Patent Description:
Incompatible blood groups between a blood donor and a blood recipient can cause a severe hemolytic transfusion reaction, one of the most important approaches for ensuring safe blood transfusion is blood group compatibility detection, compatibility, i.e., harmonious coexistence, refers to inexistence of a specific antibody corresponding to an input red blood cell (RBC) antigen in a serum of a patient, and nonoccurrence of an immune reaction, which is called as compatible blood transfusion. On the contrary, it is called as incompatible blood transfusion, i.e., there is the specific antibody corresponding to the input RBC antigen in the serum of the patient, the immune reaction is performed, and RBCs input into the body of the patient are damaged, resulting in hemolysis. A specific antigen on the surfaces of the RBCs and an antibody in the serum determine a blood group, and blood group compatibility detection before blood transfusion includes ABO forward and reverse typing, RhD blood group typing, detection on an irregular antibody in the serum of the blood recipient, detection and identification of a clinically significant antibody, a crossed matching test and the like.

The most conventional gold standard detection method for blood group detection is a test tube method, and the test tube method needs the cumbersome centrifuging and washing steps and preparation of a cell suspension. Other conventional blood group detection methods include a slide method, micrcolumn gel immunoassay (MGIA), a micropore plate solid-phase detection method and the like. The slide detection technology is a cheap and rapid blood group method. However, this method is not sensitive enough to detect a weak antigen subgroup, and in this method, only forward typing detection can be carried out. In the MGIA, forward typing and reverse typing detection can be carried out, and the washing step can be avoided, but fibrinogens or obvious white blood cells are increased in a to-be-detected sample, resulting in a false positive result, and meanwhile, the incubating and centrifuging steps are required, and thus, MGIA is not applicable to undeveloped areas and particularly most of developing countries in which it is inconvenient for the MGIA to carry out bedside blood group detection. In addition, the high price monopoly and the limited detection flux of a raw material, i.e., gel particles, are also disadvantage factors of limiting further wide application of MGIA to clinic and a blood station. The micropore plate solid-phase detection method improves detection sensitivity, but also needs the complex incubating and washing steps. In addition to the above methods, fiber filter paper has the fiber characteristics of filtering out the RBCs and reserving and agglutinating the RBCs, and thus, a method for detecting the blood group by the filter paper is widely reported. The filter paper detection technology mainly adopts physical adsorption to fix the antibody onto the filter paper and is limited in adsorption capacity, and thus is relatively low in detection sensitivity and is not widely applied clinically. In addition, an IgG type monoclonal antibody cannot be used on such fiber paper as a fixed antibody, because even though there is a positive reaction, but agglutination is not carried out, the RBCs to which the positive reaction occurs will still be washed away, resulting in a false positive reaction, and meanwhile, due to limitation by the preservation condition of the antibody, the IgG type monoclonal antibody is not applicable to field emergency conditions.

<NPL>, discloses a procedure for the immobilization of antibodies on silk fibroin substrates. By controlling the conformational transition of the silk fibroin, a primary antibody was immobilized and enriched at the surface of silk fibroin substrates under mild reaction conditions to maintain antibody function. Compared to chemical crosslinking, the immobilization efficiency in the present approach was increased significantly.

In order to overcome the defects in the prior art, one objective of the present invention is to provide a functionalized biological multilayer porous membrane immune carrier, including a biological multilayer porous membrane, a specific anti-biological multilayer porous membrane antibody attached to the surface of the biological multilayer porous membrane by antigen-antibody specific binding, and a cross-linked antibody coupled and bound with the specific anti-biological multilayer porous membrane antibody. The functionalized biological multilayer porous membrane immune carrier provided by the present invention can be bound to a RBC blood group antibody or a sensitized RBC blood group antigen by coupling or antibody-antigen specific binding so as to be further used for blood group detection; and the functionalized biological multilayer porous membrane immune carrier provided by the present invention can also select a corresponding specific capture antibody as required to perform immunoreactions or continue to carry out immunoselection and binding so as to be used for detecting and analyzing a pathogenic microbial cell antigen antibody, a bacterial cell antigen antibody, a tumor cell antigen antibody and various cell antigen antibodies.

