Patent Publication Number: US-2010129937-A1

Title: Method for measuring hyaluronic acid using hyaluronic acid binding protein

Description:
TECHNICAL FIELD 
     The present invention relates to a method for measuring hyaluronic acid having good storage stability and affording high degree of accuracy in measurement and a reagent kit for the same. 
     BACKGROUND ART 
     Hyaluronic acid is present mainly in the synovial fluid and ocular vitreous humor of animal and connective tissue such as the umbilical cord and the upper dermis of animal. The concentration of hyaluronic acid in the blood is known to increase in the patients with rheumatoid arthritis, cancer and liver disease and known as a useful marker for diagnosis of these diseases, and therefore, various methods for measuring hyaluronic acid have been developed to date. 
     On the other hand, for immunological measurement, methods of utilizing latex particles have been used widely because of its simple procedure and applicability to multipurpose measuring devices. The method employing latex particles as a reagent for measuring hyaluronic acid has been described, for example, in JP-B-3424504. In the aforementioned patent publication, a method comprising processes of supporting a hyaluronic acid binding protein on carrier particles, forming a reaction complex between the particles and hyaluronic acid in a sample and determining the hyaluronic acid by detecting the reaction complex has been described. In Examples of the aforementioned patent publication, experiments have been carried out using latex particles with average particle size of 368 nm in diameter. However, when such a particles is used as a reagent, usually, the latex particles has to be dispersed by shaking or the like before use, because the latex particles with average particle size of 300 nm (0.3 μm) or larger in diameter have a tendency to be easily deposited. Therefore, for the measurement of hyaluronic acid using a carrier such as latex particles, the development of a reagent, which is not deposited easily and does not need a cumbersome treatment such as shaking before use, has been desired. 
     Patent Literature 1: JP-B-3424504 
     DISCLOSURE OF THE INVENTION 
     Problem to be Solved by the Invention 
     On the view of above situation, an object of the present invention is to provide a method utilizing a carrier for measuring hyaluronic acid wherein deposition of carrier is less, a storage stability is good and an accuracy in measurement has same high degree as that performed by the conventional reagents, and a reagent kit for the same. 
     Means for Solving the Problem 
     To store a reagent containing latex particles for the measurement of hyaluronic acid in more stable, the present inventors have investigated to find a method of supporting a hyaluronic acid binding protein (hereinafter, optionally referred to as HABP) on latex particles with less deposition (average particle size: 0.3 μm or less in diameter) by chemical bond or physical adsorption. However, it was difficult to efficiently support HABP on latex particles, and therefore, measurement could not be performed with a high degree of accuracy. Then, as the results of intensive study, the inventors have found that agglutination reaction of latex particles in accordance with the quantity of hyaluronic acid can be induced effectively by the reaction of latex particles, which have preliminarily been sensitized with a monoclonal antibody for HABP, with a complex formed between HABP and hyaluronic acid. Further, the present inventors have found that a reagent for the measurement of hyaluronic acid with good storage stability can be prepared by storing the latex particles which was preliminarily sensitized with a monoclonal antibody for HABP and the hyaluronic acid binding protein individually as separate reagents. Furthermore, they have found that, as described above, the step can be proceeded by forming a complex preliminarily by reacting hyaluronic acid with HABP and then by reacting the complex with the latex particles sensitized with a monoclonal antibody for HABP, and thus completed the present invention. 
     That is, the present invention relates to “a method for measuring hyaluronic acid comprising forming a hyaluronic acid/HABP complex by contacting hyaluronic acid in a sample with HABP, reacting said complex with an anti-HABP antibody supported carrier, measuring optical change of agglutination product generated by said reaction, and calculating the quantity of hyaluronic acid from the measured value” and “a reagent kit for the measurement of hyaluronic acid comprising a reagent comprising HABP and a reagent comprising an anti-HABP antibody supported carrier”. 
     EFFECT OF THE INVENTION 
     According to the measurement method of the present invention, in comparison with conventional method, the measurement can be performed by simple procedure such as no need for shaking of the reagent before use, and also, measurement can be performed with same high degree of accuracy as that by conventional reagents. In addition, the reagent kit of the present invention provides less deposition of carrier and good storage stability; in addition, using said reagent kit, measurement of hyaluronic acid can be achieved with same degree of accuracy as that by conventional reagents 
    
