ALLERGEN-MICROARRAY ASSAY

Abstract: A method is provided for the detection of an immunoglobulin which binds to an allergen in a sample, whereby one or more allergens are immobilized on a microarray chap after which the sample is incubated with the immobilized allergens so that immunoglobulins which are specific for the allergens bind to the specific allergen after which the immunoglobulins which are bound to the specific immobilized allergens are detected, as well as a method for in vitro diagnosis of allergies in a patient.

Description: ALLERGEN-MICROARRAY ASSAY The present invention relates to a method for the detection of an immunoglobulin which binds to an allergen in a sample as well as a method for in vitro diagnosis of allergies in a patient. An allergy is a reaction produced by the body's immune system to a substance that would normally be thought of as harmless. It is this response that causes the symptoms that are classed as allergic reactions . Allergy is therefore not a failure of the immune system, but its over activity. The response of an allergic person to an allergen can produce a wide range of symptoms. Some people suffer symptoms such as asthma, eczema, rashes, itchy eyes, sinusitis, blocked or runny nose and hay fever, however, more serious symptoms can occur. With allergies such as those to venoms, nuts and shellfish, for example, a potentially life threatening condition called anaphylactic shock can occur. This happens when the body produces a reaction so severe that the throat swells, blood pressure. drops and the person has difficulty in breathing. In some cases this type of reaction can be fatal. The incidence of allergies is increasing in the developed countries (i.e. in Europe, Northern America and Japan) .. Estimates range from 20-50% of the population being affected. It is now known that allergies are the result of an unbalance in the T-cell compartment of the immune-system. More precisely, allergies are accompanied by an increased activity of so-called T-helper 2 (Th2) cells relative to T-helper 1 (Thl) cells, giving rise to increased IgE production. IgE (immunoglobulin E) is at least one of the substances that cause allergic reactions. IgE specific for an allergen is not normally detected. in the blood and is only produced when a person becomes sensitised to a substance. 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Patch testing Patch testing may be useful in cases of contact dermatitis. Test substances are usually applied to the skin covered by a patch and left in place for 48 hours . A positive reaction produces a small area of eczema. Again the reaction is observed by a qualified nurse or doctor. 3. Alternative allergy testing There are many alternative types of allergy testing and unfortunately few are accurate or recognised by the medical profession. These alternative tests are often misleading as well as costly. 4. Vega test The Vega test is an electrical test described as bioenergetic regulatory technique. The machine measures conductivity with a Wheatstone circuit. Electrodes are connected to acupuncture points or held in the patient's hand. Different solutions are then placed in a metallic tray. The machine is then calibrated by placing a glass vial containing a toxic substance into. the tray. The vial causes a reduction in electrical conductivity. Other substances are then placed into the tray and if they give a similar reading this is reported as an allergic or "sensitive" reaction. This technique is widely used in- health food stores however, its value is unproved and there are no valid trials that will substantiate claims. 5. Leucocytotoxic test The Leucocytotoxic involves mixing the patient's white blood cells with an extract of specific food and then measuring the cells in different ways for evidence of some form of change. There are a high number of false positive and false negative reactions and the American Academy of Allergy concluded that there was no evidence that the test was effective for the diagnosis of food or inhalant allergy. 6. Hair analysis Another form of testing is hair analysis. The hair can be analysed for the presence of toxic metals such as Lead, Mercury and Cadmium or low levels of Selenium, ' Zinc, Chromium, Manganese and Magnesium. Heavy metal poisoning is well recognised and documented in forensic science and hair analysis can indicate exposure to metals. However, hair analysis as a means to diagnosing allergy, through methods such as "dowsing", have never been validated. 7. Applied kinesiology Samples of food are placed under the tongue or held in a glass container in the hand of the patient. The patient is then asked to push his free arm against, that of the examiner. If an allergic response is detected this manifests as a reduced muscle response and the patient experiences difficulty in raising his arm. This technique fails to with stand up against a double blind study. Furthermore, there are various in vitro methods for diagnosing allergies which detect the presence of IgE or IgG antibodies in the blood of a patient: 8. Conventional methods as ELISA or Western blots are used to detect antibodies (IgE) present in serum of a patient with the help of (recombinant) allergens. 9. Radioallergosorbent test (RAST®) : In this procedure a specific allergen is coupled to a paper disk; i munospecific IgE, if present in the test (patient's) serum will bind to the disk; detection is effected by radiolabeled anti-IgE. Different scoring systems comparing test results with the absolute binding of a negative control are in use. Commonly, the modified RAST® procedure is followed with overnight incubation and results in higher sensitivity. 10. RAST based quantitative IgE inhibition experiments in which allergen extract is dotted on nitro-cellulose strips. Aliquots of sera are preincubated with a mixture of specific recombinant allergens after which this mixture is incubated on the nitro-cellulose strips. Bound IgE is detected with anti human IgE antibodies. The percentage inhibition of IgE binding the natural extracts after preabsorption with recombinant allergens is calculated in a last step. 11. Cellular antigens stimulation test (CAST) according to which patient basophilic cells are stimulated with interleukin-3 and allergen followed by measurement in an ELISA of de ' novo generated and released sulfidoleukotriene (SLT) . 