The present invention provides a functionalized biological multilayer porous membrane immune carrier, including:.

Preferably, the specific anti-biological multilayer porous membrane antibody includes a murine monoclonal antibody, a goat derived polyclonal antibody, a rabbit derived monoclonal antibody/polyclonal antibody or a chicken derived polyclonal antibody; the cross-linked antibody includes an anti-mouse polyclonal antibody, an anti-goat polyclonal antibody, an anti-rabbit polyclonal antibody or an anti-chicken polyclonal antibody; and the specific antibody which is capable of being bound to the other Fab terminal of the cross-linked antibody includes a murine monoclonal antibody, a goat derived polyclonal antibody, a rabbit derived monoclonal/polyclonal antibody or a chicken derived polyclonal antibody.

A second objective of the present invention is to provide a method for preparing the functionalized biological multilayer porous membrane immune carrier, including the following steps of:.

Preferably, the specific anti-biological multilayer porous membrane antibody is diluted by a diluent to have a final concentration of <NUM> to 100µg/ml; and the cross-linked antibody is diluted by the diluent to have a final concentration of <NUM> to 100µg/ml, wherein the diluent is a phosphate buffer solution with a concentration of <NUM>. 01mol/L and a pH of <NUM> to <NUM>.

Preferably, the treatment solution is a phosphate buffer solution with a concentration of <NUM>. 01mol/L and a pH of <NUM> to <NUM>, which contains <NUM>% bovine serum albumin.

Preferably, the washing liquid is a phosphate buffer solution with a concentration of <NUM>. 01mol/L and a pH of <NUM> to <NUM>.

Preferably, the blocking solution is <NUM>% skim milk powder prepared by a phosphate buffer solution with a concentration of <NUM>. 01mol/L and a pH of <NUM> to <NUM>, wherein the unit % represents a mass of a solute in <NUM> of solution.

A third objective of the present invention is to provide a biological multilayer porous membrane immune carrier for blood group compatibility detection, including:.

Preferably, the RBC blood group antibody includes antibodies of IgM type, IgG type or IgM-IgG mixed type for A, B, Rh, MNS, Kell and Kidd blood groups, and the red blood cell blood group antibody has a titer of greater than <NUM>:<NUM>.

Preferably, the sensitized RBC blood group antigen includes a sensitized A-type RBC antigen, a sensitized B-type RBC antigen, a sensitized irregular antibody screening RBC antigen or a sensitized RBC panel cell antigen.

A fourth objective of the present invention is to provide a method for preparing a biological multilayer porous membrane immune carrier for blood group compatibility detection, including the following steps of:.

Preferably, the method for preparing the biological multilayer porous membrane immune carrier for blood group compatibility detection further includes a step of preparing the sensitized RBC blood group antigen, and the specific steps of preparing the sensitized RBC blood group antigen are as follows: reacting the RBC membrane antibody of the non-blood group antibody with fresh RBCs, lysing the RBCs by a hypotonic solution when the intensity of agglutination reaches <NUM>+, centrifuging and collecting to obtain the sensitized RBC antigen.

Preferably, the hypotonic solution is a <NUM>-<NUM>% NaCl solution.

Preferably, the centrifuging is carried out at <NUM>,<NUM> rpm for <NUM>.

A fifth objective of the present invention is to provide a blood group detection card, including:.

Preferably, the solid-phase plastic carrier is made of a material selected from polyethylene, polystyrene and styrene-butadiene-acrylonitrile; the solid-phase plastic carrier further includes a detection hole, including two holes, three holes or multiple holes; the isolating membrane includes a filter paper, cellulose fibers, a glass fiber mat, a fiber mat made of a porous high polymer material or a test paper; and the absorbent cotton includes a cotton pulp mat and a filter paper.

A sixth objective of the present invention is to provide a method for detecting a blood group, including the following steps of:.

Preferably, the washing liquid is a buffer solution containing <NUM>% to <NUM>% of Tween-<NUM>, the pH value of the washing liquid is <NUM> to <NUM>, and the use amount of the washing liquid is <NUM> to <NUM>,000µl.

A seventh objective of the present invention is to provide use of a functionalized biological multilayer porous membrane immune carrier in the preparation of a product for blood group detection.

