Background technology
The RAS proto-oncogene is the transforming gene that the clone comes out from rat sarcoma virus at first, after in people finders' such as nineteen eighty-two Weinberg transitional cell bladder carcinoma cell line, activatory HRAS gene being arranged, caused the very big concern of people to RAS oncogene role in human tumor generation evolution.The gene that the RAS gene family is relevant with human tumor has three kinds---and HRAS, KRAS and NRAS are positioned at respectively on 11,12 and No. 1 karyomit(e).Wherein, KRAS has the greatest impact to human cancer, and it is just as a kind of molecular switch: when the path that just often can control the regulating cell growth; Take place unusually during as the KRAS transgenation, this gene forever activates, and makes signal conduction disturbance in the cell, causes cell to continue growth, thereby and stops apoptosis generation canceration.
The KRAS transgenation occurs in the early stage of tumour, and the KRAS gene height of primary tumor and metastasis is consistent.It is generally acknowledged that KRAS gene state can not change because of treatment.Sudden change has taken place in the KRAS gene in kinds of tumors, its incidence is about 40% in colorectal cancer, and carcinoma of the pancreas is that lung cancer is about 15% more than 90%.12 and 13 codons (〉=90%) that occur in the 2nd exon are mainly concentrated in the KRAS transgenation, and these sudden changes have destroyed KRAS albumen intrinsic GTPase activity, thereby make KRAS albumen be in the continuous activity state.
The detection KRAS transgenation of rapid sensitive has great clinical meaning: the KRAS gene unconventionality occurs in (1) normal people's blood examination, prompting belongs to the tumour high risk population; (2) if the innocent tumour patient detects the KRAS transgenation, prompting has the possibility that cancerates; (3) a large amount of multicenter 3 clinical trial phases show that target new drug Erbitux (Erbitux, Cetuximab) and handkerchief Buddhist nun monoclonal antibody (Panitumumab) are only applicable to not have the KRAS gene wild-type patient of sudden change, and are invalid to KRAS sudden change patient." the state-run cancer integrated network of the U.S. (NCCN) colorectal cancer clinical practice guideline " (2008 the 3rd edition) spell out: the one, and all metastatic colorectal cancer patients all should detect KRAS gene state; The 2nd, have only KRAS wild-type patient just to advise accepting the treatment of EGFR inhibitor such as Cetuximab (Cetuximab) and handkerchief Buddhist nun monoclonal antibody (panitumumab); Just say as U.S. Georgetown University Marshall: in the treatment of colorectal cancer, from then on colorectal cancer " is divided into two ": the KRAS gene is wild-type or mutant, makes traditional a kind of disease be divided into two kinds of independently diseases.KRAS mutant colorectal cancer patients accounts for 40%, and this class patient can not benefit from anti-EGFR targeted drug treatment, increases untoward reaction danger and medical expense on the contrary on foot; And all the other KRAS wild-type patients of about 60% just probably benefit from this class pharmacological agent." 09 year NCCN nonsmall-cell lung cancer clinical practice guideline " spells out: if sudden change has taken place when the KRAS gene, (Tarceva/ Tarceva/Erlotinib) carries out molecular targeted treatment then not advise patient using Te Luokai.Therefore, whether detection patient KRAS gene suddenlys change and becomes the prerequisite condition that can decision use anti-EGFR targeted drug.
Have high-caliber circulation dissociative DNA in the malignant neoplastic disease human peripheral, this DNA derives from malignant cell.Recently research has found from cancer patients's blood plasma or serum DNA that several TS gene alterations such as KRAS suddenly change, and shows that this is to detect the new way that tumor-related gene changes.Conveniently, the blood plasma Molecular Detection becomes a focus of tumor research rapidly owing to draw materials.But only there is the circulation dissociative DNA of trace in the tumour peripheral blood, and wherein the copy number of mutator gene is lower, so the blood plasma Molecular Detection is higher than organizing to the sensitivity requirement of detection technique.
