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CN113777306A - Application of urine fructose bisphosphate aldolase B and its polypeptide fragments in burns - Google Patents

Application of urine fructose bisphosphate aldolase B and its polypeptide fragments in burns Download PDF

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CN113777306A
CN113777306A CN202010520286.1A CN202010520286A CN113777306A CN 113777306 A CN113777306 A CN 113777306A CN 202010520286 A CN202010520286 A CN 202010520286A CN 113777306 A CN113777306 A CN 113777306A
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bisphosphate aldolase
fructose
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张曼
王佶图
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Beijing Shijitan Hospital
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Abstract

本发明提供一种尿液果糖二磷酸醛缩酶B(Fructose‑bisphosphate aldolase B)及其多肽片段的应用,具体为尿液果糖二磷酸醛缩酶B及其多肽片段在制备用于烧伤诊断、鉴别诊断、烧伤面积及程度评价、治疗效果评价、监测、预后评估及机理研究等制剂的应用。烧伤是日常生活中常见的重要创伤,每年每100万人中约有5000~100000人烧伤,据世界卫生组织统计,每年全球死于烧伤患者超过30万人,严重烧伤救治存活率仍处于较低水平。本发明通过研究证实,与健康人(正常对照组)相比,尿液果糖二磷酸醛缩酶B及其多肽片段在烧伤患者中表达下调。可用于烧伤患者的辅助诊断及病情监测。本发明发挥尿液标本获取无创、可大规模重复取样、保存方便的优势,利用尿液标本检测尿液果糖二磷酸醛缩酶B及其多肽片段。

Figure 202010520286

The invention provides the application of urine fructose-bisphosphate aldolase B (Fructose-bisphosphate aldolase B) and its polypeptide fragments, in particular to the preparation of urine fructose-bisphosphate aldolase B and its polypeptide fragments for use in burn diagnosis, Differential diagnosis, evaluation of burn area and degree, evaluation of treatment effect, monitoring, prognosis evaluation and mechanism research. Burns are a common and important trauma in daily life. About 5,000 to 100,000 people are burned every year per 1 million people. According to the statistics of the World Health Organization, more than 300,000 people die from burns in the world every year, and the survival rate of severe burns is still low. Level. The present invention confirms through research that compared with healthy people (normal control group), the expression of urine fructose bisphosphate aldolase B and its polypeptide fragments is down-regulated in burn patients. It can be used for auxiliary diagnosis and condition monitoring of burn patients. The invention takes advantage of the advantages of non-invasive, large-scale repeated sampling and convenient storage of urine specimens, and utilizes the urine specimens to detect urine fructose bisphosphate aldolase B and its polypeptide fragments.

