CN116183921A - Detection reagent for detecting pancreatic cancer based on oligosaccharide chain, preparation method and application - Google Patents
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Abstract
Description
技术领域technical field
本发明属于生物医药技术领域,涉及一种胰腺癌的检测方法,具体涉及一种基于血清寡糖链G-Test特异指纹图谱的胰腺癌检测方法。The invention belongs to the technical field of biomedicine and relates to a method for detecting pancreatic cancer, in particular to a method for detecting pancreatic cancer based on the specific fingerprint of serum oligosaccharide chain G-Test.
背景技术Background technique
胰腺癌是一种恶性程度很高,诊断和治疗都很困难的消化道恶性肿瘤,约90%为起源于腺管上皮的导管腺癌。胰腺癌早期的确诊率不高,手术死亡率较高,而治愈率很低,也是预后最差的恶性肿瘤之一,5年生存率低于5%。胰腺癌起病隐匿,早期症状不典型,常表现为上腹部不适、腰背部痛、消化不良或腹泻等,易与其他消化系统疾病相混淆,出现症状时大多已属中晚期。胰腺癌的病理分型是以组织形态结构和细胞生物学特性为基础,不同类型的胰腺癌,其形态结构和生物学行为各异,流行病学和分子机制亦不同,因此现有的胰腺癌病理分型系统众多。在所有类型的胰腺癌中,胰腺导管腺癌(PDAC)是最为常见的,占85%-90%,而患者总体的5年生存率低于5%,这一数字在近50年来都没有改善。其它各类胰腺肿瘤约占胰腺肿瘤的10%-15%。由于胰腺癌早期转移、生长迅速且位置较深,症状及体征均缺乏典型性,临床上容易漏诊或误诊。Pancreatic cancer is a highly malignant tumor of the digestive tract that is difficult to diagnose and treat. About 90% of them are ductal adenocarcinomas originating from the ductal epithelium. The early diagnosis rate of pancreatic cancer is not high, the operative mortality rate is high, and the cure rate is very low. It is also one of the malignant tumors with the worst prognosis, and the 5-year survival rate is less than 5%. The onset of pancreatic cancer is hidden, and the early symptoms are not typical. It often manifests as upper abdominal discomfort, low back pain, indigestion or diarrhea, etc. It is easy to be confused with other digestive system diseases, and most of the symptoms are in the middle and late stages. The pathological classification of pancreatic cancer is based on histological structure and cell biological characteristics. Different types of pancreatic cancer have different morphological structures and biological behaviors, as well as different epidemiological and molecular mechanisms. Therefore, the existing pancreatic cancer There are many pathological classification systems. Among all types of pancreatic cancer, pancreatic ductal adenocarcinoma (PDAC) is the most common, accounting for 85%-90%, and the overall 5-year survival rate of patients is less than 5%, which has not improved in the past 50 years . Other types of pancreatic tumors account for about 10% -15% of pancreatic tumors. Due to the early metastasis, rapid growth and deep location of pancreatic cancer, the symptoms and signs are not typical, so it is easy to be missed or misdiagnosed clinically.
胰腺癌的临床诊断主要有影像学检测和肿瘤标志物检测。影像学检查包括CT、MRI等作为辅助检查进行胰腺癌的诊断,其特异性有待进一步提高。目前出现的胰腺癌诊断试剂盒都是检测一些常见的肿瘤标记物,如C19-9、癌胚抗原CEA等,灵敏性及准确性都偏低。单项检测往往有很大的局限性,难以满足快速诊断的要求。上述诊断方法都有自身的局限性,目前急需探索出用于辅助诊断胰腺癌并同时具有较高灵敏度和特异度的新型无创性方法。The clinical diagnosis of pancreatic cancer mainly includes imaging detection and tumor marker detection. Imaging examinations, including CT and MRI, are used as auxiliary examinations for the diagnosis of pancreatic cancer, and their specificity needs to be further improved. The currently available diagnostic kits for pancreatic cancer are designed to detect some common tumor markers, such as C19-9, carcinoembryonic antigen CEA, etc., with low sensitivity and accuracy. Single detection often has great limitations, and it is difficult to meet the requirements of rapid diagnosis. The above-mentioned diagnostic methods have their own limitations, and there is an urgent need to explore new non-invasive methods for auxiliary diagnosis of pancreatic cancer with high sensitivity and specificity.
