CN104862379A - Detection kit for human leucocyte antigen genes - Google Patents
Detection kit for human leucocyte antigen genes Download PDFInfo
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- 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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Abstract
Description
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
the
<110> 复旦大学 <110> Fudan University
the
<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
the
<160> 1 <160> 1
the
<170> PatentIn version 3.3 <170> PatentIn version 3.3
the
<210> 1 <210> 1
<211> 6283 <211> 6283
<212> DNA <212> DNA
<213> 人 <213> People
the
<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)
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Cited By (3)
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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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CN103255209A (en) * | 2013-03-27 | 2013-08-21 | 天津市秀鹏生物技术开发有限公司 | Primer combination and kit for detecting human leucocyte HLA-B27 antigenic gene |
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Cited By (6)
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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