    
     BEST MODE FOR CARRYING OUT THE INVENTION 
     As the hyaluronic acid binding protein (HABP) in regard to the present invention, any one containing hyaluronic acid binding region of proteins which have property to bind hyaluronic acid such as proteoglycan, link protein, hyaluronectin and the like may be adopted without specific limitation, and it may include above described protein itself, a partial protein containing hyaluronic acid binding region of the above described protein, a substance containing such partial protein and a recombination protein produced by incorporating a gene fragment encoding hyaluronic acid binding region of the above described protein into other protein or the like. 
     As an anti-HABP antibody in regard to the present invention, any one of antibody against HABP whether it is monoclonal or polyclonal may be adopted. A polyclonal or a monoclonal antibody purified affinity chromatography with single epi tope is preferable, and a monoclonal antibody capable of binding efficiently with hyaluronic acid is particularly preferable. Among these, the use of Fab, Fab′, F(ab′) 2  and the like produced by appropriate digestion of these antibodies using an enzyme such as pepsin and papain is preferable. When polyclonal antibody is used as anti-HABP antibody, the antibody can be prepared by a conventional method of immunization of an animal such as horse, cow, sheep, rabbit, goat, rat or mouse with hyaluronic acid binding protein according to the methods described, for example, in “Matsuhashi, T. et al., Introduction to Experimental Immunology, 2 nd  ed., 1981, Japan Scientific Societies Press”. When monoclonal antibody is used as anti-HABP antibody, the antibody can be prepared according to a conventional method, namely, the cell fusion technology established by Kohler and Milstein (G. Kohler and C. Milstein: Nature, 256, 495 (1975)), for example, using a hybridoma cell obtained by fusing a cell line derived from mouse myeloma with cells from the mouse spleen which is preliminarily immunized with hyaluronic acid binding protein. 
     As a carrier in regard to the present invention, any one of carriers usually used in the immunological measurement can be adopted, specifically as preferable ones, carriers prepared from, for example, natural organic polymer substances such as red blood cell, bacteria, cell fragment and the like, assembly of molecule such as liposome, polymeric micelle and the like, synthetic polymer compounds such as polystyrene, polyacrylic acid, polymethacrylic acid, polyacrylamide, polyglycidylmethacrylate, polypropylene, polyvinylchloride, polyethylene, polychlorocarbonate, silicone resin, silicone rubber and the like, inorganic substances such as porous glass, ground glass, alumina, silica gel, activated carbon and metal oxide are included. In addition, these carriers can be used in various forms such as tube, bead, disc type chip, micro particle or latex particle. Among them, the latex particle is particularly preferable from the points, for example, that chemical treatment of the surface of the carrier can be easily carried out as appropriately for any purposes because the carrier material is artificial polymer and that nonspecific reaction hardly takes place. As to the quality of material, it has no specific limitation, but preferably includes, for example, styrene type latex particle such as polystyrene latex particle and acrylic acid type latex particle. 
     In this connection, among these latex particles, polystyrene latex particle and the like which are prepared by emulsion polymerization reaction without use of emulsifying agent are particularly preferable. Because, as they have a surface with strong hydrophobic nature, proteins or peptides can be adsorbed smoothly, and also as they have negatively charged surface and cause mutual repulsion between them, and they can stably disperse in a solution even in the absence of emulsifying agent. In addition, various modified latex particle (for example, a carboxylic acid modified latex particle produced by introducing carboxyl group into the above described polystyrene), a magnetic latex particle (a magnetic particle-encapsulated latex particle) and the like can be used as well. 
     In addition, as for latex particles to be used in the present invention, commercially available latex with small average particle diameter, namely, with large surface area per unit weight, is able to support antibody efficiently and also provides a good storage stability (good dispersibility in a solution), and so, it is used preferably. In more specifically, the average particle diameter is usually 0.05 to 0.3 μm, preferably 0.1 to 0.25 μm. Using such latex particles with small average diameter, deposition of the particle can be avoided and it can be achieved to efficiently support anti-HABP antibody on the latex particles. That is, by the use of such anti-HABP antibody-supported latex particles, both the increased stability of the measurement reagent and high accuracy of measurement can be achieved. 
