ÉÏÖÜ£¬¡°Ô¬À´ÔÆÔÆ¡±×¨À¸Õýʽ¿ªÆª£¬ÓÀÀÖ¹ú¼ÊÒ½Ò©×Ó¹«Ë¾ÉîÛÚ²©Èð¸±×Ü˾ÀíÔ¬ÖDz©Ê¿ÒÔ¡¶´ó·Ö×ÓÉúÎïÆÊÎö¸ÅÂÛ£¨Ò»£©£º´ó·Ö×ÓÒ©ÎïÉúÎïÆÊÎöµÄ»ù´¡ÖªÊ¶¡·ÎªÌ⣬ÊáÀíÁË´ó·Ö×ÓÒ©ÎïÆÊÎöÒªÁìµÄ»ù´¡¿´·¨¡£
±¾ÆÚ×îÏÈ£¬¡°Ô¬À´ÔÆÔÆ¡±×¨À¸Ç¨¾ÍLBA¶¨Á¿ÒªÁìµÄî¿ÏµÑéÖ¤Õö¿ªÏêϸÏÈÈÝ£¬Ô¤¼Æ½«ÓжàƪÖØ°õ¸É»õÄÚÈÝ·ºÆ𣬾´Çë´¹×¢£¡
1992Ä꣬ÃÀ¹ú¸¥¼ªÄáÑÇÖÝË®¾§³Ç£¬È«ÇòÊ׸ö¹ØÓÚÉúÎïÆÊÎöÒªÁìÑéÖ¤¾Û»áÕÙ¿ª£¬¾Û»áÌÖÂÛ¹²Ê¶µÄÉúÎïʹÓöȡ¢ÉúÎïµÈЧÐÔºÍÒ©´ú¶¯Á¦Ñ§Ñо¿µÄÉúÎïÆÊÎöÒªÁì³ÉΪÁËØʺóÖÆÒ©ÐÐÒµ¾ÙÐÐÉúÎïÆÊÎöÒªÁìÑéÖ¤µÄÏÖʵ׼Ôò¡£Ê·³ÆË®¾§³Ç¾Û»á¡£
Ë®¾§³Ç¾Û»á»¹ÌÖÂÛÁËÉúÎïÆÊÎöÒªÁìÑéÖ¤µÄÆÕ±éÎÊÌ⣬ͬʱҲÈÏ¿ÉÁËÉ«Æ׺ͷÇÉ«ÆײâÊÔÒªÁ죨°üÀ¨ÃâÒß²âÊÔÒªÁìºÍ΢ÉúÎïÒªÁ죩֮¼ä±£´æ²î±ð¡£ÒÔË®¾§³Ç¾Û»áΪ»ù´¡£¬ºóÐøµÄÐÐÒµ¾Û»áºÍÎÄÏ׶ÔÉúÎïÆÊÎöÒªÁìÑéÖ¤¾ÙÐÐÁ˶à´ÎÌÖÂÛ¡£
Æù½ñΪֹ£¬ÈËÃÇ×îÖØÊÓµÄÊÇͨÀýС·Ö×ÓÒ©ÎïµÄÉúÎïÆÊÎöÒªÁìµÄÑéÖ¤£¬ÆäÖ÷ÒªÔµ¹ÊÔÓÉÊÇ×Ô´Ó1990ÄêÒÔÀ´£¬×÷ΪС·Ö×ÓÒ©ÎïµÄͨÀýÆÊÎö¹¤¾ß¡ª¡ª´®ÁªÊ½ÒºÏàÉ«Æ×-ÖÊÆ×ÒÇ£¨LC-MS/MS£©µÄʹÓÃÂÊÔÚѸËÙµØÔöÌí¡£¶ø´ó·Ö×ÓµÄÉúÎïÆÊÎöÒªÁìÒà¶Ô´Ë½è¼øÆĶࡣ
ÔÚ±¾ÎÄÖУ¬LBA ÊÇÃâÒß²âÊÔÒªÁ죨immunoassays£©µÄͬÒå´Ê£¬Ö¸ÈκλùÓÚ´ó·Ö×ÓÏ໥×÷ÓþÙÐж¨Á¿ÆÊÎöµÄÒªÁ죻î¿ÏµÑéÖ¤£¨regulatory validation£©ÔòÊÇͨ¹ýÑéÖ¤ºóÒªÁìËù±¬·¢µÄÆÊÎöÊý¾Ý£¬¿É¹©ÉúÎïÒ©ÎïµÄÁÙ´²Ç°¶¾ÀíÑо¿ºÍÁÙ´²É걨¡¢×¢²áʹÓ᣺óÐøÎÄÕ½«ÏêϸڹÊÍî¿ÏµÑéÖ¤Óë·Çî¿ÏµÑéÖ¤Ö®¼äµÄ²î±ð£¬¾´Çë¹Ø×¢¡£
Ò»¸öÆÊÎöÒªÁìµÄÉúÃüÖÜÆÚͨ³£¿É·ÖΪ3¸ö½×¶Î£ºÒªÁ쿪·¢£¨method development£©¡¢Ñо¿Ç°ÑéÖ¤£¨pre-study validation£©ºÍÑо¿ÖÐÑéÖ¤£¨in-study validation£©¡£ÒªÁ쿪·¢Êǽ¨ÉèÆÊÎöÒªÁìµÄÀú³Ì£¬¶øÑо¿Ç°ÑéÖ¤ÊǶÔÆÊÎöÒªÁì¼òÖ±ÈÏ£¬Ñо¿ÖÐÑéÖ¤ÔòÊÇÔÚÓ¦ÓÃÀú³ÌÖУ¬Èç·ºÆðÒªº¦ÒòËر¬·¢×ª±äºó£¬¾ÙÐеIJ¿·ÖÑéÖ¤¡£
ΪÁËÈ·±£Ò»¸öÆÊÎöÒªÁìÄÜÓÃÓÚ´ó·Ö×Ó¶¨Á¿£¬ÒÔÖ§³ÖÒ©´ú¶¯Á¦Ñ§ÆÀ¹À£¬²¢¾µÃÆðî¿ÏµÉóºË£¬ÐèÒª¶ÔÌض¨ÆÊÎöÒªÁìµÄ¸÷¸ö×é³É²¿·Ö¾ÙÐÐÆÀ¹À¡¢ÑéÖ¤ºÍÒ»Á¬¼à¿Ø¡£Òò´Ë£¬Ö»ÒªÊ¹ÓøÃÆÊÎöÒªÁ죬ÆäÑéÖ¤¾ÍÊÇÒ»¸öÒ»Á¬µÄÀú³Ì¡£