糖蛋白是通过蛋白质的翻译后修饰即糖基化后形成的一类结合蛋白。蛋白质的糖基化(Glycosylation)是一种最常见的蛋白翻译后修饰,是在糖基转移酶作用下将糖类转移至蛋白质和蛋白质上特殊的氨基酸残基形成糖苷键的过程。大多数的糖蛋白都是分泌蛋白,广泛存在于细胞膜、细胞间质、血浆以及粘液中。蛋白质上N-糖链通过加工修饰来调控蛋白质的结构,稳定性和活性,所以糖蛋白中糖链对于维持机体生物学功能起重要作用,从而赋予糖蛋白具有多种生物功能。因此了解糖链的改变有助于阐明炎症、肿瘤细胞对周围组织侵袭及转移等异常生物行为学的分子机理。Glycoproteins are a class of binding proteins formed by post-translational modification of proteins, namely glycosylation. Protein glycosylation (Glycosylation) is the most common post-translational modification of proteins. It is a process in which sugars are transferred to proteins and special amino acid residues on proteins to form glycosidic bonds under the action of glycosyltransferases. Most glycoproteins are secreted proteins, widely present in cell membranes, interstitial cells, plasma, and mucus. N-sugar chains on proteins regulate the structure, stability and activity of proteins through processing and modification, so the sugar chains in glycoproteins play an important role in maintaining the biological functions of the body, thus endowing glycoproteins with various biological functions. Therefore, understanding the changes in sugar chains is helpful to elucidate the molecular mechanisms of abnormal biological behaviors such as inflammation, tumor cell invasion and metastasis of surrounding tissues.
目前己经在多种肿瘤中发现了蛋白质N-糖链的异常改变,而N-糖链的末端唾液酸修饰改变是其中之一。唾液酸是一类带负电荷的9碳糖化合物,广泛存在于生物体内,常位于聚糖链末端;其在唾液酸酶的作用下通过α-2,3或α-2,6糖苷键与糖链上的半乳糖或N-乙酰半乳糖胺连接形成聚唾液酸链。研究发现聚糖链末端的唾液酸在调控细胞的相互识别、分子相互作用、病毒感染、免疫响应以及信号传导起到重要的功能,且细胞表面糖蛋白质唾液酸修饰具有组织和细胞特异性。众多研究表明唾液酸修饰异常参与了疾病的发生发展,且与多种疾病如感染性疾病以及肿瘤的浸润和转移有着密切关系。因此检测唾液酸相关的寡糖基的改变对于疾病的诊断和作为靶点开发治疗的药物具有潜在的临床价值。At present, abnormal changes of protein N-sugar chains have been found in various tumors, and the modification of the terminal sialic acid of N-sugar chains is one of them. Sialic acid is a kind of negatively charged 9-carbon sugar compound, which widely exists in organisms and is often located at the end of the glycan chain; under the action of sialidase, it binds to Galactose or N-acetylgalactosamine on the sugar chains are linked to form polysialic acid chains. Studies have found that the sialic acid at the end of the glycan chain plays an important role in regulating cell mutual recognition, molecular interaction, virus infection, immune response and signal transduction, and the sialic acid modification of cell surface glycoproteins has tissue and cell specificity. Many studies have shown that abnormal sialic acid modification is involved in the occurrence and development of diseases, and is closely related to various diseases such as infectious diseases and tumor invasion and metastasis. Therefore, the detection of changes in sialic acid-related oligosaccharides has potential clinical value for the diagnosis of diseases and the development of therapeutic drugs as targets.