     The method of supporting an anti-HABP antibody involved in the present invention on a carrier involved in the present invention may be performed without specific limitation by contacting the anti-HABP antibody with the carrier. All the supporting methods well known per se usually used in this field can be included, and for example, as an exemplary method, method of supporting the anti-HABP antibody on the carrier by physical adsorption, so called physical adsorption method (refer to, JP-A-1993-41946; SUMILON Technical Report, SUMILON ELISA series 1 Introduction to ELISA Method, published by Sumitomo Bakelite Co., Ltd.; SUMILON Technical Report, SUMILON ELISA series 2 Solid Phase Surface of ELISA Products, published by Sumitomo Bakelite Co., Ltd., and so on) is included as representative examples. The aforementioned method is usually used as a preferable method when, for example, synthetic polymer compounds such as polystyrene, polypropylene, polyvinylchloride, polyethylene, polychlorocarbonate and the like; activated carbon; inorganic substances such as porous glass, ground glass, alumina, silica gel, metal oxide hydroxy apatite and the like are used as a carrier. Among them, it is particularly preferable when glass, polystyrene, polyvinylchloride and the like are used in the form of, for example, tube, bead, disc chip, micro particle or latex particle. 
     Taking a case as an example when an anti-HABP antibody involved in the present invention is supported on the latex particles, the latex particles are added so as to be concentration of usually 0.1 to 10% (w/v), preferably 0.2 to 5% (w/v) and suspended in a solvent such as a buffer solution containing usually 0.05 to 2 mg/ml, preferably 0.1 to 1 mg/ml of an anti-HABP antibody involved in the present invention, and after reacting usually at 5 to 30° C. and usually for 2 to 3 hours, then, post treatments usually conducted in this field such as, for example, centrifugation, blocking treatment using a solution containing an appropriate protein such as bovine serum albumin (BSA) are carried out, and thus work up the supporting process. In this connection, it can also be achieved to support the anti-HABP antibody on a carrier by chemical binding methods usually used in this field. 
     The method for measuring hyaluronic acid of the present invention may be performed by the process wherein a hyaluronic acid/HABP complex is formed by contacting hyaluronic acid in a sample with HABP, followed by reacting the said complex with anti-HABP antibody supported carrier, followed by measuring optical change of agglutination product generated by the said reaction and followed by calculating the quantity of hyaluronic acid from the measured value. 
     In this connection, the measurement of the optical change described herein means the measurement of the optical change caused by the formation of immunoagglutination, and more specifically, in this category, immunoagglutination methods such as reversed passive agglutination method, nephelometric immunoassay and turbidimetric immunoassay are included. These measurement methods may be performed according to the method well known per se. When the reversed passive agglutination method is to be employed, the method may be carried out according to the procedure described, for example, in “Successive Course on Biochemical Experiment 5: Investigative Approach to Immunobiochemistry”, Tokyo Kagaku Dojin Co., Ltd., pp. 36-37, “A Manual of Clinical Laboratory Method”, 30 th  ed., Kanehara &amp; Co., Ltd., pp. 844-845, and when nephelometric immunoassay is to be employed, the method may be carried out according to the procedure described, for example, in “A Manual of Clinical Laboratory Test”, 30 th  ed., Kanehara &amp; Co., Ltd., pp. 851-853, and when turbidimetric immunoassay is to be employed, the method may be carried out according to the procedure described, for example, in “A Manual of Clinical Laboratory Method”, 30 th  ed., Kanehara &amp; Co., Ltd., pp. 853-854. 
     Taking the turbidimetric immunoassay using latex particle carrier as an example, the measuring method of the present invention will be described more specifically below. That is, a sample containing hyaluronic acid (more specifically, for example, body fluid such as blood, plasma, serum, synovial fluid, pleural fluid, lymph fluid, spinal fluid and urine) is contacted and mixed with a reagent containing above described HABP to form hyaluronic acid/HABP complex. Then, for example, a reagent, wherein above described anti-HABP antibody is supported (sensitized) on latex particles with average particle diameter of, for example, 0.05 to 0.3 μm, preferably 0.1 to 0.25 μm, is reacted with above described complex. The degree of resulting agglutination is measured, for example, by means of absorbance, and the concentration is determined from a calibration curve preliminarily prepared using standard sample, and thus, the quantity of hyaluronic acid in a sample is assayed. In this connection, absorbance measurement may be carried out usually at wavelength of 340 to 1000 nm, preferably at 500 to 900 nm. In addition, determination of the degree of agglutination is not limited to the measurement of absorbance; the degree may be measured by any one of the methods well known per se, for example, by nephelometry or by counting immunoassay. In addition, when the hyaluronic acid/HABP complex is reacted with a reagent containing an anti-HASP antibody which has been supported on a carrier such as latex particles (hereinafter, may referred to as anti-HABP antibody-supported carrier), appropriate agglutination accelerating agent may be added. In this connection, the specific example of such agglutination-accelerating agent will be described in the section of “reagent kit” in the present invention. 