Figure 202010520286

Description

Urine fructose diphosphate aldolase B and application of polypeptide fragment thereof in burn
Technical Field
The invention relates to new application of urine fructose diphosphate aldolase B and polypeptide fragments thereof, in particular to application of urine fructose diphosphate aldolase B and polypeptide fragments thereof in burn diagnosis, differential diagnosis, burn area and degree evaluation, treatment effect evaluation, monitoring, prognosis evaluation, mechanism research and the like.
Background
Burn refers to the injury of skin, tissue and even deep viscera of human body caused by chemical substances such as flame, high-temperature gas, scorching solid or liquid, radioactive rays, electric energy, strong acid and strong alkali, etc., and is a systemic comprehensive disease. After burn, a large amount of reactions such as necrosis, infection, shock, blood coagulation dysfunction and the like of wound tissues can cause a series of pathophysiological changes of organisms. Burns of different degrees have different influences on human bodies, serious burns can damage the environment in the human bodies, the burn patients have pathophysiological changes of complexity of various systems, and relevant detection indexes can correspondingly change along with the difference of the severity of the burns. Timely detection of changes in these indices can provide valuable reference for clinicians in many areas, such as disease diagnosis, disease judgment, treatment selection, and patient prognosis assessment.
However, patients with severe burns have poor skin integrity, and clinical use of hematological tests as invasive tests on the skin in such patients has presented difficulties, and repeated blood draw tests can also exacerbate patient pain. Urine as ultrafiltrate of blood contains abundant biological information, and the collection process has the advantages of non-invasive and convenient operation, and the like, which is particularly obvious in the detection of burn patients. The biomarker which is helpful for burn diagnosis and reflects disease change is searched in urine, so that the life quality and compliance of burn patients can be improved, the pain of blood collection for many times is relieved, and a reference basis which is favorable for disease diagnosis and treatment is better provided for clinicians.
Abnormal expression of Fructose diphosphate aldolase B (ALDOB) is associated with many diseases, such as hereditary Fructose intolerance, hepatitis, cirrhosis, and malignant tumors. Aldolases are also called fructose-bisphosphate aldolases, ALDOB is one of its three isoenzymes. The main function of the compound is to participate in glycolysis metabolism, and plays an important role in catalyzing the reaction process of reversibly converting fructose-1, 6-diphosphate into dihydroxyacetone phosphate and glyceraldehyde-3-phosphate. In the study, the expression of fructose diphosphate aldolase B in the urine of burn patients is reduced compared with that of healthy people, and the protein content in the urine of the burn patients is reduced.
Compared with the common clinical blood sample, the urine can be collected in a non-invasive, continuous and large amount; without homeostatic regulation, more various and larger changes can be accumulated, and many pathophysiological changes of the body can be reflected in urine. Some protein polypeptides with relatively small molecular weight, such as hormones and cytokines, are excreted into urine quickly after entering blood, and the probability that the proteins and polypeptides are detected in urine is much higher than that in blood; before urine is collected, a possible protein degradation process in urine is completed, so that urine protein can be kept stable for a longer time. In order to relieve the pain of multiple blood sampling of burn patients, the experiment is expected to realize the diagnosis and disease monitoring of the burn patients by painless, convenient, quick and easily repeated urine detection through the research of urine protein or polypeptide on the basis of the methodology exploration of the early stage, and also lays a foundation for the further research of the urine polypeptide detection kit.
Disclosure of Invention
The invention aims to provide application of urine fructose diphosphate aldolase B and polypeptide fragments thereof in preparation of preparations for burn diagnosis, differential diagnosis, burn area and degree evaluation, treatment effect evaluation, monitoring, prognosis evaluation, mechanism research and the like.
