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CN104862379A - Detection kit for human leucocyte antigen genes - Google Patents

Detection kit for human leucocyte antigen genes Download PDF

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Publication number
CN104862379A
CN104862379A CN201410064918.2A CN201410064918A CN104862379A CN 104862379 A CN104862379 A CN 104862379A CN 201410064918 A CN201410064918 A CN 201410064918A CN 104862379 A CN104862379 A CN 104862379A
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hla
methazolamide
gene
detection kit
genes
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骆肖群
邢清和
贺林
杨凡萍
陈圣安
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Huashan Hospital of Fudan University
Fudan University
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Fudan University
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Abstract

The invention belongs to the technical field of biological medicines and relates to a detection kit for human leucocyte antigen (HLA) genes--HLA-B*59: 01 genes, and the HLA-B*59: 01 genes can serve as marker genes for forecasting methazolamide caused SJS (Stevens-Johnson syndrome) and TEN (Toxic epidermal necrolysis). According to the detection kit, after DNA extracted from the peripheral blood of a patient, the PCR-SSO method is adopted to detect the HLA-B*59 :01 genes. The detection kit for HLA-B*59: 01 genes can be used for examining before application of methazolamide and screening targeted medicines for treating methazolamide caused SJS and TEN; and examination can guide clinical medication to reduce incidence of SJS and TEN caused by methazolamide, and the screening mainly acts on HLA-B*59: 01 molecules in a targeted manner, so that interaction between the HLA-B*59: 01 molecules and methazolamide or other metabolic products during attack.

Description

一种人类白细胞抗原基因的检测试剂盒A detection kit for human leukocyte antigen gene

技术领域technical field

本发明属于生物医药和试剂检测领域,涉及检测人类白细胞抗原基因的试剂盒;具体而言,涉及人类白细胞抗原基因--HLA-B*59:01基因,该基因与醋甲唑胺所致的两型皮肤药物不良反应(Stevens-Johnson综合征和中毒性表皮坏死松解症)发病相关。The invention belongs to the field of biomedicine and reagent detection, and relates to a test kit for detecting human leukocyte antigen gene; Two types of cutaneous adverse drug reactions (Stevens-Johnson syndrome and toxic epidermal necrolysis) were associated.

背景技术Background technique

皮肤药物不良反应即药疹,指药物通过各种途径进入人体后引起的皮肤黏膜炎症反应。Stevens-Johnson综合征(Stevens-Johnson syndrome,SJS)和中毒性表皮坏死松解症(Toxic epidermal necrolysis,TEN)属于重症皮肤药物不良反应的同一病谱,其主要临床特征为广泛的表皮及皮肤黏膜的剥脱及坏死,并伴有严重的肝肾功能损害等系统并发症(Bastuji-Garin S,Rzany B,Stern RS,Shear NH,Naldi L and Roujeau JC.Clinical classification of cases of toxicepidermal necrolysis,Stevens-Johnson syndrome,and erythema multiforme.Arch Dermatol1993;129:92-96.)。据统计,TEN和SJS的年发病率分别为0.4-1.2/1000000and1.2-6/1000000(Roujeau JC and Stern RS.Severe adversecutaneous reactions to drugs.N Engl J Med1994;331:1272-1285.),但死亡率分别高达1-5%和20-30%(Roujeau JC and Stern RS.Severe adversecutaneous reactions to drugs.N Engl J Med1994;331:1272-1285.Rzany B,Mockenhaupt M,Baur S,Schroder W,Stocker U,Mueller J,Hollander N,Bruppacher R and Schopf E.Epidemiology of erythema exsudativum multiformemajus,Stevens-Johnson syndrome,and toxic epidermal necrolysis in Germany(1990-1992):structure and results of a population-based registry.J ClinEpidemiol1996;49:769-773.)。Drug eruption refers to the inflammatory reaction of skin and mucous membranes caused by drugs entering the human body through various channels. Stevens-Johnson syndrome (Stevens-Johnson syndrome, SJS) and toxic epidermal necrolysis (Toxic epidermal necrolysis, TEN) belong to the same spectrum of severe skin adverse drug reactions. exfoliation and necrosis of severe hepatic and renal dysfunction (Bastuji-Garin S, Rzany B, Stern RS, Shear NH, Naldi L and Roujeau JC. Clinical classification of cases of toxicepidermal necrolysis, Stevens-Johnson syndrome, and erythema multiforme. Arch Dermatol 1993;129:92-96.). According to statistics, the annual incidence rates of TEN and SJS are 0.4-1.2/1000000 and 1.2-6/1000000 respectively (Roujeau JC and Stern RS.Severe adverse reactions to drugs.N Engl J Med1994;331:1272-1285.), but The mortality rate is as high as 1-5% and 20-30%, respectively (Roujeau JC and Stern RS. Severe adverse reactions to drugs. N Engl J Med1994; 331:1272-1285. Rzany B, Mockenhaupt M, Baur S, Schroder W, Stocker U, Mueller J, Hollander N, Bruppacher R and Schopf E. Epidemiology of erythema exsudativum multiformemajus, Stevens-Johnson syndrome, and toxic epidermal necrolysis in Germany(1990-1992): structure and results of ple lin-aColregulation 9; 49:769-773.).

醋甲唑胺为磺胺类碳酸酐酶抑制剂,临床上主要用于降低青光眼及其他疾病引起的眼压升高(Fritsch PO and Sidoroff A.Drug-induced Stevens-Johnsonsyndrome/toxic epidermal necrolysis.Am J Clin Dermatol2000;1:349-360.Mockenhaupt M,Viboud C,Dunant A,Naldi L,Halevy S,BouwesBavinck JN,Sidoroff A,Schneck J,Roujeau JC and Flahault A.Stevens-Johnson syndrome and toxic epidermal necrolysis:assessment ofmedication risks with emphasis on recently marketed drugs.TheEuroSCAR-study.J Invest Dermatol2008;128:35-44.)。研究显示,醋甲唑胺为引起SJS和TEN的常见药物(Sud RN and Grewal SS.Stevens Johnsonsyndrome due to Diamox.Indian J Ophthalmol1981;29:101-103.Flach AJ,Smith RE and Fraunfelder FT.Stevens-Johnson syndrome associated withmethazolamide treatment reported in two Japanese-American women.Ophthalmology1995;102:1677-1680.)。Methazolamide is a sulfonamide carbonic anhydrase inhibitor, which is mainly used clinically to reduce elevated intraocular pressure caused by glaucoma and other diseases (Fritsch PO and Sidoroff A.Drug-induced Stevens-Johnson syndrome/toxic epidermal necrolysis.Am J Clin Dermatol2000;1:349-360. Mockenhaupt M, Viboud C, Dunant A, Naldi L, Halevy S, BouwesBavinck JN, Sidoroff A, Schneck J, Roujeau JC and Flahault A. with emphasis on recently marketed drugs. The EuroSCAR-study. J Invest Dermatol 2008;128:35-44.). Studies have shown that methazolamide is a common drug causing SJS and TEN (Sud RN and Grewal SS. Stevens Johnson syndrome due to Diamox. Indian J Ophthalmol1981; 29:101-103. Flach AJ, Smith RE and Fraunfelder FT. Stevens-Johnson syndrome associated with methazolamide treatment reported in two Japanese-American women. Ophthalmology 1995;102:1677-1680.).