An eighth objective of the present invention is to provide use of a functionalized biological multilayer porous membrane immune carrier in the preparation of a product for detecting and analyzing antibodies including, but not limited to, a pathogenic microbial cell antigen antibody, a bacterial cell antigen antibody or a tumor cell antigen antibody.

In the present invention, a preparation principle of the functionalized biological multilayer porous membrane immune carrier is that: a Fab fragment of the specific anti-biological multilayer porous membrane antibody is bound to the biological multilayer porous membrane, while a Fc fragment is free outwards; and one Fab fragment of the cross-linked antibody can be bound to the free Fc fragment of the specific anti-biological multilayer porous membrane antibody, and the other Fab fragment of the cross-linked antibody can be bound to the specific antibody which belongs to the same species with the specific anti-biological multilayer porous membrane antibody so as to form the functionalized biological multilayer porous membrane immune carrier.

In the present invention, a preparation principle of the biological multilayer porous membrane immune carrier for blood group compatibility detection is that: firstly, the functionalized biological multilayer porous membrane immune carrier is prepared by the method for preparing the functionalized biological multilayer porous membrane immune carrier, as provided by the present invention, and then coupling or an antigen-antibody specific binding reaction is carried out on the cross-linked antibody bound onto the functionalized biological multilayer porous membrane immune carrier and the RBC blood group antibody or the sensitized RBC blood group antigen to prepared the biological multilayer porous membrane immune carrier for blood group compatibility detection, which can be used for blood group detection.

According to the biological multilayer porous membrane immune carrier for blood group compatibility detection, as provided by the present invention, rapid and accurate detection on RBC ABO, Rh, MNS, Kell, Kidd and other blood group system types can be implemented, RBC blood group compatibility detection of forward typing, reverse typing, antibody screening, antibody identification and so on can be simultaneously carried out, and item selection can also be carried out according to Point-of-Care Testing (POCT) demands so as to adapt to various blood group detection requirements and other detection requirements of hospitals, families, field emergencies and the like.

According to the present invention, a hydrophilic biological multilayer porous membrane with the biological activity is prepared from the thick cotton cloth, wool fabric or silkworm cocoons (natural silk fabric) or plant fiber fabric through utilizing immunogenicity and multi-layer porosity of the biological multilayer porous membrane and utilizing biological technologies of the antigen-antibody specific affinity binding interaction and the like; and the hydrophilic biological multilayer porous membrane is bound to the cross-linked antibody after being coupled with the biological multilayer porous membrane specific antibody to prepare the functionalized biological multilayer porous membrane immune carrier, after the functionalized biological multilayer porous membrane immune carrier is coupled with the RBC blood group antibody or the sensitized RBC blood group antigen, the biological multilayer porous membrane immune carrier for blood group compatibility detection is prepared, and the biological multilayer porous membrane immune carrier for blood group compatibility detection, the isolating membrane, the absorbent cotton and the plastic outer shell are assembled sequentially to form the blood group detection card for blood group compatibility detection. If RBCs react with the antibody on the carrier, no matter whether the RBCs are agglutinated, the RBCs can be captured by the antibody on the carrier, and when the membrane shows red after being washed, the positive result is obtained. On the contrary, if the specific antigen-antibody reaction is not performed between the RBCs and the antibody on the carrier, in the process of washing with the washing liquid, the RBCs penetrate through the biological porous membrane and adsorbed away by the absorbent cotton, the membrane shows the natural color, and the negative result is obtained so as to implement rapid blood group forward typing detection. For other blood group compatibility detection, a to-be-detected blood plasma or serum is added into a reaction hole, a blood group antibody in the blood sample reacts with the sensitized RBC blood group antigen coupled to the biological multilayer porous membrane, reverse typing cells or screening cells or panel cells are added, after rinsing is carried out with the washing liquid, the RBCs subjected to the antigen-antibody reaction are captured and fixed on the biological porous membrane and cannot be rinsed away, the biological multilayer porous membrane shows red, the RBCs which are not subjected to the antigen-antibody reaction are rinsed through rinsing fluid and adsorbed away by the absorbent cotton through the porous membrane, and the biological multilayer porous membrane shows the natural color so as to implement reverse typing detection, antibody screening and antibody identification.

