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Anogen的ELISA檢測(cè)試劑盒在細(xì)胞因子風(fēng)暴的檢測(cè)和治療中的應(yīng)用

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COVID-19的爆發(fā)已經(jīng)奪去了全世界4000多人的生命,50000多名患者仍處于危急狀態(tài)。這種疾病的嚴(yán)重性,像許多其他急性呼吸道感染,如SARSMERS,是由肺部病毒感染引起的促炎細(xì)胞因子水平升高引起的。
 
一、細(xì)胞因子風(fēng)暴:細(xì)胞因子是人體免疫系統(tǒng)不可或缺的一部分,但它們也會(huì)引發(fā)有害的宿主反應(yīng),如發(fā)燒、疼痛和炎癥。
細(xì)胞因子風(fēng)暴是指免疫系統(tǒng)局部或全身產(chǎn)生過(guò)多的促炎細(xì)胞因子,以應(yīng)對(duì)多種感染性和非感染性刺激或物理和化學(xué)損傷。在嚴(yán)重急性呼吸綜合征(SARS)、H1N1和埃博拉病毒感染爆發(fā)期間,患者的高死亡率是細(xì)胞因子風(fēng)暴對(duì)身體功能產(chǎn)生負(fù)面影響的典型例子。目前,一旦細(xì)胞因子風(fēng)暴爆發(fā),沒(méi)有抗素或抗病毒藥物能夠阻止它。
Anogen,我們認(rèn)為應(yīng)對(duì)有害的細(xì)胞因子風(fēng)暴是一種新的生物防御策略。 自20世紀(jì)90年代以來(lái),我們已開(kāi)始細(xì)胞因子研究,并已開(kāi)發(fā)出數(shù)百種雜交瘤,它們產(chǎn)生針對(duì)許多重要細(xì)胞因子的高特異性和高親和力單克隆抗體,包括腫瘤壞死因子、粒細(xì)胞巨噬細(xì)胞集落刺激因子、白介素-2、白介素-8、白介素-10、白介素-15、白介素-17、白介素-18TGF- β。
二、Anogen 相關(guān)炎性因子的ELISA 檢測(cè)試劑盒;
此外,已經(jīng)開(kāi)發(fā)了三種不同的用于檢測(cè)多種細(xì)胞因子表位的酶聯(lián)免疫試劑盒,并廣泛應(yīng)用于生物醫(yī)學(xué)研究。 
Multiplex Human Cytokine ELISA Kit (Inflammatory)
多重人細(xì)胞因子酶聯(lián)免疫試劑盒(炎性
Multiplex Human Cytokine ELISA Kit (M1/M2/MDSC Cytokines)
多重人細(xì)胞因子酶聯(lián)免疫試劑盒(M1/M2/MDSC細(xì)胞因子
Multiplex Human Cytokine ELISA Kit (Th1/Th2/Th17)
多重人細(xì)胞因子酶聯(lián)免疫試劑盒(Th1/Th2/Th17) 
三、Anogen 細(xì)胞因子檢測(cè)和治療 抗擊SARS 的歷史:
2003年非典爆發(fā)期間,Anogen與北京的醫(yī)院合作,發(fā)現(xiàn)患者體內(nèi)兩種促炎細(xì)胞因子IL-8(CXCL8)MCP-1(MCAF /CCL2)顯著增加。
2004年,我們開(kāi)發(fā)了抗趨化因子白細(xì)胞介素-8 (CXCL8)和單核細(xì)胞趨化蛋白-1 (CCL2)的人源化嵌合單克隆抗體,并在美國(guó)、歐洲、加拿大和中國(guó)獲得多項(xiàng)專(zhuān)利。臨床前研究中使用嵌合抗白介素-8抗體預(yù)防和治療急性呼吸窘迫綜合征的臨床前研究發(fā)表在《國(guó)際免疫藥理學(xué):針對(duì)趨化因子CXCL-8(白介素-8)的人源化單克隆抗體》上,可有效預(yù)防急性肺損傷。
四、Anogen 致力于細(xì)胞因子風(fēng)暴的檢測(cè)和相關(guān)治療的研究
我們目前正在開(kāi)發(fā)用于臨床的診斷試劑盒,以測(cè)量患者體內(nèi)的細(xì)胞因子。同時(shí)與抗體治療進(jìn)行組合可以使患者能夠根據(jù)所涉及的特定細(xì)胞因子接受個(gè)體化治療。

