阅读说明：本技术 一种基于全自动化学发光分析仪的血清tk1检测试剂盒 (Serum TK1 detection kit based on full-automatic chemiluminescence analyzer ) 是由 党利 梁丽雯 李作生 李惠军 陈湖 方聪 陈璐 艾伦·何 斯文·斯库格 周际 于 2018-09-04 设计创作，主要内容包括：本发明公开了试剂盒及其用途,其中,该试剂盒包括：已固定或欲固定至固体载体的第一多克隆抗体；以及标记物标记的第二多克隆抗体,其中,所述第一多克隆抗体和所示第二多克隆抗体均为鸡抗人IgY-TK1多克隆抗体,并且,所述第一多克隆抗体和所述第二多克隆抗体均特异性结合于胸苷激酶1。该试剂盒的检测灵敏度和准确度高,操作简单方便,适用于人群体检筛查影像不可检测的微小恶性肿瘤/癌前疾病和肿瘤风险评估。(The invention discloses a kit and application thereof, wherein the kit comprises: a first polyclonal antibody immobilized or to be immobilized to a solid support; and a second polyclonal antibody labeled with a label, wherein the first polyclonal antibody and the second polyclonal antibody are both chicken anti-human IgY-TK1 polyclonal antibodies, and the first polyclonal antibody and the second polyclonal antibody both specifically bind to thymidine kinase 1. The kit has high detection sensitivity and accuracy, is simple and convenient to operate, and is suitable for evaluating the risk of tiny malignant tumors/precancerous diseases and tumors which cannot be detected by the physical examination screening images of people.)

1. A kit, comprising:

a first polyclonal antibody immobilized or to be immobilized to a solid support; and

a second polyclonal antibody labeled with a label,

wherein the first polyclonal antibody and the second polyclonal antibody are both chicken anti-human IgY-thymidine kinase 1 polyclonal antibodies, and the first polyclonal antibody and the second polyclonal antibody both specifically bind to thymidine kinase 1.

2. The kit of claim 1, wherein the epitopes recognized by the first and second polyclonal antibodies comprise:

a third peptide segment at the carbon terminus, the third peptide segment having the amino acid sequence of SEQ ID NO: 3; and

at least two selected from the following peptide fragments:

a first peptide segment at the carbon terminus, the first peptide segment having the amino acid sequence of SEQ ID NO: 1;

a second peptide segment at the carbon terminus, the second peptide segment having the amino acid sequence of SEQ ID NO: 2;

a fourth peptide segment at the carbon terminus, the fourth peptide segment having the amino acid sequence of SEQ ID NO: 4;

a fifth peptide segment at the carbon terminus, the fifth peptide segment having the amino acid sequence of SEQ ID NO: 5, and (c) a sequence shown in (5).

3. The kit of claim 1, wherein the first polyclonal antibody and the second polyclonal antibody are obtained by immunizing different chickens with an antigen, wherein the antigen is a polypeptide at the carbon-terminus of human thymidine kinase 1.

4. The kit of claim 3, wherein the antigen has the amino acid sequence of SEQ ID NO: 6.

5. The kit of claim 1, further comprising:

a labeled recognizer-conjugated substrate luminescence catalyst, the labeled recognizer specifically recognizing the marker;

a luminescent substrate that emits an optical signal under the action of the substrate luminescence catalyst.

6. The kit of claim 5, wherein the label is biotin and the label identifier is streptavidin.

7. The kit of claim 1, wherein the solid support is a magnetic microparticle.

8. The kit of claim 1, further comprising calibrators, quality controls, anti-reagents, diluents, and washing solutions.

9. Use of a kit according to any one of claims 1 to 8 for the detection of thymidine kinase 1.

10. Use of the kit of any one of claims 1-8 for the image-undetectable microscopic malignancy and tumor/pre-cancerous disease risk assessment.

11. A method for determining abnormal proliferation of cells in a subject, comprising:

determining the amount of thymidine kinase 1 in the serum of said patient using a kit according to any one of claims 1 to 8; and

assessing whether cell proliferation in the subject is abnormal based on the level of thymidine kinase 1.