Compared with the prior art, the present invention has the beneficial effects that:.

The above description is merely an overview of the technical solutions of the present invention, and in order to understand the technical means of the present invention more clearly and enable the present invention to be implemented in accordance with the contents of the description, illustration will be carried out in detail below by some embodiments. The specific implementation modes of the present invention are given out in detail by the following embodiments.

The accompanying drawings described herein are used for providing further understanding on the present invention and constitute one part of the present application, and schematic embodiments of the present invention and description thereof are used for explaining the present invention, but do not constitute improper limitation to the present invention. In the accompanying drawings:.

Wherein, in the drawings: <NUM>-clamping groove outer shell; <NUM>-clamping groove inner shell; <NUM>-first detection hole; <NUM>-second detection hole; <NUM>-third detection hole; and <NUM>-groove.

In order to more sufficiently understand the present invention described herein, the following embodiments are elaborated.

Firstly, some terms used herein are explained.

"Sensitized RBCs" mean that an incomplete antibody or an autoantibody is bound to a RBC surface antigen or attached to a RBC membrane to sensitize the RBCs.

"RBC panel cells" refer to a group of multiple parts of RBCs carrying most of clinically significant blood group antigens and used for RBC blood group identification.

"RBC membrane antibody of a non-blood group antibody" refers to a RBC membrane antibody, but is not an antibody against a RBC blood group system.

As shown in <FIG>, preparation of a functionalized biological multilayer porous membrane immune carrier includes the following steps of:.

Firstly, silkworm cocoons (a natural silk fabric) are sheared from a long axis direction, and silkworm chrysalis, impurity silk and other impurities are removed. The obtained product is washed with pure water twice, placed into water with the temperature of <NUM> to be soaked for <NUM>, and air-dried at room temperature after being taken out. Then the obtained product is punched by a hole puncher to form round biological multilayer porous membranes with a specification of <NUM> to <NUM>. A treatment solution is added to soak silkworm pieces, and incubation is carried out in a water bath with the temperature of <NUM> for <NUM> hours. Vacuum bubble removal is carried out once by a vacuum dryer, all the round biological multilayer porous membranes are sunk to the bottom of the treatment solution, incubation is continued to be carried out in the water bath with the temperature of <NUM> for <NUM> hours, and the obtained product is washed twice with washing liquid to prepare the required biological multilayer porous membrane.

An anti-silk protein antibody (the use amount of the antibody is about 200µl per piece) with a final concentration of 20µg/ml is added into the washed biological multilayer porous membrane in the step <NUM>), an oscillation reaction is carried out at room temperature for <NUM> hours, and the obtained product is reserved overnight at the temperature of <NUM>. Washing is carried out with washing liquid for <NUM> times, detection and identification are carried out by HRP-anti-mouse Ig(G+A+M) capable of being purchased commercially, after a reaction is performed for <NUM> hour at the temperature of <NUM>, washing is carried out with washing liquid for <NUM> times, 200µl per piece of precipitating substrate is added, color development is carried out for <NUM>, and then the membrane completely shows dark purple. A goat anti-mouse IgG cross-linked antibody is added into the biological multilayer porous membrane coupled with the anti-silk protein antibody, the final concentration is 20µg/ml, the oscillation reaction is performed at room temperature for <NUM> hours, and the obtained product is reserved overnight at the temperature of <NUM>. Washing is carried out with washing liquid for <NUM> times, detection and identification are carried out by HRP-anti-GST, after the reaction is performed for <NUM> hour at the temperature of <NUM>, blocking is carried out with a blocking solution for <NUM> hours at the temperature of <NUM>, washing is carried out with washing liquid for <NUM> times, and then the membrane completely shows dark purple so as to prepare the functionalized biological multilayer porous membrane immune carrier, wherein the membrane needs to be completely soaked in the coupling and blocking process.

As shown in <FIG>, preparation of a biological multilayer porous membrane immune carrier for human ABO, Rh(D) blood group forward typing detection includes the following steps of:.