ÒÔÊÇ£¬ÒªÁìÑéÖ¤ÊÇÒ»¸ö¶¯Ì¬µÄÀú³Ì¡£±í1×ܽáÁËÐèÒªÆÀ¹ÀµÄ×é·ÖºÍ¹ØÓÚÆÊÎöÒªÁìÉúÃüÖÜÆÚÖÐÿ¸ö½×¶ÎµÄ½¨Òé¡£±¾ÎĵÄ×éÖ¯Ò²¶ÔÓ¦ÓÚÕâЩҪÁì×é·Ö£¬ÔÚÏìÓ¦µÄÕ½ÚÖУ¬½«ÌÖÂÛÔÚ²î±ð½×¶ÎÖпÉÄÜ¿ªÕ¹µÄÔ˶¯µÄ¸üÍêÕû¡¢ÏêÐŵÄÐÅÏ¢¡£

ÒªÁ쿪·¢½×¶Î
ÔÚÒªÁ쿪·¢Àú³ÌÖÐÌìÉúµÄÐÅÏ¢Ó¦¼Í¼ÔÚʵÑéÊÒÌõ¼Ç±¾»òÆäËû¿É½ÓÊܵÄÎĵµÐÎʽÖС£Ó¦°üÀ¨ÒÔÏÂÆÀ¹ÀÐÅÏ¢£ºÒªº¦¼ì²âÊÔ¼ÁµÄÑ¡ÔñºÍÎȹÌÐÔ¡¢²âÊÔÃûÌõÄÑ¡Ôñ£¨¿¹Ì塢ϡÊÍÒº¡¢Î¢¿×°å¡¢¼ì²âϵͳµÈ£©¡¢±ê×¼ÇúÏßÄ£×ÓµÄÑ¡Ôñ¡¢Ñù±¾»ùÖʵÄÑ¡Ôñ¡¢ÊÔ¼ÁµÄÌØÒìÐÔ¡¢Ñù±¾ÖƱ¸¡¢ÆðÔ´µÄÎȹÌÐÔÑо¿ºÍÒªÁìÎȽ¡ÐÔ£¨robustness£©µÄÆðÔ´ÆÀ¹À¡£ÔÚÒªÁ쿪·¢½×¶Î¿¢ÊÂʱ£¬Ó¦ÌìÉúÒªÁì²Ý°¸»òÒªÁìÑéÖ¤ÊÂÇéÁÐ±í£¨¼´ÐèÒª¾ÙÐеÄʵÑ飩£¬¹©Ñо¿Ç°Ñé֤ʱ´ú²Î¿¼¡£
Ñо¿Ç°ÑéÖ¤½×¶Î
ÔÚ×îÏÈÑо¿Ç°ÑéÖ¤µÄʵÑé֮ǰ£¬Ó¦×«Ð´Ò»¸öÒªÁìÑéÖ¤ÍýÏë»òÕßÊÇ¿ÉÒԲο¼Êʵ±µÄ±ê×¼²Ù×÷³ÌÐò £¨SOP£©£¬ÒÔÈ·±£Ñо¿Ç°ÑéÖ¤ËùÐèÒª×öµÄʵÑéÓÐÒ»¸öÊéÃæ¸ÙÒª¡£´ËÑéÖ¤ÍýÏë¿ÉÒÔÊÇÒ»¸ö×ÔÁ¦µÄÎĵµ£¬Ò²¿ÉÒÔÊÇʵÑéÊҼͼ±¾»òÀàËÆÎĵµµÄÒ»²¿·Ö¡£¸ÃÎļþÓ¦°üÀ¨¶Ô´ËÒªÁìÔ¤ÆÚÓÃ;µÄÐÎòÒÔ¼°ÐèÒªÑéÖ¤µÄÐÔÄܲÎÊý£¬ÕâЩ²ÎÊý°üÀ¨µ«²»ÏÞÓÚ±ê×¼ÇúÏß¡¢Ï¸ÃܶȺÍ׼ȷÐÔ¡¢¶¨Á¿¹æÄ£¡¢ÌØÒìÐÔºÍÑ¡ÔñÐÔ¡¢ÎȹÌÐÔ¡¢Ï¡ÊÍÏßÐÔ¡¢ÎȽ¡ÐÔ¡¢ÔËÐдóС£¨Åú´Îbatch/run size£©ºÍÔËÐнÓÊܱê×¼¡£¸ÃÑéÖ¤ÍýÏëÓ¦°üÀ¨Äâ¾ÙÐеÄʵÑéÊÂÇéËùÑо¿µÄÿ¸öÐÔÄܲÎÊýµÄÄ¿µÄ½ÓÊܱê×¼¡£Íê³ÉÑé֤ʵÑéºó£¬Ó¦×«Ð´Ò»·ÝÖÜÈ«µÄ±¨¸æ£¬±¨¸æµÄÃûÌÿÉÒÔÓÉʵÑéÊÒµÄÄÚ²¿Õþ²ß¾öÒ飬´Ë±¨¸æÓ¦»ã×ܲâÊÔÐÔÄÜÊý¾Ý¡¢Éæ¼°ÒªÁìSOP»òÑéÖ¤ÍýÏëµÄÎó²îÒÔ¼°ÈκÎÆäËûÏà¹ØÐÅÏ¢¡£Ñо¿ÖÐÑéÖ¤½×¶Î
ÔÚʵÑéÀú³ÌÖУ¬Ñо¿Ö°Ô±ÐèÒªÌìÉú°üÀ¨Êʵ±Í³¼Æ²ÎÊýµÄ±ê×¼ÇúÏߺÍÖÊÁ¿¿ØÖÆÑùÆ·£¨QC£©µÄÀÛ»ýÊý¾Ý»ã×Ü±í£¬²¢½«ÆäÓëÑо¿Ñù±¾µÄ²â¶¨ÃüÖµ»ã×ܵ½×îÖÕµÄÑо¿±¨¸æÖС£ÓëÑо¿Ç°ÑéÖ¤²î±ðµÄÊÇ£¬ÕâЩ±í¸ñÖв»°üÀ¨Ê§°ÜµÄÔËÐС£×îÖÕ±¨¸æÖÐÐè°üÀ¨µÄÆäËûÐÅÏ¢°üÀ¨£ºÆÊÎöÀú³ÌÖб¬·¢µÄÎó²îÐÎò¡¢Öظ´ÆÊÎöµÄÑù±¾»ã×ܼ°ÆäÔµ¹ÊÔÓÉÒÔ¼°ËùÓÐδͨ¹ýÔËÐеÄÏêϸÐÅÏ¢µÄ»ã×Ü±í¡£4.