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CN107367619A - Application, Prognosis in Breast Cancer assessment kit and method of the TCP1 albumen in Mammary cancer prognosis evaluation reagent kit is prepared - Google Patents

Application, Prognosis in Breast Cancer assessment kit and method of the TCP1 albumen in Mammary cancer prognosis evaluation reagent kit is prepared Download PDF

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CN107367619A
CN107367619A CN201710759222.5A CN201710759222A CN107367619A CN 107367619 A CN107367619 A CN 107367619A CN 201710759222 A CN201710759222 A CN 201710759222A CN 107367619 A CN107367619 A CN 107367619A
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林尧
王清水
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Fujian Normal University
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Abstract

The invention provides application, Prognosis in Breast Cancer assessment kit and method of the TCP1 albumen in Mammary cancer prognosis evaluation reagent kit is prepared.Relative expression quantity of the present invention using ImmunohistochemistryMethods Methods detection TCP1 albumen in breast cancer tissue, judges that the risk of breast cancer relapse transfer occurs in patient with breast cancer with this.The beneficial effects are mainly as follows:The invention provides application of the TCP1 albumen in Mammary cancer prognosis evaluation reagent kit is prepared, prompt the albumen to be used to prepare the protein molecular marker for judging patient with breast cancer's prognosis, also there is important directive significance for the postoperative monitoring of breast cancer patients and sequential therapy.

Description

TCP1蛋白在制备乳腺癌术后预后评估试剂盒中的应用、乳腺 癌预后评估试剂盒及方法Application of TCP1 protein in preparation of breast cancer postoperative prognosis assessment kit, mammary gland Cancer prognosis assessment kit and method

技术领域technical field

本发明属于生物技术领域,具体涉及TCP1蛋白在制备乳腺癌术后预后评估试剂盒中的应用、乳腺癌预后评估试剂盒及方法。The invention belongs to the field of biotechnology, and specifically relates to the application of TCP1 protein in the preparation of a breast cancer postoperative prognosis evaluation kit, a breast cancer prognosis evaluation kit and a method.

背景技术Background technique

乳腺癌是女性最常见的恶性肿瘤之一,据资料统计,发病率占全身各种恶性肿瘤的7-10%,在妇女疾病中仅次于子宫癌,乳腺癌的发病常与遗传有关,患者常见于40-60岁的女性之间,绝经期前后的妇女发病率较高,仅约1-2%的乳腺患者是男性。乳腺癌是通常发生在乳房腺上皮组织的恶性肿瘤,是一种严重影响妇女身心健康甚至危及生命的最常见的恶性肿瘤之一。Breast cancer is one of the most common malignant tumors in women. According to statistics, the incidence rate accounts for 7-10% of all kinds of malignant tumors in the whole body. It is second only to uterine cancer in women's diseases. The incidence of breast cancer is often related to genetics. Patients It is common among women aged 40-60, and the incidence rate of women before and after menopause is higher. Only about 1-2% of breast patients are men. Breast cancer is a malignant tumor that usually occurs in the glandular epithelial tissue of the breast. It is one of the most common malignant tumors that seriously affects women's physical and mental health and even threatens their lives.

乳腺癌的病因尚未完全清楚,研究发现乳腺癌的发病存在一定的规律性,具有乳腺癌高危因素的女性容易患乳腺癌。所谓高危因素是指与乳腺癌发病有关的各种危险因素,而大多数乳腺癌患者都具有的危险因素就称为乳腺癌的高危因素。乳腺癌的早期发现、早期诊断,是提高疗效的关键。The etiology of breast cancer is not yet fully understood. Studies have found that there is a certain regularity in the incidence of breast cancer, and women with high-risk factors for breast cancer are prone to breast cancer. The so-called high-risk factors refer to various risk factors related to the onset of breast cancer, and the risk factors that most breast cancer patients have are called high-risk factors for breast cancer. Early detection and diagnosis of breast cancer is the key to improving the curative effect.

手术治疗仍为乳腺癌的主要治疗手段之一,术式有多种,对其选择尚乏统一意见,总的发展趋势是,尽量减少手术破坏,在设备条件允许下对早期乳腺癌患者尽力保留乳房外形,无论选用何种术式,都必须严格掌握以根治为主,保留功能及外形为辅的原则。Surgical treatment is still one of the main treatment methods for breast cancer. There are many surgical methods, and there is no unified opinion on the selection. For breast shape, no matter what kind of surgery is used, the principle of radical treatment as the mainstay and preservation of function and shape as the supplementary principle must be strictly adhered to.

