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CN100338230C - Method and detergent for predicting type 2 diabetes susceptibility using PON2 gene the nineth extron polymorphism - Google Patents

Method and detergent for predicting type 2 diabetes susceptibility using PON2 gene the nineth extron polymorphism Download PDF

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CN100338230C
CN100338230C CNB2005101090523A CN200510109052A CN100338230C CN 100338230 C CN100338230 C CN 100338230C CN B2005101090523 A CNB2005101090523 A CN B2005101090523A CN 200510109052 A CN200510109052 A CN 200510109052A CN 100338230 C CN100338230 C CN 100338230C
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杨泽
屈彦纯
唐雷
孙宏
朱小泉
孙亮
张宁
史晓红
纪立农
蔡晓凌
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Beijing Hospital
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Abstract

本发明公开了一种利用PON2基因第九外显子多态性预测2型糖尿病易感性的方法及试剂,通过提取宿主细胞的基因组DNA,测定受试者PON2基因第九号外显子的SEQ ID NO:1所示序列第105位的单核苷酸多态性位点(SNP)的基因型,预测受试者对2型糖尿病的易感性:第105位的基因型为C/C时,受试者的易感性较低;第105位的基因型为C/G或G/G时,受试者的易感性较高。本发明的优点是:首次阐明了PON2基因第九号外显子第26位的单核苷酸多态性位点与T2DM的相关性,提供了一种预测T2DM易感性的方法,该方法可用于T2DM的预防、辅助诊断和治疗,还可以用于新药研发。

Figure 200510109052

The invention discloses a method and a reagent for predicting the susceptibility to type 2 diabetes by using the polymorphism of the ninth exon of PON2 gene. By extracting the genomic DNA of the host cell, the SEQ ID of the ninth exon of the PON2 gene of the subject is determined NO: The genotype of the 105th single nucleotide polymorphism site (SNP) in the sequence shown in 1 predicts the susceptibility of the subject to type 2 diabetes: when the 105th genotype is C/C, The susceptibility of the subject is low; when the 105th genotype is C/G or G/G, the susceptibility of the subject is high. The advantages of the present invention are: for the first time, the correlation between the single nucleotide polymorphism site at position 26 of Exon 9 of the PON2 gene and T2DM is clarified, and a method for predicting the susceptibility of T2DM is provided, which can be used for The prevention, auxiliary diagnosis and treatment of T2DM can also be used in the development of new drugs.

Figure 200510109052

Description

一种检测PON2基因第九外显子多态性的方法及试剂A method and reagent for detecting the polymorphism of the ninth exon of PON2 gene

技术领域technical field

本发明涉及一种利用PON2基因第九外显子多态性预测2型糖尿病易感性的方法及试剂,该方法可用于疾病的辅助诊断、治疗和新药开发,属于生物技术领域。The invention relates to a method and a reagent for predicting susceptibility to type 2 diabetes by using the ninth exon polymorphism of PON2 gene. The method can be used for auxiliary diagnosis, treatment and new drug development of diseases, and belongs to the field of biotechnology.

背景技术Background technique

糖尿病是一种暂时无法治愈的慢性疾病,并可引发多种合并症,累及眼、肾、神经、心脏、血管等多种组织器官。糖尿病患者常伴有血脂代谢紊乱、高血压、肥胖等疾病,其发生冠心病、脑血管病的危险性也明显高于非糖尿病人群。糖尿病已经成为威胁人类健康的主要疾病之一,它带来的经济负担也与日剧增。目前认为,糖尿病(diabetes mellitus,DM)不是一种简单疾病,而是一种内分泌、代谢异常综合征,是由遗传因素与后天环境因素联合作用而导致的一种机体慢性高血糖状态。按1999年世界卫生组织(WHO)推荐的糖尿病分型意见,目前主要划分为4种类型,即1型糖尿病、2型糖尿病、妊娠糖尿病和其他特殊类型糖尿病,其中近90%为2型糖尿病。2型糖尿病患者多见于40岁以上的中、老年人,但也可发生于其他任何年龄,曾被称为非胰岛素依赖型糖尿病(non-insulin-dependent diabetes mellitus,NIDDM)。其发病具有较强的遗传易感性,且发病率随着年龄和体重的增加、运动减少而增长,肥胖尤其是中心性肥胖是此类糖尿病的明显诱发因素,易引起胰岛素抵抗(IR)并伴有胰岛素分泌的相对不足。随着社会经济的发展,人们生活方式的改变,糖尿病的发病率逐年升高。Diabetes is a chronic disease that cannot be cured temporarily, and can cause a variety of complications, involving the eyes, kidneys, nerves, heart, blood vessels and other tissues and organs. Diabetic patients are often accompanied by disorders of blood lipid metabolism, high blood pressure, obesity and other diseases, and their risk of coronary heart disease and cerebrovascular disease is also significantly higher than that of non-diabetic people. Diabetes has become one of the major diseases that threaten human health, and the economic burden it brings is also increasing day by day. At present, diabetes mellitus (DM) is not a simple disease, but a syndrome of endocrine and metabolic abnormalities, a chronic hyperglycemia state caused by the combination of genetic factors and acquired environmental factors. According to the classification of diabetes recommended by the World Health Organization (WHO) in 1999, it is currently divided into four types, namely type 1 diabetes, type 2 diabetes, gestational diabetes and other special types of diabetes, of which nearly 90% are type 2 diabetes. Type 2 diabetes is more common in middle-aged and elderly people over 40 years old, but it can also occur at any other age. It was once called non-insulin-dependent diabetes mellitus (NIDDM). Its onset has a strong genetic susceptibility, and the incidence increases with the increase of age and weight, and the decrease of exercise. Obesity, especially central obesity, is an obvious predisposing factor for this type of diabetes, which is easy to cause insulin resistance (IR) and accompanied by There is a relative deficiency of insulin secretion. With the development of social economy and the change of people's lifestyle, the incidence of diabetes is increasing year by year.