²âÊÔÊÔ¼ÁµÄÑ¡Ôñ¡¢ÎȹÌÐÔ¡¢²âÊÔÃûÌúÍÔËÐÐ/Åú´Î´óС£¨batch/run size)LBAÆÊÎöÒªÁìµÄÒªº¦×é³É²¿·ÖÊÇÅäÌåÊÔ¼Á£¨ligand reagent£©£¬Í¨³£ÊÇÓÃÓÚÃâÒß²âÊÔµÄÒ»¸ö»òÒ»¶Ô¿¹Ìå¡£±ðµÄ£¬ÆäËûÅäÌåÊÔ¼Á»¹¿ÉÄÜ°üÀ¨ÍŽáÂÑ°×£¨binding protein£©¡¢ÊÜÌ壨receptor£©¡¢¹ÑºËÜÕËᣨoligonucleotide£©ºÍ¶àëÄƬ¶Ï¡£Îª¼òÆÓÆð¼û£¬±¾ÎĽöÌÖÂÛÃâÒß²âÊÔÓõÄÊÔ¼Á£¨±ØÐèÑ¡ÔñÓµÓÐÊʵ±ÌØÒìÐÔºÍÑ¡ÔñÐÔÊÔ¼Á£¬ÆäÓ¦µ±¾ßÓÐÄܹ»³¤ÆÚÇÒÎȹ̵ØÐγɿ¹Ìå/¿¹Ô¸´ºÏÎïµÄÍŽáÌØÕ÷£©¡£LBAµÄ²âÊÔÃûÌðüÀ¨µ«²»ÏÞÓÚ£º¼ÐÐÄʽ¡¢¾ºÕùʽ¡¢Ö±½Ó»ò¼ä½ÓÍŽáÒÖÖÆÒÔ¼°¹ÌÏà»òÈÜÒºÏàµÄ²âÊÔÃûÌá£Ò»¸öµä·¶µÄ²âÊÔÔËÐУ¨batch/run£©°üÀ¨Á˱ê׼У׼ÑùÆ·£¨standard calibrator£©¡¢ÑéÖ¤ÑùÆ·£¨validation sample£©¡¢QC ÑùÆ·ºÍÑо¿Ñù±¾£¨study sample£©£¬ÔÚÓ¦ÓÃÒªÑéÖ¤µÄÒªÁìʱÐ뽫ËüÃÇ×÷ΪÕûÌå¾ÙÐÐÆÊÎö¡£ÔÚÀíÏë״̬Ï£¬ËùÐè×îµÍÊýÄ¿µÄQCÑùÆ·Ó¦´ú±í¸ø¶¨ÔËÐÐÖÐÑо¿Ñù±¾×ÜÊýµÄ5%¡£¹ØÓÚ»ùÓÚ΢¿×°åµÄ²âÊÔÒªÁ죬һ¸öÔËÐпÉÒÔ°üÀ¨¶à¸ö×ÔÁ¦µÄ΢¿×°å£¬µ«Ã¿¸ö΢¿×°åÓ¦°üÀ¨×ÔÁ¦µÄÒ»×éУ׼ÑùÆ·ºÍQCÑùÆ·¡£
ÒªÁ쿪·¢½×¶Î
ÒªÁ쿪·¢µÄµÚÒ»²½ÊÇÑ¡Ôñ²âÊÔÃûÌ᣹ØÓÚ¹ÌÏà²âÊÔ£¬±ØÐèÑ¡ÔñÀο¿¿¹Ìå»òÆäËûÂÑ°×ÖÊ¡£ÈçÊÜÌåµÄ¹ÌÏ࣬³£ÎªËÜÁϺͲ£Á§Íâò£¬µ«¶þÕßÖ®¼äµÄ²î±ð¿ÉÄܴܺ󣬻¹»áÓ°ÏìÒªÁìµÄѸËٶȺͱäÒìÐÔ¡£ÈôÊÇʹÓÃ×Ô¶¯Îü¸½£¨active adsorption£¬ÀýÈçavidin-biotin£©£¬Ôò±ØÐèÑ¡ÔñÓÃÓڸıä¹ÌÏàÍâò£¨°ü°å£©µÄºÏÊʵĻ¯Ñ§·´Ó¦¡£±»¶¯Îü¸½£¨passive adsorption£©ÊÇ×î³£Óõİü°åÒªÁ죬µ«»áÊܵ½ËùʹÓõĻº³åÒºÌØÕ÷£¨ÀýÈçÑÎŨ¶ÈºÍpH£©µÄÓ°Ï죬±ØÐèÊÊÍâµØÑ¡Ôñ°ü°åÈÜÒºµÄŨ¶È/Ìå»ý¡¢»ìÏýÂÑ°×ÖʵÄģʽ£¨Ò¡¶¯ÓëÎÐÐý£©ºÍ°ü°åµÄζȡ£ÔÚÑ¡Ôñ²âÊÔÏ¡ÊÍҺʱ£¬±ØÐè˼Á¿´ý²âÎï¡¢Ô¤ÆڵĻùÖʺÍÍŽáʵÌ壨ÀýÈ翹Ìå»òÊÜÌ壩µÄÏêϸÌØÕ÷¡£ÀýÈ磬¿ÉÄÜÐèÒªÌí¼ÓÖؽðÊô»òòüºÏ¼Á£¬ÒÔ±ãÈ·Èϵִï×î¼ÑµÄÍŽá״̬¡£±ðµÄ£¬»¹¿ÉÄÜÐèҪ˼Á¿È¥ÎÛ¼Á£¨ÀýÈ磬Tween-20»òTriton-X100£©»òÌî³äÂÑ°×£¨Èçalbumin,casein»ògelatin£©£¬´Ó¶øÓÅ»¯²âÊÔÒªÁìµÄÐÔÄÜ¡£