Technical Field

The invention relates to the field of biological detection, in particular to the development of a kit of a full-automatic chemiluminescence analyzer of a magnetic particle immune sandwich method technology and the effectiveness of the kit in the screening of routine population physical examination.

Background

The immunomagnetic particle separation technology is an immunological technology developed based on antigen-antibody specific binding. It is mainly characterized by that it utilizes the modification group marked on the surface of magnetic particle, such as amino group, carboxyl group, tosyl group and streptavidin, etc. to make covalent coupling or non-covalent coupling with labeled antibody, and can be used for combining specific antigen and making separation of correspondent antigen substance in the full-automatic immunochemiluminescence analyzer.

Thymidine kinase 1 is a kinase that is expressed in the cytoplasm and converts deoxythymidine (dTdR) to thymidylate phosphate. It is a key kinase for the introduction of dTdR via the salvage pathway into the sole pathway of DNA synthesis. Expression of TK1 is closely related to the cell cycle, and its regulation in the cell cycle ensures the supply of thymidylate-3-phosphate in DNA replication. This approach complements the need for DNA synthesis when tumor cells proliferate abnormally. The level of TK1 rises and falls closely related to the DNA synthesis rate in S phase of cell cycle, and the TK1 level in tumor cells in proliferation phase begins to rise at the boundary of G1 and S phase of cell cycle, and the TK1 enzyme level gradually rises sharply as the cells enter the late G1 phase, and reaches the boundary of S and G2 phases. Thus the TK1 enzyme is called the S phase specific enzyme. The detection of the thymidine kinase 1 content in serum can effectively screen high-risk people with precancerous disease progressing into malignant tumor in a future period of time in health examination, and can be applied to clinical departments to monitor the curative effect, prognosis and recurrence risk of malignant tumor patients. However, the existing detection system for detecting thymidine kinase 1 cannot be operated automatically, has low repeatability accuracy, and influences the judgment of detection results. Thus, kits for detecting thymidine kinase 1 would be desirable.

Disclosure of Invention

The invention aims to provide a kit which can be suitable for a full-automatic chemiluminescence analyzer, has high detection accuracy and simple and convenient operation, and is suitable for conventional large-scale crowd screening.

Neoplastic diseases are characterized by abnormal cell proliferation. Multiple genetic mutations associated with cell growth regulatory pathways in certain enzymes and proteins lead to uncontrolled regulation of normal cells, leading to the development of abnormal proliferation of malignant tumors. The research and development of new tumor proliferation markers and the establishment of detection technologies are one of the important subjects of accurate tumor detection and preventive medicine. As early as 1950, thymidine kinase 1(TK1) was discovered and recognized as an accurate molecular target for proteins to assess cell proliferation rate. The enzyme of the TK 1-pyrimidine salvage pathway catalyzes the conversion of thymidine (dTDR) to thymidine monophosphate (dTMP). TK1 is called the key enzyme for DNA synthesis and the S phase specific enzyme in mammalian cell cycle. The TK1 level is closely related to DNA synthesis rate and further closely related to tumor cell proliferation. The inventor designs human TK1 antigen, successfully prepares chicken anti-human TK1-IgY antibody, establishes a commercial detection kit of high-sensitivity immune enhanced chemiluminescence dot blot (ECL dot blot), measures the TK1 concentration in serum, and confirms that the detection system is suitable for monitoring the curative effect of various tumors, the recurrence and survival rate of cancer patients, particularly early detection of precancerous disease malignant tumor and prediction of risk process of tumor development, and is a preferred biomarker for predicting the risk of tumor dynamic process. Based on Meta-study of 35365 human serum samples from the large data of physical examination population, the inventors set STK1p (serum thymidine kinase 1 protein) ═ 2pmol/L as a reasonable "risk threshold" and effectively assessed abnormal cell growth rates in routine population screening. The incidence of new malignant tumor in 6 years is 3-5 times higher than the statistical new incidence (0.2% -0.3%) of Chinese tumor. The risk of developing new malignancies within 11 years was even higher (44-fold) in the STK1p high-risk group compared to the low-risk group of STK1p (≦ 2 pmol/L). A total of 160086 clinical trials in Meta study further demonstrated that the test kit is suitable for early stage tumor discovery, including precancerous disease, tumor-related risk disorders and early stage micro-latent malignancies. However, the method is still semi-automatic, and particularly, the 3 microliter spotting of the serum requires a fine manual technical operation, has poor repeatability (the standard error of detection sometimes exceeds 15 percent), and is not suitable for routine large-scale population screening.