研究表明,2型糖尿病可由于一种以上基因异常及致病环境因子与基因呈正性或负性相互作用而引起,遗传因素在2型糖尿病的发病机制中起非常重要的作用。2型糖尿病主要存在两种遗传模式:(1)单基因模式,即由单个基因的突变引起,但突变位点位于基因关键位点,其突变严重影响了基因功能;此类疾病表型往往较严重,如MODY等,这一模式在T2DM患者中比较罕见,只占发病人数的5%。(2)多基因模式,单一或少数几个基因变异的效应不足以引起疾病明显表型的出现,只有多个基因变异效应累积达到某一阈值时才出现疾病表型;而且可能不同的基因变异组合将引起不同的表型变化;不同的人群也有不同的易感基因位点组合。中国北方人T2DM的易感基因组合仍不清楚。但是人们将这些突变基因组合分为两种:1)主效基因作用模式,即1-2个主效基因对疾病易感性起主导作用,且其基因变异在群体中的发生频率较高,其余的次要基因对2型糖尿病易感性贡献率很小。这种模式在T2DM研究中,还没有肯定的证据;据推测,这一模式可能存在于30岁以前发病的患者中。2)微效基因作用模式,即源于多个位点的大多数风险等位基因在群体中的发生频率都很低,它们之间有相互作用,效应具有可累加性,符合数量性状的剂量-效应关系,它们对T2DM遗传易感性的共同贡献,使易感人群达到疾病发生的临界阈值。Studies have shown that type 2 diabetes can be caused by more than one gene abnormality and the positive or negative interaction between pathogenic environmental factors and genes. Genetic factors play a very important role in the pathogenesis of type 2 diabetes. There are two main inheritance modes of type 2 diabetes: (1) monogenic mode, which is caused by mutation of a single gene, but the mutation site is located at a key site of the gene, and its mutation seriously affects the function of the gene; the phenotype of this type of disease is often relatively Serious, such as MODY, etc., this pattern is relatively rare in T2DM patients, accounting for only 5% of the incidence. (2) In the polygenic model, the effect of a single or a few gene mutations is not enough to cause the emergence of an obvious phenotype of the disease, and the disease phenotype appears only when the cumulative effect of multiple gene mutations reaches a certain threshold; and there may be different gene variations Combinations will cause different phenotypic changes; different populations also have different combinations of susceptibility loci. The susceptibility gene combination of T2DM in northern Chinese is still unclear. However, people divide these mutation gene combinations into two types: 1) main effect gene action mode, that is, 1-2 main effect genes play a leading role in disease susceptibility, and the frequency of gene variation in the population is relatively high, and the rest Minor genes of 2 have a small contribution to type 2 diabetes susceptibility. There is no definitive evidence for this pattern in T2DM studies; it has been speculated that this pattern may exist in patients with onset before the age of 30. 2) The mode of action of minor genes, that is, most of the risk alleles originating from multiple loci have a low frequency of occurrence in the population, there is an interaction between them, and the effects are additive, which is consistent with the dosage of quantitative traits -Effect relationship, their joint contribution to T2DM genetic susceptibility leads to critical thresholds for disease development in susceptible populations.

2型糖尿病被认为是复杂遗传病,即多基因疾病,不仅受到基因与基因之间相互作用的影响,而且受到环境因素的修饰。近年来,在确定2型糖尿病易感基因方面取得了很大的成功。使人们对2型糖尿病的发病机制有了更深入的认识。目前寻找多基因遗传疾病易感基因的方法有两种:候选基因筛选法和全基因组扫描定位克隆法。候选基因法指通过选择与血糖调节或能量代谢有关蛋白的编码基因作为研究对象,并假设它们的基因变异与2型糖尿病的遗传易感性有关,通过病例—对照关联研究等求证方法证实这些基因与2型糖尿病易感性的相关性,是一种简单直接的方法。如果已知候选基因的功能,采用这一方法则相对容易。Type 2 diabetes is considered a complex genetic disease, that is, a polygenic disease, which is not only affected by gene-gene interactions but also modified by environmental factors. In recent years, great success has been achieved in identifying susceptibility genes for type 2 diabetes. So that people have a deeper understanding of the pathogenesis of type 2 diabetes. At present, there are two methods for finding susceptibility genes of polygenic genetic diseases: candidate gene screening method and genome-wide scanning positional cloning method. Candidate gene method refers to selecting genes encoding proteins related to blood sugar regulation or energy metabolism as research objects, assuming that their genetic variation is related to genetic susceptibility to type 2 diabetes, and confirming the relationship between these genes and Correlation of susceptibility to type 2 diabetes is a straightforward approach. This approach is relatively easy if the function of the candidate gene is known.

PON2基因与PON1和PON3基因均定位于7q21-22,属于同一基因家族。在此基因位置上,Prochazka等人在皮玛印第安人中进行的基因组扫描研究中发现2型糖尿病的易感基因。PON2具有抗氧化功能,可以分解芳香脂类化合物,对肝脏解毒具有一定的作用。PON2基因的变异主要有Prochazka等发现的Ser 311/Cys和Mochizuki等发现的Ala148/Gly。群体研究中,Hegele等在Oji-Cree人群发现Gly148等位基因纯合子与空腹高血糖和2型糖尿病有关;在中国南方2型糖尿病患者中发现PON2基因C311S与缺血性休克相关。此外,更多的研究表明PON基因家族多态与心血管疾病相关。这些都表明PON2基因的变异可能对2型糖尿病的发生具有潜在的关联,是一个有价值的候选基因。The PON2 gene and PON1 and PON3 genes are located at 7q21-22 and belong to the same gene family. At this gene location, Prochazka et al. found a susceptibility gene for type 2 diabetes in a genome scan study of Pima Indians. PON2 has antioxidant function, can decompose aromatic lipid compounds, and has a certain effect on liver detoxification. The variation of PON2 gene mainly includes Ser 311/Cys discovered by Prochazka et al. and Ala148/Gly discovered by Mochizuki et al. In a population study, Hegele et al. found that homozygosity of the Gly148 allele was associated with fasting hyperglycemia and type 2 diabetes in the Oji-Cree population; found that the PON2 gene C311S was associated with ischemic shock in patients with type 2 diabetes in southern China. In addition, more studies have shown that PON gene family polymorphisms are associated with cardiovascular diseases. These all indicated that the variation of PON2 gene may have a potential association with the occurrence of type 2 diabetes, and it is a valuable candidate gene.