ʵÑéÀú³ÌÖÐÓ¦ÖÐÑ¡ÔñºÏÊʵÄÐźżì²âϵͳ£¬ÒÔÌṩ¿É½ÓÊܵÄÐźŲ¢Ê¹Åä¾°ÔëÉù×îС»¯¡£Ê¹ÓñÈÉ«·¨£¨colorimetry£©ÒÔÍâµÄÐźżì²âϵͳ£¬¿ÉÒÔÌá¸ß¼ì²âµÄѸËٶȡ£ÕâЩ¼ì²âÐźÅϵͳ°üÀ¨Ó«¹â¡¢»¯Ñ§·¢¹â¡¢·ÅÉäÐԲⶨºÍµç»¯Ñ§·¢¹â¡£Ê¹ÓÃÐźŷŴóϵͳ¿ÉÒÔʵÏÖ¸ü¸ßµÄѸËٶȡ£³ýÁËÆÊÎöÒªÁìµÄ¸÷¸ö×éÌØÊ⣬ÔÚÒªÁ쿪·¢Àú³ÌÖУ¬»¹Ó¦ÖÐÑ¡Ôñ¡¢½¨ÉèºÍÔËÐиÃÆÊÎöÒªÁìµÄÃûÌã¬È羺Õùʽ»ò·Ç¾ºÕùʽ¡£
Ó¦µ±½¨ÉèÆÊÎöÉèÖã¨assay configuration£¬ÀýÈç±ê׼Ʒ¡¢QCÑùÆ·ºÍÑо¿Ñù±¾ÔÚ΢¿×°åÉϵÄλÖã©£¬²¢²âÊÔÓëÔ¤ÆÚµÄÑо¿ÖвâÊÔÔËÐÐÏàͬÊýÄ¿µÄ΢¿×°å¡£Ó¦µ±Æ¾Ö¤²âÊÔÒªÁìµÄÐÔÄÜÓëËùÐèµÄ²âÊÔϸÃܶÈÖ®¼äµÄ¹ØϵÀ´È·¶¨ÓÃÓÚ±ê׼Ʒ¡¢QCÑùÆ·ºÍÑо¿Ñù±¾µÄÖظ´¿×ÊýÄ¿¡£ËäÈ»×îÖÕЧ¹û¿ÉÒÔ»ùÓÚµ¥¿×»ò¸´¿×µÄÆÊÎöЧ¹û£¬µ«È·¶¨QCÑùƷЧ¹ûµÄÖظ´¿×ÊýÄ¿±ØÐèÓëÓÃÓÚ»ñÈ¡ÕæʵÑù±¾Ð§¹ûµÄÖظ´¿×ÊýÄ¿Ïàͬ¡£
¶ÔÔËÐÐÄÚ£¨intra-batch/run£©ºÍÔËÐм䣨inter-batch/run£©²âÊÔÐÔÄܵÄÆÀ¹À£¬ÐèҪΪÿ¸öÑéÖ¤Ñù±¾ÌìÉú¶à¸öЧ¹û£¬ÆäÖÐÿ¸öЧ¹û¶¼ÊÇƾ֤Öظ´¿×µÄÏìÓ¦ÖµÅÌËãµÄ¡£²âÊÔÔËÐеÄÊýÄ¿ºÍÿ¸öÑù±¾µÄÖظ´¿×Ч¹û£¨¼´Öظ´ÕÉÁ¿Ð§¹û£©µÄÊýÄ¿Ó¦×ã¹»´ó£¬´Ó¶ø¿É¿¿µØÔ¤¼Æ¸Ã²âÊÔÒªÁìµÄÐÔÄÜÌØÕ÷¡£ÉÔºóÔÚÉæ¼°Ìض¨ÐÔÄÜÌØÕ÷£¨ÀýÈ磬ϸÃܶȺÍ׼ȷÐÔ£©µÄ²¿·ÖÖУ¬½«Ìá³öÓйØ×îÉÙ²âÊÔÔËÐÐ/Öظ´¿×ÊýÄ¿µÄ½¨Òé¡£
Ñо¿Ç°ÑéÖ¤½×¶Î
ÔÚÒªÁìÑé֤ʱ£¬Ó¦µ±Ê¹ÓÃÔÚÒªÁ쿪·¢½×¶Îʶ±ðºÍÓÅ»¯Á˵ÄÒªº¦²âÊÔÊÔ¼Á£¨¼ò³ÆÒªº¦ÊÔ¼Á£©£¬ÇÒ²»¿É¸ü¸Ä£¬²¢ÔÚÒªÁìSOPÖÐÓèÒÔ±êʶ¡£ÔÚÒªÁìÑéÖ¤µÄÀú³ÌÖУ¬½«È·ÈÏÒªÁì²Ý°¸Öнç˵µÄÕâЩҪº¦ÊÔ¼ÁµÄÐÔÄÜ¡£»¹Ó¦µ±È·ÈÏÆÊÎöÉèÖã¨Èç΢¿×°åÊýÄ¿¡¢±ê׼ƷºÍÑéÖ¤ÑùÆ·µÄλÖá¢Öظ´¿×ÊýÄ¿¡¢²Ù×÷Ìõ¼þµÈ£©ÒÔ¼°ÔÚÒªÁ쿪·¢Àú³ÌÖÐÈ·¶¨µÄ²âÊÔÔËÐеĴóС£¨batch/run size£©¡£Ñо¿ÖÐÑéÖ¤½×¶Î