Thus, according to one aspect of the invention, the invention provides a kit. According to an embodiment of the invention, the kit comprises: a first polyclonal antibody immobilized or to be immobilized to a solid support; and a second polyclonal antibody labeled with a label. Wherein the first and second polyclonal antibodies are both chicken anti-human IgY-thymidine kinase 1(IgY-TK1) polyclonal antibodies, and the first and second polyclonal antibodies both specifically bind to thymidine kinase 1.

According to the kit provided by the embodiment of the invention, the inventor screens a large number of thymidine kinase 1(TK1) antibodies, and finds that two chicken anti-human IgY-TK1 polyclonal antibodies, namely a first polyclonal antibody and a second polyclonal antibody, can simultaneously recognize different micro-regions of an epitope of TK1, namely two polyclonal antibodies of the same source can simultaneously and specifically bind with different surface determinants of an antigen, so that a double-antibody sandwich complex is formed. The concentration of the TK1 antigen in the sample is determined based on the light intensity of the luminescent label carried on the multiple antibody labeled with the luminescent label in the detection complex. Moreover, the inventor researches to find that the chicken anti-human IgY-TK1 has better sensitivity and specificity for binding TK1 in serum compared with IgY-TK1 of other animal sources.

Furthermore, the kit provided by the embodiment of the invention has the advantages of high detection sensitivity, strong specificity, short detection time, low detection cost, automatic operation and easiness in popularization. According to the embodiment of the invention, the detection result of the kit based on the embodiment of the invention can be effectively used for the screening of the physical examination of the crowd, the patients with tumor disease risk progress and the non-tumor disease are distinguished, and the repeated accuracy of the detection is high.

Furthermore, the kit provided by the embodiment of the invention is matched with a full-automatic chemiluminescence immunoassay analyzer for use, so that thymidine kinase 1 in a sample is detected, full automation of a detection process is realized, and errors caused by manual operation are reduced.

It should be noted that, in the present application, a double-antibody sandwich complex is formed by two kinds of polyclonal antibodies, namely, a first polyclonal antibody and a second polyclonal antibody, rather than the existing monoclonal antibody and polyclonal antibody of murine origin. An increasing number of patients with tumor diseases are now being treated with monoclonal mouse antibodies for immunotherapy, one of the interfering factors being human anti-mouse IgG monoclonal antibodies (HAMA), and thus often causing antibody response effects. In the treatment of tumors, particularly with murine monoclonal antibodies, detection of tumor-associated markers of the monoclonal antibody type will increase the incidence of HAMA in vivo. The advantage of monitoring efficacy with chicken antibody detection methods is that they do not react with HAMA. Therefore, the immunoassay method using chicken antibodies using the kit of the present embodiment should be theoretically superior to the method using mammalian antibodies. The TK1-IgY polyclonal antibody is shown to be more advantageous than a monoclonal antibody in detection, and the detection result is more accurate.

It should be noted that, the first and second polyclonal antibodies of the embodiment of the present invention are chicken anti-human IgY antibodies, and the use of the chicken anti-human IgY antibodies has at least one of the following advantages:

(1) there is molecular genetic difference between chicken IgY and human IgG;

(2) chicken TK1 and human TK1 have ethnic differences;

(3) compared with polyclonal antibodies prepared by traditional rabbit immunization, IgY has endogenous molecule homogeneity (only one type of antibody molecule is generated, namely IgY);

(4) the IgY antibody does not activate the human complement system, thereby partially blocking the activation of non-specific antigen binding sites in human serum;

(5) rheumatoid Factor (RF) does not react with IgY antibodies. This RF is a major source of non-specific reactions in many immunoassays because RF reacts with the Fc portion of mammalian antibody IgG and can lead to false positives in human and healthy human serum.

