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CN105112415A - Genetic locus rs780092 for evaluating type 2 diabetes mellitus risk and detection kit - Google Patents

Genetic locus rs780092 for evaluating type 2 diabetes mellitus risk and detection kit Download PDF

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CN105112415A
CN105112415A CN201510613447.0A CN201510613447A CN105112415A CN 105112415 A CN105112415 A CN 105112415A CN 201510613447 A CN201510613447 A CN 201510613447A CN 105112415 A CN105112415 A CN 105112415A
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diabetes
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孙义民
宁光
周禹稀
徐敏
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CapitalBio Corp
Ruinjin Hospital Affiliated to Shanghai Jiaotong University School of Medicine Co Ltd
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Ruinjin Hospital Affiliated to Shanghai Jiaotong University School of Medicine Co Ltd
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Abstract

本发明公开了一种基于GCKR基因rs780092位点评估2型糖尿病患病风险的试剂盒。本发明还提供了一种用于检测rs780092位点的单核苷酸多态性的物质在制备评价或辅助评价待测人患2型糖尿病的风险性的产品中的应用。本发明明确了血脂相关遗传位点rs780092对2型糖尿病发病风险的影响,并将其纳入风险评估体系,根据血脂相关遗传位点rs780092,评估了血脂升高对不同个体2型糖尿病发病风险的影响,在大规模的前瞻性队列中,研究了适用于中国人群2型糖尿病风险评估的因素。本发明对于解决血脂与2型糖尿病风险评估的全面性、个体化和准确性的问题具有重要意义。The invention discloses a kit for assessing the risk of type 2 diabetes based on the rs780092 site of the GCKR gene. The present invention also provides an application of a substance for detecting the single nucleotide polymorphism of the rs780092 site in the preparation of a product for evaluating or assisting in evaluating the risk of type 2 diabetes of a person to be tested. The present invention clarifies the influence of blood lipid-related genetic locus rs780092 on the risk of type 2 diabetes, and incorporates it into the risk assessment system, and evaluates the influence of elevated blood lipids on the risk of type 2 diabetes in different individuals according to the blood lipid-related genetic locus rs780092 , in a large-scale prospective cohort, investigated factors applicable to type 2 diabetes risk assessment in a Chinese population. The invention has great significance for solving the problems of comprehensiveness, individualization and accuracy of blood lipid and type 2 diabetes risk assessment.

Description

用于2型糖尿病患病风险评估的遗传位点rs780092及检测试剂盒Genetic locus rs780092 and detection kit for risk assessment of type 2 diabetes

技术领域technical field

本发明属于生物医药领域,涉及一种用于2型糖尿病患病风险评估的遗传位点rs780092及检测试剂盒。The invention belongs to the field of biomedicine, and relates to a genetic locus rs780092 and a detection kit for assessing the risk of developing type 2 diabetes.

背景技术Background technique

我国糖尿病的患病率正呈快速上升的趋势,成为继心脑血管疾病、肿瘤之后另一个严重危害人民健康的重要慢性非传染性疾病。2013年9月发表于美国医学会杂志JAMA的一项大型流行病学调查结果显示我国18岁以上人群糖尿病的患病率为11.6%,已成为世界上糖尿病患病人数最多的国家。其中,2型糖尿病占90%以上。当前我国已经进入慢性病的高负担期,具有“患病人数多、医疗成本高、患病时间长、服务需求大”的特点,慢性病在疾病负担中所占比重达到了70%。慢性病已经成为影响我国居民健康水平提高、阻碍经济社会发展的重大公共卫生问题和社会问题。据WHO估计,2005-2015年,中国由于糖尿病及相关心血管疾病导致的经济损失达5577亿美元。面对慢性病的高发态势,国家有关部门高度重视,把慢性病防治列为卫生工作的重点加以推进。疾病风险评估是慢性病防治的重要环节之一。2型糖尿病的发病原因复杂,是遗传与环境因素共同作用的结果,涉及众多风险因素。The prevalence of diabetes in my country is showing a rapid upward trend, and it has become another important chronic non-communicable disease that seriously endangers people's health after cardiovascular and cerebrovascular diseases and tumors. The results of a large-scale epidemiological survey published in JAMA, the Journal of the American Medical Association in September 2013 showed that the prevalence of diabetes in people over the age of 18 in my country was 11.6%, which has become the country with the largest number of diabetic patients in the world. Among them, type 2 diabetes accounts for more than 90%. At present, my country has entered a period of high burden of chronic diseases, with the characteristics of "large number of patients, high medical costs, long duration of illness, and large demand for services". The proportion of chronic diseases in the disease burden has reached 70%. Chronic diseases have become a major public health and social problem that affects the improvement of the health of Chinese residents and hinders economic and social development. According to WHO estimates, from 2005 to 2015, the economic loss caused by diabetes and related cardiovascular diseases in China reached 557.7 billion US dollars. Facing the high incidence of chronic diseases, the relevant state departments attach great importance to it, and promote the prevention and treatment of chronic diseases as the focus of health work. Disease risk assessment is one of the important links in the prevention and treatment of chronic diseases. The etiology of type 2 diabetes is complex, which is the result of the joint action of genetic and environmental factors, involving many risk factors.

血脂被认为是2型糖尿病的重要风险因素之一,血脂升高以及与血脂升高有关的因素也被列为2型糖尿病的风险因素,例如甘油三酯升高、总胆固醇升高、不健康饮食、缺乏运动等。其实,血脂不仅与饮食、运动等环境因素有关,还与个体的遗传因素有关。国内外已有研究发现了一些以单核苷酸多态性(SNP)为主的遗传位点与血脂相关。SNP是由单个核苷酸的改变而引起的DNA序列改变,造成染色体基因组的多样性。SNP分布广、密度高,已成为继限制性片段长度多态性(RFLP)标志和微卫星(短串联重复,STR)标记之后的第三代遗传标记,在肿瘤、糖尿病等复杂疾病的研究中具有重要作用。Blood lipids are considered to be one of the important risk factors for type 2 diabetes, and elevated blood lipids and factors associated with elevated blood lipids are also listed as risk factors for type 2 diabetes, such as elevated triglycerides, elevated total cholesterol, unhealthy diet , lack of exercise, etc. In fact, blood lipids are not only related to environmental factors such as diet and exercise, but also related to individual genetic factors. Studies at home and abroad have found that some genetic loci, mainly single nucleotide polymorphisms (SNPs), are associated with blood lipids. SNP is a change in the DNA sequence caused by a single nucleotide change, resulting in the diversity of the chromosomal genome. SNP has a wide distribution and high density. It has become the third generation of genetic markers after restriction fragment length polymorphism (RFLP) markers and microsatellite (short tandem repeat, STR) markers. It is used in the research of complex diseases such as tumors and diabetes. has an important role.

