U.S. patent application number 15/601677 was filed with the patent office on 2017-11-23 for method for separating target molecules or particles from fibrinogen-containing samples including blood components.
The applicant listed for this patent is Debiopharm International S.A.. Invention is credited to Patrice Francois, Vladimir Lazarevic, Nicolas Mermod, Amar Rida, Jacques Schrenzel.
Application Number | 20170336424 15/601677 |
Document ID | / |
Family ID | 45044632 |
Filed Date | 2017-11-23 |
United States Patent
Application |
20170336424 |
Kind Code |
A1 |
Rida; Amar ; et al. |
November 23, 2017 |
METHOD FOR SEPARATING TARGET MOLECULES OR PARTICLES FROM
FIBRINOGEN-CONTAINING SAMPLES INCLUDING BLOOD COMPONENTS
Abstract
A method for separating target molecules or particles from a
fibrinogen containing sample comprises: (a) trapping the said
target molecules or particles in a fibrin network by converting at
least partially the fibrinogen contained in the sample into fibrin;
(b) retracting the said fibrin network to form a fibrin clot; (c)
separating the said fibrin clot from the surrounding sample
medium,
Inventors: |
Rida; Amar; (Lausanne,
CH) ; Mermod; Nicolas; (Buchillon, CH) ;
Francois; Patrice; (Cran-Gevrier, FR) ; Lazarevic;
Vladimir; (Renens, CH) ; Schrenzel; Jacques;
(Geneva, CH) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
Debiopharm International S.A. |
Lausanne |
|
CH |
|
|
Family ID: |
45044632 |
Appl. No.: |
15/601677 |
Filed: |
May 22, 2017 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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13822209 |
Mar 11, 2013 |
9689881 |
|
|
PCT/IB2011/054035 |
Sep 15, 2011 |
|
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15601677 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
G01N 2333/974 20130101;
G01N 33/86 20130101; G01N 2333/75 20130101; G01N 33/56938 20130101;
C12Q 1/56 20130101 |
International
Class: |
G01N 33/86 20060101
G01N033/86; C12Q 1/56 20060101 C12Q001/56; G01N 33/569 20060101
G01N033/569 |
Foreign Application Data
Date |
Code |
Application Number |
Sep 15, 2010 |
CH |
01478/10 |
Dec 7, 2010 |
CH |
02041/10 |
Jul 20, 2011 |
CH |
01207/11 |
Claims
1.-27. (canceled)
28. A sample collection device for separating target molecules or
particles from a sample comprising: (i) an identification code;
(ii) a container for containing the sample; and (iii) a dry
reagents formulation in the container, the device being operable to
form a fibrin clot that traps in a separable manner the target
molecules or particles upon the exposure of the sample to thrombin
or a thrombin-like enzyme within the device in the presence of
fibrinogen that is native to the sample and/or artificially added,
wherein the formulation comprises thrombin or a thrombin-like
enzyme.
29. The device according to claim 28, wherein the volume of the
sample container is between 0.1 and 20 ml.
30. The device according to claim 28, wherein the concentration of
fibrinogen within the sample is between 0.1 to 10 mg/ml.
31. The device of claim 28 wherein said fibrinogen is native to the
sample.
32. The device according to claim 28 wherein said fibrinogen is
initially included within the device, prior to adding the sample
into the device.
33. The device according to claim 28 wherein said thrombin or
thrombin-like enzyme is included within the device in a lyophilized
format.
34. (canceled)
35. The device according to claim 28, which further includes
additives selected from the group consisting of calcium, chelating
agents; activated platelet cells, activated platelet cell lysate,
and factor XIII.
36. The device according to claim 28, which further includes
magnetic particles.
37. The device according to claim 36, wherein the magnetic
particles are coated with a fibrinogen/fibrin binding moiety.
38. The device according to claim 37, which further comprises
molecules having: (I) fibrin/fibrinogen-binding moiety and (II) a
substance-capturing moiety directed against said target molecules
or particles.
39. The device according to claim 28, wherein the fibrinogen in the
sample is recombinant.
40. The device according to claim 39, wherein the fibrinogen in the
sample is a fibrinogen fusion protein with a capturing moiety
domain directed against said target molecules or particles.
41. A device according to claim 28, wherein the target molecules or
particles comprise bacteria, virus, yeast, proteins, peptides
and/or nucleic acids.
42. (canceled)
43. The device according to claim 28, wherein the dry formulation
further comprises fibrinogen.
Description
RELATED APPLICATIONS
[0001] The present patent application is a continuation of U.S.
patent application Ser. No. 13/822,209, which was filed on Mar. 11,
2013 and claims the priority benefit of International Application
No. PCT/IB2011/054035, filed Sep. 15, 2011, which claims priority
to Swiss application No. 01478110, filed Sep. 15, 2010; to Swiss
application No. 02041110, filed Dec. 7, 2010; and to Swiss
application No. 01207111, filed Jul. 20, 2011, each of which are
herein incorporated by reference in their entireties.
FEDERALLY SPONSORED RESEARCH OR DEVELOPMENT
[0002] [Not Applicable]
FIELD OF THE INVENTION
[0003] The invention relates to a method for sample processing for
the separation of target molecules or particles from the said
sample. More specifically, the invention concerns a sample
preparation procedure allowing effective separation and
concentration of target molecules or particles from samples
containing fibrinogen proteins prior to their detection and
analysis.
DESCRIPTION OF RELATED ARTS
[0004] In bioassays the ability to extract, concentrate and purify
target molecule(s), particle(s) or analyte(s) from diverse samples
(i.e. sample preparation) represents a critical step and is
challenging as a prerequisite step for effective target detection
and analysis. The sample preparation step is the major
rate-limiting step in bioassays in terms of detection limit,
reproducibility and interferences with other compounds of said
particle(s) or analyte(s). Existing sample preparation procedures
typically involve lengthy manual or complex robotic pipeting steps
including long centrifugation rounds. Not only are such procedures
slow, costly and labor consuming they also can represent a health
risk to the laboratory staff demanding expensive disposal of
hazardous chemicals. Moreover, the workflow for sample preparation,
especially for the new generation of molecular targets has become
even more complex and multiple solutions are being offered.
Currently, different and individual solutions for sample
preparation are being used for each sample type and target.
Providing a standard sample preparation workflow solution
applicable for multiple samples and targets that are
easy-to-implement, compatible with automation and reagent
integration and involving minimal hands-on time, still remains an
unresolved requirement in the life sciences and diagnostic setting.
Further, standardization of sample workflow methodologies is a
major requirement mainly in the regulated diagnostic
environments.
