Methods of diagnosing cervical cancer

Abstract

The invention provides reagents and methods for detecting pathogen infections in human samples. This detection utilizes specific proteins to detect the presence of pathogen proteins or abnormal expression of human proteins resulting from pathogen infections. Specific methods, compositions and kits are disclosed herein for the detection of oncogenic Human papillomavirus E6 proteins in clinical samples.

Description

CROSS-REFERENCE [0001] This application: a) is a continuation-in-part of international application serial no. PCT / US03 / 28508, filed Sep. 9, 2003, which application claims the benefit of: U.S. patent application Ser. No. 10 / 630,590, filed Jul. 29, 2003; U.S. Provisional Application No. 60 / 490,094, filed Jul. 25, 2003; U.S. Provisional Application No. 60 / 450,464, filed Feb. 27, 2003 and U.S. Provisional Application No. 60 / 409,298, filed Sep. 9, 2002 and, b) is a continuation-in-part of U.S. patent application Ser. No. 10 / 630,590, filed Jul. 29, 2003, which application: i) claims the benefit of U.S. Provisional Application No. 60 / 409,298, filed Sep. 9, 2002, and U.S. Provisional Application No. 60 / 450,464, filed Feb. 27, 2003; ii) is a CIP of of PCT Application No. US02 / 24655, filed Aug. 2, 2002, which application claims the benefit of U.S. Provisional Application No. 60 / 309,841, filed Aug. 3, 2001, and U.S. Provisional Application No. 60 / 360,061, filed Feb. 25, 2002; iii) is a CIP of ...

AI Technical Summary

Benefits of technology

[0012] One advantage of the invention is that many PDZ domain proteins, unlike antibodies, bind most or all oncogenic HPV E6 proteins from human papillomavirus, and, as such, make be used to diagnose cervical, and other, cancers.

is that many PDZ domain proteins, unlike antibodies, bind most or all oncogenic HPV E6 proteins from human papillomavirus, and, as such, make be used to diagnose cervical, and other, cancers.

Problems solved by technology

Currently, 12,000 new cases of invasive cervical cancer are diagnosed in US women annually, resulting in 5,000 deaths each year.

As the disease progresses, treatment options become more aggressive, including partial or radical hysterectomy, radiation or chemotherapy.

Papanicolaou tests are a valuable screening tool, but they miss a large proportion of HPV-infected persons due to the unfortunate false positive and false negative test results.

In addition, they are not amenable to worldwide testing because interpretation of results requires trained pathologists.

Conventional viral detection assays, including serologic assays, sandwich ELISA assays and growth in cell culture, are not commercially available and / or are not suitable for the diagnosis and tracking of HPV infection.

Though the tests provide the benefit of differentiating oncogenic from non-oncogenic infections, they are fairly expensive to administer and require highly trained technicians to perform PCR and / or luminometer assays.

In addition, PCR has a natural false positive rate that may invoke further testing or procedures that are not required.

Since the oncogenicity of HPV has been shown to be protein based, early detection of HPV DNA or RNA may lead to unnecessary medical procedures that the body's immune system may solve naturally.

The difficulties in detecting oncogenic HPV in human samples (e.g., a sample of a tumor) using traditional methods are numerous.

For example, detection of E6 protein using antibodies is difficult because E6 that is made in a human cell contains a number of structural modifications, e.g., disulfide bonds and phosphate groups, that cause wild-type E6 protein made in bacterial systems, or chemically synthesized E6 peptides, to not recognize E6 protein in human cells.

Further, since oncogenic E6 proteins do not share an epitope that distinguishes them from non-oncogenic E6 proteins, a single antibody cannot be used for the detection of all oncogenic E6 HPV strains.

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