CN116377060A - Probe primer group for evaluating drug resistance of gastric cancer and/or colorectal cancer to 5-fluorouracil and kit thereof - Google Patents
Probe primer group for evaluating drug resistance of gastric cancer and/or colorectal cancer to 5-fluorouracil and kit thereof Download PDFInfo
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Abstract
Description
技术领域technical field
本发明涉及分子检测技术领域,具体涉及一种评估胃癌和或结直肠癌对5-氟尿嘧啶耐药性的探针引物组及其试剂盒。The invention relates to the technical field of molecular detection, in particular to a probe primer set and kit for evaluating gastric cancer and/or colorectal cancer resistance to 5-fluorouracil.
背景技术Background technique
胃癌和结直肠癌是全球发病率较高且常见的消化道恶性肿瘤,其发病率与病死率均保持逐年上升的趋势。目前我国的胃癌和结直肠癌呈现较高的发病风险和死亡风险的特点,由于缺乏大规模筛查,而我国的胃癌及结直肠癌的早诊率比较低,许多患者发现即被诊断为晚期。而对于晚期胃癌及结直肠癌患者多数已错过最佳治疗时期,尽管目前已有手术、放化疗、生物靶向治疗等多种治疗方法,但其5年生存率仍很低。Gastric cancer and colorectal cancer are the most common malignant tumors of the digestive tract with a high incidence worldwide, and their morbidity and mortality are increasing year by year. At present, gastric cancer and colorectal cancer in my country present the characteristics of high incidence and mortality risks. Due to the lack of large-scale screening, the early diagnosis rate of gastric cancer and colorectal cancer in my country is relatively low, and many patients are diagnosed as advanced when they are discovered. . Most patients with advanced gastric cancer and colorectal cancer have missed the best treatment period. Although there are various treatment methods such as surgery, radiotherapy and chemotherapy, and biological targeted therapy, their 5-year survival rate is still very low.
5-氟尿嘧啶(5-FU)属于抗代谢类药物,不但可以通过细胞内酶作用影响DNA的复制,也可转化为氟尿嘧啶核苷掺入细胞RNA,干扰蛋白质的合成,从而发挥细胞毒作用,抑制肿瘤细胞功能,常被作为胃癌和结直肠癌治疗的标准一线药物,但近年来其易引起化疗耐药甚至多重耐药性严重影响了胃癌和结直肠肠癌化疗疗效。5-Fluorouracil (5-FU) belongs to anti-metabolism drugs. It can not only affect the replication of DNA through the action of intracellular enzymes, but also can be converted into fluorouracil nucleoside and incorporated into cellular RNA to interfere with protein synthesis, thereby exerting cytotoxicity and inhibiting Tumor cell function is often used as a standard first-line drug in the treatment of gastric cancer and colorectal cancer, but in recent years, it is easy to cause chemotherapy resistance or even multi-drug resistance, which has seriously affected the efficacy of gastric cancer and colorectal cancer chemotherapy.
化疗耐药主要由药物滥用、肿瘤细胞基因表达异质性和不稳定性等原因导致,可引发肿瘤化疗失败及肿瘤复发,相较于不断升级化疗方案,寻找合适的用药途径并制定个性化的治疗方案具有重要的临床意义。目前有较多基因和蛋白在胃癌组织和结直肠癌组织中异常表达,但并非每个基因都与化疗耐药耐药相关,也并不清楚哪一种基因能克服5-FU耐药,从而治疗胃癌和结直肠癌。Chemotherapy resistance is mainly caused by drug abuse, gene expression heterogeneity and instability of tumor cells, etc., which can lead to tumor chemotherapy failure and tumor recurrence. Compared with continuously upgrading chemotherapy regimens, it is necessary to find a suitable drug route and formulate a personalized regimen. Treatment options have important clinical implications. At present, many genes and proteins are abnormally expressed in gastric cancer tissue and colorectal cancer tissue, but not every gene is related to chemotherapy resistance, and it is not clear which gene can overcome 5-FU resistance, thereby Treat stomach and colorectal cancer.
发明内容Contents of the invention
有鉴于此,为了克服现有技术中的不足之处,本发明的所解决的技术问题在于提供一种评估胃癌和或结直肠癌对5-氟尿嘧啶耐药性的探针引物组及其试剂盒。In view of this, in order to overcome the deficiencies in the prior art, the technical problem solved by the present invention is to provide a probe primer set and kit for evaluating gastric cancer and or colorectal cancer resistance to 5-fluorouracil .
为了实现上述目的,本发明是通过以下方案予以实现的:In order to achieve the above object, the present invention is achieved through the following schemes:
一种评估胃癌和或结直肠癌对5-氟尿嘧啶耐药性的探针引物组,所述探针引物组包括:分别检测Col10a1基因、DDR1基因或DDR2基因中一个或几个的探针和上下游引物的组合;A probe primer set for evaluating the resistance of gastric cancer and or colorectal cancer to 5-fluorouracil, the probe primer set includes: a probe for respectively detecting one or more of the Col10a1 gene, DDR1 gene or DDR2 gene and the above Combination of downstream primers;
所述Col10a1基因在GenBank上的登录号为XM_011535432.4,所述检测Col10a1基因的探针的核苷酸序列如SEQ ID NO:9所示,所述扩增Col10a1基因的上下游引物的核苷酸序列如SEQ ID NO:1和SEQ ID NO:2所示;The accession number of the Col10a1 gene on GenBank is XM_011535432.4, the nucleotide sequence of the probe for detecting the Col10a1 gene is shown in SEQ ID NO: 9, and the nucleosides of the upstream and downstream primers for amplifying the Col10a1 gene The acid sequence is shown in SEQ ID NO: 1 and SEQ ID NO: 2;
所述DDR1基因在GenBank上的登录号为NM_001202521.1,所述检测DDR1基因的探针的核苷酸序列如SEQ ID NO:10所示,所述扩增DDR1基因的上下游引物的核苷酸序列如SEQ ID NO:3和SEQ ID NO:4所示;The accession number of the DDR1 gene on GenBank is NM_001202521.1, the nucleotide sequence of the probe for detecting the DDR1 gene is shown in SEQ ID NO: 10, and the nucleosides of the upstream and downstream primers of the amplified DDR1 gene The acid sequence is shown in SEQ ID NO: 3 and SEQ ID NO: 4;
所述DDR2基因在GenBank上的登录号为NM_001014796.3,所述检测DDR2基因的探针的核苷酸序列如SEQ ID NO:11所示,所述扩增DDR2基因的上下游引物的核苷酸序列如SEQ ID NO:5和SEQ ID NO:6所示。The accession number of the DDR2 gene on GenBank is NM_001014796.3, the nucleotide sequence of the probe for detecting the DDR2 gene is shown in SEQ ID NO: 11, and the nucleosides of the upstream and downstream primers of the amplified DDR2 gene The acid sequences are shown in SEQ ID NO:5 and SEQ ID NO:6.