[0005] A typical illustration of the complexity of the sample
preparation is the detection of target molecules or particles out
of the complex blood medium. Particularly complex is the detection
of infectious agents (bacteria, fungi) from blood at low detection
levels. At the clinical level, the detection of blood infection
(i.e. Sepsis) is particularly important as it is the cause of a
serious medical condition induced by inflammatory response to
microbial infection in blood. Sepsis represents indeed the most
common cause of death in intensive care units. Moreover, due to the
inferior detection of microorganisms from blood, the missing or
delayed identification of the infectious agent and/or the absence
or delayed antibiotic susceptibility testing, many antibiotic
treatment modalities are being initiated only empirically without
appropriate diagnostic coverage. The medical need in sepsis
diagnostics for an early detection, fast microorganism
identification and antibiotic susceptibility testing and adequate
patient management is highly unmet. At times of increasing
resistance development of microorganisms (e.g. nosocomial
microorganisms), new methodologies for rapid and accurate sepsis
diagnostics are crucial to decrease morbidity and mortality.
Finally, another source of sepsis infections are blood
transfusions. Effective detection of microorganisms out of blood,
blood components and blood derivatives is of high importance for
prevention of contaminations.
[0006] The use of blood cultures, either as blood bottle culture or
blood agar culture still is the routine method of choice (gold
standard) to detect and identify infectious agents in patients with
bacteremia and sepsis.
[0007] A major issue in the detection of bacterial cells in the
blood is the ability of detecting cell numbers as low as 1 Colony
Forming Units (CFU) per milliliter. In this context, the volume of
blood that must be processed at a detection level in this order of
magnitude must therefore consist of several milliliters (5-10 ml)
of the blood specimen. `Looking for a needle in a haystack`, the
big challenge in blood infection diagnosis will be based on the
availability of efficient and easy-to-implement technologies that
allow the extraction and purification of specific infection
biomarkers from viable micro-organisms or their nucleic acids
genetic content.
[0008] As for instance reported in the international patent
applications WO95/15397 and WO2009/015484, multi-centrifugation or
filtration methodologies are used in combination with specific cell
wall/membrane lysis steps for enriching target microorganisms out
of blood samples and body fluids. Next to low enrichment
efficiency, another limitation of such centrifugation methodologies
is their noncompatibility with routine automated laboratory assay
work flows. In order to overcome the process limitations of
centrifugation, magnetic particles coated with affinity groups
directed against target microorganisms have been introduced. Using
a magnetic force the particles capture the targets on their
surfaces resulting in the easy separation of the targets out of
blood. However, there are some major disadvantages for a broad
application of affinity groups on magnetic beads to capture viable
bacteria. First, the spectrum of pathogenic microorganisms consists
of a long list of gram-negative and gram-positive bacteria and
numerous fungi species; there are no generic affinity groups
available that cover all classes of microorganisms. Also, many such
microorganisms are encapsulated, a phenomenon that facilitates
their survival and disposition in blood. Secondly, it has been
shown that microorganisms are not always free-floating in the
bloodstream but are rather associated to or sequestered from some
blood cells as well as from platelets. In case of Staphylococcus
aureus for instance, the interaction platelets and further
sequestration of the bacteria by the platelets is an important
virulence factor that allows bacteria to escape the host defense
system.
[0009] An alternative to the direct enrichment of viable
microorganisms out of blood samples consists of the use of
molecular biomarkers (specific nucleic acid gene sequences) and
immediate subsequent nucleic acid amplification techniques, such as
PCR (Polymerase Chain Reaction). The method opens new possibilities
to deliver faster results. However, the level of detection
(sensitivity) is often lower than that of culture-based methods.
The limited sensitivity of the molecular methods is mainly related
to the high background DNA from eukaryotic cells (white blood
cells) in the blood sample. An increase of the sensitivity of the
PCR-based methods can be achieved by drawing out the eukaryotic
nucleic acids from the blood sample or by specifically
concentrating the microorganism (prokaryotic) DNA. In this
perspective, EP-A-1,400,589 discloses a method of separating the
prokaryotic DNA from blood lysate comprising the step of specific
binding of prokaryotic DNA with at least one protein or polypeptide
followed by the separation of the so-formed complex. Within the
same scope, EP-A-1,861,495 describes a method for specifically
isolating nucleic acids from microbial cells provided in a mixed
sample which additionally comprises higher eukaryotic cells. This
invention disclose the use of nucleases, especially DNA-degrading
nucleases, for degrading nucleic acids in the presence of one or
several chaotropic agents and/or one or several surfactants in
whole blood, allowing thereby to draw out eukaryotic nucleic acids
from blood lysates. Both methods are limited by the complex
protocols and the timely processing steps, Le. half a day before
obtaining purified bacterial nucleic acids. Moreover, these methods
show a limit of detection of 100 CFU/ml which is still considerably
lower than the sensitivity of the blood culture method that by
definition is 1 CFU in the considered 10 ml volume
[0010] Besides the mentioned limitations of the-state-of-the-art
nucleic acids detection methods, the relevance of molecular methods
for detecting bacteria and 5 fungi in general is questionable. In
fact, detecting circulating DNA in blood does not necessarily
correlate with the blood culture methods that detect viable
microorganisms. To "keep" such correlation, some approaches propose
the identification of the infectious agents using molecular based
methods starting from positive blood cultures. However, the
clinical relevance of such approaches remains limited because the
time-consuming culture method is still required. This question is
even of higher importance as the molecular methods fail in the vast
majority of cases to provide information on the antimicrobial
susceptibility spectrum of the bacterium, the latter still relies
on the traditional culture approaches.
[0011] Knowing these shortcomings, the development of new methods
allowing fast and reliable microorganism detection and
identification in the blood remains a highly relevant question.
Moreover, the detection of infectious agents in blood presented
herein is a typical example to illustrate the complexity of sample
preparation procedures and their major importance in bioassays in
general and medical diagnostics in particular. Assays for
determining the presence of target molecules or particles in a
variety of samples, including food, clinical, environmental, and
experimental samples, are of increasing importance.
SUMMARY OF THE INVENTION
[0012] The invention relates to a method for sample preparation and
processing resulting in an effective separation of target molecules
or particles from a surrounding 25 complex liquid medium. This
method will further allow to recover the said target(s) highly
concentrated in a controlled buffer medium, at a volume that is
preferably at least 1/10 of the initial sample volume. Furthermore,
the advantage of the disclosed method is the capability to reach a
concentration rate of 1/100 to 1/1000 of the initial sample volume.
The so concentrated target(s) can be thereafter preceded very
easily through further purification step(s) and/or directly
analyzed using state-of-art methodologies.
[0013] The disclosed sample preparation method is particularly
adapted to be used with diverse sample sources and a broad spectrum
of volume sizes. Furthermore, the separation according to the
invention allows to specifically or un-specifically separate the
target particle(s) or molecule(s) from complex sample volumes using
size and/or affinity selection.
[0014] Accordingly, this invention discloses a sample preparation
method that presents therefore the advantage to be universally used
for virtually any type of sample and target.
[0015] Based on the disclosed method this invention further
discloses a sample collection device that can be very easily used
manually or integrated with state-of-the-art automated systems
which makes this sample preparation method therefore easily to be
integrated in routine laboratory work flows.
[0016] The technical basis of the disclosed sample preparation
method is based on the inventors' observation about the possibility
of efficiently separating target microorganisms, like bacterial or
fungi particles, typically from blood samples by converting, in a
controlled and standardized way, fibrinogen to fibrin through
controlled coagulating the blood sample using the thrombin enzyme
to trap said target particles within a fibrin network that will
rapidly retract to form a small pellet within the blood container.
