Abstract:
The invention relates to a microplate, an in vitro diagnostic kit for HPV type 16 E7 oncoprotein detection and a preparation method thereof The in vitro diagnostic kit is comprised of a microplate pre-coated with an HPV type 16 E7 antibody and an HRP-labeled HPV type 16 E7 antibody with concentration of 0.05-0.4 μg/ml, wherein the amount of the antibody in each microwell of the microplate is 0.05-0.5 μg. The in vitro diagnostic kit is used for directly detecting the expression of high-risk HPV-associated oncoprotein and the expression level, and thus has a clear judgment on the infection degree of high-risk HPV, and facilitates subsequent treatment.

Description:
CROSS-REFERENCE TO RELATED APPLICATION 
       [0001]    This application claims the priority benefit of China application serial no. 201610107596.4, filed on Feb. 26, 2016. The entirety of the above-mentioned patent application is hereby incorporated by reference herein and made a part of this specification. 
       BACKGROUND OF THE INVENTION 
       [0002]    1. Technical Field The invention relates to a micropalte and an in vitro diagnostic kit, in particular to a microplate and an in vitro diagnostic kit for the HPV type 16 E7 oncoprotein detection. 
         [0003]    2. Description of Related Art 
         [0004]    Cervical cancer is the second most common cancer diagnosis in women, and is associated with high-risk human papillomavirus (HPV) infection in the cases of 99.7%. In the world, there are about 400,000 new cases of cervical cancer, and nearly 200,000 dead cases each year. (There are more than 100 HPV types) that have been broadly divided into high-risk and low-risk subtypes according to their association with cervical cancer or with benign cervical lesions or atypical hyperplasia. Low-risk HPV, including HPV6, 11, 42, 43, 44, etc., often causes external genital warts and other benign lesions, including cervical intraepithelial neoplasia I (CIN I). High-risk HPV, including HPV16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68, CP8304 and other subtypes, is associated with cervical cancer and cervical intraepithelial neoplasia II/III (CIN II/III), especially HPV16 and 18 types, of which HPV16 accounts for more than or equal to 50%. 
         [0005]    The human papilloma virus (HPV) is a double-stranded DNA virus that infects the epithelial cells of skin and mucosa. The HPV genome is divided into three main regions, early region (E region), late region (L region) and uncoding region (UCR) or upstream regulatory region (URR). The E region includes seven genes of E6, E7, E1, E2, E3, E4 and E5 in sequence, which are involved in viral DNA replication and transcription. protein coding, and maintaining the high copy number of the intracellular virus. Among them, E6 and E7 are the major oncogenes of HPV, and are associated with the virus cell transformation function and carcinogenicity. E6 and E7 proteins inactivate tumor suppressor proteins p53 and pRB to respectively deregulate cell cycle control and inhibit apoptosis. Thus, the best way to determine the HPV status in a tumor is to measure the E6/E7 proteins in tumor cells. 
         [0006]    At present, the main detection methods of human papillomavirus (HPV) include in-situ hybridization, DNA direct capture and various PCR methods. The real-time fluorescence quantitative PCR technology, which is based on the traditional PCR of the mid 1990s, has transformed from the old qualitative detection to the new quantitative detection ,and has become an important tool in molecular diagnostic research with its specificity, high sensitivity, good reproducibility, quantitative accuracy, high speed, full-closed reaction and other advantages. 
         [0007]    However, the above method is only capable of detecting the infection of human papillomavirus (HPV) on the gene level, the real-time fluorescence quantitative PCR technique cannot give an accurate judgment on the expression of oncoprotein, and needs real-time fluorescence quantitative PCR instrument, thereby being high in detection costs. 
       BRIEF SUMMARY OF THE INVENTION 
       [0008]    This invention aims to overcome the shortcomings of the prior art, and provides a chemiluminescent in vitro diagnostic kit for detection of high-risk human papillomavirus (HPV) type 16 E7 oncoprotein. Lysed cervical cells are directly added to detect the expression levels of high-risk HPV-associated oncoprotein thus a clear judgment on the infection degree of high-risk HPV is achieved, and subsequent treatment is facilitated, with which the current detection methods (including real-time fluorescence quantitative PCR technique) cannot be comparable. 
         [0009]    The kit of the invention adopts the double-antibody sandwich method and uses the antibody to detect the high-risk HPV type 16 E7 oncoprotein in human cervical exfoliated cells. The cervical exfoliated cells are lysed and directly added into the microplate coated with the specific antibody, after incubation and washing, the HRP-labeled antibody is added, and then the substrate is added after incubation and washing. The luminescence value is measured by a chemiluminescence reader. The luminescence signal is positively correlated with the E7 oncoprotein concentration in samples, thus the quantitative detection of the HPV type 16 E7 oncoprotein in human cervical exfoliated cells is established. 
         [0010]    The following technical schemes are adopted by the invention. 
         [0011]    The invention provides a microplate for HPV type 16 E7 oncoprotein detection, and the microplate is pre-coated with an HPV type 16 E7 antibody. 
         [0012]    Preferably, the coating amount of the antibody in each microwell of the microplate is 0.05-0.5 μg. 
         [0013]    Preferably, a method for preparing the microplate includes the following steps of taking an HPV type 16 E7 antibody, adding a coating buffer to the wells at an amount of 100 μl/well and standing at 4° C. overnight (16-18 h); washing the microwells with washing solution five times at an amount of 300 μl/well; adding a blocking solution to the wells at an amount of 300 μl/well, and standing at 37° C. for 1-2h for blocking; suction-drying in a drying room (18-26° C.) and sealing in vacuum (2-8° C.) to obtain a microwell plate coated with the HPV type 16 E7 antibody, and drying and storing, wherein the coating buffer is prepared by adding 0.5-5 mg of antibody to 1000 ml of buffer, and the buffer includes 1.59 g/L of Na 2 CO 3  and 2.93 g/L of NaHCO 3 ; the washing solution includes 1.44 g/L of Na 2 HPO 4 , 0.24 g/L of KH 2 PO 4 , 8 g/L of NaCl, 0.2 g/L of KCl, 0.5 ml/L of Tween-20, and 0.3 ml/L of Proclin 300; and the blocking solution includes 1.44 g/L of Na 2 HPO 4 , 0.24 g/L of KH 2 PO 4 , 8 g/L of NaCl, 0.2 g/L of KCl, 10 g/L of BAS, 25 g/L of sucrose and 0.3 ml/L of Proclin 300. 
         [0014]    The invention also provides an in vitro diagnostic kit for the HPV type 16 E7 oncoprotein detection, which includes:
       a microplate coated with an HPV type 16 E7 antibody, wherein the coating amount of the antibody in each microwell of the microplate is 0.05-0.5 μg;   and an HRP-labeled HPV type 16 E7 antibody with the concentration of 0.05-0.4 μg/ml.       
 
