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Colorectal cancer excrement protein biomarker as well as kit and application thereof

A biomarker and colorectal cancer technology, applied in the field of immunoassay, can solve the problems of long detection period, unsatisfactory effect, and low response to promotion, and achieve the goal of improving sensitivity and accuracy, fast and convenient screening, and wide application value Effect

Pending Publication Date: 2021-03-19
张春明 +1
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Occult blood screening (now mainly immunological method, chemical method is gradually fading out of the market due to poor specificity) is more convenient, but the effect is not ideal: many medical examination packages include occult blood items, due to unstable reagent quality and other reasons, the actual sensitivity Often it can only reach 3-30%, and the rate of abandonment is high. General screening has time requirements for sending samples to testing points (hospital centers, clinics), and requires delivery within 2-4 hours (practical operations often fail to meet the requirements) This requirement); in addition to the strong smell, the medical examiners are unwilling to do it, and the doctors are unwilling to promote it, so the promotion response has not been high for many years
Some companies are now developing reagents based on nucleic acid detection (DNA mutation and / or methylation, microRNA expression), as well as methods such as liquid biopsy and intestinal flora NGS that are still in the clinical verification stage. The accuracy of these methods has been greatly improved, but The price is expensive and the detection cycle is long. It is not the most popular screening method for the majority of urban and rural residents.

Method used

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  • Colorectal cancer excrement protein biomarker as well as kit and application thereof
  • Colorectal cancer excrement protein biomarker as well as kit and application thereof
  • Colorectal cancer excrement protein biomarker as well as kit and application thereof

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0043] The preparation of embodiment 1ELISA kit

[0044] In this example, the classic double-antibody sandwich ELISA method was used to construct the standard curve of the indicators to be tested (paired antibodies and standard products were from American R&D systems, Sigma, Beijing Yiqiao Shenzhou and Finland Medix, etc.), human hemoglobin, human transferrin The standard curves of receptor and human calprotectin were as follows Figure 1-Figure 3 shown.

Embodiment 2

[0045] Detection of colorectal cancer fecal protein biomarkers in the sample of Example 2

[0046] In this example, the kit described in Example 1 is used to detect the concentration of colorectal cancer fecal protein biomarkers in the sample, which specifically includes the following steps:

[0047] 1. Sample collection and processing:

[0048] Collect stool samples from patients with colorectal cancer and healthy people. Samples from patients with colorectal cancer are collected before surgery to avoid mixing with urine. Take 1-2g of feces into a collection tube and send them to the laboratory for processing within 4 hours (directly extracted or placed at -80 degrees) Save and process together after the samples are collected); see Table 1 and Table 2 for specific information.

[0049] Table 1 Tumor sample information (Fudan University Cancer Hospital)

[0050] 28 samples age 40-89 gender 19 males / 9 females tumor site rectal can...

Embodiment 3

[0072] The first people's hospital of Zhangjiagang city affiliated to Soochow University and the fifth hospital of Shenyang city collected outpatients of general surgery and gastroenterology (excluding women's menstrual cycle, taking aspirin, clopidogrel and other anticoagulant drugs; colonoscopy not due to tumor obstruction) back to the blind). The natural defecation sample before taking the bowel cleanser, about 1-2g, is collected within 2-3 hours and stored in a -20°C refrigerator, and transferred to a -80°C refrigerator within 2 weeks for storage, and the sample is taken according to the method described in Example 2 , Lysis, and ELISA detection, colonoscopy and pathological results as the standard, and at the same time use the lysed supernatant for occult blood detection; calculate the sensitivity and specificity of the combined index (combination of hemoglobin, TFR and calprotectin), and compare it with the existing occult blood method, hemoglobin quantitative method for...

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Abstract

The invention relates to the field of immunodetection and particularly relates to a colorectal cancer excrement protein biomarker and a kit and application thereof. The biomarker comprises at least atransferrin receptor. It is found for the first time that the transferrin receptor can be used for fecal screening of colorectal cancer, the colorectal cancer screening sensitivity and the negative and positive coincidence rate can be remarkably improved by means of the biomarker containing the transferrin receptor, rapid and convenient colorectal cancer preliminary screening is achieved, the colorectal mirror efficiency is improved, and colorectal cancer screening cost is reduced; the price can be received by the public, the detection time is short, and the method is suitable for POCT and household detection and has wide application value.

Description

technical field [0001] The invention relates to the field of immunodetection, in particular to a stool protein biomarker for colorectal cancer, a kit and application thereof. Background technique [0002] Colorectal cancer (colorectal cancer, CRC) is a tumor with high morbidity and mortality worldwide. In addition to genetic factors, the main pathogenic factors are food and intestinal microorganisms. With the improvement of living standards, the proportion of high-fat, high-protein, and low-fiber foods in the dietary structure of Chinese residents has increased due to various reasons. The incidence and mortality of CRC in China have increased steadily year by year, especially among urban white-collar workers. Beijing, Shanghai, etc. The city has firmly occupied the top three. However, the morbidity and mortality in the United States have decreased significantly. In 1976, the incidence rate of colorectal cancer in the United States was 60.5 per 100,000, and it dropped to 46...

Claims

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Application Information

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IPC IPC(8): G01N33/68G01N33/574G01N33/558G01N21/76G01N27/62
CPCG01N33/68G01N33/57484G01N33/57446G01N33/558G01N21/76G01N27/62
Inventor 张春东涂建成李松李清国李心翔
Owner 张春明
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