As the pellet will be formed, the surrounding blood sample can be
decanted leading to separation of the targets trapped within this
small pellet. In a second step, the pellet can be lysed to recover
the targets from their fibrin trap within a small volume of a
controlled buffer. By this process the smallest size of the pellet
is a key factor that needs to be controlled as it will determine
the concentration rate of the disclosed method.
[0017] Accordingly, by blood sample one refers to whole blood,
platelet-rich plasma, and platelet-poor plasma or serum. Blood
according to the invention, can obviously also refer to blood
substitutes or artificially composed sample constituted from blood
components, blood additives or any other components that mimic
blood functions. Typical example of such blood components and that
are usually used in blood transfusions include, platelet
concentrates, red cell (hemoglobin) concentrates, serum or plasma
substitutes (also known as volume expanders). In case where the
said blood sample is deficient of clotting factors (mainly
fibrinogen) as for instance in some clinical cases like sepsis
samples, composed blood samples or blood substitutes, this
deficiency can be compensated by adding clotting factors including
fibrinogens to the said blood sample as a mandatory component to be
able to separate target particles or molecules according to the
invention.
[0018] Although the current invention preferably discloses a method
of separating of microorganisms or infectious molecules or
particles from a sample of blood, it is acknowledged by a skilled
person in the art that the sample of blood herein can also refer to
a composed sample that includes blood constituents entering into
the controlled coagulation process as described previously.
[0019] Accordingly, in general the invention discloses therefore a
method of separating and concentrating target particles or
molecules from samples containing fibrinogen proteins by trapping,
in a first step, the said target molecules or particles in a fibrin
network by converting at least partially the fibrinogen contained
in the said sample into fibrin to form the fibrin network. In a
second step, the so formed fibrin network to form a fibrin clot
that will be separated from the surrounding sample medium.
[0020] In one embodiment, the separation according to the invention
is obtained by size selection by trapping the said target particle.
In this trapping process, the size of the fibrin network pore is
therefore particularly critical. The smaller pore size will indeed
lead to a more efficient trapping of small infectious
microorganisms like E. coli (2 .mu.m) or Chlamydia (0.3 .mu.m) or
even viruses. In this respect, the control of the trapping fibrin
network can be realized by adjusting parameters like sample pH and
ionic strength and the concentrations of calcium, fibrinogen,
thrombin within the said sample.
[0021] In one embodiment, the separation according to the invention
is obtained by affinity trapping the said target particle in the
fibrin network. The inventors' observation is that bacterial
particles like Staphylococcus aureus have a strong affinity to
fibrinogen/fibrin molecules, which further facilitate (enhance)
their separation and concentration according to the invention
method. By mimicking affinity interaction of bacterial particles,
the invention discloses to use native as well as induced affinity
interactions to separate targets from fibrinogen contained
samples.
[0022] The induced affinity separation according to a preferred
embodiment of the invention is realized with fibrinogen recombinant
protein(s) composed of fibrinogen fusion protein(s) comprising a
capturing moiety domain directed against the said target molecules
or particles. In another embodiment chemical trapping is assured by
a fibrin/fibrinogen-binding moiety like a Staphylococcus aureus
fibrinogen binding protein and a substance-capturing moiety like an
antibody directed against the said target molecules or
particles.
[0023] Accordingly, size trapping within the fibrin network as well
as specific affinity binding reactions may be employed for the
determination or isolation of a wide range of target substances in
biological samples. Examples of target substances are cells, cell
components, cell subpopulations (both eukaryotic and prokaryotic),
bacteria, viruses, parasites, antigens, specific antibodies,
toxins, proteins, nucleic acid sequences and the like.
[0024] Fibrinogen as referred herein can be therefore a natural
fibrinogen obtained from any blood source as for instance human
blood or vertebrate blood in general. Fibrinogen according to the
invention can be also a synthetic composed molecule obtained by
combining natural fibrinogen with any other molecule in a way to
obtain a new molecule with new affinity functionality for instance.
In a preferred embodiment, the so-combined molecule is obtained by
a covalent bonding of a fibrinogen molecule to another molecule. In
another embodiment, the so-combined molecule is a fusion protein
produced by the state-of-art recombinant protein synthesis
techniques.
[0025] Fibrinogen as referred herein can be also to a synthesized
fibrinogen molecule modified that will have the entire fibrinogen
crystal structure. In a preferred embodiment the synthesized
fibrinogen molecule is a modified molecule that will have a
different structure, size, composition, and affinity activities.
More particularly, it is desirable that the fibrinogen according to
the invention is a simplified structure molecule (instead of the
complex large natural fibrinogen molecule) that still expresses the
cleavage (polymerization) activity by thrombin and that can have a
defined affinity binding reaction to target particle(s) or
molecule(s).
[0026] The invention discloses therefore the use of fibrinogen or
fibrinogen modified proteins as a vehicle to trap or capture target
particle(s) or molecule(s). Upon the exposure of the said
fibrinogen or fibrinogen modified proteins to thrombin cleaves the
fibrinogen molecules and their transformation to fibrin. The fibrin
particles will thereafter self-polymerize to form a small clot in
which the targets are trapped resulting therefore to the separation
of the target out of the sample liquid volume. The proposed method
presents a large advantage when compared with the state-of-art
techniques as magnetic particles for instance or any other "solid
surface" based technologies. As it occurs at the molecular level,
the reaction between the targets and the fibrinogen vehicle is very
fast and efficient and the non-specific binding issues inherent to
surface based assay will be eliminated.
[0027] Based on that and in a particular use, the present invention
provides a method that allows to provide a solution of effectively
separating and concentrating of intact microorganisms from an
infected blood sample. An attainable aim of this is the separation
of minute amounts of microorganisms from large volumes of blood
allowing thereafter their concentration in a small volume of buffer
compatible with further processing steps. Another attainable aim of
this invention is the separation of intact microorganisms from a
blood sample that can be subsequently detected and analyzed by
specific techniques recognized in the art. As achieved, instead,
this method opens many possibilities in rapid and effective
detection and diagnosis of bloodstream infections using fast
culture methods as well as rapid and more sensitive molecular based
assays.
[0028] It becomes therefore clear that from the previous
description that fibrinogen according to the invention can be
native to the sample (ie. whole blood samples) or artificially
added to the said sample.
[0029] Based on that and in a particular use, the present invention
provides a method for separating target molecule(s) or particle(s)
from a composed sample, which comprises the steps: [0030] (a)
Adding fibrinogen to said sample. [0031] (b) Trapping the said
target molecules or particles in a fibrin network by converting the
fibrinogen added in the said sample into fibrin to form the fibrin
network. [0032] (c) Retracting the said fibrin network to form a
fibrin clot. [0033] (d) Separating the said fibrin clot from the
surrounding sample medium.
[0034] [A composed sample according to the invention may include,
blood, blood derivatives or blood components samples, but also can
refer to any fibrinogen free sample as for instance but not limited
to, clinical (like urine, sputum and swab), food and environmental
samples.