在评估血脂对2型糖尿病的风险时,目前主要关注甘油三酯、胆固醇等指标的变化,而血脂相关遗传位点的潜在作用往往没有被考虑在内。具体而言,目前现有的2型糖尿病风险评估方式具有如下缺陷:其一,血脂相关的遗传位点对2型糖尿病发病风险的影响目前尚不明确,没有被纳入风险评估体系。因此,现有的2型糖尿病风险评估方式不够全面。其二,血脂升高相同水平的情况下,由于携带的遗传位点不同,个体之间2型糖尿病的发病风险也存在差异。因此,现有的2型糖尿病风险评估方式不够个体化。其三,虽然国外已有相关研究成果,但是中西方人群的遗传基础和生活环境具有明显的差异,国外研究成果在中国人群中的准确性缺乏大规模前瞻性研究的验证。When assessing the risk of blood lipids for type 2 diabetes, the current focus is on changes in indicators such as triglycerides and cholesterol, while the potential role of blood lipid-related genetic loci is often not taken into account. Specifically, the existing risk assessment methods for type 2 diabetes have the following defects: First, the influence of blood lipid-related genetic loci on the risk of type 2 diabetes is still unclear and has not been included in the risk assessment system. Therefore, the existing risk assessment methods for type 2 diabetes are not comprehensive enough. Second, in the case of the same level of elevated blood lipids, the risk of developing type 2 diabetes varies among individuals due to the different genetic loci carried. Therefore, the existing methods for assessing the risk of type 2 diabetes are not individualized enough. Third, although there are relevant research results abroad, there are obvious differences in the genetic basis and living environment of Chinese and Western populations, and the accuracy of foreign research results in Chinese populations lacks verification by large-scale prospective studies.

发明内容Contents of the invention

本发明的目的是提供一种用于检测rs780092位点的单核苷酸多态性的物质的新用途,以及提供一种用于评价或辅助评价(特别是早期的评价或辅助评价)待测人患2型糖尿病的风险性的产品。The object of the present invention is to provide a new application of a substance for detecting the single nucleotide polymorphism of the rs780092 site, and to provide a method for evaluating or assisting evaluation (especially early evaluation or assisting evaluation) to be tested Human risk of type 2 diabetes.

本发明所提供的新用途具体为:用于检测rs780092位点的单核苷酸多态性的物质在制备评价或辅助评价(特别是早期的评价或辅助评价)待测人患2型糖尿病的风险性的产品中的应用。The new application provided by the present invention is specifically: the substance used to detect the single nucleotide polymorphism of the rs780092 site is used in the preparation evaluation or auxiliary evaluation (especially early evaluation or auxiliary evaluation) of the human being suffering from type 2 diabetes risky product applications.

所述rs780092位点位于人源葡萄糖激酶调节蛋白基因(GCKR)上,为:以人基因组DNA为模板,采用引物对进行PCR扩增得到的扩增产物的自5’末端起第50位核苷酸;所述rs780092位点的核苷酸为T或C;The rs780092 site is located on the human glucokinase regulatory protein gene (GCKR), which is: the 50th nucleoside from the 5' end of the amplified product obtained by PCR amplification using a primer pair using human genomic DNA as a template acid; the nucleotide at the rs780092 site is T or C;

进一步,以人基因组DNA为模板,采用引物对进行PCR扩增得到的扩增产物的序列为序列表中序列4。序列4的第50位核苷酸即为所述rs780092位点,为T或C。Further, the sequence of the amplified product obtained by PCR amplification using the human genome DNA as a template and the primer pair is sequence 4 in the sequence listing. The 50th nucleotide of sequence 4 is the rs780092 site, which is T or C.

所述引物对为由序列表中序列1所示的单链DNA和序列表中序列2所示的单链DNA组成的引物对。The primer pair is a primer pair composed of the single-stranded DNA shown in sequence 1 in the sequence listing and the single-stranded DNA shown in sequence 2 in the sequence listing.

所述用于检测rs780092位点的单核苷酸多态性的物质具体可为如下(1)-(3)中任一种:The substance used to detect the single nucleotide polymorphism at the rs780092 site can specifically be any of the following (1)-(3):

(1)由序列表中序列1所示的单链DNA和序列表中序列2所示的单链DNA组成的引物对。(1) A primer pair consisting of the single-stranded DNA shown in sequence 1 in the sequence listing and the single-stranded DNA shown in sequence 2 in the sequence listing.

(2)由序列表中序列1所示的单链DNA、序列表中序列2所示的单链DNA和序列表中序列3所示的单链DNA组成的成套单链DNA。(2) A single-stranded DNA set consisting of the single-stranded DNA shown in sequence 1 in the sequence listing, the single-stranded DNA shown in sequence 2 in the sequence listing, and the single-stranded DNA shown in sequence 3 in the sequence listing.

(3)含有(1)中所述引物对或(2)中所述成套单链DNA的试剂盒。(3) A kit containing the primer pair described in (1) or the set of single-stranded DNA described in (2).

所述试剂盒还可含有如下物质中的至少一种:dNTP、DNA聚合酶(如Taq酶)、虾碱性磷酸酶(SAP)。当然,所述试剂盒中还可含有PCR扩增缓冲液和/或配合所述虾碱性磷酸酶(SAP)使用的所述虾碱性磷酸酶反应缓冲液(SAPbuffer)等。The kit can also contain at least one of the following substances: dNTP, DNA polymerase (such as Taq enzyme), shrimp alkaline phosphatase (SAP). Of course, the kit may also contain PCR amplification buffer and/or the shrimp alkaline phosphatase reaction buffer (SAPbuffer) used in conjunction with the shrimp alkaline phosphatase (SAP), etc.