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聯(lián)系單位:BioTNT上海冠泰生物科技有限公司(Anogen 中國(guó)總代理)
我們正在尋求合作,進(jìn)一步開(kāi)發(fā)用于診斷和治療的細(xì)胞因子試劑盒和單克隆抗體。在由COVID-19感染期間致命的細(xì)胞因子風(fēng)暴引發(fā)的具有全部并發(fā)癥的疾病中,這些試劑盒和單克隆抗體應(yīng)該有利于挽救生命。
 
為什么是Anogen? 
 > 90-98%純化 
抗體活性驗(yàn)證 
有競(jìng)爭(zhēng)力的批量?jī)r(jià)格 
定制配方 
靈活的定制生產(chǎn)
 
五、細(xì)胞因子過(guò)度產(chǎn)生的疾病:
asthmatic reaction
哮喘反應(yīng)
MCP-1, MIP-1a, RANTES
Acute pulmonary disease
急性肺病
 IL-8MCP-1, ENA78, RANTES
endotoxemia and sepsis
內(nèi)毒素血癥和敗血癥
IL-8MCP-1, MIP-1a, RANTES
Eczema and psoriasis
濕疹和銀屑病
IL-8
Rheumatiod arthritis 
風(fēng)濕性關(guān)節(jié)炎
IL-8, MCP-1, ENA78, MIP-1a
osteoarthritis 
骨關(guān)節(jié)炎
MIP-1beta
Immune comples glomerulonephritis
免疫復(fù)合物腎小球腎炎
IL-8, MCP-1
wound healing site
傷口愈合部位
MCP-1,IP-10
六、下面是Anogen 的抗體治療產(chǎn)品
ABCREAM:治療銀屑病的方法
白細(xì)胞介素-8是中性粒細(xì)胞的有效趨化因子、表皮細(xì)胞的生長(zhǎng)因子和促血管生成因子。銀屑病是一種常見(jiàn)的皮膚病,其特征是鱗屑由快速生長(zhǎng)的角質(zhì)細(xì)胞堆積而成,并伴有鱗屑周?chē)难装Y和發(fā)紅。銀屑病組織中的白細(xì)胞介素-8水平高達(dá)150倍,表明其在發(fā)病機(jī)制中的作用。                 
Anogen-Yes生物技術(shù)公司是第一家利用抗白介素-8抗體治療銀屑病的公司。我們的專(zhuān)利技術(shù)(ABCREAM)是一種含有白介素-8中和抗體的外用軟膏。白介素-8中和抗體阻斷介導(dǎo)角質(zhì)形成細(xì)胞異常增殖和分化的白介素-8的活性,并增加病變附近的中性粒細(xì)胞浸潤(rùn)以發(fā)揮抗炎作用。該軟膏在臨床試驗(yàn)中被發(fā)現(xiàn)是有效的。49%53.8%的患者在接受阿必利治療六周后,PASI評(píng)分改善超過(guò)60%12.9%15.3%的患者改善超過(guò)90%。
ABCream也可有效治療其他炎癥性皮膚病。初步觀察表明,它也可用于治療濕疹,一種常見(jiàn)的皮膚病。2001年獲中國(guó)食品藥品監(jiān)督管理局(CFDA)頒發(fā)的一類(lèi)新藥證書(shū)。
HFMD IL-8
手足口病(HFMD)是一種潛在的威脅生命的疾病,常見(jiàn)于大多數(shù)小于5歲的兒童。HFMD與腸道病毒71(EV71)和柯薩奇病毒A6(CV-A6)有關(guān),屬于腸道病毒屬中的微小核糖核酸病毒科。盡管在包括歐洲和北美在內(nèi)的大多數(shù)國(guó)家都出現(xiàn)了全球性的疫情,但最大的HFMD疫情卻出現(xiàn)在亞太地區(qū),原因不明。HFMD疫情不僅近年來(lái)有所增加,更嚴(yán)重的病例也更常見(jiàn)。更糟糕的是,HFMD病毒很可能會(huì)產(chǎn)生部分變異。重度HFMD的病死率較高。 高血糖癥、前白蛋白和白細(xì)胞增多癥目前被用于HFMD嚴(yán)重程度的臨床預(yù)測(cè)。然而,它們對(duì)HFMD患者既不敏感又無(wú)特異性。 已經(jīng)證明,由EV71CV-A6感染的免疫細(xì)胞釋放的細(xì)胞因子和趨化因子有助于疾病的嚴(yán)重程度。不受控制的免疫反應(yīng)導(dǎo)致細(xì)胞因子表達(dá)異常升高,從而導(dǎo)致炎癥、組織損傷、肺水腫和其他病理?yè)p傷。