[0035] Accordingly, the invention further discloses a sample
collection device for separating target molecules or particles from
a sample, comprising: (i) an identification code; (ii) a container
for containing the said sample; and (iii) a fibrinogen-containing
sample in the container, the device being operable to form a fibrin
clot that traps in a separable manner the said target molecules or
particles upon the exposure of the said sample to thrombin or a
thrombin-like enzyme within the said device.
[0036] The device according to the invention can be a standard
reaction tube or reservoir designed to receive a fluid sample that
need to be thereafter examined for the existence of target
particle(s) or molecule(s) as for instance for pathogenic
particle(s) (bacteria, viruses etc.) or target molecule(s) (DNA,
RNA or protein etc.). 15 The device of the invention will further
include stable reagent formulations that will lead to the fibrin
clot formation and targets separation as previously described
herein. Preferably, the device includes a reaction area containing
its stored stable reagent formulations that include clotting
factors as fibrinogen molecules and coagulation promoting agents as
thrombin enzymes. Such device will allow the quantitative isolation
and detection of targets like infection agents, toxin, nucleic
acids and proteins in a test kit, at extremely low copy numbers
from any complex biological sample. The fact that the disclosed
device will allow to collect the sample and at the same time to
effectively separate and concentrate targets particles or molecules
out of the said sample will considerably simplify the necessary
sample processing steps and further result in a reduction of
potential risks of infection and risks of contamination.
[0037] Accordingly, a main aspect of the invention concerns a
method for separating target molecules or particles from a
fibrinogen containing sample, attained according to independent
claim 1.
[0038] Accordingly, a main aspect of the invention concerns a
sample collection device for separating target molecules or
particles from a fibrinogen containing
[0039] Different embodiments are set out in the dependent claims.
The subject matter of the claims and all claimed combinations is
incorporated by reference in this description and remains part of
the disclosure event if claims are abandoned
BRIEF DESCRIPTION OF THE DRAWINGS
[0040] The objects and features of the present invention are set
forth with particularity in the appended claims. The present
invention, both as to its organization and manner of operation,
together with further objects and advantages, may best be
understood by reference to the following description, taken in
connection with the accompanying drawings, wherein
[0041] FIG. 1 is a schematic representation of the coagulation
process (Ref. http://en.wikipedia.org/wiki/Coagulation) and that
shows the fibrinogen conversion to fibrin that can be used to
attain the main aim objective of the invention.
[0042] FIG. 2 is a schematic representation of the trapping
mechanism of target molecule(s) or particle(s) (2) in a fibrin
network (3) upon the exposure of a fibrinogen 15 (1) containing
sample to thrombin.
[0043] FIG. 3 is a schematic representation of different
embodiments for affinity trapping of target molecule(s) or
particle(s) in a fibrin network upon the exposure of a fibrinogen
containing sample to thrombin: (a) native affinity of the targets
(2) having a binding moiety (4) to fibrinogen/fibrin (1); (b)
affinity capturing through a substance capturing (5) directed
against the said target(s) (2) and that have a fibrin/fibrinogen
(1) binding moiety (4); (c) affinity capturing through a fibrinogen
fusion (1) protein with a capturing moiety domain (7) directed
against the target(s) (1).
[0044] FIG. 4 is a schematic representation of a variation of the
affinity trapping of FIG. 3 (b), where affinity capturing is
performed through Substance-capturing (5) directed against the said
target(s) (2) and that have a fibrin (3) binding moiety (4'). In a
preferred embodiment the affinity of the moiety (4') to fibrin will
be transformed to an active form (4) only after the exposure step
of the sample to Thrombin.
[0045] FIG. 5 is a schematic representation of a full assay
processing from target separation to detection and wherein the
target(s) (2) within a fibrinogen (1) containing 30 sample is/are
exposed to a substance-capturing (5) comprising fibrin/fibrinogen
binding moiety (4) and a substance-labeling (8) comprising a
detection label (9). Upon the exposure to thrombin the complex
"target(s)/substance-capturing/substance-labeling" will be
separated within a retracted fibrin clot. The detection of the
target will be performed directly performed on the clot
concentrate.
[0046] FIG. 6 is a schematic representation of a sample collection
device operation; according to the invention the device is being
operable to form a fibrin clot that traps in a separable manner the
said target molecules or particles upon the exposure of the said
sample to thrombin or a thrombin-like enzyme within the said
device.
DETAILED DESCRIPTION OF THE INVENTION
[0047] According to one embodiment of the present invention, a
method for separating target molecules or particles from a blood
sample comprises: [0048] (a) Trapping the said target molecules or
particles in a fibrin network by converting at least partially the
fibrinogen contained in the said sample into fibrin to form the
fibrin network; [0049] (b) Retracting the said fibrin network to
form a fibrin clot; [0050] (c) Separating the said fibrin clot from
the surrounding sample medium.
[0051] [Accordingly, by blood sample one refers to whole blood,
platelet-rich plasma, and platelet-poor plasma. Blood sample can
also refer to serum where in this condition fibrinogen must be
added to the said sample to allow the separation mechanism working
according to the invention. Blood according to the invention, can
obviously also refer to blood substitutes or artificially composed
samples constituted from blood components, blood additives or any
other components that mimic blood functions. Typical example of
such blood components and that are usually used in blood
transfusions include, platelet concentrates, red cells (hemoglobin)
concentrates, serum or plasma substitutes (also known as volume
expanders). In case where the said blood sample is deficient in
clotting factors (mainly fibrinogens) as for instance in some
clinical cases like sepsis samples, composed blood samples or blood
substitutes, this deficiency can be compensated by adding clotting
factors including fibrinogens to the said blood sample as a
mandatory component to be able to separate target particles or
molecules according to the invention.
[0052] Within the same spirit, blood sample according to the
invention can therefore refer also to an artificially composed
blood sample obtained by combining a blood sample with a fibrinogen
deficient sample. Such fibrinogen deficient sample can include
samples from any sources as for instance biological, clinical, food
and environmental samples. More particularly, the term blood sample
according to the invention encompasses an artificially composed
blood sample by combining clotting factors that at least includes
fibrinogens with a fibrinogen deficient sample.
[0053] "Fibrin network" as generally used herein means the product
of a process in which fibrinogen is cleaved upon the exposure to
thrombin enzyme and converted into fibrin. Once the fibrinogen is
converted into fibrin, a self-polymerization step occurs in which
the fibrin monomers come together and form a non-covalently
crosslinked three-dimensional polymer network. Further, in the
presence of coagulation factor XIII the fibrin network will be
crosslinked by factor XIIIa, a transglutaminase activated by
thrombin of the factor XIII. Other transglutaminases exist and may
also be involved in covalent cross-linking and grafting to the
fibrin network.
[0054] ["Clot formation and retraction" as generally used herein
means the observed pull-in of the fibrin matrix to form a clot
after a certain time. The size of this clot can be, under certain
condition, reduced over time (Le. clot retraction) by pulling water
out of the clot. Naturally, the clot retraction is induced by
release of multiple coagulation factors from activated platelets
trapped in the fibrin mesh of the clot.