         [0017]    Furthermore, the kit also includes human cervical exfoliated lysis buffer. 
         [0018]    Preferably, the human cervical exfoliated lysis buffer includes 0.05%-1% (vol/vol) of surfactant, 10 mM-1 M of buffer and 1 mM-10 mM of protease inhibitor. A more ideal lysis effect can be achieved by combining multiple freezing-thawing. 
         [0019]    More preferably, the surfactant is one or more of Tween 20, Triton-100 or sodium dodecylsulfonate. The buffer is phosphate-buffered saline, Tris-HCl or a carbonate solution, and the protease inhibitor is one or more of cystatin, PMSF or Antipain. 
         [0020]    More preferably, the human cervical exfoliated lysis buffer is prepared as follows: preparing 0.05%-1% (vol/vol) of surfactant with 10 mM-1 M of buffer; and adding the protease inhibitor with final concentration of 1 mM-10 mM before use. More preferably, the human cervical exfoliated lysis buffer is prepared by a method comprising the following steps: preparing 1% of Tween 20 with 50 mM of PBS; and adding the protease inhibitor PMSF with final concentration of 5 mM before use. 
         [0021]    Furthermore, the method for preparing the microplate coated with the HPV type 16 E7 antibody includes the following steps of taking an HPV type 16 E7 antibody, adding a coating buffer to the wells at an amount of 100 μl/well and standing at 4° C. overnight (16-18 h); washing with washing solution five times at an amount of 300 μl/well; adding blocking solution to the wells at an amount of 300 μl/well, and standing at 37° C. for 1-2 h for blocking; suction-drying in a drying room (18-26° C.) and sealing in vacuum (2-8° C.) to obtain a microwell plate coated with the HPV type 16 E7 antibody, and drying and storing, wherein the coating buffer is prepared by adding 0.5-5 mg of antibody to 1000 ml of buffer, and the buffer includes 1.59 g/L of Na 2 CO 3  and 2.93 g/L of NaHCO 3 ; the washing solution includes 1.44 g/L of Na 2 HPO 4 , 0.24 g/L of KH 2 PO 4 , 8 g/L of NaCl, 0.2 g/L of KCl, 0.5 ml/L of Tween-20, and 0.3 ml/L of Proclin 300; and the blocking solution includes 1.44 g/L of Na 2 HPO 4 , 0.24 g/L of KH 2 PO 4 , 8 g/L of NaCl, 0.2 g/L of KCl, 10 g/L of BAS, 25 g/L of sucrose and 0.3 ml/L of Proclin 300. 
         [0022]    Particularly, the kit includes the following main ingredients:
       {circle around (1)} the microplate pre-coated with the HPV type 16 E7 antibody, wherein the amount of the antibody in each microwell is 0.05-0.5 μg, and the microplate is a bar-shaped microwell plate (12 bar×8 wells) and arranged in a frame;   {circle around (2)} the HPV type 16 E7 oncoprotein detection calibrators 0, 1, 2, 3, 4 and 5, wherein the freeze-dried powder serves as the calibrators, 1 ml ddH 2 O is respectively added for dissolving, and the linear concentration of the calibrator solution is 0, 10, 20, 40, 80, and 160 ng/ml, respectively;   {circle around (3)} the HPV type 16 E7 oncoprotein detection quality control samples 1 and 2, wherein the freeze-dried powder serves as the quality control samples, 1 ml ddH 2 O is added respectively for dissolving, and the concentration is 10 and 80 ng/ml, respectively;   {circle around (4)} the HRP-labeled HPV type 16 E7 antibody, which is directly used, and has the concentration of 0.05-0.4 μg/ml, one bottle and 12 ml per bottle   {circle around (5)} the human cervical exfoliated lysis buffer;   {circle around (6)} substrate solution: for example, chemiluminescent substrate solution(including substrate A and B solution) from Huzhou innoreagents Technology Co., Ltd. can be selected.   {circle around (7)} concentrated washing solution (20×): the concentrated washing solution contains a detergent and a preservative, and is diluted by 20 times with ddH 2 O;   {circle around (8)} the sealing film: a viscous film for sealing the microwell plate during incubation.       
 