另外,所述试剂盒还可含有用于检测血脂的物质。所述用于检测血脂的物质为用于检测血液中总胆固醇(TC)和/或低密度脂蛋白胆固醇的试剂和/或仪器。In addition, the kit may also contain substances for detecting blood lipids. The substance for detecting blood lipid is a reagent and/or instrument for detecting total cholesterol (TC) and/or low-density lipoprotein cholesterol in blood.

所述试剂盒中还可含有记载有如下(a)或(b)的可读性载体:The kit may also contain a readable carrier with the following (a) or (b):

(a)所述rs780092位点携带T等位基因的待测人患2型糖尿病的风险低于所述rs780092位点不携带T等位基因的待测人;(a) the risk of type 2 diabetes is lower for the test persons carrying the T allele at the rs780092 site than for the test persons without the T allele at the rs780092 site;

即若待测人的所述rs780092位点携带T等位基因,则所述待测人患2型糖尿病的风险相对较低,若待测人的所述rs780092位点不携带T等位基因,则所述待测人患2型糖尿病的风险相对较高;That is, if the rs780092 locus of the test subject carries the T allele, the risk of the test subject suffering from type 2 diabetes is relatively low; if the rs780092 locus of the test subject does not carry the T allele, Then the risk of the person to be tested suffering from type 2 diabetes is relatively high;

(b)所述rs780092位点为TT基因型的待测人患2型糖尿病的风险低于所述rs780092位点为TC基因型的待测人;所述rs780092位点为TC基因型的待测人患2型糖尿病的风险低于所述rs780092位点为CC基因型的待测人。(b) The rs780092 locus is the test person of TT genotype, the risk of developing type 2 diabetes is lower than the rs780092 locus of the TC genotype test person; the rs780092 locus is the TC genotype test person The risk of a person suffering from type 2 diabetes is lower than that of a test person whose rs780092 locus is CC genotype.

所述试剂盒中还可含有记载有如下(c)或(d)的可读性载体:The kit may also contain a readable carrier described in (c) or (d):

(c)仅考虑所述rs780092位点的基因分型对患2型糖尿病的风险的影响(不考虑所述待测人的年龄、性别、BMI、糖尿病家族史、吸烟、饮酒、血压、血脂水平对患2型糖尿病的风险的影响),所述rs780092位点的每个T等位基因可降低2型糖尿病的发病风险14%;(c) only considering the impact of the genotyping of the rs780092 locus on the risk of suffering from type 2 diabetes (regardless of the age, sex, BMI, family history of diabetes, smoking, drinking, blood pressure, and blood lipid levels of the tested person on the risk of suffering from type 2 diabetes), each T allele of the rs780092 site can reduce the risk of developing type 2 diabetes by 14%;

(d)既考虑所述待测人的血脂水平对患2型糖尿病的风险的影响,也考虑所述rs780092位点的基因分型对患2型糖尿病的风险的影响(不考虑年龄、性别、BMI、糖尿病家族史、吸烟、饮酒、血压的影响),为如下(d1)-(d3)中至少一种:(d) not only considering the impact of the blood lipid level of the person to be tested on the risk of suffering from type 2 diabetes, but also considering the impact of the genotype of the rs780092 locus on the risk of suffering from type 2 diabetes (regardless of age, gender, BMI, family history of diabetes, smoking, drinking, blood pressure), at least one of the following (d1)-(d3):

(d1)将总胆固醇与低密度脂蛋白胆固醇作为连续变量进行分析,在所述rs780092位点为CC基因型的待测人中,总胆固醇在2.39mmol/L的基础上每升高1个标准差(1SD=0.91mmol/L),所述待测人患2型糖尿病的风险增加58%(与所述rs780092位点为CC基因型且总胆固醇小于2.39mmol/L的人相比);低密度脂蛋白胆固醇在0.49mmol/L的基础上每升高1个标准差(1SD=0.66mmol/L),所述待测人患2型糖尿病的风险增加43%(与所述rs780092位点为CC基因型且低密度脂蛋白胆固醇小于0.49mmol/L的人相比);(d1) Analyze total cholesterol and low-density lipoprotein cholesterol as continuous variables, in the test persons whose rs780092 locus is CC genotype, the total cholesterol increases by 1 standard on the basis of 2.39mmol/L Poor (1SD=0.91mmol/L), the risk of the tested person suffering from type 2 diabetes increases by 58% (compared with the people whose rs780092 locus is CC genotype and total cholesterol is less than 2.39mmol/L); low When the density lipoprotein cholesterol increases by 1 standard deviation (1SD=0.66mmol/L) on the basis of 0.49mmol/L, the risk of the test person suffering from type 2 diabetes increases by 43% (the same as the rs780092 site is CC genotype and low-density lipoprotein cholesterol less than 0.49mmol/L);

(d2)将总胆固醇与低密度脂蛋白胆固醇作为连续变量进行分析,在所述rs780092位点为CT基因型的待测人中,总胆固醇在2.39mmol/L的基础上每升高1个标准差(1SD=0.91mmol/L),所述待测人患2型糖尿病的风险增加28%(与所述rs780092位点为CT基因型且总胆固醇小于2.39mmol/L的人相比);低密度脂蛋白胆固醇在0.49mmol/L的基础上每升高1个标准差(1SD=0.66mmol/L),所述待测人患2型糖尿病的风险增加35%(与所述rs780092位点为CT基因型且低密度脂蛋白胆固醇小于0.49mmol/L的人相比);(d2) Analyze total cholesterol and low-density lipoprotein cholesterol as continuous variables, in the test persons whose rs780092 locus is CT genotype, the total cholesterol increases by 1 standard on the basis of 2.39mmol/L Poor (1SD=0.91mmol/L), the risk of the tested person suffering from type 2 diabetes increases by 28% (compared with the people whose rs780092 locus is CT genotype and total cholesterol is less than 2.39mmol/L); low For every 1 standard deviation (1SD=0.66mmol/L) increase in density lipoprotein cholesterol on the basis of 0.49mmol/L, the risk of the test person suffering from type 2 diabetes increases by 35% (the same as the rs780092 site is CT genotype and low-density lipoprotein cholesterol less than 0.49mmol/L);