乳腺癌的发生发展及预后与癌基因的激活和抑癌基因功能失活密切关联,是多因素诱导,多基因参与的复杂病理过程。近年来,乳腺癌早期复发转移的分子机制是该领域的热门课题,深入阐明该分子机制,并在其特异性环节中导入靶向性治疗措施,有望很大幅度提高乳腺癌术后总体治疗效果。因此,探寻切实有效的乳腺癌乳腺切除术后早期复发相关预警分子标志,阐明其与乳腺癌早期复发转移的关系,这对提高乳腺癌术后治疗效果、评估乳腺癌早期复发风险、判断预后和个体化治疗有着至关重要的意义。The occurrence, development and prognosis of breast cancer are closely related to the activation of oncogenes and the inactivation of tumor suppressor genes. It is a complex pathological process induced by multiple factors and involving multiple genes. In recent years, the molecular mechanism of early recurrence and metastasis of breast cancer is a hot topic in this field. In-depth elucidation of this molecular mechanism and the introduction of targeted treatment measures in its specific links are expected to greatly improve the overall treatment effect of breast cancer surgery . Therefore, to explore effective early warning molecular markers related to early breast cancer recurrence after mastectomy, and to clarify its relationship with early breast cancer recurrence and metastasis, will improve the treatment effect of breast cancer, evaluate the risk of early breast cancer recurrence, and judge the prognosis and prognosis of breast cancer. Individualized treatment is of paramount importance.

蛋白质折叠是生命科学的基本问题之一。蛋白质在细胞内的折叠需要分子伴侣的协助。因此蛋白质折叠过程不是完全自发的,而且是一个需能过程。分子伴侣不仅可以防止蛋白质在折叠过程中形成聚集物或无活性结构,提高正确折叠率,而且还可能影响折叠路径。分子伴侣主要由三个高度保守的蛋白质家族组成,这三个家族的成员广泛分布于原核和真核细胞中。TCP1(t-complex polypeptide-1)是真核细胞细胞溶质内的伴侣蛋白。TCP1协助肌动蛋白和微管蛋白拆叠。Protein folding is one of the fundamental problems in life sciences. The folding of proteins in cells requires the assistance of molecular chaperones. Therefore, the protein folding process is not completely spontaneous, but an energy-demanding process. Molecular chaperones can not only prevent proteins from forming aggregates or inactive structures during folding, improve the correct folding rate, but also may affect the folding path. Molecular chaperones are mainly composed of three highly conserved protein families, and members of these three families are widely distributed in prokaryotic and eukaryotic cells. TCP1 (t-complex polypeptide-1) is a chaperone protein in the cytosol of eukaryotic cells. TCP1 assists in the unfolding of actin and tubulin.

乳腺癌做为对人类健康威胁最大的肿瘤之一,至今其发生的分子机制仍不清楚,对乳腺癌的治疗也缺少特异性的分子靶点,而TCP1做为十分重要的肿瘤癌基因,目前尚无文献报道TCP1蛋白与判断乳腺癌预后或乳腺癌转移相关。而本发明研究发现在乳腺癌中的TCP1表达与病人术后预后存在显著的关系,暗示TCP1可作为乳腺癌的术后预后的有效预警蛋白。Breast cancer is one of the most threatening tumors to human health. So far, its molecular mechanism is still unclear, and the treatment of breast cancer also lacks specific molecular targets. As a very important tumor oncogene, TCP1 is currently There is no literature report that TCP1 protein is related to the prognosis of breast cancer or the metastasis of breast cancer. However, the study of the present invention found that there is a significant relationship between the expression of TCP1 in breast cancer and the postoperative prognosis of patients, suggesting that TCP1 can be used as an effective early warning protein for postoperative prognosis of breast cancer.

发明内容Contents of the invention

本发明目的在于提供TCP1蛋白在制备乳腺癌术后预后评估试剂盒中的应用,并提供用于乳腺癌术后预后评估的试剂盒及方法。The purpose of the present invention is to provide the application of TCP1 protein in the preparation of a breast cancer postoperative prognosis assessment kit, and provide a kit and method for breast cancer postoperative prognosis assessment.

本发明经过广泛而深入的研究,首次发现,采用免疫组化方法检测TCP1蛋白在乳腺癌组织中的相对表达量,能够判断乳腺癌患者出现乳腺癌复发转移的风险。基于TCP1蛋白表达量与乳腺癌复发转移的相关性,以TCP1蛋白作为预后标记物对其表达量进行检测可以用于指导乳腺癌的预后判断。After extensive and in-depth research, the present invention finds for the first time that detecting the relative expression of TCP1 protein in breast cancer tissue by immunohistochemical method can determine the risk of breast cancer recurrence and metastasis in breast cancer patients. Based on the correlation between the expression of TCP1 protein and the recurrence and metastasis of breast cancer, the detection of the expression of TCP1 protein as a prognostic marker can be used to guide the prognosis of breast cancer.

因此,本发明提供了TCP1蛋白在制备乳腺癌术后预后评估试剂盒中的应用,该应用是以TCP1蛋白作为分子标记,利用TCP1单克隆抗体或TCP1多克隆抗体,结合免疫组化实验试剂,检测TCP1蛋白在乳腺癌组织中的相对表达量。Therefore, the present invention provides the application of TCP1 protein in the preparation of postoperative prognosis assessment kit for breast cancer. The application uses TCP1 protein as a molecular marker, using TCP1 monoclonal antibody or TCP1 polyclonal antibody, combined with immunohistochemical reagents, Detect the relative expression of TCP1 protein in breast cancer tissues.

