TESTING AGENT FOR DETECTING A SUBTANCE IN A BODY FLUID

Abstract: A testing agent for the detection of a hydroperoxide or hydrogen peroxide or other hydroperoxide produced by a preceding reaction through the agency of a peroxidase or a peroxidase-like reaction or the detection of a peroxidase or a peroxidase-acting substance, which testing agent comprises a coloring agent capable of being oxidized and enabled to color under the reaction of a substance selected from the group consisting of said hydroperoxides, peroxidases and peroxidase-acting substances and a chemically effective amount of at least one oxidizing agent selected from the group consisting of M I XO, M I XO₃, M I XO₄, M I H₂O₆ (wherein M I stands for an atom capable of forming a monovalent cation and X for a halogen atom), ferric chloride, cuprous chloride, copper sulfate, copper acetate, mercury acetate, bismuth ace­ tate and lead acetate.

Description: TESTING AGENT FOR DETECTING A SUBSTANCE IN A BODY FLUID BACKGROUND OF THE INVENTION Field of the Invention: This invention relates to a testing agent for determining the presence of a hydroperoxide or hydrogen peroxide or some other hydroperoxide produced by a preceding reaction by the use of a peroxidase or peroxidase-like reaction, or to a testing ' agent which is free from the influence of a reducing substance used for the detection of a peroxidase or a peroxidase-active substance, particularly to an improved testing agent for the detection of glucose in urine and blood and for the detection of blood in urine, feces and a body fluid. Description of Prior Art: Recently, quick diagnostic agents are gaining remarkably in significance. Those quick diagnostic agents which are based on absorbent carriers are important. Such an agent is prepared by impregnating an absorbent carrier, which is a slip of paper in most cases, with a chemical reagent necessary for the reaction utilized for the detection, and the agent is immersed in a given body fluid. The agent assumes a color reaction in the presence of the substance being detected. Quick diagnostic agents which have become extremely important for medical examinations are those to be used for the detection of glucose in urine and blood and for the detection of blood in urine, feces and a body fluid. The test under discussion is based on the following principle. In the detection of dextrose in body fluid, for example, glucose is oxidized by glucose oxidase (GOD) into gluconic acid and, in the meantime, the aerial oxygen is reduced into hydrogen peroxide. This hydrogen peroxide oxidizes an oxidative indicator into a corresponding coloring matter through the agency of a peroxidase or a peroxidase-acting substance. The density of the color of this coloring matter serves as the scale of the amount of glucose present. In the detection of blood, the peroxidaselike activity of hemoglobin causes release of oxygen from the peroxide contained as in the test paper and consequently oxidizes the oxidative indicator. Generally, oxidative indicators for use in such quick diagnostic agents as mentioned above are known to the art and belong to a specific class of compounds. Particularly useful are benzidine type heterocyclic azines and phenols, particularly the component of guaiacum resin (Japanese Patent Laid-open SBO 53(1978)-126,996). Recent processed foodstuffs and refreshing beverages contain ascorbic acid as vitamin C in large amounts. Further, vitamin preparations are consumed in large amounts for the preservation of health. Consequently, users of such preparations carry such vitamins in large proportions in their blood. Excess vitamins are destined to be excreted in urine. When the test is performed on urine or blood by the use of the diagnostic agent, since ascorbic acid possesses high reducing property, the oxygen formed by the agency of peroxidase or a peroxidase-acting substance is consumed in the oxidation-reduction reaction with ascorbic acid and the reaction of the oxidative indicator is inhibited and prevented from assuming a color reaction sufficiently. OBJECT OF THE INVENTION An object of this invention,therefore, is to provide a novel testing agent for detecting the presence of a hydroperoxide or hydrogen peroxide or other hydroperoxide by a preceding reaction through the agency of peroxidase or a peroxidase-like reaction or a testing agent which is free from the influence of a reducing substance being used for the detection of a peroxidase or a peroxidase-acting substance. Another object of this invention is to provide a testing agent excellent in stability and suitable for the detection of glucose in urine and blood and the detection of blood in urine, feces and a body fluid. SUMMARY OF THE INVENTION The objects described above are accomplished by a testing agent for the detection of a hydroperoxide or hydrogen peroxide or other hydroperoxide produced by a preceding reaction through the agency of a peroxidase or a peroxidase-like reaction or the detection of a peroxidase or a peroxidase or a peroxidase-acting substance, which testing agent comprises a coloring agent capable of being