简言之,以上背景表明,2型糖尿病是一种受遗传和环境双重影响的复杂代谢性疾病,通过候选基因法可以发现对2型糖尿病易感性有重要影响的关键功能基因并用于2型糖尿病的预测和预防。芳香酯酶2(Paraoxonase 2,PON2)是一种高度保守的生物酶。研究者认为,它与肝脏的解毒功能和有机体的抗氧化过程密切相关。(Pharmacogenetics 2003 May 13(5):291-5)In short, the above background shows that type 2 diabetes is a complex metabolic disease affected by both genetics and environment, and the key functional genes that have an important impact on the susceptibility to type 2 diabetes can be found and used for type 2 diabetes by candidate gene method prediction and prevention. Aromatic esterase 2 (Paraoxonase 2, PON2) is a highly conserved biological enzyme. Researchers believe that it is closely related to the detoxification function of the liver and the antioxidant process of the organism. (Pharmacogenetics 2003 May 13(5): 291-5)

经过现有国内外文献检索,未见有PON2基因第九号外显子多态性与2型糖尿病易感性相关的报道。After searching the existing domestic and foreign literature, there is no report on the relationship between the polymorphism of exon 9 of PON2 gene and the susceptibility to type 2 diabetes.

发明内容Contents of the invention

本发明的主要目的是提供一种利用PON2基因第九外显子预测2型糖尿病易感性的方法及试剂。The main purpose of the present invention is to provide a method and a reagent for predicting susceptibility to type 2 diabetes by using the ninth exon of PON2 gene.

本发明的第二个目的是提供一种预测2型糖尿病的试剂,包括PCR引物和含有该引物的试剂盒。The second object of the present invention is to provide a reagent for predicting type 2 diabetes, including PCR primers and a kit containing the primers.

为实现上述目的,本发明采用以下技术方案:To achieve the above object, the present invention adopts the following technical solutions:

一种预测2型糖尿病易感性的方法,通过提取宿主细胞的基因组DNA,测定受试者PON2基因第九号外显子的SEQ ID NO:1所示序列第105位的单核苷酸多态性位点(SNP)的基因型,预测受试者对2型糖尿病的易感性:第105位的基因型为C/C时,受试者的易感性较低;第105位的基因型为C/G或G/G时,受试者的易感性较高。A method for predicting the susceptibility of type 2 diabetes, by extracting the genomic DNA of the host cell, and determining the single nucleotide polymorphism at position 105 of the sequence shown in SEQ ID NO: 1 of exon 9 of the PON2 gene of the subject The genotype of the site (SNP) predicts the susceptibility of the subject to type 2 diabetes: when the 105th genotype is C/C, the subject's susceptibility is low; the 105th genotype is C /G or G/G, the subject's susceptibility is higher.

其中,单核苷酸多态性(SNP)主要指基因组水平上由单个核苷酸的变异引起的DNA序列多态性。它是人类可遗传的变异中最常见的一种,是第三代分子标记,在所有的已知多态性中占绝对优势。Among them, single nucleotide polymorphism (SNP) mainly refers to the DNA sequence polymorphism caused by the variation of a single nucleotide at the genome level. It is the most common type of human heritable variation, and it is the third-generation molecular marker, occupying an absolute predominance among all known polymorphisms.

基因分型及等位基因频率分布是指同一生物群体中,相同等位基因核苷酸序列顺序分析,在此表示相同SNP位点在不同个体中的组成成分的确定,为基因分型。等位基因频率是指所研究的同一种类型的等位基因里,所期望出现的等位基因占的比例,即变异等位基因所占的比例。Genotyping and allele frequency distribution refer to the analysis of the nucleotide sequence sequence of the same allele in the same biological population. Here, it means the determination of the composition of the same SNP site in different individuals, which is genotyping. Allele frequency refers to the proportion of expected alleles in the same type of alleles studied, that is, the proportion of variant alleles.

疾病易感性(2型糖尿病易感性)是指人群对疾病的易患程度或可能性。Disease susceptibility (type 2 diabetes susceptibility) refers to the susceptibility or possibility of a population to a disease.

病例-对照关联分析是指一种由果及因的回顾性研究。它先按照疾病状态确定调查对象,分为病例和对照组,通过比较病例组与对照组间所研究的遗传标志出现频率的差异而获得该标志与疾病间关联的信息。Case-control association analysis refers to a retrospective study of cause and effect. It first determines the investigation object according to the disease state, divides it into case and control group, and obtains the information about the association between the mark and the disease by comparing the frequency difference of the genetic marker studied between the case group and the control group.

本发明人经过广泛而深入的研究,已经发现了PON2基因第九号外显子所编码的蛋白序列中第311位Cys(C)→Ser(S)多态(即第九号外显子上第26位C→G多态性存在与中国人群,并在此基础上完成了本发明。After extensive and in-depth research, the inventors have discovered the 311th Cys(C)→Ser(S) polymorphism in the protein sequence encoded by the ninth exon of the PON2 gene (i.e. the 26th position on the ninth exon The C→G polymorphism exists in the Chinese population, and the present invention is completed on the basis of this.

根据对2型糖尿病人PON2基因测序结果,发现该SNP存在于中国人群,该SNP导致第311位氨基酸由Cys(C)→Ser(S)。由于这是不同性质氨基酸的置换,因此,会导致PON2基因第九号外显子所编码的蛋白活性发生改变。According to the results of sequencing the PON2 gene of people with type 2 diabetes, it was found that the SNP exists in the Chinese population, and the SNP leads to the change of the 311th amino acid from Cys(C)→Ser(S). Since this is a substitution of amino acids with different properties, it will lead to changes in the activity of the protein encoded by exon 9 of the PON2 gene.

本发明提供了一种分离核酸,具有SEQ ID NO.1所示的碱基序列,在第105位为G。该核酸序列为PON2基因第九号外显子,其中氨基酸编码区为第80-238位。PON2基因的基因组全序列和mRNA及蛋白质序列可以由Genebank中获得。基因组序列在Genebank中的编号为gi:27658001。The invention provides an isolated nucleic acid, which has the base sequence shown in SEQ ID NO.1, and the 105th position is G. The nucleic acid sequence is the ninth exon of the PON2 gene, and the amino acid coding region is the 80th-238th position. The complete genome sequence and mRNA and protein sequences of PON2 gene can be obtained from Genebank. The number of the genome sequence in Genebank is gi:27658001.

本领域的技术人员都清楚,有很多分析方法可以用于检测PON2基因第九号外显子中所述位点是否存在单核苷酸多态性。这些技术包括(但并不限于):DNA测序、杂交测序、DNA芯片、PCR-RFLP、PCR-SSCP、酶促错配切割、变性梯度凝胶电泳、变性高效液相色谱(DHPLC)等。Those skilled in the art are well aware that there are many analysis methods that can be used to detect whether there is a single nucleotide polymorphism at the site in exon 9 of the PON2 gene. These techniques include (but are not limited to): DNA sequencing, hybridization sequencing, DNA chip, PCR-RFLP, PCR-SSCP, enzymatic mismatch cleavage, denaturing gradient gel electrophoresis, denaturing high performance liquid chromatography (DHPLC), etc.

