CN110108878A - EIF2S1 autoantibody detection reagent is preparing the purposes in screening lung cancer kit - Google Patents
EIF2S1 autoantibody detection reagent is preparing the purposes in screening lung cancer kit Download PDFInfo
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Abstract
Description
技术领域technical field
本发明涉及体外诊断试剂领域,具体涉及EIF2S1自身抗体检测试剂在制备肺癌筛查试剂盒中的用途。The invention relates to the field of in vitro diagnostic reagents, in particular to the use of an EIF2S1 autoantibody detection reagent in the preparation of a lung cancer screening kit.
背景技术Background technique
肺癌是世界上最常见的恶性肿瘤之一,其发病率和死亡率呈逐年上升趋势,目前发病率居世界首位,严重威胁着人类健康和生命。Lung cancer is one of the most common malignant tumors in the world, and its morbidity and mortality are increasing year by year. Currently, the morbidity ranks first in the world, and it is a serious threat to human health and life.
肺癌是一种善于隐匿的疾病,经常在疾病发展到晚期才表现出临床症状,70~80%的肺癌患者在诊断出患有肺癌症状时已是中、晚期,癌细胞已经扩散,错过了最佳治愈时机,五年生存率低。对于早期的肺癌患者,经过及时治疗可大大提高患者的5年及以上生存率和生存质量。因此肺癌的早期诊断和进行有效的筛查至关重要。Lung cancer is a kind of hidden disease, often showing clinical symptoms when the disease develops to the advanced stage. 70-80% of lung cancer patients are diagnosed with lung cancer symptoms in the middle or advanced stage, the cancer cells have spread, and missed the most advanced stage. The best time to cure, the five-year survival rate is low. For early-stage lung cancer patients, timely treatment can greatly improve the 5-year and above survival rate and quality of life of patients. Therefore, early diagnosis of lung cancer and effective screening are crucial.
肺癌的筛查,是指对那些没有肺癌相关症状的人群进行常规体检,在出现症状前及时发现肺癌。如果可以找到血浆里面的肺癌分子标志物,用于提示临床医生早期对患者采取相关的治疗措施或者决策具有重要的意义。Lung cancer screening refers to the routine physical examination of those without lung cancer-related symptoms to detect lung cancer before symptoms appear. If lung cancer molecular markers in plasma can be found, it is of great significance to prompt clinicians to take relevant treatment measures or decision-making for patients at an early stage.
自身抗体是指机体对自身器官、细胞或细胞成分产生的抗体。目前,某些蛋白的自身抗体已经成为肺癌的标记物,如:p53、NY-ESO-1、CYFRA等等(Tang Z-M,Ling z-G,WangC-M,Wu Y-B,Kong J-L(2017)Serum tumor-associated autoantibodies as diagnosticbiomarkers for lung cancer:A systematic review and meta-analysis.PLoS ONE 12(7):e0182117)。Autoantibodies are antibodies produced by the body against its own organs, cells or cellular components. At present, autoantibodies to certain proteins have become markers of lung cancer, such as: p53, NY-ESO-1, CYFRA, etc. (Tang Z-M, Ling z-G, WangC-M, Wu Y-B, Kong J-L (2017) Serum tumor- associated autoantibodies as diagnosticbiomarkers for lung cancer: A systematic review and meta-analysis. PLoS ONE 12(7):e0182117).
EIF2是翻译起始因子,调控蛋白合成起始的第一步,而EIF2S1(Ensembl:ENSG00000134001)是该蛋白的alpha亚基。目前尚未见EIF2S1蛋白自身抗体的相关报道,也未见其与肺癌相关的现有技术。EIF2 is a translation initiation factor that regulates the first step in the initiation of protein synthesis, and EIF2S1 (Ensembl: ENSG00000134001) is the alpha subunit of the protein. At present, there is no relevant report on the EIF2S1 protein autoantibody, and there is no prior art related to lung cancer.
发明内容SUMMARY OF THE INVENTION
本发明的目的在于提供一种新的自身抗体类的肺癌标志物,以及该标志物的检测试剂在制备肺癌筛查试剂盒中的用途。The purpose of the present invention is to provide a novel autoantibody-based lung cancer marker, and the use of a detection reagent of the marker in the preparation of a lung cancer screening kit.
本发明的技术方案包括:The technical scheme of the present invention includes:
检测EIF2S1蛋白自身抗体的试剂在制备肺癌筛查试剂盒中的用途。Use of a reagent for detecting EIF2S1 protein autoantibody in the preparation of a lung cancer screening kit.