优选地,所述探针引物组包括:所述检测Col10a1基因、DDR1基因和DDR2基因的探针和上下游引物的组合。Preferably, the probe primer set includes: a combination of the probe for detecting the Col10a1 gene, the DDR1 gene and the DDR2 gene and upstream and downstream primers.
优选地,所述探针引物组还含有扩增ACTB基因的探针和引物组,所述ACTB基因在GenBank上的登录号为NM_001101.5,所述检测ACTB基因的探针的核苷酸序列如SEQ ID NO:12所示,所述扩增ACTB基因的引物组的核苷酸序列如SEQ ID NO:7和SEQ ID NO:8所示。Preferably, the probe primer set also contains a probe and a primer set for amplifying the ACTB gene, the accession number of the ACTB gene on GenBank is NM_001101.5, and the nucleotide sequence of the probe for detecting the ACTB gene As shown in SEQ ID NO: 12, the nucleotide sequences of the primer set for amplifying the ACTB gene are shown in SEQ ID NO: 7 and SEQ ID NO: 8.
优选地,所述探针3’端标记有淬灭基团,所述探针5’端标记有荧光基团。Preferably, the 3' end of the probe is labeled with a quencher group, and the 5' end of the probe is labeled with a fluorescent group.
更优选地,所述探针的5’端标记FAM、VIC、Texas Red或Cy5荧光基团中的任何一种。More preferably, the 5' end of the probe is labeled with any one of FAM, VIC, Texas Red or Cy5 fluorophores.
更优选地,所述Col10a1基因的5’端标记FAM荧光基团,所述DDR1基因的5’端标记VIC荧光基团,所述DDR2基因的5’端标记Texas Red荧光基团,所述ACTB基因的5’端标记Cy5荧光基团。More preferably, the 5' end of the Col10a1 gene is labeled with a FAM fluorophore, the 5' end of the DDR1 gene is labeled with a VIC fluorophore, the 5' end of the DDR2 gene is labeled with a Texas Red fluorophore, and the ACTB The 5' end of the gene is labeled with a Cy5 fluorophore.
更优选地,所述探针的3’端标记BHQ1、BHQ2或Tamara淬灭基团中的任何一种。More preferably, the 3' end of the probe is labeled with any of BHQ1, BHQ2 or Tamara quenching groups.
更优选地,所述col10a1基因、DDR1基因和/或DDR2基因探针的3’端标记BHQ1淬灭基团,所述ACTB基因探针的3’端标记BHQ2淬灭基团。More preferably, the 3' end of the col10a1 gene, DDR1 gene and/or DDR2 gene probe is labeled with a BHQ1 quenching group, and the 3' end of the ACTB gene probe is labeled with a BHQ2 quenching group.
所述探针引物组在制备评估胃癌和/或结直肠癌对5-氟尿嘧啶耐药性的试剂盒。The probe primer set is used to prepare a kit for evaluating the drug resistance of gastric cancer and/or colorectal cancer to 5-fluorouracil.
检测Col10a1基因、DDR1基因和/或DDR2基因的试剂在制备评估胃癌和/或结直肠癌对5-氟尿嘧啶耐药性的试剂盒中的应用,所述Col10a1基因在GenBank上的登录号为XM_011535432.4,所述DDR1基因在GenBank上的登录号为NM_001202521.1,所述DDR2基因在GenBank上的登录号为NM_001014796.3。The application of reagents for detecting Col10a1 gene, DDR1 gene and/or DDR2 gene in the preparation of a kit for evaluating gastric cancer and/or colorectal cancer resistance to 5-fluorouracil, the accession number of the Col10a1 gene on GenBank is XM_011535432. 4. The accession number of the DDR1 gene on GenBank is NM_001202521.1, and the accession number of the DDR2 gene on GenBank is NM_001014796.3.
优选地,所述检测Col10a1基因、DDR1基因和/或DDR2基因的试剂包含所述探针引物组。Preferably, the reagent for detecting the Col10a1 gene, the DDR1 gene and/or the DDR2 gene comprises the probe primer set.
一种评估胃癌和/或结直肠癌对5-氟尿嘧啶耐药性的试剂盒,所述试剂盒中含有检测Col10a1基因、DDR1基因和/或DDR2基因的试剂。A kit for evaluating the resistance of gastric cancer and/or colorectal cancer to 5-fluorouracil, the kit contains reagents for detecting Col10a1 gene, DDR1 gene and/or DDR2 gene.
优选地,所述试剂盒中含有检测Col10a1基因、DDR1基因和DDR2基因的试剂。Preferably, the kit contains reagents for detecting Col10a1 gene, DDR1 gene and DDR2 gene.