人类白细胞抗原(Human leukocyte antigen,HLA)基因的表达产物为人类白细胞抗原,后者在免疫反应中担任至关重要的角色。已有研究发现包括卡马西平、阿巴卡韦、别嘌呤醇等在内的数种药物引起的药疹与HLA等位基因相关(Bharadwaj,M.,et al.,Drug hypersensitivity and human leukocyteantigens of the major histocompatibility complex.Annu Rev PharmacolToxicol,2012.52:p.401-31.Cao,Z.H.,et al.,HLA-B*58:01allele isassociated with augmented risk for both mild and severe cutaneous adversereactions induced by allopurinol in Han Chinese.Pharmacogenomics,2012.13(10):p.1193-201.Roujeau,J.C.,et al.,Genetic susceptibility to toxicepidermal necrolysis.Arch Dermatol,1987.123(9):p.1171-3.)。Shirato等人对四例醋甲唑胺所致SJS的日本患者的研究中发现,其中三例均携带HLA-B*59(Shirato S,Kagaya F,Suzuki Y and Joukou S.Stevens-Johnsonsyndrome induced by methazolamide treatment.Arch Ophthalmol1997;115:550-553.)。在韩国人的研究中,Kim等人对五例醋甲唑胺引起的SJS行HLA-A,-Band-C分型,发现HLA-B*59:01与醋甲唑胺引起的SJS高度相关(p<0.001;oddsratio:249.8;95%CI:13.4–4813.5)。(Kim SH,Kim M,Lee KW,Kim SH,KangHR,Park HW and Jee YK.HLA-B*5901is strongly associated withmethazolamide-induced Stevens-Johnson syndrome/toxic epidermalnecrolysis.Pharmacogenomics2010;11:879-884.)Human leukocyte antigen (Human leukocyte antigen, HLA) gene expression product is human leukocyte antigen, which plays a vital role in the immune response. Studies have found that drug eruptions caused by several drugs, including carbamazepine, abacavir, and allopurinol, are associated with HLA alleles (Bharadwaj, M., et al., Drug hypersensitivity and human leukocyteantigens of the major histocompatibility complex.Annu Rev PharmacolToxicol,2012.52:p.401-31.Cao,Z.H.,et al.,HLA-B*58:01allele isassociated with augmented risk for both mild and severe cutaneous adversereactions induced by allopurinol in Han Chinese.Pharmacogenomics ,2012.13(10):p.1193-201.Roujeau,J.C.,et al.,Genetic susceptibility to toxic pidermal necrolysis.Arch Dermatol,1987.123(9):p.1171-3.). In the study of four Japanese patients with SJS caused by methazolamide, Shirato et al. found that three of them carried HLA-B*59 (Shirato S, Kagaya F, Suzuki Y and Joukou S.Stevens-Johnson syndrome induced by methazolamide treatment. Arch Ophthalmol 1997;115:550-553.). In a Korean study, Kim et al. performed HLA-A,-Band-C typing on five cases of SJS caused by methazolamide, and found that HLA-B*59:01 was highly correlated with SJS caused by methazolamide (p<0.001; odds ratio: 249.8; 95% CI: 13.4–4813.5). (Kim SH, Kim M, Lee KW, Kim SH, KangHR, Park HW and Jee YK. HLA-B*5901 is strongly associated withmethazolamide-induced Stevens-Johnson syndrome/toxic epidermalnecrolysis. Pharmacogenomics2010;11:879-884.)

经对现有技术文献的检索发现,在中国大陆汉族人群中至今未见关于HLA-B*59:01基因与醋甲唑胺引起SJS和TEN的发病相关,可作为基因标记用于筛选该型药疹的相关报道。After searching the existing technical literature, it is found that there is no correlation between the HLA-B*59:01 gene and the pathogenesis of SJS and TEN caused by methazolamide in the Han population in mainland China, and it can be used as a genetic marker to screen for this type. Reports on drug eruptions.

发明内容Contents of the invention

本发明目的是提供一种检测人类白细胞抗原基因--HLA-B*59:01基因的试剂盒及其使用方法。The object of the present invention is to provide a kit for detecting human leukocyte antigen gene--HLA-B*59:01 gene and its application method.

本发明的进一步目的是提供上述试剂盒用于筛查醋甲唑胺所致皮肤药物不良反应中的应用,具体而言,是通过检测HLA-B*59:01基因的存在来评估患者服用醋甲唑胺后是否具有患SJS和TEN的潜在可能。同时可以据此指导临床用药,从而减少醋甲唑胺所致SJS和TEN的发生。A further object of the present invention is to provide the above kit for screening the application of methazolamide-induced skin adverse reactions, specifically, by detecting the presence of the HLA-B*59:01 gene to evaluate patients taking methazolamide. Whether there is a potential for SJS and TEN after methazolamide. At the same time, it can be used to guide clinical medication, thereby reducing the occurrence of SJS and TEN caused by methazolamide.

一方面,本发明提供了一种人类白细胞抗原基因的检测试剂盒。In one aspect, the present invention provides a detection kit for human leukocyte antigen gene.

所述的人类白细胞抗原基因是HLA-B*59:01基因;The human leukocyte antigen gene is HLA-B*59:01 gene;

所述的试剂盒中含有检测人类白细胞抗原基因的核酸或者蛋白的试剂。The kit contains reagents for detecting the nucleic acid or protein of the human leukocyte antigen gene.

所述的试剂盒中含有人类白细胞抗原基因的扩增引物;或者标记探针。The kit contains amplification primers for human leukocyte antigen genes; or labeled probes.

或者,所述的试剂盒中含有人类白细胞抗原基因的特异性抗体。Alternatively, the kit contains specific antibodies to human leukocyte antigen genes.

本发明所述醋甲唑胺所致SJS和TEN的相关HLA等位基因-HLA-B*59:01基因的核酸序列如SEQ NO.1所示:The nucleotide sequence of the related HLA allele-HLA-B*59:01 gene of SJS and TEN caused by methazolamide of the present invention is as shown in SEQ NO.1:

(a)序列特征:(a) Sequence features:

*长度:3333碱基对* Length: 3333 base pairs

*类型:核酸*Type: nucleic acid

*链型:双链* Chain type: double chain

*拓扑结构:线形*Topology: linear

(b)分子类型:基因组DNA(gDNA文库)(b) Molecular type: Genomic DNA (gDNA library)

(c)假设:否(c) Assumption: No

(d)反义:否(d) Antisense: no

(e)最初来源:人(e) Primary source: human

(f)SEQ NO.1核酸序列描述如下:(f) SEQ NO.1 nucleic acid sequence is described as follows:

gatcaggacgaagtcccatgtcccggacggggctctcagggtctcaggct50ccgagggccgcgtctgcgatcaggacgaagtcccatgtcccggacggggctctcagggtctcaggct50ccgagggccgcgtctgc

attggggaggcgcagcgttggggattccccactattggggaggcgcagcgttggggattccccact

100cccacgagtttcacttcttctcccaacctatgtcgggtccttcttccagg100cccacgagtttcacttcttctcccaacctatgtcgggtccttcttccagg

150atactcgtgacgcgtccccatttcccactcccattgggtgtcgggtgtct150atactcgtgacgcgtccccatttcccactccccatgggtgtcgggtgtct

200agagaagccaatcagtgtcgccggggtcccagttctaaagtccccacgca200agagaagccaatcagtcgccggggtcccagttctaaagtccccacgca

250cccacccggactcagagtctcctcagacaccgagatgcgggtcacggcac250cccacccggactcagagtctcctcagacaccgagatgcgggtcacggcac

300cccgaaccctcctcctgctgctctggggggccctggccctgaccgagacc350300cccgaaccctcctcctgctgctctggggggccctggccctgaccgagacc350

tgggccggtgagtgcgggtcgggagggaaatggcctctgtggggaggagctgggccggtgagtgcgggtcgggagggaaatggcctctgtgggggaggagc

400gaggggaccgcaggcgggggcgcaggacccggggagccgcgccgggagga400gagggggaccgcaggcggggggcgcaggacccggggagccgcgccggggagga

450gggtctggcgggtctcagcccctcctcgcccccaggctcccactccatga450gggtctggcgggtctcagcccctcctcgcccccaggctcccactccatga

500ggtatttctacaccgccatgtcccggcccggccgcggggagccccgcttc500ggtatttctacaccgccatgtcccggcccggccgcggggagccccgcttc

550atcgcagtgggctacgtggacgacacgcagttcgtgaggttcgacagcga550atcgcagtgggctacgtggacgacacgcagttcgtgaggttcgacagcga

600cgccgcgagtccgagagaggagccgcgggcgccgtggatagagcaggagg600cgccgcgagtccgagagaggagccgcgggcgccgtggatagagcaggagg

650ggccggagtattgggaccggaacacacagatcttcaagaccaacacacag650ggccggagtattgggaccggaacacacagatcttcaagaccaacacacag

700acttaccgagagaacctgcggatcgcgctccgctactacaaccagagcga700acttaccgagagaacctgcggatcgcgctccgctactacaaccagagcga

750ggccggtgagtgaccccggcccggggcgcaggtcacgactccccatcccc750ggccggtgagtgaccccggcccggggcgcaggtcacgactccccatcccc

800cacgtacggcccgggtcgccccgagtctccgggtccgagatccgcctccc800cacgtacggcccgggtcgccccgagtctccgggtccgagatccgcctccc

850tgaggccgcgggacccgcccagaccctcgaccggcgagagccccaggcgc850tgaggccgcgggacccgcccagaccctcgaccggcgagagccccaggcgc