12. UniCAP: Recombinant allergens are immobilized. on a solid phase structure after which the binding of antibodies which are present in the serum of a patient to the allergens is detected. However, these methods require a multitude of individual experimental steps in order to test a larger number (e.g. 100) different allergens. Furthermore, these above mentioned tests do not show a sufficiently high sensitivity and reliability and are very time consuming. Also the amounts of sample (e.g. serum of a patient) as well as purified, possibly recombinant, costly allergens which are needed to carry out these tests are large. The US 4 444 879 relates to methods and apparatus for immnoassas- says to determine total immunoglobulin and IgE. Here allergens are extracted and immobilized in polymer coated wells of a micro- titerplate. The sample to be analyzed is then added to the well and a conventional immuno assay is carried out. In the EP 0 556 745 Al a method for the detection of anti-wheat- protein IgE antibodies in body fluids is described whereby a wheat allergen extract is immobilized onto a solid phase which is for example chromatographic or capillary material or fibre, glass, nylon, cellulose or derivatives thereof in form of glass beads, microparticles , sheets or wells of a microtiterplate . Also here a conventional immunoassay is carried out in order to detect antibodies in a sample of a patient. The US 3 720 760 relates to a method for analyzing body fluid for immunoglobulins . Also here allergen containing extracts which are commercially available are attached to water insoluble polymer after which a conventional immuno assays is carried out. The US 4 849 337 relates also to a method for identifying allergen specific IgE levels in a patient serum by conjugating the IgE in the serum with allergens adhering to an insoluble support. Here again the allergen may be an extract or an allergen derived directly from polens, dusts, animals, etc. These conventional immuno assay methods, however, are not useful to test a patient with respect to the presence of allergies since the amount of different allergies has mounted to over a few hundred and is increasing steadily. The time and work necessary to analyze a patient's serum for all possible end rare allergies is too much and will not be carried out in laboratories where a few hundred patient's samples must be analyzed daily. The object of the present invention is therefore to provide a method for the detection of an immunoglobulin which binds to an allergen in a sample which does not show the above mentioned drawbacks and which can be carried out in a short time with only a small amount of sample and allergens, which is highly reliable and sensitive and most importantly allows the detection of a practically unlimited number of allergens in one single assay. A further object of the present invention is to provide a method for in vitro diagnosis of allergies in a patient without the above mentioned drawbacks . The above mentioned method is characterized in that one or more allergens are immobilized on a microarray chip after which the sample is incubated with the immobilized allergens so that immunoglobulins which are specific for the allergens bind to the specific allergen after which the immunoglobulins which are bound to the specific immobilized allergens are detected. Microarrays have been adopted recently for a number of DNA manipulating techniques that are established in the scientific community since long. These DNA chips have become available in a number of different formats and will eventually change ways of designing experiments in the ordinary laboratory work. In vitro DNA diagnosis has become less time-consuming and labor-spending since this novel technology allows assay complexity in a high- throughput format. Consequently, in the area of proteome research, classic solid phase substrates, such as microtiter plates, membrane filters and microscopic slides are being turned into the high-density microarray format. The new and versatile protein array technology eventually allows high-throughput screening for gene expression and molecular interactions (Walter et al., Curr Opin Microbiol 2000 Jun; 3 (3 ) : 298-302 ; Emili & Cag- ney, Nat Biotechnol 2000 Apr; 18 (4) 393-7) . Recently, the concept of protein arrays has been adopted for its use in immunological assays. A biochip is described as capable of supporting high-throughput (HT) , multiplexed enzyme-linked immunosorbent assays (ELI- SAs) . These biochips may consist for example of an optically flat glass plate containing 96 wells formed by an enclosing hydropho- bic Teflon mask, however, also other materials and forms of biochips are known and used. Experiments demonstrate that specific multiplex detection of protein antigens arrayed on a glass substrate is feasible. Further application of this new high-throughput screening (HTS) format include direct cellular protein expression profiling, multiplexed assays for detection of infectious agents and cancer diagnostics (Mendoza LG et al, Biotech- niques 1999 Oct;27 (4) : 778-80) . However, in these known microarray chip methods testing proteins the antibodies are immobilized to the microarray chip. Surprisingly, it has been found that it is possible not only to bind the antibodies to the microarray chip but even allergens which are the antigens corresponding to specific antibodies, in particular IgE and IgG, respectively. This fact is particularly surprising since functional allergens show a particular secondary structure which may be modified when bound in such high density to a solid phase as the microarray chip. This modification of the structure of the allergen would interfere with the antibody-allergen binding which would lead to false negative results. Antibodies, fragments of antibodies or peptides are relatively small and show high stability, therefore antibodies show a greater stability in solution relative to their cognate antigens. However when immobilized to a solid support even in the case of antibodies only a small percentage remain intact and active. The article by Haab et al . (Genom Biology 2000, I (6): pre-print 0001,1-0001,22) which was received ' on 9 November 2000 relates to protein microarrays for detection and quantitation of proteins and antibodies in solutions. The results of the analysis carried out according to this publication show that only 50% of the arrayed antigenes and 20% of the arrayed antibodies provided specific and accurate, measurements of the cognate allergens. Moreover, diversity of possible allergens is of course much higher than antibody diversities with respect to handling the proteins, especially for immobilizing and staining such a series of structurally diverse allergens. However, it has been surprisingly shown that allergens immobilized on a microarray chip show high reliability and sensitivity in a method for the detection of immunoglobulins in a sample. This method allows to carry out an assay for a multitude of immunoglobulins which bind to a specific allergen in one experimental step which assay can also be atomised: More than 100 different allergens can be tested without having to carry out a multitude of individual experimental steps as when performed in a conventional microtiter form. Furthermore, this assay shows a high degree of sensitivity and reliability. Also, the test results of this method can be obtained within a short period of time, e.g. about three hours, shortening the assay time when compared to conventional RAST or ELISA tests. Furthermore, the microarray assay is highly reproducible when performing repetitive experiments with chips containing samples from different persons, e.g. by a microtiter plate-like mask whereby every well comprises a number of spots of different allergens and a sample of one person is added per well. A further advantage of this method according to the present invention is due to the fact that a large number of different probes occupies a relatively small area providing a high density. The small surface area of the array permits extremely uniform binding conditions (temperature regulation, salt content, etc.) while the extremely large number of probes allows massively parallel processing of hybridizations. Because, the high density arrays contain such a large number of probes it is possible to provide numerous controls including, for example, controls for variations or mutations in a particular allergen, controls for overall