     In the measurement method of the present invention, the use concentration of HABP in HABP reactions is, although it may vary depending on the detection limit of hyaluronic acid be set out, usually, equal to or more of the concentration which is capable of binding with all amount of hyaluronic acid corresponding to the set concentration of detection limit, preferably 5 times or more, more preferably 10 times or more of the set concentration of determination limit. In this connection, the upper limit concentration of hyaluronic acid on this occasion has no limitation, in consideration of economical amount of the hyaluronic acid, the concentration is usually 50,000 times or less, preferably 10,000 times or less. Specifically, the concentration is usually from 0.1 to 1000 μg/ml, preferably from 0.5 to 1000 μg/ml, and more preferably from 0.5 to 100 μg/ml. For example, when hyaluronic acid concentration in serum is measured, as usual determination limit is from 10 to 1000 ng/ml, the use concentration of HABP in HABP reaction may, therefore, be set out appropriately within the above-described range based on the determination limit. 
     In addition, as to the pH in the aforementioned reaction, the range thereof is not specifically limited as long as it does not inhibit formation of the complex, and is usually 5 to 10, preferably 6 to 8. Also, as to the temperature in the aforementioned reaction, the range thereof is not specifically limited as long as it does not inhibit the formation of the complex, and is usually 5 to 40° C. In addition, as the reaction time may differ according to the reaction condition such as HABP used and pH and temperature, the reaction may be conducted for several seconds to several hours as appropriate according to each condition. 
     In the measurement method of the present invention, the use concentration of anti-HABP antibody-supported carrier in the reaction between anti-HABP antibody-supported carrier and hyaluronic acid/HABP complex is, while it may vary depending on the use concentration of HABP in the above reaction, usually 0.2 to 25 mg/ml, preferably 0.5 to 12 mg/ml when latex particles having 0.01 to 0.1 mg/mg of supporting amount of anti-HABP antibody is used, and, if it is within the range of aforementioned concentration, the hyaluronic acid in a sample can be measured with a high degree of accuracy. In this connection, the condition and the time for the reaction of anti-HABP antibody-supported carrier with hyaluronic acid/HABP complex may be adopted in accordance with that for the above mentioned HABP reaction. 
     As a reagent kit for the measurement of hyaluronic acid of the present invention, a kit comprising both a reagent comprising HABP and a reagent comprising anti-HABP antibody-supported carrier may be included. In this connection, the aforementioned kit may contain a standard substance usually used in this field such as, for example, potassium hyaluronate (derived from cockscomb, produced by Wako Pure Chemical Industries, Ltd.) and sodium hyaluronate (derived from Streptococcus species, produced by Wako Pure Chemical Industries, Ltd.). 
     The reagent comprising HABP in the reagent kit for the measurement of hyaluronic acid of the present invention may be any one of reagent comprising HABP as described above, which may be dissolved in an appropriate buffer solution. As the buffering agents used for this purpose, any kind of buffering agent usually used in the immunological measurement, for example, Tris buffering agent, phosphate buffering agent, veronal buffering agent, boric acid buffering agent and Good buffering agent can be adopted, and the concentration of such buffering agent is usually 5 to 300 mM, preferably 10 to 150 mM, and the pH is usually 5 to 10, preferably 6 to 8, and the concentration and pH are each selected appropriately from above described corresponding range. 
     As to the concentration of HABP in the above reagent comprising HABP, while it may vary depending on the kind of HABP used, the concentration in the reaction may be set out to be the same concentration as described above, and may be selected appropriately so as to be within the range from 0.1 to 500 μg/ml, preferably 0.5 to 100 μg/ml. 
     In a reagent kit for the measurement of hyaluronic acid of the present invention, a reagent comprising an anti-HABP antibody-supported carrier may be any one of reagent containing above described anti-HABP antibody-supported carrier, which may be a suspension of anti-HABP antibody-supported carrier in an appropriate buffer solution or a lyophilized product thereof. As the buffering agents used for this purpose, any kind of buffering agent is used as long as not to inhibit binding between anti-HABP antibody involved in the present invention and HABP, and includes the same buffering agents as used for the above described reagent comprising HABP, and also, the pH and the concentration may be net out by the same way according to the above described value. 