用于本发明方法或检测试剂盒的引物,根据PON2基因第九外显子和其5’端内含子与3’端非编码区的基因组序列进行设计,并可用常规的合成技术进行合成。本发明提供了一组等位基因特异性的引物,具有SEQ ID NO.3和SEQ ID NO.4所示的碱基序列,其长度为18-26bp,且特异性的杂交并扩增出含人PON2基因第九号外显子的SEQ ID NO.1所示序列中第105位单核苷酸多态性的扩增产物。The primers used in the method or detection kit of the present invention are designed according to the genome sequence of the ninth exon of PON2 gene and its 5' end intron and 3' end non-coding region, and can be synthesized by conventional synthesis techniques. The present invention provides a set of allele-specific primers, which have the base sequences shown in SEQ ID NO.3 and SEQ ID NO.4, the length of which is 18-26bp, and specifically hybridize and amplify the The amplified product of the 105th single nucleotide polymorphism in the sequence shown in SEQ ID NO.1 of the ninth exon of the human PON2 gene.

用于本发明的测试样品没有特别限制,对于检测SNP而言,可以是从血液、组织等样品中抽提出的基因组DNA。对于检测PON2基因第九号外显子活性而言,可以任何表达PON2基因第九号外显子的样品,如血液、肝脏组织匀浆等。The test sample used in the present invention is not particularly limited, and for the detection of SNP, it may be genomic DNA extracted from blood, tissue and other samples. For detecting the activity of exon 9 of PON2 gene, any sample expressing exon 9 of PON2 gene can be used, such as blood, liver tissue homogenate and the like.

另一方面,本发明的检测方法被用于评估个体患2型糖尿病及其他PON2基因第九号外显子相关疾病的易感性。On the other hand, the detection method of the present invention is used to assess the susceptibility of individuals to suffer from type 2 diabetes and other diseases related to exon 9 of PON2 gene.

本发明提供了一种检测T2DM易感性的诊断试剂盒,其中含有本发明特异性扩增PON2基因第九号外显子序列的引物对和用于PCR扩增检测的试剂盒的常规组件、试剂、缓冲液等,本领域技术人员熟知这些常规组件和检测方法。检测扩增产物与正常PON2基因第九号外显子第26位SNP相互对比是否存在变异时,所需的化学试剂还包括特异性内切酶等。本发明试剂盒中的全部组分、含量、来源和使用方法如下:The present invention provides a diagnostic kit for detecting T2DM susceptibility, which contains the primer pair for specifically amplifying the ninth exon sequence of PON2 gene of the present invention and the conventional components, reagents, Buffer, etc., those conventional components and detection methods are well known to those skilled in the art. When comparing the amplified product with the SNP at position 26 of exon 9 of the normal PON2 gene, the required chemical reagents also include specific endonucleases. All components, contents, sources and methods of use in the kit of the present invention are as follows:

本发明试剂盒供10人份检测应用,The kit of the present invention is used for the detection of 10 persons,

其组分、含量和来源包括:Its components, contents and sources include:

20ul 10×PCR缓冲液(Pharmacia),20ul 10×PCR buffer (Pharmacia),

4ul 10mM dNTP混合液(Pharmacia),4ul 10mM dNTP mixture (Pharmacia),

2ul(5unit/ul)Taq DNA聚合酶(Takara),2ul (5unit/ul) Taq DNA polymerase (Takara),

各10ul(10pmol/ul)F1(SEQ ID NO.2)和R1(SEQ ID NO.3)引物(自制),Each 10ul (10pmol/ul) F1 (SEQ ID NO.2) and R1 (SEQ ID NO.3) primers (self-made),

1.5ml纯水(自制),1.5ml pure water (homemade),

10ul 10×限制酶反应缓冲液(Biolab),10ul 10× restriction enzyme reaction buffer (Biolab),

4ul(5unit/ul)限制酶Dde I(Biolab)。4ul (5unit/ul) restriction enzyme DdeI (Biolab).

使用方法:Instructions:

1)通过PCR扩增PON2基因第九号外显子基因:制备混合液,加入基因组DNA溶液100ng、2ul 10×PCR缓冲液、0.4ul 10mM dNTP、1.0单位Taq DNA聚合酶和10pmolF1和R1分别为有义引物和反义引物,实施例2叙述的每种引物。接着,加入纯水,使总体积为20ul。反应在94℃0.5分钟,58℃0.5分钟,72℃0.5分钟,进行35个循环。反应完成后,将3ul每种PCR反应液在8%的聚丙烯酰胺凝胶上电泳检测,如扩增了331bp的片段,获得了单一条带,即为扩增成功。1) Amplify the ninth exon gene of PON2 gene by PCR: prepare a mixed solution, add 100ng of genomic DNA solution, 2ul 10×PCR buffer, 0.4ul 10mM dNTP, 1.0 unit Taq DNA polymerase and 10pmol F1 and R1 respectively Sense primer and antisense primer, each primer described in Example 2. Next, pure water was added to make the total volume 20ul. The reaction was carried out 35 cycles at 94°C for 0.5 minutes, 58°C for 0.5 minutes, and 72°C for 0.5 minutes. After the reaction was completed, 3 ul of each PCR reaction solution was electrophoresed on an 8% polyacrylamide gel for detection. If a fragment of 331 bp was amplified and a single band was obtained, the amplification was successful.

2)通过用限制酶处理PCR反应产物测定PON2基因第9号外显子的多态性。往5ul上述扩增的PCR反应产物中加入1ul限制酶反应缓冲液、0.4ul限制酶Dde I,并在37℃水浴中消化过夜。之后,在8%的聚丙烯酰胺凝胶上电泳。2) Determining the polymorphism of exon 9 of PON2 gene by treating the PCR reaction product with restriction enzymes. Add 1ul of restriction enzyme reaction buffer and 0.4ul of restriction enzyme DdeI to 5ul of the PCR reaction product amplified above, and digest overnight in a 37°C water bath. Afterwards, electrophoresis was performed on an 8% polyacrylamide gel.

3)多态性定型:用限制酶Dde I处理片段,在第105个碱基是C等位基因时,出现128bp、105bp、67bp和31bp的条带。如为G等位基因时,出现172bp、128bp和31bp的条带。3) Polymorphism typing: the fragment was treated with restriction enzyme Dde I, and when the 105th base was the C allele, bands of 128bp, 105bp, 67bp and 31bp appeared. For G allele, bands of 172bp, 128bp and 31bp appear.