Preferably, the amino acid sequence of the urine fructose diphosphate aldolase B is shown in SEQ ID NO.1 (MAHRFPALTQ EQKKELSEIA QSIVANGKGI LAADESVGTM GNRLQRIKVE NTEENRRQFR EILFSVDSSI NQSIGGVILF HETLYQKDSQ GKLFRNILKE KGIVVGIKLD QGGAPLAGTN KETTIQGLDG LSERCAQYKK DGVDFGKWRA VLRIADQCPS SLAIQENANA LARYASICQQ NGLVPIVEPE VIPDGDHDLE HCQYVTEKVL AAVYKALNDH HVYLEGTLLK PNMVTAGHAC TKKYTPEQVA MATVTALHRT VPAAVPGICF LSGGMSEEDA TLNLNAINLC PLPKPWKLSF SYGRALQASA LAAWGGKAAN KEATQEAFMK RAMANCQAAK GQYVHTGSSG AASTQSLFTA CYTY); or an amino acid sequence which is derived from the amino acid sequence shown in SEQ ID NO.1 and has the same function with the amino acid sequence shown in SEQ ID NO. 1.
Preferably, the preparation is a detection kit for the fructose diphosphate aldolase B in urine of a burn patient and a polypeptide fragment thereof.
Preferably, the kit comprises an immunological method of antigen-antibody reaction and kits thereof such as one or more of an aptamer antibody or antibody fragment capable of specifically binding fructose bisphosphate aldolase B and polypeptide fragments thereof.
Preferably, the detection method comprises methods such as mass spectrometry for directly detecting fructose diphosphate aldolase B and polypeptide fragments thereof and related kits thereof.
Preferably, the detection method comprises a related nucleic acid detection method for directly detecting the fructose diphosphate aldolase B and the polypeptide fragment thereof, and a related kit thereof.
Preferably, the kit further comprises a component selected from the group consisting of: the kit comprises a solid phase carrier, a diluent, a reference substance, a standard substance, a quality control substance, a detection antibody, a second antibody diluent, a luminescent reagent, a washing solution, a color development solution and a stop solution, wherein the solid phase carrier is any one or a combination of a plurality of the solid phase carrier, the diluent, the reference substance, the standard substance, the quality control substance, the detection antibody, the second antibody and the second antibody diluent.
Preferably, the standard comprises a fructose bisphosphate aldolase B standard, a humanized tag antibody standard; preferably, the quality control product comprises: a fructose diphosphate aldolase B quality control product and a humanized tag antibody quality control product; preferably, the solid support comprises: particles, microspheres, glass slides, test strips, plastic beads, liquid phase chips, micro-porous plates or affinity membranes and other carriers with the same functions.
Preferably, the solid phase carrier is made of any one of polyvinyl chloride, polystyrene, polyacrylamide and cellulose, and has similar functions.
The inventor firstly collects urine samples of healthy people and burn patients, centrifugates for 5min at 4000r/min, absorbs supernatant, measures the concentration of extracted protein by a Bradford method, and carries out SDS-PAGE enzymolysis. The Label-free mass spectrometry of the urine samples was performed by the OrbitrapFasion type mass spectrometer. And performing non-labeled quantitative calculation on data obtained in the mass spectrum of the burn group and the normal control group by adopting a Labelfree algorithm in a Maxquant algorithm. The differential polypeptide is screened by using the difference of protein expression amount more than 1.5 times and P <0.05 as a reference standard through statistical test. Then, the inventors identified the differential polypeptide with statistical significance, and searched the database to obtain the differential protein fructose diphosphate aldolase B.
Compared with healthy people, the fructose diphosphate aldolase B and the polypeptide fragment thereof are low in expression in urine of burn patients and have better consistency with clinical diagnosis. Therefore, the urine fructose diphosphate aldolase B and the polypeptide fragment thereof can be used for auxiliary diagnosis or disease condition monitoring of burns.
The invention exerts the advantages of noninvasive acquisition of urine samples, large-scale repeated sampling and convenient storage, and utilizes the urine samples to detect the urine fructose diphosphate aldolase B and the polypeptide fragments thereof.
In order to make the aforementioned and other objects, features and advantages of the present invention comprehensible, preferred embodiments accompanied with figures are described in detail below.