更优选地,所述试剂为探针引物组:所述Col10a1基因在GenBank上的登录号为XM_011535432.4,所述检测Col10a1基因的探针的核苷酸序列如SEQ ID NO:9所示,所述扩增Col10a1基因的上下游引物的核苷酸序列如SEQ ID NO:1和SEQ ID NO:2所示;More preferably, the reagent is a probe primer set: the accession number of the Col10a1 gene on GenBank is XM_011535432.4, and the nucleotide sequence of the probe for detecting the Col10a1 gene is shown in SEQ ID NO: 9, The nucleotide sequences of the upstream and downstream primers for amplifying the Col10a1 gene are shown in SEQ ID NO: 1 and SEQ ID NO: 2;
所述DDR1基因在GenBank上的登录号为NM_001202521.1,所述检测DDR1基因的探针的核苷酸序列如SEQ ID NO:10所示,所述扩增DDR1基因的上下游引物的核苷酸序列如SEQ ID NO:3和SEQ ID NO:4所示;The accession number of the DDR1 gene on GenBank is NM_001202521.1, the nucleotide sequence of the probe for detecting the DDR1 gene is shown in SEQ ID NO: 10, and the nucleosides of the upstream and downstream primers of the amplified DDR1 gene The acid sequence is shown in SEQ ID NO: 3 and SEQ ID NO: 4;
所述DDR2基因在GenBank上的登录号为NM_001014796.3,所述检测DDR2基因的探针的核苷酸序列如SEQ ID NO:11所示,所述扩增DDR2基因的上下游引物的核苷酸序列如SEQ ID NO:5和SEQ ID NO:6所示。The accession number of the DDR2 gene on GenBank is NM_001014796.3, the nucleotide sequence of the probe for detecting the DDR2 gene is shown in SEQ ID NO: 11, and the nucleosides of the upstream and downstream primers of the amplified DDR2 gene The acid sequences are shown in SEQ ID NO:5 and SEQ ID NO:6.
更优选地,所述试剂盒中还含有扩增ACTB基因的探针和引物组,所述ACTB基因在GenBank上的登录号为NM_001101.5,所述检测ACTB基因的探针的核苷酸序列如SEQ ID NO:12所示,所述扩增ACTB基因的引物组的核苷酸序列如SEQ ID NO:7和SEQ ID NO:8所示。More preferably, the kit also contains a probe and a primer set for amplifying the ACTB gene, the accession number of the ACTB gene on GenBank is NM_001101.5, and the nucleotide sequence of the probe for detecting the ACTB gene As shown in SEQ ID NO: 12, the nucleotide sequences of the primer set for amplifying the ACTB gene are shown in SEQ ID NO: 7 and SEQ ID NO: 8.
优选地,所述探针3’端标记有淬灭基团,所述探针5’端标记有荧光基团。Preferably, the 3' end of the probe is labeled with a quencher group, and the 5' end of the probe is labeled with a fluorescent group.
更优选地,所述探针的5’端标记FAM、VIC、Texas Red或Cy5荧光基团中的任何一种。More preferably, the 5' end of the probe is labeled with any one of FAM, VIC, Texas Red or Cy5 fluorophores.
更优选地,所述Col10a1基因的5’端标记FAM荧光基团,所述DDR1基因的5’端标记VIC荧光基团,所述DDR2基因的5’端标记Texas Red荧光基团,所述ACTB基因的5’端标记Cy5荧光基团。More preferably, the 5' end of the Col10a1 gene is labeled with a FAM fluorophore, the 5' end of the DDR1 gene is labeled with a VIC fluorophore, the 5' end of the DDR2 gene is labeled with a Texas Red fluorophore, and the ACTB The 5' end of the gene is labeled with a Cy5 fluorophore.
更优选地,所述探针的3’端标记BHQ1、BHQ2或Tamara淬灭基团中的任何一种。More preferably, the 3' end of the probe is labeled with any of BHQ1, BHQ2 or Tamara quenching groups.
更优选地,所述col10a1基因、DDR1基因和/或DDR2基因探针的3’端标记BHQ1淬灭基团,所述ACTB基因探针的3’端标记BHQ2淬灭基团。More preferably, the 3' end of the col10a1 gene, DDR1 gene and/or DDR2 gene probe is labeled with a BHQ1 quenching group, and the 3' end of the ACTB gene probe is labeled with a BHQ2 quenching group.
优选地,所述试剂盒中还包含PCR buffer、dNTPs、热启动Taq酶、RNA酶抑制剂、逆转录酶、阴性质控品和/或阳性质控品。Preferably, the kit also includes PCR buffer, dNTPs, hot start Taq enzyme, RNase inhibitor, reverse transcriptase, negative quality control and/or positive quality control.
优选地,所述试剂盒通过综合评估值胃癌和/或结直肠癌对5-氟尿嘧啶耐药性,所述综合评估值计算公式为Logit(P值)=5.148-0.065×ΔCt(Ct值Col10a1-Ct值ACTB)-2.249×ΔCt(Ct值DDR1-Ct值ACTB)-1.341×ΔCt(Ct值DDR2-Ct值ACTB),Preferably, the kit is based on the comprehensive evaluation value of gastric cancer and/or colorectal cancer resistance to 5-fluorouracil, and the calculation formula of the comprehensive evaluation value is Logit (P value) = 5.148-0.065 × ΔCt (Ct value Col10a1- Ct value ACTB)-2.249×ΔCt(Ct value DDR1-Ct value ACTB)-1.341×ΔCt(Ct value DDR2-Ct value ACTB),
所述Ct值Col10a1为col10a1基因的PCR荧光信号Ct值,所述Ct值DDR1为DDR1基因的PCR荧光信号Ct值,所述Ct值DDR2为DDR2基因的PCR荧光信号Ct值,所述Ct值ACTB为ACTB基因的PCR荧光信号Ct值,所述Logit(P)为综合评估值;Described Ct value Col10a1 is the PCR fluorescence signal Ct value of col10a1 gene, and described Ct value DDR1 is the PCR fluorescence signal Ct value of DDR1 gene, and described Ct value DDR2 is the PCR fluorescence signal Ct value of DDR2 gene, and described Ct value ACTB Be the PCR fluorescent signal Ct value of ACTB gene, and described Logit (P) is comprehensive evaluation value;
综合评估值大于-0.85表示胃癌和/或结直肠癌对5-氟尿嘧啶治疗有耐药性,判定为阴性,综合评估值小于或等于-0.85表示胃癌和/或结直肠癌对5-氟尿嘧啶治疗无耐药,判定为阳性。A comprehensive evaluation value greater than -0.85 indicates that gastric cancer and/or colorectal cancer is resistant to 5-fluorouracil treatment, which is judged as negative, and a comprehensive evaluation value less than or equal to -0.85 indicates that gastric cancer and/or colorectal cancer is resistant to 5-fluorouracil treatment. Drug resistance was judged as positive.