(d3)将总胆固醇与低密度脂蛋白胆固醇作为连续变量进行分析,在所述rs780092位点为TT基因型的待测人中,总胆固醇在2.39mmol/L的基础上每升高1个标准差(1SD=0.91mmol/L),所述待测人患2型糖尿病的风险仅增加19%(与所述rs780092位点为TT基因型且总胆固醇小于2.39mmol/L的人相比);低密度脂蛋白胆固醇在0.49mmol/L的基础上每升高1个标准差(1SD=0.66mmol/L),所述待测人患2型糖尿病的风险仅增加14%(与所述rs780092位点为TT基因型且低密度脂蛋白胆固醇小于0.49mmol/L的人相比)。(d3) Analyze total cholesterol and low-density lipoprotein cholesterol as continuous variables, in the test persons whose rs780092 locus is TT genotype, the total cholesterol increases by 1 standard on the basis of 2.39mmol/L Poor (1SD=0.91mmol/L), the risk of the test person suffering from type 2 diabetes is only increased by 19% (compared with the people whose rs780092 locus is TT genotype and total cholesterol is less than 2.39mmol/L); Low-density lipoprotein cholesterol increases by 1 standard deviation (1SD=0.66mmol/L) on the basis of 0.49mmol/L, and the risk of the person suffering from type 2 diabetes only increases by 14% (with the rs780092 position Points are compared with people with TT genotype and low-density lipoprotein cholesterol less than 0.49mmol/L).

前文所述的用于检测rs780092位点的单核苷酸多态性的物质,以及所述的可读性载体在制备评价或辅助评价待测人患2型糖尿病的风险性的产品中的应用也属于本发明的保护范围。The above-mentioned substance for detecting the single nucleotide polymorphism of the rs780092 site, and the application of the readable carrier in the preparation of products for evaluating or assisting in evaluating the risk of type 2 diabetes of the tested person Also belong to the protection scope of the present invention.

当然,所说试剂盒还可包括进行SequenomMassARRAY用于SNP位点基因分型检测的常规组件、试剂等。Of course, the kit may also include conventional components, reagents, etc. for performing SequenomMassARRAY for SNP site genotyping detection.

进行检测时,以所述待测人的基因组DNA为检测样本,其临床取材样本来源广泛,如血液、体液、组织细胞等均可,通过提取和纯化这些临床取材样本均可制备基因组DNA。对所述rs780092位点进行基因分型时,可采用目前已有的多种SNP检测技术,包括但不限于微阵列芯片法、Taqman法、质谱法、测序法、微测序、高分辨率溶解曲线法或联合应用以上方法。When performing the test, the genomic DNA of the person to be tested is used as the test sample, and the clinical samples are obtained from a wide range of sources, such as blood, body fluid, tissue cells, etc. Genomic DNA can be prepared by extracting and purifying these clinical samples. When genotyping the rs780092 locus, various existing SNP detection technologies can be used, including but not limited to microarray chip method, Taqman method, mass spectrometry, sequencing method, micro-sequencing, high-resolution melting curve method or a combination of the above methods.

以上所述的(1)-(3)正是本发明请求保护的用于评价或辅助评价(特别是早期的评价或辅助评价)待测人患2型糖尿病的风险性的产品。The above-mentioned (1)-(3) are exactly the products claimed in the present invention for evaluating or assisting evaluation (especially early evaluation or assisting evaluation) of the risk of type 2 diabetes of the person to be tested.

在本发明中,所述待测人为中国人。In the present invention, the test subject is Chinese.

本发明明确了血脂相关遗传位点rs780092对2型糖尿病发病风险的影响,并将其纳入风险评估体系;根据血脂相关遗传位点rs780092,评估了血脂升高对不同个体2型糖尿病发病风险的影响;在大规模的前瞻性队列中,研究了适用于中国人群2型糖尿病风险评估的因素。另外本发明检测手段经济便捷,有利于在人群中大范围推广。本发明对于解决血脂与2型糖尿病风险评估的全面性、个体化和准确性的问题具有重要意义。The present invention clarifies the influence of blood lipid-related genetic locus rs780092 on the risk of type 2 diabetes, and incorporates it into the risk assessment system; according to the blood lipid-related genetic locus rs780092, the influence of elevated blood lipids on the risk of type 2 diabetes of different individuals is evaluated ; In a large prospective cohort, the factors applicable to the risk assessment of type 2 diabetes in the Chinese population were investigated. In addition, the detection method of the present invention is economical and convenient, and is conducive to large-scale popularization among people. The invention has great significance for solving the problems of comprehensiveness, individualization and accuracy of blood lipid and type 2 diabetes risk assessment.

具体实施方式Detailed ways

下述实施例中所使用的实验方法如无特殊说明,均为常规方法。The experimental methods used in the following examples are conventional methods unless otherwise specified.

下述实施例中所用的材料、试剂等,如无特殊说明,均可从商业途径得到。The materials and reagents used in the following examples can be obtained from commercial sources unless otherwise specified.

SNP位点即单核苷酸多态性位点,rs位点即为某个具体的SNP位点。rs780092位点位于人类基因组2号染色体的葡萄糖激酶调节蛋白基因(GCKR)上(以人基因组DNA为模板,采用引物对进行PCR扩增得到的扩增产物的自5’末端起第50位核苷酸;所述rs780092位点的核苷酸为T或C)。The SNP site is a single nucleotide polymorphism site, and the rs site is a specific SNP site. The rs780092 site is located on the glucokinase regulatory protein gene (GCKR) on chromosome 2 of the human genome (the 50th nucleoside from the 5' end of the amplified product obtained by PCR amplification using human genomic DNA as a template) acid; the nucleotide at the rs780092 site is T or C).

实施例1、rs780092位点的单核苷酸多态性与2型糖尿病发病风险之间的关联性分析Example 1. Association analysis between the single nucleotide polymorphism of rs780092 site and the risk of developing type 2 diabetes

一、血脂与2型糖尿病风险评估的检测试剂盒的制备1. Preparation of detection kits for risk assessment of blood lipids and type 2 diabetes

1、试剂盒组成1. Kit composition

本发明的发明人开发的血脂与2型糖尿病风险评估的检测试剂盒,包含用于扩增rs780092位点基因片段的PCR引物对,以及特异性检测rs780092位点基因型的SequenomMassARRAY单碱基延伸引物。所述PCR引物对的序列如序列表中序列1(SEQIDNO.1)和序列2(SEQIDNO.2)所示。所述单碱基延伸引物的序列如序列表中序列3(SEQIDNO.3)所示。The detection kit for blood lipid and type 2 diabetes risk assessment developed by the inventors of the present invention includes a PCR primer pair for amplifying the gene fragment at the rs780092 site, and a SequenomMassARRAY single-base extension primer for specifically detecting the genotype at the rs780092 site . The sequences of the PCR primer pair are shown as sequence 1 (SEQ ID NO.1) and sequence 2 (SEQ ID NO.2) in the sequence listing. The sequence of the single base extension primer is shown as sequence 3 (SEQ ID NO.3) in the sequence listing.