发明内容Contents of the invention
针对目前临床上使用的胰腺癌检测中存在的问题,如血液检查和影像学检测特异性和准确度不高,病理检查有创伤性,患者依存性差等,本发明提供一种胰腺癌检测试剂,通过该试剂测定血清中的天然寡糖N-糖组图谱,再将峰值量化并进行统计学分析,从而提供一种胰腺癌的血清天然寡糖N-糖组图谱模型的建立方法,通过测定生理病理状态下蛋白质的天然糖基化修饰的改变来检测胰腺癌。Aiming at the problems existing in the detection of pancreatic cancer currently used clinically, such as low specificity and accuracy of blood test and imaging detection, traumatic pathological examination, poor patient dependence, etc., the present invention provides a pancreatic cancer detection reagent, Use this reagent to measure the N-glycan profile of natural oligosaccharides in serum, and then quantify the peak value and perform statistical analysis to provide a method for establishing a model of the N-glycan profile of natural oligosaccharides in serum of pancreatic cancer. Pancreatic cancer is detected by measuring changes in the natural glycosylation modification of proteins under physiological and pathological conditions.
本发明采用的技术方案如下:The technical scheme that the present invention adopts is as follows:
一种基于寡糖链检测胰腺癌的检测试剂,由以下试剂组成:A detection reagent for detecting pancreatic cancer based on oligosaccharide chains, consisting of the following reagents:
试剂A:浓度为10mM、pH为8.3的碳酸氢铵溶液中加入质量浓度1~5%的SDS配制而成;Reagent A: prepared by adding SDS with a mass concentration of 1 to 5% in an ammonium bicarbonate solution with a concentration of 10 mM and a pH of 8.3;
试剂B:由0.05~10单位/10μl糖胺酰酶、质量浓度10%的NP-40和浓度为10mM、pH为8.3的碳酸氢铵溶液混合配制而成,混合溶液pH值为5~9;Reagent B: It is prepared by mixing 0.05-10 units/10 μl of glucosamidase, NP-40 with a mass concentration of 10%, and an ammonium bicarbonate solution with a concentration of 10 mM and a pH of 8.3, and the pH value of the mixed solution is 5-9;
试剂C:由8-氨基芘-1,3,6-三磺酸溶于DMSO中配制成浓度为0.02mM~1M有机物还原剂;Reagent C: Dissolving 8-aminopyrene-1,3,6-trisulfonic acid in DMSO to make a reducing agent with a concentration of 0.02mM~1M;
试剂D:终止液。Reagent D: stop solution.
优选的,所述试剂A、试剂B与试剂C的体积比是1:1:1。Preferably, the volume ratio of the reagent A, reagent B and reagent C is 1:1:1.
优选的,所述试剂A、试剂B与试剂C的体积都为5μl。Preferably, the volumes of reagent A, reagent B and reagent C are all 5 μl.
优选的,所述试剂D为超纯水。Preferably, the reagent D is ultrapure water.
一种基于寡糖链检测胰腺癌检测试剂的制备方法,包括以下步骤:A method for preparing a reagent for detecting pancreatic cancer based on oligosaccharide chains, comprising the following steps:
步骤一寡糖链的制备Step 1 Preparation of oligosaccharide chains
在经过灭活处理的5μl血清样品中加入5μl试剂A,进行变性,冷却至室温后,加入5μl试剂B,37℃反应3h,然后进行干燥;Add 5 μl of reagent A to 5 μl of inactivated serum sample for denaturation, after cooling to room temperature, add 5 μl of reagent B, react at 37°C for 3 hours, and then dry;
步骤二寡糖链的标记Labeling of step two oligosaccharide chains
在步骤一干燥后得到的样品中加入5μl试剂C,60℃反应1h后进行荧光标记,然后加入100μl试剂D终止标记反应;Add 5 μl of reagent C to the sample obtained after drying in step 1, react for 1 hour at 60°C for fluorescent labeling, then add 100 μl of reagent D to terminate the labeling reaction;
步骤三寡糖链分离分析Step 3 Oligosaccharide Chain Separation Analysis
取10μl寡糖链标记后的液体,用分析仪进行N-寡糖链分离检测,得到天然寡糖N-糖组图谱;Take 10 μl of the liquid labeled with oligosaccharide chains, and use an analyzer to separate and detect N-oligosaccharide chains to obtain the N-glycan map of natural oligosaccharides;
步骤四数据处理分析Step 4 Data processing and analysis
N-糖组图谱的峰值量化:将每个峰的峰高值除以所有峰的高度的总和,计算得到每个峰的相对含量。Peak quantification of the N-glycan profile: divide the peak height value of each peak by the sum of the heights of all peaks to calculate the relative content of each peak.
