CN116064741A - Application of guide RNA probe for detecting Demodex mites, kit and application thereof - Google Patents
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Abstract
Description
技术领域Technical Field
本发明涉及分子生物技术领域,尤其涉及一种导向RNA探针在制备检测蠕形螨产品中的应用,以及一种用于检测蠕形螨的CRISPR-Cas13系统,以及一种试剂盒及其使用方法。The present invention relates to the field of molecular biotechnology, and in particular to an application of a guide RNA probe in the preparation of a product for detecting Demodex mites, a CRISPR-Cas13 system for detecting Demodex mites, and a kit and a method for using the kit.
背景技术Background Art
蠕形螨(Demodicid mite)是一类在人体寄生的螨类,主要有毛囊蠕形螨(Demodexfolliculorum)和皮脂蠕形螨(Demodex brevis)两种。以往认为蠕形螨是不致病或低致病性的,因为绝大多数人体蠕形螨感染者无自觉症状,表现为无症状的带虫者,或仅有轻微痒感或烧灼感。蠕形螨感染所表现的临床症状因患者的免疫状态、营养状况、寄生的虫种及感染度等因素有关。但近年来研究发现,人体蠕形螨在皮肤内活动时对上皮细胞和腺细胞造成机械性破坏,使毛囊、皮脂腺失去正常的结构和功能,引起毛囊扩张,上皮变性。当寄生虫体较多时,可引起角化过度或角化不全,皮脂腺分泌阻塞及真皮层毛细血管增生并扩张等病变;虫体的机械刺激和其分泌物、代谢物的化学刺激可引起皮肤组织的炎症反应,导致宿主局部皮肤的非细菌性炎症反应。此外,虫体代谢物可引起变态反应,虫体的进出活动携带其他病原生物进入毛囊或皮脂腺可致继发感染,引起毛囊周围细胞浸润,纤维组织增生。临床上常见的症状有患处皮肤轻度潮红和异常油腻,继而出现弥漫性潮红、充血,继发性红斑湿疹或散在的针尖至粟粒大小不等的红色痤疮状丘疹、脓疮、结痂及脱屑,皮脂异常渗出、毛囊口扩大,表面粗糙,皮肤有瘙痒感及烧灼感等。此外,酒渣鼻、毛囊炎、痤疮、脂溢性皮炎和睑缘炎等皮肤病患者的蠕形螨感染率及感染度均显著高于健康人及一般皮肤病患者,表明这些现象可能与蠕形螨的感染有关。Demodicid mites are a type of mite that parasitizes the human body, mainly Demodex folliculorum and Demodex brevis. In the past, it was believed that Demodicid mites were non-pathogenic or low-pathogenic, because the vast majority of people infected with Demodicid mites have no symptoms, appearing as asymptomatic carriers, or only with slight itching or burning sensations. The clinical symptoms of Demodicid infection are related to factors such as the patient's immune status, nutritional status, parasitic worm species, and degree of infection. However, recent studies have found that when human Demodicid mites move in the skin, they cause mechanical damage to epithelial cells and glandular cells, causing hair follicles and sebaceous glands to lose their normal structure and function, causing hair follicle expansion and epithelial degeneration. When there are many parasites, it can cause lesions such as hyperkeratosis or incomplete keratinization, obstruction of sebaceous gland secretion, and proliferation and dilation of capillaries in the dermis; mechanical stimulation of the parasite and chemical stimulation of its secretions and metabolites can cause inflammatory reactions of skin tissue, leading to non-bacterial inflammatory reactions of the host's local skin. In addition, the metabolites of the parasite can cause allergic reactions, and the movement of the parasite in and out can carry other pathogens into the hair follicles or sebaceous glands, which can cause secondary infections, causing infiltration of cells around the hair follicles and proliferation of fibrous tissue. Common clinical symptoms include mild flushing and abnormal oiliness of the skin in the affected area, followed by diffuse flushing, congestion, secondary erythema eczema, or scattered red acne-like papules ranging in size from pinpoints to millets, pustules, crusts and desquamation, abnormal sebum exudation, enlarged hair follicle openings, rough surface, itching and burning sensations on the skin, etc. In addition, the infection rate and degree of Demodex in patients with skin diseases such as rosacea, folliculitis, acne, seborrheic dermatitis and blepharitis are significantly higher than those in healthy people and general skin disease patients, indicating that these phenomena may be related to the infection of Demodex.
对于蠕形螨病的检测,常用的方法有透明胶带法(cellophane tape method,CTP)、挤压法、睫毛镜检法、以及外耳道蠕形螨检测等。Commonly used methods for detecting demodicosis include the cellophane tape method (CTP), the squeeze method, the eyelash microscopy method, and the external auditory canal demodicosis test.
