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Application of KAZN gene methylation detection reagent in preparation of colorectal cancer prognosis diagnosis reagent

A technology for genetic testing and diagnostic reagents, applied in the field of genetic diagnosis, can solve the problems of lack of coverage and limited value of molecular markers

Active Publication Date: 2020-07-24
THE SIXTH AFFILIATED HOSPITAL OF SUN YAT SEN UNIV +1
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, HM450 lacks gene body coverage for CpGopen seas and reference genes, so the value of this method for screening molecular markers is limited

Method used

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  • Application of KAZN gene methylation detection reagent in preparation of colorectal cancer prognosis diagnosis reagent
  • Application of KAZN gene methylation detection reagent in preparation of colorectal cancer prognosis diagnosis reagent
  • Application of KAZN gene methylation detection reagent in preparation of colorectal cancer prognosis diagnosis reagent

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0093] Embodiment 1 sample source

[0094] Case Sample Patient Characteristics

[0095]Patients with pathologically verified stage I-II CRC who underwent surgical resection were included as cases in the discovery, training, or validation cohorts. Patients who had previously received any anticancer therapy, a history of any tumor other than CRC, and patients with extensive degradation of DNA samples were excluded.

[0096] First, 45 fresh-frozen tumor tissues and adjacent normal tissues were collected from patients with stage I-II CRC for genome-wide methylation microarray analysis. Patients with intestinal obstruction or perforation, vascular or neural invasion, and fewer than 12 lymphadenectomy submissions were excluded. Based on age, sex, TNM stage, date of surgery (±5 years), and tumor location, this cohort of 45 patients included 21 patients with recurrence at follow-up and 24 patients who achieved tumor recurrence-free survival at follow-up. These 45 patients constitut...

Embodiment 2

[0103] Example 2 Methylation detection of KAZN gene

[0104] qMSP was used to detect the methylation level of gene CpG sites.

[0105] Gene detected: KAZN;

[0106] Comparison genes: FHIT, SGIP1.

[0107] 1. Quantitative methylation-specific PCR

[0108] Genomic DNA was extracted and modified with bisulfite using QIAamp DNA Mini Kit (Qiagen, 51306) and EZ DNA Methylation Kit (ZymoResearch, D5002).

[0109] Quantitative methylation-specific PCR (qMSP) was used to detect the tested CpG sites located in the gene body or CpG open sea in different cohorts to evaluate and verify their relationship with the prognosis of CRC patients.

[0110] In this assay, bisulfite-converted genomic DNA is amplified using primers and a pair of oligonucleotide probes covering the CpG sites to be tested, each oligonucleotide probe is attached to the 5' end of a fluorescent reporter The dye 6FAM or VIC (specifically binding to methylated sites and unmethylated sites, respectively) is coupled with ...

Embodiment 3

[0155] Example 3 Detection Results of KAZN Gene Methylation Degree in Tumor Tissues of Patients with Colorectal Cancer

[0156] As shown in Table 4 below, in the tumor tissues of 8 patients with stage I-II colorectal cancer, the methylation degree of KAZN gene was detected according to the method of Example 2, and the methylation ratio was higher than or equal to 66.39%, which was judged as hypermethylation Methylation, less than 66.39% was judged as hypomethylation. From the results in Table 4, it can be seen that the recurrence risk of colorectal cancer patients with high methylation of KAZN was significantly higher than that of patients with low methylation.

[0157] Table 4 Detection results of KAZN gene methylation degree

[0158]

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Abstract

The invention belongs to the field of gene diagnosis, and particularly relates to application of a KAZN gene detection reagent in preparation of a colorectal cancer prognosis diagnosis reagent, and acolorectal cancer prognosis diagnosis reagent / kit. The research finds that methylation of the KAZN gene is used as a representative marker, so that highly methylated colorectal cancer cases with highrecurrence risk can be distinguished. Based on the optimal cutoff value determined in an independent training queue, all genes serving as binary classification variables have the value of independently predicting disease-free survival in a training queue and a verification queue.

Description

technical field [0001] The invention belongs to the field of gene diagnosis, and more specifically, the invention relates to the application of a KAZN gene methylation detection reagent in the preparation of a colorectal cancer prognosis reagent and a colorectal cancer prognosis reagent / kit. Background technique [0002] Colorectal cancer (CRC) is common worldwide and remains the third leading cause of cancer-related death, with stage I-II disease in 39% of patients. Surgery for curative purposes is the standard approach for treating patients with stage I-II colorectal cancer. However, fatal disease relapses after surgery in 20-25% of these patients. In general, clinicopathologic factors currently used to stratify risk for early CRC include T4 lesions, poorly differentiated histology, intestinal obstruction, perforated tumor, and fewer than 12 lymphadenectomy. However, these risk factors do not clearly distinguish patients at high or low risk of disease recurrence. Theref...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): C12Q1/6886C12N15/11
CPCC12Q1/6886C12Q2600/118C12Q2600/154C12Q2600/158
Inventor 禹汇川骆衍新白亮亮唐冠楠王小琳黄品助黄安培李英杰黄美近王磊汪建平
Owner THE SIXTH AFFILIATED HOSPITAL OF SUN YAT SEN UNIV