ÔÚ²âÊÔÒªÁìµÄÉúÃüÖÜÆÚÖУ¬Í¨³£ÐèÒªÌ滻ij¸öÒªº¦×é·Ö£¨ÀýÈçÊÔ¼ÁÅú´Î£©¡£¶ÔÒÑÑéÖ¤×é·ÖµÄ¸ü¸Ä£¬ÐèÒª¾ÙÐв¿·ÖÑéÖ¤£¬À´Ö¤ÊµÆä¾ßÓÐÀàËƵÄÐÔÄÜ¡£±ðµÄ£¬»¹¿ÉÒÔʹÓÃÔÚͨÀýÆÊÎöÔËÐÐÖÐQCÑùÆ·±¬·¢µÄ¿É½ÓÊÜЧ¹û£¬À´ÑÓÉìÒªº¦ÊÔ¼Á£¨²»°üÀ¨²Î¿¼±ê×¼£¬reference standard£©µÄÓÐÓÃÆÚ£¬²¢ÇÒ±ØÐèƾ֤ÕâЩÊý¾Ý£¬×Ðϸ¼Í¼ÓÐÓÃÆÚµÄÑÓÉì¡£ÔÚÑо¿ÖÐÑé֤ʱ£¬Ó¦µ±Ê¹ÓÃ֮ǰÑéÖ¤¹ýµÄ²âÊÔÃûÌ㬶ԴËÃûÌõÄÈκθü¸Ä¾ùÓ¦ÇåÎúµØ¼Í¼ÔÚ°¸¡£ÈôÊǾÙÐÐÁËÖØ´ó¸ü¸Ä£¬Ôò¿ÉÄÜÐèÒª¾ÙÐв¿·ÖÑéÖ¤£¬ÒÔ֤ʵ²âÊÔÐÔÄܵĿɱÈÐÔ¡£5.²ÎÕÕ£¨±È£©ÎREFERENCE MATERIAL)ÓÃÓÚÖƱ¸±ê׼У׼Ʒ£¨standard calibrator£©¡¢ÑéÖ¤ÑùÆ·ºÍQCÑùÆ·µÄÎïÁÏȪԴ»áÓÐËù²î±ð¡£Ðë×ÅÖØÏàʶÎïÁϵÄȪԴ¼°Ïà¹Ø˵Ã÷ÖÊÁÏ¡£ÔÚÌõ¼þÔÊÐíµÄÇéÐÎÏ£¬¾¡¿ÉÄܵؽ«±ê׼Ʒ¡¢ÑéÖ¤ÑùÆ·¡¢QCÑùÆ·µÈ´ÓͳһȪԴÎïÁϵĵ¥¶À·Ö×°£¨separate aliquot£©Ð¡·ÝÖÐÖƱ¸¡£²ÎÕÕ£¨±È£©ÎïÔÚ¹©Ó¦ÓÐÏÞµÄÇéÐÎÏ£¨ÀýÈ磬ҩÎïÏ໥×÷ÓÃÑо¿£¬ÆäÖд¿±ê׼ƷֻÄÜ´ÓÉÌÒµÊÔ¼ÁºÐÕâÑùµÄÓÐÏÞȪԴ»ñµÃ£©£¬¿ÉÒÔͨ¹ý¿¼²ì²î±ðÅú´Î»òÆäËûÉÌÒµÉÌÆ·Ö®¼äµÄ¿É±ÈÐԺ󣬴Óͳһ¸öµ¥¸öÖз֣¨single aliquot£©ÎïÁÏÖÐÖƱ¸±ê׼ƷºÍQCÑùÆ·¡£6.ÌØÒìÐÔ£¨specificity)ºÍÑ¡ÔñÐÔ£¨selectivity£©¿¹ÌåµÄÌØÒìÐÔ£¨specificity£©ÊÇÖ¸ÆäÍŽáÄ¿µÄ¿¹ÔµÄÄÜÁ¦¡£ÔÚÀíÏëµÄÇéÐÎÏ£¬ËùʹÓõĿ¹Ìå¿´´ý²âÎïÊÇÌØÒìÐԵģ¬¼´²»ÓëÑùÆ·ÖпÉÄܱ£´æµÄ´ý²âÎïµÄ±äÒìÌ壬»òÆäËû½á¹¹Ïà¹ØµÄÎïÖʱ¬·¢½»Ö¯·´Ó¦¡£ÌØÒìÐÔÓÐʱÓë½»Ö¯·´Ó¦ÐԵĿ´·¨Óйأ¬ÈôÊÇ¿¹ÌåÊǸ߶ÈÌØÒìÐԵģ¬ÔòÆä½»Ö¯·´Ó¦ÐԽϵ͡£
Ñ¡ÔñÐÔ£¨selectivity£©ÊÇÒ»¸öÓëÌØÒìÐÔÓйصĿ´·¨£¬ÊÇÒ»ÖÖÆÊÎöÒªÁìÔÚÑù±¾Öб£´æÆäËûÒòËصÄÇéÐÎϼì²â´ý²âÎïµÄÄÜÁ¦¡£Í¨³££¬LBAÎÞÐèÑùÆ·Ô¤´¦Öóͷ££¨ÀýÈçÝÍÈ¡£©£¬¿ÉÖ±½ÓÔÚÉúÎï»ùÖÊÖвⶨ´ý²âÎïµÄŨ¶È£¬µ«´Ë×ö·¨»ò½«Êܵ½ÊÔ¼ÁÓëÑù±¾»ùÖÊÒòËصĽ»Ö¯·´Ó¦ËùÒýÆðµÄ·ÇÌØÒìÐÔ·´Ó¦µÄÓ°Ïì¡£ÌØÒìÐÔºÍÑ¡ÔñÐÔÆÀ¹À½«ÑéÖ¤¸ÃÆÊÎöÒªÁìÊÇ·ñ¿´´ý²âÎï¾ßÓÐÌØÒìÐÔ£¬²¢ÇÒ¿ÉÒÔ´ÓÖØ´óµÄ»ùÖÊÖÐÑ¡ÔñÐԵض¨Á¿´ý²âÎ¶ø²»±»ÕýÏò»ò¸ºÏòµÄ×ÌÈÅËùÓ°Ïì¡£
ÒªÁ쿪·¢½×¶Î