Drawings
FIG. 1 is a graph showing the content of fructose bisphosphate aldolase B in urine and its polypeptide fragments in burn and healthy control groups.
FIG. 2 is a schematic diagram showing the involvement of fructose bisphosphate aldolase B in the major biological processes.
Detailed Description
Example 1Collection and processing of urine specimens
Burn patients were selected as the burn group, and contemporary physical examiners were selected as the normal control group. 30ml samples of fresh morning urine were collected from each group of subjects after admission, and those who failed to urinate normally collected their morning urine from their catheters and placed in dry, clean containers. Centrifuging the collected urine specimen at 4000r/min for 5min, sucking supernatant, subpackaging 2ml per tube, and storing in a refrigerator at-80 ℃.
Example 2Mass spectrometry and screening of urine polypeptides
Extracting protein from urine sample, and determining the concentration of extracted protein. Mass spectrometry of urine samples was performed by orbitrapfuision type mass spectrometry. And performing quantitative calculation on data obtained in the mass spectrum of the experimental group and the normal control group. The comparison among groups adopts t-test to carry out differential analysis, and differential expression proteins are screened by using the difference of protein expression quantity more than 1.5 times and taking the statistical test that P <0.05 as a reference standard.
Example 3Identification and analysis of differential Polypeptides
The database used at this time is a Uniprot _ Homo database, the generated mass spectrum original file is processed by MaxQuant software, and the retrieval parameter setting is shown in Table 1.
Figure 759548DEST_PATH_IMAGE001
Compared with healthy people, the fructose diphosphate aldolase B is low expressed in urine of burn patients as shown in figure 1, the main biological processes involved in the expression are shown in figure 2, and the expression of the fructose diphosphate aldolase B in urine of normal control groups and burn groups is remarkably different.
Although the present invention has been described with respect to the preferred embodiments, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the spirit and scope of the invention as defined by the appended claims.
Sequence listing
<110> Zhang Man
<120> application of urine fructose diphosphate aldolase B and polypeptide fragment thereof in burn
<130> 1
<140> 20PALDOB
<141> 2020-05-10
<160> 1
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Met Ala His Arg Phe Pro Ala Leu Thr Gln Glu Gln Lys Lys Glu Leu
1 5 10 15
Ser Glu Ile Ala Gln Ser Ile Val Ala Asn Gly Lys Gly Ile Leu Ala
20 25 30
Ala Asp Glu Ser Val Gly Thr Met Gly Asn Arg Leu Gln Arg Ile Lys
35 40 45
Val Glu Asn Thr Glu Glu Asn Arg Arg Gln Phe Arg Glu Ile Leu Phe
50 55 60
Ser Val Asp Ser Ser Ile Asn Gln Ser Ile Gly Gly Val Ile Leu Phe
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His Glu Thr Leu Tyr Gln Lys Asp Ser Gln Gly Lys Leu Phe Arg Asn
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Ile Leu Lys Glu Lys Gly Ile Val Val Gly Ile Lys Leu Asp Gln Gly
100 105 110
Gly Ala Pro Leu Ala Gly Thr Asn Lys Glu Thr Thr Ile Gln Gly Leu
115 120 125
Asp Gly Leu Ser Glu Arg Cys Ala Gln Tyr Lys Lys Asp Gly Val Asp
130 135 140
Phe Gly Lys Trp Arg Ala Val Leu Arg Ile Ala Asp Gln Cys Pro Ser
145 150 155 160
Ser Leu Ala Ile Gln Glu Asn Ala Asn Ala Leu Ala Arg Tyr Ala Ser
165 170 175
Ile Cys Gln Gln Asn Gly Leu Val Pro Ile Val Glu Pro Glu Val Ile
180 185 190
Pro Asp Gly Asp His Asp Leu Glu His Cys Gln Tyr Val Thr Glu Lys
195 200 205
Val Leu Ala Ala Val Tyr Lys Ala Leu Asn Asp His His Val Tyr Leu
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Glu Gly Thr Leu Leu Lys Pro Asn Met Val Thr Ala Gly His Ala Cys
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Thr Lys Lys Tyr Thr Pro Glu Gln Val Ala Met Ala Thr Val Thr Ala
245 250 255
Leu His Arg Thr Val Pro Ala Ala Val Pro Gly Ile Cys Phe Leu Ser
260 265 270
Gly Gly Met Ser Glu Glu Asp Ala Thr Leu Asn Leu Asn Ala Ile Asn
275 280 285
Leu Cys Pro Leu Pro Lys Pro Trp Lys Leu Ser Phe Ser Tyr Gly Arg
290 295 300
Ala Leu Gln Ala Ser Ala Leu Ala Ala Trp Gly Gly Lys Ala Ala Asn
305 310 315 320
Lys Glu Ala Thr Gln Glu Ala Phe Met Lys Arg Ala Met Ala Asn Cys
325 330 335
Gln Ala Ala Lys Gly Gln Tyr Val His Thr Gly Ser Ser Gly Ala Ala
340 345 350
Ser Thr Gln Ser Leu Phe Thr Ala Cys Tyr Thr Tyr
355 360