SEQIDNO.1:5’-ACGTTGGATGCCTAGCTCAAAATACCACCC-3’;SEQ ID NO.1: 5'-ACGTTGGATGCCTAGCTCAAAATACCACCC-3';

SEQIDNO.2:5’-ACGTTGGATGGGAGGTATAAAGAAGGTGGG-3’;SEQ ID NO.2: 5'-ACGTTGGATGGGAGGTATAAAGAAGGTGGG-3';

SEQIDNO.3:5’-TTCCATGAGGCCTTCTTT-3’。SEQ ID NO. 3: 5'-TTCCATGAGGCCTTCTTT-3'.

所述rs780092位点为:以人基因组DNA为模板,采用所述PCR引物对(序列1和序列2)进行PCR扩增得到的扩增产物的自5’末端起第50位核苷酸;所述rs780092位点的核苷酸为T或C。进一步,以人基因组DNA为模板,采用引物对进行PCR扩增得到的扩增产物的序列为序列表中序列4。序列4的第50位核苷酸即为所述rs780092位点,为T或C。The rs780092 site is: the 50th nucleotide from the 5' end of the amplification product obtained by PCR amplification using the PCR primer pair (sequence 1 and sequence 2) using human genomic DNA as a template; The nucleotide at the rs780092 site is T or C. Further, the sequence of the amplified product obtained by PCR amplification using the human genome DNA as a template and the primer pair is sequence 4 in the sequence listing. The 50th nucleotide of sequence 4 is the rs780092 site, which is T or C.

所述试剂盒还包括Taq酶,SAP(shrimpalkalinephosphatase,虾碱性磷酸酶),SAPBuffer,无酶水。The kit also includes Taq enzyme, SAP (shrimpalkalinephosphatase, shrimp alkaline phosphatase), SAPBuffer, and enzyme-free water.

所说试剂盒还可包括进行SequenomMassARRAY用于SNP位点基因分型检测的常规组件、试剂等。Said kit can also include conventional components, reagents, etc. for performing SequenomMassARRAY for SNP locus genotyping detection.

2、试剂盒使用方法2. How to use the kit

本发明的测定方法用于测定来源于人的基因组DNA,临床取材样本来源广泛,如血液、体液、组织细胞等均可,通过提取和纯化这些样本均可制备基因组DNA。The assay method of the present invention is used for assaying genomic DNA derived from human beings. Clinically obtained samples come from a wide range of sources, such as blood, body fluid, tissue cells, etc. Genomic DNA can be prepared by extracting and purifying these samples.

本发明所用的试剂均为市售产品,均购自天根生化科技。The reagents used in the present invention are all commercially available products, all purchased from Tiangen Biochemical Technology.

使用OSR-M102-T1血液基因组DNA提取试剂盒及其配套的OSE-M48核酸提取仪(天根生化科技)制备人外周血基因组DNA。Human peripheral blood genomic DNA was prepared using OSR-M102-T1 Blood Genomic DNA Extraction Kit and its matching OSE-M48 Nucleic Acid Extractor (Tiangen Biochemical Technology).

本发明采用SequenomMassARRAY对rs780092位点的基因分型进行检测。具体操作如下:The present invention uses SequenomMassARRAY to detect the genotyping of the rs780092 site. The specific operation is as follows:

(1)用序列1和序列2所示的引物对扩增目的基因片段。每个反应体积为5μl,包括2μlTaq酶,1.5μl无酶水,PCR上游和下游引物各0.25μl,1μlDNA样本溶液(人外周血基因组DNA,浓度为50ng/μl)。反应条件:94℃4min;94℃20s,56℃30s,72℃1min,共45个循环;72℃5min;4℃保持。(1) Use the primer pair shown in Sequence 1 and Sequence 2 to amplify the target gene fragment. Each reaction volume is 5 μl, including 2 μl Taq enzyme, 1.5 μl enzyme-free water, 0.25 μl each of PCR upstream and downstream primers, and 1 μl DNA sample solution (human peripheral blood genomic DNA, the concentration is 50 ng/μl). Reaction conditions: 94°C for 4min; 94°C for 20s, 56°C for 30s, 72°C for 1min, a total of 45 cycles; 72°C for 5min; 4°C hold.

(2)在PCR结束后,将PCR产物用SAP(shrimpalkalinephosphatase,虾碱性磷酸酶)处理,以去除体系中游离的dNTPs。配制碱性磷酸酶处理反应液,SAPMix。每个反应体积为2μl,其中包括1.53μl无酶水,0.17μlSAPBuffer,0.3μlSAPEnzyme。反应条件:37℃40min,85℃5min,4℃保持,启动PCR仪进行碱性磷酸酶处理。(2) After the PCR is completed, the PCR product is treated with SAP (shrimpalkalinephosphatase, shrimp alkaline phosphatase) to remove free dNTPs in the system. Prepare alkaline phosphatase treatment reaction solution, SAPMix. Each reaction volume is 2 μl, which includes 1.53 μl enzyme-free water, 0.17 μl SAPBuffer, 0.3 μl SAPEnzyme. Reaction conditions: 37°C for 40 minutes, 85°C for 5 minutes, hold at 4°C, start the PCR instrument for alkaline phosphatase treatment.

(3)用序列3所示的单碱基延伸引物进行单碱基延伸。将2μl单碱基延伸反应液加入上述每个反应体系中,按照以下PCR反应条件进行反应:I.94℃30s,II.94℃5s,III.52℃5s,IV.80℃5s,V.继续III,4次,VI.继续II,39次,VII.72℃3min,Ⅷ.4℃保持。(3) Using the single-base extension primer shown in SEQ ID NO:3 to perform single-base extension. Add 2 μl single base extension reaction solution to each of the above reaction systems, and perform the reaction according to the following PCR reaction conditions: I. 94°C for 30s, II. 94°C for 5s, III. 52°C for 5s, IV. 80°C for 5s, V. Continue to III, 4 times, VI. Continue to II, 39 times, VII. 72°C for 3 minutes, VIII. Keep at 4°C.