The method that is used for the KRAS detection in Gene Mutation is a lot, comprises as dna direct order-checking, tetra-sodium order-checking (Pyrosequencing), sex change high performance liquid chromatography (HDPLC), high resolving power solubility curve technology (HRM), restriction small segment length polymorphism analysis method (RFLP) etc.Wherein the dna direct order-checking is the gold standard of sudden change detection.There is following shortcoming in this method: the susceptibility of detection is not high enough: " Lung Cancer " (" lung cancer ") that people such as Katsuhiko once published in August, 2005 goes up report, if the content of mutator gene accounts for 10% when following of genomic dna total amount, then detect existence less than the sudden change sample with direct sequencing; Time-consuming, complicated operating process requires height to operator; The operation of non-stopped pipe relates to the operation behind the pcr amplification, and is therefore easily contaminated, causes that the result's is undesirable; The interpretation subjectivity of sequencing result is strong; Once the sample size of experiment detection is limited, at most can only the 8-24 example.Therefore direct sequencing is difficult to generally carry out clinical.
Have high-caliber circulation dissociative DNA in the malignant neoplastic disease human peripheral, this DNA derives from malignant cell.Recently research has found from cancer patients's blood plasma or serum DNA that several TS gene alterations such as KRAS suddenly change, and shows that this is to detect the new way that tumor-related gene changes.Conveniently, the blood plasma Molecular Detection becomes a focus of tumor research rapidly owing to draw materials.But only there is the circulation dissociative DNA of trace in the tumour peripheral blood, and wherein the copy number of mutator gene is lower, so the blood plasma Molecular Detection is higher than organizing to the sensitivity requirement of detection technique.
Summary of the invention
The technical problem to be solved in the present invention is, overcomes deficiency of the prior art, and a kind of KRAS gene mutation typing ARMS-qPCR detection kit is provided, with this solve in the existing sudden change detection technique, time-consuming, program is loaded down with trivial details and problem such as easy pollution.This test kit can be used for high-throughput, low-cost rapid detection KRAS sudden change, it is highly sensitive, high specificity, applicable to clinical common sample such as fresh frozen tissue, paraffin organization, especially provide the high-sensitivity detection of trace sudden change in atraumatic serum except that pathological tissue or the plasma sample.
Based on above-mentioned purpose, the present invention by the following technical solutions:
A kind of ARMS-qPCR detection kit of the KRAS of being used for gene mutation typing is provided, and this test kit comprises qPCR mixed reaction solution, lock nucleic acid retardance probe, with reference to primer, ARMS primer and positive control sample; Wherein the qPCR mixed reaction solution comprises: PCR damping fluid, dNTPs, MgCl
2, Goldstarbest Taq enzyme, the general downstream primer of PCR and general TaqMan probe;
The final concentration of each component is respectively in the qPCR reaction system: the PCR damping fluid is 1 *; DNTPs is 0.01~1.5mM; MgCl
2Be 0.5~5mM; Goldstarbest Taq enzyme is 0.05U/ μ L; The general downstream primer of PCR is 0.1~1 μ M; General TaqMan probe is 0.1~1 μ M; Lock nucleic acid retardance probe is 0.9 μ M, be that 0.3 μ M, ARMS primer are that 0.3 μ M, positive control sample are 10~300ng/ μ l with reference to primer;
The sequence of the general downstream primer of described PCR is shown in SEQ ID NO A1;
The sequence of described general TaqMan probe is shown in SEQ ID NO A2;
Described lock nucleic acid retardance probe and wild template are mated fully, part base lock nucleination, and its terminal phosphateization, thus suppress KRAS transgenation district wild-type DNA cloning.Its sequence is shown in SEQ ID NO A0;
Described is the upstream primer of can increase simultaneously a KRAS wild-type and a mutated genes group DNA with reference to primer, and its sequence is shown in SEQ ID NO A3;
Described ARMS primer is any one in seven kinds of upstream primers, is used for the corresponding respectively KRAS of detection gene the 12nd codon GAT, GTT, GCT, TGT, AGT and these six kinds of mutants of CGT and No. 13 this a kind of mutation type of codon GAC; The sequence of these seven kinds of upstream primers is shown in SEQ ID NO A4, SEQ ID NO A5, SEQ ID NO A6, SEQ ID NO A7, SEQ ID NO A8, SEQ ID NO A9, SEQ ID NO A10; Article 7, the ARMS primer in the mutating alkali yl coupling of 3 ' terminal bases and mutant to be detected, increases one or two base mispairings in its 3 ' terminal 2-3 reciprocal position simultaneously, to increase its specificity respectively; Be used for six kinds of base substitution mutation (GGT → GAT of specific amplification KRAS gene the 12nd codon, GGT → GTT, GGT → GCT, 12GGT → TGT, the template DNA of GGT → AGT and GGT → CGT) and a kind of base substitution mutation of the 13rd codon (template DNA of codon 13GGC → GAC).