         [0031]    The invention also provides a preparation method of the kit, comprising the following steps:
       {circle around (1)} preparing the microplate coated with the HPV type 16 E7 antibody   taking the HPV type 16 E7 antibody, adding a coating buffer to the wells at an amount of 100 μl/well and standing at 4° C. overnight (16-18 h); washing with washing solution five times at an amount of 300 μl/well; adding blocking solution to the wells at an amount of 300 μl/well, and standing at 37° C. for 1-2 h for blocking; suction-drying in a drying room (18-26° C.) and sealing in vacuum (2-8° C.) to obtain a microwell plate coated with the HPV type 16 E7 antibody, and drying and storing, wherein the coating buffer is prepared by adding 0.5-5 mg of antibody to 1000 ml of buffer, and the buffer includes 1.59 g/L of Na 2 CO 3  and 2.93 g/L of NaHCO 3 ; the washing solution includes 1.44 g/L of Na 2 HPO 4 , 0.24 g/L of KH 2 PO 4 , 8 g/L of NaCl, 0.2 g/L of KCl, 0.5 ml/L of Tween-20, and 0.3 ml/L of Proclin 300; the blocking solution includes 1.44 g/L of Na 2 HPO 4 , 0.24 g/L of KH 2 PO 4 , 8 g/L of NaCl, 0.2 g/L of KCl, 10 g/L of BAS, 25 g/L of sucrose and 0.3 ml/L of Proclin 300;   {circle around (2)} preparing calibrators and quality control samples   preparing the HPV type 16 E7 oncoprotein detection calibrators 0, 1, 2, 3, 4 and 5: taking lyophilized powder as the calibrators, and respectively adding 1 ml ddH 2 O for dissolving, wherein the linear concentration of the calibrator solution is 0, 10, 20, 40, 80, and 160 ng/ml, respectively;   preparing the HPV type 16 E7 oncoprotein detection quality control samples 1 and 2: taking lyophilized powder as the quality control samples, and respectively adding 1 ml ddH 2 O for dissolving, wherein the concentration is 10 and 80 ng/ml, respectively;   {circle around (3)} preparing the HRP-labeled HPV type 16 E7 antibody   labeling with a sodium periodate method, adding an HRP stabilizer, mixing thoroughly and storing at 2-8° C., wherein the concentration is 0.05-0.4 μg/ml;   {circle around (4)} preparing the human cervical exfoliated lysis buffer   preparing 0.05%-1% (vol/vol) of surfactant with 10 mM-1 M of buffer; and adding the protease inhibitor with final concentration of 1 mM-10 mM before use;   wherein the surfactant is one or more of Tween 20, Triton-100 or sodium dodecylsulfonate; the buffer is phosphate-buffered saline, Tris-HCl or a carbonate solution, and the protease inhibitor is one or more of cystatin, PMSF or Antipain;   {circle around (5)} preparing concentrated washing solution (20×)   adding 28.8 g of Na 2 HPO 4 .12H 2 O, 4.8 g of KH 2 PO 4 , 160 g of NaCl, 4 g of KCl, 10 ml of Tween-20, and 6 ml of Proclin 300 to ddH 2 O, diluting to 1000 ml, mixing thoroughly and storing at room temperature;   {circle around (6)} directly obtaining the commercially available substrate solution and sealing film by purchasing.       
 
