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Ticagrelor-related dyspnea genotype detection reagent or kit

A technology for dyspnea and ticagrelor, which is applied in the determination/inspection of microorganisms, biochemical equipment and methods, DNA/RNA fragments, etc., and can solve the problems of lack of detection methods for dyspnea

Active Publication Date: 2022-07-15
中国人民解放军海军军医大学第一附属医院
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Sanger sequencing method is a traditional method of detecting SNP. Sanger sequencing method starts from a fixed point of nucleotides, ends at a specific base at random, and performs fluorescent labeling after each base. , produce four groups of nucleotides of different lengths ending with A, T, C, G, and then detect by electrophoresis on urea-denatured PAGE gel, so as to obtain the visible DNA base sequence. This method has high accuracy. However, this method requires strong equipment support, and it is difficult for general laboratories to have this condition; correspondingly, the principle of fluorescent quantitative PCR method is based on DNA fragments with different GC content, and their Tm values ​​are different, so it can be judged according to the melting curve that contains SNPs The base composition type of the DNA fragment at the locus, compared with the Sanger method, fluorescent quantitative PCR only needs PCR to detect, and most laboratories have such conditions
[0006] At present, there is still a lack of a simple and accurate detection method for dyspnea caused by taking ticagrelor. If the SNPs related to dyspnea caused by ticagrelor can be found as biomarkers and the corresponding diagnostic kits can be developed, It will effectively promote the development of individualized antiplatelet therapy in my country, provide data support for clinicians to make medication decisions, and improve patient compliance and long-term prognosis

Method used

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  • Ticagrelor-related dyspnea genotype detection reagent or kit
  • Ticagrelor-related dyspnea genotype detection reagent or kit
  • Ticagrelor-related dyspnea genotype detection reagent or kit

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0040] Example 1 Determination of CYP3A5 gene mutation site rs776746

[0041] 1. Collection of samples and arrangement of sample data

[0042] From January 2019 to October 2020, the inventor collected a large number of cases of patients taking ticagrelor who required long-term antiplatelet therapy after percutaneous coronary intervention for acute coronary syndrome at the First Affiliated Hospital of Naval Military Medical University. Blood samples from patients were collected, and demographic and clinical data of these samples were systematically collected.

[0043] The research sample selection criteria are as follows:

[0044] (1) 200 cases of acute coronary syndrome with definite symptoms of myocardial ischemia, ST segment change of ECG>1mm, significantly increased troponin, LVEF>50%, and definite diagnosis by coronary angiography;

[0045] (2) Exclude poor dependence, inability to take medicine regularly, or other underlying diseases that may easily cause dyspnea, such ...

Embodiment 2

[0072] Embodiment 2 Detection of ticagrelor-related dyspnea genotype

[0073] 1. Extraction of DNA samples from whole blood

[0074] The extraction steps are the same as those in the first embodiment.

[0075] 2. Quantitative PCR reaction

[0076] 1. PCR reaction system configuration

[0077] Configure the real-time quantitative PCR reaction system according to the standard shown in Table 4 below:

[0078] Table 4 Real-time fluorescence quantitative PCR reaction system

[0079]

[0080] 2. Real-time fluorescent quantitative PCR reaction

[0081] The real-time quantitative PCR reaction was carried out according to the following procedures

[0082] (1) Pre-denaturation conditions are: 95°C, 5 minutes;

[0083] (2) The amplification stage consists of 45 cycles, and the conditions are: denaturation: 95°C, 10 seconds; annealing: 60°C, 10 seconds; extension and fluorescence signal collection: 72°C, 10 seconds;

[0084] (3) The final melting curve was obtained according to ...

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Abstract

The invention relates to the technical field of medical biological detection, and provides novel application of a CYP3A5 gene mutation site rs776746, in particular to application in preparation of a diagnostic reagent or a diagnostic kit for detecting ticagrelor-related dyspnea genotypes. The invention further provides a biological preparation and a detection kit for carrying out ticagrelor related dyspnea genotype diagnosis by utilizing quantitative PCR (Polymerase Chain Reaction) detection aiming at the mutation site rs776746 of the CYP3A5 gene. The kit and the detection method disclosed by the invention are simple, convenient, reliable, short in period, high in specificity and easy to clinically popularize.

Description

technical field [0001] The invention relates to the technical field of medical biological detection, and relates to the application of detecting the CYP3A5 gene mutation site rs776746 as a molecular marker in the diagnosis of ticagrelor-related dyspnea genotypes, in particular to the CYP3A5 gene mutation site rs776746 in the preparation of ticagrelor Application of related dyspnea genotype diagnostic reagents or kits. Background technique [0002] Ticagrelor is a new type of P2Y12 adenosine diphosphate (ADP) receptor antagonist. It is an active drug itself and does not require liver drug enzyme metabolism, and can directly and quickly inhibit platelet aggregation. [1] . The latest European and American guidelines recommend the use of ticagrelor antiplatelet therapy as a priority for ACS patients [2,3] . The PLATO study showed that although the composite incidence of cardiovascular death, myocardial infarction, and stroke was lower in the ticagrelor group than in the clopi...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): C12Q1/6883C12Q1/6858C12N15/11
CPCC12Q1/6883C12Q1/6858C12Q2600/156C12Q2600/106C12Q2531/113C12Q2537/16C12Q2563/107Y02A50/30
Inventor 李攀侯攀孙明雷于高修马超群唐文栋柳俊梅那剑
Owner 中国人民解放军海军军医大学第一附属医院