Described positive control sample is the plasmon DNA that has KRAS gene six kinds of mutation types of No. 12 codon and a kind of base substitution mutation type of 13 codons respectively.
Each primer sequence is listed below:
SEQ?ID?NO?A0:5’-TGGAGCTG
GTG
GCGTAGGC-PO4-3’
SEQ?ID?NO?A1:5’-ACCTCTATTGTTGGATCATATTCGTC-3’
SEQ?ID?NO?A2:5’-FAM-GAATTAGCTGTATCGTCAAGGCACTCT-BHQ1-3’
SEQ?ID?NO?A3:5’-CTGAATATAAACTTGTGGTAGTT-3’
SEQ?ID?NO?A4:5’-CTTGTGGTAGTTGGAGCTTA-3’
SEQ?ID?NO?A5:5’-AAACTTGTGGTAGTTGGAGCGGT-3’
SEQ?ID?NO?A6:5’-AACTTGTGGTAGTTGGAGCTGC-3’
SEQ?ID?NO?A7:5’-ATAAACTTGTGGTAGTTGGAGCTA-3’
SEQ?ID?NO?A8:5’-AACTTGTGGTAGTTGGAGCGT-3’
SEQ?ID?NO?A9:5’-ATAAACTTGTGGTAGTTGGAGCCC-3’
SEQ?ID?NO?A10:13Asp-3:5’-GTGGTAGTTGGAGCTGGTAA-3’
Further, the present invention also provides the KRAS gene mutation typing ARMS-qPCR detection method based on the aforementioned agents box, this method is a pair of with reference to primer, TaqMan probe and lock nucleic acid retardance probe at the KRAS gene design earlier, design the ARMS primer respectively at the KRAS gene mutation site, add the qPCR mixed reaction solution in the reaction system, carry out the detection of quantitative fluorescent PCR with reference to primer or ARMS primer, lock nucleic acid retardance probe and template DNA to be checked.Specifically may further comprise the steps:
(1) design and the screening general TaqMan probe, the lock nucleic acid that contain No. the 12nd, KRAS gene and No. 13 codons block probe, with reference to primer and 7 kinds of ARMS primers;
(2) genomic dna that extracts from acellular system or cell system is as template DNA;
(3) carry out the real-time fluorescence quantitative PCR amplification: the sudden change of each sample detects and divides 8 pipes to carry out; Add identical qPCR mixed reaction solution, lock nucleic acid retardance probe and template DNA in every pipe, every pipe adds a kind of with reference in primer or the 7 kinds of ARMS primers respectively, and the ARMS-qPCR that carries out the KRAS gene mutation typing detects;
(4) interpretation as a result:
With reference to the primer pipe amplification curve positive, various ARMS primer Guan Junwu amplification curves or itself and with reference to amplification curve Δ ct>10 of primer pipe, this sample results is judged as wild-type;
With reference to the primer pipe amplification curve positive, the corresponding ARMS primer pipe amplification curve positive, and itself and with reference to amplification curve Δ ct≤7 of primer pipe, this sample results interpretation is a mutant;
With reference to the primer pipe amplification curve positive, the corresponding ARMS primer pipe amplification curve positive, and itself and with reference to amplification curve Δ ct>7 of primer pipe, this sample results interpretation is suspicious mutant; All show the amplification curve positive 3 times as duplicate detection, this sample results interpretation is a mutant;
With reference to primer pipe amplification curve feminine gender, point out this sample extraction failure, need to extract again.
Template DNA is selected to extract in the cast of fresh freezing or paraffin-embedded tumor tissues peripheral blood cells, peripheral blood serum or blood plasma, body fluid, cavity in the described step (2).
The condition of carrying out pcr amplification reaction in the described step (3) is: 92~97 ℃ of pre-sex change 10~15min; 92~97 ℃ of sex change 5~15s, 58~64 ℃ of annealing 40s, 40~50 circulations.