hybridization conditions, controls for sample preparation conditions, and mismatch controls for non-specific binding or cross hybridization . Further, the assay requires only a minimal fraction of material, (allergen as well as a sample) when compared to conventional test systems. This means that with an equal amount of starting material a much greater number of test kits can be manufactured when using the microarray form and a smaller amount of sample can be used to test for a larger amount of immunoglobulins which bind to allergens. Also, in small volumes, binding may proceed very rapidly. Natural intact "immunoglobulins" or antibodies comprise a generally Y-shaped tetrameric molecule having an antigen binding-site at the end of each upper arm. An antigen binding site consists of the variable domain of a heavy chain associated with the variable domain of a light chain. More specifically, the antigen binding site of an antibody is essentially formed by the 3 CDRs (complementarity determining regions) of the variable domain of a heavy chain (V.sub.H) and the 3 CDRs of the variable domain of the light chain (V.sub.L). Generally the term "antigen" refers to a substance capable of eliciting an immune response and ordinarily this is also the substance used for detection of the corresponding antibodies by one of the many in vitro and in vivo immunological procedures available for the demonstration of antigen-antibody interactions. Similarly, the term "allergen" is used to denote an antigen having the capacity to induce and combine with specific (i.e., IgE) antibodies which are responsible for common allergies; however, this latter definition does not exclude the possibility that allergens may also induce reactive antibodies, which may include immunoglobulins of classes other than IgE. "Immobilizing" in the context of the proteins or peptides refers to the binding or attaching of the protein/peptide to solid supports by conventional means, with or without an additional spacer between the solid support and the allergen. Immobilizing pep- tides/proteins to a support is well known in the art; in the scope of the present invention any immobilization is comprised, e.g. covalent, non-covalent , in particular by hydrophobic interactions with for example membranes and synthetic surfaces, respectively, etc. A "microarray" is an array of features (e.g. "spots") having a density of discrete features of at least about 16/cm 2 , preferably at least about 64/cm 2 , still preferred about 96/cm 2 and most preferred at least about 1000/cm 2 . The features in a microarray have typical dimensions, e.g., diameters, in the range of between about 10-2000 μm, preferably about 50-500 μm, still preferred about 150-250 μm, and are separated from other features in the array by about the same distance. Therefore, a microarray according to the present invention useable for routine mass screening may have at least 500, preferably at least 1000 individual spots comprising allergens, standards and controls. The "chip" according to the present invention may be of virtually any shape, e.g. a slide or a well of a microtiter plate, or even a multitude of surfaces although a planar array surface is preferred. The detection step can be carried out with any conventional method known by . the person skilled in the art e.g. by physical, enzymatic, chemical reaction, etc. According to a preferred embodiment of the present invention IgEs are detected as immunoglobulins. IgE is known as a substance that causes allergic reactions and is only produced when a person becomes sensitive to a substance, an allergy. Therefore, in order to test if the sample is from a patient who is allergic to the specific allergen the sample is tested for IgE as immunoglobulins. The higher the amount of IgE in the sample the more likely the patient the sample is taken from is allergic to the specific allergen. Preferably IgG are detected as immunoglobulins . IgG is known to be present in a sample of a patient who is allergic to food, therefore the detection of IgG can ' be used as an indication for food intolerance. Advantageously one or more purified allergens are immobilized on the microarray chip. These - single ' - allergens are for example purified from an allergen extract, e.g. from a specific food or plants. Of course, one or more allergens of a specific species can be analysed at once. The methods of purification are known to the person skilled in the art, e.g. chromatographic purification, purification by mass separation, purification by specifically binding the allergen to a solid phase, e.g. over an antibody, etc. Application of highly purified allergens for mass production of allergy testing has not yet been proposed. "Purified" allergens relate - to the contrary of extracts - to single allergens which can be for example native, recombinant or synthetically produced allergens. These purified allergens show a number of important advantages over allergen extract when immobilized to a solid support: Due to the mixture of various proteins which are present in any extract the concentration of allergens to be tested is very low compared to purified single allergen preparations. Purified single allergens ca therefore be immobilized to the microarray in a very high concentration. Due to the exact and defined molecules present in a preparation comprising purified allergens only defined allergens will be immobilized to the micro array. Therefore, the microarray and the method for detecting antibodies with the help of purified allergens can be standardized and subjected to precise quality controls. Furthermore, due to the high concentration of purified allergens in the composition the allergens are immobilized at a higher density on the microarray and therefore any detection method with the help of such a microarray is more sensitive than corresponding microarrays with extracts comprising allergens. Another advantage of purified single allergens over allergen extracts lies in the fact that the purified allergens immobilized are exactly defined. To the contrary of purified allergens allergen extracts comprise for example two, three or more different allergens of one organism or object. For example, in the case of an apple, an extract will comprise a mixture a different apple allergens, whereas the inventive composition will comprise one of the purified apple allergens or - depending on the use - a defined mixture of two or more apple or other allergens . A further advantage of purified allergens with respect to non-purified allergens for example present in extract lies in the fact that due to the additional impurities present in the extract the extract is not stable for more than a certain amount of time and can for example go mouldy. This will, however, influence the detection of allergies since also allergies against mould exists in which case a false positive result would occur. Furthermore, due to the presence of proteases in the extract the extracts are instable which is not the case with purified allergens . Also, due to the at present existing therapies with the help of purified allergens a diagnosis with the same purified allergen components would be a major advantage over diagnosis with unpuri- fied allergens . Such diagnoses are particularly advantageous in order to follow the therapy with purified allergens and to test the individual reaction to a specific therapy and thereby to provide a "patient tailored" therapy. For the above reasons a method for the detection of an immunoglobulin which binds to the allergen in a sample whereby one or more purified allergens are immobilized to the microarray chip is particularly advantageous . Preferably one or more recombinant allergens are immobilized on the microarray chip. Over the last few years a number of recombinant allergens have been produced. The production of recombinant allergens is also in principle known state of the art but had little impact on routine allergy testing. By using recombinant allergens it is possible to provide a great number of one or more specific allergens and therefore to optimize sensitivity of the test. It is furthermore possible to modify the recombinant allergens specifically in order to produce any allergen mutations to detect for specific immunoglobulins. Furthermore, making use of the major allergens as recombinant proteins provides an alternative to the extract based tests with respect to assay stability as well as to diagnostic standardisation. The above mentioned advantages of purified allergens over the unpurified (extract) allergens apply even more for recombinant allergens than for purified native allergens: Recombinant allergens can be even more specifically designed than the purified native allergens and therefore it is possible to optimize affinity and specifity of a test with recombinant allergens. Recombinant allergens are also better to standardize with respect to their production method. Moreover, differences between production lots are smaller for recombinant allergens than for allergens derived from natural sources. It has been surprisingly shown, with the present invention that the use of these recombinant allergens in the routine in vitro diagnostic tests according to the present invention is superior to conventional extract based test systems. In contrast to the routine serial testing according to the state of the art, the present allergen testing using also recombinant allergens brings a completely new quality with respect to standardisation, controllability, sensitivity, reproducibility, the ability to test for diagnostic relevant information, etc. for standard allergen testing. Recombinant allergens are for example those described in the publications by Chapman et al . Allergy, 52:374-379 (1997), Laffer et al. J Allergy Clin Immunol Vol 98 Number 2 652-658 (1996), Muller et al. Clinical " and Experimental Allergy Vol 27 9. 915-920 (1997), Niederberger et al . J Allergy Clin Immunol Vol 102 Number 4, Part 1 579-591 (1998), Menz et al . Clinical and Experimental Allergy Vol 26, 50-60 (1996) which are incorporated herein by reference. Further examples of (recombinant) allergens are but not limited to rBetvl, rBetv2, rBetv4, rJun02 , Cassl, rPhlpl, rPhlp2, rPhlp4, rPhlp5a, rPhlpδ, rPhlp7 , rPhlpll, rPhlpl2 , rParj2, Artvla, Mugwort profilin, Apigl, Apigl.0201, Daucl.2, rArah2 , rArah5 , Maldl, Mald2 , rPenal, recCarp, rDerpl, rDerp2.0101, rDerp2, rDerp2b, rDerp5, rDerp5a, rDerp7 , rDerpδ, rDerplO, rTyrp2 , rLepd2.01, rLepdl3 , rEurm2.0101, rFeldl, rFeldla, rBosd2 , a representative allergen from Cat, a representative allergen from Dog, a representative allergen from BSA, a representative allergen from Mouse ' , a representative allergen from Rat, a representative allergen from Pig, a representative allergen from Sheep, a representative allergen from Chicken, a representative allergen from Rabbit, a representative allergen from Hamster, a representative allergen from Horse, a representative allergen from Pigeon, a representative allergen from Guineaalbumin, HSA, a-NAC, rPenc3 , Pennl3, rPencl9a, rPencl9b, rAspfl, rAspfla, rAspf3 , rAspf3a, rAspf4, rAspf4a, rAspf6, rAspf6a, rAspf7, rAspf8, rAltal, rAlta2 , rMalfl, rMalf5, rMalf6, rMalf7, rMalfδ, rMalf9, rHevbl, rHevbla, rHevb3 , rHevbδ , rHevb9 , rHevblO, rHevbll, rAK, rBlag2 , rBlag4, rBlag5, Phospholipase. A, Hyaluronidase, rVesv5, rVesg5. According to a further advantageous embodiment one or more synthetically produced allergens are immobilized on the microarray chip. Here again the same advantages over allergen extract and also over purified native allergens apply as mentioned above for recombinant allergens. The method for synthetically producing peptides or proteins is well known in the state of the art; by synthetically producing allergens it is possible to provide highly purified allergens in a great number and at low costs since such production methods are highly automatized. Furthermore, the exact sequence of any allergen can be provided with or without modifications, which increases the sensitivity and reliability of the method for detecting the immunoglobulins . It is also possible to use only the allergenic determinant or the allergenic domain of a specific allergen in the test according to the present invention. This may eliminate the risks and drawbacks of working with large proteins, because shorter peptidic structures are easier to handle for routine production of biochips . This applies to all purified native, recombinant and synthetic allergens. This would further allow to detect single peptide epi- topes which would still improve the diagnostic test and therapies in particular with respect to specificity. It is of particular advantage to provide the native form of the allergen as well as a synthetic or recombinant form of the aller- gen on the same chip. Whereas it is preferred to use mainly recombinant or synthetic allergens the native form of an allergen may be provided at least as a control or additional quality information on the chip. A preferred chip according to the present invention therefore comprises a native and a synthetic or recombinant form of at least one allergen. This provides also for improved quality control and standardisation of different batches of allergens. Preferably one or more haptens are immobilized as allergens on the microarray chip. A "hapten" is a low molecular weight (typically weighing less than about 7000 Daltons) substance that is generally incapable of causing, by itself, a significant production of antibodies upon administration to an animal body, including a human body. This can occur because a hapten is too small to be recognized by the body's immune system. However, when a hapten is coupled to a larger, carrier molecule, the hapten can acquire antigenic properties. In other words, binding the hapten to the carrier molecule (to make an analyte-carrier molecule combination) permits the bound hapten to be recognized by an animal's immune system. An immunoprecipitation reaction can take place between the hapten (coupled to the carrier molecule) , and an antibody to the hapten. By providing haptens which are immobilized to the microarray chip a higher density can be achieved on the chip. It is of course possible to combine these above mentioned different forms of allergens, e.g. to use at the same time recombinant and (purified) native allergens. The combination of. these different forms allows to compare them and carry out a control of the e.g. recombinant allergens but also as a control for the various native lots of the allergens which may vary due to differences in biological sources, methods of preparation, purity, etc. For a highly efficient test it is preferable to use allergens which show optimal features, e.g. a high binding capacity. However, the use of less or differently active antigens is preferred