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CN106405096A - Application of nucleolin to preparation of diagnostic reagent and therapeutic for gastric cancer - Google Patents

Application of nucleolin to preparation of diagnostic reagent and therapeutic for gastric cancer Download PDF

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CN106405096A
CN106405096A CN201510467666.2A CN201510467666A CN106405096A CN 106405096 A CN106405096 A CN 106405096A CN 201510467666 A CN201510467666 A CN 201510467666A CN 106405096 A CN106405096 A CN 106405096A
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gastric cancer
nucleolin
paranuclein
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刘杰
张骏
李文帅
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Huashan Hospital of Fudan University
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Abstract

本发明属于生物技术领域,涉及一种多功能的非核糖体蛋白质核仁素及用途,具体涉及应用核仁素作为人胃癌分子标志物及其在制备检测或诊断人胃癌的制剂或试剂盒以及治疗药物中的用途。本发明对胃癌患者及正常对照的血浆样本进行核仁素的ELISA检测,结果显示,胃癌病人血浆中核仁素水平显著高于正常对照,表明所述的核仁素在胃癌中高表达并分泌到血液中,因此,核仁素可作为胃癌诊断的无创标志物。进一步,提供核仁素在制备胃癌诊断试剂及试剂盒中的用途,以及以核仁素为靶标的治疗胃癌的药物。本发明为胃癌的早期诊断和预警提供新的辅助判断手段。The invention belongs to the field of biotechnology, and relates to a multifunctional non-ribosomal protein nucleolin and its use, in particular to the application of nucleolin as a human gastric cancer molecular marker and its preparation or kit for detecting or diagnosing human gastric cancer and Use in therapeutic medicine. In the present invention, the ELISA detection of nucleolin is carried out on the plasma samples of gastric cancer patients and normal controls, and the results show that the level of nucleolin in the plasma of gastric cancer patients is significantly higher than that of normal controls, indicating that the nucleolin is highly expressed in gastric cancer and secreted into the blood Therefore, nucleolin can be used as a non-invasive marker for the diagnosis of gastric cancer. Further, the use of nucleolin in the preparation of gastric cancer diagnostic reagents and kits, and a drug for treating gastric cancer targeting nucleolin are provided. The invention provides a new auxiliary judgment means for the early diagnosis and early warning of gastric cancer.

Description

核仁素在制备胃癌诊断试剂和治疗药物中的应用Application of nucleolin in the preparation of gastric cancer diagnostic reagents and therapeutic drugs

技术领域 technical field

本发明属于生物技术领域,涉及一种多功能的非核糖体蛋白质核仁素及用途,具体涉及应用核仁素作为人胃癌分子标志物及其在制备检测或诊断人胃癌的制剂或试剂盒以及治疗药物中的用途。 The invention belongs to the field of biotechnology, and relates to a multifunctional non-ribosomal protein nucleolin and its use, in particular to the application of nucleolin as a human gastric cancer molecular marker and its preparation or kit for detecting or diagnosing human gastric cancer and Use in therapeutic medicine.

背景技术 Background technique

现有技术公开了胃癌是最常见的恶性肿瘤之一,每年新发的胃癌约100万,死亡率在全球仅次于肺癌,高居癌症病死率的第二位。在我国每年死于胃癌的患者居消化道肿瘤死亡原因的首位。研究显示,胃癌的预后与疾病的分期密切相关,早期诊断以及早期治疗能够显著改善预后,延长生存期。目前临床实践中,较通行、常规的检查为血清血液检查,血清CEA、CA19-9、CA50、CA125等肿瘤相关抗原在胃癌患者中可升高,但其敏感性和特异性均不高。同时大部分胃癌患者早期可无明显的临床症状,这些都对胃癌的早期诊断造成了一定的困难;因此,寻找胃癌的有效标志物,准确判断该疾患的的临床分期和预后成为本领域研究者的关注热点。 The prior art discloses that gastric cancer is one of the most common malignant tumors, with about 1 million new cases of gastric cancer each year, and its mortality rate is second only to lung cancer in the world, ranking second in the cancer mortality rate. Gastric cancer is the leading cause of death in digestive tract tumors every year in my country. Studies have shown that the prognosis of gastric cancer is closely related to the stage of the disease, and early diagnosis and treatment can significantly improve the prognosis and prolong the survival period. In current clinical practice, serum blood tests are more common and routine tests. Serum CEA, CA19-9, CA50, CA125 and other tumor-associated antigens can be elevated in patients with gastric cancer, but their sensitivity and specificity are not high. At the same time, most patients with gastric cancer have no obvious clinical symptoms in the early stage, which has caused certain difficulties in the early diagnosis of gastric cancer; therefore, it has become a researcher in this field to find effective markers of gastric cancer and accurately judge the clinical stage and prognosis of the disease. focus of attention.