         [0045]    A detection method using the kit includes the following steps:
       obtaining sufficient amount of human cervical exfoliated cells, vortex for 2-10 min, freezing-thawing in a −20° C. refrigerator for 1-3 times, shaking for 2-10 min, centrifuging for 10-30 min (13,000 rpm), and collecting supernatant for direct detection;   {circle around (1)} taking the required pre-coated microplate from a 4° C. refrigerator and standing at room temperature for 15 min;   {circle around (2)} adding 100 μl calibrator/quality control sample/sample to each well, mixing thoroughly and incubating at 37° C. for 30-60 min;   {circle around (3)} Remove the liquid from each well, adding 300 μl of washing solution to each well, standing and incubating for 1 min, remove the liquid from each well, drying by clapping on the absorbent paper, and repeating for 3-5 times;   {circle around (4)} adding 100 μl of HRP-labeled antibody solution to each well and standing and incubating at 37° C. for 30-60 min;   {circle around (5)} Remove the liquid from each well, adding 300 μl of washing solution to each well, standing and incubating for 1 min, remove the liquid from each well, drying by clapping on the absorbent paper, and repeating for 3-5 times;   {circle around (6)} adding 50 μl of chemiluminescent substrate A solution and 50 μl of chemiluminescent substrate B solution (Huzhou innoreagents Technology Co., Ltd.) into each well, placing in the chemiluminescence reader and reading the luminescence value;   obtaining a standard curve equation by taking the calibrator concentration as the abscissa and the luminescence value as the ordinate and by adopting the four-parameter logic fitting method, and calculating the HPV type 16 E7 oncoprotein concentration in the to-be-detected sample according to the standard curve equation.       
 
         [0000]    
       
         
               
             
               
               
               
             
           
               
                   
               
               
                 Result interpretation of the kit 
               
             
          
           
               
                   
                 the HPV16 E7 protein  
                   
               
               
                   
                 concentration in cervical 
                   
               
               
                   
                 exfoliated cell samples 
                 (ng/ml) 
               
               
                   
                   
               
               
                   
                 Negative 
                 &lt;15.02 
               
               
                   
                 Positive 
                 &gt;15.02 
               
               
                   
                   
               
             
          
         
       
     
         [0054]    The invention has the following beneficial effects: 
         [0055]    Some clinical patients are infected with human papillomavirus (HPV), but the associated oncogene is low in expression or not expressed. In this case, the human papillomavirus (HPV) can be eliminated by the patient own immune system, without causing panic and unnecessary treatment, thereby reducing patient mental stress and economic stress. On the basis, the in vitro diagnostic kit is used for directly detecting the expression of high-risk HPV-associated oncoprotein and the expression level, and thus has a clear judgment on the infection degree of high-risk HPV, and facilitates subsequent treatment. The kit is complementary to the current gene level detection method, so that the test result is more accurate, the treatment program becomes clearer, and the patient is recovered soon. At the same tinge, the method requires only conventional chemiluminescence reader, which is inexpensive and can be used as the preferred method for cervical cancer screening. 
     
    
     
       BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS 
         [0056]      FIG. 1  is the standard curve equation obtained by taking the calibrator concentration in the Embodiment 4 as the abscissa and the luminescence value as the ordinate and by adopting the four-parameter logic fitting method. 
       
    
    
     DETAILED DESCRIPTION OF THE INVENTION 
       [0057]    The invention will be described in further detail with reference to the embodiments, but the embodiments are not intended to limit the scope of the invention. 
       Embodiment 1 
       [0058]    A method for preparing the microplate coated with the HPV type 16 E7 antibody includes the following steps:
       taking the HPV type 16 E7 antibody, adding a coating buffer to the wells at an amount of 100 μl/well and standing at 4° C. overnight (18 h); washing with washing solution five times at an amount of 300 μl/well; adding blocking solution to the wells at an amount of 300 μl/well, and standing at 37° C. for 2 h for blocking; suction-drying in a drying room (26° C.) and sealing in vacuum (4° C.) to obtain a microwell plate coated with the HPV type 16 E7 antibody, and drying and storing, wherein the coating buffer is prepared by adding 5 mg of antibody to 1000 ml of buffer, and the buffer includes 1.59 g/L of Na 2 CO 3  and 2.93 g/L of NaHCO 3 ; the washing solution includes 1.44 g/L of Na 2 HPO 4 , 0.24 g/L of KH 2 PO 4 , 8 g/L of NaCl, 0.2 g/L of KCl, 0.5 ml/L of Tween-20, and 0.3 ml/L of Proclin 300; the blocking solution includes 1.44 g/L of Na 2 HPO 4 , 0.24 g/L of KH 2 PO 4 , 8 g/L of NaCl, 0.2 g/L of KCl, 10 g/L of BAS, 25 g/L of sucrose and 0.3 ml/L of Proclin 300;       
 
       Embodiment 2 
       [0060]    Preparation of the human cervical exfoliated lysis buffer and lysate
       preparing 1% of Tween 20 with 50 mM of PBS; and adding the protease inhibitor PMSF with final concentration of 5 mM before use. 500 μl of lysate was added into a cervix exfoliated cell collection tube, the collection tube was vortex-shaken for 2 min, placed in a −20° C. freezer for 10 min, then placed in a 37° C. oven for 2 min, shaken again, and centrifuged (20 min, 13,000 rpm, 4° C.), and the supernatant was collected and detected.       
 