本发明还提供了所述应用中用于乳腺癌术后预后评估的试剂盒,该试剂盒包括:人源TCP1单克隆抗体或TCP1多克隆抗体、免疫组化实验试剂。所述免疫组化实验试剂为本领域免疫组化实验中的常用试剂。The present invention also provides a kit for postoperative prognosis assessment of breast cancer in the application, the kit comprising: human TCP1 monoclonal antibody or TCP1 polyclonal antibody, and immunohistochemical experiment reagents. The immunohistochemical experiment reagents are commonly used reagents in immunohistochemical experiments in the art.

本发明经过研究发现,TCP1在复发转移乳腺癌组织中表达高于未复发转移乳腺癌组织,可以推测TCP1在乳腺癌术后复发转移中发挥重要作用。查阅国内外文献,TCP1与乳腺癌的发生以及复发转移的相关研究少,在本研究中,TCP1在乳腺癌组织中的表达上调,而在癌旁和正常肝组织中则表达下调,且与未复发转移组相比,TCP1在复发转移组中表达也上调,表明TCP1可能作为促进因子参与乳腺癌发生发展过程。通过Kaplan-Meier生存曲线分析,TCP1表达程度与乳腺癌患者的预后有关,TCP1高表达的患者预后不良(P<0.05)。The present invention has found through research that the expression of TCP1 in recurrent and metastatic breast cancer tissues is higher than that in non-recurrent and metastatic breast cancer tissues, and it can be speculated that TCP1 plays an important role in postoperative recurrence and metastasis of breast cancer. According to domestic and foreign literature, there are few studies on the relationship between TCP1 and the occurrence, recurrence and metastasis of breast cancer. In this study, the expression of TCP1 was up-regulated in breast cancer tissues, but down-regulated in adjacent and normal liver tissues. Compared with the recurrence and metastasis group, the expression of TCP1 was also up-regulated in the recurrence and metastasis group, indicating that TCP1 may be involved in the occurrence and development of breast cancer as a promoting factor. According to Kaplan-Meier survival curve analysis, the expression degree of TCP1 was related to the prognosis of breast cancer patients, and the patients with high TCP1 expression had a poor prognosis (P<0.05).

综上所述,TCP1在乳腺癌组织中高表达,TCP1的高表达与乳腺癌患者术后复发转移有关。TCP1可以作为乳腺癌预后的一个重要候选分子标记物。In summary, TCP1 is highly expressed in breast cancer tissues, and the high expression of TCP1 is associated with postoperative recurrence and metastasis of breast cancer patients. TCP1 can be used as an important candidate molecular marker for the prognosis of breast cancer.

优选的,所述人源TCP1多克隆抗体由序列为SEQ ID NO.1所示的TCP1蛋白免疫兔子获得,可自行制备,也可采用市购商品。Preferably, the human TCP1 polyclonal antibody is obtained by immunizing rabbits with the TCP1 protein whose sequence is shown in SEQ ID NO.1, and can be prepared by itself or commercially available.

本发明所述免疫组化实验试剂包括:二甲苯、乙醇、3%H2O2(水溶液)、3%BSA封闭液(以PBS配制)、DAB显色试剂、苏木素、辣根过氧化物酶(用于标记二抗)、PBS(pH7.4)、0.01M EDTA修复液。The immunohistochemical experiment reagents of the present invention include: xylene, ethanol, 3% H 2 O 2 (aqueous solution), 3% BSA blocking solution (prepared with PBS), DAB chromogenic reagent, hematoxylin, horseradish peroxidase (for labeling secondary antibodies), PBS (pH7.4), 0.01M EDTA repair solution.

利用本发明所述试剂盒进行乳腺癌术后预后评估的方法如下:Utilize the kit described in the present invention to carry out the method for postoperative prognosis assessment of breast cancer as follows:

(1)取乳腺癌患者病理标本,利用人源TCP1单克隆抗体或人源TCP1多克隆抗体,以及免疫组化实验试剂,进行免疫组化染色;(1) Take pathological specimens of breast cancer patients, and use human TCP1 monoclonal antibody or human TCP1 polyclonal antibody, as well as immunohistochemical experimental reagents, for immunohistochemical staining;

其中,病理标本来自于乳腺癌患者活检组织或术中、术后的病理取材。免疫组化方法利用SP染色法,具体步骤如下:Among them, the pathological specimens come from the biopsy tissue of breast cancer patients or the pathological materials taken during and after the operation. The immunohistochemical method uses the SP staining method, and the specific steps are as follows:

(a)制备乳腺癌组织石蜡切片,60℃烤箱过夜。(a) Paraffin sections of breast cancer tissues were prepared, and the oven was set at 60° C. overnight.

(b)切片脱腊。依次浸泡:二甲苯I:10min;二甲苯II:10min;二甲苯III:10min。(b) Dewaxing of slices. Soak in sequence: Xylene I: 10min; Xylene II: 10min; Xylene III: 10min.

(c)切片水化。依次浸泡:无水乙醇:3min;90%(v/v)乙醇:3min;80%乙醇:3min;75%乙醇:3min。(c) Section hydration. Soak in sequence: absolute ethanol: 3min; 90% (v/v) ethanol: 3min; 80% ethanol: 3min; 75% ethanol: 3min.