oxidized and enabled to color under the reaction of substance selected from the group consisting of the aforementioned hydroperoxides, peroxidases and peroxidase-acting substances and a chemically effective amount of at least one oxidizing agent selected from the group consisting of MIXO, MIX03, MIXO4 and 4 MIH206 (wherein MI stands for an atom capable of forming a monovalent cation and X for a halogen atom), ferric chloride, cuprous chloride, copper sulfate, copper acetate, mercury acetate, bismuth acetate and lead acetate. Further, this invention is directed to a testing agent which has as its oxidizing agent and oxygen acid or a salt selected from the group consisting of MIXO, MIXO3, M Xo4, and M H2O6 (wherein MI stands for an atom capable of X04, M1H forming a monovalent cation and X for a halogen atom). This invention is also directed to a testing agent which has as its oxygen acid or salt thereof MIIO4 (wherein MI is as defined above), preferably NalO4 or HiO4. This invention is further directed to a testing agent which has as its oxidizing agent a metallic salt selected from the group consisting of ferric chloride, cuprous chloride, copper sulfate, mercury acetate, bismuth acetate and lead acetate. This invention is directed also to a testing agent which has the effective amount of the oxidizing agent in the range of 0.3 to 1,000 m.mol/liter. BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 through Fig. 4 are graphs showing the relation between the ascorbic acid concentration in urine and the degree of coloration obtained of glucose testing papers prepared according to the present invention and the conventional method. PREFERRED EMBODIMENT OF THE INVENTION The testing agent provided by this invention is intended for the detection of a hydroperoxide or hydrogen peroxide or other hydroperoxide produced by a preceding reaction through the agency of a peroxidase or a peroxidaselike reaction or the detection of a peroxidase or a peroxide-acting substance. In the testing agent, the oxidizing agent which is incorporated therein for the purpose of preventing the testing agent from affecting the aforementioned reducing substance is desired to be an oxygen acid or a salt or a metallic salt. The oxygen acids and salts thereof which are so usable are represented by the formulas MIXO, MIX03, MIX04 and M1 3H2XO6 (wherein MI stands for an atom capable of forming a monovalent cation such as, for example Na, K and H and X for a halogen atom such as, for example, I, Br and Cl). Concrete examples of such oxygen acids and satls thereof are HC10, NaC10, KC10, HBrO, NaBrO, KBrO, HIO, Nail, KIO, HC103, NaC103, KClO3, HBrO3, NaBrO3, KBrO3, HIO3, NaIO3, KIO3, HC104, NaClO4, KClO4, HBrO4, NaBrO4, KBrO41 HiO4, HaIO4, KIO4, Na3H2IO6 and K3H2IO,- Among other examples, those of the formula MINXO are desirable examples and those of the formula M1 104 are more desirable. The best choices are Nazi04 and HI04. Examples of metallic salts are ferric chloride, cuprous chloride, copper sulfate, copper acetate, mercury acetate, bismuth acetate and lead acetate. The aforementioned oxidizing agent is used in an amount such that, during the storage of the testing agent, it does not oxidize the oxidative indicator and, during the use of the testing agent for the aforementioned detection, it effectively prevents the reaction of the oxidative indicator from the inhibition caused by such reducing substance as ascorbic acid present in the fluid under test. To be specific, the oxidizing agent is used generally in an amount of 0.3 to 1,000 m.mol/liter, referably in an amount of 0.5 to 40 m.mol/liter, though variable with the amount of the reducing substance contained in the fluid under test. The coloring agent which is oxidized and enabled to color serves to detect the oxygen produced by the peroxidase or peroxidase-like reaction and, in that capacity, participates in the reaction producing oxidized condensates (phenol, with 4-aminoantipyrine, etc.), the reaction causingmethanol to be oxidized into formaldehyde and then combined with acetylacetone to produce a condensate, and the reaction causing an iodide such as potassium iodide to be oxidized to produce iodine. As coloring agents, benzidine type compounds, heterocyclic azines, phenols and guaiacum resin components are known to the art. Typical examples include o-tolidine, m-tolidine, bendizine, 3,31,5,5 '-tetramethyl benzidine, o-methyl benzidine, 2,7-diaminofluorene, mixtures containing these compounds in various proportions, various substituted phenylene diamines such as 4,41-diaminodiphenyl, o-phenylene diamine, m-phenylene diamine, p-phenylene diamine, 2,3tolylene diamine, 2,4-tolylene diamine, 2,5-tolylene diamine and 2,6-tolylene diamine, pyrogallic acid, gallic acid, phenols such as fluoroglucinol, hydroquinone, and leucoindophenol, guaiacol, pyridine derivatives, substituted azines and leuco-malachite green. The coloring agent is used generally in an amount of 2 to 250 m.mol/liters, preferably in an amount of 9 to 50 m.mol/liter. Examples of the hydroperoxide to be used in this invention include 2, 5-dimethylhexane-2 ,5-dihydroperoxide, cumene hydroperoxide, 2,5-dimethylhexanone-2,5-dihydroperoxide, diisopropylbenzene hydroperoxide, t-butyl hydroperoxide, p-menthane hydroperoxide and 4-methylphenylisopropyl hydroperoxide. Among other hydroperoxides enumerated above, 2, 5-dimethylcyclohexanone-2 ,5-dihydroperoxide and cumene hydroperoxide are desirable hydroperoxides having relatively low decomposition ratios. The testing agent of the present invention is used in the form of solution or in the form of test piece having a substarate such as paper impregnated with the solution. The testing agent may optionally incorporate therein a buffer or a lubricant. The buffer serves to retain the pH value of the fluid in which the test piece is immersed in the range of 4 to 8, preferably 5 to 7. Examples of the buffer are citric acid-sodium citrate, tartaric acid-sodium tartrate, malic acid-borax, potassium hydrogen phthalate di potassium phthalate and sodium hydrogen succinate-disodium succinate. The wetting agent serves to enable the body fluid in which the test piece is immersed to uniformly wet the test piece. Examples of the wetting agent are surface active agents including alkyl sulfonic acid salts such as sodium lauryl sulfate, sodium dodecyl sulfate and sodium tetradecyl sulfate, alkylbenzene sulfonates such as sodium dodecylbenzene sulfonate and dialkylsulfosuccinates such as sodium dioctyl-sulfosuccinate and sodium diheptylsulfusuccinate. Further, the aforementioned testing agent may incorporate therein a chemical agent capable of enhancing the peroxidase activity in hemoglobin. Typical enhancers usable for this purpose include quinoline and derivatives thereof, such as quinine, cinchonine, o-methoxyquinoline, quinalidine, 8-amino-6-methoxy quinoline, 2-quinolinol, isoquinoline, benzo(f)quinoline and 3-amino-quinoline. In the presence of such an enhancer, the oxidation reaction is generally accelerated and the oxidized chromogen has its color-generating strength enhanced. Consequently, the test piece acquires increased sensitivity. When the testing agent is to be used in the form of test piece which has a substrate impregnated with the testing agent, it may incorporate therein an adhesive agent for the purpose of preventing exudation of the agent from the test piece. Typical adhesive agents are polymers such as polyvinyl alcohol, polyvinyl pyrrolidone, polyethylene glycol, polyacrylates, polyacrylamide, poly(hydroxyethyl methacrylate), poly(hydroxyethyl acrylate), carboxymethyl cellulose and gelatin and gum arabic. The aforementioned testing agent is used in the form a solution. Examples of the solvent to be used in the preparation of such a solution are benzene, toluene, xylene, methanol, ethanol, isopropanol, acetone, methylethyl ketone, chloroform, carbon tetrachloride and water. Otherwise, the testing agent is used in the form of a test piece which is obtained by impregnating a substrate with the aforementioned solution and drying the wet substrate. The test piece is manufactured by an ordinary method. As the substrate for the test piece, filter paper, glass fibers and non-woven fabric made of plastic material are available. The substrate so selected fits the prepartion of the test piece when it fulfils the requirement that it should neither react upon nor dissolve in the impregnating solution and should possess an absorbing property. The testing agent of the present invention is used for the various medical examinations. The testing agent is useful (A) for the detection of a hydroperoxide or hydrogen peroxide or other hydroperoxide produced in a preceding reaction through the agency of a peroxidase or a peroxidase-like reaction and (B) for the detection of a peroxidase or a peroxidase-acting substance. The substances which can be thus detected by the testing agent of this invention include (A) (a) glucose, (b) uric acid, (c) cholesterol, (d) triglyceride (neutral fat), (e) free fatty acid (B), (f) hemoglobin, (g) myoglobin, etc, for example. Now, this invention will be described more specifically below with reference to working examples. Examples 1-3 and Control 1 Glucose test paper Solution A - Citrate buffer 100 ml Glucose oxidase 300 mg Peroxidase 50 mg Oxidizing agent (NaI04) 100 mg Sodium alginate (1% solution) 500 mg Solution B - Ortho-tolidine 2.5 g/100ml acetone A glucose test paper was obtained by impregnating a fiter paper (made by Toyo Roshi Co.) with Solution A, drying the wet filter paper, again impregnating the filter paper with Solution B, and drying the wet filter paper. As the oxidizing agent, 100 mg of NalO4 was used in Example 1, 100 mg of HI04 in Example 2, and 500 mg of CuSO4 in Example 3 respectively. No oxidizing agent was used in Control 1. The test papers thus prepared were immersed in two types of urine specimens each containing 50 mg of ascorbic acid; one type containing no glucose and the other containing 150 mg of glucose per dl. The results were as shown in Table 1. Table 1 Urine Urine (containing (containing 150 mg Example Oxidizing agent no glucose) of glucose per dl) 1 NaIO4 ¯ + (150 mg/dl) 2 HIO4 - + 3 CuSO4 - + Control 1 None