其中,透明胶带法是目前用于面部蠕形螨检测的有效方法,具有检测面积大、检出率高、无痛无创的优点,适用于人群蠕形螨感染调查和获取成虫虫源,但需过夜,患者次日送检,依从性较差,不适合临床门诊快速检查。挤压法是我国临床门诊常用的检查方法,显微镜镜检可检查到各期螨虫,操作简单快捷,但受检面积有限,检出率较低。睫毛镜检法是眼蠕形螨常用的检测方法。裂隙灯下拔取眼睫毛,最好选择拔取带有圆柱状鳞屑的睫毛,可检出各期蠕形螨;若圆柱状鳞屑致密,则加入荧光素溶液以溶解致密的鳞屑并刺激蠕形螨向外迁徙,提高检出率。而外耳道蠕形螨检测则是通过收集耵聍等外耳道分泌物,镜检蠕形螨。Among them, the transparent tape method is currently an effective method for facial Demodex detection. It has the advantages of large detection area, high detection rate, and is painless and non-invasive. It is suitable for the investigation of Demodex infection in the population and obtaining adult worm sources, but it needs to be kept overnight and the patient must be sent for examination the next day. The compliance is poor and it is not suitable for rapid examination in clinical outpatient clinics. The squeeze method is a commonly used examination method in clinical outpatient clinics in my country. Microscopic examination can detect mites of all stages. The operation is simple and quick, but the inspection area is limited and the detection rate is low. Eyelash microscopy is a commonly used method for detecting ocular Demodex. When pulling out eyelashes under a slit lamp, it is best to choose eyelashes with cylindrical scales, which can detect Demodex of all stages; if the cylindrical scales are dense, add fluorescein solution to dissolve the dense scales and stimulate Demodex to migrate outward, thereby increasing the detection rate. The external auditory canal Demodex detection is to collect earwax and other external auditory canal secretions for microscopic examination of Demodex.
以上的方法都是基于形态学的方法,需要专业的设备和技术人类来识别蠕形螨,只能在专业的机构进行,不适合患者在家中自检。The above methods are all based on morphological methods, which require professional equipment and technical humans to identify Demodex mites. They can only be performed in professional institutions and are not suitable for patients to self-examine at home.
发明内容Summary of the invention
本发明的目的是为了解决现有技术中存在的缺点,而提出的一种导向RNA探针在制备检测蠕形螨产品中的应用,以及一种用于检测蠕形螨的CRISPR-Cas13系统,以及一种试剂盒及其使用方法。The purpose of the present invention is to solve the shortcomings of the prior art and to propose an application of a guide RNA probe in the preparation of a product for detecting Demodex mites, a CRISPR-Cas13 system for detecting Demodex mites, and a kit and a method for using the kit.
本发明能够解决现有蠕形螨感染检测需要特殊设备和专业技术的问题,简化检测流程,患者在家中即可完成检测,适用于任何场景的蠕形螨感染的诊断和筛查,并且提高检测的灵敏度。The present invention can solve the problem that the existing Demodex infection detection requires special equipment and professional technology, simplify the detection process, and patients can complete the detection at home. It is suitable for the diagnosis and screening of Demodex infection in any scenario and improves the sensitivity of detection.
本发明目的之一在于:提供一种导向RNA探针在制备检测蠕形螨产品中的应用,所述导向RNA探针的编码DNA序列如SEQ ID No.1至SEQ ID No.10中至少一项所示。One of the purposes of the present invention is to provide an application of a guide RNA probe in the preparation of a product for detecting Demodex mites, wherein the coding DNA sequence of the guide RNA probe is shown in at least one of SEQ ID No. 1 to SEQ ID No. 10.
该导向RNA探针的序列已记录在本申请人在先申请(申请号为202210917814.6,申请日为2022年08月01日,发明名称为:导向RNA探针及用于检测尘螨变应原的应用和试剂盒)中。The sequence of the guide RNA probe has been recorded in the applicant's prior application (application number 202210917814.6, application date August 1, 2022, invention name: Guide RNA probe and its application and kit for detecting dust mite allergens).
优选地,所述产品为药物、试剂或试剂盒。Preferably, the product is a medicine, a reagent or a kit.
优选地,所述导向RNA探针的靶基因为蠕形螨几丁质合成酶基因。蠕形螨几丁质合成酶基因如SEQ ID No.13所示。Preferably, the target gene of the guide RNA probe is the Demodex chitin synthase gene. The Demodex chitin synthase gene is shown in SEQ ID No.13.