如前述的用途,所述检测EIF2S1蛋白自身抗体的试剂为酶联免疫吸附试验用试剂或联免疫分析试剂。As mentioned above, the reagent for detecting EIF2S1 protein autoantibody is an enzyme-linked immunosorbent assay reagent or a linked immunoassay reagent.
如前述的用途,所述检测EIF2S1蛋白自身抗体的试剂为western blot试剂。As mentioned above, the reagent for detecting EIF2S1 protein autoantibody is a western blot reagent.
如前述的用途,所述检测EIF2S1蛋白自身抗体的试剂为蛋白芯片检测方法用试剂。As mentioned above, the reagent for detecting EIF2S1 protein autoantibody is a reagent for a protein chip detection method.
如前述的用途,所述检测EIF2S1蛋白自身抗体的试剂是检测人血清中EIF2S1蛋白自身抗体的试剂。As mentioned above, the reagent for detecting EIF2S1 protein autoantibodies is a reagent for detecting EIF2S1 protein autoantibodies in human serum.
一种肺癌筛查试剂盒,它包括用于检测EIF2S1蛋白自身抗体的试剂。A lung cancer screening kit includes reagents for detecting EIF2S1 protein autoantibodies.
如前述的试剂盒,所述检测EIF2S1蛋白自身抗体的试剂为酶联免疫吸附试验用试剂或酶联免疫分析试剂。As in the aforementioned kit, the reagent for detecting EIF2S1 protein autoantibody is an enzyme-linked immunosorbent assay reagent or an enzyme-linked immunosorbent assay reagent.
如前述的试剂盒,所述检测EIF2S1蛋白自身抗体的试剂为western blot试剂。As in the aforementioned kit, the reagent for detecting the EIF2S1 protein autoantibody is a western blot reagent.
如前述的试剂盒,所述检测EIF2S1蛋白自身抗体的试剂为蛋白芯片检测方法用试剂。As in the aforementioned kit, the reagent for detecting EIF2S1 protein autoantibody is a reagent for a protein chip detection method.
如前述的试剂盒,所述检测EIF2S1蛋白自身抗体的试剂是检测人血清中EIF2S1蛋白自身抗体的试剂。As in the aforementioned kit, the reagent for detecting EIF2S1 protein autoantibodies is a reagent for detecting EIF2S1 protein autoantibodies in human serum.
本发明提供了一种新的肺癌筛查标记物和一种新的肺癌筛查试剂盒,能够实现肺癌的有效筛查;且能以血清作为检测样品,对患者伤害很低。本发明具备良好的应用前景。The invention provides a new lung cancer screening marker and a new lung cancer screening kit, which can realize the effective screening of lung cancer; and can use serum as a detection sample, and cause low harm to patients. The present invention has good application prospects.
显然,根据本发明的上述内容,按照本领域的普通技术知识和惯用手段,在不脱离本发明上述基本技术思想前提下,还可以做出其它多种形式的修改、替换或变更。Obviously, according to the above-mentioned content of the present invention, according to the common technical knowledge and conventional means in the field, without departing from the above-mentioned basic technical idea of the present invention, other various forms of modification, replacement or change can also be made.
以下通过具体实施方式对本发明的上述内容再作进一步的详细说明。但不应将此理解为本发明上述主题的范围仅限于以下的实例。凡基于本发明上述内容所实现的技术均属于本发明的范围。The above content of the present invention will be further described in detail below through specific embodiments. However, this should not be construed as limiting the scope of the above-mentioned subject matter of the present invention to the following examples. All technologies implemented based on the above content of the present invention belong to the scope of the present invention.
下文中“EIF2S1自身抗体”,指的是“EIF2S1蛋白自身抗体”。Hereinafter, "EIF2S1 autoantibody" refers to "EIF2S1 protein autoantibody".
附图说明Description of drawings
图1:肺癌患者(LC)、肺部良性疾病(DC)、健康对照(NC)血清浆中EIF2S1自身抗体水平对比。Figure 1: Comparison of EIF2S1 autoantibody levels in serum plasma of lung cancer patients (LC), benign lung disease (DC), and healthy controls (NC).
图2:肺癌患者(LC)与肺部良性疾病(DC)ROC分析。Figure 2: ROC analysis of lung cancer patients (LC) versus benign lung disease (DC).
