Systemic detection method of tumor marker and application thereof
A tumor marker and detection method technology, applied in biological tests, measuring devices, material inspection products, etc., can solve the problems of low specificity, ineffective early diagnosis of tumors, and low sensitivity.
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Embodiment 1
[0169] Example 1 Combine gene methylation and protein tumor markers
[0170] The combined use of gene methylation and protein tumor markers can increase the sensitivity of detection and improve the success rate of early tumor diagnosis. In a clinical trial of 1031 cases of Septin9 gene methylation kit for detecting colorectal cancer, the hospital laboratory department used the Septin9 gene methylation kit to detect the gene methylation content in the plasma of the subject, and the stool of the hospital laboratory The Fecal Immunochemical Test (FIT) kit detects the hemoglobin in the stool of the subject, or uses the CEA of the hospital laboratory to detect the CEA content in the blood of the subject.
[0171] As shown in Table 1, when the three indicators are detected separately, the sensitivity of Septin9 for detecting tumors is 77%, the specificity is 96%, and the sensitivity for detecting early tumors is 68%, which are better than FIT (70%, 95%). , 58%) and CEA (52%, 85%, 31%) ...
Embodiment 2
[0178] Example 2 Combining two genes to methylate tumor markers
[0179] The combined use of different gene methylation tumor markers can increase the sensitivity of detection and improve the success rate of early tumor diagnosis. In 202 cases of the Septin9+RNF180 gene methylation kit for gastric cancer clinical trials, the hospital laboratory department used the Septin9+RNF180 gene methylation kit to detect the level of gene methylation in the subject's plasma. As shown in Table 2, when the two indicators are analyzed separately, the sensitivity of Septin9 and RNF180 for detecting tumors is 43% and 48%, respectively, which are both below 50%. The results of Septin9 and RNF180 are comprehensively analyzed and combined to detect tumors. The sensitivity is 66%, an increase of 18%, and the specificity remains unchanged. The results suggest that the combined use of different gene methylation tumor markers to improve the overall tumor detection sensitivity (18%) is similar to the c...
Embodiment 3
[0183] Example 3 Systematic testing implementation and combination method
[0184] According to different testing purposes, systematic testing can be combined flexibly. As shown in Table 3, different combinations can be formed, including 1) Combining multi-gene multi-characteristic high-throughput testing and various protein tumor marker testing methods together Form a comprehensive plan; 2) Combine the multi-gene and multi-characteristic high-throughput detection and the detection methods of various protein tumor markers to form a liquid biopsy scheme; 3) The multi-gene and multi-characteristic high-throughput detection of key gene mutations and various Combine the detection methods of protein tumor markers to form a gene mutation combination scheme; 4) Combine the multi-gene and multi-characteristic high-throughput detection methods of key gene methylation and various protein tumor markers detection methods to form gene A Combination scheme of basicization; 5) Combine the dete...
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