Molecular marker and kit for predicting platinum-containing chemotherapy curative effects and lifetime of later-period non-small cell lung cancer
A non-small cell lung cancer, molecular marker technology, applied in the fields of medical molecular genetics and clinical medicine, can solve the problem of different sensitivities of platinum-containing chemotherapy
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Embodiment 1
[0018] Example 1. Molecular markers for predicting the clinical benefit rate and progression-free survival of platinum-containing chemotherapy in patients with advanced non-small cell lung cancer
[0019] 1. Clinical sample collection
[0020] The subjects of the study were 1004 patients with newly diagnosed non-small cell lung cancer. The inclusion criteria were: new history of pathological diagnosis, no previous chemotherapy, surgery and radiotherapy for non-small cell lung cancer; receiving first-line platinum-based chemotherapy; general physical condition score PS 0-2; no major organ dysfunction, blood Routine, liver and kidney functions, and heart functions are basically normal; complete follow-up information can be obtained. All the subjects were unrelated Han people, mainly from Shanghai and its surrounding areas geographically, and all patients were receiving platinum-based first-line treatment for the first time.
[0021] For the above-mentioned included patients,...
Embodiment 2
[0031] Embodiment 2. The use of detection kit
[0032] 1. Genomic DNA extraction
[0033] Genomic DNA was extracted by the saturated sodium chloride method
[0034] 2. Molecular marker typing
[0035] Using the detection kit, first specifically amplify the DNA fragment containing the polymorphic site of RICTOR gene rs6878291, the primer sequence is as follows:
[0036] Forward primer: 5'-CCCATCACTCTTTACCTAAACTCTC-3' (SEQ ID NO.1)
[0037]Reverse primer: 5'-GACTGTGGTAGGCATTTGAAGATA-3' (SEQ ID NO.1)
[0038] The reaction system (20ul) contains: 2μl of 10×Taq buffer, 2μl of 2mM dNTP mixture, 1μl of 1U Taq enzyme, 1μl of sample DNA (about 50ng) and 1μl of 5μM PCR primer. The amplification reaction was carried out on a PCR amplification instrument, and the reaction conditions were: 95°C for 5 minutes; 30 cycles of 95°C for 30 seconds, 55°C for 30 seconds, and 72°C for 30 seconds; 72°C for 7 minutes; and storage at 4°C.
[0039] The obtained DNA fragments are then sequenced. ...
Embodiment 3
[0046] Example 3. The service of predicting the curative effect of chemotherapy for patients with advanced NSCLC
[0047] 1. Genomic DNA extraction
[0048] The peripheral blood samples of the subjects were collected, and the genomic DNA was extracted by the saturated sodium chloride method.
[0049] 2. Genotyping detection
[0050] Using the kit provided by the present invention, the rs6878291 locus of the RICTOR gene in the genomic DNA of the subject to be tested is typed.
[0051] 3. Predictive analysis of the curative effect of individual platinum-containing chemotherapy
[0052] Through the analysis of the genotype of the rs6878291 site of the tested subject, an evaluation and analysis report of the efficacy of individual platinum-based chemotherapy is issued: if the genotype is A / A or A / G, the clinical benefit rate is 82.1%, and there is no disease progression The median survival time was 9.4 months; if the genotype was G / G, the clinical benefit rate was 69.6%, and ...
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