一种组合物在制备寡糖链胰腺癌检测试剂中的应用,所述组合物由血清中的G4S4、G3S3、G2S2、G2S2F、G2S1、G2S1F、G1F和G2F2组成,所述组合物通过G2S2/G3S3+G2S2/G2S2F的值来检测胰腺癌。Application of a composition in the preparation of oligosaccharide chain pancreatic cancer detection reagents, the composition is composed of G4S4, G3S3, G2S2, G2S2F, G2S1, G2S1F, G1F and G2F2 in serum, and the composition passes through G2S2/G3S3 +G2S2/G2S2F values to detect pancreatic cancer.
所述G1F为同分异构体。The G1F is an isomer.
本发明提供一种胰腺癌的血清天然寡糖N-糖组图谱模型的建立方法,通过测定血清天然寡糖链G-Test特异指纹图谱,进行统计学分析。The invention provides a method for establishing a serum natural oligosaccharide N-glycan group pattern model of pancreatic cancer. Statistical analysis is carried out by measuring the serum natural oligosaccharide chain G-Test specific fingerprint.
材料和方法:Materials and methods:
一、检测样本:胰腺癌患者和健康人的血清。1. Test samples: Serum from patients with pancreatic cancer and healthy people.
二、实验设备:毛细管电泳分析仪,PCR,离心机。2. Experimental equipment: capillary electrophoresis analyzer, PCR, centrifuge.
三、试剂制备:3. Reagent preparation:
1、试剂A:浓度为10mM、pH为8.3的碳酸氢铵溶液中加入质量浓度1~5%的SDS配制而成;1. Reagent A: prepared by adding SDS with a mass concentration of 1 to 5% in an ammonium bicarbonate solution with a concentration of 10 mM and a pH of 8.3;
2、试剂B:由0.05~10单位/10μl糖胺酰酶、质量浓度10%的NP-40和浓度为10mM、pH为8.3的碳酸氢铵溶液混合配制而成,混合溶液pH值为5~9;2. Reagent B: It is prepared by mixing 0.05-10 units/10 μl of glucosamidase, NP-40 with a mass concentration of 10%, and ammonium bicarbonate solution with a concentration of 10 mM and a pH of 8.3. The pH value of the mixed solution is 5-5 9;
3、试剂C:由8-氨基芘-1,3,6-三磺酸溶于DMSO中配制成浓度为0.02mM~1M有机物还原剂;3. Reagent C: Dissolve 8-aminopyrene-1,3,6-trisulfonic acid in DMSO to make a reducing agent with a concentration of 0.02mM~1M;
4、试剂D:终止液。4. Reagent D: stop solution.
四、N-糖组图谱检测4. Detection of N-glycan profile
1、寡糖链的制备1. Preparation of oligosaccharide chains
在经过灭活处理的5μl血清样品中加入5μl试剂A,进行变性;待冷却至室温后,加入5μl试剂B,37℃反应3h,然后进行干燥。Add 5 μl reagent A to the inactivated 5 μl serum sample for denaturation; after cooling to room temperature, add 5 μl reagent B, react at 37°C for 3 hours, and then dry.
2、寡糖链的标记2. Labeling of oligosaccharide chains
(1)干燥后的样品中加入5μl试剂C,60℃反应1h,进行荧光标记;(1) Add 5 μl of reagent C to the dried sample, react at 60°C for 1 hour, and perform fluorescent labeling;
(2)荧光标记完成后,加入100μl试剂D终止标记反应。(2) After the fluorescent labeling is completed, add 100 μl of reagent D to terminate the labeling reaction.
3、寡糖链分离分析3. Separation analysis of oligosaccharide chains
取10μl寡糖链标记后的液体,在ABI3500dx仪器下进行N-寡糖链分离检测,从而得到天然寡糖N-糖组图谱。Take 10 μl of the oligosaccharide chain-labeled liquid, and perform N-oligosaccharide chain separation and detection under the ABI3500dx instrument, so as to obtain the natural oligosaccharide N-glycan map.