Monoclonal antibody-A and antibody-B with the titer of <NUM>, which can be commercially purchased, are respectively added into the functionalized biological multilayer porous membrane immune carrier obtained in the step <NUM>), and the mixture is reserved overnight at the temperature of <NUM>. Air-drying is carried out at room temperature of <NUM> to <NUM>, and the air-dried product is stored at the temperature of <NUM> for later use so as to prepare the biological multilayer porous membrane immune carrier for human ABO blood group detection.

Monoclonal anti-human IgG is added into the other part of biological multilayer porous membrane immune carrier, the final concentration is 20µg/ml, after the mixture is reserved overnight at the temperature of <NUM>, washing is carried out with washing liquid for <NUM> times, anti-D with the titer of <NUM> is added, and the obtained product is reserved overnight at the temperature of <NUM>. Air-drying is carried out at room temperature of <NUM> to <NUM>, and the air-dried product is stored at the temperature of <NUM> for later use so as to prepare the biological multilayer porous membrane immune carrier for human Rh(D) blood group detection.

Preparation of a biological multilayer porous membrane immune carrier for human ABO blood group reverse typing detection includes the following steps of:.

The sensitized group-A, group-B and group-O RBC antigens prepared in the step <NUM>) are added into the functionalized biological multilayer porous membrane immune carrier obtained in the step <NUM>), and a reaction is performed overnight at the temperature of <NUM>. The obtained product is taken out, air-dried at the temperature of <NUM> to <NUM> and stored at the temperature of <NUM> for later use so as to prepare the biological multilayer porous membrane immune carrier for human ABO blood group reverse typing detection.

Preparation of a biological multilayer porous membrane immune carrier for RBC blood group antibody screening includes the following steps:.

The irregular antibody screening RBC antigens I, II and III prepared in the step <NUM>) are added into the functionalized biological multilayer porous membrane immune carrier obtained in the step <NUM>), and a reaction is performed overnight at the temperature of <NUM>. The obtained product is taken out, air-dried at the temperature of <NUM> to <NUM> and stored at the temperature of <NUM> for later use so as to prepare the biological multilayer porous membrane immune carrier for RBC blood group antibody screening.

Preparation of a biological multilayer porous membrane immune carrier for RBC blood group antibody identification includes the following steps of:.

<NUM> groups of RBC panel cell antigens prepared in the step <NUM>) are respectively added into <NUM> parts of the functionalized biological multilayer porous membrane immune carrier prepared in the step <NUM>), and a reaction is performed overnight at the temperature of <NUM>. The obtained product is taken out, air-dried at the temperature of <NUM> to <NUM> and stored at the temperature of <NUM> for later use so as to prepare the biological multilayer porous membrane immune carrier for RBC blood group antibody identification.

It should be explained that in Embodiments <NUM>-<NUM>, the specific biological multilayer porous membrane antibody is diluted by a diluent to have a final concentration of <NUM> to 100µg/ml; and the cross-linked antibody is diluted by the diluent to have a final concentration of <NUM> to 100µg/ml, wherein the diluent is a phosphate buffer solution with a concentration of <NUM>. 01mol/L and a pH of <NUM> to <NUM>.

The treatment solution is a phosphate buffer solution with a concentration of <NUM>. 01mol/L and a pH of <NUM> to <NUM>, which contains <NUM>% bovine serum albumin; the washing liquid is a phosphate buffer solution with a concentration of <NUM>. 01mol/L and a pH of <NUM> to <NUM>; and the blocking solution is <NUM>% skim milk powder prepared by a phosphate buffer solution with a concentration of <NUM>. 01mol/L and a pH of <NUM> to <NUM>, wherein the unit % represents a mass of a solute in <NUM> of solution.

As shown in <FIG>, a blood group detection card includes a solid-phase plastic carrier made of a polyethylene material. The solid-phase plastic carrier includes a clamping groove outer shell <NUM> and a clamping groove inner shell <NUM>, and the clamping groove outer shell <NUM> and the clamping groove inner shell <NUM> are in detachable connection; the clamping groove outer shell <NUM> of the blood group detection card is also provided with a first detection hole <NUM>, a second detection hole <NUM> and a third detection hole <NUM>; the biological multilayer porous membrane immune carrier for blood group compatibility detection, which is prepared in any one of Embodiment <NUM> to Embodiment <NUM>, is placed at the bottoms of the first detection hole <NUM>, the second detection hole <NUM> and the third detection hole <NUM>; the clamping groove inner shell <NUM> is provided with three grooves <NUM> corresponding to the first detection hole <NUM>, the second detection hole <NUM> and the third detection hole <NUM>, absorbent cotton is placed at the bottoms of the grooves <NUM>, and the absorbent cotton is a cotton pulp mat; and an isolating membrane is placed on the absorbent cotton, and the isolating membrane is a glass fiber mat.