900gtttacccggtttcattttcagttgaggccaaaatccccgcgggttggtc950900gtttacccggtttcattttcagttgaggccaaaatccccgcgggttggtc950

ggggcggggcggggctcgggggacggggctgaccgcggggccggggccagggggcggggcggggctcgggggacggggctgaccgcggggccggggccag

1000ggtctcacacttggcagacgatgtatggctgcgacctggggccggacggg1000ggtctcacacttggcagacgatgtatggctgcgacctggggccggacggg

1050cgcctcctccgcgggcataaccagttagcctacgacggcaaggattacat1050cgcctcctccgcgggcataaccagttagcctacgacggcaaggattacat

1100cgccctgaacgaggacctgagctcctggaccgcggcggacaccgcggctc11501100cgccctgaacgaggacctgagctcctggaccgcggcggacaccgcggctc1150

agatcacccagcgcaagtgggaggcggcccgtgtggcggagcagctgaga1200agatcacccagcgcaagtgggaggcggcccgtgtggcggagcagctgaga1200

gcctacctggagggcacgtgcgtggagtggctccgcagatacctggagaa1250gcctacctggagggcacgtgcgtggagtggctccgcagatacctggagaa1250

cgggaaggagacgctgcagcgcgcgggtaccaggggcagtggggagcctt1300cgggaaggagacgctgcagcgcgcgggtaccaggggcagtggggagcctt1300

ccccatctcctataggtcgccggggatggcctcccacgagaagaggagga1350ccccatctcctataggtcgccggggatggcctcccacgagaagaggagga1350

aaatgggatcagcgctagaatgtcgccctcccttgaatggagaatggcat1400aaatgggatcagcgctagaatgtcgccctcccttgaatggagaatggcat1400

gagttttcctgagtttcctctgagggccccctcttctctctaggacaatt1450gagttttcctgagtttcctctgagggccccctcttctctctaggacaatt1450

aagggatgacgtctctgaggaaatggaggggaagacagtccctagaatac1500aagggatgacgtctctgaggaaatggaggggaagacagtccctagaatac1500

tgatcaggggtcctctttgacccctgcagcagccttgggaaccgtgactt1550tgatcaggggtcctctttgacccctgcagcagccttgggaaccgtgactt1550

ttcctctcaggccttgttctctgcctcacactcagtgtgtttggggctct1600ttcctctcaggccttgttctctgcctcacactcagtgtgtttggggctct1600

gattccagcacttctgagtcactttacctccactcagatcaggagcagaa1650gattccagcacttctgagtcactttacctccactcagatcaggagcagaa1650

gtccctgttccccgctcagagactcgaactttccaatgaataggagatta1700gtccctgttccccgctcagagactcgaactttccaatgaataggagatta1700

tcccaggtgcctgcgtccaggctggtgtctgggttctgtgccccttcccc1750tcccaggtgcctgcgtccaggctggtgtctgggttctgtgccccttcccc1750

accccaggtgtcctgtccattctcaggctggtcacatgggtggtcctagg1800accccaggtgtcctgtccattctcaggctggtcacatgggtggtcctagg1800

gtgtcctatgagagatgcaaagcgcctgaattttctgactcttcccatca1850gtgtcctatgagagatgcaaagcgcctgaattttctgactcttcccatca1850

gaccccccaaagacacacgtgacccaccaccccatctctgaccatgaggc1900gaccccccaaagacacacgtgacccaccacccccatctctgaccatgaggc1900

caccctgaggtgctgggccctgggcttctaccctgcggagatcacactgacaccctgaggtgctgggccctgggcttctaccctgcggagatcacactga

1950cctggcagcgggatggcgaggaccaaactcaggacactgagcttgtggag1950cctggcagcgggatggcgaggaccaaactcaggacactgagcttgtggag

2000accagaccagcaggagatagaaccttccagaagtgggcagctgtggtggt2000accagaccagcaggagatagaaccttccagaagtgggcagctgtggtggt

2050gccttctggagaagagcagagatacacatgccatgtacagcatgaggggc21002050gccttctggagaagagcagagatacacatgccatgtacagcatgaggggc2100

tgccgaagcccctcaccctgagatggggtaaggagggggatgaggggtca2150tgccgaagcccctcaccctgagatggggtaaggaggggggatgaggggtca2150

tatctcttctcagggaaagcaggagcccttctggagcccttcagcagggt2200tatctcttctcagggaaagcaggagcccttctggagcccttcagcagggt2200

cagggcccctcgtcttcccctcctttcccagagccatcttcccagtccac2250cagggcccctcgtcttcccctcctttcccagagccatcttcccagtccac2250

catccccatcgtgggcattgttgctggcctggctgtcctagcagttgtgg2300catccccatcgtgggcattgttgctggcctggctgtcctagcagttgtgg2300

tcatcggagctgtggtcgctactgtgatgtgtaggaggaagagctcaggt2350tcatcggagctgtggtcgctactgtgatgtgtagggaggaagagctcaggt2350

agggaaggggtgaggggtggggtctgggttttcttgtcccactgggggtt2400agggaaggggtgaggggtggggtctgggttttcttgtcccactgggggtt2400

tcaagccccaggtagaagtgttccctgcctcattactgggaagcagcatc2450tcaagccccaggtagaagtgttccctgcctcattactgggaagcagcatc2450

cacacaggggctaatgcagcctgggaccctgtgtgccagcacttactctt2500cacacaggggctaatgcagcctgggaccctgtgtgccagcacttactctt2500

ttgtgcagcacatgtgacaatgaaggacggatgtatcaccttgatggttg2550ttgtgcagcacatgtgacaatgaaggacggatgtatcaccttgatggttg2550

tggtgttggggtcctgatttcagcattcatgagtcaggggaaggtccctg2600tggtgttggggtcctgatttcagcattcatgagtcagggggaaggtccctg2600

ctaaggacagaccttaggagggcagttggtccaggacccacacttgcttt2650ctaaggacagacccttaggagggcagttggtccaggacccaacacttgcttt2650

cctcgtgtttcctgatcctgccttgggtctgtagtcatacttctggaaat2700cctcgtgtttcctgatcctgccttgggtctgtagtcatacttctggaaat2700

tccttttgggtccaagacgaggaggttcctctaagatctcatggccctgc2750tccttttgggtccaagacgaggaggttcctctaagatctcatggccctgc2750

ttcctcccagtcccctcacaggacattttcttcccacaggtggaaaagga2800ttcctcccagtcccctcacaggacattttcttcccacaggtggaaaagga2800

gggagctactctcaggctgcgtgtaagtggtgggggtgggagtgtggagg2850gggagctactctcaggctgcgtgtaagtggtgggggtgggagtgtggagg2850

agctcacccaccccataattcctcctgtcccacgtctcctgcgggctctg2900agctcacccaccccataattcctcctgtcccacgtctcctgcgggctctg2900

accaggtcctgtttttgttctactccagccagcgacagtgcccagggctc2950accagtcctgtttttgttctactccagccagcgacagtgcccagggctc2950

tgatgtgtctctcacagcttgaaaaggtgagattcttggggtctagagtg3000tgatgtgtctctcacagcttgaaaaggtgagattcttggggtctagagtg3000

ggcggggggggggtggggtggggagggggcagaggggaaaggcctgggta3050ggcggggggggggtggggtggggagggggcagagggggaaaggcctgggta3050

atggagattctttgattgggatgttacgcgtgtgtggtgggctgtttaga3100atggagattctttgattgggatgttacgcgtgtgtggtgggctgtttaga3100

gtgtcatcacttaccatgactaaccagaatttgttcatgactgttgtttt3150gtgtcatcacttaccatgactaaccagaatttgttcatgactgttgtttt3150

ctgtagcctgagacagctgtcttgtgagggactgagatgcaggatttctt3200ctgtagcctgagacagctgtcttgtgagggactgagatgcaggatttctt3200

cactcctcccctttgtgacttcaagagcctctggcatctctttctgcaaa3250cactcctcccctttgtgacttcaagagcctctggcatctctttctgcaaa3250

ggcacctgaatgtgtctgcgtccctgttagcataatgtgaggaggtggag3300ggcacctgaatgtgtctgcgtccctgttagcataatgtgaggaggtggag3300

agacagcccacccccgtgtccactgtgacccctagacagcccaccccccgtgtccactgtgacccct

另一方面,本发明提供了上述检测试剂盒的应用,即对样本的HLA-B*59:01基因进行分型。In another aspect, the present invention provides the application of the above detection kit, that is, to type the HLA-B*59:01 gene of the sample.