ÆÊÎöÒªÁìµÄÌØÒìÐÔ½«È¡¾öÓÚËùʹÓõĿ¹Ìå»ò¿¹Ìå¶Ô£¨antibody pair£©µÄÔ¤ÏÈÈ·¶¨µÄÌØÒìÐÔ¡£¿¹Ìå¿ÉÒÔ´ÓÉÌҵȪԴ»ñµÃ»òÄÚ²¿Éú²ú¡£ÎÞÂÛÄÄÖÖÇéÐΣ¬ÔÚÑ¡Ôñ֮ǰ¶¼±ØÐèÆÀ¹À¿¹ÌåÍŽáÌØÕ÷µÄÊý¾Ý£¬ÆÀ¹ÀÆÊÎöÌØÒìÐÔµÄÒªÁìͨ³£ÊÇÆÊÎöÑù±¾»ùÖÊ£¬ÑùÆ·»ùÖÊ+²î±ðŨ¶ÈµÄ´ý²âÎï¼°Æä±äÒìÌå¡¢ÎïÀí»¯Ñ§ÉÏÀàËƵĻ¯ºÏÎïÒÔ¼°ÑùÆ·»ùÖÊ+¿ÉÄÜÓë´ý²âÎïÅäºÏʹÓõĻ¯ºÏÎï¡£
ÔÚijЩÇéÐÎÏ£¬¿ÉÒÔʹÓÃÒ»¸öÑù±¾»ùÖÊÀ´ÆÀ¹ÀÌØÒìÐÔ£¬¸ÃÑù±¾»ùÖÊ°üÀ¨ÓëÌåÄÚŨ¶ÈÏ൱µÄÒ»ÖÖ»ò¶àÖÖÓë´ý²âÎïÓйصĻ¯ºÏÎͨ³££¬¾ºÕùʽ²âÊÔÃûÌñȼÐÐÄʽ²âÊÔÃûÌøüÒ×ÊÜ×ÌÈÅÎïµÄ×ÌÈÅ£¬ÓÉÓÚ¼ÐÐÄʽÆÊÎöÒªÁìʹÓÃÁ½ÖÖ¿¹Ì壬¹Ê¾ßÓиü´óµÄÌØÒìÐÔ¡£
ÈôÊÇÎÞ·¨»ñµÃ´ý²âÎïµÄ±äÒìÌå»òÏà¹ØÐÎʽ£¬Ôò¿ÉÄÜÎÞ·¨ÔÚÒªÁ쿪·¢Àú³ÌÖÐÌìÉú½»Ö¯·´Ó¦ÐÔ£¨ÆÊÎöÌØÒìÐÔassay specificity£©Êý¾Ý¡£Òò´Ë£¬¿ÉÄÜÐèÒª¶Ô¾ÓÉÑéÖ¤µÄÆÊÎöÒªÁìµÄÌØÒìÐÔ¾ÙÐлØÊ×ÐÔÆÀ¹À£¬ÓÉÓÚËæ×Åʱ¼äµÄÁ÷ÊÅ£¬½«±¬·¢¸ü¶àÓйشý²âÎïÐÐΪµÄÊý¾Ý¡£
ÔÚÒªÁ쿪·¢Àú³ÌÖУ¬ÆÀ¹ÀÑ¡ÔñÐÔ¼´ÊÇÆÀ¹À±£´æ»ùÖÊÒòËØʱ¿´´ý²âÎïµÄ¶¨Á¿¡£ÕâЩ»ùÖÊÒòËØ¿ÉÄÜ»á×ÌÈÅ¿¹ÌåÓë´ý²âÎïµÄÍŽᣬӦµ±ÔÚ¶¨Á¿ÏÂÏÞ£¨LLOQ£¬¼´µÍÓÚµÍˮƽQCÑùÆ·µÄŨ¶È£©»òÖ®ÉϵÄÖÜΧÍâ¼Ó´ý²âÎﵽͳһÑù±¾»ùÖÊÀàÐ͵Ķà¸öÅú´Î(ÖÁÉÙ10¸ö)ÖУ¬²¢ÆÀ¹ÀÏà¶ÔÎó²îµÄ°Ù·Ö±È£¨%RE£©¡£Ö»¹ÜÑ¡ÔñÐÔÎÊÌâͨ³£ÔÚ¶¨Á¿¹æÄ£µÄµÍ¶Ë±¬·¢£¬Ò²ÐèÒªÔڽϸߴý²âÎïŨ¶ÈÏÂÆÀ¹ÀÑ¡ÔñÐÔ¡£ÔÚÅä¾°×ÌÈÅÓëŨ¶ÈÓйصÄÇéÐÎÏ£¬±ØÐèÈ·¶¨ÔÚÄĸö´ý²âÎïµÄŨ¶È֮ϿÉÄÜ·ºÆð×ÌÈÅ¡£ÔÚÒªÁìÑé֤֮ǰ£¬¿ÉÄÜÐèÒªÏìÓ¦µØÌáÉý×îµÍµÄ¶¨Á¿ÏÞ¡£
Ñо¿Ç°ÑéÖ¤½×¶Î
Ñо¿Ç°µÄÑéÖ¤Àú³Ì½«Ö¤ÊµÆÊÎöÒªÁìµÄÌØÒìÐÔºÍÑ¡ÔñÐÔÐÔÄÜ£¨Ê¹ÓÃ×îÏà¹ØµÄ»¯ºÏÎïºÍÑù±¾»ùÖÊ£©¡£Ñ¡ÔñÐÔÓɽÓÄÉÂÊ£¨recovery£©´ú±í£¬½ÓÄÉÂʵĽÓÊܱê×¼Óë׼ȷÐÔÆÀ¹ÀÏàͬ¡£ÍƼöµÄÑ¡ÔñÐÔ½ÓÊܱê×¼ÊÇ£ºÖÁÉÙ80£¥±»ÆÀ¹ÀµÄÑù±¾»ùÖʾù»ñµÃ¿É½ÓÊܵĽÓÄÉÂÊ¡£Ñо¿ÖÐÑéÖ¤½×¶Î
ÔÚÑùÌìÖ°ÎöÀú³ÌÖУ¬Í¨³£²»±£´æÕë¶ÔÌØÒìÐÔºÍÑ¡ÔñÐԵĽÓÊܱê×¼¡£ÈôÊDZ£´æDZÔÚµÄ×ÌÈÅÎÊÌ⣬Ôò±ØÐèÊÂÏÈÈ·¶¨Ñù±¾µÄÐÔÄÜÌØÕ÷£¬²¢×öÏìÓ¦µÄ´¦Öóͷ£¡£Í¨³£ÇéÐÎÏ£¬¼²²¡×´Ì¬µÄÑù±¾»ùÖÊ¿ÉÄÜ°üÀ¨±ÈÕÕ»ùÖÊÖв»±£´æµÄÒòËØ£¬ÀýÈ磬Àà·çʪÒò×Ó£¨rheumatoid