优选地,所述导向RNA探针的编码DNA序列包括:用于Cas13a核酸酶识别的核酸序列,以及与靶基因互补的核酸序列。Preferably, the coding DNA sequence of the guide RNA probe includes: a nucleic acid sequence for Cas13a nuclease recognition, and a nucleic acid sequence complementary to the target gene.
本发明目的之二在于:提供一种用于检测蠕形螨的CRISPR-Cas13系统,包括:Cas13a核酸酶、上述应用中所用导向RNA探针、报告分子;所述导向RNA探针针对蠕形螨几丁质合成酶基因,Cas13a核酸酶通过在导向RNA探针识别靶基因后,激活酶活性,并对报告分子进行切割,释放检测信号。The second object of the present invention is to provide a CRISPR-Cas13 system for detecting Demodex mites, comprising: Cas13a nuclease, the guide RNA probe used in the above application, and a reporter molecule; the guide RNA probe targets the Demodex mite chitin synthase gene, and the Cas13a nuclease activates the enzyme activity after the guide RNA probe recognizes the target gene, and cuts the reporter molecule to release a detection signal.
优选地,报告分子为非特异性报告分子,其序列为/56-FAM/mArArUrGrGrCmAmArArUrGrGrCmA/3Bio/,其中5’端用FAM标记,3’端用生物素标记。Preferably, the reporter molecule is a non-specific reporter molecule, whose sequence is /56-FAM/mArArUrGrGrCmAmArArUrGrGrCmA/3Bio/, wherein the 5' end is labeled with FAM and the 3' end is labeled with biotin.
优选地,还包括:检测缓冲液,检测缓冲液包括:T7 DNA聚合酶、rNTPs和氯化镁。Preferably, the method further comprises: a detection buffer, wherein the detection buffer comprises: T7 DNA polymerase, rNTPs and magnesium chloride.
优选地,检测缓冲液C包括:2U T7 DNA聚合酶、10mM rNTPs和3mM氯化镁。Preferably, detection buffer C comprises: 2U T7 DNA polymerase, 10mM rNTPs and 3mM magnesium chloride.
本发明目的之三在于:提供针对蠕形螨几丁质合成酶基因的引物对,包括:CHS-F和CHS-R,其核酸序列依次如SEQ ID No.11和SEQ ID No.12所示。The third object of the present invention is to provide a primer pair for the chitin synthase gene of Demodex mite, including: CHS-F and CHS-R, whose nucleic acid sequences are shown in SEQ ID No.11 and SEQ ID No.12 respectively.
本发明目的之四在于:提供上述针对蠕形螨几丁质合成酶基因的引物对在等温扩增中的应用。The fourth object of the present invention is to provide the use of the above primer pair for the chitin synthase gene of Demodex mite in isothermal amplification.
本发明目的之五在于:提供一种试剂盒,包括:等温扩增系统,上述用于检测蠕形螨的CRISPR-Cas13系统,以及可视化系统。The fifth object of the present invention is to provide a kit comprising: an isothermal amplification system, the above-mentioned CRISPR-Cas13 system for detecting Demodex mites, and a visualization system.
优选地,等温扩增系统包括:上述针对蠕形螨几丁质合成酶基因的引物对。Preferably, the isothermal amplification system comprises: the above-mentioned primer pair targeting the Demodex chitin synthase gene.
优选地,等温扩增系统还包括:RPA重组酶、反应缓冲液V、醋酸镁溶液、无核酸水。Preferably, the isothermal amplification system further comprises: RPA recombinase, reaction buffer V, magnesium acetate solution, and nuclease-free water.
优选地,RPA重组酶包括:T4噬菌体重组酶UvsX、辅助因子UvsY、DNA聚合酶、单链DNA结合蛋白和dNTPs。Preferably, the RPA recombinase comprises: T4 phage recombinase UvsX, auxiliary factor UvsY, DNA polymerase, single-stranded DNA binding protein and dNTPs.
优选地,反应缓冲液V包括:40mM Tris(pH=7.9)、64mM醋酸钾、8mM乙酸镁、0.8mMDTT、2.4mM ATP、16mM磷酸肌酸、80ng/μL肌酸激酶和质量浓度为5%的聚乙二醇。Preferably, the reaction buffer V comprises: 40 mM Tris (pH=7.9), 64 mM potassium acetate, 8 mM magnesium acetate, 0.8 mM DTT, 2.4 mM ATP, 16 mM creatine phosphate, 80 ng/μL creatine kinase and polyethylene glycol with a mass concentration of 5%.
优选地,醋酸镁溶液摩尔浓度为250mM。Preferably, the molar concentration of the magnesium acetate solution is 250 mM.