It should be understood that the number of the detection holes is not merely limited to three and is specifically set according to a detection object and detection conditions of the detection card, and the detection hole may include two holes, three holes and multiple holes.

ABO forward typing and RhD blood group detection and detection result
The blood group detection card provided by Embodiment <NUM> is adopted, the number of the detection holes is <NUM>, and the biological multilayer porous membrane immune carrier coupled with anti-A, anti-B and anti-D prepared in Embodiment <NUM> is respectively arranged at the bottoms of the first detection hole <NUM>, the second detection hole <NUM> and the third detection hole <NUM>.

Fresh whole blood is taken, 10µl of whole blood is respectively dropwise added into the first detection holes <NUM>, <NUM>, <NUM>, and standing is carried out at room temperature for <NUM> minute. Three drops of rinsing fluid (a buffer solution containing <NUM>% Tween-<NUM>, of which the pH value is <NUM>) are respectively dropwise added into each hole, then the RBC distribution condition is observed and a detection result is determined. A detection principle is as shown in <FIG>.

As shown in <FIG> shows a display result of the detection card according to this embodiment. RBCs subjected to an antigen-antibody reaction are captured, fixed and blocked on the biological porous membrane and cannot be rinsed away, the RBCs are enriched in the detection hole, the detection hole shows red, and a positive result is obtained; and on the contrary, the RBCs not subjected to the antigen-antibody reaction is rinsed by the rinsing fluid and is absorbed by the absorbent cotton through the porous membrane, no RBC is enriched in the detection hole, the detection hole shows the natural color, and then a negative result is obtained, wherein if anti-A is bound to the biological multilayer porous membrane immune carrier for blood group compatibility detection at the bottom of the detection hole, the natural color of the detection hole is blue; if anti-B is bound, the natural color of the detection hole is yellow; and if anti-D is bound, the natural color of the detection hole is colourless. Finally, a result is identified and determined according to the detection hole with the positive result.

<FIG> shows a color development condition of a color development hole. <FIG> is not a colored drawing and thus is not obvious in color observation. A color display result of this embodiment can further refer to Table <NUM>.

The blood group detection card provided by Embodiment <NUM> is adopted, the number of the detection holes is <NUM>, and the biological multilayer porous membrane immune carrier specifically bound to a sensitized RBC group-A antigen, a sensitized RBC group-B antigen and a sensitized RBC H antigen prepared in Embodiment <NUM> is respectively arranged at the bottoms of the first detection hole <NUM>, the second detection hole <NUM> and the third detection hole <NUM>.

A fresh to-be-detected sample (blood plasma or serum) is taken, one drop of the sample is respectively dropwise added into the first detection holes <NUM>, <NUM>, <NUM>, and standing is carried out at room temperature for <NUM> minute. One drop of ABO reverse typing RBCs is respectively added into the corresponding holes, and standing is carried out at room temperature for <NUM> minute. Then three drops of rinsing fluid (a buffer solution containing <NUM>% Tween-<NUM>, of which the pH value is <NUM>) are respectively dropwise added into each of the corresponding holes, the RBC distribution condition is observed and a detection result is determined. A detection principle is as shown in <FIG>.

RBCs subjected to an antigen-antibody reaction are captured and fixed on the biological porous membrane and cannot be rinsed away, the RBCs are enriched in the detection hole, the detection hole shows red, and a positive result is obtained; and on the contrary, the RBCs not subjected to the antigen-antibody reaction is rinsed by the rinsing fluid and is absorbed by the absorbent cotton through the porous membrane, no RBC is enriched in the detection hole, the detection hole shows the natural color of the membrane, and then a negative result is obtained. Finally, an ABO reverse typing result is identified and determined according to the detection hole with the positive result.