     In addition, the reagent comprising an anti-HABP antibody-supported carrier is provided in many cases in the form of suspension suspended in a solution such as buffer solution. As the buffer solution used for preparing such suspension, any one usually used in this field is adopted without specific limitation, and usually one having buffering action at pH 5.0 to 10.0, preferably around neutral pH of pH 6.5 to 8.5, for example, phosphate buffer, Tris buffer or Good buffer is preferable. In this connection, depending on the characteristics of the insoluble micro particles, some one has a tendency to make aggregation naturally by leaving in suspended condition. In such case, the use of a mildly alkaline buffer solution such as glycine buffer or boric acid buffer for the preparation of suspension is far more preferable from a standpoint of storage stability. In addition, the concentration of buffering agent in these buffers is selected appropriately from the range of usually 10 to 500 mM, preferably 10 to 300 mM. In this connection, in the aforementioned reagent, for example, a stabilizing agent such as a sugar, a protein and a surface activating agent, a salt such as NaCl and an preservative substance and the like may be added within the range usually used in this field. 
     When the anti-HABP antibody-supported carrier involved in the present invention is suspended in an above described buffer solution, the concentration of the anti-HABP antibody-supported carrier in the reaction may be, while it may vary depending on the kind of anti-HABP antibody used, set out to be the same concentration as described above, and may be selected appropriately so as to be usually within a range from 0.1 to 500 μg/ml, preferably from 0.5 to 100 μg/ml. 
     Further, in the reagent comprising an anti-HABP antibody-supported carrier involved in the present invention, an immunological reaction accelerator (agglutination reaction accelerator) (for example, polyethylene glycol and polyvinyl alcohol) may coexist at the concentration range usually used in this field, and even under coexistence of such agglutination reaction accelerator, the appearance of nonspecific turbidity of denatured protein constituent in the measuring reagent, which is caused by some sort of factor, can be repressed or reduced by the method of the present invention. In addition, a monomer or a polymer used as an agglutination accelerator described in JP-A-2002-365296 may be contained as an agglutination accelerator in the above-described reagent, and the concentration range thereof may be selected according to the value described in JP-A-2002-365296. In this connection, the aforementioned monomer or polymer may be prepared according to the method described in the above patent application. 
     The reagent kit for the measurement of hyaluronic acid involved in the present invention is to be used for performing such measurement method as described above of the present invention, and preferable embodiments of constituent elements and specific examples are as described above. 
     As to a sample involved in the present invention, any sample containing hyaluronic acid may be adopted, and specifically, it includes, for example, body fluid such as blood, plasma, serum, synovial fluid, pleural fluid, lymph fluid, spinal fluid and urine, and as preferable sample among them, serum, urine and the like are included. 
     Some examples exemplifying the present invention are described more specifically below; however, the scope of the present invention should not be limited thereto. 
     Example 1 
     (1) Preparation of Test Solution 
     1. Preparation of First Test Solution (HABP Test Solution) 
     One hundred (100) μg of hyaluronic acid binding protein (purified from bovine nasal septal cartilage according to a modified method of Lauren et al., product of Seikagaku Corporation) was dissolved in 10 ml of 100 mM HEPES buffer solution (containing 0.1% BSA and 1% NaCl, pH 7.0). This solution was defined as first test solution. 
     2. Preparation of Second Test Solution (Latex Particles Sensitized with Anti-HABP Monoclonal Antibody) 
     To a 2 ml volume polycarbonate tube for centrifugation, 800 μl of purified water, 100 μl of latex particle solution (N200, product of Sekisui Chemical Co., Ltd.: 10 wt %, 220 nm of latex particle diameter), 100 μl of 500 mM boric acid buffer (pH 7.3), 100 μl of 50 mM ASES buffer solution containing anti-HABP monoclonal antibody (4.24 mg/ml, pH 6.5) were added, and incubated with stirring at room temperature for 100 minutes to obtain a suspension of anti-HABP monoclonal antibody-supported latex particles. In this connection, above described anti-HABP monoclonal antibody was prepared according to the conventional method. 