优选地,所述阳性质控品为综合评估值小于-0.85的胃癌和/或结直肠癌组织样本,所述阴性质控品为综合评估值大于-0.85的胃癌和/或结直肠癌组织样本。Preferably, the positive quality control product is a gastric cancer and/or colorectal cancer tissue sample with a comprehensive evaluation value less than -0.85, and the negative quality control product is a gastric cancer and/or colorectal cancer tissue sample with a comprehensive evaluation value greater than -0.85 .
与现有技术相比,本发明具有以下有益效果:Compared with the prior art, the present invention has the following beneficial effects:
本发明公开了一种评估胃癌和/或结直肠癌对5-氟尿嘧啶耐药性的试剂盒。所述试剂盒含有检测col10a1、DDR1、DDR2和ACTB基因的引物组和探针,以ACTB基因为内参基因,用荧光PCR检测待测样本col10a1基因、DDR1基因和DDR2基因mRNA的表达情况,建立综合评定模型,确定Col10a1、DDR1和DDR2基因的回归系数,采用综合评估值-0.85作为阳性判断值,判断患者是否适用于5-氟尿嘧啶药物治疗,从而制定个性化治疗方案。ACTB基因mRNA表达量在各组织和细胞中是相对稳定的,用作基因检测的参照物,用以矫正上样误差及操作误差,提升结果的准确性。本试剂盒特异性强,灵敏度高,操作简便,检测时间短,可实现高通量检测,且价格低廉。The invention discloses a kit for evaluating drug resistance of gastric cancer and/or colorectal cancer to 5-fluorouracil. The kit contains primer sets and probes for detecting col10a1, DDR1, DDR2, and ACTB genes, uses ACTB gene as an internal reference gene, and uses fluorescent PCR to detect the expression of col10a1 gene, DDR1 gene, and DDR2 gene mRNA in the sample to be tested, and establishes a comprehensive Evaluate the model, determine the regression coefficient of Col10a1, DDR1 and DDR2 genes, and use the comprehensive evaluation value -0.85 as the positive judgment value to judge whether the patient is suitable for 5-fluorouracil drug treatment, so as to formulate a personalized treatment plan. The expression of ACTB gene mRNA is relatively stable in various tissues and cells, and it is used as a reference for gene detection to correct loading errors and operational errors and improve the accuracy of results. The kit has strong specificity, high sensitivity, simple operation, short detection time, can realize high-throughput detection, and is low in price.
附图说明Description of drawings
图1为阴性质控品扩增曲线图。Figure 1 is the amplification curve of the negative quality control.
图2为阳性质控品扩增曲线图。Figure 2 is the amplification curve of the positive quality control.
具体实施方式Detailed ways
下面结合说明书附图及具体实施例对本发明作出进一步地详细阐述,所述实施例只用于解释本发明,并非用于限定本发明的范围。下述实施例中所使用的试验方法如无特殊说明,均为常规方法;所使用的材料、试剂等,如无特殊说明,为可从商业途径得到的试剂和材料。The present invention will be further described in detail below in conjunction with the accompanying drawings and specific embodiments, which are only used to explain the present invention, and are not intended to limit the scope of the present invention. The test methods used in the following examples are conventional methods unless otherwise specified; the materials and reagents used are commercially available reagents and materials unless otherwise specified.
实施例1设计检测Col10a1、DDR1、DDR2和ACTB基因的引物、探针Example 1 Design of primers and probes for detection of Col10a1, DDR1, DDR2 and ACTB genes
在GenBank中,确定Col10a1(XM_011535432.4)基因、DDR1(NM_001202521.1)基因、DDR2(NM_001014796.3)基因和内参基因ACTB(NM_001101.5)的核苷酸序列,根据上述4个基因的核苷酸序列,分别设计特异性引物和探针,用NCBI的BLAST功能鉴定引物和探针的特异性。In GenBank, the nucleotide sequences of Col10a1 (XM_011535432.4) gene, DDR1 (NM_001202521.1) gene, DDR2 (NM_001014796.3) gene and internal reference gene ACTB (NM_001101.5) were determined. Nucleotide sequence, respectively design specific primers and probes, use the BLAST function of NCBI to identify the specificity of primers and probes.