Claims (9)

1.尿液果糖二磷酸醛缩酶B及其多肽片段在制备用于烧伤诊断、鉴别诊断、烧伤面积及程度评价、治疗效果评价、监测、预后评估及机理研究等制剂的应用。1. The application of urine fructose bisphosphate aldolase B and its polypeptide fragments in the preparation of preparations for burn diagnosis, differential diagnosis, burn area and degree evaluation, treatment effect evaluation, monitoring, prognosis evaluation and mechanism research. 2.根据权利要求1所述的应用,其特征在于,所述尿液果糖二磷酸醛缩酶B的氨基酸序列如SEQ ID NO.1所示;或由SEQ ID NO.1所示的氨基酸序列衍生的,且与SEQ ID NO.1所示的氨基酸序列具有相同功能的氨基酸序列。2. application according to claim 1 is characterized in that, the amino acid sequence of described urine fructose bisphosphate aldolase B is as shown in SEQ ID NO.1; Or by the amino acid sequence shown in SEQ ID NO.1 A derived amino acid sequence having the same function as the amino acid sequence shown in SEQ ID NO.1. 3.根据权利要求1所述的应用,其特征在于,所述制剂为烧伤患者尿液果糖二磷酸醛缩酶B及其多肽片段检测试剂盒。3 . The application according to claim 1 , wherein the preparation is a test kit for the detection of fructose bisphosphate aldolase B and its polypeptide fragments in the urine of burn patients. 4 . 4.根据权利要求3所述的应用,其特征在于,所述试剂盒包括抗原抗体反应的免疫方法及其试剂盒如能够特异性结合果糖二磷酸醛缩酶B及其多肽片段的适配体抗体或抗体片段中的一种或多种。4. application according to claim 3, is characterized in that, described test kit comprises the immunization method of antigen-antibody reaction and test kit thereof such as the aptamer that can specifically bind fructose bisphosphate aldolase B and its polypeptide fragment One or more of an antibody or antibody fragment. 5.根据权利要求3所述的应用,其特征在于,所述检测方法包括直接检测果糖二磷酸醛缩酶B及其多肽片段的质谱等方法及其相关试剂盒。5 . The application according to claim 3 , wherein the detection method comprises methods such as mass spectrometry for directly detecting fructose bisphosphate aldolase B and its polypeptide fragments, and related kits. 6 . 6.根据权利要求3所述的应用,其特征在于,所述检测方法包括直接检测果糖二磷酸醛缩酶B及其多肽片段或其相关核酸检测等方法及其相关试剂盒。6 . The application according to claim 3 , wherein the detection method comprises a method for directly detecting fructose bisphosphate aldolase B and its polypeptide fragments or its related nucleic acid detection method and related kits. 7 . 7.根据权利要求3所述的应用,其特征在于,所述试剂盒还包括选自下组的成分:固相载体,稀释液,对照品,标准品,质控品,检测抗体,第二抗体、第二抗体稀释液,发光试剂,洗涤液、显色液、终止液中的任意一种或几种的组合。7. The application according to claim 3, wherein the test kit further comprises a component selected from the group consisting of: a solid phase carrier, a diluent, a reference substance, a standard substance, a quality control substance, a detection antibody, a second Antibody, secondary antibody diluent, luminescent reagent, washing solution, color developing solution, stop solution, any one or a combination of several. 8.根据权利要求7所述的应用,其特征在于,所述标准品包括果糖二磷酸醛缩酶B标准品、人源化标签抗体标准品;较佳地,所述质控品包括:果糖二磷酸醛缩酶B控品、人源化标签抗体质控品;较佳地,所述固相载体包括:微粒、微球、玻片、试纸条、塑料珠、液相芯片、微孔板或亲和膜等以及同等功能的其他载体。8. application according to claim 7, is characterized in that, described standard substance comprises fructose bisphosphate aldolase B standard substance, humanized tag antibody standard substance; Preferably, described quality control substance comprises: fructose Bisphosphate aldolase B control product, humanized label antibody quality control product; preferably, the solid phase carrier includes: microparticles, microspheres, glass slides, test strips, plastic beads, liquid phase chips, microwells Plates or affinity membranes, etc. and other carriers with equivalent functions. 9.根据权利要求8所述的应用,其特征在于,所述固相载体的材质为聚氯乙烯、聚苯乙烯、聚丙酰胺、纤维素中的任意一种及具有类似功能的载体。9 . The application according to claim 8 , wherein the material of the solid phase carrier is any one of polyvinyl chloride, polystyrene, polyacrylamide, cellulose, and a carrier with similar functions. 10 .
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Citations (3)

* Cited by examiner, † Cited by third party
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