     In the next step, the suspension of anti-HABP monoclonal antibody-supported latex particles was centrifuged at 15000 rpm for 15 minutes. After the supernatant solution was removed, 1 ml of 50 mM boric acid buffer (containing 2.5% BSA, pH 7.3) was added to the pellet at the bottom of the tube for centrifugation. After that, the pellet was resuspended by ultrasonication for 1 minute under cooling with ice, then, was centrifuged at 15000 rpm for 15 minutes. After the supernatant solution was removed, 1 ml of 50 mM boric acid buffer (containing 2.5% BSA, pH 7.3) was added to the pellet at the bottom of the tube for centrifugation. After that, the pellet was resuspended by ultrasonication for 1 minute under cooling with ice. Further, the suspension was incubated with stirring at room temperature for 120 minutes and the area of the latex particle surface, on where antibody has not been supported, was coated with BSA. 
     After that, the suspension was centrifuged at 15000 rpm for 15 minutes. After the supernatant solution was removed, 1 ml of 50 mM boric acid buffer (containing 0.5% BSA, pH 7.3) was added to the pellet at the bottom of the tube for centrifugation. Then, the pellet was resuspended by ultrasonication for 1 minute under cooling with ice, and diluted 3.33 times with 50 mM boric acid buffer (containing 0.5% BSA, pH 7.3). This solution was defined as second test solution. 
     (2) Measurement of Standard Hyaluronic Acid 
     1. Preparation of a Standard Solution of Hyaluronic Acid 
     Potassium hyaluronate (product of Wako Pure Chemical Industries, Ltd.) was diluted with 50 mM phosphate buffer (pH 7.0) so as to make solutions in concentration of 10, 100 and 1000 ng/ml, and used as standard solutions of hyaluronic acid. 
     2. Measurement of Hyaluronic Acid 
     The quantity of hyaluronic acid in the standard solutions of hyaluronic acid prepared in the above section 1 was measured under the condition as shown below using a fully automated measuring equipment system (JEOL Ltd.: BM-8 Model). 
     Sample: 10 μl 
     First test solution: 90 μl 
     Second test solution: 30 μl 
     Measurement method: 2 point-end method 
     Dominant wavelength: 571 nm 
     The results obtained were shown in Table 1. In this connection, the value indicated in the table was the value increased 10000 times of that obtained by subtraction of blank value (value obtained when hyaluronic acid concentration is zero) from measured value. 
     Comparative Example 1 
     (1) Preparation of HABP-Sensitized Latex Particle by Chemical Bond, #1 
     To a 2 ml volume polycarbonate tube for centrifugation, 900 μl of 50 mM TAPS buffer solution (pH 8.0), 100 μl of carbonic acid latex particle solution (10 wt %; carbonic acid latex particles: 200 nm in diameter; carbonic acid content: 0.3 meq/g) and 50 μl of 10 mg/ml aqueous solution of water soluble carbodiimide (WSC, product of Dojindo Laboratories) were added, and then left standing for 10 minutes to activate carboxyl group on the surface of latex particles. After that, 276 μl of 1.45 mg/ml HABP solution in ASES buffer solution (50 mM, pH 6.5) was added, and incubated with stirring at room temperature for 120 minutes. Additionally, 250 μl of boric acid buffer (50 mM, pH 7.3) containing 2.5% BSA was added to the reaction solution and incubated with stirring at room temperature for 60 minutes, and followed by incubation at 5° C. for overnight. After that, the reaction solution was centrifuged at 18000 rpm for 20 minutes. After the supernatant solution was removed, 1 ml of 50 mM boric acid buffer (containing 0.5% BSA, pH 7.3) was added to the pellet at the bottom of the tube for centrifugation. Then, the pellet was resuspended by ultrasonication for 1 minute under cooling with ice, and the same procedure was repeated twice. The solution obtained was defined as second test solution (1). 
     (2) Preparation of HABP-Sensitized Latex Particle by Chemical Bond, #2 
     HABP-sensitized latex particle was prepared by the same procedure as described in Comparative Example 1 (1), except that the carbonic acid latex particle solution with 10 wt %, 210 nm in diameter and 0.5 meq/g of carbonic acid content was used. The solution obtained was defined as second test solution (2). 
     (3) Preparation of HABP-Sensitized Latex Particle by Physical Adsorption 
     To a 2 ml volume polycarbonate tube for centrifugation, 524 μl of purified water, 100 μl of latex particle solution (N200, product of Sekisui Chemical Co., Ltd.: 10 wt %, latex particle with 220 nm in diameter), 100 μl of 500 mM boric acid buffer (pH 7.3), 276 μl of 1.45 mg/ml HABP aqueous solution were added, and incubated with stirring at room temperature for 120 minutes. 
     In the next step, the reaction solution was centrifuged at 15000 rpm for 15 minutes. After the supernatant solution was removed, 1 ml of 50 mM boric acid buffer (containing 2.5% BSA, pH 7.3) was added to the pellet at the bottom of the tube for centrifugation. After that, the pellet was resuspended by ultrasonication for 1 minute under cooling with ice. Then, the suspension was centrifuged at 15000 rpm for 15 minutes. After the supernatant solution was removed, 1 ml of 50 mM boric acid buffer (containing 2.5% BSA, pH 7.3) was added to the pellet at the bottom of the tube for centrifugation. Further, the pellet was resuspended by ultrasonication for 1 minute under cooling with ice. Then the suspension was incubated with stirring at room temperature for 60 minutes, and followed by incubation at 5° C. for overnight.
 