4、数据处理分析4. Data processing and analysis
(1)N-糖组图谱的峰值量化:将每个峰的峰高值除以所有峰的高度的总和,计算得到每个峰的相对含量。(1) Peak quantification of the N-glycan profile: divide the peak height value of each peak by the sum of the heights of all peaks to calculate the relative content of each peak.
(2)胰腺癌患者与健康人群N-糖组数据分析:将胰腺癌患者与健康人N-糖组数据进行对比分析。将每个峰峰高值除以所有峰高度的总和,定量计算得到每个峰的相对含量,即N-糖组图谱的峰值量化,然后对量化后的胰腺癌组和健康对照组N-糖组图谱中9个N-寡糖链峰进行比对统计分析。N-糖组图谱的组合物由G4S4、G3S3、G2S2、G2S2F、G2S1、G2S1F、G1F和G2F2组成,其中G1F为同分异构体;通过组合物G2S2/G3S3+G2S2/G2S2F值来检测胰腺癌。(2) Analysis of N-glycan group data of pancreatic cancer patients and healthy people: The N-glycan group data of pancreatic cancer patients and healthy people were compared and analyzed. Divide the peak height of each peak by the sum of all peak heights, and quantitatively calculate the relative content of each peak, that is, the peak quantification of the N-glycan group map, and then quantify the pancreatic cancer group and the healthy control group N- The 9 N-oligosaccharide chain peaks in the glycome map were compared and analyzed statistically. The composition of the N-glycan profile consists of G4S4, G3S3, G2S2, G2S2F, G2S1, G2S1F, G1F and G2F2, where G1F is an isomer; the pancreas is detected by the composition G2S2/G3S3+G2S2/G2S2F value cancer.
与现有技术相比,本发明的有益效果:Compared with prior art, the beneficial effect of the present invention:
(1)将G-Test指纹图谱的各个峰值进行量化,然后将胰腺癌患者(152例)和健康人(143例)各峰相对含量结果进行对比分析,发现N-聚糖组合物G2S2、G3S3以及G2S2F在两组间存在显著的统计学差异(p<0.05);因此,基于组合物G2S2/G3S3+G2S2/G2S2F建立的模型在区分胰腺癌患者时ROC曲线下AUC值达到0.875(图2),该G2S2/G3S3+G2S2/G2S2F模型检测的cutoff值为4.57时,对胰腺癌的检测有82.30%的灵敏度和81.20%的特异性,表明血清中的N-聚糖组合物G2S2/G3S3+G2S2/G2S2F可以作为辅助诊断胰腺癌的标志物。(1) Quantify each peak of the G-Test fingerprint, and then compare and analyze the relative content of each peak in pancreatic cancer patients (152 cases) and healthy people (143 cases), and find that the N-glycan composition G2S2, G3S3 As well as G2S2F, there is a significant statistical difference between the two groups (p<0.05); therefore, the model established based on the composition G2S2/G3S3+G2S2/G2S2F can achieve an AUC value of 0.875 under the ROC curve when distinguishing pancreatic cancer patients (Figure 2) , when the cutoff value detected by the G2S2/G3S3+G2S2/G2S2F model is 4.57, the detection of pancreatic cancer has a sensitivity of 82.30% and a specificity of 81.20%, indicating that the N-glycan composition in serum is G2S2/G3S3+G2S2 /G2S2F can be used as a marker for auxiliary diagnosis of pancreatic cancer.
(2)本发明提出的G-Test检测法是基于DNA测序仪的毛细管微电泳技术(DSA-FACE),将血清样本中糖蛋白N-糖链进行荧光标记后,用毛细管微电泳进行分离,通过测量荧光信号得到的糖蛋白的含量即天然寡糖N-糖组图谱。本发明通过检测生理病理状态下唾液酸寡糖链的变化与疾病状态的相关性,可以根据这些变化,建立N-聚糖组合物的预测模型来辅助诊断胰腺癌状态。(2) The G-Test detection method proposed by the present invention is based on the capillary microelectrophoresis technology (DSA-FACE) of a DNA sequencer. After fluorescently labeling the N-sugar chains of glycoproteins in serum samples, they are separated by capillary microelectrophoresis. The content of glycoprotein obtained by measuring the fluorescent signal is the natural oligosaccharide N-glycan map. The present invention detects the correlation between changes in sialic acid oligosaccharide chains and disease states under physiological and pathological conditions, and can establish a predictive model of N-glycan composition based on these changes to assist in the diagnosis of pancreatic cancer.