factor£©ÍÑÂäµÄ¿ÉÈÜÐÔÊÜÌ壬À´×Ô×ÔÉíÃâÒßÐÔ¼²²¡µÄÒìÔ´×ÌÈÅ¡¢¸ßѪ֬£¨lipemic£©Ñù±¾¡¢ÈÜѪ£¨hemolyzed£©Ñù±¾µÈ¡£Òò´Ë£¬Ç¿ÁÒ½¨ÒéÔÚ»ñµÃÏà¹Ø¼²²¡×´Ì¬µÄÑù±¾»ùÖʺó£¬Öظ´¾ÙÐÐÑ¡ÔñÐÔºÍÌØÒìÐÔʵÑé¡£Ìæ»»¿¹ÌåÅú´Îºó£¬Ò²ÐèÒªÖØÐÂÑéÖ¤ÌØÒìÐÔºÍÑ¡ÔñÐÔ¡£±¾ÎÄÈôÓÐÊ詺ÍÎó¶ÁÏà¹ØÖ¸ÄϺÍÊý¾ÝµÄµØ·½£¬Çë¶ÁÕß̸ÂÛºÍÖ¸Õý¡£ËùÓÐÒýÓõÄÔʼÐÅÏ¢ºÍ×ÊÁϾùÀ´×ÔÒѾ½ÒÏþѧÊõÆÚ¿¯¡¢¹Ù·½ÍøÂ籨µÀµÈ¹ûÕæÇþµÀ, ²»Éæ¼°Èκα£ÃÜÐÅÏ¢¡£²Î¿¼ÎÄÏ×µÄÑ¡Ôñ˼Á¿µ½¶àÑù»¯µ«Ò²²»¿ÉÄÜÍêÕû£¬½Ó´ý¶ÁÕßÌṩÓмÛÖµµÄÎÄÏ×¼°ÆäÆÀ¹À¡£
8. À©Õ¹ÔĶÁ
Ô¬À´ÔÆÔÆ£ü´ó·Ö×ÓÉúÎïÆÊÎö¸ÅÂÛ£¨Ò»£©£º´ó·Ö×ÓÒ©ÎïÉúÎïÆÊÎöµÄ»ù´¡ÖªÊ¶
1. V. P. Shah, et al. Analytical methods validation: bioavailability, bioequivalence, and pharmacokinetic studies. Pharm. Res. 9:588¨C592 (1992).2. J. W. A. Findlay, et al. Validation of Immunoassays for bioanalysis: A pharmaceutical industry perspective. J. Pharm. Biomed. Anal. 21:1249¨C1273 (2000).3. C. M. Riley and T. W. Rosanke. Development of validation of analytical methods: progress in pharmaceutical and biomedical analysis (vol 3) Elsevier (Pergamon), NY 1996.
4. V. P. Shah, K et al. Analytical methods validation: bioavailability, bioequivalence and pharmacokinetics studies. Conference Report. Eur J Drug Metabol Pharmacokinetics 16:249¨C255 (1991).
5. Guideline on validation of analytical procedures: definitions and terminology International Conference of Harmonization (ICH) of Technical Requirements for the Registration of Pharmaceuticals for Human Use Geneva 1995 (1996).
6. V. P. Shah, et al. Bioanalytical method validation. A revisit with a decade of progress. Pharm. Res. 17:1551¨C1557 (2000).