       Embodiment 3 
       [0062]    A preparation method of the in vitro diagnostic kit for the HPV type 16 E7 oncoprotein detection
       {circle around (1)} preparation of the microplate pre-coated with the HPV type 16 E7 antibody, wherein the amount of the antibody in each microwell was 0.5 μg, and the microplate was a bar-shaped microwell plate (12 bars×8 wells) and arranged in a frame; and the preparation method was the same as the Embodiment 1;   {circle around (2)} preparation of the HPV type 16 E7 oncoprotein detection calibrators 0, 1, 2, 3, 4 and 5, wherein the freeze-dried powder served as the calibrators, 1 ml ddH 2 O was respectively added for dissolving, and the linear concentration of the calibrator solution was 0, 10, 20, 40, 80, and 160 ng/ml, respectively;   {circle around (3)} preparation of the HPV type 16 E7 oncoprotein quality control samples 1 and 2, wherein the lyophilized powder served as the quality control samples, 1 ml ddH 2 O was respectively added for dissolving, and the concentration was 10 and 80 ng/ml, respectively;   {circle around (4)} preparation of the HRP-labeled HPV type 1.6 E7 antibody: labeling with the sodium periodate method, adding an HRP stabilizer, mixing thoroughly and storing at 2-8° C., wherein the concentration is 0.4 μg/ml, one bottle and 12 m1 per bottle;       
 
         [0067]    {circle around (5)} preparation of the human cervical exfoliated lysis buffer wherein the preparation method was the same as the Embodiment 2;
       {circle around (6)} preparation of the substrate solution: chemiluminescent substrate A and B (Huzhou innoreagents Technology Co., Ltd.);   {circle around (7)} preparation of the concentrated washing solution (20×): adding 28.8 g of Na 2 HPO 4 .12H 2 O, 4.8 g of KH 2 PO 4 , 160 g of NaCl, 4 g of KCl, 10 ml of Tween-20, and 6 ml of Proclin 300 to ddH 2 O, diluting to 1000 ml, mixing thoroughly and storing at room temperature;   {circle around (8)} selection of the sealing film, wherein the sealing film was a viscous film for sealing the micro ell plate during incubation.       
 
       Embodiment 4 
       [0071]    Detection of one cervical sample 
         [0072]    The of the microplate and the lysis of the cervical sample were the same as the Embodiments 1-2. The detection was performed by (1) taking the required pre-coated microplate from the 4° C. refrigerator and standing at room temperature for 15 min. (2) Adding 100 μl calibrator/quality control sample/sample to each well, mixing thoroughly and incubating at 37° C. for 60 min. (3) Remove liquid from each well, adding 300 μl of washing solution o each well, standing and incubating for 1 min, the Remove liquid from each well, drying by clapping on the absorbent paper, and repeating for 5 times. (4) Adding 100 μl of HRP-labeled antibody solution to each well and standing and incubating at 37° C. for 60 min. (5) Remove liquid from each well, adding 300 μl of washing solution to each well, standing and incubating for 1 min, remove liquid from each well, drying by clapping on the absorbent paper, and repeating for 5 times. (6) Adding 50 μl of chemiluminescent substrate A-and 50 μl of chemiluminescent substrate B into each well, placing in the chemiluminescence reader and reading the luminescence value; obtaining the standard curve equation by taking the calibrator concentration as the abscissa and the luminescence value as the ordinate and by adopting the four-parameter logic fitting method, which is shown in  FIG. 1 . The HPV type 16 E7 oncoprotein concentration in the to-be-detected sample was calculated to be 109.42 ng/ml according to the standard curve equation. According to the result interpretation, the sample is positive, and the patient needs positive treatment. 
         [0000]    
       
         
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                   
                   
               
               
                   
                   
                   
                   
                 concentration 
               
               
                   
                   
                   
                   
                 calculated 
               
               
                   
                   
                 antigen 
                   
                 according to the 
               
               
                   
                   
                 concentration 
                 luminescence 
                 standard curve 
               
               
                   
                 ID 
                 (ng/ml) 
                 value 
                 (ng/ml) 
               
               
                   
                   
               
             
             
               
                   
               
             
          
           
               
                   
                 Cal0 
                 0 
                 1060 
                   
               
               
                   
                 Cal1 
                 10 
                 6912 
                   
               
               
                   
                 Cal2 
                 20 
                 10721 
                   
               
               
                   
                 Cal3 
                 40 
                 22244 
                   
               
               