這種現(xiàn)象被稱為細(xì)胞因子風(fēng)暴。 已經(jīng)證明,由EV71CV-A6感染的免疫細(xì)胞釋放的細(xì)胞因子和趨化因子有助于疾病的嚴(yán)重程度。不受控制的免疫反應(yīng)導(dǎo)致細(xì)胞因子表達(dá)異常升高,導(dǎo)致炎癥、組織損傷、肺水腫和其他病理?yè)p傷。這種現(xiàn)象被稱為細(xì)胞因子風(fēng)暴。 最新研究表明,在多種細(xì)胞因子中,白細(xì)胞介素-2、白細(xì)胞介素-4、白細(xì)胞介素-6、白細(xì)胞介素-8、白細(xì)胞介素-10、單核細(xì)胞趨化蛋白-1、干擾素、粒細(xì)胞集落刺激因子和腫瘤壞死因子在腸道病毒感染中增加。白細(xì)胞介素-8HFMD病的嚴(yán)重程度密切相關(guān),它與大量中性粒細(xì)胞浸潤(rùn)組織和器官有關(guān)。盡管在HFMD患者中白細(xì)胞介素-6和白細(xì)胞介素-10升高,但與疾病的嚴(yán)重程度無(wú)關(guān)。因此,白細(xì)胞介素-8水平可作為嚴(yán)重腸道病毒感染早期的預(yù)測(cè)指標(biāo)。此外,人源化抗白介素-8抗體可預(yù)防致命并發(fā)癥,如腦干腦炎(BE)和肺水腫(PE),以降低嚴(yán)重HFMD的死亡率。 我們的項(xiàng)目是開(kāi)發(fā)一種新的用于早期預(yù)測(cè)嚴(yán)重HFMD病的多重細(xì)胞因子免疫測(cè)定(ELISA)的醫(yī)療裝置和一種有效的抗IL-8的治療性人源化抗體。
 
英文原文:
Cytokines are an integral part of the body’s immune system, but they also trigger adverse host responses such as fever, pain, and inflammation. “Cytokine storm” is a situation that the immune system produces excessive pro-inflammatory cytokines, locally or systemically, in response to a number of infectious and non-infectious stimulants, or physical and chemical damages. The high rate of patient death during the outbreak of severe acute respiratory syndrome (SARS), H1N1, and Ebola virus infection is a typical example of cytokine storm’s ferocity to negatively affect body functions. Currently, no antibiotics or antiviral drugs are able to stop the cytokine storm once it breaks out. At Anogen, we believe that tackling the harmful cytokine storm is a novel strategy of bio-defense.
We have initiated cytokine research since the 1990s and have developed hundreds of hybridomas that produce high specificity and high affinity monoclonal antibodies (mAbs) directed against many important cytokines, including TNF-αGM-CSFIL-2IL-8IL-10IL-15IL-17IL-18, and TGF- β. In addition, three different ELISA kits for detection of multiple cytokine epitopes have been developed and widely applied to biomedical research.
Diseases with over production of cytokines:
 