在进行本发明的基因诊断时,优选使用用于测定根据PON2基因第九号外显子的突变类型存在的诊断试剂,诊断试剂包括作为必要成分的特定试剂,其对应于用于测定PON2基因第九号外显子基因突变类型的方法。特定的试剂按采用的测定方法来适当地选择。试剂的特征是,组成测定由PON2基因定义的突变类型的手段是必要的,如,DNA片段/和/或作为用于测定的特异限制酶。试剂,例如特定制备的用于PCR扩增步骤的引物,该步骤用于包含PON2基因第九号外显子的突变点的特定扩增片段,不被认为是本发明诊断试剂的必要成分,它们也包含于本发明的诊断试剂之中。When performing the gene diagnosis of the present invention, it is preferable to use a diagnostic reagent for determining the presence of a mutation type according to exon 9 of the PON2 gene. Methods for mutation types of exon genes. A specific reagent is appropriately selected according to the assay method to be used. The characteristics of the reagents constitute the means necessary for determining the type of mutation defined by the PON2 gene, eg DNA fragments and/or as specific restriction enzymes for the determination. Reagents, such as specially prepared primers for the PCR amplification step for the specific amplified fragment containing the mutation point of the ninth exon of the PON2 gene, are not considered as essential components of the diagnostic reagents of the present invention, and they are also Included in the diagnostic reagent of the present invention.

本发明的优点是:本发明首次阐明了PON2基因第九号外显子第26位SNP与T2DM的相关性,提供了一种预测T2DM易感性的方法,该方法可用于T2DM的预防、辅助诊断和治疗,还可以用于新药研发。The advantages of the present invention are: the present invention clarifies for the first time the correlation between the SNP at the 26th position of exon 9 of the PON2 gene and T2DM, and provides a method for predicting the susceptibility of T2DM, which can be used for the prevention, auxiliary diagnosis and treatment of T2DM. It can also be used in the development of new drugs.

下面结合附图和具体实施方式对本发明作进一步叙述,以使公众对发明内容有更深入的了解,并非对本发明的限制。The present invention will be further described below in conjunction with the accompanying drawings and specific embodiments, so that the public can have a deeper understanding of the content of the invention, but not to limit the present invention.

附图说明Description of drawings

图1为PON2基因外显子9 Ser311Cys多态PCR-RFLP分型电泳图谱,右侧第一泳道为Marker。Figure 1 is the electrophoretic pattern of PON2 gene exon 9 Ser311Cys polymorphism PCR-RFLP genotype, the first lane on the right is Marker.

具体实施方式Detailed ways

下列实施例中未注明具体条件的实验方法,通常按照常规条件,例如Sambrook等人,分子克隆:实验室手册(New York:Cold Spring Harbor Laboratory Press,1989)中所述的条件,或按照制造厂商所建议的条件。The experimental method that does not indicate specific conditions in the following examples is usually according to conventional conditions, such as Sambrook et al., molecular cloning: the conditions described in the laboratory manual (New York: Cold Spring Harbor Laboratory Press, 1989), or according to the conditions described in the manufacture conditions recommended by the manufacturer.

用于下列实施例中表示试剂的英文缩写如下。English abbreviations used in the following examples to represent reagents are as follows.

需要时,用高压锅(120℃,20分钟)灭菌When needed, autoclave (120°C, 20 minutes) to sterilize

EDTA:乙二胺四乙酸二钠EDTA: disodium ethylenediaminetetraacetic acid

SDS:十二烷基硫酸钠SDS: Sodium Dodecyl Sulfate

TE:10mM Tris-HCl(pH7.5),1mM EDTA(pH8.0)TE: 10mM Tris-HCl (pH7.5), 1mM EDTA (pH8.0)

10×PCR缓冲液:100mM Tris-HCl(pH8.3),500mM KCl,15mM氯化镁(MgCl2)0.01%(W/V)白明胶10×PCR buffer: 100mM Tris-HCl (pH8.3), 500mM KCl, 15mM magnesium chloride (MgCl2) 0.01% (W/V) gelatin

dNTP:脱氧核苷三磷酸dNTP: deoxynucleoside triphosphate

甲酰胺颜料:95%去离子甲酞胺,0.05%葡聚糖蓝Formamide pigments: 95% deionized formamide, 0.05% dextran blue

APS:过硫酸铵→10×TBE:Tris(108g),硼酸(55g),EDTA2Na(9.3g),溶于纯水中,总体积为1升。APS: ammonium persulfate → 10×TBE: Tris (108 g), boric acid (55 g), EDTA2Na (9.3 g), dissolved in pure water to a total volume of 1 liter.

实施例1  血液样本收集和基因组DNA的提取Example 1 Blood sample collection and extraction of genomic DNA

按WHO(1999)标准明确诊断入选病例,须经空腹8-12小时口服溶入300ml温水中的75g无水葡萄糖,2小时后检测其血浆葡萄糖值≥11.1mmol/L或者以前经由县市以上级别医院明确诊断的糖尿病患者,共计收集来自黑龙江和北京的无亲缘关系T2DM患者396例,平均年龄50.0岁±12.7岁,其中男性191例,同地区的健康对照志愿者319例,平均年龄45.2岁±5.7岁,其中男性181例。所有受检者均为汉族,且签署知情同意书,这一研究也得到了本单位伦理委员会批准。According to the WHO (1999) standard to clearly diagnose the selected cases, they must take 75g of anhydrous glucose dissolved in 300ml of warm water orally after fasting for 8-12 hours, and detect their plasma glucose value ≥ 11.1mmol/L after 2 hours or have passed the county level or above before. A total of 396 unrelated T2DM patients from Heilongjiang and Beijing, with an average age of 50.0 ± 12.7 years, including 191 males, and 319 healthy control volunteers from the same area, with an average age of 45.2 ± 5.7 years old, including 181 males. All subjects were of Han nationality and signed informed consent, and this research was also approved by the Ethics Committee of the unit.