具体地,col10a1基因上游引物为:5’-gctaagggtgaaaggggttc-3’(SEQ ID NO:1);Specifically, the upstream primer of the col10a1 gene is: 5'-gctaagggtgaaaggggttc-3' (SEQ ID NO: 1);
col10a1基因下游引物为:5’-gtcctccaactccaggatca-3’(SEQ ID NO:2);The downstream primer of col10a1 gene is: 5'-gtcctccaactccaggatca-3' (SEQ ID NO: 2);
DDR1基因上游引物为:5’-atcagctacccaatgctgct-3’(SEQ ID NO:3);DDR1 gene upstream primer is: 5'-atcagctacccaatgctgct-3' (SEQ ID NO: 3);
DDR1基因下游引物为:5’-gccctgcacacggtaatagt-3’(SEQ ID NO:4);DDR1 gene downstream primer is: 5'-gccctgcacacggtaatagt-3' (SEQ ID NO: 4);
DDR2基因上游引物为:5’-cgccacagcataagcataga-3’(SEQ ID NO:5);DDR2 gene upstream primer is: 5'-cgccacagcataagcataga-3' (SEQ ID NO: 5);
DDR2基因下游引物为:5’taaagctcccaaaccaatgc-3’(SEQ ID NO:6);DDR2 gene downstream primer is: 5'taaagctcccaaaccaatgc-3' (SEQ ID NO: 6);
ACTB基因上游引物为:5’-agagctacgagctgcctgac-3’(SEQ ID NO:7);The upstream primer of ACTB gene is: 5'-agagctacgagctgcctgac-3' (SEQ ID NO: 7);
ACTB基因下游引物为:5’-agcactgtgttggcgtacag-3’(SEQ ID NO:8);The downstream primer of ACTB gene is: 5'-agcactgtgttggcgtacag-3' (SEQ ID NO: 8);
col10a1基因探针为:5’-FAM-ccagggtacccaggaaaaccagg-BHQ1-3’(SEQ ID NO:9);The col10a1 gene probe is: 5'-FAM-ccagggtacccaggaaaaccagg-BHQ1-3' (SEQ ID NO: 9);
DDR1基因探针为:5’-VIC-ccagggtacccaggaaaaccagg-BHQ1-3’(SEQ ID NO:10);The DDR1 gene probe is: 5'-VIC-ccagggtacccaggaaaaccagg-BHQ1-3' (SEQ ID NO: 10);
DDR2基因探针为:5’-Texas Red-ccacaggctccattttgcaggtc-BHQ1-3’(SEQ IDNO:11);The DDR2 gene probe is: 5'-Texas Red-ccacaggctccattttgcaggtc-BHQ1-3' (SEQ ID NO: 11);
ACTB基因探针为:5’-Cy5-ttccgctgccctgaggcact-BHQ2-3’(SEQ ID NO:12)。The ACTB gene probe is: 5'-Cy5-ttccgctgccctgaggcact-BHQ2-3' (SEQ ID NO: 12).
实施例2一种评估胃癌和结直肠癌对5-氟尿嘧啶耐药性的试剂盒Example 2 A kit for evaluating the drug resistance of gastric cancer and colorectal cancer to 5-fluorouracil
一、试剂盒的组成1. The composition of the kit
1、FCPCR反应液1管,由引物、探针和PCR buffer组成,其中引物的扩增体系终浓度为0.2~0.5μmol/L,探针的扩增体系终浓度为0.1~0.3μmol/L,PCR buffer终浓度为1×。1. 1 tube of FCPCR reaction solution, consisting of primers, probes and PCR buffer. The final concentration of the primer amplification system is 0.2-0.5 μmol/L, and the final concentration of the probe amplification system is 0.1-0.3 μmol/L. The final concentration of PCR buffer is 1×.
引物SEQ ID NO:1、SEQ ID NO:2、SEQ ID NO:3和SEQ ID NO:4的终浓度均为为0.3μmol/L,引物SEQ ID NO:5和SEQ ID NO:6的终浓度为0.5μmol/L,引物SEQ ID NO:7和SEQID NO:8的终浓度为0.2μmol/L,探针SEQ ID NO:9、SEQ ID NO:10、SEQ ID NO:11和SEQ IDNO:12的终浓度分别为0.2μmol/L、0.3μmol/L、0.1μmol/L和0.2μmol/L。The final concentrations of primers SEQ ID NO: 1, SEQ ID NO: 2, SEQ ID NO: 3 and SEQ ID NO: 4 are 0.3 μmol/L, and the final concentrations of primers SEQ ID NO: 5 and SEQ ID NO: 6 The final concentration of primers SEQ ID NO: 7 and SEQ ID NO: 8 is 0.2 μmol/L, and the probes are SEQ ID NO: 9, SEQ ID NO: 10, SEQ ID NO: 11 and SEQ ID NO: 12 The final concentrations were 0.2μmol/L, 0.3μmol/L, 0.1μmol/L and 0.2μmol/L, respectively.
所述引物为实施例1中所述的col10a1基因、DDR1基因、DDR2基因和ACTB基因的上、下游引物,其核苷酸序列如SEQ ID NO:1~8所示。The primers are the upstream and downstream primers of the col10a1 gene, DDR1 gene, DDR2 gene and ACTB gene described in Example 1, and their nucleotide sequences are shown in SEQ ID NO: 1-8.
所述探针为实施例1中所述的col10a1基因、DDR1基因、DDR2基因和ACTB基因的探针,其核苷酸序列如SEQ ID NO:9~12所示。The probes are the probes of the col10a1 gene, DDR1 gene, DDR2 gene and ACTB gene described in Example 1, and their nucleotide sequences are shown in SEQ ID NO: 9-12.
所述ACTB基因为内参基因。The ACTB gene is an internal reference gene.
2、FC酶混合液1管,由dNTPs、热启动Taq酶、RNA酶抑制剂和逆转录酶组成。2. 1 tube of FC enzyme mixture, consisting of dNTPs, hot start Taq enzyme, RNase inhibitor and reverse transcriptase.
其中dNTPs的反应终浓度为10mM,热启动Taq酶为2.0U,RNA酶抑制剂为0.5U,逆转录酶为2.0U,溶剂为水。The final reaction concentration of dNTPs was 10 mM, the hot start Taq enzyme was 2.0 U, the RNase inhibitor was 0.5 U, the reverse transcriptase was 2.0 U, and the solvent was water.
3、阴性质控品1管:为综合评估值(P值)大于-0.85的胃癌或结直肠癌组织样本RNA。3. Negative quality control 1 tube: RNA from gastric cancer or colorectal cancer tissue samples with comprehensive evaluation value (P value) greater than -0.85.
4、阳性质控品1管:为综合评估值(P值)小于-0.85的胃癌或结直肠癌组织样本RNA。4. Positive quality control 1 tube: RNA from gastric cancer or colorectal cancer tissue samples with comprehensive evaluation value (P value) less than -0.85.
P值的计算方法见本实施例使用方法。通过建立综合评定模型确定col10a1基因、DDR1基因、DDR2基因的回归系数,采用综合评估值-0.85作为阳性判断值。For the calculation method of P value, see the method used in this example. The regression coefficients of col10a1 gene, DDR1 gene and DDR2 gene were determined by establishing a comprehensive evaluation model, and the comprehensive evaluation value -0.85 was used as the positive judgment value.