[0055] For the formation of the fibrin network, the concentrations
of the fibrinogen solution and/or the thrombin solutions have a
significant effect on the density of the formed network, clot
formation, cross-linking and speed of the final fibrin matrix.
Typically, the reduction of the amount of thrombin and fibrinogen
slows down the cross-linking process and contributes to form a
fibrin clot with a less dense network. Accordingly, controlling the
ratio of the amounts of thrombin and fibrinogen, leads to a
controlled formation of the fibrin network density and size of the
final clot. Furthermore, the ratio of the amount of thrombin to
fibrinogen provides fibrin matrices with a less dense network which
is more suitable for target capturing. Moreover, the ratio of the
amount of thrombin to fibrinogen provides a retracted fibrin clot
with smaller size allowing to attain a high concentration rate of
the separated target particles or molecules.
[0056] The mechanism underlying the invention is that converting
fibrinogen into fibrin leads to the formation of a fibrin network
that will play the role of a network that will capture the target
particles or molecules. To obtain the desired effect, the control
of the said fibrin network formation is particularly important.
With this respect, the concentration of thrombin and fibrinogens as
the key coagulation factors are critical in the formation of the
fibrin trapping network and consequently the clot creation and
separation according to the invention. In fact, a high
concentration of thrombin and fibrinogens leads to a very dense
fibrin network and a large clot size which is not desirable.
However, the finding is that lower concentrations of thrombin and
fibrinogen lead to the formation of a relaxed fibrin network that
retracts rapidly to a small pellet formation in the sample vessel
or container. During this retraction, the fibrin network traps the
target particles or molecules from the sample volume, leading
thereby to their concentration and separation from the said
sample.
[0057] To reach the desired affects in effectively trapping and
separating the target particles or molecules from a sample
containing fibrinogen, the concentration of the said fibrinogen in
the sample is preferably at least 0.1 .mu.g/ml. In a preferred
embodiment the concentration of the fibrinogen in the sample is
between 10 mg/ml to 10 .mu.g/ml. Using higher concentration, even
exceeding the ranges mentioned herein, can also be used but
resulting in a higher fibrin matrix density and retracted clot
size. In case of separating target particles using size selection
or size trapping using a relatively high concentration of
fibrinogen is particularly suited. The smaller the size of the
target particle(s) the higher is the requested fibrinogen
concentration. However, the downside of using higher concentrations
of fibrinogen is the formation of a larger clot size, resulting in
a lower concentration rate of the target particle(s). Therefore, in
practice and in case of a size selection or size trapping, the
concentration of fibrinogen must be optimized in a way to reach
maximum capture efficiency and at the same time a lower clot
size.
[0058] It well understood from the previous description that
fibrinogen according to the invention can be native to the sample
(i.e. blood samples) or artificially added to the said sample. In a
preferred embodiment, fibrinogen will be added to a sample even if
the said sample has native fibrinogen, as it is the case of whole
blood for instance. This will be for instance advantageous to
compensate any fibrinogen deficiency or variation in the
concentration of the native fibrinogen that may occur in such
samples. In another preferred embodiment, the fibrinogen added to a
blood sample (even if the native fibrinogen concentration is at the
desired concentration) will be originated from a blood source of a
different species than of the sample under consideration. For
example, if a human whole blood sample is used one can, according
to this embodiment, add a fibrinogen originated from another
vertebrate like bovine, sheep, opossum or chicken to the said human
sample. Using the fact that fibrinogen/thrombin reaction maybe
species specific, one desired effect by using different fibrinogen
source as an additive to a sample with native fibrinogen is to
specifically use the added fibrinogen (preferably activated with
the related species thrombin) to accomplish the target separation
while avoiding (minimizing) the interference of the native
fibrinogen in the separation process. This can be particularly
advantageous as it will permit a more effective control of the
separation process of the target(s) and avoids relying on the
native fibrinogen variations. Within the same spirit, in another
embodiment the added fibrinogen will be a recombinant fibrinogen
protein specifically designed to be not cleavable by the endogenous
thrombin of the blood sample under use.
[0059] [The desired effect of effectively trapping and separating
the target particles or molecules from a sample containing
fibrinogen can be accordingly achieved by subjecting the said
sample to thrombin or thrombin-like enzymes. With this respect, the
said thrombin can be an exogenous (artificially added to the said
sample) or an endogenous (already part of the said sample) thrombin
or thrombin-like enzymes. Accordingly, the thrombin can be in
active form or generated through activation of coagulation factors
like the factor X as shown in FIG. 1. The origin of this thrombin
and/or coagulation factors can be from human, animal or insect
sources. Accordingly, by thrombin-like enzymes one refers to the
family of serine proteases obtained from outside blood sources and
that have the ability to convert fibrinogen to fibrin. Such enzymes
are well known in the art and usually obtained from snake venom or
produced in recombinant form.
[0060] In a preferred embodiment, the thrombin concentration is
0.01 to 10 IU/ml and preferably within the range of 0.1 to 2 IU/ml
of sample. In practice, the quantity of the thrombin or thrombin
like enzyme must be rather adjusted in correspondence to the
fibrinogen concentration within the device to obtain the desired
fibrin network structure and clot size. With this respect, the
thrombin amount is preferably less than 20 IU thrombin per mg of
fibrinogen, preferably in a range between 0.01 to 10 IU thrombin
per mg of fibrinogen, more preferably between 0.1 to 11 IU thrombin
per mg of fibrinogen.
[0061] In a preferred embodiment to control the fibrin network
structure in order to trap target molecules or particles from a
sample, the concentration of calcium can also be adjusted. In
practice this can be achieved by adding a calcium ion source to the
testing sample. The calcium ion source is preferably Calcium
Chloride (CaCb), preferably in a concentration range between 1 to
10 mg per ml of sample volume, even more preferably between 4 to 7
mg per ml of sample volume, most preferably between 5 to 6 mg per
ml of sample volume. In blood samples, for instance, calcium is
naturally present and the adjustment of the calcium concentration
can be achieved by further adding calcium chelating agents selected
from the groups of GDTA, EDTA and citrate.
[0062] In a preferred embodiment to control the fibrin network
structure in order to trap target molecules or particles from a
sample, the method may involve the step of adding clotting factor
XIII to the said sample. Clotting factor XIII is an enzyme capable
of catalyzing the fibrin matrix cross-linking formation after it
has been activated by thrombin. This will further help to stabilize
the fibrin network structure, accelerate the clot retraction and
contribute to titer the fibrin porosity. Such factor XIII in its
inactive or active (XIIIa) formats may be added or adjusted along
with the fibrinogen additive in a concentration range between 0.5
to 100 LU per ml of sample volume, more preferably between 1 to 60
LU per ml of sample volume, and most preferably between 1 to 10 IU
per ml of sample volume.