The blood group detection card provided by Embodiment <NUM> is adopted, the number of the detection holes is <NUM>, and the biological multilayer porous membrane immune carriers for RBC blood group antibody identification, which are respectively prepared by irregular antibody screening RBCs I, II and III of three people in Embodiment <NUM> are respectively arranged at the bottoms of the first detection hole <NUM>, the second detection hole <NUM> and the third detection hole <NUM>.

A fresh to-be-detected sample (blood plasma or serum) is taken, one drop of the sample is respectively dropwise added into the detection holes, and standing is carried out at room temperature for <NUM> minute. One drop of irregular antibody screening RBCs I, one drop of irregular antibody screening RBCs II and one drop of irregular antibody screening RBCs III are respectively added into the corresponding holes, and standing is carried out at room temperature for <NUM> minute. Then three drops of rinsing fluid (a buffer solution containing <NUM>% Tween-<NUM>, of which the pH value is <NUM>) are respectively dropwise added into each of the corresponding holes, the RBC distribution condition is observed and a detection result is determined. A detection principle is as shown in <FIG>.

RBCs subjected to an antigen-antibody reaction are captured and fixed on the biological porous membrane and cannot be rinsed away, the RBCs are enriched in the detection hole, the detection hole shows red, and a positive result is obtained; and on the contrary, the RBCs not subjected to the antigen-antibody reaction is rinsed by the rinsing fluid and is absorbed by the absorbent cotton through the porous membrane, no RBC is enriched in the detection hole, the detection hole shows the natural color, and then a negative result is obtained. Finally, an antibody screening result is identified and determined according to the detection hole with the positive result.

The blood group detection card provided by Embodiment <NUM> is adopted, the number of the detection holes is <NUM>, and the biological multilayer porous membrane immune carriers for RBC blood group antibody identification, which are respectively prepared by <NUM> groups of sensitized RBC panel cell antigens in Embodiment <NUM> are respectively arranged at the bottoms of the first detection holes <NUM>-<NUM>.

A fresh to-be-detected sample (blood plasma or serum) is taken, one drop of the sample is respectively dropwise added into <NUM> detection holes, and standing is carried out at room temperature for <NUM> minute. One drop of RBC panel cells is respectively added into the corresponding holes, and standing is carried out at room temperature for <NUM> minute. Then three drops of rinsing fluid are respectively dropwise added into each of the corresponding holes, the RBC distribution condition is observed and a detection result is determined. A detection principle is as shown in <FIG>.

RBCs subjected to an antigen-antibody reaction are captured and fixed on the biological porous membrane and cannot be rinsed away, the RBCs are enriched in the detection hole, the detection hole shows red, and a positive result is obtained; and on the contrary, the RBCs not subjected to the antigen-antibody reaction is rinsed by the rinsing fluid and is absorbed by the absorbent cotton through the porous membrane, no RBC is enriched in the detection hole, the detection hole shows the natural color, and then a negative result is obtained. Finally, an antibody identification result is identified and determined according to the detection hole with the positive result.

The detection method disclosed by the present invention is beneficial for promoting clinical RBC blood group compatibility detection including RBC forward typing, reverse typing, antibody screening, antibody identification and the like, rapid and accurate detection on RBC ABO, Rh, MNS, Kell, Kidd and other blood group system types can be implemented, and selection of different detection items can also be carried out according to POCT demands so as to adapt to various blood group detection cases of hospitals, families, field emergencies and the like.

Claim 1:
A functionalized biological multilayer porous membrane immune carrier, comprising:
a biological multilayer porous membrane;
a specific anti-biological multilayer porous membrane antibody, the specific anti-biological multilayer porous membrane antibody being attached to the surface of the biological multilayer porous membrane through antigen-antibody specific binding with the biological multilayer porous membrane; and
a cross-linked antibody, the cross-linked antibody being coupled and bound with the specific anti-biological multilayer porous membrane antibody,
wherein one Fab terminal of the cross-linked antibody is capable of being coupled with the specific anti-biological multilayer porous membrane antibody, and the other Fab terminal is capable of being bound to a specific antibody.