二、试剂盒的使用方法2. How to use the kit
1、准备试剂:取本实施例的FCPCR反应液18μL(含5×PCR buffer 5μL,引物SEQ IDNO:1、SEQ ID NO:2、SEQ ID NO:3和SEQ ID NO:4各0.75μL,引物SEQ ID NO:5和SEQ ID NO:6各1.25μL,引物SEQ ID NO:7和SEQ ID NO:8各0.5μL,探针SEQ ID NO:9和SEQ ID NO:12各0.5μL、SEQ ID NO:10 0.75μL、SEQ ID NO:11 0.25μL,最后用无核酸酶水补足至18μL),FC酶混合液2μL(含25mM dNTPs 0.4μL、5U/μL热启动Taq酶0.4μL、1U/μL RNA酶抑制剂0.5μL和5U/μL逆转录酶0.4μL,用水补足至2μL),充分混匀后备用。1. Prepare reagents: Take 18 μL of the FCPCR reaction solution of this example (containing 5 μL of 5×PCR buffer, 0.75 μL each of primers SEQ ID NO: 1, SEQ ID NO: 2, SEQ ID NO: 3 and SEQ ID NO: 4, primers 1.25 μL each of SEQ ID NO: 5 and SEQ ID NO: 6, 0.5 μL each of primers SEQ ID NO: 7 and SEQ ID NO: 8, 0.5 μL each of probes SEQ ID NO: 9 and SEQ ID NO: 12, NO: 10 0.75μL, SEQ ID NO: 11 0.25μL, and finally make up to 18μL with nuclease-free water), FC enzyme mixture 2μL (containing 25mM dNTPs 0.4μL, 5U/μL hot-start Taq enzyme 0.4μL, 1U/μL 0.5 μL of RNase inhibitor and 0.4 μL of 5U/μL reverse transcriptase, make up to 2 μL with water), mix well and set aside.
2、加样:分别取待测样品(胃癌组织或结直肠癌组织)RNA、阳性质控品和阴性质控品各5μL,加入PCR反应管中,盖紧管盖。2. Adding samples: Take 5 μL each of the RNA of the sample to be tested (stomach cancer tissue or colorectal cancer tissue), the positive quality control substance, and the negative quality control substance, add it to the PCR reaction tube, and tightly cap the tube.
3、PCR检测:用荧光定量PCR仪对上述加样后的PCR反应管进行检测,设置反应程序:3. PCR detection: Use a fluorescent quantitative PCR instrument to detect the PCR reaction tube after adding the above sample, and set the reaction program:
50℃,10min;95℃,2min;95℃,15s,58℃*,35s,45个循环。其中*表示收集荧光信号。50°C, 10min; 95°C, 2min; 95°C, 15s, 58°C*, 35s, 45 cycles. Where * indicates the collection of fluorescent signals.
4、结果分析4. Result analysis
在Results下打开Amplification Plot窗口。选择分析的目的样品所在位置。将Baseline数值改为start:3,stop:10,并打开manual设定Threshold:2-6e+3。双击Rn坐标上数值打开Graph settings窗口,将Post Run Settings中Log改为Linear,OK后打开Analysis preferences窗口,在Analysis菜单下选择Analyze自动分析结果。Open the Amplification Plot window under Results. Select the location of the target sample for analysis. Change the Baseline value to start: 3, stop: 10, and open the manual to set Threshold: 2-6e+3. Double-click the value on the Rn coordinate to open the Graph settings window, change the Log in the Post Run Settings to Linear, open the Analysis preferences window after OK, and select Analyze to automatically analyze the results under the Analysis menu.
保存所测的各基因的荧光信号Ct值,作为数据分析文件。Save the measured fluorescent signal Ct value of each gene as a data analysis file.
本发明通过建立综合评定模型确定col10a1基因、DDR1基因、DDR2基因的回归系数,采用综合评估值-0.85作为阳性判断值。The present invention determines the regression coefficients of the col10a1 gene, the DDR1 gene and the DDR2 gene by establishing a comprehensive evaluation model, and adopts a comprehensive evaluation value of -0.85 as a positive judgment value.
各个目的基因的ΔCt值=Ct值目的基因-Ct值内参基因。ΔCt value of each target gene = Ct value target gene - Ct value internal reference gene.
综合评估值(P),即Logit(P值)=5.148-0.065×ΔCt(Ct值Col10a1-Ct值内参)-2.249×ΔCt(Ct值DDR1-Ct值内参)-1.341×ΔCt(Ct值DDR2-Ct值内参)。Comprehensive evaluation value (P), that is, Logit (P value) = 5.148-0.065×ΔCt (Ct value Col10a1-Ct value internal reference)-2.249×ΔCt (Ct value DDR1-Ct value internal reference)-1.341×ΔCt (Ct value DDR2- Ct value internal reference).
三、结果判读3. Interpretation of results
如图1中的A、B、C和D所示阴性质控品的FAM、VIC、Texas Red、CY5通道的扩增曲线均为明显S型曲线,且阴性质控品的综合评估值(P值)大于-0.85。As shown in A, B, C and D in Figure 1, the amplification curves of FAM, VIC, Texas Red, and CY5 channels of negative quality control products are all obvious S-shaped curves, and the comprehensive evaluation value of negative quality control products (P value) greater than -0.85.
如图2中的A、B、C和D所示,阳性质控品的FAM、VIC、Texas Red、CY5通道的扩增曲线均为明显S型曲线,且阳性质控品的综合评估值(P值)小于-0.85;As shown in A, B, C and D in Figure 2, the amplification curves of the FAM, VIC, Texas Red, and CY5 channels of the positive quality control are all obvious S-shaped curves, and the comprehensive evaluation value of the positive quality control ( P value) is less than -0.85;
当待测样本的综合评估值(P值)小于或等于-0.85时,表明该待测样本对5-氟尿嘧啶药物耐药性低,表明该样本患者对5-FU药物治疗胃癌敏感性高,判断为阳性。When the comprehensive evaluation value (P value) of the sample to be tested is less than or equal to -0.85, it shows that the sample to be tested has low drug resistance to 5-fluorouracil, indicating that the sample patient has high sensitivity to 5-FU drug treatment of gastric cancer, and the judgment is positive.