for the detection of inefficiently binding allergen-variants, e.g. for the use in hyposensitization therapies. According to a preferred embodiment of the present invention the allergens are immobilized on a 10 to 2000 μm diameter, preferably 50-500 μm diameter, still preferred 150-250 μm diameter, spot on the microarray chip. Since the spots have a small diameter, it is possible to immobilize a great amount of different allergens and various concentrations of specific allergens on separate spots of the microarray chip, thus allowing to provide one microarray chip which can in one - automatized - step be used to analyse a big number of allergens or allergen concentrations. Preferably the allergens are immobilized on a solid support, preferably a glass carrier, synthetic carrier, silicon wafer and membrane, respectively. Such chips can be produced for. example according to methods described in Ge, H. (2000) , Nucleic Acids Research, 28, e3 (i-vii) ; Qian W. et al . (2000), Clinical Chemistry, 46 (1456-1463); MacBeath G. et al . (2000), Science, 289, (1760-1763), which are disclosed herein by reference. Each of these materials shows specific characteristics and advantages which are well-known to the person skilled in the art..Therefore, the material for the microarray chip will be chosen according to the allergen which is to be tested, the method for the .detection of bound immunoglobulins, the used buffers. Furthermore, the choice of material is also a financial question. Preferably the microarray chip is chemically modified, preferably by aminoreactive and carboxyreactive modification, respectively. This allows to precisely determine the way the allergen is bound to the microarray chip. Advantageously the allergens are covalently bound to the microarray chip. This provides a stable binding of the allergens to the microarray chip, thereby providing a method which is particularly reliable. According to another advantageous embodiment of the present invention the immunoglobulins are detected in blood serum as the sample. In patients who are allergic to an allergen immunoglobulins are produced mainly in the blood serum, so that analyzing the blood serum provides a reliable method for detecting immunoglobulins . Furthermore, blood serum can easily be collected from the patient in a very simple way- and the collection of the sample can be carried out even at the home of the patient. Preferably the blood serum is diluted 1:1 - 1:"15, preferably 1:5. The dilution can be carried out with any suitable solution, e.g. lx TBST (10 mM Tris-HCl, pH 8,0, 150 mM NaCl, 0,5% TWEEN 20) Advantageously the sample is incubated 1 min. to 24 hours, preferably 1 - 2 hours, with the allergens. Of course, it is possible to incubate the sample with the allergens even over a period of days. However, this does not result in an increase in signal intensity or specificity. In general, an incubation time of 1 hour is sufficient for a reliable and sensitive result. Furthermore, the sample is preferably incubated at a temperature between 0 and 60°C, preferably at 37°C, with the allergens. Incubations at lower temperatures do not result in an increase of signal, but they rather lead to an increase in unspecific binding and background noise. An incubation at 37°C has shown to provide exact and reliable results for allergen test in humans. Advantageously the bound ' immunoglobulin is detected with at least one labelled specific anti-immunoglobulin antibody. As used herein, the term "antibody" " refers to intact molecules as well as fragments thereof, such as Fa, F(ab).sub.2, and Fv, which are capable of binding the epitopic determinant. Antibodies can be prepared using intact polypeptides or fragments containing small peptides of interest as the immunising antigen. The polypeptide or peptide used to immunise an animal can be derived from the transition of RNA or synthesized chemically, and can be conjugated to a carrier protein, if desired. Commonly used carriers that are chemically coupled to peptides include bovine serum albumin and thyroglobulin. The coupled peptide is then used to immunise the animal (e.g., a mouse, a rat, or a rabbit). In the scope of the present invention the term antibody refers to monoclonal or polyclonal antibodies whereby monoclonal antibodies may be prepared using any technique which provides for the production of antibody molecules by continuos celllines in culture. These include but are not limited to the hybridoma technique, the human B-cell hybridoma technique and the IBV hybridoma technique. Furthermore, chimeric antibodies may be produced, single chain antibodies as well as synthetically produced antibodies. The antibody may be labelled according to any known method which allows to qualify and preferably quantify the bound antibody. Detectable labels suitable for use in the present invention include any composition detectable by spectroscopic, photochemical, biochemical, immunochemical, electrical, optical or chemical means. Useful labels include biotin for staining with labelled strepta- vidin conjugate, magnetic beads, fluorescent dyes (e.g. fluores- cein, texas red, rhodamine, green fluorescent protein, and the like), radiolabels (e.g. 3 H, 125 I, 35 S, 14 C or 32 P) , enzymes (e.g. horse radish peroxidase, alkaline phosphatase and others commonly used in ELISA) , and colorimetric labels such as colloidal gold or coloured glass or plastic (e.g. polystyrene, polypropylene latex, etc . ) beads . Means of detecting such labels are well known to those of skill in the art. Thus, for example, radiolabels may be detected using photographic film or scintillation counters, fluorescent labels may be detected using a photodetector to detect emitted light. Enzymatic labels are typically detected by providing the enzyme with a substrate and detecting the reaction product produced by the action of the enzyme on the substrate, and colorimetric labels are detected by simply visualising the coloured label. Preferably the bound immunoglobulins are detected with at least one fluorescence and radioactive, respectively, labelled specific anti-immunoglobulin antibody. These are classic methods for qualitatively and quantitatively analyzing bound antibody which are very specific and reliable. Other advantageous detection systems for micro arrays are for example those described in Schult K. et al . (1999), Anal Chem, 71 (5430-5435); Vo-Dinh T. et al . (1999), Anal Chem, 71 (358-363); Brignac SJ Jr. et al . (1999), IEEE Eng Med Biol Mag, 18 ' (120- 122); Otamiri M. et al . (1999), Int J Biol Macromol, 26 (263- 268); Wright, GL Jr. et al . (2000), Prostate Cancer and Prostatic Diseases, 2 (264-276) ; Nelson RW. et al . (2000), Electrophoresis 21 (1155-1163); Rich RL. et al . (2000), Curr Opin Biotechnol • 11 (54-61); Chen JJ. et al . (1998), Genomics, 51 (313-324), which publications are enclosed herein by reference. Advantageously one or more indoor allergens are immobilized as allergens. These may be but are not limited to Mites, Tyr. put, Lep. dest. or .mayrei, Felis, Bos, Albumine, Pen. cit., Pen. not., Asp. fumigatus, Alt. alt., Malassezia furfur, Latex, Plodia, Blatella. According to a further preferred embodiment one or more outdoor allergens are immobilized as allergens. These may be but are not limited to Betula, Juniperus, Phleum, Parietaria judicea. Further one ore more food allergens may be immobilized . as allergens. Examples are