Abstract
											This paper 
					describes the development of the InSite® Test Kit.  This 
					kit is comprised of two main components:  acid 
					phosphatase (AP) test strips and 
					prostate specific antigen (PSA) test strips, which work 
					together to provide evidence of semen on garments and other 
					items.  
												The included AP strips were found to detect semen 
					down to a 1/2000 dilution, whereas comparative testing with 
					two other acid phosphatase (AP) 
					tests and a zinc test showed that their limit of detection was 1/150-1/300. 
					The 
												PSA strips detected semen to a 
					1/500,000 dilution, 
					which was 
					approximately the same as semenogelin test strips used in 
					comparative testing.  
					Semen which was discharged onto undergarments was detectable by the AP tests up to 17 h, by the 
					zinc test up to 17 h, and by the PSA and semenogelin tests up 
					to 36 h after intercourse.   The AP test gave a 
					more dramatic color change with small amounts of semen and therefore 
					was chosen for inclusion in the kit over the zinc test.  
					The zinc test, on the other hand, was more specific and 
					would be superior when testing directly with a vaginal swab.  In contrast with 
					spermatozoa, which can be found in the vagina more than 
					seven days after intercourse,  the marker proteins PSA 
					and semenogelin became undetectable after 36 hours.  We attribute this difference to 
					the acidic pH of the vagina, among other factors.
											Introduction
											Conservative 
					statistics indicate that about 14% of women and 22% of men 
					have had affairs sometime in their marriage 
											[Ref. 1].  
					According to a recent study by the Centers for Disease 
					Control, about 4% of both married men and women had more 
					than one sexual partner in the previous twelve months 
											[Ref. 
					2].   This figure rises to 15% in the case of 
					unmarried couples cohabiting.  These data indicate that infidelity is a 
					significant 
					problem in the United States, and there exists a need to 
					objectively test spouses for sexual activity.  For 
					women, one such test is for the presence of semen.
											
												
												
												When a man has sexual 
												intercourse with a woman, semen 
												is deposited into the woman's 
												vagina.  Immediately after 
												intercourse, most of the semen 
												flows back out, but a some is retained in the vagina 
												and slowly is discharged over a 
												period of several days
												[Ref. 3].  
												Semen has over 900 identified 
												proteins 
												[Ref. 4] 
												among which are semenogelin I 
												and II (gel-forming proteins 
												produced by the seminal 
												vesicles), prostate-specific 
												antigen (a protease which breaks 
												down semenogelin), and acid 
												phosphatase (which breaks down 
												spermatozoa cell membranes)
												
												[Ref. 5]. 
												These proteins can be identified 
												by immunochromatographic assay, 
												which forms the principle of the 
												PSA test in the InSite kit.  
												Acid phosphatase can be detected by 
												the classic test first described 
												by Babson
												[Ref. 6], which forms 
												the principle of the AP test in 
												the InSite kit.  This 
												test relies on the 
												catalytic hydrolysis of 
												1-naphthyl phosphate to form 
												1-naphthol, which in turn reacts 
												with an aryl diazonium salt, 
												forming an intensely colored azo 
												dyestuff.  In addition to proteins, semen 
												also has unusually high 
												concentrations of zinc (100-200 
												mg/L v. 1 mg/L in plasma)
												[Ref. 7].  
												Zinc acts to stabilize DNA 
												inside spermatozoa and also may 
												catalyze the gel-forming 
												reaction between semenogelin I 
												and II.  Semen may be 
												detected by the modified zinc 
												test of Hooft and van de Voorde
												[Ref. 8], 
												which forms the principle of the 
												zinc test developed during this 
												research.
					
												
												The semen flowing back out of a 
												woman's vagina ("backflow") is 
												deposited on her underwear or 
												absorbent pad.  These items 
												conveniently can be tested with 
												the InSite kit.  The kit 
												also can be used to test stains 
												on other fabrics and surfaces.
					
												
												There was some question as to how 
												long after intercourse marker 
												proteins like PSA and 
												semenogelin could be detected, 
												because of the acidic pH in the 
												vagina, among other factors.  The predominant 
												microorganism in the vagina is 
												lactobacillus acidophilus, which 
												produces lactic acid and 
												hydrogen peroxide, creating a 
												toxic environment for other 
												bacteria and denaturing the 
												three-dimensional structure of 
												proteins, which structure is critical for 
												their immunochromatographic 
												detection.  The detection 
												limits for these proteins were 
												measured experimentally as 
												described below.
											