当待测样本的综合评估值(P值)大于-0.85时则说明该待测样本对5-氟尿嘧啶药物耐药性高,表明该样本患者对5-氟尿嘧啶药物治疗胃癌敏感性低,判定为阴性。When the comprehensive evaluation value (P value) of the sample to be tested is greater than -0.85, it indicates that the sample to be tested is highly resistant to 5-fluorouracil drugs, indicating that the sample patient has low sensitivity to 5-fluorouracil drugs in the treatment of gastric cancer, and it is judged as negative .
实施例3检测对5-氟尿嘧啶治疗无耐药性的胃癌样本Example 3 Detection of Gastric Cancer Samples Without Drug Resistance to 5-Fluorouracil Treatment
一、实验方法1. Experimental method
分别提取15例对5-氟尿嘧啶治疗无耐药性的胃癌组织样本的RNA,作为待测样品。使用实施例2的试剂盒检测待测样品,用阳、阴性质控品进行质量控制。The RNA of 15 cases of gastric cancer tissue samples that were not resistant to 5-fluorouracil therapy were extracted as samples to be tested. Use the kit of Example 2 to detect the samples to be tested, and use positive and negative quality controls for quality control.
二、实验结果2. Experimental results
阴、阳性质控品均符合试剂盒的质控要求,因此待检标本的检测结果是有效的。15例对5-氟尿嘧啶治疗无耐药性的胃癌阳性组织样本的综合评估值(P值)均小于-0.85,其检测结果如表1,检测结果与临床结果完全吻合,说明利用实施例2的试剂盒检测对5-氟尿嘧啶治疗无耐药性的胃癌样本是可行的,具有良好的检测性能。Both negative and positive quality control products meet the quality control requirements of the kit, so the test results of the samples to be tested are valid. The comprehensive evaluation values (P value) of 15 cases of gastric cancer positive tissue samples without drug resistance to 5-fluorouracil treatment are all less than -0.85, and its test results are shown in Table 1. It is feasible for the kit to detect gastric cancer samples that are not resistant to 5-fluorouracil therapy and has good detection performance.
表1对5-氟尿嘧啶治疗无耐药的胃癌组织样本检测情况Table 1 Detection of gastric cancer tissue samples without resistance to 5-fluorouracil therapy
实施例4检测对5-氟尿嘧啶治疗无耐药性的结直肠癌样本Example 4 Detection of colorectal cancer samples without drug resistance to 5-fluorouracil treatment
一、实验方法1. Experimental method
分别提取15例对5-氟尿嘧啶治疗无耐药性的结直肠癌组织样本的RNA,作为待测样品。使用实施例2的试剂盒检测待测样品,用阳、阴性质控品进行质量控制。The RNA of 15 cases of colorectal cancer tissue samples that were not resistant to 5-fluorouracil therapy were extracted as samples to be tested. Use the kit of Example 2 to detect the samples to be tested, and use positive and negative quality controls for quality control.
二、实验结果2. Experimental results
阴、阳性质控品均符合试剂盒的质控要求,因此待检标本的检测结果是有效的。15例对5-氟尿嘧啶治疗无耐药性的结直肠癌阳性组织样本的综合评估值(P值)均小于-0.85,其检测结果如表2所示,检测结果与临床结果完全吻合,说明利用实施例2的试剂盒检测对5-氟尿嘧啶治疗无耐药性的结直肠癌样本是可行的,具有良好的检测性能。Both negative and positive quality control products meet the quality control requirements of the kit, so the test results of the samples to be tested are valid. The comprehensive evaluation value (P value) of 15 cases of positive tissue samples of colorectal cancer with no resistance to 5-fluorouracil treatment was less than -0.85, and the test results were shown in Table 2. The test results were completely consistent with the clinical results, indicating that the use of The kit in Example 2 is feasible to detect colorectal cancer samples that are not resistant to 5-fluorouracil treatment, and has good detection performance.
表2对5-氟尿嘧啶治疗无耐药的结直肠癌组织样本检测情况Table 2 Detection of colorectal cancer tissue samples without resistance to 5-fluorouracil therapy
实施例5检测对5-氟尿嘧啶治疗耐药的胃癌样本Example 5 Detection of gastric cancer samples resistant to 5-fluorouracil treatment
一、实验方法1. Experimental method
分别提取10例对5-氟尿嘧啶治疗耐药的胃癌组织样本的RNA,作为待测样品。使用实施例2的试剂盒检测待测样品,用阳、阴性质控品进行质量控制。The RNA of 10 cases of gastric cancer tissue samples resistant to 5-fluorouracil therapy were extracted as samples to be tested. Use the kit of Example 2 to detect the samples to be tested, and use positive and negative quality controls for quality control.
二、实验结果2. Experimental results
阴、阳性质控品均符合试剂盒的质控要求,因此待检标本的检测结果是有效的。10例对5-氟尿嘧啶治疗耐药的胃癌阳性组织样本的综合评估值(P值)均大于-0.85,其检测结果如表3所示,检测结果与临床结果完全吻合,说明利用实施例2的试剂盒检测对5-氟尿嘧啶治疗耐药的胃癌样本是可行的,具有良好的检测性能。Both negative and positive quality control products meet the quality control requirements of the kit, so the test results of the samples to be tested are valid. The comprehensive evaluation value (P value) of 10 cases to the gastric cancer positive tissue sample of 5-fluorouracil treatment drug resistance is all greater than-0.85, and its detection result is as shown in table 3, and detection result is completely consistent with clinical result, illustrates that utilizes embodiment 2 It is feasible for the kit to detect gastric cancer samples that are resistant to 5-fluorouracil therapy and has good detection performance.