例如,如本发明的实施例中所示,采用PCR-SSO法进行HLA-B*59:01基因的分型。For example, as shown in the examples of the present invention, the HLA-B*59:01 gene is typed using the PCR-SSO method.

具体而言,对HLA-B*59:01基因的分型的步骤如下:Specifically, the steps for typing the HLA-B*59:01 gene are as follows:

抽提样本中的DNA;DNA extraction from samples;

对HLA的多态区域进行扩增;Amplification of polymorphic regions of HLA;

在扩增过程中对PCR产物进行同位素或非同位素标记;Isotopic or non-isotopic labeling of PCR products during amplification;

将PCR产物与膜上的探针杂交、放射自显影根据信号判断结果。The PCR product was hybridized with the probe on the membrane, and the result was judged according to the signal by autoradiography.

其中,所述的探针针对PCR扩增产物设计并且固定在膜上。Wherein, the probes are designed for PCR amplification products and fixed on the membrane.

所述的样本可以是RNA、蛋白、细胞或者血清样本。The sample can be RNA, protein, cell or serum sample.

最常见的情况下,所述的样本是离体的外周血。Most commonly, the sample is isolated peripheral blood.

利用HLA-B*59:01基因的分析结果可以判断SJS和TEN。The analysis results of HLA-B*59:01 gene can be used to judge SJS and TEN.

本发明的实验数据证明,HLA-B*59:01基因可作为预测醋甲唑胺所致SJS和TEN的标记基因。The experimental data of the present invention proves that the HLA-B*59:01 gene can be used as a marker gene for predicting SJS and TEN caused by methazolamide.

实验结果显示,醋甲唑胺所致SJS和TEN患者中HLA-B*59:01阳性比例相比于正常对照组及醋甲唑胺耐受组之间差异有统计学意义(如表3所示)。HLA-B*59:01与醋甲唑胺结合模型如图1所示(醋甲唑胺与HLA-B*59:01结合模型图(图1A)与结合细节模型图(1B))。The experimental results showed that the HLA-B*59:01 positive ratio in patients with SJS and TEN induced by methazolamide was significantly different from that in the normal control group and the methazolamide-resistant group (as shown in Table 3). Show). The binding model of HLA-B*59:01 and methazolamide is shown in Figure 1 (the binding model of methazolamide and HLA-B*59:01 (Figure 1A) and the binding detail model (1B)).

本发明的具有实用性的例证为:Examples of the utility of the present invention are:

1)可以利用本发明所介绍的HLA-B*59:01基因作为预测醋甲唑胺所致SJS和TEN的标记基因。1) The HLA-B*59:01 gene introduced in the present invention can be used as a marker gene for predicting SJS and TEN induced by methazolamide.

2)利用本发明提供的HLA-B*59:01基因可用于评价或制备醋甲唑胺使用前筛查试剂盒。2) The HLA-B*59:01 gene provided by the present invention can be used to evaluate or prepare a pre-use screening kit for methazolamide.

3)利用本发明提供的HLA-B*59:01分子可用于评价或制备醋甲唑胺所致药疹靶向药物。3) The HLA-B*59:01 molecule provided by the present invention can be used to evaluate or prepare targeted drugs for drug eruption caused by methazolamide.

本发明涉及的是一种人类白细胞抗原基因--HLA-B*59:01基因,它与醋甲唑胺所致SJS和TEN发病相关。HLA-B*59:01基因可作为预测醋甲唑胺所致SJS和TEN的标记基因。从患者的外周血中抽取DNA后,用现行的方法检测HLA-B*59:01基因,如PCR-SSO(序列特异性寡核苷酸探针)方法。利用本发明提供的HLA-B*59:01基因检测试剂盒可用于醋甲唑胺使用前筛查及筛选治疗醋甲唑胺所致SJS和TEN的靶向药物。前者可指导临床用药,从而减少醋甲唑胺所致SJS和TEN的发生。后者主要靶向作用于HLA-B*59:01分子,从而阻断其在发病中与醋甲唑胺或其代谢产物之间的相互作用。The invention relates to a human leukocyte antigen gene--HLA-B*59:01 gene, which is related to the pathogenesis of SJS and TEN caused by methazolamide. HLA-B*59:01 gene can be used as a marker gene to predict SJS and TEN induced by methazolamide. After extracting DNA from the patient's peripheral blood, use the current method to detect the HLA-B*59:01 gene, such as PCR-SSO (sequence-specific oligonucleotide probe) method. The HLA-B*59:01 gene detection kit provided by the present invention can be used for screening before the use of methazolamide and for screening targeted drugs for the treatment of SJS and TEN caused by methazolamide. The former can guide clinical medication, thereby reducing the occurrence of SJS and TEN caused by methazolamide. The latter mainly targets the HLA-B*59:01 molecule, thereby blocking its interaction with methazolamide or its metabolites in pathogenesis.

附图说明Description of drawings

图1是醋甲唑胺与HLA-B*59:01的结合模型图.其中,(A)是醋甲唑胺与HLA-B*59:01结合前后的结构重叠图;(B)是醋甲唑胺与HLA-B*59:01结合细节图。Figure 1 is the binding model diagram of methazolamide and HLA-B*59:01. Among them, (A) is the structure overlap diagram before and after the combination of methazolamide and HLA-B*59:01; (B) is the Methazolamide binding details to HLA-B*59:01.

具体实施方式Detailed ways

以下结合具体实施例,以进一步说明本发明。应理解,以下实施例仅用于说明本发明而不用于限制本发明的范围。Below in conjunction with specific embodiment, to further illustrate the present invention. It should be understood that the following examples are only used to illustrate the present invention and are not intended to limit the scope of the present invention.

实施例1Example 1

1)收集和抽提基因1) Collect and extract genes

醋甲唑胺所致SJS和TEN患者来自于中国上海复旦大学附属华山医院;Patients with SJS and TEN caused by methazolamide were from Huashan Hospital Affiliated to Fudan University, Shanghai, China;

诊断标准由Roujeau等人(Roujeau JC.Clinical heterogeneity of drughypersensitivity.Toxicology2005;209:123-129.)提出,即临床表现有表皮的大量剥脱坏死、口腔粘膜糜烂,伴或不伴有严重的肝肾功能损害等系统并发症,其中,面积<10%的称为SJS;>30%的称之为TEN;10%~30%的称为SJS/TEN重叠;在知情同意的前提下参加本课题的研究,采集血液,并签署知情同意书;所有入组患者均通过病史及皮肤病理检查排除病毒疹及毒性红斑等其他诊断,所有患者均在发疹前2个月内首次口服醋甲唑胺;本实验有两组对照,其一是来自human MHC database(dbMHC)的283位健康人群,另外一组来自中国东部地区的30例患者为醋甲唑胺耐受组,均口服醋甲唑胺大于3月且没有发生任何药物反应;取样本血液300ul,按试剂盒说明书提取DNA,用紫外分光光度仪检测DNA浓度和纯度;The diagnostic criteria were proposed by Roujeau et al. (Roujeau JC. Clinical heterogeneity of drug hypersensitivity. Toxicology 2005; 209: 123-129.), that is, clinical manifestations include extensive exfoliation and necrosis of the epidermis, oral mucosal erosion, with or without severe liver and kidney function Systemic complications such as damage, among them, the area <10% is called SJS; >30% is called TEN; 10% to 30% is called SJS/TEN overlap; participate in the research of this topic under the premise of informed consent , blood was collected, and informed consent was signed; all patients were excluded from other diagnoses such as viral eruption and toxic erythema through medical history and skin pathological examination, and all patients took methazolamide orally for the first time within 2 months before the onset of rash; There were two groups of controls in the experiment, one was 283 healthy people from the human MHC database (dbMHC), and the other was a group of 30 patients from eastern China who were methazolamide-tolerant, and all of them took oral methazolamide for more than 3 months without any drug reaction; take 300ul of blood sample, extract DNA according to the kit instructions, and use UV spectrophotometer to detect DNA concentration and purity;