After that, the suspension was centrifuged at 15000 rpm for 15 minutes. After the supernatant solution was removed, 1 ml of 50 mM boric acid buffer (containing 0.5% BSA, pH 7.3) was added to the pellet at the bottom of the tube for centrifugation. Then, the pellet was resuspended by ultrasonication for 1 minute under cooling with ice. The solution obtained was defined as second test solution (3).
 
     (4) Preparation of Latex Particles Sensitized with HABP Through Anti-HABP Monoclonal Antibody, #1 
     To a 2 ml volume polycarbonate tube for centrifugation, ml of anti-HABP monoclonal antibody-sensitized latex particle solution prepared in Example 1 and 33.5 μl of 896 μg/ml HABP aqueous solution were added, and incubated with stirring at room temperature for 120 minutes, and additionally incubated at 5° C. for 2 days. Then, the resultant reaction solution was centrifuged at 15000 rpm for 15 minutes. After the supernatant solution was removed, 1 ml of 50 mM boric acid buffer (containing 0.5% BSA, pH 7.3) was added to the pellet at the bottom of the tube for centrifugation. Then, the pellet was resuspended by ultrasonication for 1 minute under cooling with ice. The solution obtained was defined as second test solution (4). 
     (5) Comparison of Calibration Curve of Reagents for the Measurement of Hyaluronic Acid Using Each Latex Particle Solution 
     The quantity of hyaluronic acid in the standard hyaluronic acid solutions was measured by the same method as (2) of Example 1, except that 100 mM HEPES buffer solution (containing 0.1% BSA and 1% NaCl, pH7.0) was used as first test solution and the second test solutions (1) to (4) were diluted by 3.33 times with 50 mM boric acid buffer (containing 0.5% BSA, pH 7.3) as second test solution. 
     The obtained results were shown in Table 1 together with the result of Example 1. In this connection, the value indicated in the table was the value increased 10000 times of that obtained by subtraction of blank value (value obtained when hyaluronic acid concentration is zero) from measured value. 
     
