Effect evaluation kit for anti-vascular endothelial growth factor drugs treating wet age-related macular degeneration diseases
An endothelial growth factor, anti-vascular technology, applied in the field of SNP, can solve problems such as poor effect and difficult vision function, and achieve the effect of reducing the risk of drug use, treatment cost, and good clinical application prospects.
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Embodiment 1
[0032] Example 1 Sample collection and extraction of genomic DNA
[0033] The samples were Caucasian patients (Caucasian patients) clinically diagnosed with wet macular degeneration (AMD), and the number of subjects was 223 cases. The anti-vascular endothelial growth factor drug Bevacizumab) or Ranibizumab was injected into the vitreous, Once a month for 4 months, ophthalmic examination was performed every month, including: best corrected visual acuity (BCVA), evaluated with LogMAR visual acuity chart; central macular thickness (CFT). The level of response was evaluated after 12 months. The best corrected visual acuity (BCVA) was detected by EDTRS table and added a line of visual mark recognition or added 5 letters to be recognized as responders. Those who did not meet the above requirements were regarded as non-responders.
[0034] As shown in Tables 1 and 2, there were 148 eyes of responders to anti-vascular endothelial growth factor drug therapy (among them, 59 eyes were tr...
Embodiment 2
[0041] Example 2 Analysis of VEGFA gene rs943080 polymorphism
[0042] The genotype analysis of VEGFA gene rs943080 variant single nucleotide polymorphism can be detected by existing SNP detection methods, such as Snapshot detection method, sequencing method, restriction fragment length polymorphism analysis method, single-strand conformation polymorphism analysis methods, etc.
[0043] The present invention adopts the Snapshot detection method to detect the single nucleotide polymorphism of VEGFA gene rs943080 variable point:
[0044] 1, get the genomic DNA that embodiment 1 obtains
[0045] 2. Detection of VEGFA gene rs943080 site
[0046] (1) PCR amplification:
[0047] Using the genomic DNA obtained in step 1 as a template, primer pair A (Primer F: 5'-CAACTGAAAGCGGGGAATTA-3'; Primer R: 5'-AGCTCAGCCAAGTGTGGAGT-3';) shown in SEQ ID NO.1~2 as primers, The following systems from Biolab Company were used for amplification (10 μl reaction system):
[0048]
[0049] progr...
Embodiment 3
[0066] Figure 1~3 Genotype map of rs943080 detected for Snapshot. Example 3 Correlation between VEGFA gene rs943080 polymorphism and the effect of anti-vascular endothelial growth factor drugs in the treatment of wet age-related macular degeneration
[0067] According to the detection result of embodiment 2, analyze with statistical method. Statistical methods: SPSS13.0 software was used for analysis, and the Hardy-Weinberg equilibrium test was tested. Quantitative variables were tested by t test, and quality variables were tested by chi-square test. A two-sided P<0.05 was considered statistically significant. The result is as follows:
[0068] 1) Basic clinical data of selected samples
[0069] As shown in embodiment 1 table 1~2.
[0070] 2) Correlation between SNP polymorphisms and anti-vascular endothelial growth factor drugs in the treatment of wet age-related macular degeneration
[0071] Table 3 Correlation between rs943080 polymorphism and disease effect
[0072...
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