Example 4 and Control 2 Glucose test solution Solution A - Glucose oxidase 3.25 U/ml Peroxidase 0.3 U/ml No 104 1 mg/ml Solution B - 4-Aminoantipyrine 5 mg/dl Phenol 50 mg/dl A glucose test solution was prepared by dissolving Solution A in 90 ml of O.lM phosphate buffer solution (pH 6.9) and then dissolved Solution B in the resultant solution. A 3-ml portion of the test solution thus prepared and 20 1 of an aqueous glucose solution containing 5 mg of glucose and 50 mg of ascorbic acid each per dl were mixed and heated at 370C for 20 minutes. The resultant reaction solution was tested for absorbance at 505 nm. The results were as shown in Table 2. Table 2 Glucose Glucose Example Oxidizing agent (none) (75 mg/dl) 4 NalO4 0 77 mg/dl Control 2 None 0 21 mg/dl Example 5 By using the glucose testing paper obtained in Example 1, urine specimens invariably containing 50 mg of glucose per dl and containing varying amounts of ascorbic acid were tested to find the relation between the ascorbic acid concentration and the degree of coloration. The results were as shown in Fig. 1. In the graph, the curve A represent the data obtained by using the test paper of Example 1, the curve B the data obtained by using a commercially available glucose test paper I, and the curve the data obtained by using another commercially available glucose test paper II. The same test was performed on urine specimens containing 150 mg, 500 mg and 2000 mg respectively of glucose per dl and varying amounts of ascrobic acid, to determine the relation between the ascorbic acid concentration and the degree of coloration. The results were as shown in Figs. 2-4 respectively. In the graphs, the curves D, G and J represent the data obtained by using the test paper of Example 1, the curves E, H and K the data obtained by using a commercially available glucose test paper I, and the curves F, I and L the data obtained by using another commercially available glucose test paper II. In these graphs, the mark + indicated along the vartical axis represents a glucose concentration of 50 mg/dl, the mark + a glucose concentration of 150 mg/dl, the mark ++ a glucose concentration of 500 mg/dl, and the mark +++ a glucose concentration of 2000 mg/dl respectively. The commercially available glucose test paper I contained 25 mg of citric acid, 146 mg of sodium citrate, 48 mg of glucose oxidase, 0.6 mg of peroxidase, 6 mg of ortho-tolidine and 10.25 mg of eosin per 100 sheets. The other commercially available glucose test paper II contained 300 p1 of glucose oxidizing enzyme, 0.9 mg of peroxidase and 9 mg of potassium iodide in addition to the components of test paper per 100 sheets. Example 6 Occult blood test paper Solution A - 2,5-Dimethylhexane-2,5-dihydroperoxide 1.2 g Ethanol 100 ml Solution B - Sodium citrate 9 g Citric acid 1 g Saponin 100 mg NalO4 200 mg Polyethylene glycol (m.w. 4000) 10 g Water 100 ml Solution C - Ortho-tolidine 1.2 g Benzene 100 ml Aminoquinoline (sensitizer) 0.5 g An occult blood test paper was produced by impregnating filter paper with solution A, drying the wet filter paper, again impregnating the paper with Solution B, drying the paper, and finally impregnating the paper with Solution C, and drying. The test paper was immersed in urine specimens containing hemoglobin in varying concentrations by way of test for occult blood. Depending on the hemoglobin concentrations, the test papers assumed blue color in varying intensities. When the test was repeated in the same urine specimens now additionally containing ascorbic acid (in concentrations up to 200 mg/dl), ascorbic acid manifested absolutely no effect. As described above, the testing agent of the present invention which is useful for the detection of a hydroperoxide or hydrogen oxide or other hydroperoxide produced in a preceding test through the agency of a peroxidase or a peroxidase-like reaction and for the detection a peroxidase or a peroxidase-acting substance comprises a coloring agent capable of being oxidized and enabled to color under the reaction of a substance selected from the group consisting of the aforementioned hydroperoxides, peroxidases and peroxidase-acting substances, and a chemically effective amount of at least one oxidizing agent selected from the group consisting of MIXO, M1XO3, M1XO4, M1H206, ferric chloride, cuprous chloride, copper sulfate, copper acetate,, mercury acetate, bismuth acetate and lead acetate. Even when the fluid under test such as urine or blood contains a reducing substance such as ascorbic acid or gentisic acid, therefore, the peroxidase or other peroxidase-like reaction is not impeded because the aforementioned reducing substance is oxidized by the aforementioned oxidizing agent. Even when the aforementioned oxidizing agent is contained in advance in the testing agent, the peroxidase or other peroxidase-like reaction is not promoted. The effect of the incorporation of the oxidizing agent is particularly conspicuous when the oxidizing agent is periodic acid or a salt thereof. The effect is paticularly manifest when the oxidizing agent is used in an amount of 0.3 to 1,000 m.mol/liter.