优选地,可视化系统包括:横向流动试纸条、检测层析液。Preferably, the visualization system comprises: a lateral flow test strip and a detection chromatographic fluid.
优选地,横向流动试纸条前端包被有带FAM抗体的纳米金粒,检测线上包被有生物素抗体,质控线上包被有固定抗体。Preferably, the front end of the lateral flow test strip is coated with gold nanoparticles with FAM antibodies, the detection line is coated with biotin antibodies, and the quality control line is coated with fixed antibodies.
本发明目的之五在于:提供上述试剂盒的使用方法,包括如下步骤:将样品DNA通过等温扩增系统进行体外扩增;随后经用于检测蠕形螨的CRISPR-Cas13系统对蠕形螨几丁质合成酶基因进行特异性识别;通过可视化系统观察检测信号以判断待检样品是否含有蠕形螨。The fifth object of the present invention is to provide a method for using the above-mentioned kit, comprising the following steps: amplifying the sample DNA in vitro through an isothermal amplification system; then specifically identifying the Demodex chitin synthase gene through a CRISPR-Cas13 system for detecting Demodex mites; and observing the detection signal through a visualization system to determine whether the sample to be tested contains Demodex mites.
横向流动试纸条前端包被有带FAM抗体的荧光微球,其荧光微球采用(羧基)偶联抗体两步法工艺,通过微球的稀释、活化、去除残留EDC、偶联抗体、封闭、去除未结合抗体等步骤制成。控制线(C线)在后端,其上包被有羊抗鼠抗体;检测线(T线)位于控制线前,其上包被有固定抗体。完整的非特异性报告分子不受检测线上的固定抗体限制,会与羊抗鼠抗体结合而被保留在控制线上显色,而经过Cas13a水解的非特异性报告分子可以结合检测线上的固定抗体而显色。The front end of the lateral flow test strip is coated with fluorescent microspheres with FAM antibodies. The fluorescent microspheres are made by a two-step process of (carboxyl) coupled antibodies, through the steps of dilution, activation, removal of residual EDC, coupled antibodies, blocking, and removal of unbound antibodies of the microspheres. The control line (C line) is at the rear end, on which sheep anti-mouse antibodies are coated; the test line (T line) is located in front of the control line, on which fixed antibodies are coated. The complete nonspecific reporter molecules are not restricted by the fixed antibodies on the test line, and will bind to the sheep anti-mouse antibodies and be retained on the control line for color development, while the nonspecific reporter molecules hydrolyzed by Cas13a can bind to the fixed antibodies on the test line for color development.
本发明能够对蠕形螨进行检测,采用恒温扩增的方式并结合横向流动试纸条,不需要复杂的温控,具有操作简单,灵敏度高,特异性强,检测速度快等诸多技术优势。本发明通过挤压法获取毛囊分泌物,利用导向RNA探针技术对毛囊分泌物中的蠕形螨几丁质合成酶基因(Chitin Synthase gene)进行检测,具有操作简单,灵敏度高的特点,且不需要特殊设备,患者在家即可完成检测和结果的判读,了解是否有蠕形螨的感染。The present invention can detect Demodex mites, adopts a constant temperature amplification method and combines a lateral flow test strip, does not require complex temperature control, and has many technical advantages such as simple operation, high sensitivity, strong specificity, and fast detection speed. The present invention obtains hair follicle secretions by an extrusion method, and uses a guided RNA probe technology to detect the chitin synthase gene of Demodex mites in the hair follicle secretions. It has the characteristics of simple operation and high sensitivity, and does not require special equipment. Patients can complete the detection and result interpretation at home to understand whether they are infected with Demodex mites.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1为采用本发明方法检测疑似患者毛囊分泌物提取物为阳性的照片。FIG. 1 is a photograph showing that the hair follicle secretion extract of a suspected patient tested positive using the method of the present invention.
图2为透明胶纸法镜检疑似患者为阳性的照片。Figure 2 is a photograph of a suspected patient who tested positive under the transparent tape method.
具体实施方式DETAILED DESCRIPTION
下面结合具体实施例对本发明作进一步解说。The present invention will be further explained below in conjunction with specific embodiments.