7. K. J. Miller, et al. Workshop on Bioanalytical Methods Validation for Macromolecules: Summary Report. Pharm. Res. 18:1373¨C1383 (2001).
8. Guidance for the Industry. Bioanalytical Method Validation US Department of Health and Human Services FDA (CDER) and (CVM) May 2001.
9. DeSilva B, et al. Recommendations for the bioanalytical method validation of ligand-binding assays to support pharmacokinetic assessments of macromolecules. Pharm Res. 2003;20:1885¨C900.
10. J. O. Westgard. Points of care in using statistics in method comparison studies. Clin. Chem. 44:2240¨C2242 (1998).
11. Watson, RG, et al. Implementing a tiered approach to bioanalytical method validation for large molecule ligand-binding assay methods in pharmacokinetic assessments. Bioanalysis. 2017 9(18):1407-1422
12. D. Rodbard, et al. Kinetics of Two-Site Immunoradiometric (Sandwich) Assays-II. Immunochem. 15:77¨C82 (1978).
13. B. D. Plikaytis, et al. Determination of parallelism and nonparallelism in bioassay dilution curves. J. Clin. Microbiol. 32: 2441¨C2447 (1994).
14. C. Hartmann, et al. Reappraisal of hypothesis testing for method validation; Detection of systematic error by comparing the means of two methods or two laboratories. Analytical Chem. 67:4491¨C4499 (1995).
15. S. R. Searle, et al. Variance Components Chapter 3. John Wiley & Sons, Inc, New York, NY (1992).
16. R. W. Mee. b-expectation and b-content tolerance limits for balanced one-way ANOVA random model. Technometrics 26:251¨C254 (1984).