(d)PBS清洗3次,每次5min。(d) Washing with PBS for 3 times, 5 min each time.

(e)EDTA抗原高压修复:切片放入0.01M EDTA修复液浸泡,沸水浴5min,冷却至室温。PBS清洗3次,每次5min。(e) EDTA antigen high-pressure repair: soak the slices in 0.01M EDTA repair solution, soak in boiling water for 5 minutes, and cool to room temperature. Wash 3 times with PBS, 5min each time.

(f)加入300μL的3%(w/w)过氧化氢水溶液,37℃10min。PBS清洗3次,每次5min。(f) Add 300 μL of 3% (w/w) hydrogen peroxide aqueous solution, 37° C. for 10 min. Wash 3 times with PBS, 5min each time.

(g)加入300μL的3%(w/w)BSA封闭液(PBS配制),37℃1h。PBS清洗3次,每次5min。(g) Add 300 μL of 3% (w/w) BSA blocking solution (prepared in PBS), and keep at 37° C. for 1 hour. Wash 3 times with PBS, 5min each time.

(h)加入一抗:TCP1抗体浓度:1:500,4℃冰箱放置16h后取出,室温复温15min,然后PBS洗4次,每次5min。(h) Add the primary antibody: TCP1 antibody concentration: 1:500, put it in the refrigerator at 4°C for 16 hours, take it out, rewarm at room temperature for 15 minutes, and then wash with PBS 4 times, 5 minutes each time.

(i)滴加二抗,所述的二抗为辣根过氧化物酶标记羊抗兔IgG(购自福州迈新试剂公司,即用型,无需稀释),37℃45min。PBS洗4次,每次5min。(i) Add secondary antibody dropwise, the secondary antibody is horseradish peroxidase-labeled goat anti-rabbit IgG (purchased from Fuzhou Maixin Reagent Company, ready-to-use, no dilution required), 37°C for 45min. Wash 4 times with PBS, 5min each time.

(j)PBS洗3次,每次5min。DAB(DAB显色试剂盒,购自上海生工)显色2-10min,镜下观察;双蒸水洗止显色,苏木素复染10s,用自来水冲洗浸泡。(j) Wash with PBS 3 times, 5 min each time. DAB (DAB Chromogenic Kit, purchased from Shanghai Sangong) developed color for 2-10 minutes, observed under a microscope; washed with double distilled water to stop color development, counterstained with hematoxylin for 10 seconds, rinsed and soaked in tap water.

(k)脱水。依次浸泡:75%乙醇:2min;80%乙醇:2min;90%乙醇:2min;无水乙醇:2min。(k) Dehydration. Soak in sequence: 75% ethanol: 2min; 80% ethanol: 2min; 90% ethanol: 2min; absolute ethanol: 2min.

(L)用电吹风吹干,加入中性树胶,盖玻片覆盖。(L) Blow dry with a hair dryer, add neutral gum, and cover with a cover glass.

(2)利用显微镜和成像装置随机选取乳腺癌组织和癌旁组织3个视野拍摄,利用Aperio Image Scope软件对组织样本的相片进行扫描,扫描后采用该软件的Algorithms(Positive Pixel Count V9)程序对每个样本进行阳性强度计算,计算数据如下:(2) Use a microscope and an imaging device to randomly select 3 fields of view of breast cancer tissue and paracancerous tissue to take pictures, use Aperio Image Scope software to scan the photos of tissue samples, and use the software's Algorithms (Positive Pixel Count V9) program to count The positive intensity is calculated for each sample, and the calculated data are as follows:

(3)每个组织样本的免疫组织化学评分计算为Positivity×Log10[255/Iavg],其中Positivity=NPositive/NTotal,即阳性率,计算方法为阳性象素数量/显色总数量;Iavg=(Iwp+Ip+Isp)/(Nwp+Np+Nsp),即阳性平均强度,计算方法为阳性平均强度=(弱阳性象素总强度+阳性象素总强度+强阳性象素总强度)/(弱阳性象素数量+阳性象素数量+强阳性象素数量),即为该组织的免疫组化评分,用于后续分析。(3) The immunohistochemical score of each tissue sample is calculated as Positivity×Log10[255/Iavg], wherein Positivity=NPositive/NTotal, that is, the positive rate, and the calculation method is the number of positive pixels/total number of color; Lavg=( Iwp+Ip+Isp)/(Nwp+Np+Nsp), i.e. positive average intensity, the calculation method is positive average intensity=(weak positive pixel total intensity+positive positive pixel total intensity+strong positive pixel total intensity)/( The number of weak positive pixels + the number of positive pixels + the number of strong positive pixels) is the immunohistochemical score of the tissue for subsequent analysis.