In addition, the kit according to the above embodiment of the present invention may further have the following additional technical features:

according to an embodiment of the invention, the epitopes recognized by said first and second polyclonal antibodies comprise:

a third peptide segment at the carbon terminus, the third peptide segment having the amino acid sequence of SEQ ID NO: 3, is a very critical specific epitope in the form of serum TK 1. The sequence is shown below:

NCPVPGKPGEAV(SEQ ID NO：3)

also comprises at least two peptide fragments selected from thymidine kinase 1: a first peptide segment at the carbon terminus, the first peptide segment being an accessible epitope, said first peptide segment having the amino acid sequence of SEQ ID NO: 1, which is shown below:

GQPAGPDNKEN(SEQ ID NO：1)

a second peptide segment at the carbon terminus, the second peptide segment having the amino acid sequence of SEQ ID NO: 2, which is as follows:

GEAVAARKLF(SEQ ID NO：2)

a fourth peptide segment at the carbon terminus, the fourth peptide segment having the amino acid sequence of SEQ ID NO: 4, which is shown as follows:

NCPVPGKPGE(SEQ ID NO：4)

a fifth peptide segment at the carbon terminus, the fifth peptide segment having the amino acid sequence of SEQ ID NO: 5, which is shown below:

PVPGKPGEAV(SEQ ID NO：5)。

according to an embodiment of the present invention, the first polyclonal antibody and the second polyclonal antibody are obtained by immunizing chicken with a first antigen, wherein the antigen is a polypeptide at the carbon terminal of human thymidine kinase 1. The inventor screens a large number of different peptide fragments of thymidine kinase 1, and finds that an antibody immunized by the peptide fragment of thymidine kinase 1 positioned at the C terminal has good specificity and high sensitivity for combining with TK1, and the antibody can be combined with TK1 in serum, thereby realizing the detection of TK1 in the serum. And the antibody obtained by other peptide fragment immunization is hardly combined with the TK1 in serum, so that the TK1 in serum cannot be effectively detected. And the antibody can effectively recognize TK1 in serum and distinguish a population with high proliferation risk through 15 years of clinical practice and more than 10 ten thousand sample analysis.

According to an embodiment of the invention, the antigen has the amino acid sequence of SEQ ID NO: 6, which is shown below;

GQPAGPDNKENCPVPGKPGEAVAARKLFAPQ(SEQ ID NO：6)

further, the epitope that the antigen can recognize comprises 4 specific epitopes and an accessibility epitope, wherein the four specific epitopes and the accessibility epitope are respectively:

a first peptide segment at the carbon terminus, an accessible epitope, said first peptide segment having the amino acid sequence of SEQ ID NO: 6, which is shown below: GQPAGPDNKEN (SEQ ID NO: 1)

A second peptide segment at the carbon terminus, the second peptide segment having the amino acid sequence of SEQ ID NO: 2, which is as follows:

GEAVAARKLF(SEQ ID NO：2)

a third peptide segment at the carbon terminus, the third peptide segment having the amino acid sequence of SEQ ID NO: 3, which is shown as follows:

NCPVPGKPGEAV (SEQ ID NO: 3), is a very critical specific epitope in the form of serum TK 1.

A fourth peptide segment at the carbon terminus, the fourth peptide segment having the amino acid sequence of SEQ ID NO: 4, which is shown as follows:

NCPVPGKPGE(SEQ ID NO：4)

a fifth peptide segment at the carbon terminus, the fifth peptide segment having the amino acid sequence of SEQ ID NO: 5, which is shown below:

PVPGKPGEAV(SEQ ID NO：5)

the inventor adopts an ELISA measuring method to detect the IgY-TK1 polyclonal antibody prepared by the first peptide segment of the carbon terminal through the antigen immunization, and the result shows that the antibody has immune response reaction with the four specific epitopes and the accessibility region (GQPAGPDNKEN 195-205), but different hen-derived antibodies show different immune response reaction percentages for the four specific epitopes and the accessibility epitope. The epitope of the third peptide fragment at the carbon terminal shows the main and strongest immune response. Specifically, each hen immunized with the polypeptide at the C-terminal of human thymidine kinase 1 has different immune response reactions of the obtained antibodies, wherein the first polyclonal antibody and the second polyclonal antibody can be obtained by immunizing two chickens of the same species to obtain the antibodies which are polyclonal antibodies recognizing different epitope response reactions, thereby realizing the pairing of the kit by a sandwich method. According to an embodiment of the present invention, the epitope recognized by the first polyclonal antibody and the epitope recognized by the second polyclonal antibody are each selected from at least 3-4 of the first-fifth peptide fragments of thymidine kinase 1, wherein a third peptide fragment having a carbon terminal is necessary.

According to an embodiment of the present invention, further comprising: a labeled identifier conjugated substrate luminescence catalysis, the labeled identifier specifically recognizing the label; a luminescent substrate that emits an optical signal under the action of the substrate luminescence catalyst. Therefore, a specific signal amplification system is formed by labeling the identifier specific identification marker, so that the detection sensitivity and the repeatability are improved, and the detection time is shortened. According to a specific embodiment of the present invention, the label is biotin and the label identifier is streptavidin. Therefore, by adopting a biotin-streptavidin high-specificity signal amplification system, the detection sensitivity and the repeatability are obviously improved, and the reaction time is shortened to 50 minutes from 7 hours of the traditional detection method.

According to an embodiment of the invention, the luminescent substrate is APS-5.

According to embodiments of the invention, the substrate luminescence catalyst may be alkaline phosphatase, and the substrate luminescence catalyst to which the labeled identifier is coupled may be alkaline phosphatase-labeled streptavidin; the substrate luminescence catalyst can also be horseradish peroxidase, and the substrate luminescence catalyst coupled with the labeled identifier can be streptavidin labeled by avidin horseradish peroxidase.

According to an embodiment of the invention, the solid support is a magnetic particle. Therefore, the polyclonal antibody is coupled on the magnetic particles, so that the immunochemiluminescence technology is combined with a full-automatic magnetic particle immune luminescence analyzer, a reaction system close to homogeneous phase is provided, a high-specificity signal amplification system of a luminescent marker-marker identifier is adopted, the detection sensitivity and the repeatability are greatly improved, and the reaction time is shortened to 50 minutes from 7 hours of the traditional detection method.

According to an embodiment of the invention, the magnetic particles have a particle size of 2-5 microns. Preferably, the magnetic particles have a particle size of 3 microns. Therefore, the magnetic particles are appropriate in particle size, the matching degree with a full-automatic chemiluminescence immunoassay analyzer is better, the separation degree with higher efficiency can be obtained under the condition of a matched magnetic field, and meanwhile, the binding degree of the magnetic particles in the particle size range to the antibody is high, so that the detection precision is favorably improved.

According to an embodiment of the present invention, the magnetic microparticle-coupled first antibody is prepared as follows:

1) putting the fully and uniformly mixed tosyl magnetic particle concentrated solution into a reaction bottle, putting the reaction bottle in a magnetic field for 15-20 minutes, absorbing the supernatant after the tosyl magnetic particles are all adsorbed by the magnetic field, adding a magnetic particle activation buffer solution with the volume of 2-20 times of that of the reaction bottle, shaking and washing for 10m minutes, putting the reaction bottle in the magnetic field for 15-20 minutes, and absorbing the supernatant; repeatedly cleaning the tosyl magnetic particles for 2 times; finally, diluting the tosyl magnetic particle solution to 1-20 mg/ml, and uniformly mixing for later use;

2) the connection reaction is carried out according to the mass ratio of the tosyl magnetic particle solution: adding the first antibody into the tosyl magnetic particle solution prepared in the step 1) according to the proportion of 1000:1-10, adding a total volume of 1/10-1/2 of a magnetic particle catalytic buffer solution, and reacting for 18 hours at 37 ℃ in a uniformly mixed state;

3) adding 10% BSA (bovine serum albumin) with the total volume of 1/50-1/10 into the magnetic particle solution prepared in the step 2), and reacting for 6 hours at 37 ℃ in a uniformly mixed state;

4) and (3) placing the reaction bottle in a magnetic field for 15min, cleaning for 3 times by using a magnetic particle cleaning solution after the tosyl magnetic particles are adsorbed to the magnetic field, then fixing the volume to 1mg/ml, and storing at 2-8 ℃ to obtain the first antibody coupled with the magnetic particles.