sellerie, karott, peanut, apple, shrimp, fish. Further one ore more venom allergies are immobilized as allergens. These may be but are not limited to Bee or Wasp. Also one or more auto-allergens may be immobilized as allergens. Such auto-allergens may be e.g. liver membrane antigens, ssDNA antigens, antigens in or on skeleton muscle cells, etc. A further aspect of the present invention relates to a method for in vitro diagnosis of allergies in a patient, whereby a serum sample is taken from the patient after which the sample is analysed for immunoglobulins which bind to allergens according to an above ' mentioned method according to the present invention, whereby a microarray chip is used on which at least 10, preferably at least 50, still preferred at least 90, different allergens are immobilized, after which a positive reaction between the sample and the immobilized allergens is diagnosed as an allergy. The above mentioned definitions and advantages relate also to this method for in vitro diagnosis of allergies compared to the known methods for diagnosing allergies . The present method shows the advantage that a big amount of allergies can be simultaneously diagnosed with only one sample since all the allergens which are to be tested are immobilized on one single microarray chip. Every step is therefore carried out only on one chip, whereby the chip further may comprise spots with no immobilized allergens and therefore allowing simultaneous negative detection. The amount of allergens to be tested is not limited and it is of course possible to provide two or more microarray chips . A- further aspect of the present invention relates to a microarray chip on which one or more allergens are immobilized. Also in this aspect the above mentioned definitions and advantages are applied. Preferably the allergens are immobilized on a 100 to 500 μ diameter, preferably to 200-300 μm diameter, spot. Still preferred the microarray chip is a glass carrier, synthetic carrier, silicon wafer and a membrane, respectively. Advantageously the microarray chip is chemically modified, preferably by aminoreactive and carboxyreactive modification, respectively. Advantageously the allergens are covalently bound to the microarray chip. A further aspect according to the present invention relates to a kit which comprises a microarray chip according to the present invention as mentioned above and a first reagent comprising at least one immunoglobulin detecting reagent, preferably an anti- immunoglobulin antibody, preferably in a known concentration, and possibly a second reagent as a positive sample comprising at least one immunoglobulin which binds to an allergen. The first reagent comprising the at least one immunoglobulin detecting reagent, preferably an anti-immunoglobulin antibody may be used for the detection of bound immunoglobulin in which case the anti-immunoglobulin antibody is preferably labelled as mentioned above. Preferably an antibody is present in the first reagent in a known concentration thereby allowing to provide for reproducible results. Furthermore, the kit preferably comprises a second reagent as a positive sample comprising at least one immunoglobulin which binds to an allergen. Also here it is preferable that the immunoglobulin is present in a known concentration in the second reagent thereby allowing to quantify the immunoglobulin present in the sample by comparing the results of the sample of the patient with the results of positive sample (the second reagent) . Preferably the kit is provided for carrying out a method according to the present invention as mentioned above. For this the first and second reagents may be designed in order to detect one specific immunoglobulin which binds to a specific allergen or one specific allergy in a patient. However, the kit may also be designed to detect a variety of immunoglobulins which bind to specific allergens or to diagnose a variety of allergies in a patient. The present invention is now described in more detail with the following examples and figures to which it is of course not limited. Fig. 1 shows a layout of an allergen microarray; Fig. 2 shows a scan image of an allergen array assayed with serum from an allergic person; Fig. 3a-3c show a Scatterplot Test from a triple assay; Fig. 4a-4c show the % fluorescence measured for immobilised extract and immobilised recombinant allergens . Example 1: Allergen spotting Allergens were arrayed using a GMS 417 spotter from Genetic Microsystems. The proteins were spotted on derivatized glass slides. Individual allergens were spotted at one hit per dot as triplicates. The dots (features) showed a diameter of about 200μm. The allergens were assembled in functional groups as follows : (A) Outdoor (I. Trees [l=rBetvl, 2=rBetv2, 3=rBetv4, 4=rJun02 , 5=Cassl], II. Grasses [6=rPhlp2 , 7=rPhlp4, 8=rPhlp5a, 9=rPhlpl, 10=rPhlp6, H=rPhlp7, 12=rPhlpll, 13=rPhlpl2], III. Weeds [14=rParj2, 15=Artvla, 16=Mugwort profilin]) , (C) Food Allergens (X. Vegetables [17=Apigl, 18=Apigl.0201, 19=Daucl.2, 20=rArah2, 21=rArah5], XI. Fruits [22=Maldl, 23=Mald2], XII. Shrimps [24=rPenal], XIII. Fish [25=recCarp] ) , (B) Indoor (IV. Mites [26=rDerpl, 27=rDerp2.0101, 28=rDerp2, 29=rDerp2b, 30=rDerp5, 31=rDerp5a, 32=rDerp7, 33=rDerp8, 34=rDerpl0, 35=rTyrp2], V. Animals [36=rLepd2.01,. 37=rLepdl3, 38=rEurm2.0101, 39=rFeldl, 40=rFeldla, 41=rBosd2, 42=a representative allergen from cat, 43=a representative allergen from dog, 44=BSA, 45=a representative allergen from mouse, 46=a representative allergen from rat, 47=a representative allergen from pig, 48=a representative allergen front' sheep, 49=a representative allergen from chicken, 50=a representative allergen from rabbit, 51=a representative allergen from hamster, 52=a representative allergen from horse, 53=a representative allergen from pigeon, 54=guineaalbumin], VI. Moulds [55=rPenc3, 56=rPencl9a, 57=rPencl9b, 58=Pennl3, 59=rAspfl, 60=rAspf3, 61=rAspf4, 62=rAspf6, 63=rAspfla, 64=rAspf3a, 65=rAspf4a, 66=rAspf6a, 67=rAspf7, 68=rAspf8, 69=rAltal, 70=rAlta2], VII. Yeast [71=rMalf7, 72=rMalfl, 73=rMalf5, 74=rMalf6, 75=rMalf8, 76=rMalf9], VIII. Latex [77=rHevbl, 78=rHevbla, 79=rHevb3, 80=rHevb8, 81=rHevb9, 82=rHevbl0, 83=rHevbll], IX. Insects [84=rAK, 85=rBlag2, 86=rBlag4, 87=rBlag5]) , (D) Venoms (XIV. Bee [88=Ag5, 89=Phospholipase A, 90=Hyaluroni- dase, 91=rVesv5, 92=rVesg5], XV. Wasp [93=Ag5]) , (E) Auto-allergens (94=HSA, 95=a-NAC) Additionally, buffer dots were interspersed between the allergen subgroups serving as a background control, marked as "X", "ab" is the labelled antibody. (Fig. 1: 1864x1182 pixels, 1,86x1,18 cm, 1000 pixels per cm, pixel depth/colours 8/256, 1 pixel- corresponding to lOμm) . 100 μl aliquots of the allergen ' s were divided into the wells of a 96 well icrotiter plate at a concentration of -200 ng/μl in spotting buffer (300 mM Sodium-phosphate pH 8.5). The optimal concentration for immobilization of the allergens was calculated from titration experiments with several allergens in different buffer solutions as well as on different slides. The proteins assayed displayed a saturation behaviour at concentrations equal to or larger than 100 ng/μl as became evident from a constantly strong white signal when scanning with a GMS scanner. At this concentration the binding behaviour of the allergens was independent of the composition of the storage as well as the spotting buffer. Example 2 : SOPHIA (Solid phase Immunosorbent Assay) Following over night incubation slides either purchased from CEL Associates (aldehyde slides) or prepared in-house were washed in lx TBST (10 mM Tris pH 8.0/150 mM NaCl/0.5% Tween 20) under vigorous shaking in a Falcon tube at ambient temperature. As a blocking step, the slides were transferred to a lx TBST solution containing 0.01% BSA for 2 hours at ambient temperature. Successively, slides were washed in lx TBST for 15 min. and rinsed in distilled water briefly. The allergen array was incubated with diluted serum (1:5 in lx TBST) for (at least) 60 min. at 37°C with shaking. Various degrees of serum dilution have been tested, ranging from 1:1 - 1:15. Usually a dilution of 1:5 gave the best results. 