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Molecular target cell-free DNA for evaluating curative effects of immune drugs for cancer and application thereof

A molecular target, cancer immunity technology, applied in the field of medical biological detection, to achieve great clinical application value and the effect of solving technical problems

Inactive Publication Date: 2017-07-25
刘长胜 +1
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0006] At present, the biological mechanism of cell-free DNA is still inconclusive, but it is currently believed that cell-free DNA may be derived from DNA fragments released after apoptosis or necrosis, and these fragments penetrate into the blood circulation through the capillary wall or lymphatic vessel wall; It may also be derived from the DNA fragments released by the lysis of nucleated cells. There are structurally complete tumor cells in peripheral blood, and the DNA fragments produced after tumor cell lysis account for most of the free DNA fragments

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  • Molecular target cell-free DNA for evaluating curative effects of immune drugs for cancer and application thereof
  • Molecular target cell-free DNA for evaluating curative effects of immune drugs for cancer and application thereof

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0025] Example 1 Efficacy evaluation of atezolizumab

[0026] 50 patients with advanced bladder cancer (TNM stage IV) were collected from the hospital, including 36 males and 14 females, of which 42 were positive for PD-L1 expression and 8 were negative. Give atezolizumab (atezolizumab, Genentech, USA) 1200mg every 3 weeks, an intravenous infusion lasts 60 minutes, and needs to be diluted before intravenous infusion.

[0027] Blood samples were drawn from patients before administration and 2 days after the first administration, and then these blood samples were put into centrifuge tubes containing 5 ml of EDTA, centrifuged at 3000G at room temperature for 10 minutes with a centrifuge, and the supernatant was extracted. QIAamp DNA Kit (QIAGEN USA) was used to purify cell-free DNA according to the manufacturer's procedure. Partially purified DNA with Quant-iT TM dsDNAAssay Kit (ThermoFisher, USA) quantified its concentration.

[0028] Two days after the administration, the ...

Embodiment 2

[0040] Example 2 Nivolumab (nivolumab) curative effect evaluation

[0041] 50 patients with metastatic squamous non-small cell lung cancer were collected from the hospital, including 43 males and 7 females, of which 39 were positive for PD-L1 expression and 11 were negative. Nivolumab was administered intravenously at 3 mg / kg every 2 weeks.

[0042] Blood samples were drawn from the patients before administration and 2 days after the first administration, and then these blood samples were put into centrifuge tubes containing 5 ml of EDTA, centrifuged at 3000G for 10 minutes at room temperature, and the supernatant was extracted. QIAamp DNA Kit (QIAGEN USA) was used to purify cell-free DNA according to the manufacturer's procedure. Partially purified DNA with Quant-iT TM dsDNAAssay Kit (ThermoFisher, USA) quantified its concentration.

[0043] After 2 days of administration, the patients whose cell-free DNA content in the blood sample doubled were divided into the onset gr...

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Abstract

The invention relates to a molecular target cell-free DNA for evaluating curative effects of immune drugs for cancer and an application thereof, and belongs to the field of medical and biological detection. The immune drugs for cancer include but are not limited to a dendritic cell vaccine and an immune checkpoint blockade, a compound for increasing proportion of CD4+ and CD8+T cells in human body, and a traditional Chinese medicine with immune activation or immunological enhancements. Further, the immune drug for cancer is an immune checkpoint blockade.

Description

technical field [0001] The invention relates to cell-free DNA as a molecular target for evaluating the curative effect of cancer immune drugs and its application, belonging to the field of medical biological detection. Background technique [0002] Tumor immunotherapy has become the fourth major tumor treatment after surgery, radiotherapy and chemotherapy, and it is also the most popular tumor treatment at present. Immunotherapy has completely subverted people's previous concept of tumor treatment, from the original relying on external methods to kill tumors to relying on the own immune system to kill tumors. At present, tumor immunotherapy mainly includes immune vaccine, immune checkpoint inhibitor therapy, adoptive immune cell therapy, cytokine therapy, etc. Among them, immune checkpoint inhibitor therapy has attracted much attention for its remarkable clinical efficacy. [0003] The FDA approved the sipuleucel-T therapeutic vaccine for prostate cancer in April 2015. Prov...

Claims

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Application Information

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IPC IPC(8): C12Q1/68
CPCC12Q1/6886C12Q2600/136
Inventor 刘长胜
Owner 刘长胜