The preparation method of the magnetic particle activation buffer solution comprises the steps of dissolving 5.18-7.36 g of boric acid in 900ml of deionized water, adjusting the pH value to 8-10 by using NaOH, fixing the volume to 1L, and filtering by using a 0.45-micrometer filter membrane; the preparation method of the magnetic particle catalytic buffer solution comprises the following steps: dissolving 100-150g of ammonium sulfate in 1L of magnetic particle activation buffer solution, and filtering with a 0.45 mu m filter membrane after complete dissolution; the magnetic particle cleaning solution is pH7.4TBST buffer solution.

According to the embodiment of the invention, the kit further comprises a calibrator, a quality control material, an anti-reagent, a diluent and a washing solution.

The washing solution is pH7.4TBST buffer solution;

the preparation method of the diluent comprises the following steps: dissolving 0.1-10 g of sealing agent in 1L of Tris buffer solution, adding 0.1-5 ml of preservative, and filtering with a 0.22 mu m filter membrane after complete dissolution to prepare the finished product.

The preparation method of the anti-reagent comprises the following steps: dissolving 0.1-10 g of sealing agent in 1L of Tris buffer solution, adding 0.1-5 ml of preservative, and filtering with a 0.22 mu m filter membrane after complete dissolution to prepare the finished product.

According to the embodiment of the invention, the calibrator and the quality control product are pure TK1, wherein the calibrator comprises 5 concentrations for determining a standard curve to calculate the concentrations; the quality control product comprises 2 concentrations, the effectiveness of the reagent is confirmed by using the quality control product, and whether the result of the quality control product is in a specified range or not is tested.

To facilitate the use of the kit of the present invention, provided herein is a general method for determining thymidine kinase 1 levels in serum using the kit, comprising the steps of:

1) sequentially putting reagents in the kit into a matched full-automatic chemiluminescence analyzer;

2) respectively sucking 1-10 ul of a sample to be tested, 10-100ul of diluent, 10-100ul of magnetic particle reagent and 10-100ul of anti-reagent by a full-automatic chemiluminescence analyzer, sequentially adding the samples to the reaction cup, reacting for 10 minutes at 37 ℃, performing magnetic separation by a cleaning device, discarding supernatant, and cleaning the compound precipitate for 1-6 times by using a cleaning solution;

3) adding 10-100ul of streptavidin-labeled alkaline phosphatase reagent into a reaction cup, reacting for 10 minutes at 37 ℃, performing magnetic separation by using a cleaning device, removing supernatant, and cleaning the complex precipitate for 1-6 times by using a cleaning solution;

4) adding 10-500 ul of luminescent substrate into a reaction cup containing the compound precipitate, reacting for 1-5 minutes, and entering a dark box to read a luminescent value. The content of thymidine kinase 1 in the sample is in positive correlation with the luminous value, and the content of thymidine kinase 1 is calculated by the luminous standard curve.

The technical principle of the kit provided by the embodiment of the invention is as follows: the magnetic particles coupled with the primary antibody are combined with the secondary antibody labeled with biotin and thymidine kinase 1 in the sample, calibrator or quality control to form a sandwich complex. And then adding an alkaline phosphatase-labeled streptavidin reagent, wherein the streptavidin is specifically bound with the biotin and plays a role in signal amplification, separating a complex formed by the immune reaction from other unbound substances under the action of an external magnetic field, cleaning the complex, and adding an enzymatic chemiluminescence substrate. The substrate is catalytically cracked under the action of enzyme to form an unstable excited state intermediate, photons are emitted when the excited state intermediate returns to the ground state to form a luminescence reaction, and the photon intensity is read and converted into a digital signal through a photomultiplier of a full-automatic chemiluminescence immunoassay analyzer. Within the detection range, the luminous intensity is in direct proportion to the content of thymidine kinase 1 in the sample, and the concentration of thymidine kinase 1 in the sample can be calculated by using improved four-parameter Logistic equation fitting.