(3)基于本发明方法构建的G-Test天然N-糖组图谱模型,能够让众多患者接受常规、无创检测,帮助医生及患者及时监测胰腺癌的发生和疾病进展,本发明的检测技术具有灵敏度高、操作简单、微量(5μl血清)、重复性高、稳定性好、高通量(96-孔板)等优点,可在临床中推广使用。(3) The G-Test natural N-glycan map model constructed based on the method of the present invention can allow many patients to receive routine and non-invasive detection, and help doctors and patients monitor the occurrence and disease progression of pancreatic cancer in time. The detection technology of the present invention It has the advantages of high sensitivity, simple operation, micro volume (5 μl serum), high repeatability, good stability, high throughput (96-well plate), etc., and can be popularized and used in clinical practice.
附图说明Description of drawings
图1是胰腺癌患者和健康人的血清天然寡糖N-糖组图谱;Fig. 1 is the serum natural oligosaccharide N-glycan map of pancreatic cancer patients and healthy people;
图2是基于N-糖组合物G2S2/G3S3+G2S2/G2S2F建立的鉴别胰腺癌状态模型ROC曲线图;检测样本总数为295例,其中胰腺癌患者血清样本152例,健康人血清样本143例,得到ROC曲线下面积AUC=0.875。Figure 2 is the ROC curve of the differential pancreatic cancer state model established based on the N-sugar composition G2S2/G3S3+G2S2/G2S2F; the total number of detection samples is 295 cases, including 152 cases of serum samples from pancreatic cancer patients and 143 cases of serum samples from healthy people. The area under the ROC curve AUC=0.875 was obtained.
具体实施方式Detailed ways
下面结合实施例和附图对本发明作进一步详述。需要说明的是,下列实施例仅用于说明本发明而不用于限制本发明的范围。下列实施例中未注明具体条件的实验方法,通常按照常规条件试验,或按照制造厂商建议的条件。The present invention will be described in further detail below in conjunction with the embodiments and accompanying drawings. It should be noted that the following examples are only used to illustrate the present invention and are not intended to limit the scope of the present invention. For the experimental methods that do not specify specific conditions in the following examples, they are usually tested according to conventional conditions, or according to the conditions suggested by the manufacturer.
检测胰腺癌状态,通过测定血清天然寡糖N-糖组图谱,进行统计学分析,采用的材料和方法如下列实施例。The state of pancreatic cancer is detected by measuring the N-glycan profile of serum natural oligosaccharides and performing statistical analysis. The materials and methods used are as in the following examples.
实施例一Embodiment one
1.检测样本:胰腺癌患者和健康人的血清。1. Test samples: serum from pancreatic cancer patients and healthy people.
2.实验设备:毛细管电泳分析仪,PCR,离心机。2. Experimental equipment: capillary electrophoresis analyzer, PCR, centrifuge.
3.试剂制备:3. Reagent preparation:
1)试剂A:浓度为10mM的碳酸氢铵溶液中加入质量浓度2.5%的SDS配制而成;1) Reagent A: prepared by adding SDS with a mass concentration of 2.5% into ammonium bicarbonate solution with a concentration of 10 mM;
2)试剂B:由3单位/10μl糖胺酰酶、质量浓度10%的NP-40和浓度为10mM、pH为8.3的碳酸氢铵溶液混合配制而成,溶液pH值为7;2) Reagent B: prepared by mixing 3 units/10 μl of glucosaminylase, NP-40 with a mass concentration of 10%, and ammonium bicarbonate solution with a concentration of 10 mM and a pH of 8.3, and the pH value of the solution is 7;
3)试剂C:由8-氨基芘-1,3,6-三磺酸溶于DMSO中配制而成浓度为10mM有机物还原剂;3) Reagent C: an organic reducing agent prepared by dissolving 8-aminopyrene-1,3,6-trisulfonic acid in DMSO at a concentration of 10 mM;
4)试剂D:超纯水。4) Reagent D: ultrapure water.