With respect to prior art, beneficial effect of the present invention is:
KRAS gene specific locus mutation in the various cancerous tissues of test kit quick, accurate, the high sensitive detection of energy of the present invention.Highly sensitive, can detect various tissue-derived genomic dnas, not only derive from cell system, especially adopt the dissociative DNA fragment in acellular system such as serum, blood plasma or other body fluid source.
Lock nucleic acid (locked nucleic acid, LNA) be a kind of novel few nucleic acid derivative, in the structure 2 one 0 of B-D one ribofuranose, the 4C position forms annular oxygen methylene bridge, sulphur methylene bridge or amine methylene bridge by the shrink effect, the structure of furanose is locked in the N configuration of type in the C3, has formed inflexible condensation structure.LNA has advantage such as nontoxicity in the hybridization avidity powerful with DNA/RNA, antisense activity, nuclease-resistant ability, good water solubility and the body as a kind of new antisense nucleic acid.Can prepare the LNA probe thereby it can combine specifically with DNA and RNA, compare with dna probe, the stability of its hybridization and specificity increase, and can improve the efficient and the sensitivity of gene diagnosis greatly.The present invention designs lock nucleic acid retardance probe, its sequence and wild template are mated fully, part base lock nucleination, be used for the KRAS wild-type DNA of specificity in conjunction with template DNA, because of its terminal phosphateization, thereby can't extend the non-specific amplification that suppresses the wild-type template, increase sensitivity and the specificity that sudden change detects greatly.
Amplification refractory mutation system (amplification refractory mutation system ARMS) was set up in 1989, was used for the known mutations gene is detected.This method is by design sudden change specificity ARMS primer, and the mutating alkali yl coupling of its 3 ' terminal bases and mutant to be detected is used for specific amplification sudden change template.The detection sensitivity of ARMS depends on specificity and the reaction conditions such as the enzyme of ARMS primer, the optimization of magnesium ion concentration etc.In order to increase the specificity of primer, reduce primer and extend with the mispairing of the wrong timing of target DNA, can be by introducing another one or two base mismatch in 2-3 base of primer 3 ' end, make it and template between the multiple mispairing of formation to stop the mistake extension.
The present invention will lock the wild retardance probe of nucleic acid (LNA) and ARMS sudden change Auele Specific Primer combines, and is used for the KRAS gene mutation typing.This detection kit designs at the detection of KRAS gene hot saltation zone, comprises totally 7 kinds of mutator gene types of KRAS gene the 12nd, 13 codons.This test kit comprises the 25ul qPCR reaction system through optimizing, the feature of this reaction system is all to contain the qPCR mixed reaction solution, the LNA retardance sequence of TaqMan probe positive reference substance and the amplification of inhibition wild-type KRAS genomic dna, just the ARMS primer is distinguished to some extent at special mutational site.
Probe used in the present invention is 5 ' the TaqMan probe of end FAM mark, the oligonucleotide of probe two ends difference mark fluorescent reporter group (R) and fluorescent quenching group (Q).When probe was complete, when promptly random state and no PCR product were hybridized state, the fluorescence that reporter group sends was absorbed by quenching group.In the ARMS-qPCR amplification procedure, 5 ' of Goldstarbest Taq enzyme end 5 prime excision enzyme activity is simultaneously also the probe cracking when special PCR product and TaqMan probe generation hybridization, and the photofluorometer that the fluorescence that reporter group discharged just can be built in the detection by quantitative instrument detects.PCR is every through a circulation, and fluorescent signal is also the same with the purpose fragment, and the process that has sync index to increase, the power of fluorescent signal have just been represented what of copy number of template DNA.Therefore the present invention not only can be used for simple qualitative detection, also can be used as the detection by quantitative of the concrete content of sample.
