Kit and method for diagnosis of lung cancer in chronic obstructive pulmonary disease (COPD) patients through meta-genome analysis
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Embodiment 1
[0084] Example 1. Analysis of in vivo absorption, distribution and excretion patterns of enteric bacteria and bacteria-derived vesicles
[0085] In order to evaluate whether enteric bacteria and bacteria-derived extracellular vesicles are systematically absorbed through the gastrointestinal tract, experiments were performed using the following methods. More specifically, 50μg each of fluorescently labeled Pseudomonas enterobacteria and extracellular vesicles (EV) derived from the bacteria were orally administered to the gastrointestinal tract of mice, and at 0 hours and at Fluorescence was measured after 5 minutes, 3 hours, 6 hours and 12 hours.
[0086] As a result of observing the overall image of the mouse, such as Figure 1A As shown, bacteria are not absorbed by the system during administration, and EVs derived from bacteria are distributed in the lungs 5 minutes after administration, and strong fluorescence is observed in the bladder 3 hours after administration, confirming ...
Embodiment 2
[0088] Example 2. Vesicle isolation and DNA extraction from blood
[0089] In order to separate vesicles from blood and extract DNA, first add serum to a 10ml tube, centrifuge at 3,500×g and 4°C for 10 minutes to precipitate the suspension, and collect only the supernatant, then place it in In a new 10ml tube. The collected supernatant was filtered with a 0.22μm filter to remove bacteria and impurities, then placed in a central centrifugal filter (50kD), and centrifuged at 1500×g and 4°C for 15 minutes to discard materials with a size less than 50kD. Then concentrate to 10ml. A 0.22μm filter was used again to remove bacteria and impurities, and then the resulting concentrate was subjected to ultra-high-speed centrifugation at 150,000×g and 4°C for 3 hours to remove the supernatant, and the aggregated precipitate was treated with phosphate buffer ( PBS) to obtain vesicles.
[0090] 100 μl of vesicles separated from serum according to the above method were boiled at 100°C to remov...
Embodiment 3
[0093] Example 3. Metagenomic analysis of bacteria using DNA from vesicles extracted from blood
[0094] As shown in Table 2 below, using the same method as in Example 2, 318 lung cancer patients (90 adenocarcinoma, 66 small cell carcinoma, 91 squamous cell carcinoma, 77 other types) and 207 patients were used DNA was extracted from the serum samples of COPD patients, and then PCR was performed on them using 16S rDNA primers to amplify the DNA, followed by sequencing (Illumina MiSeq sequencer). Output the result as a standard flow chart (SFF) file, and use GS FLX software (v2.9) to convert the SFF file into a sequence file (.fasta) and nucleotide quality score file, and then determine the credit rating for reading, And remove those with less than 99% (Phred score The part of the average base call accuracy of the window (29bps) of <20). After deleting low-quality parts, only reads with a length of 300 bp or greater (Sickle version 1.33) were used, and for operational taxon (OTU) ...
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