CN104678099B - Applications of the COX 2 in diagnosis, the diagnostic reagent of detection canine tumor is prepared - Google Patents
Applications of the COX 2 in diagnosis, the diagnostic reagent of detection canine tumor is prepared Download PDFInfo
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Abstract
本发明公开了COX‑2在制备诊断、检测犬肿瘤的诊断试剂中的应用:本发明通过实验研究发现,COX‑2在犬肿瘤(乳腺肿瘤,皮肤及软组织肿瘤,肛周肿瘤,睾丸肿瘤,阴道及子宫肿瘤)中的阳性表达率为76.1%,而在正常组织中的阳性表达率仅为20%,因此,COX‑2可以作为犬肿瘤的标志物进行应用,用免疫组织化学方法检测COX‑2的表达情况,其结果可以作为是否患有犬肿瘤的临床诊断的依据之一。本发明还公开了用于检测COX‑2的试剂盒(包括3%H2O2溶液、柠檬酸缓冲液、PBS缓冲液、小鼠COX‑2单克隆抗体、山羊抗小鼠IgG抗体、DAB显色液和蒸馏水)及检测方法(链霉素抗生物素蛋白‑过氧化酶染色)。The invention discloses the application of COX-2 in the preparation of diagnostic reagents for diagnosing and detecting canine tumors: the present invention finds through experimental research that COX-2 is effective in canine tumors (breast tumors, skin and soft tissue tumors, perianal tumors, testicular tumors, The positive expression rate in vaginal and uterine tumors) was 76.1%, while the positive expression rate in normal tissues was only 20%. Therefore, COX‑2 can be used as a marker for canine tumors. COX can be detected by immunohistochemistry ‑2 expression, the results can be used as one of the basis for the clinical diagnosis of canine tumors. The invention also discloses a kit for detecting COX-2 (including 3% H 2 O 2 solution, citrate buffer, PBS buffer, mouse COX-2 monoclonal antibody, goat anti-mouse IgG antibody, DAB Chromogenic solution and distilled water) and detection method (streptavidin-peroxidase staining).
Description
技术领域technical field
本发明涉及COX-2作为肿瘤标志物在制备诊断、检测犬肿瘤的诊断试剂中的应用。The invention relates to the application of COX-2 as a tumor marker in the preparation of diagnostic reagents for diagnosing and detecting canine tumors.
背景技术Background technique
环氧酶(cyclo-oxygen-ase,COX),是前列腺素(PGs)合成所必须的酶,也是PGs合成初始步骤中的关键性限速酶。又称环氧化物水化酶。COX有两种同工酶COX-1和COX-2。前者为结构型被称为要素酶或管家酶,主要存在于血管、胃、肾等组织中,国内外学者普遍认为它产生的PG参与机体正常生理过程和保护功能,如维持胃肠黏膜完整性、调节血小板功能和肾血流;后者为诱导型,是经刺激迅速产生的诱导酶,即由各种损伤性化学、物理和生物因子诱导其产生,进而催化PGs合成参与炎症反应。Cyclo-oxygen-ase (COX) is an essential enzyme for the synthesis of prostaglandins (PGs), and it is also a key rate-limiting enzyme in the initial step of PGs synthesis. Also known as epoxide hydrase. COX has two isoenzymes COX-1 and COX-2. The former is a structural type called element enzyme or housekeeping enzyme, which mainly exists in blood vessels, stomach, kidney and other tissues. Scholars at home and abroad generally believe that the PG produced by it participates in the normal physiological process and protective functions of the body, such as maintaining the integrity of the gastrointestinal mucosa The latter is inducible, which is an inducible enzyme that is rapidly produced by stimulation, that is, its production is induced by various damaging chemical, physical and biological factors, and then catalyzes the synthesis of PGs to participate in the inflammatory response.
目前大量动物实验、流行病学、细胞学实验等方面的研究已证实COX-2在人类多种内脏肿瘤,包括胃癌、食管癌、结直肠癌、肺癌、前列腺癌、胰腺癌、膀胱癌、乳腺癌等中存在过表达,因此COX-2与肿瘤的关系也得到了普遍关注,目前认为其致癌机制主要有:刺激细胞增殖、抑制细胞凋亡、抑制机体免疫反应、促进肿瘤新生血管形成、参与致癌物质代谢及增加肿瘤细胞的侵袭性和转移能力等。At present, a large number of animal experiments, epidemiology, cytology experiments and other studies have confirmed that COX-2 plays a role in various human visceral tumors, including gastric cancer, esophageal cancer, colorectal cancer, lung cancer, prostate cancer, pancreatic cancer, bladder cancer, breast cancer, etc. There is overexpression in cancer, etc., so the relationship between COX-2 and tumors has also received widespread attention. At present, its carcinogenic mechanisms are mainly considered to be: stimulating cell proliferation, inhibiting cell apoptosis, inhibiting the body's immune response, promoting tumor angiogenesis, participating in Metabolism of carcinogens and increase the invasiveness and metastasis of tumor cells.