The advantage of comprehensive ARMS primer and LNA retardance probe, and the characteristics of real-time fluorescence quantitative PCR technology, with sudden change detection technique comparison such as direct order-checking, the present invention is used to detect the KRAS transgenation and has following advantage:
1. high specificity: the ARMS primer of design is respectively at seven kinds of special mutant nucleotide sequences of KRAS gene the 12nd and the 13rd codon, can the corresponding sudden change template DNA of specific amplification; 3 ' terminal 2-3 reciprocal position at the ARMS primer increases one or two base mispairings, can increase the specificity of ARMS primer; The technology of the present invention adds the lock nucleic acid retardance probe of wild-type KRAS gene specific in the PCR reaction system, thereby by suppressing the amplification of wild type gene group DNA cloning enrichment mutant DNA, has further improved the specificity that detects.
2. susceptibility height: the technology of the present invention adds wild-type KRAS gene lock nucleic acid retardance probe (LNA) in the PCR reaction solution, by suppressing the amplification of wild-type template specifically, thereby reaches the inrichment to trace sudden change template, improves detection sensitivity; Present technique detects KRAS transgenation susceptibility and reaches 0.1-1% (being that the 0.1-1% that mutator gene group DNA reaches the total DNA of gene can detect); And direct sequencing detects the susceptibility of KRAS sudden change and is about 10% (be mutator gene group DNA reach 10% of the total DNA of gene just can detect).
3. testing process is the stopped pipe reaction, greatly reduces the possibility of pollution and result error.
4. simple to operate fast, inspect by ready samples to from sample and to obtain a result and can finish with interior at 3 hours.And direct sequencing detects complex steps: censorship sample → extraction DNA → pcr amplification → checking PCR product (electrophoresis) → purified pcr product → directly order-checking, and the electrophoresis process of two PCR products of its experience, opportunities for contamination is big, is not suitable for carrying out on a large scale in hospital.
5. interpretation as a result is clear and definite, objective; Also can carry out quantitative analysis if need to the result.
6. high-throughput once can detect 48 examples at most.
7. safety: do not comprise hazardous and noxious substances in the whole system, need not the aftertreatment of PCR product, operator and environment are not had harm.
Embodiment
For making the present invention easier to understand, will further set forth concrete case study on implementation of the present invention below.
Collect the wax stone tissue that clinical pathology is diagnosed as 100 routine patients of knot rectal adenocarcinoma (CRC), all do not accept Cetuximab (cetuximab) treatment before all patient's arts.Experimental applications under the extraction genomic dna is provided with from wax stone.Detect the common 7 kinds of base substitution mutations of KRAS gene the 12nd, 13 codon with ARMS-qPCR.
Design and screening can specific detection above-mentioned 7 kinds of base substitution mutations each one of specificity ARMS primer and with reference to one of primer, design one of general downstream primer, design is also screened one of general TaqMan probe, one of probe is blocked in design also screening LNA, and each probe, primer sequence are distinguished specific as follows:
The LNA sequence is shown in SEQ ID NO A0 in the sequence table: 5 '-TGGAGCTG
GTG
GCGTAGGC-PO4-3 '.
General downstream primer sequence is: SEQ ID NO A1:5 '-ACCTCTATTGTTGGATCATATTCGTC-3 '
The TaqMan probe sequence is: SEQ ID NO A2:5 '-FAM-GAATTAGCTGTATCGTCAAGGCACTCT-3 '
With reference to primer sequence be: SEQ ID NO A3:5 '-CTGAATATAAACTTGTGGTAGTT-3 '
At KRAS gene the 12nd codon GGT → GAT
The ARMS primer sequence of mutant is: SEQID NO A4:5 '-CTTGTGGTAGTTGGAGCTTA-3 '
At KRAS gene the 12nd codon GGT → GTT
The ARMS primer sequence of mutant is: SEQID NO A5:5 '-AAACTTGTGGTAGTTGGAGCGGT-3 '
At KRAS gene the 12nd codon GGT → GCT
The ARMS primer sequence of mutant is: SEQID NO A6:5 '-AACTTGTGGTAGTTGGAGCTGC-3 '
At KRAS gene the 12nd codon GGT → AGT
The ARMS primer sequence of mutant is: SEQID NO A7:5 '-ATAAACTTGTGGTAGTTGGAGCTA-3 '
At KRAS gene the 12nd codon GGT → TGT
The ARMS primer sequence of mutant is: SEQID NO A8:5 '-AACTTGTGGTAGTTGGAGCGT-3 '
At KRAS gene the 12nd codon GGT → CGT
The ARMS primer sequence of mutant is: SEQID NO A9:5 '-ATAAACTTGTGGTAGTTGGAGCCC-3 '
At KRAS gene the 13rd codon GGC → GAC
The ARMS primer sequence of mutant is: SEQID NO A10:13Asp-3:5 '-GTGGTAGTTGGAGCTGGTAA-3 '
1. the optimization of reaction system:
(1) under the optimization of the primer concentration situation that other condition is identical in reaction system, primer concentration being done the multiple proportions serial dilution from 0.1 μ mol/L to 1.6 μ mol/L respectively, is 0.3 μ mol/L by the analysis of test-results is relatively decided best primer concentration.