(4)将CleanResin树脂平铺到6mg的树脂板中,加16μl水到延伸产物的对应孔内,将干燥后的树脂倒入延伸产物板中,封膜,低速垂直旋转30分钟,使树脂与反应物充分接触,离心使树脂沉入孔底部。(4) Spread CleanResin resin on a 6 mg resin plate, add 16 μl of water to the corresponding well of the extension product, pour the dried resin into the extension product plate, seal the film, rotate vertically at a low speed for 30 minutes, and make the resin and The reactants are fully contacted and centrifuged to allow the resin to sink to the bottom of the well.

(5)启动MassARRAYNanodispenserRS1000点样仪,将树脂纯化后的延伸产物移至384孔SpectroCHIP(Sequenom)芯片上。(5) Start the MassARRAYNanodispenser RS1000 spotting instrument, and move the extension product after resin purification to the 384-well SpectroCHIP (Sequenom) chip.

(6)将点样后的SpectroCHIP芯片使用MALDI-TOF(matrix-assistedlaserdesorption/ionization–timeoffligh,基质辅助激光解吸附电离飞行时间质谱)分析,检测结果用TYPER4.0软件(Sequenom)分型并输出结果。(6) Analyze the SpectroCHIP chip after spotting using MALDI-TOF (matrix-assisted laser desorption/ionization–timeoffligh, matrix-assisted laser desorption ionization time-of-flight mass spectrometry), and use TYPER4.0 software (Sequenom) to type the detection results and output the results .

二、采用步骤一的试剂盒对rs780092位点的单核苷酸多态性与2型糖尿病发病风险之间的关联性进行分析2. Use the kit in step 1 to analyze the correlation between the single nucleotide polymorphism at the rs780092 site and the risk of type 2 diabetes

本发明在中国人群中建立了大规模的前瞻性队列,通过资料收集和随访,评估了与血脂相关的rs780092位点对2型糖尿病发病风险的影响。具体如下:The present invention establishes a large-scale prospective cohort in the Chinese population, and evaluates the influence of the blood lipid-related rs780092 site on the risk of type 2 diabetes through data collection and follow-up. details as follows:

2008年,在上海宝山区淞南镇社区招募了10185名40岁以上的居民(自愿)进行基线资料收集,包括人体测量(身高、体重、腰围、BMI、血压等)、生活方式(烟酒嗜好等)和医疗史的问卷调查。同时,采集了每位居民的空腹血液样本用于生化检验(空腹血糖、甘油三酯、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇)。在这项研究中,共有6919名居民提供了DNA样本,通过SequenomMassArray对rs780092位点进行基因分型(按照步骤一中的方法检测rs780092位点为TT型或TC型或CC型)。其中847例经临床诊断(根据WHO1999版的标准)确诊为2型糖尿病的患者的样本以及69例缺乏rs780092位点基因分型信息的样本被排除。对剩余样本中的5613名符合条件的居民进行了随访,随访内容包括问卷调查生活方式变化及2008年以来的糖尿病病史,人体测量学检查和空腹血糖、血脂等血液生化检查。根据WHO1999版的标准,2008年以来截至2013年随访时,共有512例新发的2型糖尿病。In 2008, 10,185 residents (voluntary) over the age of 40 were recruited in Songnan Town Community, Baoshan District, Shanghai to collect baseline data, including anthropometry (height, weight, waist circumference, BMI, blood pressure, etc.), lifestyle (smoking and alcohol habits, etc.) ) and medical history questionnaires. At the same time, fasting blood samples from each resident were collected for biochemical tests (fasting blood glucose, triglycerides, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol). In this study, a total of 6919 residents provided DNA samples, and the rs780092 locus was genotyped by SequenomMassArray (according to the method in step 1, the rs780092 locus was detected as TT type, TC type or CC type). Among them, 847 samples of patients with type 2 diabetes who were clinically diagnosed (according to the WHO1999 standard) and 69 samples lacking genotyping information of rs780092 locus were excluded. The 5,613 eligible residents in the remaining sample were followed up. The content of the follow-up included questionnaire surveys on lifestyle changes and diabetes history since 2008, anthropometry examinations, and blood biochemical examinations such as fasting blood glucose and blood lipids. According to the WHO 1999 standard, there were 512 new cases of type 2 diabetes since 2008 and up to 2013 follow-up.

(1)根据rs780092基因分型结果评估2型糖尿病的发病风险(不考虑年龄、性别、BMI、糖尿病家族史、吸烟、饮酒、血压、血脂水平的影响),(1) Evaluate the risk of type 2 diabetes according to the rs780092 genotyping results (without considering the effects of age, sex, BMI, family history of diabetes, smoking, drinking, blood pressure, and blood lipid levels),

结果显示:每个T等位基因降低2型糖尿病的发病风险14%(OddsRatio[OR]=0.86,95%ConfidenceInterval[CI]0.75-0.99)。原始数据如表1所示。The results showed that each T allele reduces the risk of type 2 diabetes by 14% (OddsRatio[OR]=0.86, 95%ConfidenceInterval[CI]0.75-0.99). The original data are shown in Table 1.

表1每个T等位基因降低2型糖尿病的发病风险14%的原始数据Table 1 Raw data for each T allele reducing the risk of developing type 2 diabetes by 14%

(2)根据rs780092基因分型结果评估血脂升高对2型糖尿病发病风险的影响(不考虑性别、年龄、BMI、糖尿病家族史、吸烟、饮酒、血压的影响)。(2) According to the rs780092 genotyping results, the influence of elevated blood lipids on the risk of type 2 diabetes was evaluated (regardless of the effects of gender, age, BMI, family history of diabetes, smoking, drinking, and blood pressure).

