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CN104818329B - OR4F3 and applications of the OR4F17 in HBV relevant disease diagnostic kits are prepared - Google Patents

OR4F3 and applications of the OR4F17 in HBV relevant disease diagnostic kits are prepared Download PDF

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CN104818329B
CN104818329B CN201510198829.1A CN201510198829A CN104818329B CN 104818329 B CN104818329 B CN 104818329B CN 201510198829 A CN201510198829 A CN 201510198829A CN 104818329 B CN104818329 B CN 104818329B
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刘善荣
程树群
庞亚南
郭卫星
汪佳祺
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Abstract

The present invention relates to technical field of biomedical detection, the present invention provides the new application of OR4F3 and OR4F17, application specifically in HBV relevant disease diagnostic kits are prepared, the kit and detection method of HBV relevant disease diagnosis are carried out invention further provides a kind of quantitative PCR detection using for OR4F3 and OR4F17.The kit and detection method of the present invention is easy, and reliably, the cycle is short, and specificity is high, is easy to clinical expansion.

Description

OR4F3与OR4F17在制备HBV相关疾病诊断试剂盒中的应用Application of OR4F3 and OR4F17 in the preparation of diagnostic kits for HBV-related diseases

技术领域technical field

本发明涉及医学生物检测技术领域,尤其涉及OR4F3与OR4F17在制备HBV相关疾病诊断试剂盒中的应用。The invention relates to the technical field of medical biological detection, in particular to the application of OR4F3 and OR4F17 in the preparation of a diagnostic kit for HBV-related diseases.

背景技术Background technique

乙型肝炎病毒(hepatitis B virus,HBV)是一种嗜肝性复合体DNA病毒。已有的研究表明,HBV只对人和猩猩有易感性。HBV感染后可导致慢性或急性肝炎(chronichepatitis B,CHB),而慢性肝炎感染是导致肝硬化(liver cirrhosis,LC)、肝癌(hepatocellular carcinoma,HCC)和肝衰竭(liver failure,LF)的主要病因。其中肝癌是仅次于食道癌、胃癌的第三大常见恶性肿瘤,严重危害人们的健康。从全世界范围来看,肝癌的发病率位居第六位,死亡率位居第三位。中国约有9400万的慢性乙肝患者,每年有将近30万人死于肝癌。Hepatitis B virus (HBV) is a hepatotropic complex DNA virus. Existing studies have shown that HBV is only susceptible to humans and orangutans. HBV infection can lead to chronic or acute hepatitis (chronichepatitis B, CHB), and chronic hepatitis infection is the main cause of liver cirrhosis (liver cirrhosis, LC), liver cancer (hepatocellular carcinoma, HCC) and liver failure (liver failure, LF) . Among them, liver cancer is the third most common malignant tumor after esophageal cancer and gastric cancer, which seriously endangers people's health. From a global perspective, the incidence of liver cancer ranks sixth, and the mortality rate ranks third. There are about 94 million chronic hepatitis B patients in China, and nearly 300,000 people die of liver cancer every year.

HBV相关疾病,是指HBV感染后引发的相关疾病,包括但不限于乙肝肝炎、肝纤维化、肝硬化和肝癌等。这些肝病中尤其是肝癌的诊断对其治疗效果及生存质量有极为重大的意义。有研究指出,通过外周血相关指标检测出来的早期肝癌,其治疗效果较好,生存率有明显提升,对患者生存质量影响较小。但是对于晚期肝癌患者,其治疗后不仅生存率没有提高,反而对患者生活质量产生较大的影响。所以,肝癌的治疗成功与否,与早期诊断是否成功有较大联系。HBV-related diseases refer to related diseases caused by HBV infection, including but not limited to hepatitis B, liver fibrosis, liver cirrhosis, and liver cancer. Among these liver diseases, especially the diagnosis of liver cancer is of great significance to its treatment effect and quality of life. Some studies have pointed out that early liver cancer detected by peripheral blood-related indicators has a better treatment effect, significantly improved survival rate, and has little impact on the quality of life of patients. However, for patients with advanced liver cancer, not only does the survival rate not improve after treatment, but it has a greater impact on the quality of life of the patients. Therefore, the success of liver cancer treatment is closely related to the success of early diagnosis.

目前公认的肝癌诊断指标是甲胎蛋白(α-fetoprotein,AFP)。甲胎蛋白在婴幼儿及肝癌患者肝组织内含量较多,而正常人肝组织内含量较少,是成熟的肝癌诊断指标。但是其受试者工作特征曲线线下面积(area under curve,AUC)也不过在81%左右。The currently accepted diagnostic index for liver cancer is α-fetoprotein (AFP). Alpha-fetoprotein is more abundant in the liver tissue of infants and patients with liver cancer, but less in normal human liver tissue. It is a mature diagnostic index for liver cancer. However, the area under the receiver operating characteristic curve (area under curve, AUC) is only about 81%.