(4)采用SPSS18.0进行统计分析,检验指标与临床资料之间的计数资料采用Pearson卡方检验,计量资料采用t检验。检测指标与临床预后的分析采用KaPlan-Meier生存分析,对数秩和检验(log-ranktest)比较生存曲线的差别。本发明显示TCP1蛋白与乳腺癌的预后具有显著的相关性,为预测乳腺癌的复发转移及术后的生存率提供一条全新途径,对乳腺癌患者的预后有重要作用。当癌组织TCP1免疫组化评分高于0.36时,乳腺癌易出现复发转移,乳腺癌患者术后易死亡。(4) SPSS 18.0 was used for statistical analysis. Pearson chi-square test was used for count data between test indicators and clinical data, and t test was used for measurement data. The KaPlan-Meier survival analysis was used to analyze the detection indicators and clinical prognosis, and the log-rank test was used to compare the differences in survival curves. The invention shows that the TCP1 protein has a significant correlation with the prognosis of breast cancer, provides a new way for predicting the recurrence and metastasis of breast cancer and the postoperative survival rate, and plays an important role in the prognosis of breast cancer patients. When the TCP1 immunohistochemical score of cancer tissue is higher than 0.36, breast cancer is prone to recurrence and metastasis, and breast cancer patients are likely to die after surgery.

本发明的有益效果主要体现在:本发明研究发现在乳腺癌中的TCP1表达与病人术后预后存在显著的关系,暗示TCP1可作为乳腺癌的术后预后的有效预警蛋白。因此,本发明提供了TCP1蛋白在制备乳腺癌术后预后评估试剂盒中的应用,提示该蛋白能用于制备判断乳腺癌患者预后的蛋白质分子标记,对于乳腺癌病人术后监控和序贯治疗也具有重要的指导意义。The beneficial effects of the present invention are mainly reflected in: the present invention finds that there is a significant relationship between the expression of TCP1 in breast cancer and the postoperative prognosis of patients, implying that TCP1 can be used as an effective early warning protein for postoperative prognosis of breast cancer. Therefore, the present invention provides the application of TCP1 protein in the preparation of breast cancer postoperative prognosis assessment kit, suggesting that this protein can be used to prepare protein molecular markers for judging the prognosis of breast cancer patients, and is useful for postoperative monitoring and sequential treatment of breast cancer patients. It also has important guiding significance.

附图说明Description of drawings

图1为TCP1在乳腺癌患者术后1年内无复发转移的组织样本中弱表达;Figure 1 shows that TCP1 is weakly expressed in tissue samples of breast cancer patients without recurrence and metastasis within 1 year after surgery;

图2为TCP1在乳腺癌患者术后1年内复发转移的组织样本中强表达;Figure 2 shows that TCP1 is strongly expressed in tissue samples of recurrence and metastasis of breast cancer patients within 1 year after surgery;

图3为TCP1在乳腺癌旁组织中弱表达;Figure 3 shows that TCP1 is weakly expressed in adjacent tissues of breast cancer;

图4为乳腺癌组织中TCP1低表达组与高表达组生存曲线。Figure 4 is the survival curves of TCP1 low expression group and high expression group in breast cancer tissue.

具体实施方式detailed description

下面结合具体实施例对本发明进行进一步描述,但本发明的保护范围并不限于此:The present invention is further described below in conjunction with specific embodiment, but protection scope of the present invention is not limited thereto:

实施例1Example 1

用于乳腺癌术后预后评估的试剂盒,该试剂盒包括:用于对乳腺癌组织中的TCP1蛋白的相对表达量进行检测的人源TCP1单克隆抗体或TCP1多克隆抗体、免疫组化实验试剂。其中,免疫组化实验试剂包括:二甲苯、乙醇、3%H2O2、3%BSA封闭液、DAB显色试剂、苏木素、辣根过氧化物酶、PBS以及0.01M EDTA修复液。A kit for postoperative prognosis assessment of breast cancer, the kit includes: human TCP1 monoclonal antibody or TCP1 polyclonal antibody for detecting the relative expression of TCP1 protein in breast cancer tissue, immunohistochemical experiment reagent. Among them, the immunohistochemical experiment reagents include: xylene, ethanol, 3% H 2 O 2 , 3% BSA blocking solution, DAB chromogenic reagent, hematoxylin, horseradish peroxidase, PBS and 0.01M EDTA repair solution.

本发明所述人源TCP1多克隆抗体由序列为SEQ ID NO.1所示的TCP1蛋白免疫兔子获得。可自行制备,也可采用市购商品。The human TCP1 polyclonal antibody of the present invention is obtained by immunizing rabbits with the TCP1 protein whose sequence is shown in SEQ ID NO.1. It can be prepared by itself, or commercially available products can be used.

本发明所述免疫组化实验试剂包括:二甲苯、乙醇、3%H2O2(水溶液)、3%BSA封闭液(以PBS配制)、DAB显色试剂、苏木素、辣根过氧化物酶(用于标记二抗)、PBS(pH7.4)、0.01M EDTA修复液。The immunohistochemical experiment reagents of the present invention include: xylene, ethanol, 3% H 2 O 2 (aqueous solution), 3% BSA blocking solution (prepared with PBS), DAB chromogenic reagent, hematoxylin, horseradish peroxidase (for labeling secondary antibodies), PBS (pH7.4), 0.01M EDTA repair solution.