Claims: WHAT IS CLAIMED IS: 1. A testing agent for the detection of a hydroperoxide or hydrogen peroxide or other hydroperoxide produced by a preceding reaction through the agency of a peroxidase or a peroxidase-like reaction or the detection of a peroxidase or a peroxidase-acting substance, which testing agent comprises a coloring agent capable of being oxidized and enabled to color under the reaction of a substance selected from the group consisting of said hydroperoxides, peroxidases and peroxidase-acting substances and a chemically effective amount of at least one oxidizing agent selected from the group consisting of MIXO, MIX , MIX4, MIH2O (wherein MI stands for an atom capable of forming a monovalent cation and X for a halogen atom), ferric chloride, cuprous chloride, copper sulfate, copper acetate, mercury acetate, bismuth acetate and lead acetate. 2. A testing agent according to Claim 1, wherein said oxidizing agent is selected from the group consisting of MIXO, M1XO, M1XO4 and MIH2O6 (wherein MI and X are as defined above). 3. A testing agent according to Claim 2, wherein said oxidizing agent is MIIO4 (wherein MI is as defined above). 4. A testing agent according to Claim 3, wherein MI IO4 5. A testing agent according to Claim 1, wherein said oxidizing agent is one metal salt selected from the group consisting of ferric chloride, cuprous chloride, copper sulfate, copper acetate, mercury acetate, busmuth acetate and lead acetate. 6. A testing agent according to Claim 5, wherein seid metal salt is copper sulfate. 7. A testing agent according to Claim 1, wherein said effective amount of the oxidizing agent is in the range of 0.3 to 1,000 m.mol/liter. 8. A testing agent according to Claim 1, wherein said testing agent is a test paper obtained by impregnating a substrate with an agent containing said coloring agent and said oxidizing agent. 9. A testing agent according to Claim 1, wherein said testing agent is a solution of an agent containing said coloring agnet and said oxidizing agent. 10. A testing agent according to Claim 1, wherein said testing agent is intended for glucose test. 11. A testing agent according to Claim 1, wherein said testing agent is intended for occult blood test. 12. A testing agent according to Claim 1, wherein said coloring agnet is at least one member selected from the group consisting of benzidine type compounds, hetrocyclic azines, phenols and guaiacum resin components. 13. A testing agent according to Claim 1, wherein said coloring agent is o-tolidine or phenol. 14. A tesing agnet according to Claim 1, wherein said hydroperoxide is at least one member selected from the group consisting of 2,5-dimethylhexane-2,5-dihydroperoxide, cumene hydroperoxide, 2 ,5-dimethylhexanone-2 ,5-dihydroperoxide, diisopropylbenzene hydroperoxide, t-butyl hydroperoxide, p-menthane hydroperoxide and 4-methylphenylixopropyl hydroperoxi de. 15. A testing agent according to Claim 1, wherein said hydroperoxide is 2,5-dimethylcyclohexanone-2,5-dihydro peroxide or cumene hydroperoxide.

Inventors: KAMINAGAYOSHI, SATOSHI
Applicants: TERUMO KABUSHIKI KAISHA TRADING AS TERUMO CORPORATION
Application year: 1984
Main classification: C12Q1
IPC codes: C12Q1, G01N33