核仁素是一种多功能的非核糖体蛋白质,其主要分布在细胞核内,也有少量分布在核浆、细胞质和细胞膜上。它参与多个方面的DNA代谢,也广泛地参与RNA的调控过程,如转录、核糖体装配、mRNA的翻译及其稳定性的保持和microRNA的加工等。核仁素通过调控转录后靶mRNAs,促进细胞增殖和抗细胞凋亡,从而在细胞层面影响疾病的进展。特别是在肿瘤和病毒感染中,核仁素通过调控RNA的功能,密切地参与疾病的病理进展过程。 Nucleolin is a multifunctional non-ribosomal protein, which is mainly distributed in the nucleus, and a small amount is distributed in the nucleoplasm, cytoplasm and cell membrane. It is involved in many aspects of DNA metabolism, and is also widely involved in the regulation of RNA, such as transcription, ribosome assembly, translation of mRNA and maintenance of its stability, and processing of microRNA. Nucleolin affects disease progression at the cellular level by regulating post-transcriptional target mRNAs, promoting cell proliferation and resisting apoptosis. Especially in tumors and viral infections, nucleolin is closely involved in the pathological progression of diseases by regulating the function of RNA.

有研究报道,在细胞质中,核仁素与Bcl-2 mRNA、AKT1 mRNA、CCNI mRNA结合,增强其稳定性,从而增加Bcl-2、AKT1和cyclin I的表达量,起到抗凋亡和促进肿瘤发生的作用;其可以与TP53 mRNA的非编码区5’端结合,抑制其翻译,从而减少肿瘤抑制因子P53的表达。 It has been reported that in the cytoplasm, nucleolin binds to Bcl-2 mRNA, AKT1 mRNA, and CCNI mRNA to enhance their stability, thereby increasing the expression of Bcl-2, AKT1, and cyclin I, and playing an anti-apoptotic and promoting role. The role of tumorigenesis; it can bind to the 5' end of the non-coding region of TP53 mRNA and inhibit its translation, thereby reducing the expression of tumor suppressor P53.

有研究公开了胃泌素,作为一种在胃肠道恶性肿瘤中高表达的蛋白,也受到核仁素的调控,核仁素通过与胃泌素mRNA结合,增强其稳定性,增加胃泌素的表达量,研究显示,在癌细胞中,胃泌素能上调COX-2的表达量,增加前列腺素E2的表达量,促进癌细胞的增殖;核仁素还能与MMP9 mRNA非编码区3’端结合,增强其稳定性,增加其翻译为基质金属蛋白酶的功能;基质金属蛋白酶能够降解细胞外基质成分,其在伤口的愈合与血管的生存过程中必不可少,在肿瘤的转移和进展的病理生理过程中起到极为重要的作用;另外,核仁素还能通过调控促肿瘤生成的miRNA起到促肿瘤发生的作用,如miR-15a和miR-16等。 Studies have disclosed that gastrin, as a protein highly expressed in gastrointestinal malignant tumors, is also regulated by nucleolin, which enhances its stability by binding to gastrin mRNA, increasing gastrin Studies have shown that in cancer cells, gastrin can up-regulate the expression of COX-2, increase the expression of prostaglandin E2, and promote the proliferation of cancer cells; nucleolin can also interact with MMP9 mRNA non-coding region 3 'end binding, enhance its stability, and increase its translation into matrix metalloproteinases; matrix metalloproteinases can degrade extracellular matrix components, which are essential in wound healing and blood vessel survival, and in tumor metastasis and progression In addition, nucleolin can also play a role in promoting tumorigenesis by regulating tumor-promoting miRNAs, such as miR-15a and miR-16.