30 μl of diluted serum was added to the slides in Press Seal Chambers purchased from SIGMA Technologies . The chambers were used as according to the manufacturers protocol . Various incubation times for the serum ranging from 60 min. to over night were assayed. However, an extended incubation with serum did not result in an increase in signal intensity or specificity. Following the incubation with serum slides were washed in lx TBST (15 min. , ambient temperature) with shaking. Five different serums of allergic patients that have been examined using conventional diagnostic tests (skin prick test, RAST, ELISA) and a serum of a non-atopic patient were chosen adequate for a benchmark test of the allergen array. The individual sera were assayed at least twice on different batch produced allergen arrays . Fluorescence-labelled IgE antibody labelled with AlexaFluor fluorescence dye according to the manufacturer's protocol (Molecular Probes) was added to the allergen array in a solution containing 0.01% BSA/lx TBST and incubated for 60 min. at ambient temperature. Working dilutions for the antibody ranged from 1:1000 - 1:5000 depending on the time and efficiency of labelling. Following the immunoassay, slides were washed with lx TBST (15 min. , ambient temperature, shaking) and briefly rinsed with distilled water. Following the immunosorbent assay, the slides were evaluated with a GMS two-colour scanner. Generally, signal intensities varied only slightly between different assays and different slides. However, the background values differed depending on the type of slides used. An example of a scanned image of an allergen array assayed with serum of a patient suffering of allergy is depicted in Fig. 2. This patient shows a strong reaction with Phleum, Mite, Felis and bee (cf. Fig. 1). No background signals stemming from an unspecific interaction with buffer dots or auto-allergens were observed. Following the complete evaluation of the allergic patient's sera the results were compared with data preliminary obtained for the identical sera using RAST tests . The data achieved with the method according to the present invention were in good agreement with those data sets available Example 3 : Reproducibility test assaying serum of patient C. Serum of patient C was assayed three times on individually prepared allergen-microarrays . The experimental procedure was as essentially described before. Following the assay, the slides were scanned using identical hardware settings. Data analysis was performed using the GenePix software package. The calculated mean values of the signal intensities for each allergen triplicate were compared after three re- peats of the experiment , Only values corresponding to signals that were at least 1.5 x higher than the mean value of the buffer spot signals were chosen for the final analysis. The mean value, standard deviation and percentage of standard deviation for the relevant signals are depicted in table 1. table 1 The mean standard deviation calculated from the values obtained after three individual assays was 12.36 %. This means that the chip-based immunological assay, questioning the presence of IgE in patients' sera, is highly reproducible. This is also evident when inspecting scatter-plots derived from the triple-assay 3 , s . Fig. 3a-3c, wherein Fig. 3a shows a Scatterplot Test 1 vs. Test 3, Fig. 3b a Scatterplot Test 2 vs. Test 3 and Fig. 3c a Scatterplot Test 1 vs. Test 2; A showing the allergens and FI the fluorescence intensity. Example 4 : Comparison of different microarrays In order to test for the optimum slide for the present invention, individually prepared slides were evaluated according to a number of criterion that are outlined below: — Production process: Slides that were prepared were evaluated according to a number of parameters, such as hazardous chemical requirement and production time. — Cost of production: Slides produced in house and commercially available slides were compared according to their costs. — Binding capacity: Different slides were evaluated according to the binding capacity of a fluorescent labelled protein. — Reproducibility: Serial experiments were performed with differently pretreated slides and evaluated according to the overall assay performance. — General Background: All slides were evaluated before and after an allergy assay for a systematic surface background that might diminish the signal to noise ratio. — Detection limit: All slides were evaluated for the minimal protein concentration detectable per spot in an allergy screening assay. — Serum tolerance: Generally, a patient's serum is a complex mixture of proteins that often interferes negatively with a mi- .croarray-based immunoassay with different batches of patients s serum. — Blocking: All slides were evaluated for necessity of a blocking step prior to the allergy assay. — Storage: All slides were evaluated for long-time storage after an allergen chip has been produced. The results of the above mentioned evaluation study are depicted in table 2 : table 2 Table 2. Depicted are the results of the evaluation study described in the text. (++) means excellent result, (+) good, (-) minor, (—) bad. (/) means that the slide has not been assayed for this particular category. (1) Slides containing a functional surface with aldehyde groups. (2) Slides containing an amine-re- active surface, the exact chemical properties of which are not known. (3) Slides produced in-house with functional groups as mentioned in table 2. (4) Slides containing a membrane for immobilization of proteins. ProteoBind is the working title for the surface derivatisation adapted for an optimized performance of in microarray-based allergy diagnosis and comprises (1- [3 ' ' - [tri- methoxysilyl)propyl]-l' (4' '-iso hiocyanatophenyl) thiourea) , which was prepared according to Chen et al . (Nucleic Acids Research, 199, vol.27, No. 2), which is incorporated herein by reference . According to the evaluation study presented above ProteoBind was selected as a superior surface derivatisation for the production of allergen microarrays . Example 5 : Comparison of the detection of immunglobulin in a sample with immobilized recombinant allergens and with immobilized extract In order to test the sensitivity and diagnostic relevant information of purified recombinant allergens immobilized to a microarray and of' allergen extract immobilized to a microarray, specific allergens of one source were compared to an allergen extract of the same source. After immobilization of allergen compositions to a microarray different samples comprising said specific serum were added onto the mircroarray and the fluorescence which corresponds to the amount of antibody bound to the allergens .was measured. The results are shown in tables 3, 4 and 5 as well as figures 4a, 4b and 4c, where "FL" stand for %fluorescence. From these results it is clear that in the case of the recombinant allergens, detection and quantification is much more sensitive than in the case of the allergen extracts. The fluorescence intensity of a single recombinant antigene is clearly higher than the fluorescence intensity of the extract. Furthermore, in the case of the extract only the source of the extract can be tested and it is not possible to test which specific antigene of the source is responsible for the allergy to the contrary of detection with recombinant allergens . Therefore, the inventive method using single purified allergens, in particular recombinant allergens are advantageous over extracts comprising allergens. Table 3 Table 4 Table 5