2)检测HLA基因分型2) Detection of HLA genotyping

本发明采用PCR-SSO法(推荐SSO试剂盒-One Lambda,CA,USA)进行HLA基因的分型,其原理是先对HLA的多态区域进行扩增,在扩增过程中对PCR产物进行同位素或非同位素标记,然后针对PCR扩增产物根据碱基配对原则设计系列寡核苷酸探针固定在膜上,最后将PCR产物与膜上的探针杂交、放射自显影根据信号判断结果;根据试剂盒标准步骤进行HLA基因分型(即将DNA样本、底物、Taq酶、引物混合后混匀,加入扩增板中,按试剂盒说明书中条件扩增,扩增产物进行杂交、染色和读板);结果分析通过HLA Fusion软件(One lambda,CA,USA,HLA Fusion3.0)进行;The present invention adopts PCR-SSO method (recommended SSO Kit-One Lambda, CA, USA) for HLA genotyping, the principle is to amplify the polymorphic region of HLA first, and perform isotope or non-isotope labeling on the PCR product during the amplification process, and then target PCR The amplified product is designed according to the principle of base pairing and a series of oligonucleotide probes are immobilized on the membrane. Finally, the PCR product is hybridized with the probe on the membrane, and the result is judged according to the signal by autoradiography; the HLA gene analysis is carried out according to the standard steps of the kit. Type (that is, DNA samples, substrates, Taq enzymes, and primers are mixed and mixed, added to the amplification plate, amplified according to the conditions in the kit instructions, and the amplified products are hybridized, stained, and plate read); the results are analyzed by HLA Fusion Software (One lambda, CA, USA, HLA Fusion3.0);

3)HLA-B*59:01与醋甲唑胺所致SJS和TEN相关3) HLA-B*59:01 is associated with SJS and TEN induced by methazolamide

统计方法:利用SPSS16.0计算Odds Ratio(OR)及其95%的可信区间,必要时使用Haldane’s校正,选用卡方检验进行统计学分析,统计学的显著性水平设定为P小于0.05;Statistical method: use SPSS16.0 to calculate Odds Ratio (OR) and its 95% credible interval, use Haldane’s correction if necessary, choose chi-square test for statistical analysis, and set the statistical significance level to be less than 0.05;

结果显示:共搜集到醋甲唑胺所致SJS和TEN患者7例,其中6例诊断为TEN,1例为SJS(如表1所示),醋甲唑胺耐受组30例;病例组和耐受组之间的年龄性别等一般特征无统计学差异(如表2所示);醋甲唑胺所致SJS和TEN患者中HLA-B*59:01阳性比例相比于正常对照组及醋甲唑胺耐受组之间差异有统计学意义(如表3所示);结果还显示:HLA-B*59:01与醋甲唑胺结合前后结构模型(如图1A所示),除此之外,醋甲唑胺可结合于HLA-B*59:01分子的A结合槽(如图1B所示)。The results showed that: a total of 7 patients with SJS and TEN caused by methazolamide were collected, of which 6 were diagnosed as TEN, 1 was SJS (as shown in Table 1), 30 patients were in the methazolamide-resistant group; There was no statistical difference in general characteristics such as age and sex between the tolerance group and the tolerance group (as shown in Table 2); the positive proportion of HLA-B*59:01 in patients with SJS and TEN caused by acetazolamide was compared with that in the normal control group There was a statistically significant difference between the methazolamide and methazolamide-resistant groups (as shown in Table 3); the results also showed that the structural model of HLA-B*59:01 before and after combining with methazolamide (as shown in Figure 1A) , in addition, methazolamide can bind to the A-binding groove of the HLA-B*59:01 molecule (as shown in Figure 1B).

表1.醋甲唑胺所致SJS和TEN患者的临床特点Table 1. Clinical characteristics of patients with SJS and TEN caused by methazolamide

SJS:Stevens-Johnson综合征;TEN:中毒性表皮坏死综合症SJS: Stevens-Johnson syndrome; TEN: toxic epidermal necrosis syndrome

表2.醋甲唑胺所致SJS和TEN及耐受组患者临床资料Table 2. Clinical data of patients with SJS and TEN caused by methazolamide and tolerance group

表3.HLA-B*59:01,Cw*01:02及两者的单倍型频率在醋甲唑胺所致SJS和TEN及对照组中的频率及关联分析Table 3. Frequency and association analysis of HLA-B*59:01, Cw*01:02 and their haplotype frequencies in SJS and TEN induced by methazolamide and the control group

95%CI:95%可信区间。95%CI: 95% credible interval.

SEQUENCE LISTING SEQUENCE LISTING

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<110>  复旦大学 <110> Fudan University

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<120>  一种人类白细胞抗原基因的检测试剂盒 <120> A detection kit for human leukocyte antigen gene

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<160>  1     <160> 1

  the

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

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<210>  1 <210> 1

<211>  6283 <211> 6283

<212>  DNA <212> DNA

<213>  人 <213> People

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<400>  1 <400> 1

gatcaggacg aagtcccatg tcccggacgg ggctctcagg gtctcaggct ccgagggccg     60 gatcaggacg aagtcccatg tcccggacgg ggctctcagg gtctcaggct ccgagggccg 60

  the

cgtctgcatt ggggaggcgc agcgttgggg attccccact cccacgagtt tcacttcttc    120 cgtctgcatt ggggaggcgc agcgttgggg attccccact cccacgagtt tcacttcttc 120

  the

tcccaaccta tgtcgggtcc ttcttccagg atactcgtga cgcgtcccca tttcccactc    180 tcccaaccta tgtcgggtcc ttcttccagg atactcgtga cgcgtcccca tttcccactc 180

  the

ccattgggtg tcgggtgtct agagaagcca atcagtgtcg ccggggtccc agttctaaag    240 ccattgggtg tcgggtgtct agagaagcca atcagtgtcg ccggggtccc agttctaaag 240

  the

tccccacgca cccacccgga ctcagagtct cctcagacac cgagatgcgg gtcacggcac    300 tccccacgca cccacccgga ctcagagtct cctcagacac cgagatgcgg gtcacggcac 300

  the

cccgaaccct cctcctgctg ctctgggggg ccctggccct gaccgagacc tgggccggtg    360 cccgaaccct cctcctgctg ctctgggggg ccctggccct gaccgagacc tgggccggtg 360

  the

agtgcgggtc gggagggaaa tggcctctgt ggggaggagc gaggggaccg caggcggggg    420 agtgcgggtc gggagggaaa tggcctctgt ggggaggagc gagggggaccg caggcggggg 420

  the

cgcaggaccc ggggagccgc gccgggagga gggtctggcg ggtctcagcc cctcctcgcc    480 cgcaggaccc ggggagccgc gccgggagga gggtctggcg ggtctcagcc cctcctcgcc 480

  the

cccaggctcc cactccatga ggtatttcta caccgccatg tcccggcccg gccgcgggga    540 cccaggctcc cactccatga ggtatttcta caccgccatg tcccggcccg gccgcgggga 540

  the

gccccgcttc atcgcagtgg gctacgtgga cgacacgcag ttcgtgaggt tcgacagcga    600 gccccgcttc atcgcagtgg gctacgtgga cgacacgcag ttcgtgaggt tcgacagcga 600

  the

cgccgcgagt ccgagagagg agccgcgggc gccgtggata gagcaggagg ggccggagta    660 cgccgcgagt ccgagagagg agccgcgggc gccgtggata gagcaggagg ggccggagta 660

  the

ttgggaccgg aacacacaga tcttcaagac caacacacag acttaccgag agaacctgcg    720 ttgggaccgg aacacacaga tcttcaagac caacacacag acttaccgag agaacctgcg 720

  the

gatcgcgctc cgctactaca accagagcga ggccggtgag tgaccccggc ccggggcgca    780 gatcgcgctc cgctactaca accagagcga ggccggtgag tgaccccggc ccggggcgca 780

  the

ggtcacgact ccccatcccc cacgtacggc ccgggtcgcc ccgagtctcc gggtccgaga    840 ggtcacgact ccccatcccc cacgtacggc ccgggtcgcc ccgagtctcc gggtccgaga 840

  the

tccgcctccc tgaggccgcg ggacccgccc agaccctcga ccggcgagag ccccaggcgc    900 tccgcctccc tgaggccgcg ggacccgccc agaccctcga ccggcgagag ccccaggcgc 900

  the

gtttacccgg tttcattttc agttgaggcc aaaatccccg cgggttggtc ggggcggggc    960 gtttacccgg tttcattttc agttgaggcc aaaatccccg cgggttggtc ggggcggggc 960