还有研究发现恶性肿瘤组织细胞膜表面存在核仁素的高表达,通过介导钙调节通路,脂多糖表达,P选择素诱导通路等调节肿瘤细胞的转移和进展;细胞膜表面的核仁素可以作为致癌物Tipa的受体,与之结合后将致癌物质转运至细胞内起到致癌作用。 Other studies have found that there is a high expression of nucleolin on the cell membrane surface of malignant tumor tissue, which regulates the metastasis and progression of tumor cells by mediating calcium regulation pathways, lipopolysaccharide expression, and P-selectin induction pathways; nucleolin on the cell membrane surface can be used as The receptor of the carcinogen Tipa, which binds to it and transports the carcinogen into the cell to play a carcinogenic role.

基于现有技术的研究现状,本发明的申请人拟通过研究、检测在胃癌患者体内核仁素可能存在表达的异常为胃癌的早期诊断和预警提供新辅助判断手段,尤其提供核仁素在制备胃癌诊断试剂及试剂盒和治疗药物中的用途。 Based on the research status of the prior art, the applicant of the present invention intends to provide new auxiliary judgment means for the early diagnosis and early warning of gastric cancer by studying and detecting the abnormal expression of nucleolin in the body of patients with gastric cancer, especially providing nucleolin in the preparation of Uses in diagnostic reagents and kits for gastric cancer and therapeutic drugs.

发明内容 Contents of the invention

本发明的目的在于针对现有技术中缺乏有效的胃癌诊断血清学指标的现状,提供核仁素在制备胃癌诊断试剂及试剂盒和治疗药物中的用途。尤其是以核仁素为靶标的胃癌诊断试剂及试剂盒和治疗药物。 The purpose of the present invention is to provide the use of nucleolin in the preparation of gastric cancer diagnostic reagents and kits and therapeutic drugs in view of the lack of effective gastric cancer diagnostic serological indicators in the prior art. Especially gastric cancer diagnostic reagents, kits and therapeutic drugs targeting nucleolin.

本发明通过检测在胃癌患者体内核仁素存在表达的异常,核仁素作为胃癌诊断的血清学标志物指标,为胃癌的早期诊断和预警提供新的辅助判断手段。 The invention provides a new auxiliary judgment means for the early diagnosis and early warning of gastric cancer by detecting the abnormal expression of nucleolin in the body of gastric cancer patients.

进一步,提供核仁素在制备胃癌诊断试剂及试剂盒中的用途。 Further, the use of nucleolin in the preparation of gastric cancer diagnostic reagents and kits is provided.

更进一步,提供以核仁素为靶标的治疗胃癌的药物。 Furthermore, a drug for treating gastric cancer targeting nucleolin is provided.

为实现上述目的,本发明对胃癌患者及正常对照的血浆样本进行核仁素的ELISA检测:其中包括: In order to achieve the above-mentioned purpose, the present invention carries out the ELISA detection of nucleolin to the plasma samples of gastric cancer patients and normal controls: including:

1,试剂:ELISA试剂盒购于Uscn Life Science公司; 1. Reagents: ELISA kits were purchased from Uscn Life Science;

2,病人及样本: 2. Patients and samples:

1)随机选取确诊为胃癌的患者的术前血标本,以健康体检患者血作为对照; 1) Randomly select preoperative blood samples from patients diagnosed with gastric cancer, and use blood samples from healthy patients as controls;

2)采用双抗体ELISA法定量测定人血浆中核仁素含量,根据试剂盒说明书进行相应操作: 2) Quantitatively determine the nucleolin content in human plasma by double-antibody ELISA method, and perform corresponding operations according to the kit instructions:

3)各标准品及样本O.D.值扣除空白孔O.D.值后作图(七点图),以标准品的浓度为纵坐标(或对数坐标),O.D.值为横坐标(或对数坐标),绘制标准曲线,本发明的实施例中优选按回归方程计算的R2值,以R2值越趋近于1为佳,根据样品O.D.值,由标准曲线查出相应的浓度,乘以稀释倍数;或用标准物的浓度与O.D.值计算出标准曲线的回归方程式,将样品的O.D.值代入方程式,计算出样品浓度,再乘以稀释倍数,得样品的实际浓度。 3) After subtracting the O.D. value of the blank hole from the O.D. value of each standard product and sample, draw a graph (seven-point diagram), with the concentration of the standard product as the ordinate (or logarithmic coordinate), and the O.D. value as the abscissa (or logarithmic coordinate), To draw a standard curve, the R2 value calculated by the regression equation is preferred in the embodiments of the present invention. It is better to approach 1 with the R2 value. According to the sample O.D. value, the corresponding concentration is found from the standard curve and multiplied by the dilution factor; or Use the concentration and O.D. value of the standard to calculate the regression equation of the standard curve. Substitute the O.D. value of the sample into the equation to calculate the sample concentration, and then multiply it by the dilution factor to obtain the actual concentration of the sample.

实验结果显示:胃癌病人血浆中核仁素水平显著高于正常对照,P=0.003(如图1所示,n=28);表明所述的核仁素在胃癌中高表达并分泌到血液中,因此,核仁素可作为胃癌诊断的无创标志物。 Experimental results show: the level of nucleolin in gastric cancer patient plasma is significantly higher than normal control, P=0.003 (as shown in Figure 1, n=28); Show that described nucleolin is highly expressed in gastric cancer and secreted in the blood, therefore , Nucleolin can be used as a non-invasive marker for the diagnosis of gastric cancer.

本发明通过检测在胃癌患者体内核仁素存在表达的异常,表明所述的核仁素可作为胃癌诊断的血清学标志物指标,为胃癌的早期诊断和预警提供新的辅助判断手段。 The invention shows that the nucleolin can be used as a serological marker index for the diagnosis of gastric cancer by detecting the abnormal expression of nucleolin in the body of gastric cancer patients, and provides a new auxiliary judgment means for early diagnosis and early warning of gastric cancer.

本发明所述的核仁素可用于制备早期诊断和预警胃癌的试剂及试剂盒。 The nucleolin of the invention can be used to prepare reagents and kits for early diagnosis and early warning of gastric cancer.

本发明所述的试剂盒中包括针对核仁素蛋白的抗体;所述的检测试剂盒含有核仁素标准品。 The test kit of the present invention includes antibodies against nucleolin protein; the detection kit contains nucleolin standard products.

进一步,本发明所述的核仁素还可用于制备治疗胃癌的药物的靶标。 Furthermore, the nucleolin described in the present invention can also be used as a target for preparing drugs for treating gastric cancer.

另一方面,本发明还提供了一种胃癌标志物核仁素的检测方法,其包括步骤: On the other hand, the present invention also provides a method for detecting gastric cancer marker nucleolin, which comprises the steps of:

(1)分离提取样本中的基因组DNA或者蛋白; (1) Separation and extraction of genomic DNA or protein in the sample;

和/或 and / or

(2)检测(1)所得的基因组DNA或者蛋白中核仁素的表达水平。 (2) Detecting the expression level of nucleolin in the genomic DNA or protein obtained in (1).

本发明通过检测在胃癌患者体内核仁素表达的异常,胃癌病人血浆中核仁素水平显著高于正常对照,提供了核仁素作为胃癌诊断的血清学标志物指标。 The invention provides nucleolin as a serological marker index for the diagnosis of gastric cancer by detecting the abnormal expression of nucleolin in the body of gastric cancer patients, and the level of nucleolin in plasma of gastric cancer patients is significantly higher than that of normal controls.

