Proximity-mediated assays for detecting oncogenic fusion proteins
A fusion protein, protein technology, applied in biological testing, material testing products, drug combinations, etc., can solve problems such as lack of specificity and sensitivity
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[0103] The present invention provides antibody-based arrays for detecting the activation state and / or total amount of one or more oncogenic fusion proteins and / or signal transduction molecules in a biological sample, such as a cell extract or lysate. The invention also provides methods of using the arrays to aid in cancer prognosis and diagnosis, prediction or identification of resistance to drug therapy, and design of personalized targeted therapy. In a specific embodiment, the compositions and methods of the invention preferably identify patients who are resistant to treatment with a tyrosine kinase inhibitor, such as imatinib, due to Mutation, non-compliance with treatment regimen, and / or administration of suboptimal drug doses.
[0104] In a specific embodiment, the present invention provides assays such as immunoassays for real-time detection of expression levels and / or Degree of activation (eg, phosphorylation). Accordingly, the present invention preferably provides be...
Embodiment 1
[0475] Example 1. Detection of single cells by a proximity dual detection microarray ELISA with tyramide signal amplification.
[0476] This example describes a multiplex high-throughput proximity dual-detection microarray sandwich ELISA with superior dynamic range, suitable for analyzing the activation status of fusion proteins and signal transduction molecules in cell extracts prepared from isolated cells. In a specific embodiment, said proximity assay is in the form of an addressable microarray.
[0477] 1) Spot-blot serial dilutions of the capture antibody from 1 mg / ml to 0.004 mg / ml on a 16-well FAST glass slide (Watchman). Alternatively a 2-fold serial dilution of each capture antibody (0.25 mg / ml, 0.125 mg / ml, and 0.0625 mg / ml) can be used, and double or quadruple spots can be used for each antibody dilution. For detection of BCR-ABL fusion proteins, exemplary capture antibodies include anti-BCR monoclonal or polyclonal antibodies.
[0478] 2) Dry overnight and block ...
Embodiment 2
[0486] Example 2. Generation of activation profiles for drug selection.
[0487] Drugs for cancer therapy can be selected using the compositions and methods of the invention. As a non-limiting example, the present invention is used to identify the presence and / or activity of one or more oncogenic fusion proteins associated with hematological malignancies in order to provide appropriate treatment for patients with such cancers. A typical protocol entails generating two distributions, a reference activation profile and a test activation profile, and then comparing the two distributions to determine the effect of a particular drug regimen (see, figure 2 ).
[0488] Reference activation distribution
[0489] To generate a reference activation profile, a blood sample is obtained from a patient with a particular type of cancer (eg, leukemia such as CML) prior to treatment with an anticancer drug. Tumor cells in a blood sample can be isolated using, for example, any of the tech...
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