[0063] It follows from the previous description that the major
attainable objective of the method according to the invention is to
effectively concentrate the target particle(s) or molecule(s) out
of the testing sample. The concentration factor or rate is
practically determined by the clot size. Therefore, in a preferred
embodiment the size of the formed clot is at least 1/3 of the
initial sample size and preferably the clot size is less than 1/10
of the initial sample volume. Moreover, in a preferred embodiment
according to the invention the clot retracts to further form a
small pellet with a size that my reach values that are between 1/50
to 1/1000 of the initial sample volume.
[0064] To attain higher retraction rate, as already described
above, the concentrations of fibrinogen and thrombin are the
predominant factors. Other parameters likes the calcium
concentration and additives like clotting factor XIII can affect
the clot size. However, in practice the clot can be further
retracted in the presence of activated platelet cells or activated
platelet cell lysates within the said sample. Naturally present in
blood samples or as an additive in blood composite samples, the
activation of the platelet can be achieved with platelet agonists
selected from the group of adenosine diphosphate (ADP) and
collagen.
[0065] Accordingly, the present invention discloses a method to
separate target molecule(s) or particle(s) from a fibrinogen
containing sample which includes the step of subjecting the said
sample to activated platelet cells or platelet cell lysate. In a
preferred embodiment, the said activated platelet cells or platelet
cell lysate can be natively present in the said sample or
artificially added to the said sample. The platelet activation is
preferably achieved by ADP at a concentration of 1 mM to 1 .mu.M
and preferably between 100 .mu.M to 10 .mu.M.
[0066] To attain higher retraction rate, in a preferred embodiment,
magnetic particles trapped in the fibrin network can be used as a
retraction means to compress and therefore reduce the clot size. In
practice indeed, magnetic particles will be used to emulate the
role naturally played by the platelet in retracting fibrin clot
This retraction can be achieved by subjecting magnetic particles
trapped within a fibrin clot to an external magnetic force.
Accordingly, the said magnetic particles are trapped within the
fibrin clot due to their larger size one compared with the fibrin
network porosity. In a preferred embodiment, the magnetic particles
are trapped within the fibrin clot by affinity interaction that the
said particles may have to fibrinogen/fibrin. This can be achieved
using magnetic particles coated with a fibrinogen/fibrin binding
moiety that can be selected from groups of thrombin, clotting
factor XIII, bacterial fibrinogen binding proteins and tissue
plasminogen activator (t-PA).
[0067] To further concentrate target molecules or particles the
invention further discloses the use of affinity trapping to capture
the said targets within the fibrin network. The advantages of using
affinity trapping are double: (1) capture small targets that are
difficult or cannot be captured by size trapping within the fibrin
network; (2) allow high level of concentration (Le. very small clot
or rather a pellet) of the targets as with the affinity trapping
fewer fibrinogen concentration is requested to achieve efficient
capture yield. In fact, with the affinity trapping one can expect
to reach a concentration rate that is lower than 1/50 of the
initial sample volume and preferably between 1/100 to 1/1000 of the
initial sample volume. With large sample volume (3-10 ml for
instance), the concentration rate can be even less than 1/1000 of
the initial sample volume.
[0068] As illustrated in FIG. 3 (a), in a preferred first
embodiment the affinity trapping can be achieved by the native
affinity of the targets (2) having a binding moiety (4) to
fibrinogen/fibrin (1). A typical example of such affinity trapping
is the capturing of the staphylococcus aureus that is known to have
an effective affinity to fibrinogen/fibrin through its surface
fibrinogen binding protein clumping factor A (ClfA). More generally
and as exhaustively described in the international patent
application W02011/007,004, Staphylococci, Streptococci and
Enterococci carry-out proteins called adhesins that can mediate
infection by binding to proteins including fibrinogen. In case of
blood. Another advantage of the method according to invention is
the use of native affinity of blood cells to further precipitate
leukocytes and thrombocytes cells within the small fibrin pellet
while substantially keeping the erythrocytes in suspension. This is
particularly important because micro-organisms are not always
free-floating in the blood sample but are rather associated or
sequestrated in the leukocytes and thrombocytes. In case of
Staphylococcus aureus for instance, the interaction and thereafter
the sequestration and bacterial survival in platelets contributes
to the virulence as it allows bacteria to escape the host defenses.
Native affinity capture can be also be used to capture small
molecules like nucleic acids that strongly bound to fibrin due to
electrical charge interaction. As for bacterial particles, the
native affinity can be extended to small protein molecules as soon
as such molecules have a direct interaction affinity to
fibrinogen/fibrin.
[0069] In a preferred embodiment, the native affinity separation
process can be adapted by using fibrinogens from different species.
For instance, using sheep fibrinogens instead of human fibrinogen
will lower the capture rate of Staphylococcus aureus. This is due
to the fact that sheep fibrinogen shows a low binding affinity to
Staphylococcus aureus bacterium. Within the same direction, the
fibrinogen under use within the sample can be a recombinant or a
modified fibrinogen designed to enhance or to inhibit the native
affinity capture of fibrinogens to a defined targets or target
groups.
[0070] A second embodiment of affinity capturing is illustrated in
FIG. 3(b). Accordingly, the affinity is realized using a
substance-capturing (5) directed against the said target(s) (2) and
that have in turn a fibrin/fibrinogen (1) binding moiety (4). The
use of a substance-capturing as an intermediate means to tag the
targets is preferred in case where the target does not have a
native affinity to fibrinogen/fibrin. A typical example of that is
the capture of gram-negative species that in most cases lack native
affinity to fibrinogen/fibrin. This can be realized, for instance,
by using a gram-negative specific antibody having a fibrinogen
binding moiety. Furthermore, the indirect affinity capture can be
virtually extended to any target particle(s) or molecule(s) that
can include but is not limited to target cells, cell components,
cell subpopulations (both eukaryotic and prokaryotic), bacteria,
viruses, parasites, antigens, specific antibodies, toxins,
proteins, nucleic acid sequences and the like. To achieve this, the
substance-capturing moiety directed against the said target
molecules or particles is selected from the group comprising
antibodies, nucleic acids and aptamers designed to specifically
recognize the said target molecules or particles. Further, the said
Substance-capturing moiety can be coupled or combined with a
fibrin/fibrinogen-binding moiety selected from the group comprising
thrombin, fibronectin, bacterial fibrinogen binding proteins,
tissue-type plasminogen activator, integrines and moieties derived
from any member of this group. In a preferred embodiment, the said
fibrin/fibrinogen-binding moiety and said substance-capturing
moiety are covalently bound.
[0071] A third embodiment of affinity capturing is illustrated in
FIG. 3(c). Accordingly, the affinity is realized using fibrinogen
fusion (1) protein with a capturing moiety domain (7) directed
against the target(s) (1). The use of a fusion fibrinogen protein
presents the advantage of combining the selectivity of affinity
capture directly within the fibrinogen molecules. Within this view,
the fibrinogen molecule can be tailor made or specifically designed
to specifically capture and thereafter separate one group or
specific groups of targets. Moreover, the fibrinogen recombinant or
modified protein can be designed to avoid native(s) interaction(s)
and/or enhance specific interaction to molecules or particles
within a specific sample type. Further, in another embodiment, the
fibrinogen fusion protein further includes a degradation site. This
will be particular useful for recovering the bound target molecules
or particles out of the fibrin network during a lysis step as will
be described later on. In a preferred embodiment, the degradation
site is an enzymatic or hydrolytic degradation site. In a most
preferred embodiment, the degradation site is an enzymatic
degradation site, which is cleaved by an enzyme selected from the
group consisting of plasmin and matrix metalloproteinase.