说明书附图 Instructions attached

图1是胃癌病人与正常对照的血浆中核仁素水平表达,其中显示了胃癌病人血浆中核仁素水平表达显著高于正常对照。 Figure 1 shows the expression of nucleolin in the plasma of gastric cancer patients and normal controls, which shows that the expression of nucleolin in the plasma of gastric cancer patients is significantly higher than that of normal controls.

具体实施方式 detailed description

实施例1对胃癌患者及正常对照的血浆样本进行核仁素的ELISA检测 Example 1 ELISA detection of nucleolin in the plasma samples of patients with gastric cancer and normal controls

试剂:ELISA试剂盒购于Uscn Life Science公司。 Reagents: ELISA kits were purchased from Uscn Life Science Company.

双抗体ELISA法定量测定人血浆中核仁素含量: Quantitative determination of nucleolin content in human plasma by double antibody ELISA method:

根据试剂盒说明书进行相应操作; Perform corresponding operations according to the kit instructions;

病人及样本: Patients and samples:

随机选取2012年12月-2014年12月新确诊为胃癌的28例患者的术前血标本,同时选取28例健康体检患者血作为对照。所有血标本收集方案均经过华山医院伦理委员会批准。 The preoperative blood samples of 28 patients newly diagnosed with gastric cancer between December 2012 and December 2014 were randomly selected, and the blood samples of 28 healthy patients were selected as controls. All blood sample collection protocols were approved by the Ethics Committee of Huashan Hospital.

1,标本采集与保持 1. Specimen Collection and Maintenance

将病人血液标本1000×g离心20分钟,取上清(血浆)置于-20℃或-80℃保存; Centrifuge the patient's blood sample at 1000×g for 20 minutes, take the supernatant (plasma) and store it at -20°C or -80°C;

2、操作步骤: 2. Operation steps:

1)实验前标准品、试剂及样本准备; 1) Preparation of standards, reagents and samples before the experiment;

2)加样:分别设标准孔、待测样品孔、空白孔;设标准孔7孔,依次加入100μL不同浓度的标准品,空白孔加100μL,余孔加待测样品100μL,酶标板加上覆膜,37℃温育2小时; 2) Adding samples: set standard wells, sample wells to be tested, and blank wells respectively; set 7 standard wells, add 100 μL of standard substances of different concentrations in sequence, add 100 μL to the blank wells, add 100 μL of the sample to be tested to the remaining wells, and add 100 μL to the microplate plate. Cover the membrane and incubate at 37°C for 2 hours;

3)弃去液体,甩干,不洗涤; 3) Discard the liquid, spin dry, do not wash;

4)每孔加检测溶液A工作液100μL,酶标板加上覆膜,37℃温育1小时; 4) Add 100 μL of detection solution A working solution to each well, cover the microtiter plate with a film, and incubate at 37°C for 1 hour;

5)弃去孔内液体,每孔用350μL的洗涤液洗涤,浸泡1-2分钟,吸去或甩掉酶标板内的液体,铺垫纸吸或拍动将孔内液体拍干,重复洗板3次;最后一次,洗涤后,将孔内的洗涤液完全甩干; 5) Discard the liquid in the wells, wash each well with 350 μL of washing solution, soak for 1-2 minutes, absorb or shake off the liquid in the microplate, pave the paper to absorb or pat the liquid in the wells dry, and wash repeatedly Plate 3 times; the last time, after washing, completely dry the washing solution in the well;

6)每孔加检测溶液B工作液100μL,加上覆膜,37℃温育30分钟; 6) Add 100 μL of the detection solution B working solution to each well, add the membrane, and incubate at 37°C for 30 minutes;

7)弃去孔内液体,甩干,洗板5次,方法同步骤4; 7) Discard the liquid in the well, spin dry, wash the plate 5 times, the method is the same as step 4;

8)每孔加底物溶液90μL,酶标板加上覆膜,37℃避光显色,反应时间控制在15-25分钟,不要超过30分钟。当标准孔的前3-4孔有明显的梯度蓝色,后3-4孔梯度不明显时,即可终止; 8) Add 90 μL of substrate solution to each well, cover the ELISA plate, and develop color at 37°C in the dark. The reaction time is controlled at 15-25 minutes, not more than 30 minutes. When the first 3-4 wells of the standard wells have obvious gradient blue, and the gradient of the last 3-4 wells is not obvious, it can be terminated;