COX-2与犬肿瘤的关系目前国内没有研究。There is no domestic research on the relationship between COX-2 and canine tumors.
发明内容Contents of the invention
针对上述现有技术,本发明通过实验研究发现,COX-2与犬肿瘤的发生、发展存在着一定的相关性,用免疫组织化学方法检测COX-2的表达情况可以作为临床诊断的依据之一。In view of the above-mentioned prior art, the present invention finds through experimental research that there is a certain correlation between COX-2 and the occurrence and development of canine tumors, and the detection of the expression of COX-2 by immunohistochemistry can be used as one of the basis for clinical diagnosis .
本发明是通过以下技术方案实现的:The present invention is achieved through the following technical solutions:
本发明通过实验研究发现,COX-2在犬肿瘤(乳腺肿瘤,皮肤及软组织肿瘤,肛周肿瘤,睾丸肿瘤,阴道及子宫肿瘤)中的阳性表达率为76.1%,而在正常组织中的阳性表达率仅为20%,因此,COX-2可以作为犬肿瘤的标志物进行应用,用免疫组织化学方法检测COX-2的表达情况,其结果可以作为是否患有犬肿瘤的临床诊断的依据之一。尽管COX-2在多种肿瘤中表达,达不到绝对的特异性,但是,所属领域技术人员公知,临床检测指标的特异性的非绝对唯一并不能否定检测指标作为诊断相关疾病的手段之一的可行性,例如医生经常将几种检测指标结合临床表现作出最后诊断。因此,COX-2作为肿瘤标志物具有可行性;尽管COX-2具有非唯一的特异性,但将COX-2作为肿瘤标志物结合其它检测指标及临床表现也足以用于检测犬肿瘤(这种方式也是目前临床上的常见方式)。The present invention finds through experimental research that the positive expression rate of COX-2 in canine tumors (mammary gland tumors, skin and soft tissue tumors, perianal tumors, testicular tumors, vagina and uterine tumors) is 76.1%, while the positive expression rate in normal tissues is 76.1%. The expression rate is only 20%. Therefore, COX-2 can be used as a marker for canine tumors. The expression of COX-2 can be detected by immunohistochemical methods, and the results can be used as one of the basis for clinical diagnosis of canine tumors. one. Although COX-2 is expressed in a variety of tumors and cannot achieve absolute specificity, it is well known to those skilled in the art that the non-absolute uniqueness of the specificity of clinical detection indicators cannot negate the detection indicators as one of the means for diagnosing related diseases Feasibility, for example, doctors often combine several detection indicators with clinical manifestations to make a final diagnosis. Therefore, COX-2 is feasible as a tumor marker; although COX-2 has non-exclusive specificity, it is sufficient to use COX-2 as a tumor marker in combination with other detection indicators and clinical manifestations for the detection of canine tumors (this It is also a common way in clinical practice).