                   
                 Cal4 
                 80 
                 44363 
                   
               
               
                   
                 Cal5 
                 160 
                 68556 
                   
               
               
                   
                 sample to 
                   
                 55124 
                 109.42 
               
               
                   
                 be detected 
                   
                   
                   
               
               
                   
                   
               
             
          
         
       
     
         [0073]    The cervical exfoliated cells of a part of sample patient were detected by using the kit of the invention (for example the in vitro diagnostic kit of the Embodiment 3), and the detection data results are shown below: 
         [0000]    
       
         
               
             
               
               
               
             
               
               
               
             
           
               
                 TABLE 1 
               
             
             
               
                   
               
               
                 detection data results of  
               
               
                 the cervical exfoliated  
               
               
                 cells of sample patient 
               
             
          
           
               
                   
                   
                 HPV16 E7 antigen 
               
               
                   
                   
                 detection 
               
               
                   
                   
                 concentration 
               
               
                   
                 sample number 
                 (ng/ml) 
               
               
                   
                   
               
             
          
           
               
                   
                 No. 1 sample patient 
                 1.17 
               
               
                   
                 No. 2 sample patient 
                 3.01 
               
               
                   
                 No. 3 sample patient 
                 4.43 
               
               
                   
                 No. 4 sample patient 
                 8.04 
               
               
                   
                 No. 5 sample patient 
                 8.26 
               
               
                   
                 No. 6 sample patient 
                 0.66 
               
               
                   
                 No. 7 sample patient 
                 19.26 
               
               
                   
                 No. 8 sample patient 
                 3.62 
               
               
                   
                 No. 9 sample patient 
                 0.03 
               
               
                   
                 No. 10 sample patient 
                 1.24 
               
               
                   
                 No. 11 sample patient 
                 4.89 
               
               
                   
                 No. 12 sample patient 
                 0.04 
               
               
                   
                 No. 13 sample patient 
                 10.22 
               
               
                   
                 No. 14 sample patient 
                 1.51 
               
               
                   
                 No. 15 sample patient 
                 1.69 
               
               
                   
                 No. 16 sample patient 
                 0.43 
               
               
                   
                 No. 17 sample patient 
                 13.38 
               
               
                   
                 No. 18 sample patient 
                 0.05 
               
               
                   
                 No. 19 sample patient 
                 2.54 
               
               
                   
                 No. 20 sample patient 
                 0.04 
               
               
                   
                 No. 21 sample patient 
                 16.99 
               
               
                   
                 No. 22 sample patient 
                 0.03 
               
               
                   
                 No. 23 sample patient 
                 0.07 
               
               
                   
                 No. 24 sample patient 
                 1.16 
               
               
                   
                 No. 25 sample patient 
                 0.26 
               
               
                   
                 No. 26 sample patient 
                 0.08 
               
               
                   
                 No. 27 sample patient 
                 0.10 
               
               
                   
                 No. 28 sample patient 
                 9.99 
               
               
                   
                 No. 29 sample patient 
                 0.09 
               
               
                   
                 No. 30 sample patient 
                 0.59 
               
               
                   
                 No. 31 sample patient 
                 1.92 
               
               
                   
                 No. 32 sample patient 
                 0.52 
               
               
                   
                 No. 33 sample patient 
                 13.50 
               
               
                   
                 No. 34 sample patient 
                 14.18 
               
               
                   
                 No. 35 sample patient 
                 4.20 
               
               
                   
                 No. 36 sample patient 
                 3.50 
               
               
                   
                 No. 37 sample patient 
                 0.41 
               
               
                   
                 No. 38 sample patient 
                 1.17 
               
               
                   
                 No. 39 sample patient 
                 0.09 
               
               
                   
                 No. 40 sample patient 
                 0.04 
               
               
                   
                 No. 41 sample patient 
                 0.06 
               
               
                   
                 No. 42 sample patient 
                 0.63 
               
               
                   
                 No. 43 sample patient 
                 1.11 
               
               
                   
                 No. 44 sample patient 
                 3.79 
               
               
                   
                 No. 45 sample patient 
                 23.80 
               
               
                   
                 No. 46 sample patient 
                 0.91 
               
               
                   
                 No. 47 sample patient 
                 21.73 
               
               
                   
                 No. 48 sample patient 
                 9.30 
               
               
                   
                 No. 49 sample patient 
                 6.42 
               
               
                   
                 No. 50 sample patient 
                 17.58 
               
               
                   
                 No. 51 sample patient 
                 0.15 
               
               
                   
                 No. 52 sample patient 
                 2.97 
               
               
                   
                 No. 53 sample patient 
                 12.61 
               
               
                   
                 No. 54 sample patient 
                 0.15 
               
               
                   
                 No. 55 sample patient 
                 2.74 
               
               
                   
                 No. 56 sample patient 
                 5.18 
               
               
                   
                 No. 57 sample patient 
                 0.24 
               
               
                   