结果如下表2所示:The results are shown in Table 2 below:

表2根据rs780092基因分型结果评估血脂升高对2型糖尿病发病风险的影响Table 2 Evaluating the influence of elevated blood lipids on the risk of type 2 diabetes based on rs780092 genotyping results

将总胆固醇与低密度脂蛋白胆固醇作为连续变量进行分析。在rs780092基因型为CC的待测人中,总胆固醇在2.39mmol/L的基础上,每升高1个标准差(1SD,按照标准差公式计算,本发明中1SD约为0.91mmol/L),待测人患2型糖尿病的风险增加58%(与CC基因型且总胆固醇小于2.39mmol/L的人相比);低密度脂蛋白胆固醇在0.49mmol/L、的基础上,每升高1个标准差(1SD,按照标准差公式计算,本发明中1SD约为0.66mmol/L),待测人患2型糖尿病的风险增加43%(与CC基因型且低密度脂蛋白胆固醇小于0.49mmol/L的人相比)。Total cholesterol and LDL cholesterol were analyzed as continuous variables. In the test persons whose rs780092 genotype is CC, the total cholesterol is on the basis of 2.39mmol/L, every increase of 1 standard deviation (1SD, calculated according to the standard deviation formula, 1SD in the present invention is about 0.91mmol/L) , the risk of type 2 diabetes increased by 58% (compared with CC genotype and total cholesterol less than 2.39mmol/L); 1 standard deviation (1SD, calculated according to the standard deviation formula, 1SD is about 0.66mmol/L in the present invention), the risk of people to be tested suffering from type 2 diabetes increases by 43% (with CC genotype and low-density lipoprotein cholesterol is less than 0.49 mmol/L compared to people).

将总胆固醇与低密度脂蛋白胆固醇作为连续变量进行分析。在rs780092基因型为CT的待测人中,总胆固醇在2.39mmol/L的基础上,每升高1个标准差(0.91mmol/L),待测人患2型糖尿病的风险增加28%(与CT基因型且总胆固醇小于2.39mmol/L的人相比);低密度脂蛋白胆固醇在0.49mmol/L的基础上,每升高1个标准差(0.66mmol/L),待测人患2型糖尿病的风险增加35%(与CT基因型且低密度脂蛋白胆固醇小于0.49mmol/L的人相比)。Total cholesterol and LDL cholesterol were analyzed as continuous variables. In the test persons whose rs780092 genotype is CT, the total cholesterol is on the basis of 2.39mmol/L, for every standard deviation increase (0.91mmol/L), the risk of the test persons suffering from type 2 diabetes increases by 28% ( Compared with people with CT genotype and total cholesterol less than 2.39mmol/L); low-density lipoprotein cholesterol is on the basis of 0.49mmol/L, for every 1 standard deviation (0.66mmol/L) increase, the tested human patient There is a 35% increased risk of type 2 diabetes (compared to people with the CT genotype and LDL cholesterol less than 0.49mmol/L).

将总胆固醇与低密度脂蛋白胆固醇作为连续变量进行分析。在rs780092基因型为TT的待测人中,总胆固醇在2.39mmol/L的基础上,每升高1个标准差(0.91mmol/L),待测人患2型糖尿病的风险仅增加19%(与TT基因型且总胆固醇小于2.39mmol/L的人相比);低密度脂蛋白胆固醇在0.49mmol/L的基础上,每升高1个标准差(0.66mmol/L),待测人患2型糖尿病的风险仅增加14%(与TT基因型且低密度脂蛋白胆固醇小于0.49mmol/L的人相比)。Total cholesterol and LDL cholesterol were analyzed as continuous variables. In the test subjects whose rs780092 genotype is TT, on the basis of 2.39mmol/L, the risk of developing type 2 diabetes will only increase by 19% for every 1 standard deviation increase (0.91mmol/L) of total cholesterol (compared with TT genotype and total cholesterol less than 2.39mmol/L); low-density lipoprotein cholesterol on the basis of 0.49mmol/L, for every 1 standard deviation increase (0.66mmol/L), the test person There was only a 14% increased risk of developing type 2 diabetes (compared to people with the TT genotype and LDL cholesterol less than 0.49mmol/L).

Claims (10)