(2) under the optimization of the concentration and probe concentration situation that other condition is identical in reaction system, with concentration and probe concentration respectively from, true 0.05 μ mol/L to 0.5 μ mol/L does the multiple proportions serial dilution, compares by the analysis to test-results, determines that best concentration and probe concentration is 0.1 μ mol/L.
(3) under the optimization of the annealing temperature situation that other condition is identical in reaction system, carry out grads PCR (56 ° to 64 ° annealing temperatures), compare, determine that optimum annealing temperature is 60 ° by analysis to test-results.
(4) optimization of enzyme adds various enzymes in reaction system, compares by the analysis to test-results, determines that best enzyme is a gold star TAQ enzyme.
Through optimizing reaction system is 25 μ l, comprises qPCR mix 20 μ l, and with reference to primer or each 0.75 μ l (final concentration 0.3 μ M) of ARMS primer, LNA blocks probe 2.25 μ l (final concentration 0.9 μ M) template DNA 2.0 μ l (final concentration 10-300ng/ μ l).Described qPCR mix component and final concentration thereof are:
PCR damping fluid final concentration is 1 *;
The dNTPs final concentration is 0.2mM;
General downstream primer final concentration is 0.3 μ M;
TaqMan probe final concentration is 0.1 μ M;
Goldstarbest Taq enzyme final concentration is 0.05U/ μ L;
MgCl
2Final concentration is 3.5mM;
ARMS-qPCR carries out on the ABI7500 detector.Each sample carries out 8 tube reactions, and every tube reaction adds common qPCR mix, LNA retardance probe and template DNA, and different has only with reference to primer or ARMS primer.The PCR reaction conditions is: 95 ℃ of pre-sex change 10 minutes, 95 ℃ 15 seconds, 60 ℃ 40 seconds, amplified reaction 40 circulations are collected fluorescence 60 ℃ of 40 second stages.
The result is: detect 20 routine samples altogether in 100 routine samples KRAS gene the 12nd codon GGT → GAT sudden change takes place, KRAS gene the 12nd codon GGT → GTT sudden change takes place in 4 routine samples, KRAS gene the 12nd codon GGT → GCT sudden change takes place in 2 routine samples, KRAS gene the 12nd codon GGT → AGT sudden change takes place in 3 routine samples, KRAS gene the 13rd codon GGC → GAC sudden change takes place in 11 routine samples, and KRAS gene the 12nd codon GGT → TGT sudden change takes place 2 routine samples.Wherein 3 routine samples detect interpretation through the ARMS-qPCR of KRAS gene mutation typing to be that the 12nd codon GGT → GAT suddenly change positive, and it is negative to be through sequencing result that GGT → GAT suddenly change, and through T-A clone confirmation GGT → GAT positive of suddenling change, the positive colony rate is about 3-7%; Wherein to detect interpretation be the 12nd codon GGT → positive this sample of AGT sudden change to 1 routine sample KRAS gene type ARMS-qPCR that to be through sequencing result that GGT → AGT suddenly change negative, confirms GGT → AGT positive of suddenling change through the T-A clone, and the positive colony rate is about 6%.All the other results all are consistent with direct sequencing result.
It is highly sensitive that The above results shows that ARMS-qPCR method of the present invention detects tumor tissues KRAS transgenation, can detect the trace sudden change template (<10%) in the clinical sample; Its reliable results detects " gold standard " with sudden change: direct Ce Xu coincidence rate as a result 〉=95%.Described in addition method is quick, simple to operate, and interpretation as a result is objective, closes the border the reaction pollution and lacks, and is very suitable for carrying out on a large scale in clinical.