                 No. 58 sample patient 
                 0.30 
               
               
                   
                 No. 59 sample patient 
                 8.16 
               
               
                   
                 No. 60 sample patient 
                 0.03 
               
               
                   
                 No. 61 sample patient 
                 2.56 
               
               
                   
                 No. 62 sample patient 
                 1.05 
               
               
                   
                 No. 63 sample patient 
                 0.37 
               
               
                   
                 No. 64 sample patient 
                 0.57 
               
               
                   
                 No. 65 sample patient 
                 0.32 
               
               
                   
                 No. 66 sample patient 
                 0.40 
               
               
                   
                 No. 67 sample patient 
                 1.60 
               
               
                   
                 No. 68 sample patient 
                 0.25 
               
               
                   
                 No. 69 sample patient 
                 3.89 
               
               
                   
                 No. 70 sample patient 
                 0.17 
               
               
                   
                 No. 71 sample patient 
                 5.23 
               
               
                   
                 No. 72 sample patient 
                 1.93 
               
               
                   
                 No. 73 sample patient 
                 3.70 
               
               
                   
                 No. 74 sample patient 
                 0.99 
               
               
                   
                 No. 75 sample patient 
                 0.91 
               
               
                   
                 No. 76 sample patient 
                 1.15 
               
               
                   
                 No. 77 sample patient 
                 1.29 
               
               
                   
                 No. 78 sample patient 
                 10.33 
               
               
                   
                 No. 79 sample patient 
                 8.46 
               
               
                   
                 No. 80 sample patient 
                 6.06 
               
               
                   
                 No. 81 sample patient 
                 9.76 
               
               
                   
                 No. 82 sample patient 
                 2.66 
               
               
                   
                 No. 83 sample patient 
                 2.25 
               
               
                   
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
             
               
               
               
             
           
               
                 TABLE 2 
               
             
             
               
                   
               
               
                 Detection data results of the cervical  
               
               
                 exfoliated cells of patients 
               
             
          
           
               
                   
                   
                 HPV16 E7  
               
               
                   
                   
                 antigen 
               
               
                   
                   
                 detection  
               
               
                 sample 
                 pathological  
                 concentration 
               
               
                 number 
                 data 
                 (ng/ml) 
               
               
                   
               
             
          
           
               
                 No. 1 patient 
                 squamous  
                 125.03 
               
               
                   
                 carcinoma 
                   
               
               
                   
                 of the cervix 
                   
               
               
                 No. 2 patient 
                 CIN II 
                 82.46 
               
               
                 No. 3 patient 
                 CIN III 
                 26.85 
               
               
                 No. 4 patient 
                 squamous  
                 152.50 
               
               
                   
                 carcinoma 
                   
               
               
                   
                 of the cervix 
                   
               
               
                 No. 5 patient 
                 CIN III 
                 45.98 
               
               
                 No. 6 patient 
                 CIN II 
                 52.20 
               
               
                 No. 7 patient 
                 CIN I 
                 19.19 
               
               
                 No. 8 patient 
                 CIN II 
                 15.25 
               
               
                 No. 9 patient 
                 CIN I 
                 1.89 
               
               
                 No. 10 patient 
                 CIN II 
                 92.15 
               
               
                 No. 11 patient 
                 CIN II 
                 19.45 
               
               
                 No. 12 patient 
                 CIN III 
                 12.64 
               
               
                 No. 13 patient 
                 CIN I 
                 16.85 
               
               
                 No. 14 patient 
                 squamous  
                 112.05 
               
               
                   
                 carcinoma 
                   
               
               
                   
                 of the cervix 
                   
               
               
                 No. 15 patient 
                 CIN I 
                 2.43 
               
               
                 No. 16 patient 
                 CIN II 
                 62.20 
               
               
                 No. 17 patient 
                 CIN III 
                 102.54 
               
               
                 No. 18 patient 
                 CIN III 
                 75.25 
               
               
                 No. 19 patient 
                 CIN II 
                 8.56 
               
               
                   
               
             
          
         
       
     
         [0074]    Data Analysis 
         [0075]    1. According to the detection values of the sample patient, the average value, the standard deviation, and the Cutoff value were calculated. The detection results of cervical exfoliated cells of 83 cases of sample patient were averaged, and the standard variance SD was calculated. When the Cutoff value of the kit was determined, the sum of the average value of the sample patient and twice of the standard variance was selected as the judgment standard of the negative and positive expression of the HPV16 E7 protein, and the results are as follows: 
         [0076]    The calculation formula of Cutoff is cutoff=average value+2*SD standard variance 
         [0000]    
       
         
               
             
               
               
               
             
           
               
                 TABLE 3 
               
               
                   
               
               
                 statistics of detection 
               
               
                 data table 1 
               
               
                   
               
             
             
               
                   
               
             
          
           
               