根据下列方法,用人外周血制备基因组DNA。在抗凝剂EDTA存在下,将收集的10ml人外周血在2500rpm,离心分离30分钟除去血清。接着加入0.2%NaCl溶液,使总体积为50ml。轻轻振荡溶液5-6次,并使其放置于冰上15分钟。此后,在2500rpm离心分离30分钟,借此收集沉淀物。用0.2%的NaCl溶液,以类似于前面的方式再进行洗涤。在如此获得的沉淀物中,加入10mMTris-HCl(pH8.0)和10mM EDTA(4ml),以悬浮该沉淀物。将10%SDS,25mg/ml的蛋白酶K和10mg/ml的RNaseA加入悬液中,其加入量分别为4ml、16ul和20ul,接着上下颠倒悬液轻轻混合。然后,在37℃过夜温育悬液。过夜后,加入4ml酚/Tris溶液,上下颠倒混合物混合所得的混合物。以3000rpm进行离心分离10分钟除去水层。将水层和4ml酚/氯仿溶液混合,接着逆混合并以3000rpm离心分离10分钟。除去水层。最后,用氯仿提取两次,以获得水相,往其中加1/10,3M NaAC(pH5.2),两倍量的冷无水乙醇,使DNA沉淀。用70%的乙醇洗涤以获得基因组DNA。使这样获得的DNA,基因组DNA溶解于TE中,然后定量测定混合物在260nm的吸收率。DNA工作液浓度校正至50ng/ul,置-20℃冰箱保存。Genomic DNA was prepared from human peripheral blood according to the following method. In the presence of anticoagulant EDTA, 10 ml of human peripheral blood collected was centrifuged at 2500 rpm for 30 minutes to remove serum. A 0.2% NaCl solution was then added to bring the total volume to 50 ml. The solution was shaken gently 5-6 times and allowed to sit on ice for 15 minutes. Thereafter, the precipitate was collected by centrifugation at 2500 rpm for 30 minutes. With 0.2% NaCl solution, further washing was carried out in a similar manner as before. To the precipitate thus obtained, 10 mM Tris-HCl (pH 8.0) and 10 mM EDTA (4 ml) were added to suspend the precipitate. 10% SDS, 25mg/ml proteinase K and 10mg/ml RNaseA were added to the suspension, the addition amounts were 4ml, 16ul and 20ul respectively, then the suspension was mixed upside down and gently. Then, the suspension was incubated overnight at 37°C. After overnight, 4 ml of the phenol/Tris solution was added and the resulting mixture was mixed by inverting the mixture. The aqueous layer was removed by centrifugation at 3000 rpm for 10 minutes. The aqueous layer was mixed with 4 ml of the phenol/chloroform solution, followed by reverse mixing and centrifugation at 3000 rpm for 10 minutes. Remove the aqueous layer. Finally, extract twice with chloroform to obtain the aqueous phase, add 1/10, 3M NaAC (pH5.2), and twice the amount of cold absolute ethanol to it to precipitate the DNA. Wash with 70% ethanol to obtain genomic DNA. The DNA thus obtained, genomic DNA, was dissolved in TE, and the absorbance of the mixture at 260 nm was quantitatively measured. The concentration of the DNA working solution was corrected to 50ng/ul, and stored in a -20°C refrigerator.

实施例2  SNP的识别确定Embodiment 2 Identification and determination of SNP

本发明采用PCR-RFLP和PCR测序技术对PON2基因第九号外显子进行检测。The invention adopts PCR-RFLP and PCR sequencing technology to detect the ninth exon of PON2 gene.

1)特异性引物如下:1) The specific primers are as follows:

上游引物:5’-tggaaaacagggcttattgatga-3’(SEQ ID NO:2)Upstream primer: 5'-tggaaaacagggcttattgatga-3' (SEQ ID NO: 2)

下游引物:5’-ctgggtcaatgttgctggttaaa-3’(SEQ ID NO:3)Downstream primer: 5'-ctgggtcaatgttgctggttaaa-3' (SEQ ID NO: 3)

2)PCR扩增PON2基因第九号外显子片段:反应容器中加入实施例1制备的基因组DNA溶液100ng、2ul 10×PGR缓冲液、0.4ul 10mM dNTP、1.0单位Taq DNA聚合酶和10pmol上述步骤1)叙述的每种引物。加入纯水,使总体积为20ul。反应在94℃0.5分钟,58℃0.5分钟,72℃0.5分钟,进行35个循环。反应完成后,将3ul每种PGR反应液在8%的聚丙烯酰胺凝胶上电泳获得了单一的条带,观察在BioRad成像仪,应用Gel Doc 2000程序。2) PCR amplification of the No. 9 exon fragment of the PON2 gene: add 100ng of the genomic DNA solution prepared in Example 1, 2ul of 10×PGR buffer, 0.4ul of 10mM dNTP, 1.0 units of Taq DNA polymerase and 10pmol of the above steps to the reaction vessel 1) Each primer described. Add purified water to make a total volume of 20ul. The reaction was carried out 35 cycles at 94°C for 0.5 minutes, 58°C for 0.5 minutes, and 72°C for 0.5 minutes. After the reaction was completed, 3 ul of each PGR reaction solution was electrophoresed on an 8% polyacrylamide gel to obtain a single band, and observed on a BioRad imager using the Gel Doc 2000 program.

3)扩增得到了331bp的片段,直接进行测序。委托华大中生科技发展有限公司进行序列测定工作。“往5ul上述扩增的PCR反应产物中加入1ul限制酶反应缓冲液、0.4ul限制酶DdeI,并在37℃消化过夜。此后,在8%的聚丙烯酰胺凝胶上电泳。多态性的测定为:用限制酶Dde I处理片段,在第105个碱基是C等位基因时,出现128bp、105bp、67bp和31bp的条带。如为G等位基因时,出现172bp、128bp和31bp的条带。”3) A 331bp fragment was amplified and sequenced directly. Huada Zhongsheng Technology Development Co., Ltd. was entrusted to carry out the sequence determination work. "Add 1 ul of restriction enzyme reaction buffer and 0.4 ul of restriction enzyme DdeI to 5 ul of the PCR reaction product amplified above, and digest at 37°C overnight. After that, electrophoresis on 8% polyacrylamide gel. Polymorphism Determination: Treat the fragment with restriction enzyme Dde I, when the 105th base is a C allele, bands of 128bp, 105bp, 67bp and 31bp appear. If it is a G allele, bands of 172bp, 128bp and 31bp appear strip."