图3:肺癌患者(LC)与健康对照(NC)ROC分析。Figure 3: ROC analysis of lung cancer patients (LC) and healthy controls (NC).
具体实施方式Detailed ways
实施例1血浆中EIF2S1自身抗体与肺癌的关系Example 1 Relationship between EIF2S1 autoantibodies in plasma and lung cancer
一、临床资料1. Clinical data
选取肺癌患者30例,肺部良性疾病(结核、错构瘤等非恶性肿瘤)29例,健康对照30例,基本信息如下:Select 30 lung cancer patients, 29 benign lung diseases (tuberculosis, hamartoma and other non-malignant tumors), and 30 healthy controls. The basic information is as follows:
二、检测原理2. Detection principle
HuProtTM人类蛋白质定制芯片上固定有EIF2S1蛋白,加血清孵育后,血清中EIF2S1自身抗体(主要包括IgG、IgM型抗体,也有一些其它类型的抗体)会结合上去,清洗去除未结合的抗体和其它蛋白质,再用抗人IgM荧光标记二抗(cy5标记,呈现红色)和抗人IgG荧光二抗(cy3标记,呈现绿色)检测,通过荧光扫描仪读取信号,信号的强弱与抗体的亲和力和数量呈正相关。The EIF2S1 protein is immobilized on the HuProt TM human protein custom chip. After incubation with serum, EIF2S1 autoantibodies (mainly including IgG, IgM antibodies, and some other types of antibodies) in the serum will bind to it, and the unbound antibodies and other antibodies will be removed by washing. The protein was detected with anti-human IgM fluorescently labeled secondary antibody (cy5 labeled, showing red) and anti-human IgG fluorescent secondary antibody (cy3 labeled, showing green), and the signal was read by a fluorescence scanner. The intensity of the signal is related to the affinity of the antibody is positively correlated with quantity.
三、方法3. Methods
1)复温:将芯片从-80℃冰箱取出,置于4℃冰箱复温半小时,然后置于室温复温15min;1) Rewarming: Take the chip out of the -80°C refrigerator, place it in a 4°C refrigerator for half an hour, and then place it at room temperature for 15 minutes;
2)封闭:复温后的芯片,固定14个blocks围栏,固定好之后,向每个block中加入封闭液,并放置侧摆摇床上,室温封闭3hr;2) Sealing: After rewarming the chip, fix 14 blocks of fences. After fixing, add blocking solution to each block, place it on a side-swing shaker, and seal it at room temperature for 3 hours;
3)血清样本孵育:封闭完成后,倒尽封闭液,然后迅速加入预先准备好的血清孵育液,每张芯片可孵育14个血清样本,每个血清样本的上样体积为200μL,侧摆摇床20rpm,4℃过夜孵育(血清样本先放在4℃层析柜冻融,加孵育液以1∶50比例稀释,得血清孵育液);3) Serum sample incubation: After the blocking is completed, pour out the blocking solution, and then quickly add the pre-prepared serum incubation solution. Each chip can incubate 14 serum samples, and the loading volume of each serum sample is 200 μL. Bed 20rpm, 4°C overnight incubation (serum samples were first placed in a 4°C chromatography cabinet to freeze and thaw, and the incubation solution was added to dilute at a ratio of 1:50 to obtain serum incubation solution);
4)清洗:将芯片及芯片围栏一同取出,吸去样本,然后迅速加入等体积的PBST,如此循环数次,保证在拆除芯片围栏时血清样本间无交叉污染。拆除芯片围栏后,将芯片置于加有清洗液的芯片清洗盒,水平摇床,室温80rpm,清洗3次,每次10min;4) Cleaning: Take out the chip and the chip fence together, aspirate the sample, and then quickly add an equal volume of PBST for several cycles to ensure that there is no cross-contamination between serum samples when the chip fence is removed. After removing the chip fence, place the chip in a chip cleaning box with cleaning solution, shake it horizontally, at room temperature 80 rpm, and clean it 3 times, 10 min each time;
5)二抗孵育:将芯片转移到加入了3mL二抗孵育液的孵育盒中,侧摆摇床40rpm,避光,室温1hr;5) Secondary antibody incubation: transfer the chip to an incubation box with 3 mL of secondary antibody incubation solution added, shake sideways at 40 rpm, protect from light, and stay at room temperature for 1 hr;
6)清洗:将芯片取出(注意不能触及或划破芯片的上表面),置于加有清洗液的芯片清洗盒,水平摇床,室温80rpm,清洗3次,每次10min。完成后用ddH2O清洗2次,每次10min;6) Cleaning: Take out the chip (be careful not to touch or scratch the upper surface of the chip), place it in a chip cleaning box with cleaning solution, shake it horizontally, and clean it three times at 80 rpm at room temperature, 10 minutes each time. After completion, wash twice with ddH2O, 10min each time;
7)干燥;7) drying;
8)扫描:使用晶芯LuxScan 10K微阵列芯片扫描仪扫描;8) Scanning: Scan with Jingxin LuxScan 10K microarray chip scanner;
9)数据提取:将对应GAL文件(记录了芯片中蛋白所在位置)打开,将芯片图像和GAL文件每个阵列整体对齐,按下自动对齐按钮,提取数据并保存。9) Data extraction: Open the corresponding GAL file (recording the location of the protein in the chip), align the chip image and each array of the GAL file as a whole, press the automatic alignment button, extract the data and save it.