[0072] In a preferred embodiment and as illustrated in FIG. 4, the
affinity capturing is performed through a substance-capturing (5)
directed against the said target(s) (2) and that have a specific
fibrin (3) binding moiety (4') without any affinity to fibrinogens
like using tissue-type plasminogen activator as a fibrin binding
moiety. In a preferred embodiment the affinity of the moiety (4')
to fibrin will be transformed to an active form (4) only after the
exposure step of the sample to Thrombin like in the case of using
factor XIII as a fibrin binding moiety.
[0073] In use, this invention not only involves a method for
separating and concentrating target molecules or particles, but it
can also further include the step of detecting the said targets as
illustrated in FIG. 5. With this respect, the assay processing
includes the step of target capture and separation within a fibrin
clot following by the detection of the said targets directly within
the clot concentrate. This can be achieved for instance, by
exposing the fibrinogen (1) containing sample to a
Substance-capturing (5) comprising fibrin/fibrinogen binding moiety
(4) and a substance-labeling (8) comprising a detection label (9).
This leads to the formation of a
"target(s)/substance-capturing/substance-labeling". Upon the
exposure to a thrombin the complex
"target(s)/substance-capturing/substance-labeling" will be
separated within a retracted fibrin clot (3). The detection of the
target will be performed directly on the clot concentrate by for
instance exposing the fibrin clot to a label (8) excitation source
(10) resulting in an emission of a detection signal (11). In
general the detection methodology will depend on the used label and
for that well known detection methodologies as fluorescence,
luminescence, SERS (Surface Enhanced Raman Spectroscopy) and Raman
spectroscopy can be adopted.
[0074] After the pellet formation and target separation, in a
preferred embodiment the fibrin clot or pellet can be suspended in
a controlled buffered solution followed by disturbing (ie. lysis)
the clot to recover the separated target(s) from the fibrin clot A
typical example of a controlled buffer is a hypotonic buffer,
buffer containing detergents in combination with fibrinolytic like
plasmin and/or proteolytic agents like Proteinase K, Pronase and
metalloproteinase. Such lysis step can be improved by further
adding clot lysis enhancers like plasminogen or plasminogen
activator. In a preferred embodiment the lysis step can further
includes the use nucleic acid degradation enzymes.
[0075] For practical implementation of the invention, a second
aspect of the invention concerns a sample collection device for
separating target molecules or particles from a sample comprising:
(i) an identification code; (ii) a container for containing the
said sample that can be in form of a tube that will receive the
said sample; and (iii) a fibrinogen-containing sample in the
container, the device being operable to form a fibrin clot that
traps in a separable manner the said target molecules or particles
upon the exposure of the said sample to thrombin or a thrombin-like
enzyme within the said device.
[0076] Accordingly, the volume of the said sample container is
between 0.1 to 100 ml and preferably between 0.1 to 10 ml. The
concentration of the said fibrinogen in the sample is preferably at
least 0.1 .mu.g/ml. In a preferred embodiment the concentration of
the fibrinogen in the sample is between 0.1 to 100 mg/ml and most
preferably between 10 mg/ml to 10 .mu.g/ml.
[0077] Accordingly, the said device further includes as an additive
a thrombin or thrombin enzyme. With this respect, the thrombin
concentration is 0.01 to 10 IU/ml and preferably within the range
of 0.1 to 2 IU/ml of sample. In practice, the quantity of the
thrombin or thrombin like enzyme must be rather adjusted in
correspondence to the fibrinogen concentration within the device to
obtain the desired fibrin network structure and clot size. With
this respect, the thrombin amount is preferably less than 20 IU
thrombin per mg of fibrinogen, preferably in a range between 0.01
to 10 IU thrombin per mg of fibrinogen, more preferably between 0.1
to 1 IU thrombin per mg of fibrinogen.
[0078] In case of blood samples as whole blood for instance, sample
collection device according to the invention further includes
coagulation agents that promote the generation of endogenous
thrombin within the sample. Such promoting agents can be for
instance selected from groups comprising powderous or fibrous
silicate compounds such as kaolin, Celite, diatomaceous silica and
glass fibers, fine powders of calcium compounds such as calcium
carbonate and calcium sulfate, thrombin-like substances derived
from snake venoms, and polyphenols that can activate blood clotting
factors to promote the coagulation. Further, these coagulation
promoting agents can be, for example, added individually or in
combination into the sample or coated inside the wall of sample
container. The amount and the process of which, the said endogenous
thrombin promoting agents must be adjusted in a way to control the
coagulation process and obtain a small fibrin clot size.
[0079] Further, the device according to the invention may include
additives selected from the group of calcium, chelating agents,
activated platelet cells or activated platelet cell lysate and
factor XIII. Accordingly, the sample collection device may further
include as an additive magnetic particles. In a preferred
embodiment the said magnetic particle within the device are coated
with a fibrinogen/fibrin binding moiety selected from the group
comprising thrombin, fibronectin, bacterial fibrinogen binding
proteins, tissue-type plasminogen activator, integrines and
moieties derived from any member of this group. In a preferred
embodiment, the said fibrin/fibrinogen-binding moiety and said
magnetic particles are covalently bound.
[0080] Further, the device according to the invention may include
additives comprising molecules having: (I)
fibrin/fibrinogen-binding moiety and (II) a substance-capturing
moiety directed against the said target molecules or particles.
Accordingly, the said substance-capturing moiety directed against
the said target molecules or particles can be selected from the
group comprising antibodies, nucleic acids and aptamers designed to
specifically recognize the said target molecules or particles.
Further, the said substance-capturing moiety can be coupled or
combined with a fibrin/fibrinogen-binding moiety selected from the
group comprising thrombin, fibronectin, bacterial fibrinogen
binding proteins, tissue-type plasminogen activator, integrines and
moieties derived from any member of this group. In a preferred
embodiment, the said fibrin/fibrinogen-binding moiety and said
substance-capturing moiety are covalently bound.
[0081] Further, the device according to the invention can include
additives comprising a fibrinogen recombinant or modified protein.
Such recombinant or modified fibrinogen protein can be specifically
designed to enhance or inhibit affinity interactions of the said
recombinant fibrinogen protein with specific target molecules or
particles contained in the sample under use within the device. In a
preferred embodiment, the said recombinant protein in use within
the device is a fibrinogen fusion protein with a capturing moiety
domain directed against the said target molecules or particles. In
another embodiment, the fibrinogen fusion protein further includes
a degradation site. This will be particular useful for recovering
the bound target molecules or particles out of the fibrin network
during a lysis step as it will be described later on. In a
preferred embodiment, the degradation site is an enzymatic or
hydrolytic degradation site. In a most preferred embodiment, the
degradation site is an enzymatic degradation site, which is cleaved
by an enzyme selected from the group consisting of plasmin and
matrix metalloproteinase.
