute viral hepatitis type A patients (b) serum from 12 patients with viral hepatitis type B (c) serum from 15 patients with acute viral hepatitis of non-A, non-B type (d) serum of 129 normal donors Method: Detection frequency was confirmed in each subject by use of the passive hemagglutination reaction. Each blood serum was diluted 2n times in two series. After the substance of the present invention (in the form of a solution diluted 50 times) was added to each sample of each of the series, the systems were incubated at 370C for 30 minutes. The sensitized blood cells were added and two to three hours later the degree of agglutination was observed. The serum was determined as being antibody positive when an antibody titer of at least 3 tubes (dilution of 8 times) was observed and the inhibition effect of at least two tubes due to the substance of the present invention was observed. The antibody titer was expressed as the highest dilution of the sample that showed hemagglutination Results: The results are shown in Table 1 below Table 1 Number Antibody Average agglukination Subject of cases positive value (2 Subject of cases cases (%) (2 ) a 14 2 (14.3) l.43i0.73 (N.S.) b 12 2 (16.7) l.50i0.96 (N.S.) c 15 11 (73.3) 3.67i1.53 (p < 0.001) d 129 9 (7.0 1.18+0.56 N.S.: no significant difference compared to (d) p : level of significance It was found from Table 1 that: 1. The percentage of positive cases was as high as 73.3% for the non-A, non-B hepatitis cases and a significant difference could be observed from the results for the normal donors, the hepatitis type A patients and the hepatitis type B patients. 2. The percentages of positive cases were 14.3% and 16.7% in the cases of hepatitis type A and type B, respectively, but no significant difference could be observed between these percentages and the percentages of positive cases for the normal donors. 3. The non-A, non-B hepatitis antibody was observed as being existing in about 7% of the normal donors. 4. In the average agglutination values, no significant differences could be seem among blood serums of the normal donors, the hepatitis type A patients and the hepatitis type B patients, but the blood serum of the non-A, non-B hepatitis patients showed a significantly higher value (p 0.001) than the value for the normal donors. From observations 1 through 4, it was concluded that the substance of the present invention is an antigen general for and specific to the non-A, non-B hepatitis antibody. Experimental Example 4 Sample: Serial serum of four patients having non-A, non-B hepatitis Method: The non-A, non-B hepatitis antibody level and GPT were measured for the serial serum. The non-A, non-B hepatitis antibody titer was measured using the substance of the present invention prepared in Example 1 below by means of the passive hemagglutination methods. Results: The results are shown in Figures 2 through 5. As is obvious from each figure, the non-A, non-B hepatitis antibody was not detected, or was detected only slightly, in the serum immediately after the- du'tbreak (high point of the GPT curve) but it appeared in the blood serum along with normalization of the liver function (decrease of the GPT values). It was confirmed that the antibody titer remained for more than one year or two. Since the non-A, non-B hepatitis antibody was therefore found to serve as an in-blood marker useful for the diagnosis and prognostic observation of non-A, non-B hepatitis, the substance of the present invention which is general for and specific to said antibody provides an accurate diagnostic reagent for non-A, non-B hepatitis. The following examples will further illustrate the present invention Example 1 About 5 g of the liver obtained on autopsy of a non-A, non-B hepatitis patient was.sliced and homogenized by adding 20 m± of Tris-HCQ buffer physiological salt solution (0.01M, pH 7.5). The solution was centrifuged at 10,000 rpm for 20 minutes and the homogenate supernatant was collected to obtain a liver homogenate supernatant for isolation and purification. 10 mi of the liver homogenate supernatant was charged into a column (2.6 x 90 cm) packed with Sephacryl S-200 (a product of Pharmacia) equilibrated in advance with Tris-HC buffered saline (0.01M, pH 7.5), and was eluted by Tris-HCQ buffer physiological salt solution (0.01M, pH 7.5.). A fraction corresponding to the first peak having an antigen activity was collected by continuously monitoring the eluate with ultraviolet absorption at 280 nm. The antigen activity was determined by agar gel diffusion. The fraction thus collected was concentrated by ultrafiltration (PM-1D, a product of Amicon Corporation). The resulting concentrate was subjected to elution in the same manner as described above but using Sephacryi S-300 (a product of Pharmacia) in place of the Sephacryl S-200, and was again concentrated by ultrafiltration. 