实施例3  2型糖尿病易感基因PON2基因第九号外显子内SNP的相关研究Example 3 Correlation research of SNP in exon 9 of type 2 diabetes susceptibility gene PON2 gene

统计方法:利用SPSS11.0软件中Pearson卡方检验计算PON9基因多态性的Hardy-Weinberg平衡检测,并计算等位基因频率、基因型频率在病例对照群体中分布的差异性,统计学的显著性水平设定为P<0.05。采用单因素Logistic回归分析计算T2DM的患病风险OR值及其95%可信区间(CI)。Statistical method: use the Pearson chi-square test in SPSS11.0 software to calculate the Hardy-Weinberg equilibrium test of the PON9 gene polymorphism, and calculate the difference in the distribution of allele frequency and genotype frequency in the case-control population, statistically significant The sex level was set at P<0.05. Univariate Logistic regression analysis was used to calculate the risk OR value of T2DM and its 95% confidence interval (CI).

1.中国北方汉族人群2型糖尿病患者及正常对照标本的收集1. Collection of specimens from patients with type 2 diabetes and normal controls in the Han population in northern China

2型糖尿病组外周血样本采自北京人民医院内分泌科门诊,正常对照组样本采自哈尔滨医科大学,标本来源均为我国北方地区汉族,分别以北京和黑龙江为主。糖尿病可为散发,也可为糖尿病家系成员(同一家系中具有血缘关系的成员仅能入选一人),正常对照要求家庭三代以内无糖尿病患者(包括I型糖尿病),对照组与患病组年龄及性别相匹配。共收集样本614份,其中病例组295份,对照组319份,每个入选成员均应在知情同意书上签字。The peripheral blood samples of the type 2 diabetes group were collected from the Department of Endocrinology, Beijing People's Hospital, and the samples of the normal control group were collected from Harbin Medical University. The samples were from the Han nationality in northern my country, mainly in Beijing and Heilongjiang. Diabetes can be sporadic or a family member of diabetes (only one blood-related member in the same family can be selected). The normal control requires no diabetes patients (including type I diabetes) within three generations of the family. The age and age of the control group and the diseased group Gender match. A total of 614 samples were collected, including 295 from the case group and 319 from the control group. Each selected member should sign the informed consent form.

2型糖尿病的诊断严格按照WHO于1997年颁发的标准执行,即:空腹血葡萄糖浓度≥7.8mmol/L或餐后与口服75克葡萄糖2小时血糖≥11.1mmol/L为糖尿病,服糖后2小时葡萄糖浓度<7.8mmol/L为正常。入选的每个成员记录基本情况,包括性别、年龄、身高、体重、心率、血压等。对病例组还增加了发病年龄、用药情况、合并症、家族史等指标内容。The diagnosis of type 2 diabetes is strictly in accordance with the standards issued by the WHO in 1997, namely: fasting blood glucose concentration ≥ 7.8mmol/L or postprandial and oral 75 grams of glucose 2 hours blood glucose ≥ 11.1mmol/L is diabetes, after taking sugar 2 Hourly glucose concentration <7.8mmol/L is normal. The basic information of each selected member is recorded, including gender, age, height, weight, heart rate, blood pressure, etc. For the case group, indicators such as age of onset, drug use, comorbidities, and family history were added.

2.SNP位点基因型分析2. SNP locus genotype analysis

采用PCR-RFLP进行SNP分型:此SNP改变了限制性内切酶Dde I的酶切位点,可以先进行PCR扩增,扩增产物用内切酶Dde I消化,电泳后根据条带位置判断基因型,完全酶切产生两条带的为野生型GG纯合子,不能被酶切产生一条带的为突变型纯合子,不完全酶切的为CG杂合子,请参阅图1。Use PCR-RFLP for SNP typing: this SNP changes the restriction endonuclease Dde I enzyme cutting site, and can be amplified by PCR first, and the amplified product is digested with endonuclease Dde I, and after electrophoresis, according to the position of the band To judge the genotype, the wild-type GG homozygote will produce two bands after complete digestion, the mutant homozygote will not produce one band after digestion, and the CG heterozygote will be incomplete digestion. Please refer to Figure 1.

3.病例-对照关联分析3. Case-control association analysis

在病例、对照组中,分型的PON2基因第九号外显子SNP位点均符合哈代-温伯格平衡。经SPSS统计软件10.0版进行卡方分析,PON2基因第九号外显子SNP位点基因型频率和等位基因频率的分布在两组中的差异具有统计学意义(对基因型频率和等位基因频率分别为P<0.01,P<0.05),如表1所示。In the case and the control group, the typed SNP sites of exon 9 of the PON2 gene were in Hardy-Weinberg equilibrium. Chi-square analysis was performed by SPSS statistical software version 10.0, and the distribution of the genotype frequency and allele frequency of the SNP site in exon 9 of the PON2 gene had statistically significant differences between the two groups (for genotype frequency and allele frequency The frequencies are P<0.01, P<0.05), as shown in Table 1.

表1  病例组与对照组PON2基因第九号外显子SNP分型SPSS统计分析结果   PON2   HWE(P)   n                 Genotype(%)          Allele(%)   CC   CG   GG   C   G   T2DMControl   0.0160.057   458316   296(64.6)239(75.6)   154(33.6)67(21.2)   8(1.8)10(3.2)   746(81.4)545(86.2)   170(18.6)87(13.8)           χ2=15.00,P=0.001(df=2)     χ2=6.21,P=0.013 Table 1 SPSS statistical analysis results of SNP typing in exon 9 of PON2 gene between case group and control group PON2 HWE(P) no Genotype(%) Allele (%) CC CG GG C G T2DMControl 0.0160.057 458316 296(64.6)239(75.6) 154(33.6)67(21.2) 8(1.8)10(3.2) 746(81.4)545(86.2) 170(18.6)87(13.8) χ 2 =15.00, P=0.001 (df=2) χ 2 =6.21, P=0.013

如上表可以看出,位于PON2基因第九号外显子的SNP位点的基因型频率和等位基因频率在病例组和对照组存在显著差异,因此提示此SNP位点与2型糖尿病相关,G等位基因是2型糖尿病的风险等位基因,可以显著升高2型糖尿病的发病几率,OR值为1.43,95%置信区间为1.08-1.89。从而提示PON2基因为一个新的2型糖尿病易感基因。As can be seen from the above table, the genotype frequency and allele frequency of the SNP site located in the ninth exon of the PON2 gene are significantly different between the case group and the control group, thus suggesting that this SNP site is related to type 2 diabetes, G The allele is the risk allele of type 2 diabetes, which can significantly increase the incidence of type 2 diabetes, with an OR value of 1.43 and a 95% confidence interval of 1.08-1.89. Thus suggesting that the PON2 gene is a new type 2 diabetes susceptibility gene.