实施例2Example 2

TCP1蛋白在制备乳腺癌术后预后评估试剂盒中的应用,该应用是利用本发明试剂盒进行乳腺癌术后预后评估,方法如下:The application of TCP1 protein in the preparation of a breast cancer postoperative prognosis assessment kit, the application is to use the kit of the present invention to carry out breast cancer postoperative prognosis assessment, the method is as follows:

(1)取乳腺癌患者病理标本,利用人源TCP1单克隆抗体或人源TCP1多克隆抗体,以及免疫组化实验试剂,进行免疫组化染色;(1) Take pathological specimens of breast cancer patients, and use human TCP1 monoclonal antibody or human TCP1 polyclonal antibody, as well as immunohistochemical experimental reagents, for immunohistochemical staining;

其中,病理标本来自于乳腺癌患者活检组织或术中、术后的病理取材。免疫组化方法利用SP染色法,具体步骤如下:Among them, the pathological specimens come from the biopsy tissue of breast cancer patients or the pathological materials taken during and after the operation. The immunohistochemical method uses the SP staining method, and the specific steps are as follows:

(a)制备乳腺癌组织石蜡切片,60℃烤箱过夜。(a) Paraffin sections of breast cancer tissues were prepared, and the oven was set at 60° C. overnight.

(b)切片脱腊。依次浸泡:二甲苯I:10min;二甲苯II:10min;二甲苯III:10min。(b) Dewaxing of slices. Soak in sequence: Xylene I: 10min; Xylene II: 10min; Xylene III: 10min.

(c)切片水化。依次浸泡:无水乙醇:3min;90%(v/v)乙醇:3min;80%乙醇:3min;75%乙醇:3min。(c) Section hydration. Soak in sequence: absolute ethanol: 3min; 90% (v/v) ethanol: 3min; 80% ethanol: 3min; 75% ethanol: 3min.

(d)PBS清洗3次,每次5min。(d) Washing with PBS for 3 times, 5 min each time.

(e)EDTA抗原高压修复:切片放入0.01M EDTA修复液浸泡,沸水浴5min,冷却至室温。PBS清洗3次,每次5min。(e) EDTA antigen high-pressure repair: soak the slices in 0.01M EDTA repair solution, soak in boiling water for 5 minutes, and cool to room temperature. Wash 3 times with PBS, 5min each time.

(f)加入300μL的3%(w/w)过氧化氢水溶液,37℃10min。PBS清洗3次,每次5min。(f) Add 300 μL of 3% (w/w) hydrogen peroxide aqueous solution, 37° C. for 10 min. Wash 3 times with PBS, 5min each time.

(g)加入300μL的3%(w/w)BSA封闭液(PBS配制),37℃1h。PBS清洗3次,每次5min。(g) Add 300 μL of 3% (w/w) BSA blocking solution (prepared in PBS), and keep at 37° C. for 1 hour. Wash 3 times with PBS, 5min each time.

(h)加入一抗:TCP1抗体浓度:1:500,4℃冰箱放置16h后取出,室温复温15min,然后PBS洗4次,每次5min。(h) Add the primary antibody: TCP1 antibody concentration: 1:500, put it in the refrigerator at 4°C for 16 hours, take it out, rewarm at room temperature for 15 minutes, and then wash with PBS 4 times, 5 minutes each time.

(i)滴加二抗,所述的二抗为辣根过氧化物酶标记羊抗兔IgG(购自福州迈新试剂公司,即用型,无需稀释),37℃45min。PBS洗4次,每次5min。(i) Add secondary antibody dropwise, the secondary antibody is horseradish peroxidase-labeled goat anti-rabbit IgG (purchased from Fuzhou Maixin Reagent Company, ready-to-use, no dilution required), 37°C for 45min. Wash 4 times with PBS, 5min each time.

(j)PBS洗3次,每次5min。DAB(DAB显色试剂盒,购自上海生工)显色2-10min,镜下观察;双蒸水洗止显色,苏木素复染10s,用自来水冲洗浸泡。(j) Wash with PBS 3 times, 5 min each time. DAB (DAB Chromogenic Kit, purchased from Shanghai Sangong) developed color for 2-10 minutes, observed under a microscope; washed with double distilled water to stop color development, counterstained with hematoxylin for 10 seconds, rinsed and soaked in tap water.

(k)脱水。依次浸泡:75%乙醇:2min;80%乙醇:2min;90%乙醇:2min;无水乙醇:2min。(k) Dehydration. Soak in sequence: 75% ethanol: 2min; 80% ethanol: 2min; 90% ethanol: 2min; absolute ethanol: 2min.

(L)用电吹风吹干,加入中性树胶,盖玻片覆盖。(L) Blow dry with a hair dryer, add neutral gum, and cover with a cover glass.