According to the kit provided by the invention, the detection specificity is that the TK1 level in the TK1 positive strain and the TK1 negative strain of the tumor cell is determined through comparative analysis, and the TK1 detection specificity of the kit provided by the invention is verified.

According to a further aspect of the invention there is provided the use of a kit for the detection of thymidine kinase 1. Detection of thymidine kinase 1 in serum can reflect abnormal cell proliferation, so that early warning of early stage potential abnormal cell proliferation in physical examination population can be performed earlier than imaging detection, and the method can warn the risk of malignant tumor in the possible process of the subject, and can also be used for detecting the proliferation rate of micro tumor.

According to a further aspect of the invention, the invention provides the use of the aforementioned kit for imaging undetectable microscopic malignancies and tumor risk assessment. That is, the kit can evaluate the effectiveness of early detection of malignant tumors and prediction of the risk course of tumor development. In other words, in the early stage of tumor, because the tumor body has small volume and is difficult to detect by imaging, the kit provided by the embodiment of the invention can be used for early judgment of the onset of tumor by detecting and analyzing thymidine kinase 1 and combining other medical detection, and can be used for risk assessment of tumor. In particular, the test method using the kit comprises determining the level of serum TK1 substance in a body sample from a subject of said physical examination population using a method or kit according to the embodiments. The level of serum TK1 substance in the serum sample is then compared or compared to the level of serum TK1 substance previously measured in the subject. If the measured serum TK1 level is elevated, it is indicative of an increased likelihood of tumor-associated risk of disease progression in the subject.

According to yet another aspect of the present invention, there is provided a method for determining abnormal cell proliferation in the serum of a subject, which is particularly suitable for use in a physical population. According to an embodiment of the invention, the method comprises: determining the amount of thymidine kinase 1 in the serum of said patient using the aforementioned kit; and assessing whether cell proliferation in the subject is abnormal based on the serum thymidine kinase 1 level.

According to a specific embodiment of the invention, the level of normal or tumor cell proliferation is determined and compared to the level of serum TK1 measured to determine whether the subject has normal or baseline cell proliferation or elevated cell proliferation.

Additional aspects and advantages of the invention will be set forth in part in the description which follows and, in part, will be obvious from the description, or may be learned by practice of the invention.

Drawings

The above and/or additional aspects and advantages of the present invention will become apparent and readily appreciated from the following description of the embodiments, taken in conjunction with the accompanying drawings of which:

FIG. 1 shows a standard graph according to an embodiment of the invention;

FIG. 2 is a graph showing the results of TK1 concentration distribution in a test serum versus% of human according to an embodiment of the present invention, wherein A is kit 1, B is kit 2, and C is kit 3;

FIG. 3 is a graph showing the results of the correlation between the dilution concentration of a lysate of a TK1 positive cell strain and the expression level of TK1 according to the kit of the embodiment of the invention;

figure 4 shows a graphical representation of the correlation between human STK1p concentration and tumor growth, according to an embodiment of the invention.

Detailed Description

Reference will now be made in detail to embodiments of the present invention, examples of which are illustrated in the accompanying drawings, wherein like or similar reference numerals refer to the same or similar elements or elements having the same or similar function throughout. The embodiments described below with reference to the accompanying drawings are illustrative only for the purpose of explaining the present invention, and are not to be construed as limiting the present invention.

It should be noted that the terms "first" and "second" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include one or more of that feature. Further, in the description of the present invention, "a plurality" means two or more unless otherwise specified.

The present invention is described below with reference to specific examples, which are intended to be illustrative only and are not to be construed as limiting the invention.

The scheme of the invention will be explained with reference to the examples. It will be appreciated by those skilled in the art that the following examples are illustrative of the invention only and should not be taken as limiting the scope of the invention. The examples, where specific techniques or conditions are not indicated, are to be construed according to the techniques or conditions described in the literature in the art or according to the product specifications. The reagents or apparatus used are conventional products which are commercially available, e.g. from Sigma, without reference to the manufacturer.