5 mQ of the resulting concentrate was subjected to sucrose density gradient centrifugation (24,000 rpm, 16 hours). The density gradient ranged from 5 to 60% -(W/V) and 10 mi each at 5%, 15%, 25% and 35% and 5 mQ each at 45% and 60% were obtained. The concentrate was added to the uppermost portion. After the treatment, fractionation was carried out at a rate of 2.5 tube from the tube bottom and a fraction corresponding to a sucrose density of 25 to 40% having an antigen activity was collected. The fraction thus collected was dialyzed by Tris-HCQ buffered saline .(0.01M, pH 7.5) and was concentrated by ultrafiltration (PM-10, a product of Amicon Corporation). Next, the resulting concentrate was subjected to cesium chloride equilibrated density gradient centrifugation (40,000 rpm, 20 hours). Samples of 4.5 mQ each were prepared within the density gradient range of 1.00 to 1.50 g/cm3 and the concentrate was added to the uppermost portion. After the treatment, fractionation was effected at a rate of 0.2 tube from the upper layer and a fraction corresponding to a cesium chloride density of 1.15 to 1.25 g/cm3 having an antigen activity was collected. The specific gravity of each fraction was measured with an Abbe's refractometer. The physicochemical properties of the substance contained in the resulting solutions are tabulated below and the substance was used as the substance of-the present invention in each of the aforementioned Experimental Examples 1, 2, 3, 4 and 5 molecular weight: 1,500,000 or more (gel filtration) sedimentation constant (10-13): 51.5S (ultracentrifugal analysis) buoyant density (g/cm ): 1.15-1.25 (in cesium chloride and in potassium bromide) particle diameter (nm): 26-37 electrophoretic mobility: a2 -a1 globulin range (in agarose gel) The electron microraph of the substance of the present invention is shown in Figure 6. An antibody to the substance of the present invention was prepared from the non-A, non-R hepatitis, convalescent phase serum, mixed with the substance of the present invention in a test tube, incubated at 370C for 60 minutes, left standing at 40C over night, and thereafter centrifuged at 10,000 rpm for 20 minutes. As a result, the substance of the present invention was collected as a precipitate of an antigen-antibody complex. When the substance was observed by electron microscope, it was found that the spherical particles having a diameter of about 26 to 37 nm in Figure 6 agglutinated with one another. Figure 7 shows an image of an agglutination as a result of the antigen-antibody reaction. Example 2 Freund's complete adjuvant was added to the solution obtained in Example 1 in the ratio of 1:1 and emulsified. 0.5 ml of the emulsion was injected in portions into the back of a rabbit, subcutaneously and intracutaneously, and to. the foot pad of the rabbit, for immunization purposes. One week later, the same quantity of the emulsion was additionally injected in the same way and one month after the first immunization, a double quantity of the emulsion was further injected. One week after the first immunization, the blood of the rabbit was collected several times for separation of the blood serum. The same quantity of a normal human serum was added to this blood serum and the mixture was left standing at 370C for one hour and thereafter at 40C for one night The mixture was centrifuged at 10,000 rpm for 10 minutes and the supernatant was collected. The antibody contained in the resulting anti-serum was purified by salting out using ammonium sulfate and column chromatography using DEAE cellulose, and then dissolved in a barbital buffer of 0.1M and pH 9.0 so as to adjust the protein concentration to 10 mg/mQ. The solution was added to the same quantity of a cyanogen bromide-activated Sepharose 4B gel and was reacted therewith at 40C for 24 hours. Next, after the unreacted protein was removed by washing with a phosphate buffered saline of 0.05M and pH 7.5, the solution wascharged into a 20 cm-long column having a 1.5 cm diameter. The solution obtained in Example 1 was added to this column. After the unreacted matter was removed by washing with the above-mentioned phosphate buffer physiological salt solution, an elutant was added to the column to effect