[0082] In practice all of the previously described additives can be
added to the sample after the sample collection or already
integrated within the device. In the last case, the additives can
be integrated solubilised in an aqueous buffer solution.
Preferably, the said buffer comprises water, calcium chloride,
preferably at a concentration of 40 mM, and sodium chloride,
preferably at a concentration of 75 mM, and has preferably a pH of
7.3. In a preferred embodiment, the said additives can be included
within the device in a lyophilized format that can be solubilised
just prior to the device use or upon the introduction of the sample
within the device.
[0083] The so disclosed device for sample collection will in
operation lead to the formation of a small fibrin clot in which
target particles or molecules are trapped. The concentration factor
or rate is practically determined by the clot size. Therefore, the
device composition and design so that it will result to the
formation of a clot with a size that is at least 1/3 of the initial
sample size and preferably the clot size is at least 1/10 of the
initial sample volume. Moreover, in a preferred embodiment
according to the invention the clot retracts to further form a
small pellet with a size that may reach values that are between
1/50 to 1/1000 of the initial sample volume.
[0084] The sample collection device according to the invention can
be used to separate and concentrate target molecules or particles
that can be selected from groups comprising target cells, cell
components, cell subpopulations (both eukaryotic and prokaryotic),
bacteria, viruses, parasites, antigens, specific antibodies,
toxins, proteins, nucleic acid sequences and the like.
[0085] The sample collection device according to the invention can
be used to separate and concentrate target molecules or particles
from diverse samples as already defined. In general this includes
whole blood, blood derivatives, blood components, composed samples
with clotting factors additives. With this respect, the sample
herein can refer to any sample type that need to be tested
including food, clinical, environmental, and experimental
samples.
[0086] In practice the identification code within the device can be
for instance a code bar, color, size and shape of the device. Such
identification code can be used as a reference or indicator the
device intended use and application. The devices according to the
invention can be, in fact, differentiated according to their
composition, sample type for which the device will be used and or
the target(s) that need to be separated.
[0087] FIG. 6 shows an example of a sample processing using a
device according to the invention. The device can be a standard
reaction tube with a closing cap and an identification code. The
device is designed to receive a fluid sample that needs to be
thereafter examined for the existence of target particle(s) or
molecule(s) as for instance a pathogenic particle(s) (bacteria,
viruses etc.) or target molecule(s) (DNA, RNA or protein etc.). The
device of the invention will further include stable reagent
formulations that will lead to the fibrin clot formation and
targets separation. Upon the sample collection within the device,
the fibrinogen molecules will first react with the targets inside
the tube. In a second step the fibrinogen will be transformed to a
fibrin, leading to a polymerization and trapping of said targets in
the fibrin network. The fibrin network in a third step will retract
to form a small pellet within the blood container. As the pellet
will be formed, the surrounding sample will be decanted leading to
separation of the targets trapped within this small pellet. In a
final step, the pellet can be lysed to recover the targets from
their fibrin trap within a small volume of a controlled buffer.
While the target trapping/pellet formation step will be performed
in a closed tube during the sample transportation for instance, the
pellet separation and lysis can be easily performed using a
state-of-art liquid handling automated system. With this process,
the disclosed device will allow to collect the sample and at the
same time to effectively separate and concentrate targets particles
or molecules out of the said sample, considerably simplifying the
necessary sample processing steps and further result in a reduction
of potential risks of infection and risks of contamination.
Example 1
[0088] Capture of Staphylococcus aureus (SA) bacterium from a blood
component sample: Platelet Rich Plasma (PRP) sample. A sample of
500 1-11 of citrated PRP is spiked with 100 CFU of a SA bacterium.
By adding 5 1-11 of Thrombin at a concentration of 10 Ul1 ml and
incubation, a small pallet (10-20 1-11 size) will be formed. The
lysis of the so-formed pallet using a 100 1-11 lysis buffer (0.01%
Saponin, 0.05% Tween and 0.05% Triton X) and 5 J.11 of Proteinase K
(10 Ul1 ml) leads to recovery of between 90-100% of initially
spiked SA bacterium in the lysis buffer.
Example 2
[0089] Capture of Staphylococcus aureus (SA) bacterium from a blood
component sample: Platelet Poor Plasma (PPP) sample. A sample of
500 J.11 of 5 citrated PPP is spiked with 100 CFU of a SA bacterium
and processed using the same protocol as for Example 1. The same
recovery performance will be obtained. However, the size of the
fibrin clot is larger when compared with the PRP case. This
difference is due to the low retraction of the Fibrin clot in case
of the PPP sample. This retraction is instead assured by the
platelets cells present within the PRP sample.
Example 3
[0090] Capture of Staphylococcus aureus (SA) bacterium from a blood
component sample: Serum sample. A sample of 500 iJl of citrated
serum is spiked with 100 CFU of a SA bacterium and processed using
the same protocol as for Example 1. In this case no clot/pellet
will be formed due to lack on fibrinogen within the serum sample.
By adding 1.25 mg of human Fibrinogen to the serum sample, one will
be able to form the fibrin clot and thereby separate the SA
bacterium out of the serum sample.
Example 4
[0091] Capture of gram-positive bacterium and Fungi out of whole
blood. Recovery from 4 ml whole blood spiked with 100 CFU of micro
organisms:
TABLE-US-00001 Micro-organisms strain/species Yield S. pyogenes M57
85% C. albicans 92% MRSE 83% E. faecalis 70%
Example 5
[0092] Specific capture of bacterium out of a composed sample. 1 ml
of a composed PBS samples are spiked with Staphylococcus aureus
(SA) (1000 CFU/ml) or Citrobacter Freundi (18000 CFU/ml) at
different concentrations of fibrinogen within the sample:
TABLE-US-00002 ##STR00001##
[0093] By reducing the fibrinogen concentration, one will reduce
the pallet size (i.e concentration rate) and by the way the fibrin
network porosity size. In such conditions, the SA capture rate is
still very efficient while the C. Freundi capture rate will be
considerably reduced. This different of capture efficiency is due
to the fact that the SA bacterium has a strong native affinity to
fibrinogen (through its ClfA surface protein) while the C. Freundi
lacks such affinity.
Example 6
[0094] Specific capture of bacterium out a composed sample. The
same conditions as for Example 5 using C. Freundi within a 1 ml
composed PBS as a 10 sample with the modification that we further
added to the sample an antibody directed against gram-negative
lipid-A surface protein labeled with a staphylococcal ClfA protein.
In this condition and as shown in FIG. 3(b), the antibody will bind
C. Freundi allowing its effective binding to fibrinogen and
thereafter its efficient separation (nearly 100% yield) within a
fibrin pellet.
[0095] Those skilled in the art will appreciate that various
adaptations and modifications of the just-described preferred
embodiments can be configured without departing from the scope and
spirit of the invention. Therefore, it is to be understood that,
within the scope of the appended claims, the invention may be
practiced otherwise than as specifically described herein.
* * * * *
References