       
         
           
               
               
               
               
               
               
             
               
                 TABLE 1 
               
               
                   
               
               
                 Concentration of 
                   
                   
                   
                   
                   
               
               
                 hyaluronic acid 
                 Example 
                 Second 
                 Second 
                 Second 
                 Second 
               
               
                 (ng/ml) 
                 Second TS 
                 TS(1) 
                 TS(2) 
                 TS(3) 
                 TS(4) 
               
               
                   
               
             
            
               
                   
               
            
           
           
               
               
               
               
               
               
            
               
                 0 
                 0 
                 0 
                 0 
                 0 
                 0 
               
               
                 10 
                 37 
                 35 
                 3 
                 −5 
                 39 
               
               
                 100 
                 195 
                 12 
                 −2 
                 −5 
                 165 
               
               
                 1000 
                 1586 
                 3 
                 2 
                 −5 
                 1579 
               
               
                   
               
               
                 TS: test solution 
               
            
           
         
       
     
     As is clear from the results shown in Table 1, when the HABP-sensitized latex particle prepared either by chemical bond (second test solution (1) and (2) in Table 1) and by physical adsorption (second test solution (3) in Table 1) were used, agglutination of latex particles corresponding to the concentration of hyaluronic acid was not observed, and thus accurate measurement could not be performed. In addition, no significant difference in the measurement was observed, between the case when a test solution containing the particle, wherein HABP is preliminarily bound to anti-HABP monoclonal antibody-supported latex particle, was used as second test solution (second test solution (4) in Table 1) and the case when a solution containing HABP was used as first test solution and a solution containing anti-HABP monoclonal antibody-supported latex particle was used as second test solution (second test solution of Example in Table 1), and thus, it was confirmed that, by the use of these methods, a highly accurate measurement of hyaluronic acid can be performed. 
     Experimental Example 1 
     Comparison of Temporal Stability of Test Solutions 
     The first test solution and the second test solution were stored at 30° C. for 1 month, and then the quantity of hyaluronic acid was measured by the same procedure as described in Example 1 (2) using these stored test solutions. In addition, both the first test solution and the second test solution (4) used in Comparative Example 1 were stored at 30° C. for 1 month, and then the quantity of hyaluronic acid was measured by the same procedure as described in Comparative Example 1 (5) using these stored test solutions. 
     The results obtained were shown in Table 2. In this connection, the absorbance value indicated in the table was the value increased 10000 times of that obtained by subtraction of blank value (value obtained when hyaluronic acid concentration is zero) from measured value. In addition, absorbance retention was expressed as the percentage of the value obtained by dividing the absorbance measured after incubation for 1 month by the absorbance measured before incubation. 
     
       
         
           
               
               
               
             
               
                   
                 TABLE 2 
               
             
            
               
                   
                   
               
               
                   
                 Example 
                 Second test solution (4) 
               
            
           
           
               
               
               
               
               
            
               
                   
                   
                 Absorbance 
                   
                 Absorbance 
               
               
                 Concentration 
                   
                 retention 
                   
                 retention 
               
               
                 of hyaluronic 
                   
                 after 
                   
                 after 
               
               
                 acid, (ng/ml) 
                 Absorbance 
                 1 month (%) 
                 Absorbance 
                 1 month (%) 
               
               
                   
               
            
           
           
               
               
               
               
               
            
               
                   0 
                 0 
                 0 
                 0 
                 0 
               
               
                  100 
                 116 
                 80 
                 0 
                 0 
               
               
                 1000 
                 1293 
                 95 
                 164 
                 10 
               
               
                 5000 
                 3529 
                 90 
                 449 
                 10 
               
               
                 10000  
                 2850 
                 85 
                 529 
                 12 
               
               
                 Average 
                 — 
                 87 
                 — 
                 8 
               
               
                   
               
            
           
         
       
     
     As is clear from the results shown in Table 2, when the second test solution (4), namely, a test solution containing the particle, wherein HABP is preliminarily bound to anti-HABP monoclonal antibody-supported latex particle, was used as second test solution, the absorbance after passing for 1 month, as compared to that of before passage, has decreased obviously. On the other hand, when test solutions in Example 1 were used, namely, a solution containing HASP was used as first test solution and a solution containing anti-HABP monoclonal antibody-supported latex particle was used as second test solution, the absorbance retention was 80% or more, and the stability of the reagent was found significantly high compared to that observed for the second test solution (4). Thus, it was confirmed that, by the use of a reagent kit of the present invention, a highly accurate measurement of hyaluronic acid can be performed even if the reagents are stored for long time.