在本发明提及的所有文献都在本申请中引用作为参考,就如同每一篇文献被单独引用作为参考那样。此外应理解,在阅读了本发明的上述讲授内容之后,本领域技术人员可以对本发明作各种改动和修改,这些等价形式同样落于本申请所附权利要求书所限定的范围。All documents mentioned in this application are incorporated by reference in this application as if each were individually incorporated by reference. In addition, it should be understood that after reading the above teaching content of the present invention, those skilled in the art can make various changes and modifications to the present invention, and these equivalent forms also fall within the scope defined by the appended claims of the present application.

实施例4  检测试剂盒Embodiment 4 detection kit

制备检测T2DM相关风险的试剂盒,包含有可扩增出PON2基因第九号外显子的SNP位点的引物对,及其PCR-RFLP相应试剂,成分和含量如下,于-20℃保存:Prepare a kit for detecting T2DM-related risks, including a primer pair that can amplify the SNP site of exon 9 of the PON2 gene, and its PCR-RFLP corresponding reagents. The components and contents are as follows, and stored at -20°C:

20ul 10×PCR缓冲液(Pharmacia),20ul 10×PCR buffer (Pharmacia),

4ul 10mM dNTP混合液(Pharmacia),4ul 10mM dNTP mixture (Pharmacia),

2ul(5unit/ul)Taq DNA聚合酶(Takara),2ul (5unit/ul) Taq DNA polymerase (Takara),

各10ul(10pmol/ul)F1(SEQ ID NO.2)和R1(SEQ ID NO.3)引物(自制),Each 10ul (10pmol/ul) F1 (SEQ ID NO.2) and R1 (SEQ ID NO.3) primers (self-made),

1.5ml纯水(自制),1.5ml pure water (homemade),

10ul 10×限制酶反应缓冲液(Biolab),10ul 10× restriction enzyme reaction buffer (Biolab),

4ul(5unit/ul)限制酶Dde I(Biolab)。4ul (5unit/ul) restriction enzyme DdeI (Biolab).

                                序列表Sequence Listing

<110>卫生部北京医院<110> Beijing Hospital of the Ministry of Health

<120>一种利用PON2基因第九外显子多态性预测2型糖尿病易感性的方法及试剂<120>A method and reagent for predicting the susceptibility to type 2 diabetes using the polymorphism of the ninth exon of PON2 gene

<130><130>

<160>3<160>3

<170>PatentIn version 3.3<170>PatentIn version 3.3

<210>1<210>1

<211>331<211>331

<212>DNA<212> DNA

<213>人属,人种(Homo sapiens,human)<213> Homo genus, race (Homo sapiens, human)

<400>1<400>1

tggaaaacag ggcttattga tgattgagtg acatgcatgt acggtggtct tatattcata      60tggaaaacag ggcttattga tgattgagtg acatgcatgt acggtggtct tatattcata 60

ctttgtatcc cctgaatagg ttctccgcat ccagaacatt ctatctgaga agcctacagt     120ctttgtatcc cctgaatagg ttctccgcat ccagaacatt ctatctgaga agcctacagt 120

gactacagtt tatgccaaca atgggtctgt tctccaagga agttctgtag cctcagtgta     180gactacagtt tatgccaaca atgggtctgt tctccaagga agttctgtag cctcagtgta 180

tgatgggaag ctgctcatag gcactttata ccacagagcc ttgtattgtg aactctaaat     240tgatgggaag ctgctcatag gcactttata ccacagagcc ttgtattgtg aactctaaat 240

tgtacttttg gcatgaaagt gcgataactt aacaattaat tttctatgaa ttgctaattc     300tgtacttttg gcatgaaagt gcgataactt aacaattaat tttctatgaa ttgctaattc 300

tgagggaatt taaccagcaa cattgaccca g                                    331tgagggaatt taaccagcaa cattgaccca g 331

<210>2<210>2

<211>23<211>23

<212>DNA<212>DNA

<213>人工合成<213> Synthetic

<400>2<400>2

tggaaaacag ggcttattga tga                                              23tggaaaacag ggcttattga tga 23

<210>3<210>3

<211>23<211>23

<212>DNA<212>DNA

<213>人工合成<213> Synthetic

<400>3<400>3

ctgggtcaat gttgctggtt aaa                                              23ctgggtcaat gttgctggtt aaa 23

Claims (2)

1.一组检测芳香酯酶2基因第九外显子多态性的引物,具有序列表SEQ ID NO.2和SEQ ID NO.3所示的碱基序列。1. A set of primers for detecting the polymorphism of the ninth exon of the aromatic esterase 2 gene, having the base sequences shown in SEQ ID NO.2 and SEQ ID NO.3 in the sequence table. 2.一种检测芳香酯酶2(PON2)基因第九外显子多态性的试剂盒,其特征在于:由以下试剂组成:2. A test kit for detecting polymorphism of the ninth exon of aromatic esterase 2 (PON2) gene, characterized in that: it is made up of following reagents: 20ul 10X PCR缓冲液;20ul 10X PCR buffer; 4ul 10mM dNTP混合液;4ul 10mM dNTP mixture; 2ul Taq DNA聚合酶,浓度为5unit/ul;2ul Taq DNA polymerase, the concentration is 5unit/ul; 各10ul F1和R1引物,F1和R1引物分别具有序列表SEQ ID NO.2和SEQ ID NO.3所示的碱基序列,浓度为10pmol/ul;10ul each of F1 and R1 primers, F1 and R1 primers have the base sequences shown in the sequence table SEQ ID NO.2 and SEQ ID NO.3 respectively, and the concentration is 10pmol/ul; 1.5ml纯水;1.5ml pure water; 10ul 10X限制酶反应缓冲液;10ul 10X restriction enzyme reaction buffer; 4ul限制酶Dde I,浓度为5unit/ul;4ul restriction enzyme Dde I, the concentration is 5unit/ul; 本试剂盒供10人份检测应用,试剂盒的保存温度为-20℃。This kit is for 10 people’s test application, and the storage temperature of the kit is -20°C.
CNB2005101090523A 2005-10-18 2005-10-18 Method and detergent for predicting type 2 diabetes susceptibility using PON2 gene the nineth extron polymorphism Expired - Fee Related CN100338230C (en)

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2型糖尿病及糖尿病肾病的发生与对氧磷脂酶2S311C基因多态性的关系 江华,焦凯,中国临床康复,第9卷第19期 2005 *
对氧磷脂酶2S311C基因多态性与2型糖尿病的关系 焦凯,江华,第四军医大学学报,第25卷第12期 2004 *

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