4.N-糖组图谱检测:4. N-glycan map detection:
(1)寡糖链的制备(1) Preparation of oligosaccharide chains
在经过灭活处理的5μl血清样品中加入5μl试剂A,进行变性;待冷却至室温后,加入5μl试剂B,37℃反应3h,然后进行干燥。Add 5 μl reagent A to the inactivated 5 μl serum sample for denaturation; after cooling to room temperature, add 5 μl reagent B, react at 37°C for 3 hours, and then dry.
(2)寡糖链的标记(2) Labeling of oligosaccharide chains
1)干燥后的样品中加入5μl试剂C,60℃反应1h,进行荧光标记;1) Add 5 μl of reagent C to the dried sample, react at 60°C for 1 hour, and perform fluorescent labeling;
2)荧光标记完成后,加入100μl试剂D终止标记反应。2) After the fluorescent labeling is completed, add 100 μl of reagent D to terminate the labeling reaction.
(3)寡糖链分离分析(3) Separation analysis of oligosaccharide chains
取10μl寡糖链标记后的液体,在ABI3500dx仪器下进行N-寡糖链分离检测,从而得到天然寡糖N-糖组图谱。Take 10 μl of the oligosaccharide chain-labeled liquid, and perform N-oligosaccharide chain separation and detection under the ABI3500dx instrument, so as to obtain the natural oligosaccharide N-glycan map.
(4)数据处理分析(4) Data processing and analysis
1)N-糖组图谱的峰值量化:将每个峰的峰高值除以所有峰的高度的总和,计算得到每个峰的相对含量。1) Peak quantification of the N-glycan profile: divide the peak height value of each peak by the sum of the heights of all peaks to calculate the relative content of each peak.
2)胰腺癌患者与健康人群N-糖组数据分析:将胰腺癌患者与健康人N-糖组数据进行对比分析。如图1所示,人血清的N-糖组图谱显示出近9个N-寡糖链峰,不同寡糖链因所带电荷以及分子大小的不同而表现出不同的迁移率,即表现在N-糖组图谱上的不同的峰则代表了不同的寡糖链,其峰高代表了寡糖链的相对含量。图1中A为健康人血清N-聚糖图谱,B为胰腺癌患者血清N-聚糖图谱。N-糖组图谱的组合物由G4S4、G3S3、G2S2、G2S2F、G2S1、G2S1F、G1F和G2F2组成,其中G1F为同分异构体;通过计算组合物G2S2/G3S3+G2S2/G2S2F值来辅助判断胰腺癌状态。2) Analysis of N-glycan group data of pancreatic cancer patients and healthy people: The N-glycan group data of pancreatic cancer patients and healthy people were compared and analyzed. As shown in Figure 1, the N-glycan profile of human serum shows nearly nine peaks of N-oligosaccharide chains, and different oligosaccharide chains show different mobility due to the different charges and molecular sizes, that is, the Different peaks on the N-glycan map represent different oligosaccharide chains, and the peak heights represent the relative content of oligosaccharide chains. In Figure 1, A is the serum N-glycan profile of healthy people, and B is the serum N-glycan profile of pancreatic cancer patients. The composition of the N-glycan profile consists of G4S4, G3S3, G2S2, G2S2F, G2S1, G2S1F, G1F, and G2F2, where G1F is an isomer; aided by calculating the composition G2S2/G3S3+G2S2/G2S2F value Determine the status of pancreatic cancer.
基于组合物G2S2/G3S3+G2S2/G2S2F建立的模型在区分胰腺癌患者时ROC曲线下AUC值达到0.875(图2),该G2S2/G3S3+G2S2/G2S2F模型检测的cutoff值为4.57时,对胰腺癌的检测有82.30%的灵敏度和81.20%的特异性,表明血清中的N-聚糖组合物G2S2/G3S3+G2S2/G2S2F能作为辅助诊断胰腺癌的标志物。The model established based on the composition G2S2/G3S3+G2S2/G2S2F has an AUC value of 0.875 under the ROC curve when distinguishing patients with pancreatic cancer (Figure 2). The detection of cancer has a sensitivity of 82.30% and a specificity of 81.20%, indicating that the N-glycan composition G2S2/G3S3+G2S2/G2S2F in serum can be used as a marker for auxiliary diagnosis of pancreatic cancer.