  the

ggggctcggg ggacggggct gaccgcgggg ccggggccag ggtctcacac ttggcagacg   1020 ggggctcggg ggacggggct gaccgcgggg ccggggccag ggtctcacac ttggcagacg 1020

  the

atgtatggct gcgacctggg gccggacggg cgcctcctcc gcgggcataa ccagttagcc   1080 atgtatggct gcgacctggg gccggacggg cgcctcctcc gcgggcataa ccagttagcc 1080

  the

tacgacggca aggattacat cgccctgaac gaggacctga gctcctggac cgcggcggac   1140 tacgacggca aggattacat cgccctgaac gaggacctga gctcctggac cgcggcggac 1140

  the

accgcggctc agatcaccca gcgcaagtgg gaggcggccc gtgtggcgga gcagctgaga   1200 accgcggctc agatcaccca gcgcaagtgg gaggcggccc gtgtggcgga gcagctgaga 1200

  the

gcctacctgg agggcacgtg cgtggagtgg ctccgcagat acctggagaa cgggaaggag   1260 gcctacctgg agggcacgtg cgtggagtgg ctccgcagat acctggagaa cgggaaggag 1260

  the

acgctgcagc gcgcgggtac caggggcagt ggggagcctt ccccatctcc tataggtcgc   1320 acgctgcagc gcgcgggtac caggggcagt ggggagcctt ccccatctcc tataggtcgc 1320

  the

cggggatggc ctcccacgag aagaggagga aaatgggatc agcgctagaa tgtcgccctc   1380 cggggatggc ctcccacgag aagaggagga aaatgggatc agcgctagaa tgtcgccctc 1380

  the

ccttgaatgg agaatggcat gagttttcct gagtttcctc tgagggcccc ctcttctctc   1440 ccttgaatgg agaatggcat gagttttcct gagtttcctc tgagggcccc ctcttctctc 1440

  the

taggacaatt aagggatgac gtctctgagg aaatggaggg gaagacagtc cctagaatac   1500 taggacaatt aagggatgac gtctctgagg aaatggaggg gaagacagtc cctagaatac 1500

  the

tgatcagggg tcctctttga cccctgcagc agccttggga accgtgactt ttcctctcag   1560 tgatcagggg tcctctttga cccctgcagc agccttggga accgtgactt ttcctctcag 1560

  the

gccttgttct ctgcctcaca ctcagtgtgt ttggggctct gattccagca cttctgagtc   1620 gccttgttct ctgcctcaca ctcagtgtgt ttggggctct gattccagca cttctgagtc 1620

  the

actttacctc cactcagatc aggagcagaa gtccctgttc cccgctcaga gactcgaact   1680 actttacctc cactcagatc aggagcagaa gtccctgttc cccgctcaga gactcgaact 1680

  the

ttccaatgaa taggagatta tcccaggtgc ctgcgtccag gctggtgtct gggttctgtg   1740 ttccaatgaa taggagatta tcccaggtgc ctgcgtccag gctggtgtct gggttctgtg 1740

  the

ccccttcccc accccaggtg tcctgtccat tctcaggctg gtcacatggg tggtcctagg   1800 ccccttcccc accccaggtg tcctgtccat tctcaggctg gtcacatggg tggtcctagg 1800

  the

gtgtcctatg agagatgcaa agcgcctgaa ttttctgact cttcccatca gaccccccaa   1860 gtgtcctatg agagatgcaa agcgcctgaa ttttctgact cttcccatca gaccccccaa 1860

  the

agacacacgt gacccaccac cccatctctg accatgaggc caccctgagg tgctgggccc   1920 agacacacgt gacccaccac cccatctctg accatgaggc caccctgagg tgctgggccc 1920

  the

tgggcttcta ccctgcggag atcacactga cctggcagcg ggatggcgag gaccaaactc   1980 tgggcttcta ccctgcggag atcacactga cctggcagcg ggatggcgag gaccaaactc 1980

  the

aggacactga gcttgtggag accagaccag caggagatag aaccttccag aagtgggcag   2040 aggacactga gcttgtggag accagaccag caggagatag aaccttccag aagtgggcag 2040

  the

ctgtggtggt gccttctgga gaagagcaga gatacacatg ccatgtacag catgaggggc   2100 ctgtggtggt gccttctgga gaagagcaga gatacacatg ccatgtacag catgaggggc 2100

  the

tgccgaagcc cctcaccctg agatggggta aggaggggga tgaggggtca tatctcttct   2160 tgccgaagcc cctcaccctg agatggggta aggaggggga tgaggggtca tatctcttct 2160

  the

cagggaaagc aggagccctt ctggagccct tcagcagggt cagggcccct cgtcttcccc   2220 cagggaaagc aggagccctt ctggagccct tcagcagggt cagggcccct cgtcttcccc 2220

  the

tcctttccca gagccatctt cccagtccac catccccatc gtgggcattg ttgctggcct   2280 tcctttccca gagccatctt cccagtccac catccccatc gtgggcattg ttgctggcct 2280

  the

ggctgtccta gcagttgtgg tcatcggagc tgtggtcgct actgtgatgt gtaggaggaa   2340 ggctgtccta gcagttgtgg tcatcggagc tgtggtcgct actgtgatgt gtagggaggaa 2340

  the

gagctcaggt agggaagggg tgaggggtgg ggtctgggtt ttcttgtccc actgggggtt   2400 gagctcaggt agggaagggg tgaggggtgg ggtctgggtt ttcttgtccc actgggggtt 2400

  the

tcaagcccca ggtagaagtg ttccctgcct cattactggg aagcagcatc cacacagggg   2460 tcaagcccca ggtagaagtg ttccctgcct cattactggg aagcagcatc cacacagggg 2460

  the

ctaatgcagc ctgggaccct gtgtgccagc acttactctt ttgtgcagca catgtgacaa   2520 ctaatgcagc ctgggaccct gtgtgccagc acttactctt ttgtgcagca catgtgacaa 2520

  the

tgaaggacgg atgtatcacc ttgatggttg tggtgttggg gtcctgattt cagcattcat   2580 tgaaggacgg atgtatcacc ttgatggttg tggtgttggg gtcctgattt cagcattcat 2580

  the

gagtcagggg aaggtccctg ctaaggacag accttaggag ggcagttggt ccaggaccca   2640 gagtcagggg aaggtccctg ctaaggacag accttaggag ggcagttggt ccaggaccca 2640

  the

cacttgcttt cctcgtgttt cctgatcctg ccttgggtct gtagtcatac ttctggaaat   2700 cacttgcttt cctcgtgttt cctgatcctg ccttgggtct gtagtcatac ttctggaaat 2700

  the

tccttttggg tccaagacga ggaggttcct ctaagatctc atggccctgc ttcctcccag   2760 tccttttggg tccaagacga ggaggttcct ctaagatctc atggccctgc ttcctcccag 2760

  the

tcccctcaca ggacattttc ttcccacagg tggaaaagga gggagctact ctcaggctgc   2820 tcccctcaca ggacattttc ttcccacagg tggaaaagga gggagctact ctcaggctgc 2820

  the

gtgtaagtgg tgggggtggg agtgtggagg agctcaccca ccccataatt cctcctgtcc   2880 gtgtaagtgg tgggggtggg agtgtggagg agctcaccca ccccataatt cctcctgtcc 2880

  the

cacgtctcct gcgggctctg accaggtcct gtttttgttc tactccagcc agcgacagtg   2940 cacgtctcct gcgggctctg accagtcct gtttttgttc tactccagcc agcgacagtg 2940

  the

cccagggctc gatcaggacg aagtcccatg tcccggacgg ggctctcagg gtctcaggct   3000 cccagggctc gatcaggacg aagtcccatg tcccggacgg ggctctcagg gtctcaggct 3000

  the

ccgagggccg cgtctgcatt ggggaggcgc agcgttgggg attccccact cccacgagtt   3060 ccgagggccg cgtctgcatt ggggaggcgc agcgttgggg attccccact cccacgagtt 3060

  the

tcacttcttc tcccaaccta tgtcgggtcc ttcttccagg atactcgtga cgcgtcccca   3120 tcacttcttc tcccaaccta tgtcgggtcc ttcttccagg atactcgtga cgcgtcccca 3120

  the

tttcccactc ccattgggtg tcgggtgtct agagaagcca atcagtgtcg ccggggtccc   3180 tttcccactc ccattgggtg tcgggtgtct agagaagcca atcagtgtcg ccggggtccc 3180