											Results and Discussion
											
					Acid 
					phosphatase test strips were prepared according to a 
					modification of the procedure of Babson 
											[Ref. 6].  Zinc test 
					strips were prepared according to the method of Hooft and 
					van de Voorde, using various filter papers as 
					substrate.  PSA, semenogelin and two other AP tests were obtained 
					commercially as described below.  In order to measure 
					the relative sensitivity of these different tests, and their 
					ability to detect semen on undergarments, comparative 
					studies were performed with semen dilutions and with 
					analysis of garments after intercourse.
											Semen dilutions
					
					The 
					sensitivity of the zinc strips was tested by analyzing a 
					series of dilute semen samples, and acid phosphatase tests 
					were carried out simultaneously for comparison.  Semen was 
					diluted with deionized water to levels of 1/10, 1/50, 1/100, 
					1/150, 1/200, 1/300, 1/500, 1/1,000 and 1/2,000 and tested with zinc strips and three acid 
					phosphatase tests (prototype InSite®, CheckMate® and 
					Phosphatesmo KM brands).  
					The zinc strips 
					proved to be sensitive to a 1/150 dilution, the prototype 
					InSite test had a detection limit of 1/100, the CheckMate® AP test 
					was judged to have a detection limit of 1/150 and the 
					Phosphatesmo KM test a detection limit of 
					1/300.  The AP tests were read after 15 seconds, but at 
					high dilutions continued to slowly turn purple.  The 
					results are shown in Fig. 1.  The zinc and InSite AP 
					test strips in this experiment were prepared using Whatman 
					Grade 1 filter paper.  The prototype InSite AP test (D) 
					in this experiment turned out to 
					be too weak, and the concentration of reagents in this strip later was 
					increased.
					
					The limit of detection of semen 
					at a 1/150 dilution by the zinc spot test is generally consistent with the report 
					of Hooft and van de Voorde, who reported a detection limit 
					of 1/128 [Ref. 8].
					
					The Phosphatesmo KM strips were 
					clearly superior as a spot test for detecting semen in this 
					experiment because 
					of the dramatic color change, the small amount of enzyme needed for a reaction and the 
					strip's overall design.  It was initially thought that, because of acidic 
					conditions in the vagina, it might turn out that zinc would be the 
					best test beyond a certain time frame, e.g. 12 hours.  
					This turned out not to be true, as shown below.  The 
					Phosphatesmo KM strips were also somewhat expensive, at $5 each.
											 
											 
											
												
													| 
														 
														  
													 | 
													
														 
														  
													 | 
													
														 
														  
													 | 
													
														   
													 | 
												
												
													| 
														   
														Control 
													 | 
													
														   
														Control 
													 | 
													
														   
														Control 
													 | 
													
														   
														Control 
													 | 
												
												
													| 
														 A 
													 | 
													
														 B 
													 | 
													
														 C 
													 | 
													
														 D 
													 | 
												
											
											 
											 
											
												
													| 
														   
													 | 
													
														 
														  
													 | 
													
														   
													 | 
													
														 
														  
													 | 
												
												
													| 
														   
														1/10 
													 | 
													
														   
														1/10 
													 | 
													
														   
														1/10 
													 | 
													
														   
														1/10 
													 | 
												
												
													| 
														 A 
													 | 
													
														 B 
													 | 
													
														 C 
													 | 
													
														 D 
													 | 
												
											
											 
											 
											
											 
											 
											
												
													| 
														   
													 | 
													
														 
														  
													 | 
													
														   
													 | 
													
														   
													 | 
												
												
													| 
														   
														1/100 
													 | 
													
														   
														1/100 
													 | 
													
														   
														1/100 
													 | 
													 
														 1/100 
													 | 
												
												
													| 
														 A 
													 | 
													
														 B 
													 | 
													
														 C 
													 | 
													
														 D 
													 | 
												
											
											 
											 
											
											 
											 
											
											 
											 
											
											 
											 
											
											 
											 
											
												
													| 
														   
													 | 
												
												
													| 
														   
														1/500 
													 | 
												
												
													| 
														 A 
													 | 
												
											
											 
											 
											
												
													| 
														   
													 | 
												
												
													| 
														   
														1/1,000 
													 | 
												
												
													| 
														 A 
													 | 
												
											
											 
											 
											
												
													| 
														   
													 | 
													
														 
														  
													 | 
												
												
													| 
														   
														1/2,000 
													 | 
													
														   
														1/2,000 
													 | 
												
												
													| 
														 A 
													 | 
													
														 B 
													 | 
												
											
											 
											 
											
												
													| 
														 
														  
													 | 
												
												
													| 
														   
														0-1/2,000 Series 
													 | 
												
												
													| 
														 B 
													 |