实施例1Example 1
1.1引物及探针设计1.1 Primer and probe design
针对蠕形螨几丁质合成酶基因进行引物设计,并合成DNA序列,具体如下:Primers were designed for the chitin synthase gene of Demodex mite, and the DNA sequence was synthesized as follows:
设计探针,导向RNA探针的DNA序列具体如下:Design the probe. The DNA sequence of the guide RNA probe is as follows:
1.2探针制备1.2 Probe preparation
合成探针的DNA序列。取5μL导向RNA探针对应的DNA序列(带T7)加入转录反应体系中,混匀;将反应管置于37℃反应16h。反应结束后,用磁珠纯化反应产物,得到导向RNA序列。Synthesize the DNA sequence of the probe. Take 5 μL of the DNA sequence corresponding to the guide RNA probe (with T7) and add it to the transcription reaction system, mix well; place the reaction tube at 37°C for 16 hours. After the reaction is completed, purify the reaction product with magnetic beads to obtain the guide RNA sequence.
转录反应体系为:The transcription reaction system is:
1.3等温扩增1.3 Isothermal amplification
取5μL待检测样品和无核酸水分别加入等温扩增反应体系中,混匀;将反应板置于39℃反应15min,反应结束后,得到待检测样品的等温扩增反应产物。Take 5 μL of the sample to be tested and nucleic acid-free water and add them to the isothermal amplification reaction system respectively, and mix them evenly; place the reaction plate at 39° C. for 15 minutes. After the reaction is completed, the isothermal amplification reaction product of the sample to be tested is obtained.
1.4靶向检测1.4 Targeted Detection
取1μL等温扩增产物进行检测。其中检测反应体系如下:Take 1 μL of isothermal amplification product for detection. The detection reaction system is as follows:
非特异性报告分子如下:Non-specific reporter molecules are as follows:
反应结束后,向产物添加20μL试纸条检测层析液,混匀离心后将横向流动试纸条的载样区插入检测液中,2-5min后根据检测线条带的明亮度差异,可以通过肉眼直接观察并进行判读。After the reaction is completed, add 20 μL of test strip detection chromatography liquid to the product, mix and centrifuge, then insert the sample loading area of the lateral flow test strip into the detection liquid. After 2-5 minutes, it can be directly observed and interpreted by the naked eye based on the brightness difference of the detection line band.
实施例2Example 2
通过门诊选取疑似蠕形螨感染的患者,经挤压法获取其毛囊分泌物,样本保存在Eppendorf管(EPs)中,保存温度为-20℃。本研究中无需伦理许可。将样本置于液氮中冻融1min,然后球磨10min,重复进行4次。使用DNA提取试剂盒(OMEGA,Georgia,USA)提取gDNA,并在-20℃下保存在EPs中。按实施例1的步骤对所得提取物进行检测,如图1所示。Patients suspected of being infected with Demodex were selected from the outpatient clinic, and their hair follicle secretions were obtained by squeezing. The samples were stored in Eppendorf tubes (EPs) at -20°C. No ethical approval was required for this study. The samples were placed in liquid nitrogen for freeze-thaw for 1 min, then ball-milled for 10 min, and repeated 4 times. gDNA was extracted using a DNA extraction kit (OMEGA, Georgia, USA) and stored in EPs at -20°C. The obtained extracts were tested according to the steps of Example 1, as shown in Figure 1.
同时对上述患者采用透明胶纸法,其结果如图2所示。At the same time, the transparent tape method was used for the above patients, and the results are shown in Figure 2.
将本发明发明和透明胶纸法的检测结果进行对比,具体如下:The test results of the present invention and the cellophane tape method are compared as follows:
虽然,蠕形螨的检测往往采用透明胶纸法。该方法检测结果准确可靠,但是需要专门的设备和专业的技术知识,而且检测时间较长,需要过夜。Although the detection of Demodex mites often uses the transparent tape method, the test results of this method are accurate and reliable, but it requires special equipment and professional technical knowledge, and the detection time is long and needs to be overnight.
通过与传统的透明胶纸法对比,虽然本发明方法的特异度78.0%不如透明胶纸法的91.4%,但是本方法的灵敏度为85.2%,明显高于透明胶纸法的65.8%;而且检测时间短,能更快的缩小确诊范围。By comparing with the traditional cellophane tape method, although the specificity of the method of the present invention is 78.0%, which is not as good as 91.4% of the cellophane tape method, the sensitivity of the method is 85.2%, which is significantly higher than 65.8% of the cellophane tape method; and the detection time is short, which can narrow the diagnosis range more quickly.
以上所述,仅为本发明较佳的具体实施方式,但本发明的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本发明揭露的技术范围内,根据本发明的技术方案及其发明构思加以等同替换或改变,都应涵盖在本发明的保护范围之内。The above description is only a preferred specific implementation manner of the present invention, but the protection scope of the present invention is not limited thereto. Any technician familiar with the technical field can make equivalent replacements or changes according to the technical scheme and inventive concept of the present invention within the technical scope disclosed by the present invention, which should be covered by the protection scope of the present invention.
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