  the

agttctaaag tccccacgca cccacccgga ctcagagtct cctcagacac cgagatgcgg   3240 agttctaaag tccccacgca cccacccgga ctcagagtct cctcagacac cgagatgcgg 3240

  the

gtcacggcac cccgaaccct cctcctgctg ctctgggggg ccctggccct gaccgagacc   3300 gtcacggcac cccgaaccct cctcctgctg ctctgggggg ccctggccct gaccgagacc 3300

  the

tgggccggtg agtgcgggtc gggagggaaa tggcctctgt ggggaggagc gaggggaccg   3360 tgggccggtg agtgcgggtc gggagggaaa tggcctctgt ggggaggagc gagggggaccg 3360

  the

caggcggggg cgcaggaccc ggggagccgc gccgggagga gggtctggcg ggtctcagcc   3420 caggcggggg cgcaggaccc ggggagccgc gccgggga gggtctggcg ggtctcagcc 3420

  the

cctcctcgcc cccaggctcc cactccatga ggtatttcta caccgccatg tcccggcccg   3480 cctcctcgcc cccaggctcc cactccatga ggtatttcta caccgccatg tcccggcccg 3480

  the

gccgcgggga gccccgcttc atcgcagtgg gctacgtgga cgacacgcag ttcgtgaggt   3540 gccgcgggga gccccgcttc atcgcagtgg gctacgtgga cgacacgcag ttcgtgaggt 3540

  the

tcgacagcga cgccgcgagt ccgagagagg agccgcgggc gccgtggata gagcaggagg   3600 tcgacagcga cgccgcgagt ccgagagagg agccgcgggc gccgtggata gagcaggagg 3600

  the

ggccggagta ttgggaccgg aacacacaga tcttcaagac caacacacag acttaccgag   3660 ggccggagta ttgggaccgg aacacacaga tcttcaagac caacacacag acttaccgag 3660

  the

agaacctgcg gatcgcgctc cgctactaca accagagcga ggccggtgag tgaccccggc   3720 agaacctgcg gatcgcgctc cgctactaca accagagcga ggccggtgag tgaccccggc 3720

  the

ccggggcgca ggtcacgact ccccatcccc cacgtacggc ccgggtcgcc ccgagtctcc   3780 ccggggcgca ggtcacgact ccccatcccc cacgtacggc ccgggtcgcc ccgagtctcc 3780

  the

gggtccgaga tccgcctccc tgaggccgcg ggacccgccc agaccctcga ccggcgagag   3840 gggtccgaga tccgcctccc tgaggccgcg ggacccgccc agaccctcga ccggcgagag 3840

  the

ccccaggcgc gtttacccgg tttcattttc agttgaggcc aaaatccccg cgggttggtc   3900 ccccaggcgc gtttacccgg tttcattttc agttgaggcc aaaatccccg cgggttggtc 3900

  the

ggggcggggc ggggctcggg ggacggggct gaccgcgggg ccggggccag ggtctcacac   3960 ggggcggggc ggggctcggg ggacggggct gaccgcgggg ccggggccag ggtctcacac 3960

  the

ttggcagacg atgtatggct gcgacctggg gccggacggg cgcctcctcc gcgggcataa   4020 ttggcagacg atgtatggct gcgacctggg gccggacggg cgcctcctcc gcgggcataa 4020

  the

ccagttagcc tacgacggca aggattacat cgccctgaac gaggacctga gctcctggac   4080 ccagttagcc tacgacggca aggattacat cgccctgaac gaggacctga gctcctggac 4080

  the

cgcggcggac accgcggctc agatcaccca gcgcaagtgg gaggcggccc gtgtggcgga   4140 cgcggcggac accgcggctc agatcaccca gcgcaagtgg gaggcggccc gtgtggcgga 4140

  the

gcagctgaga gcctacctgg agggcacgtg cgtggagtgg ctccgcagat acctggagaa   4200 gcagctgaga gcctacctgg agggcacgtg cgtggagtgg ctccgcagat acctggagaa 4200

  the

cgggaaggag acgctgcagc gcgcgggtac caggggcagt ggggagcctt ccccatctcc   4260 cgggaaggag acgctgcagc gcgcgggtac caggggcagt ggggagcctt ccccatctcc 4260

  the

tataggtcgc cggggatggc ctcccacgag aagaggagga aaatgggatc agcgctagaa   4320 tataggtcgc cggggatggc ctcccacgag aagaggagga aaatgggatc agcgctagaa 4320

  the

tgtcgccctc ccttgaatgg agaatggcat gagttttcct gagtttcctc tgagggcccc   4380 tgtcgccctc ccttgaatgg agaatggcat gagttttcct gagtttcctc tgagggcccc 4380

  the

ctcttctctc taggacaatt aagggatgac gtctctgagg aaatggaggg gaagacagtc   4440 ctcttctctc taggacaatt aagggatgac gtctctgagg aaatggaggg gaagacagtc 4440

  the

cctagaatac tgatcagggg tcctctttga cccctgcagc agccttggga accgtgactt   4500 cctagaatac tgatcagggg tcctctttga cccctgcagc agccttggga accgtgactt 4500

  the

ttcctctcag gccttgttct ctgcctcaca ctcagtgtgt ttggggctct gattccagca   4560 ttcctctcag gccttgttct ctgcctcaca ctcagtgtgt ttggggctct gattccagca 4560

  the

cttctgagtc actttacctc cactcagatc aggagcagaa gtccctgttc cccgctcaga   4620 cttctgagtc actttacctc cactcagatc aggagcagaa gtccctgttc cccgctcaga 4620

  the

gactcgaact ttccaatgaa taggagatta tcccaggtgc ctgcgtccag gctggtgtct   4680 gactcgaact ttccaatgaa taggagatta tcccaggtgc ctgcgtccag gctggtgtct 4680

  the

gggttctgtg ccccttcccc accccaggtg tcctgtccat tctcaggctg gtcacatggg   4740 gggttctgtg ccccttcccc accccaggtg tcctgtccat tctcaggctg gtcacatggg 4740

  the

tggtcctagg gtgtcctatg agagatgcaa agcgcctgaa ttttctgact cttcccatca   4800 tggtcctagg gtgtcctatg agagatgcaa agcgcctgaa ttttctgact cttcccatca 4800

  the

gaccccccaa agacacacgt gacccaccac cccatctctg accatgaggc caccctgagg   4860 gaccccccaa aagacacacgt gacccaccac cccatctctg accatgaggc caccctgagg 4860

  the

tgctgggccc tgggcttcta ccctgcggag atcacactga cctggcagcg ggatggcgag   4920 tgctgggccc tgggcttcta ccctgcggag atcacactga cctggcagcg ggatggcgag 4920

  the

gaccaaactc aggacactga gcttgtggag accagaccag caggagatag aaccttccag   4980 gaccaaactc aggacactga gcttgtggag accagaccag caggagatag aaccttccag 4980

  the

aagtgggcag ctgtggtggt gccttctgga gaagagcaga gatacacatg ccatgtacag   5040 aagtgggcag ctgtggtggt gccttctgga gaagagcaga gatacacatg ccatgtacag 5040

  the

catgaggggc tgccgaagcc cctcaccctg agatggggta aggaggggga tgaggggtca   5100 catgaggggc tgccgaagcc cctcaccctg agatggggta aggaggggga tgaggggtca 5100

  the

tatctcttct cagggaaagc aggagccctt ctggagccct tcagcagggt cagggcccct   5160 tatctcttct cagggaaagc aggagccctt ctggagccct tcagcagggt cagggcccct 5160

  the

cgtcttcccc tcctttccca gagccatctt cccagtccac catccccatc gtgggcattg   5220 cgtcttcccc tcctttccca gagccatctt cccagtccac catccccatc gtgggcattg 5220

  the

ttgctggcct ggctgtccta gcagttgtgg tcatcggagc tgtggtcgct actgtgatgt   5280 ttgctggcct ggctgtccta gcagttgtgg tcatcggagc tgtggtcgct actgtgatgt 5280

  the

gtaggaggaa gagctcaggt agggaagggg tgaggggtgg ggtctgggtt ttcttgtccc   5340 gtagggaggaa gagctcaggt agggaagggg tgaggggtgg ggtctgggtt ttcttgtccc 5340

  the

actgggggtt tcaagcccca ggtagaagtg ttccctgcct cattactggg aagcagcatc   5400 actgggggtt tcaagcccca ggtagaagtg ttccctgcct cattactggg aagcagcatc 5400