四、结果4. Results
肺癌患者血浆中的EIF2S1自身抗体的平均表达水平为42.7SNR(荧光信号相对定量比值),肺部良性疾病血浆中EIF2S1自身抗体的平均表达水平为27.3SNR,健康对照血浆中EIF2S1自身抗体的平均表达水平为25.2SNR。肺癌组与肺部良性疾病组(p<0.05)和健康对照组(p<0.001)相比均有统计学意义(图1)。肺癌组与良性疾病的ROC分析结果特异性为96.6%,敏感性为13.8%(图2);肺癌组与健康对照的ROC分析结果特异性为96.4%,敏感性为20.7%(图3),表明EIF2S1自身抗体可特异地区分肺癌与肺部良性疾病和健康对照。The average expression level of EIF2S1 autoantibody in the plasma of lung cancer patients was 42.7SNR (fluorescence signal relative quantitative ratio), the average expression level of EIF2S1 autoantibody in the plasma of benign lung diseases was 27.3SNR, and the average expression level of EIF2S1 autoantibody in the plasma of healthy controls The level is 25.2 SNR. The lung cancer group had statistical significance compared with the benign lung disease group (p<0.05) and the healthy control group (p<0.001) (Fig. 1). The specificity and sensitivity of the ROC analysis between the lung cancer group and benign disease were 96.6% and 13.8% (Figure 2); the specificity and sensitivity of the ROC analysis between the lung cancer group and healthy controls were 96.4% and 20.7% (Figure 3). It was shown that EIF2S1 autoantibody can specifically differentiate lung cancer from benign lung disease and healthy controls.
由以上结果可知,肺癌患者与非肺癌患者的血清中EIF2S1自身抗体的水平差异显著,通过检测血清中EIF2S1自身抗体的水平,能够达到肺癌筛查的目的。From the above results, it can be seen that the levels of EIF2S1 autoantibodies in the serum of lung cancer patients and non-lung cancer patients are significantly different. By detecting the level of EIF2S1 autoantibodies in serum, the purpose of lung cancer screening can be achieved.
实施例2本发明的检测试剂盒的组成及其使用方法Embodiment 2 The composition of the detection kit of the present invention and its use method
一、试剂盒组成1. Composition of the kit
检测试剂盒(14人份):Test kit (14 people):
二、试剂盒使用方法2. How to use the kit
同实施例1第三部分——“血清中EIF2S1自身抗体的检测”。Same as the third part of Example 1 - "Detection of EIF2S1 Autoantibodies in Serum".
本发明的试剂盒可以通过检测血清中EIF2S1自身抗体的水平,可以筛查待检人群患肺癌的风险:若EIF2S1自身抗体水平高(相对于健康人而言),则患肺癌的风险高,若EIF2S1自身抗体水平低,则患肺癌的风险低。可用于临床肺癌的辅助诊断,为患者采取相关的治疗措施或者决策提供有效的依据,临床应用前景良好。The kit of the present invention can detect the level of EIF2S1 autoantibodies in serum, and can screen the risk of lung cancer in the population to be tested: if the level of EIF2S1 autoantibodies is high (relative to healthy people), the risk of developing lung cancer is high. Low levels of EIF2S1 autoantibodies are associated with a low risk of lung cancer. It can be used for auxiliary diagnosis of clinical lung cancer, and provides effective basis for patients to take relevant treatment measures or decision-making, and has a good clinical application prospect.
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