实施例二Embodiment two
1)试剂A:浓度为10mM的碳酸氢铵溶液中加入质量浓度1%的SDS配制而成;1) Reagent A: prepared by adding SDS with a mass concentration of 1% to ammonium bicarbonate solution with a concentration of 10 mM;
2)试剂B:由0.05单位/10μl糖胺酰酶、质量浓度10%的NP-40和浓度为10mM、pH为8.3的碳酸氢铵溶液混合配制而成,溶液pH值为5;2) Reagent B: prepared by mixing 0.05 units/10 μl of glucosaminylase, NP-40 with a mass concentration of 10%, and ammonium bicarbonate solution with a concentration of 10 mM and a pH of 8.3, and the pH value of the solution is 5;
3)试剂C:由8-氨基芘-1,3,6-三磺酸溶于DMSO中配制而成浓度为0.02mM有机物还原剂;3) Reagent C: an organic reducing agent prepared by dissolving 8-aminopyrene-1,3,6-trisulfonic acid in DMSO with a concentration of 0.02mM;
4)试剂D:超纯水。4) Reagent D: ultrapure water.
4.N-糖组图谱检测同实施例一。4. The detection of the N-glycan profile is the same as in Example 1.
实施例三Embodiment three
1)试剂A:浓度为10mM的碳酸氢铵溶液中加入质量浓度5%的SDS配制而成;1) Reagent A: prepared by adding SDS with a mass concentration of 5% into ammonium bicarbonate solution with a concentration of 10 mM;
2)试剂B:由10单位/10μl糖胺酰酶、质量浓度10%的NP-40和浓度为10mM、pH为8.3的碳酸氢铵溶液混合配制而成,溶液pH值为9;2) Reagent B: prepared by mixing 10 units/10 μl of glucosaminylase, NP-40 with a mass concentration of 10%, and ammonium bicarbonate solution with a concentration of 10 mM and a pH of 8.3, and the pH value of the solution is 9;
3)试剂C:由8-氨基芘-1,3,6-三磺酸溶于DMSO中配制而成浓度为1M有机物还原剂;3) Reagent C: an organic reducing agent prepared by dissolving 8-aminopyrene-1,3,6-trisulfonic acid in DMSO;
4)试剂D:超纯水。4) Reagent D: ultrapure water.
4.N-糖组图谱检测同实施例一。4. The detection of the N-glycan profile is the same as in Example 1.
本检测技术与现有技术相比,通过检测生理病理状态下唾液酸寡糖链的变化与疾病状态的相关性,可以根据这些变化,建立N-聚糖组合物的预测模型来辅助判断胰腺癌状态。基于本发明方法构建的G-Test天然N-糖组图谱模型,能够让众多患者接受常规、无创检测,帮助医生及患者及时监测胰腺癌的发生和疾病进展,可在临床中推广使用。Compared with the existing technology, this detection technology detects the correlation between changes in sialic acid oligosaccharide chains and disease states under physiological and pathological conditions, and based on these changes, a prediction model of N-glycan composition can be established to assist in the judgment of pancreatic cancer state. The G-Test natural N-glycan profile model constructed based on the method of the present invention can allow many patients to receive routine and non-invasive testing, help doctors and patients monitor the occurrence and disease progression of pancreatic cancer in a timely manner, and can be popularized and used in clinical practice.
以上结合附图所述的具体实施例,对本发明的目的、技术方案和有益效果进行了进一步详细说明,所应理解的是,以上所述仅为本发明的具体实施例而已,但并非对本发明保护范围的限制,所属领域技术人员应该明白,凡在本发明的精神和原则之内,不需要付出创造性劳动即可做出的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The purpose, technical solutions and beneficial effects of the present invention have been further described in detail in conjunction with the specific embodiments described in the accompanying drawings. For the limitation of the scope of protection, those skilled in the art should understand that any modification, equivalent replacement, improvement, etc. that can be made within the spirit and principles of the present invention without creative work shall be included in the protection of the present invention. within range.
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