表3对5-氟尿嘧啶治疗耐药的胃癌组织样本检测情况Table 3 Detection of gastric cancer tissue samples resistant to 5-fluorouracil therapy
实施例6检测对5-氟尿嘧啶治疗耐药的结直肠癌样本Example 6 Detection of colorectal cancer samples resistant to 5-fluorouracil treatment
一、实验方法1. Experimental method
分别提取10例对5-氟尿嘧啶治疗耐药的结直肠癌组织样本的RNA,作为待测样品。使用实施例2的试剂盒检测待测样品,用阳、阴性质控品进行质量控制。The RNA of 10 cases of colorectal cancer tissue samples resistant to 5-fluorouracil therapy were extracted as samples to be tested. Use the kit of Example 2 to detect the samples to be tested, and use positive and negative quality controls for quality control.
二、实验结果2. Experimental results
阴、阳性质控品均符合试剂盒的质控要求,因此待检标本的检测结果是有效的。10例对5-氟尿嘧啶治疗耐药的结直肠癌阳性组织样本的综合评估值(P值)均大于-0.85,其检测结果如表4所示,检测结果与临床结果完全吻合,说明利用实施例2的试剂盒检测对5-氟尿嘧啶治疗耐药的结直肠癌样本是可行的,具有良好的检测性能。Both negative and positive quality control products meet the quality control requirements of the kit, so the test results of the samples to be tested are valid. The comprehensive evaluation value (P value) of 10 cases to the colorectal cancer positive tissue sample of 5-fluorouracil treatment drug resistance is all greater than-0.85, and its detection result is as shown in table 4, and detection result is in full agreement with clinical result, illustrates that utilize embodiment The kit of 2 is feasible for the detection of colorectal cancer samples resistant to 5-fluorouracil therapy, and has good detection performance.
表4对5-氟尿嘧啶治疗耐药的结直肠癌组织样本检测情况Table 4 Detection of colorectal cancer tissue samples resistant to 5-fluorouracil therapy
实施例7试剂盒灵敏度验证Example 7 Kit Sensitivity Verification
一、实验方法1. Experimental method
选取1例对5-氟尿嘧啶治疗无耐药性的胃癌组织样本和1例对的5-氟尿嘧啶治疗无耐药性的胃癌组织样本RNA,作为待测样品,提取RNA,然后用Qubit3.0荧光定量仪测定RNA的浓度,然后将RNA稀释至100ng/μL、50ng/μL、25ng/μL和10ng/μL作为待测样本以验证试剂盒的灵敏度,使用实施例2的试剂盒检测待测样品,用阳、阴性质控品进行质量控制。One case of gastric cancer tissue sample with no resistance to 5-fluorouracil treatment and RNA from one case of gastric cancer tissue sample with no resistance to 5-fluorouracil treatment were selected as samples to be tested, RNA was extracted, and then quantified by Qubit3.0 fluorescence The concentration of RNA was determined by the instrument, and then the RNA was diluted to 100ng/μL, 50ng/μL, 25ng/μL and 10ng/μL as the sample to be tested to verify the sensitivity of the kit. The kit in Example 2 was used to detect the sample to be tested, and Positive and negative quality controls were used for quality control.
二、实验结果2. Experimental results
阴、阳性质控品均符合试剂盒的质控要求,因此待检标本的检测结果是有效的。4个梯度样本的综合评估值(P值)均小于-0.85,检测结果均为阳性,说明本试剂盒的灵敏度可以达到10μg/μL其检测结果如表5。Both negative and positive quality control products meet the quality control requirements of the kit, so the test results of the samples to be tested are valid. The comprehensive evaluation values (P values) of the four gradient samples were all less than -0.85, and the test results were all positive, indicating that the sensitivity of this kit can reach 10 μg/μL. The test results are shown in Table 5.
表5灵敏度样本检测情况Table 5 Sensitivity sample detection situation
实施例8试剂盒特异性验证Example 8 Kit Specificity Verification
一、实验方法1. Experimental method
选取特异性样本胰腺癌样本、肺癌样本、肝癌样本、息肉样本作为待测样品,提取RNA,使用实施例2的试剂盒检测待测样品,用阳、阴性质控品进行质量控制。Specific samples of pancreatic cancer, lung cancer, liver cancer, and polyps were selected as samples to be tested, RNA was extracted, and the samples to be tested were detected using the kit in Example 2, and quality control was performed with positive and negative quality controls.
二、实验结果2. Experimental results
阴、阳性质控品均符合试剂盒的质控要求,因此待检标本的检测结果是有效的。胰腺癌样本、肺癌样本、肝癌样本、息肉样本、痔疮样本的综合评估值(P值)均大于-0.85,检测结果均为阴性,说明本试剂盒具有较好的特异性,胰腺癌样本、肺癌样本、肝癌样本、息肉样本不会影响试剂盒的检测结果,其检测结果如表6。Both negative and positive quality control products meet the quality control requirements of the kit, so the test results of the samples to be tested are valid. The comprehensive evaluation values (P value) of pancreatic cancer samples, lung cancer samples, liver cancer samples, polyp samples, and hemorrhoid samples were all greater than -0.85, and the test results were all negative, indicating that this kit has good specificity. Pancreatic cancer samples, lung cancer samples Samples, liver cancer samples, and polyp samples will not affect the test results of the kit, and the test results are shown in Table 6.
表6特异性样本检测结果Table 6 Specific sample detection results
以上显示和描述了本发明的基本原理、主要特征和本发明的优点。本行业的技术人员应该了解,本发明不受上述实施例的限制,上述实施例和说明书中描述的只是说明本发明的原理,在不脱离本发明精神和范围的前提下,本发明还会有各种变化和改进,本发明要求保护范围由所附的权利要求书、说明书及其等效物界定。The basic principles, main features and advantages of the present invention have been shown and described above. Those skilled in the art should understand that the present invention is not limited by the above-mentioned embodiments, and that described in the above-mentioned embodiments and the specification only illustrates the principles of the present invention, and the present invention will also have other functions without departing from the spirit and scope of the present invention. For various changes and improvements, the protection scope of the present invention is defined by the appended claims, description and their equivalents.
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