elution. The eluate thus obtained was dialyzed with distilled water to remove the elutant, and concentrated by means of an Amicon Diaflow ±4-50. The solution obtained was used as a non-A, non-B hepatitis-associated antigen for producing a diagnostic reagent according to the PHA process, RIA process and EIA process of Examples 3, 4 and 5 below. Example 3 Sheep blood was charged into a centrifugal tube and centrifugation was repeated five times at 2,000 rpm for 10 minutes using a saline to wash the crythrocytes. A phosphate buffered saline of pH 7.5 and 0.15 M was added to the erythrocytes in a 5% concentration. One-fifth by volume of a glutaraldehyde solution prepared in a 2.5% concentration using the same phosphate buffered saline was added to a suspension of the above-mentioned erythrocytes, and the mixture was reacted with stirring at room temperature for about 5 hours to fix the erythrocytes. Next, this solution was centrifuged to obtain fixed erythrocytes, which were washed several times by centrifugation using the saline. These fixed erythrocytes were then prepared in the form of a 5% suspension using the above-mentioned phosphate buffer and the same quantity of a tannic acid solution prepared in 5 mg/dQ using the same phosphate buffered saline was added to the solution. The mixed solution was then stirred for 30 minutes, and centrifuged to obtain tannic acid-treated and fixed erythrocytes, which were further washed several times by centrifugation using a saline. The phosphate buffer was added to the tannic acid-treated and fixed erythrocytes, thereby forming a 5% erythrocyte suspension. The erythrocyte suspension was mixed with the same quantity of a solution obtained by preparing the solution of Example 2 in a protein concentration of about 10 pg/mL using the phosphate buffered saline, and was stirred at room temperature for 60 minutes to achieve sensitization. The solution was centrifuged to obtain sensitized blood cells, which were washed several times by centrifugation using the saline. A phosphate buffered saline containing 2% normal rabbit serum was added to the resulting sensitized blood cells to obtain a 7% blood cell suspension. This sensitized blood cell suspension was used as a diagnostic reagent according to the PHA method. Example 4 The solution obtained in Examples 1 or 2 was dissolved in a phosphate buffer of pH 7.5 and 0.05M concentration to adjust the protein concentration to 1 mg/m. 50 i of 125I-Na of 1 mCi was added to 10 pQ of this solution and 10 pQ of a solution obtained by dissolving chloramine T in the above-mentioned phosphate buffer at a concentration of 1.5 mg/mQ was further added. The mixed solution was stirred for 30 seconds, and 100 pQ of a solution obtained by dissolving sodium metabisulfite in the above-mentioned phosphate buffer at a concentration of 2 mg/mQ was added thereto to stop the reaction. 100 pQ of a solution obtained by dissolving potassium iodide at a concentration of 10 mg/mQ was added to this reaction solution and an 125I-labelled substance was immediately isolated from 125I by gel filtration using Sephadex G-50. The specific activity of the resulting 125I-labelled substance was found to be about 20 to 60 pCi/g. This 125-labelled substance was used as a diagnostic reagent according to the RIA process. Example 5 The solution obtained in Example 1 or 2 was concentrated to 5 to 10 mg/mQ in 0.05M phosphate buffered saline. Alkali phosphatase (5 mg/mQ) was added to 0.1 to 0.2 mQ of this solution at a rate of 0.3 ml and the mixture was stirred. Next, 50 pQ of 2.5% glutaraldehyde solution was added and the mixed solution was stirred at room temperature for 30 minutes. The solution was dialyzed over night using a 0.05M Tris-HCQ buffer (pH 8.0) and then centriruged at 2,000 rpm for 10 minutes. The supernatant substance was used as the enzyme-labelled antigen diagnostic reagent in the EIA process. Example 6 Agarose was heat-dissolved in a Tris-IICQ buffer of pH 7.5 and 0.01M (containing 0.15M of sodium chloride and 0.1% of sodium azide) to obtain a 1.2% agarose solution, and 80 mQ of this solution was cooled down to about 560C.- 20 mQ of the solution obtained in Example 1 was added to this solution and the mixed solution was stirred. The solution was then charged into a plastic container and left standing to form a 1 mm-thick agarose coated plate. A plurality of sample holes having a 3 mm diameter were bored on this plate at a predetermined distance from each other. The resulting material was used as a diagnostic reagent for use in the SRID process.