本发明还提供了一种用于诊断、检测犬肿瘤的诊断试剂盒,包括3%H2O2溶液、柠檬酸缓冲液、PBS缓冲液、小鼠COX-2单克隆抗体、山羊抗小鼠IgG抗体、DAB显色液和蒸馏水。本发明还提供了利用该诊断试剂盒检测COX-2的方法,步骤如下:The present invention also provides a diagnostic kit for diagnosing and detecting canine tumors, including 3% H 2 O 2 solution, citrate buffer, PBS buffer, mouse COX-2 monoclonal antibody, goat anti-mouse IgG antibody, DAB chromogenic solution and distilled water. The present invention also provides a method for detecting COX-2 using the diagnostic kit, the steps are as follows:
(1)将待检测组织进行石蜡包埋;石蜡切片,常规脱蜡、水化;(1) Embedding the tissue to be tested in paraffin; paraffin sections, routine dewaxing and hydration;
(2)3%H2O2溶液室温孵育10分钟;(2) 3% H 2 O 2 solution was incubated at room temperature for 10 minutes;
(3)蒸馏水冲洗,PBS缓冲液浸泡5分钟(3) Rinse with distilled water, soak in PBS buffer for 5 minutes
(4)柠檬酸缓冲液微波加热至95~98℃修复抗原10min;(4) Microwave heating of citrate buffer to 95-98°C for antigen repair for 10 minutes;
(5)PBS缓冲液水洗,加一抗,37℃,湿盒内孵育1h;(5) Wash with PBS buffer, add primary antibody, and incubate at 37°C for 1 hour in a humid box;
(6)PBS缓冲液水洗,加二抗,37℃,湿盒内孵育0.25h;(6) Wash with PBS buffer, add secondary antibody, and incubate in a wet box at 37°C for 0.25h;
(7)PBS缓冲液水洗;(7) Washing with PBS buffer solution;
(8)滴加新鲜配制DAB显色液,室温孵育20min;(8) Add freshly prepared DAB chromogenic solution dropwise, and incubate at room temperature for 20 minutes;
(9)蒸馏水充分冲洗;(9) Fully rinse with distilled water;
(10)复染、脱水、透明、封片;(10) Counterstaining, dehydration, transparency, and sealing;
(11)阴性对照:PBS代替一抗;(11) Negative control: PBS instead of primary antibody;
(12)根据染色结果判断检测结果是否为COX-2阳性,该结果可以作为诊断待检测组织所属患者是否患有犬肿瘤的临床诊断的依据之一。判断检测结果为COX-2阳性的标准为:COX-2阳性染色为棕黄色颗粒,特异性位于细胞浆内及细胞核周;从每张切片中分别观察5个视野,综合分布范围和染色强度进行半定量处理,分布范围按下列标准评分:阳性细胞数为0记为0分;1%-25%为1分;26%-50%为2分;51%-75%为3分;76%-100%为4分;染色强度按下列标准评分:基本不着色为0分;着色淡,但明显强于阴性对照者为1分;着色明显者为2分;着色强者为3分;上述两种评分相加,0~1分为阴性,2分或以上者为阳性。(12) Judging whether the test result is positive for COX-2 according to the staining result, the result can be used as one of the clinical diagnosis basis for diagnosing whether the patient belonging to the tissue to be tested has canine tumor. The criteria for judging that the test result is positive for COX-2 are as follows: positive staining of COX-2 is brownish-yellow granules, which are specifically located in the cytoplasm and around the nucleus; 5 fields of view are observed from each section, and the comprehensive distribution range and staining intensity are analyzed. For semi-quantitative processing, the distribution range is scored according to the following criteria: 0 points for the number of positive cells; 1 point for 1%-25%; 2 points for 26%-50%; 3 points for 51%-75%; 3 points for 76% -100% is 4 points; the staining intensity is scored according to the following criteria: basically no staining is 0 points; light staining, but obviously stronger than the negative control is 1 point; obvious staining is 2 points; strong staining is 3 points; the above Adding the two scores, 0 to 1 is negative, and 2 or more is positive.
具体实施方式detailed description
下面结合实施例对本发明作进一步的说明。The present invention will be further described below in conjunction with embodiment.
下述实施例中所涉及的试剂、方法等,若无特别说明,均为现有技术中的常规试剂、方法。Reagents, methods, etc. involved in the following examples, unless otherwise specified, are conventional reagents and methods in the prior art.