1.用于检测rs780092位点的单核苷酸多态性的物质在制备评价或辅助评价待测人患2型糖尿病的风险性的产品中的应用。1. The application of the substance used for detecting the single nucleotide polymorphism of the rs780092 site in the preparation of a product for evaluating or assisting in evaluating the risk of type 2 diabetes of a test subject. 2.根据权利要求1所述的应用,其特征在于:所述rs780092位点为:以人基因组DNA为模板,采用引物对进行PCR扩增得到的扩增产物的自5’末端起第50位核苷酸;所述rs780092位点的核苷酸为T或C;2. The application according to claim 1, characterized in that: the rs780092 site is the 50th position from the 5' end of the amplified product obtained by PCR amplification using human genomic DNA as a template Nucleotide; the nucleotide at the rs780092 site is T or C; 所述引物对为由序列表中序列1所示的单链DNA和序列表中序列2所示的单链DNA组成的引物对。The primer pair is a primer pair composed of the single-stranded DNA shown in sequence 1 in the sequence listing and the single-stranded DNA shown in sequence 2 in the sequence listing. 3.根据权利要求1或2所述的应用,其特征在于:所述用于检测rs780092位点的单核苷酸多态性的物质为权利要求4所述的引物对或权利要求5所述的成套单链DNA或权利要求6-9中任一所述的试剂盒。3. The application according to claim 1 or 2, characterized in that: the substance for detecting the single nucleotide polymorphism at the rs780092 site is the primer pair according to claim 4 or the primer pair according to claim 5 The complete set of single-stranded DNA or the kit described in any one of claims 6-9. 4.用于评价或辅助评价待测人患2型糖尿病的风险性的引物对,由序列表中序列1所示的单链DNA和序列表中序列2所示的单链DNA组成。4. A pair of primers for evaluating or assisting in evaluating the risk of type 2 diabetes in a test subject, consisting of the single-stranded DNA shown in sequence 1 in the sequence listing and the single-stranded DNA shown in sequence 2 in the sequence listing. 5.用于评价或辅助评价待测人患2型糖尿病的风险性的成套单链DNA,由序列表中序列1所示的单链DNA、序列表中序列2所示的单链DNA和序列表中序列3所示的单链DNA组成。5. A set of single-stranded DNA for evaluating or assisting in evaluating the risk of type 2 diabetes of the person to be tested, consisting of the single-stranded DNA shown in sequence 1 in the sequence listing, the single-stranded DNA shown in sequence 2 in the sequence listing and the sequence Composition of single-stranded DNA shown in sequence 3 in the list. 6.用于评价或辅助评价待测人患2型糖尿病的风险性的试剂盒,含有权利要求4所述的引物对或权利要求5所述的成套单链DNA。6. A kit for evaluating or assisting in evaluating the risk of type 2 diabetes in a test subject, comprising the primer pair as claimed in claim 4 or the set of single-stranded DNA as claimed in claim 5. 7.根据权利要求6所述的试剂盒,其特征在于:所述试剂盒还含有如下物质中的至少一种:dNTP、DNA聚合酶、虾碱性磷酸酶;和/或7. The kit according to claim 6, characterized in that: the kit also contains at least one of the following substances: dNTP, DNA polymerase, shrimp alkaline phosphatase; and/or 所述试剂盒还含有用于检测血脂的物质;The kit also contains substances for detecting blood lipids; 具体的,所述用于检测血脂的物质为用于检测血液中总胆固醇和/或低密度脂蛋白胆固醇的物质。Specifically, the substance for detecting blood lipid is a substance for detecting total cholesterol and/or low-density lipoprotein cholesterol in blood. 8.根据权利要求6或7所述的试剂盒,其特征在于:所述试剂盒中还含有记载有如下(a)或(b)的可读性载体:8. The kit according to claim 6 or 7, characterized in that: the kit also contains a readable carrier that is described as follows (a) or (b): (a)所述rs780092位点携带T等位基因的待测人患2型糖尿病的风险低于所述rs780092位点不携带T等位基因的待测人;(a) the risk of type 2 diabetes is lower for the test persons carrying the T allele at the rs780092 site than for the test persons without the T allele at the rs780092 site; (b)所述rs780092位点为TT基因型的待测人患2型糖尿病的风险低于所述rs780092位点为TC基因型的待测人;所述rs780092位点为TC基因型的待测人患2型糖尿病的风险低于所述rs780092位点为CC基因型的待测人。(b) The rs780092 locus is the test person of TT genotype, the risk of developing type 2 diabetes is lower than the rs780092 locus of the TC genotype test person; the rs780092 locus is the TC genotype test person The risk of a person suffering from type 2 diabetes is lower than that of a test person whose rs780092 locus is CC genotype. 9.根据权利要求6-8中任一所述的试剂盒,其特征在于:所述试剂盒中还含有记载有如下(c)或(d)的可读性载体:9. The kit according to any one of claims 6-8, characterized in that: said kit also contains a readable carrier described in (c) or (d): (c)仅考虑所述rs780092位点的基因分型对患2型糖尿病的风险的影响,所述rs780092位点的每个T等位基因可降低2型糖尿病的发病风险14%;(c) only considering the impact of the genotyping of the rs780092 site on the risk of developing type 2 diabetes, each T allele of the rs780092 site can reduce the risk of developing type 2 diabetes by 14%; (d)既考虑所述待测人的血脂水平对患2型糖尿病的风险的影响,也考虑所述rs780092位点的基因分型对患2型糖尿病的风险的影响,为如下(d1)-(d3)中至少一种:(d) Considering both the influence of the blood lipid level of the test subject on the risk of suffering from type 2 diabetes, and the influence of the genotype of the rs780092 locus on the risk of suffering from type 2 diabetes, as follows (d1)- At least one of (d3): (d1)将总胆固醇与低密度脂蛋白胆固醇作为连续变量进行分析,在所述rs780092位点为CC基因型的待测人中,总胆固醇在2.39mmol/L的基础上每升高1个标准差,所述待测人患2型糖尿病的风险增加58%;低密度脂蛋白胆固醇在0.49mmol/L的基础上每升高1个标准差,所述待测人患2型糖尿病的风险增加43%;(d1) Analyze total cholesterol and low-density lipoprotein cholesterol as continuous variables, in the test persons whose rs780092 locus is CC genotype, the total cholesterol increases by 1 standard on the basis of 2.39mmol/L Poor, the risk of the tested person suffering from type 2 diabetes increased by 58%; the low-density lipoprotein cholesterol increased by 1 standard deviation on the basis of 0.49mmol/L, and the risk of the tested person suffering from type 2 diabetes increased 43%; (d2)将总胆固醇与低密度脂蛋白胆固醇作为连续变量进行分析,在所述rs780092位点为CT基因型的待测人中,总胆固醇在2.39mmol/L的基础上每升高1个标准差,所述待测人患2型糖尿病的风险增加28%;低密度脂蛋白胆固醇在0.49mmol/L的基础上每升高1个标准差,所述待测人患2型糖尿病的风险增加35%;(d2) Analyze total cholesterol and low-density lipoprotein cholesterol as continuous variables, in the test persons whose rs780092 locus is CT genotype, the total cholesterol increases by 1 standard on the basis of 2.39mmol/L Poor, the risk of the tested person suffering from type 2 diabetes increased by 28%; LDL cholesterol increased by 1 standard deviation on the basis of 0.49mmol/L, the risk of the tested person suffering from type 2 diabetes increased 35%; (d3)将总胆固醇与低密度脂蛋白胆固醇作为连续变量进行分析,在所述rs780092位点为TT基因型的待测人中,总胆固醇在2.39mmol/L的基础上每升高1个标准差,所述待测人患2型糖尿病的风险仅增加19%;低密度脂蛋白胆固醇在0.49mmol/L的基础上每升高1个标准差,所述待测人患2型糖尿病的风险仅增加14%。(d3) Analyze total cholesterol and low-density lipoprotein cholesterol as continuous variables, in the test persons whose rs780092 locus is TT genotype, the total cholesterol increases by 1 standard on the basis of 2.39mmol/L Poor, the risk of the tested person suffering from type 2 diabetes only increases by 19%; low-density lipoprotein cholesterol increases by 1 standard deviation on the basis of 0.49mmol/L, the risk of the tested person suffering from type 2 diabetes Only a 14% increase. 10.权利要求1-3任一中所述的用于检测rs780092位点的单核苷酸多态性的物质,以及权利要求8或9中所述的可读性载体在制备评价或辅助评价待测人患2型糖尿病的风险性的产品中的应用。10. The substance for detecting the single nucleotide polymorphism at the rs780092 site described in any one of claims 1-3, and the readable carrier described in claim 8 or 9 in preparation evaluation or auxiliary evaluation Application in products to test the risk of type 2 diabetes in humans.
CN201510613447.0A 2015-09-23 2015-09-23 Genetic locus rs780092 for evaluating type 2 diabetes mellitus risk and detection kit Pending CN105112415A (en)

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