Claims: CLAIIIS: 1. An antigen associated with non-A, non-B hepatitis obtained by isolation and purification from the liver of a mammal inflected with non-A, non-B hepatitis, said antigen having the following physicochemical properties: (a) molecular weight: 1,500,000 or more, by gel filtration; (b) sedimentation constant (10 13) 51.5S, by ultracentrifugal analysis; (c) buoyant density (g/cm3): 1.15 - 1.25, in cesium chloride and in potassium bromide; (d) particle diameter: approximately 26-37 nm; and (e) electrophoretic mobility: a2-a1 globulin region, in agarose gel. 2. A conjugate suitable for use as a diagnostic reagent for detecting non-A, non-B hepatitis comprising the antigen of claim 1 combined with a substance selected from the group consisting of fine carrier particles suitable for passive hemagglutination procedure, labelling isotopes suitable for radioimmunoassay procedure, and enzymes suitable for enzyme-lined immunoadsorbent assay procedure. 3 A conjugate as claimed in Claim2 wherein said fine carrier particles are sheep erythrocytes, said isotope is 125I or 131I and said enzyme is alkali phosphatase. 4. A non-A, non-B hepatitis diagnostic reagent containing as its principal ingredientthe antigen of claim 1. 5. A non-A, non-B hepatitis diagnostic reagent containing, as its principal ingredient,theconjugateof claim 2. 6. A non-A, non-B hepatitis diagnostic reagent as claimed in Claim 5 wherein said fine particles are sheep erythrocytes, said isotope is 125I or 131I and said enzyme is alkali phosphatase. 7. An antigen according to Claim 1, wherein said antigen is isolated and purified by: (a) slicing and homogenizing said autopsy liver; (b) centrifuging the homogenized autopsy liver to form a liver homogenate supernatant; (c) subjecting said supernatant.homogenate to column chromatography one or more times to isolate an antigen positive fraction; and (d) subjecting said antigen positive fraction to ultracentrifugation one or more times to obtain said antigen. 8. An antigen according to Claim 7, wherein in said step (c) said homogenate supernatant is eluted through an equilibrated column packed with Sephacryl S-200, concentrated, then eluted through an equilibrated column packed with Sephacryl 5-300 and then concentrated a second time; and in step (d) said antigen positive fraction is subjected successively to sucrose density gradient centrifugation and then cesium chloride density gradient centrifugation. 9. An antigen according to Claim 1, Claim 7 or Claim 8, wherein said antigen has morphology substantially as shown in Figure 6 of the accompanying drawings. 10. An antigen according to Claim 1, Claim 7 or Claim 8 which forms a precipitin line with the serum of a convalescent phase from non-A, non-B hepatitis patient in the micro-Ouchterlony's method, said antigen being non-reactive with HA antibody, HBs antibody, HBe antibody, HBc antibody, 6 antibody, HC antibody, EB antibody, Arai antibody, F antibody, normal human liver homogenate supernatant antibody and various normal human plasma antibodies.

Inventors: MORIMOTO, TOMIAKI, SHIKATA, TOSHIO, TOMATSU, JUNICHI
Applicants: EISAI CO., LTD.
Application year: 1982
Main classification: A61K39
IPC codes: A61K39, G01N33