ABCREAM: Anogen’s solution to psoriasis治療銀屑病的方法
 
IL-8 is a potent chemokine for neutrophils, growth factor of epidermal cells, and a pro-angiogenic factor. Psoriasis is a common skin disease characterized by scales that are built up with rapid growing keratinocytes accompanied by inflammation and redness around the scales. IL-8 levels elevate up to 150-fold in psoriatic tissue, suggesting its role in the pathogenesis.
Anogen-Yes Biotech is the first company utilizing anti IL-8 Ab to treat psoriasis. Our proprietary technology (ABCREAM) is a topical ointment containing IL-8 neutralization Ab. IL-8 neutralization Ab blocks the activity of IL-8 which mediates the abnormal proliferation and differentiation of keratinocytes, and increases neutrolphil infiltration in the lesion vicinity to exert the anti-inflammatory effect. The ointment was found to be effective during clinical trial. 49% to 53.8% of patients achieved a greater than 60% improvement and 12.9% to 15.3% of patients achieved a greater than 90% improvement in PASI scores after a six week treatment cycle with ABCream.
ABCream may be effective in treatment of other inflammatory skin conditions as well. Preliminary observations suggest that it may also be used for treatment of eczema, a common skin condition. It was awarded Class I New Drug Certificate issued by China Food and Drug Administration (CFDA) in 2001. 
HFMD and IL-8
Hand, foot and mouth disease (HFMD) is a potentially life-threatening illness commmonly seen in children mostly younger than five years of age. HFMD associated with Enterovirus 71 (EV71) and Coxsackievirus A6 (CV-A6), members of the Picornaviridae family in the genus Enterovirus.  Although present globally in most countries including Europe and North America, the largest HFMD outbreaks has been seen in the Asia-Pacific area, for unknown reasons. HFMD outbreaks are not only increased in recent years, but more severe cases are also more common. Even worse, the HFMD virus is likely to develop partial variations. The fatality rate of severe HFMD is higher.
Hyperglycemia, Pre-albumin and leukocytosis are currently used for clinical prediction of the severity of HFMD. However, they are both insensitive and nonspecific in HFMD patients.
It has been proved that cytokines and chemokines released by EV71 or CV-A6 infected immune cells contribute to the disease severity. The uncontrolled immune responses result in abnormally elevated expression of cytokines that cause inflammation, tissue damage, pulmonary edema and other pathological damage. This phenomenon is known as "Cytokine Storm".
It has been proved that cytokines and chemokines released by EV71 or CV-A6 infected immune cells contribute to the disease severity. The uncontrolled immune responses result in abnormally elevated expression of cytokines that cause inflammation, tissue damage, pulmonary edema and other pathological damage. This phenomenon is known as "Cytokine Storm".
The latest research showed that among many cytokines, IL-2IL-4IL-6IL-8IL-10MCP-1IFN-γGM-CSF and TNF-α increase in enterovirus infection. IL-8 is strongly associated with the severity of HFMD with massive neutrophil infiltration of tissue and organ. IL-6 and IL-10, although elevated in HFMD patients, are not related to the disease severity. Thus, IL-8 level could be used as a predictive marker in the early stages of severe enterovirus infection. In addition, humanized anti-IL-8 antibody may prevent fatal complications such as brainstem encephalitis (BE), and pulmonary edema (PE) to reduce the mortality of severe HFMD.
Our project is to develop a new medical device of multiplex cytokine immuno-assay (ELISA) for early prediction of severe HFMD and an effective therapeutic humanized antibody against IL-8.
 
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