(2)利用显微镜和成像装置随机选取乳腺癌组织和癌旁组织3个视野拍摄,利用Aperio Image Scope软件对组织样本的相片进行扫描,扫描后采用该软件的Algorithms(Positive Pixel Count V9)程序对每个样本进行阳性强度计算,计算数据如下:(2) Use a microscope and an imaging device to randomly select 3 fields of view of breast cancer tissue and paracancerous tissue to take pictures, use Aperio Image Scope software to scan the photos of tissue samples, and use the software's Algorithms (Positive Pixel Count V9) program to count The positive intensity is calculated for each sample, and the calculated data are as follows:

(3)每个组织样本的免疫组织化学评分计算为Positivity×Log10[255/Iavg],其中Positivity=NPositive/NTotal,即阳性率,计算方法为阳性象素数量/显色总数量;Iavg=(Iwp+Ip+Isp)/(Nwp+Np+Nsp),即阳性平均强度,计算方法为阳性平均强度=(弱阳性象素总强度+阳性象素总强度+强阳性象素总强度)/(弱阳性象素数量+阳性象素数量+强阳性象素数量),即为该组织的免疫组化评分,用于后续分析。TCP1高低表达标准以326例乳腺癌组织中TCP1表达评分的中位数(0.36)为界。(3) The immunohistochemical score of each tissue sample is calculated as Positivity×Log10[255/Iavg], wherein Positivity=NPositive/NTotal, that is, the positive rate, and the calculation method is the number of positive pixels/total number of color; Lavg=( Iwp+Ip+Isp)/(Nwp+Np+Nsp), i.e. positive average intensity, the calculation method is positive average intensity=(weak positive pixel total intensity+positive positive pixel total intensity+strong positive pixel total intensity)/( The number of weak positive pixels + the number of positive pixels + the number of strong positive pixels) is the immunohistochemical score of the tissue for subsequent analysis. The standard of TCP1 high and low expression was the median (0.36) of TCP1 expression score in 326 breast cancer tissues.

(4)采用SPSS18.0进行统计分析,检验指标与临床资料之间的计数资料采用Pearson卡方检验,计量资料采用t检验。检测指标与临床预后的分析采用KaPlan-Meier生存分析,对数秩和检验(log-ranktest)比较生存曲线的差别。(4) SPSS 18.0 was used for statistical analysis. Pearson chi-square test was used for count data between test indicators and clinical data, and t test was used for measurement data. The KaPlan-Meier survival analysis was used to analyze the detection indicators and clinical prognosis, and the log-rank test was used to compare the differences in survival curves.

按照上述方法,本发明在326例乳腺癌病人的肿瘤组织中检测结果如图1-3所示:TCP1在1年内未复发转移组中弱表达;在复发转移组中高表达(图2);在癌旁组织中弱表达(图3)。According to the above method, the detection results of the present invention in the tumor tissues of 326 breast cancer patients are as shown in Figure 1-3: TCP1 is weakly expressed in the non-recurrence and metastasis group within 1 year; it is highly expressed in the recurrence and metastasis group (Fig. 2); Weakly expressed in adjacent tissues (Figure 3).

TCP1与乳腺癌患者预后的关系:The relationship between TCP1 and the prognosis of breast cancer patients:

通过Kaplan-Meier生存曲线分析,TCP1的表达程度与乳腺癌患者的预后相关,如图4所示,TCP1高表达的患者平均生存期(存活率)低于TCP1低表达的患者。Through Kaplan-Meier survival curve analysis, the expression degree of TCP1 is related to the prognosis of breast cancer patients. As shown in Figure 4, the average survival time (survival rate) of patients with high TCP1 expression is lower than that of patients with low TCP1 expression.

实施例3Example 3

取某乳腺癌术后肿瘤样本进行石蜡包埋切片,并利用以上所述的免疫组织化学方法进行检测,经计算,其癌组织的TCP1免疫组化组织评分为0.586。经过术后随访发现,该患者在术后第9个月发生乳腺癌复发转移,术后十五个月死亡。A breast cancer postoperative tumor sample was taken for paraffin-embedded section, and detected by the above-mentioned immunohistochemical method. After calculation, the TCP1 immunohistochemical score of the cancer tissue was 0.586. After postoperative follow-up, it was found that the patient had recurrence and metastasis of breast cancer in the 9th month after the operation, and died 15 months after the operation.

实施例4Example 4

取某乳腺癌术后肿瘤样本进行石蜡包埋切片,并利用以上所述的免疫组织化学方法进行检测,经计算,其癌组织的TCP1免疫组化组织评分为0.128。经过术后随访发现,该患者在术后1年均未发现转移复发,健在。A breast cancer postoperative tumor sample was taken for paraffin-embedded sections, and detected by the above-mentioned immunohistochemical method. After calculation, the TCP1 immunohistochemical score of the cancer tissue was 0.128. After postoperative follow-up, it was found that the patient was alive without metastasis and recurrence 1 year after the operation.

由以上试验结果可知,通过采用免疫组化的方法检测TCP1蛋白分子相对表达量能预测乳腺癌远处转移风险以及患者术后的生存或死亡。当癌组织TCP1的免疫组化评分高于0.36时,乳腺癌易出现复发转移,乳腺癌患者术后易死亡。显然TCP1蛋白与乳腺癌具有相关性,因此,以TCP1蛋白作为蛋白质分子标记对其表达量进行检测能预测乳腺癌手术后复发转移等事件,并判断预后。From the above test results, it can be known that detecting the relative expression of TCP1 protein molecule by immunohistochemical method can predict the risk of distant metastasis of breast cancer and the postoperative survival or death of patients. When the immunohistochemical score of TCP1 in cancer tissue is higher than 0.36, breast cancer is prone to recurrence and metastasis, and breast cancer patients are prone to death after surgery. Obviously, TCP1 protein is related to breast cancer. Therefore, detecting its expression level using TCP1 protein as a protein molecular marker can predict recurrence and metastasis of breast cancer after surgery, and judge the prognosis.