Claims: Claims 1. A- method for the detection of ' an immunoglobulin which binds to an allergen in a sample, characterized in tha't one or more allergens are immobilized on a microarray chip after which the sample is incubated with the immobilized allergens so that immunoglobulins which are specific for the allergens bind to the specific allergen after which the immunoglobulins which are bound to the specific immobilized allergens are detected. 2. The method according to claim 1, characterized in that IgE are detected as immunoglobulins. 3. The method according to claim 1, characterized in that IgG are detected as immunoglobulins. 4. The method according to any one of claims 1 to 3 , characterized in that one or more purified allergens are immobilized on the microarray chip. 5. The method according to any one of claims 1 to 4, characterized in that one or more recombinant allergens are immobilized on the microarray chip . 6. The method according to any one of claims 1 to 5, characterized in that one or more synthetically produced allergens are immobilized on the microarray chip. 7. The method according to any one of claims 1 to 6 , characterized in that one or more haptens are immobilized as allergens on the microarray chip . 8. The method according to any one of claims 1 to 7 , characterized in that the allergens are immobilized on a 10 to 2000 μm diameter, preferably 50-500 μm diameter, still preferred 150-250 μm diameter, spot on the microarray chip. 9. The method according to any one of claims 1 to 8, characterized in that the allergens are immobilized on a solid support as the microarray chip. 10. The method according to any one of claims 1 to 8 , characterized in that the allergens are immobilized on a glass and synthetic carrier, respectively, as the microarray chip. 11. The method according to ' any one of claims 1 to 8, characterized in that the allergens are immobilized on a silicon wafer as the microarray chip. 12. The method according to any one of claims 1 to 8 , characterized in that the allergens are immobilized on a membrane as the microarray chip. 13. The method according to any one of claims 1 to 12 , characterized in that the microarray chip is chemically modified, preferably by aminoreactive and carboxyreactive modification, respectively. 14. The method according to any one of claims 1 to 13 , characterized in that the allergens are covalently bound to the mi-, croarray chip. 15. The method according to any one of claims 1 to 14, characterized in that the immunoglobulins are detected in blood serum as the sample. 16. The method according to claim 15, characterized in ' that the blood serum is diluted 1:1 - 1:15, preferably 1:5. 17. The method according to any one of claims 1 to 16, characterized in that the sample is incubated 1 min. to 24 hours, preferably 1 to 2 hours, with the allergens . 18. The method according to any one of claims 1 to 17, characterized in that the sample is incubated at a temperature between 0 and 60°C, preferably at 37°C, with the allergens. 19. The method according to any one of claims 1 to 18, characterized in that the bound immunoglobulins are detected with at least one labelled, specific anti-immunoglobulin antibody. 20. The method according to claim 19, characterized in that the bound immunoglobulins are detected with at least one fluorescence labelled specific anti-immunoglobulin antibody. 21. The method according to claim 19, characterized in that the bound immunoglobulins are detected with at least one radioactive labelled specific anti-immunoglobulin antibody. 22. The method according to any one of claims 1 to 21, characterized in that one or more indoor allergens are immobilized as allergens . 23; The method according to any one of claims 1 to 21, characterized in that one or more outdoor allergens are immobilized as allergens . 24. The method according to any one of claims 1 to 21, characterized in that one or more food allergens are immobilized as allergens . 25. The method according to any one of claims 1 to 21, characterized in that one or more venom allergens are immobilized as allergens . 26. The method according to any one of claims 1 to 21, characterized in that one or more auto-allergens are immobilized as allergens . 27. A method for in vitro diagnosis of allergies in a patient, characterized in that a serum sample is taken from the patient after which the sample is analysed for immunoglobulins which bind to allergens according to a method according to any one of claims 1 to 26, whereby a microarray chip is used on which at least 10, preferably at least 50, still preferred at least 90, different allergens are immobilized, after which a positive reaction between the sample and the immobilized allergens is diagnosed as an allergy. 28. Microarray chip on which one or more allergens are immobilized. 29. The microarray chip according to claim 28 characterized in that the allergens are immobilized on a 100 to 500 μm diameter, preferably 200-300 μm diameter, spot. 30. The microarray chip according to claim 28 or 29, characterized in that it is a glass carrier. 31. The microarray chip according to claim 28 or 29, characterized in that it is a synthetic carrier. 32. The microarray chip according to claim 28 or 29, characterized in that it is a silicon wafer. 33. The microarray chip according to claim 28 or 29, characterized in that it is a membrane. 34. The microarray chip according to any one of claims 28 to 33, characterized in that it is chemically modified, preferably by aminoreactive and carboxyreactive modification, respectively. 35. The microarray chip according to any one of claims 28 to 34, characterized in that the allergens are covalently bound to it. 36. Kit, characterized in that it comprises a microarray chip according to any one of claims 28 to 35 and a first reagent comprising at least one immunoglobulin detecting reagent, preferably an anti-immunoglobulin antibody, preferably in a known concentration, and possibly a second reagent as a positive sample compris ¬ ing at least one immunoglobulin which binds to an allergen. 37. Kit according to claim 36 for carrying out a method according to any one of claims 1 to 27.

Inventors: HARWANEGG CHRISTIAN, HILLER REINHARD, MUELLER MANFRED W, HARWANEGG, CHRISTIAN, HILLER, REINHARD, MUELLER, MANFRED, W.
Applicants: HARWANEGG CHRISTIAN, HILLER REINHARD, MUELLER MANFRED W, VBC GENOMICS FORSCHUNGSGES M B, HARWANEGG, CHRISTIAN, HILLER, REINHARD, MUELLER, MANFRED, W., VBC-GENOMICS FORSCHUNGSGES. M.B.H.
Application year: 2001
Main classification: G01N33
IPC codes: G01N33