                   
                 average value 
                 4.06 
               
               
                   
                 SD standard 
                 5.48 
               
               
                   
                 variance 
                   
               
               
                   
                 Cutoff 
                 15.02 ng/ml 
               
               
                   
                   
               
             
          
         
       
     
         [0077]    2. The negative and positive expression of the HPV16 E7 protein is determined by the Cutoff value, and the expression is considered to be positive when exceeding the Cutoff value, namely the HPV16 E7 protein is expressed, as compared with the pathological data. 
         [0078]    3. Diagnosis results of the cervical exfoliated cells of the patients in Table 2, judged according to the Cutoff value (“+” shows that the test results are positive; “−” shows that the test results are negative) 
         [0000]    
       
         
               
               
               
               
               
             
           
               
                   
                   
               
               
                   
                   
                   
                   
                 judgement 
               
               
                   
                   
                   
                   
                 according 
               
               
                   
                   
                   
                   
                 to the 
               
               
                   
                   
                   
                 HPV16 E7  
                 Cutoff 
               
               
                   
                   
                   
                 antigen 
                 value 
               
               
                   
                   
                   
                 detection  
                 negativity 
               
               
                   
                 sample 
                 pathological  
                 concentration 
                 and 
               
               
                   
                 number 
                 data 
                 (ng/ml) 
                 positivity 
               
               
                   
                   
               
             
             
               
                   
                 No. 1 patient 
                 cervical 
                 125.03 
                 + 
               
               
                   
                   
                 cancer 
                   
                   
               
               
                   
                 No. 2 patient 
                 CIN III 
                 82.46 
                 + 
               
               
                   
                 No. 3 patient 
                 CIN II 
                 26.85 
                 + 
               
               
                   
                 No. 4 patient 
                 cervical 
                 152.50 
                 + 
               
               
                   
                   
                 cancer 
                   
                   
               
               
                   
                 No. 5 patient 
                 CIN III 
                 45.98 
                 + 
               
               
                   
                 No. 6 patient 
                 CIN II 
                 52.20 
                 + 
               
               
                   
                 No. 7 patient 
                 CIN I 
                 19.19 
                 + 
               
               
                   
                 No. 8 patient 
                 CIN II 
                 15.25 
                 + 
               
               
                   
                 No. 9 patient 
                 CIN I 
                 1.89 
                 − 
               
               
                   
                 No. 10 patient 
                 CIN II 
                 92.15 
                 + 
               
               
                   
                 No. 11 patient 
                 CIN II 
                 19.45 
                 + 
               
               
                   
                 No. 12 patient 
                 CIN III 
                 12.64 
                 − 
               
               
                   
                 No. 13 patient 
                 CIN I 
                 16.85 
                 + 
               
               
                   
                 No. 14 patient 
                 cervical 
                 112.05 
                 + 
               
               
                   
                   
                 cancer 
                   
                   
               
               
                   
                 No. 15 patient 
                 CIN I 
                 2.43 
                 − 
               
               
                   
                 No. 16 patient 
                 CIN II 
                 62.20 
                 + 
               
               
                   
                 No. 17 patient 
                 CIN III 
                 102.54 
                 + 
               
               
                   
                 No. 18 patient 
                 CIN III 
                 75.25 
                 + 
               
               
                   
                 No. 19 patient 
                 CIN II 
                 8.56 
                 − 
               
               
                   
                   
               
             
          
         
       
     
         [0079]    Accuracy ratio formulated according to the diagnosis result positivity and negativity of the cervical exfoliated cells of the patients 
         [0000]    
       
         
               
               
               
               
             
               
               
               
               
               
             
               
               
               
               
               
               
             
           
               
                   
                   
               
               
                   
                 pathological 
                 number  
                 detection of  
               
               
                   
                 data 
                 of 
                 HPV16 E7 protein 
               
             
          
           
               
                   
                 result 
                 people 
                 positivity 
                 negativity 
               
               
                   
                   
               
             
          
           
               
                   
                 CIN I 
                 4 
                 2 
                 (50%) 
                 2 
               
               
                   
                 CIN II 
                 7 
                 6  
                 (85.7%) 
                 1 
               
               
                   
                 CIN III 
                 5 
                 4  
                 (80%) 
                 1 
               
               
                   
                 cervical 
                 3 
                 3  
                 (100%) 
                 0 
               
               
                   
                 cancer 
                   
                   
                   
                   
               
               
                   
                   
                 19 
                 15 
                 (78.9%) 
                 4 
               
               
                   
                   
               
             
          
         
       
     
         [0080]    As shown in Table 2, in the experiment, the total number of the detected patient cervical exfoliated cells is 19 cases, the detection results of 14 cases using the kit for the HPV16 E7 protein are positive, and the diagnostic sensitivity is up to 78.9%, in which the diagnostic sensitivity is up to 80% for the case samples of CIN II or above.