序列表sequence listing

<110> 福建师范大学<110> Fujian Normal University

<120> TCP1蛋白在制备乳腺癌术后预后评估试剂盒中的应用、乳腺癌预后评估试剂盒及方法<120> Application of TCP1 protein in preparation of breast cancer postoperative prognosis assessment kit, breast cancer prognosis assessment kit and method

<130> 1<130> 1

<160> 1<160> 1

<170> SIPOSequenceListing 1.0<170> SIP Sequence Listing 1.0

<210> 1<210> 1

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<212> PRT<212> PRT

<213> 人工序列(Artificial Sequence)<213> Artificial Sequence

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545 550 555545 550 555

Claims (6)

1.TCP1蛋白在制备乳腺癌术后预后评估试剂盒中的应用。1. The application of TCP1 protein in the preparation of a breast cancer postoperative prognosis assessment kit. 2.根据权利要求1所述的TCP1蛋白在制备乳腺癌术后预后评估试剂盒中的应用,其特征在于:以TCP1蛋白作为分子标记,利用人源TCP1单克隆抗体或人源TCP1多克隆抗体,结合免疫组化实验试剂,检测TCP1蛋白在乳腺癌组织中的相对表达量。2. The application of the TCP1 protein according to claim 1 in the preparation of a postoperative prognosis assessment kit for breast cancer, characterized in that: using the TCP1 protein as a molecular marker, using a human TCP1 monoclonal antibody or a human TCP1 polyclonal antibody , combined with immunohistochemical reagents, to detect the relative expression of TCP1 protein in breast cancer tissue. 3.根据权利要求2所述的TCP1蛋白在制备乳腺癌术后预后评估试剂盒中的应用,其特征在于:所述人源TCP1多克隆抗体由序列为SEQ ID NO.1所示的TCP1蛋白免疫兔子获得。3. The application of the TCP1 protein according to claim 2 in the preparation of a postoperative prognosis assessment kit for breast cancer, characterized in that: the human source TCP1 polyclonal antibody is composed of the TCP1 protein whose sequence is shown in SEQ ID NO.1 Obtained by immune rabbits. 4.应用于乳腺癌术后预后评估的试剂盒,其特征在于:所述试剂盒包括用于对乳腺癌组织中的TCP1蛋白的相对表达量进行检测的人源TCP1单克隆抗体或人源TCP1多克隆抗体,以及免疫组化实验试剂。4. A test kit for postoperative prognosis assessment of breast cancer, characterized in that: the test kit includes human TCP1 monoclonal antibody or human TCP1 for detecting the relative expression of TCP1 protein in breast cancer tissue Polyclonal antibodies, and reagents for immunohistochemistry. 5.根据权利要求4所述的应用于乳腺癌术后预后评估试剂盒,其特征在于:所述免疫组化实验试剂包括:二甲苯、乙醇、3%H2O2、3%BSA封闭液、DAB显色试剂、苏木素、辣根过氧化物酶、PBS以及0.01M EDTA修复液。5. The postoperative prognosis assessment kit for breast cancer according to claim 4, characterized in that: the immunohistochemical experiment reagents include: xylene, ethanol, 3% H 2 O 2 , 3% BSA blocking solution , DAB chromogenic reagent, hematoxylin, horseradish peroxidase, PBS and 0.01M EDTA repair solution. 6.一种基于权利要求4所述的试剂盒进行乳腺癌术后预后评估的方法,其特征在于:其包括以下步骤:6. A method for postoperative prognosis assessment of breast cancer based on the kit according to claim 4, characterized in that: it may further comprise the steps: (1)取乳腺癌患者病理标本,利用人源TCP1单克隆抗体或人源TCP1多克隆抗体,以及免疫组化实验试剂,进行免疫组化染色;(1) Take pathological specimens of breast cancer patients, and use human TCP1 monoclonal antibody or human TCP1 polyclonal antibody, as well as immunohistochemical experimental reagents, for immunohistochemical staining; (2)利用显微镜和成像装置随机选取乳腺癌组织和癌旁组织3个视野拍摄为数码照片;(2) Use microscope and imaging device to randomly select 3 fields of view of breast cancer tissue and paracancerous tissue to take digital photos; (3)利用Aperio Image Scope软件对组织样本进行扫描,扫描后采用该软件的Algorithms程序对每个样本进行阳性强度计算,换算为该样品的免疫组织化学评分;(3) Use the Aperio Image Scope software to scan the tissue samples, and use the Algorithms program of the software to calculate the positive intensity of each sample after scanning, and convert it into the immunohistochemical score of the sample; (4)通过所得到的评分评估患者术后的预后情况。(4) Evaluate the postoperative prognosis of patients by the obtained scores.
CN201710759222.5A 2017-08-30 2017-08-30 Application, Prognosis in Breast Cancer assessment kit and method of the TCP1 albumen in Mammary cancer prognosis evaluation reagent kit is prepared Pending CN107367619A (en)

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