  the

cacacagggg ctaatgcagc ctgggaccct gtgtgccagc acttactctt ttgtgcagca   5460 cacacagggg ctaatgcagc ctgggaccct gtgtgccagc acttactctt ttgtgcagca 5460

  the

catgtgacaa tgaaggacgg atgtatcacc ttgatggttg tggtgttggg gtcctgattt   5520 catgtgacaa tgaaggacgg atgtatcacc ttgatggttg tggtgttggg gtcctgattt 5520

  the

cagcattcat gagtcagggg aaggtccctg ctaaggacag accttaggag ggcagttggt   5580 cagcattcat gagtcagggg aaggtccctg ctaaggacag accttaggag ggcagttggt 5580

  the

ccaggaccca cacttgcttt cctcgtgttt cctgatcctg ccttgggtct gtagtcatac   5640 ccaggaccca cacttgcttt cctcgtgttt cctgatcctg ccttgggtct gtagtcatac 5640

  the

ttctggaaat tccttttggg tccaagacga ggaggttcct ctaagatctc atggccctgc   5700 ttctggaaat tccttttggg tccaagacga ggaggttcct ctaagatctc atggccctgc 5700

  the

ttcctcccag tcccctcaca ggacattttc ttcccacagg tggaaaagga gggagctact   5760 ttcctcccag tcccctcaca ggacattttc ttcccacagg tggaaaagga gggagctact 5760

  the

ctcaggctgc gtgtaagtgg tgggggtggg agtgtggagg agctcaccca ccccataatt   5820 ctcaggctgc gtgtaagtgg tgggggtggg agtgtgggagg agctcaccca ccccataatt 5820

  the

cctcctgtcc cacgtctcct gcgggctctg accaggtcct gtttttgttc tactccagcc   5880 cctcctgtcc cacgtctcct gcgggctctg accagtcct gtttttgttc tactccagcc 5880

  the

agcgacagtg cccagggctc tgatgtgtct ctcacagctt gaaaaggtga gattcttggg   5940 agcgacagtg cccagggctc tgatgtgtct ctcacagctt gaaaaggtga gattcttggg 5940

  the

gtctagagtg ggcggggggg gggtggggtg gggagggggc agaggggaaa ggcctgggta   6000 gtctagagtg ggcggggggg gggtggggtg gggaggggggc agggggaaa ggcctggggta 6000

  the

atggagattc tttgattggg atgttacgcg tgtgtggtgg gctgtttaga gtgtcatcac   6060 atggagattc tttgattggg atgttacgcg tgtgtggtgg gctgtttaga gtgtcatcac 6060

  the

ttaccatgac taaccagaat ttgttcatga ctgttgtttt ctgtagcctg agacagctgt   6120 ttaccatgac taaccagaat ttgttcatga ctgttgtttt ctgtagcctg agacagctgt 6120

  the

cttgtgaggg actgagatgc aggatttctt cactcctccc ctttgtgact tcaagagcct   6180 cttgtgaggg actgagatgc aggatttctt cactcctccc ctttgtgact tcaagagcct 6180

  the

ctggcatctc tttctgcaaa ggcacctgaa tgtgtctgcg tccctgttag cataatgtga   6240 ctggcatctc tttctgcaaa ggcacctgaa tgtgtctgcg tccctgttag cataatgtga 6240

  the

ggaggtggag agacagccca cccccgtgtc cactgtgacc cct                     6283 ggaggtggag agacagccca cccccgtgtc cactgtgacc cct 6283

  the

Claims (10)

1.一种人类白细胞抗原基因的检测试剂盒,其特征在于,所述的试剂盒中含有检测人类白细胞抗原基因的核酸或者蛋白的试剂;所述的人类白细胞抗原基因是HLA-B*59:01基因。1. a detection kit of human leukocyte antigen gene, it is characterized in that, the reagent that contains the nucleic acid of detection human leukocyte antigen gene or albumen in described test kit; Described human leukocyte antigen gene is HLA-B*59: 01 gene. 2.如权利要求1所述的检测试剂盒,其特征在于,所述的试剂盒中含有人类白细胞抗原基因的扩增引物;或者标记探针。2. The detection kit according to claim 1, characterized in that, said kit contains amplification primers for human leukocyte antigen gene; or labeled probes. 3.如权利要求1所述的检测试剂盒,其特征在于,所述的试剂盒中含有人类白细胞抗原基因的特异性抗体。3. The detection kit according to claim 1, characterized in that, the kit contains specific antibodies to human leukocyte antigen genes. 4.权利要求1所述的检测试剂盒在对样本的HLA-B*59:01基因进行分型中的应用。4. The application of the detection kit according to claim 1 in typing the HLA-B*59:01 gene of the sample. 5.如权利要求4所述的应用,其特征在于,采用PCR-SSO法进行HLA-B*59:01基因的分型。5. The application according to claim 4, characterized in that, the HLA-B*59:01 gene is typed by using the PCR-SSO method. 6.如权利要求4所述的应用,其特征在于,对HLA-B*59:01基因的分型的步骤如下:6. application as claimed in claim 4, is characterized in that, the step to the typing of HLA-B*59:01 gene is as follows: (1)抽提样本中的DNA;(1) extract the DNA in the sample; (2)对HLA的多态区域进行扩增;(2) Amplify the polymorphic region of HLA; (3)在扩增过程中对PCR产物进行同位素或非同位素标记;(3) Isotopic or non-isotopic labeling of PCR products during the amplification process; (4)将PCR产物与膜上的探针杂交、放射自显影,根据信号判断结果。(4) Hybridize the PCR product with the probe on the membrane, perform autoradiography, and judge the result according to the signal. 7.如权利要求6所述的应用,其特征在于,所述的探针针对PCR扩增产物设计并且固定在膜上。7. The application according to claim 6, wherein the probes are designed for PCR amplification products and fixed on the membrane. 8.如权利要求4所述的应用,其特征在于,所述的样本是RNA、蛋白、细胞或者血清样本。8. The application according to claim 4, wherein the sample is RNA, protein, cell or serum sample. 9.如权利要求4所述的应用,其特征在于,所述的样本是离体的外周血。9. The application according to claim 4, wherein the sample is isolated peripheral blood. 10.如权利要求4所述的应用,其特征在于,利用HLA-B*59:01基因的分析结果判断Stevens-Johnson综合征和中毒性表皮坏死松解症。10. The application according to claim 4, characterized in that Stevens-Johnson syndrome and toxic epidermal necrolysis are judged by using the analysis results of HLA-B*59:01 gene.
CN201410064918.2A 2014-02-25 2014-02-25 Detection kit for human leucocyte antigen genes Pending CN104862379A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106755291A (en) * 2015-11-24 2017-05-31 复旦大学附属华山医院 For the HLA gene detecting kit of dermal drug adverse reaction caused by examination clindamycin
CN109628575A (en) * 2019-01-07 2019-04-16 复旦大学附属华山医院 Application of the HLA-A*24:02 allele in the drug rash risk caused by the raw metronidazole of detection human hair
CN111763727A (en) * 2020-08-06 2020-10-13 复旦大学 Application of HLA-B*59:01 and HLA-B*55:02 in the evaluation of drug eruption caused by methazolamide

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106755291A (en) * 2015-11-24 2017-05-31 复旦大学附属华山医院 For the HLA gene detecting kit of dermal drug adverse reaction caused by examination clindamycin
CN106755291B (en) * 2015-11-24 2020-11-20 复旦大学附属华山医院 Human leukocyte antigen gene detection kit for screening skin adverse drug reactions caused by clindamycin
CN109628575A (en) * 2019-01-07 2019-04-16 复旦大学附属华山医院 Application of the HLA-A*24:02 allele in the drug rash risk caused by the raw metronidazole of detection human hair
CN109628575B (en) * 2019-01-07 2021-11-05 复旦大学附属华山医院 Application of HLA-A*24:02 allele in detecting the risk of drug eruption caused by metronidazole in humans
CN111763727A (en) * 2020-08-06 2020-10-13 复旦大学 Application of HLA-B*59:01 and HLA-B*55:02 in the evaluation of drug eruption caused by methazolamide
CN111763727B (en) * 2020-08-06 2022-02-08 复旦大学 Use of HLA-B59: 01 and HLA-B55: 02 for evaluating the development of methazolamide induced drug eruptions

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