9)每孔加终止溶液50μL,终止反应,此时蓝色立转黄色;终止液的加入顺序应与底物溶液的加入顺序相同,如出现颜色不匀一,晃动酶标板以使溶液混合均 匀; 9) Add 50 μL of stop solution to each well to stop the reaction. At this time, the blue color will turn yellow; the order of adding the stop solution should be the same as that of the substrate solution. If the color is uneven, shake the plate to mix the solution. Uniform;

10)酶标板底无水滴及孔内无气泡后,用酶标仪在450nm波长测量各孔的光密度(O.D.值)。 10) After there are no water droplets at the bottom of the microplate plate and no air bubbles in the wells, measure the optical density (O.D. value) of each well with a microplate reader at a wavelength of 450nm.

3、计算 3. Calculate

各标准品及样本O.D.值扣除空白孔O.D.值后作图(七点图),如设置复孔,则应取其平均值计算;以标准品的浓度为纵坐标(或对数坐标),O.D.值为横坐标(或对数坐标),绘制标准曲线,本实施例中,依回归方程计算的R2值确定,以R2值越趋近于1为佳;使用专业制作曲线软件(curve expert 1.30)进行分析,根据样品O.D.值,由标准曲线查出相应的浓度,乘以稀释倍数;或用标准物的浓度与O.D.值计算出标准曲线的回归方程式,将样品的O.D.值代入方程式,计算出样品浓度,再乘以稀释倍数,即为样品的实际浓度。 The O.D. value of each standard and sample is subtracted from the O.D. value of the blank well and then plotted (seven-point diagram). Value is abscissa (or logarithmic coordinates), draws standard curve, in the present embodiment, according to the R2 value that regression equation calculates and determines, it is better to be closer to 1 with R2 value; Use professional curve making software (curve expert 1.30) For analysis, according to the O.D. value of the sample, find out the corresponding concentration from the standard curve and multiply it by the dilution factor; or use the concentration and O.D. value of the standard to calculate the regression equation of the standard curve, and substitute the O.D. value of the sample into the equation to calculate the sample The concentration, multiplied by the dilution factor, is the actual concentration of the sample.

实验结果显示:在肠癌病人血浆中核仁素水平显著高于正常对照,P=0.003(如图1所示,n=28),表明核仁素在肠癌中高表达并分泌到血液中,因此,所述的核仁素可作为肠癌诊断的无创标志物。 The experimental results showed that the level of nucleolin in the plasma of intestinal cancer patients was significantly higher than that of normal controls, P=0.003 (as shown in Figure 1, n=28), indicating that nucleolin was highly expressed in intestinal cancer and secreted into the blood, so , the nucleolin can be used as a non-invasive marker for the diagnosis of intestinal cancer.

Claims (7)

1. paranuclein is for preparing the purposes in stomach cancer diagnosis reagent.
2. paranuclein is for preparing the purposes in cancer diagnosis reagent box.
3. the purposes as described in claim 1 or 2 is it is characterised in that described paranuclein is as diagnosing gastric cancer Serologic marker thing index.
4. the purposes as described in claim 1 or 2 is it is characterised in that described diagnostic kit detection exists The expression of paranuclein in patients with gastric cancer body.
5. a kind of medicine treating gastric cancer is it is characterised in that wherein, with paranuclein for treatment gastric cancer medicament Target.
6. a kind of detection kit is it is characterised in that it includes the antibody for kernel fibroin, Yi Jihan There are paranuclein standard substance.
7. a kind of detection method of human gastric cancer mark paranuclein is it is characterised in that it includes step:
(1) genomic DNA in separation and Extraction sample or albumen;
And/or
(2) expression of the genomic DNA of detection (1) gained or paranuclein in albumen.
CN201510467666.2A 2015-07-31 2015-07-31 Application of nucleolin to preparation of diagnostic reagent and therapeutic for gastric cancer Pending CN106405096A (en)

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