实施例1 PAD1作为肿瘤标志物的检测实例Example 1 Detection example of PAD1 as a tumor marker
收集术后的肿瘤组织46例和在浙江大学附属动物医院解剖的犬正常乳腺、皮肤、睾丸、肛周、子宫组织各3份,去除实质组织上的脂肪部分,用手术剪刀和镊子进行切割,分成大小约1cm3左右的小组织块,用10%的中性福尔马林容易进行固定。所有肿瘤经病理组织切片观察,明确诊断为乳腺肿瘤25例,皮肤及软组织肿瘤11例,肛周肿瘤4例,睾丸肿瘤2例,阴道及子宫肿瘤4例。乳腺肿瘤中复合癌5例,导管乳头状癌3例,实质型癌5例,未分化癌1例,黏液癌1例,纤维肉瘤3例,骨肉瘤1例,复合型腺瘤3例,纤维腺瘤1例,乳腺增生1例;皮肤及软组织肿瘤中基底细胞瘤1例,纤维瘤1例,血管周细胞瘤1例,皮脂腺瘤2例,皮脂腺癌2例,皮脂腺上皮瘤2例,毛母细胞瘤1例,脂肪肉瘤1例;肛周肿瘤中肛周腺瘤1例,肛周腺癌3例;睾丸肿瘤中间质细胞瘤2例;阴道及子宫肿瘤中纤维肉瘤1例,平滑肌瘤2例,平滑肌肉瘤1例。Collect 46 cases of postoperative tumor tissue and 3 normal canine mammary gland, skin, testis, perianal, and uterine tissues dissected in the Animal Hospital Affiliated to Zhejiang University, remove the fatty part of the parenchymal tissue, and cut with surgical scissors and tweezers. Divide into small tissue pieces about 1cm 3 in size, and fix them easily with 10% neutral formalin. All tumors were observed by pathological tissue sections, and there were 25 cases of breast tumors, 11 cases of skin and soft tissue tumors, 4 cases of perianal tumors, 2 cases of testicular tumors, and 4 cases of vaginal and uterine tumors. Among breast tumors, there were 5 cases of compound carcinoma, 3 cases of ductal papillary carcinoma, 5 cases of solid carcinoma, 1 case of undifferentiated carcinoma, 1 case of mucinous carcinoma, 3 cases of fibrosarcoma, 1 case of osteosarcoma, 3 cases of compound adenoma, fibrosarcoma 1 case of adenoma, 1 case of mammary gland hyperplasia; 1 case of basal cell tumor, 1 case of fibroma, 1 case of perivascular cell tumor, 2 cases of sebaceous adenoma, 2 cases of sebaceous gland carcinoma, 2 cases of sebaceous gland epithelioma, 1 case of blastoma and 1 case of liposarcoma; 1 case of perianal adenoma and 3 cases of perianal adenocarcinoma among perianal tumors; 2 cases of interstitial cell tumor among testicular tumors; 1 case of fibrosarcoma among vaginal and uterine tumors, smooth There were 2 cases of fibroids and 1 case of leiomyosarcoma.
将上述组织包埋的蜡块做另一份切片,进行链霉素抗生物素蛋白-过氧化酶(SP)染色(该方法为现有技术中已有的成熟的常规技术手段),所用到的主要试剂如下:The above-mentioned tissue-embedded wax block is made into another slice, and streptavidin-peroxidase (SP) staining (this method is a mature conventional technical means in the prior art), used The main reagents are as follows:
一抗为小鼠COX-2单克隆抗体:Santa Cruz公司;The primary antibody is mouse COX-2 monoclonal antibody: Santa Cruz Company;
二抗为山羊抗小鼠IgG抗体:Abbike公司;The secondary antibody is goat anti-mouse IgG antibody: Abbike company;
磷酸盐缓冲液(PBS):北京方程生物科技有限公司;Phosphate buffer saline (PBS): Beijing Equation Biotechnology Co., Ltd.;
二氨基联苯胺(DAB)显色试剂盒:北京中山生物技术有限公司;Diaminobenzidine (DAB) Chromogenic Kit: Beijing Zhongshan Biotechnology Co., Ltd.;
SP免疫组化试剂盒:北京中山生物技术有限公司。SP immunohistochemistry kit: Beijing Zhongshan Biotechnology Co., Ltd.
方法步骤如下:The method steps are as follows:
(1)将石蜡切片常规脱蜡、水化;(1) Routinely dewax and hydrate the paraffin sections;
(2)3%(质量百分数)H2O2溶液室温孵育10分钟;(2) 3% (mass percentage) H 2 O 2 solution was incubated at room temperature for 10 minutes;
(3)蒸馏水冲洗,PBS缓冲液(pH7.4)浸泡5分钟(3) Rinse with distilled water, soak in PBS buffer (pH7.4) for 5 minutes
(4)柠檬酸缓冲液(pH6.0)微波加热至95~98℃修复抗原10min;(4) Microwave heating of citric acid buffer solution (pH6.0) to 95-98°C for 10 minutes to repair the antigen;
(5)PBS缓冲液水洗,加一抗,37℃,湿盒内孵育1h;(5) Wash with PBS buffer, add primary antibody, and incubate at 37°C for 1 hour in a humid box;
(6)PBS缓冲液水洗,加二抗,37℃,湿盒内孵育0.25h;(6) Wash with PBS buffer, add secondary antibody, and incubate in a wet box at 37°C for 0.25h;
(7)PBS缓冲液水洗;(7) Washing with PBS buffer solution;
(8)滴加新鲜配制DAB显色液,室温孵育20min;(8) Add freshly prepared DAB chromogenic solution dropwise, and incubate at room temperature for 20 minutes;
(9)蒸馏水充分冲洗;(9) Fully rinse with distilled water;
(10)复染、脱水、透明、封片;(10) Counterstaining, dehydration, transparency, and sealing;
(11)阴性对照:PBS代替一抗。(11) Negative control: PBS instead of primary antibody.
本实验用犬的正常乳腺、皮肤、睾丸、肛周、子宫组织作为对照试验。阳性结果判定:COX-2阳性染色为棕黄色颗粒,特异性位于细胞浆内及细胞核周。从每张切片中分别观察5个视野,综合分布范围和染色强度进行半定量处理,分布范围按下列标准评分:阳性细胞数为0记为0分;1%-25%为1分;26%-50%为2分;51%-75%为3分;76%-100%为4分。染色强度按下列标准评分:基本不着色为0分;着色淡,但明显强于阴性对照者为1分;着色明显者为2分;着色强者为3分。上述两种评分相加,0~1分为阴性,2分或以上者为阳性,其中2分为(+),3~6分为(+++)。应用SPSS13.0软件进行数据分析,不同组COX-2阳性率的表达比较用X2检验,P<0.05有统计学意义。In this experiment, normal mammary gland, skin, testis, perianal and uterine tissues of dogs were used as control experiments. Judgment of positive results: COX-2 positive staining is brownish-yellow granules, which are specifically located in the cytoplasm and perinucleus. Observe 5 fields of view from each section, conduct semi-quantitative processing based on the comprehensive distribution range and staining intensity, and score the distribution range according to the following criteria: 0 points for the number of positive cells; 1 point for 1%-25%; 1 point for 26% -50% is 2 points; 51%-75% is 3 points; 76%-100% is 4 points. Staining intensity is scored according to the following criteria: basically no staining is 0 point; light staining, but obviously stronger than the negative control is 1 point; obvious staining is 2 points; strong staining is 3 points. The above two scores are added together, 0-1 points are negative, 2 points or above are positive, of which 2 points are (+), and 3-6 points are (+++). SPSS13.0 software was used for data analysis, and the expression of COX- 2 positive rate in different groups was compared by X2 test, P<0.05 was considered statistically significant.
结果显示:COX-2在犬肿瘤中的阳性表达主要位于肿瘤细胞的胞浆内及胞核周围,为棕黄色颗粒。46例犬肿瘤中30例COX-2呈强阳性表达,5例呈阳性表达,阳性表达率为76.1%(35/46);15份正常组织中COX-2的阳性表达率为20%(3/15)。COX-2在犬肿瘤和正常组织上的表达差异有统计学意义(P<0.01)。46例进行免疫组化染色的肿瘤中,19例良性肿瘤中15例COX-2呈强阳性表达,阳性表达率为78.95%;27例恶性肿瘤中15例COX-2呈强阳性表达,5例呈阳性表达,阳性表达率为74.1%。COX-2在犬良、恶性肿瘤上的表达无统计学意义(P>0.05)。The results showed that the positive expression of COX-2 in canine tumors was mainly located in the cytoplasm and around the nucleus of the tumor cells, and it was brownish-yellow granules. Among the 46 canine tumors, 30 cases showed strong positive expression of COX-2, 5 cases showed positive expression, and the positive expression rate was 76.1% (35/46); the positive expression rate of COX-2 in 15 normal tissues was 20% (3 /15). The expression of COX-2 in canine tumors and normal tissues was significantly different (P<0.01). Among the 46 tumors with immunohistochemical staining, 15 of the 19 benign tumors showed strong positive expression of COX-2, and the positive expression rate was 78.95%; 15 of the 27 malignant tumors showed strong positive expression of COX-2, and 5 It was positively expressed, and the positive expression rate was 74.1%. The expression of COX-2 in canine benign and malignant tumors was not statistically significant (P>0.05).
结论:以上研究表明,COX-2在犬肿瘤中的表达水平比正常组织明显增高,因此,COX-2可以作为犬肿瘤(乳腺肿瘤,皮肤及软组织肿瘤,肛周肿瘤,睾丸肿瘤,阴道及子宫肿瘤)的诊断标记物。实际应用时,用免疫组织化学方法即可检测COX-2的表达情况,其结果可以作为临床诊断的依掘之一。Conclusion: The above studies show that the expression level of COX-2 in canine tumors is significantly higher than that in normal tissues. tumor) diagnostic markers. In practical application, the expression of COX-2 can be detected by immunohistochemical method, and the result can be used as one of the basis for clinical diagnosis.
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