人类嗅觉受体基因家族是人基因组中规模最大的基因家族,OR4F3与OR4F17为嗅觉受体基因家族的成员。嗅觉受体蛋白属于G蛋白偶联受体(GPCR),具有7次跨膜结构域的结构,并且负责识别和介导与气味有关的信号转导的。有研究证明嗅觉受体相关基因在前列腺癌中发生变异,并且与前列腺癌的发生发展有关,对前列腺癌有一定的预示作用([1]Bettina Malnic,Paul A.Godfrey,and Linda B.Buck.The human olfactory receptorgene family.PNAS.Vol.101,no.8,2584-2589;[2]Elena Linardopoulouet.al.Transcriptional activity of multiple copies of a subtelomericallylocated olfactory receptor gene that is polymorphic in number andlocation.Human Molecular Genetics,2001,Vol.10,No.21.2373-2383;[3]Weng J,WangJ,Hu X,et al.PSGR2,a novel G-protein coupled receptor,is overexpressed inhuman prostate cancer.International journal of cancer Journal internationaldu cancer 2006;118(6):1471-80doi:10.1002/ijc.21527)。The human olfactory receptor gene family is the largest gene family in the human genome, and OR4F3 and OR4F17 are members of the olfactory receptor gene family. Olfactory receptor proteins belong to G protein-coupled receptors (GPCRs), have a structure of 7 transmembrane domains, and are responsible for recognizing and mediating odor-related signal transduction. Studies have shown that olfactory receptor-related genes mutate in prostate cancer, and are related to the occurrence and development of prostate cancer, and have a certain predictive effect on prostate cancer ([1] Bettina Malnic, Paul A. Godfrey, and Linda B. Buck. The human olfactory receptorgene family.PNAS.Vol.101, no.8,2584-2589; [2]Elena Linardopoulouet.al.Transcriptional activity of multiple copies of a subtelomericallylocated olfactory receptor gene that is polymorphic in number and location.Human Molecular Gene 2001, Vol.10, No.21.2373-2383; [3] Weng J, WangJ, Hu X, et al. PSGR2, a novel G-protein coupled receptor, is overexpressed inhuman prostate cancer. International journal of cancer Journal international du cancer 2006 ; 118(6):1471-80 doi:10.1002/ijc.21527).

目前尚无OR4F3与OR4F17应用于HBV相关疾病,特别是肝癌诊断的文献报道。At present, there is no literature report on the application of OR4F3 and OR4F17 in the diagnosis of HBV-related diseases, especially liver cancer.

发明内容Contents of the invention

本发明的目的在于提供HBV相关疾病的诊断标志物,本发明的目的也在于提供OR4F3与OR4F17的新用途,即在制备HBV相关疾病诊断试剂盒中的应用。The purpose of the present invention is to provide diagnostic markers for HBV-related diseases, and the purpose of the present invention is also to provide new uses of OR4F3 and OR4F17, that is, the application in the preparation of diagnostic kits for HBV-related diseases.

本发明的第一方面,提供了OR4F3与OR4F17作为HBV相关疾病诊断标志物的应用。The first aspect of the present invention provides the use of OR4F3 and OR4F17 as diagnostic markers for HBV-related diseases.

本发明的第二方面,提供了OR4F3与OR4F17在制备HBV相关疾病诊断试剂或诊断试剂盒中的应用。The second aspect of the present invention provides the application of OR4F3 and OR4F17 in the preparation of diagnostic reagents or diagnostic kits for HBV-related diseases.

本发明所述的OR4F3与OR4F17的信息如下所示:The information of OR4F3 and OR4F17 described in the present invention is as follows:

OR4F3:Chromosome 5,NC_000005.10(181367287..181368225);OR4F3: Chromosome 5, NC_000005.10(181367287..181368225);

OR4F17:Chromosome 19,NC_000019.10(107152..111690)。OR4F17: Chromosome 19, NC_000019.10 (107152..111690).

本发明所述的OR4F3与OR4F17在制备HBV相关疾病诊断试剂或诊断试剂盒中的应用,所述的诊断试剂,为检测生物样品中OR4F3的含量、OR4F17的含量的试剂的组合。The application of OR4F3 and OR4F17 described in the present invention in the preparation of diagnostic reagents or diagnostic kits for HBV-related diseases, the diagnostic reagents are a combination of reagents for detecting the content of OR4F3 and OR4F17 in biological samples.

所述的诊断试剂盒,包含了检测生物样品中OR4F3的含量、OR4F17的含量的试剂。The diagnostic kit includes reagents for detecting the content of OR4F3 and OR4F17 in biological samples.

所述的检测生物样品中检测生物样品中OR4F3的含量、OR4F17的含量的试剂,选自:对OR4F3、OR4F17具有检测特异性的PCR引物。The reagents for detecting the content of OR4F3 and OR4F17 in biological samples are selected from the group consisting of PCR primers specific for detecting OR4F3 and OR4F17.

所述的对OR4F3与OR4F17具有检测特异性的PCR引物如下:The PCR primers with detection specificity for OR4F3 and OR4F17 are as follows:

所述的生物样品选自:获自对象的外周血。The biological sample is selected from: peripheral blood obtained from a subject.

所述的HBV相关疾病,HBV相关疾病,是指HBV感染后引发的相关疾病,包括但不限于乙肝肝炎、肝纤维化、肝硬化和肝癌等。The HBV-related diseases and HBV-related diseases refer to related diseases caused by HBV infection, including but not limited to hepatitis B, liver fibrosis, liver cirrhosis, and liver cancer.

本发明的第三方面,提供了一种HBV相关疾病的诊断试剂盒,该试剂盒包含了检测生物样品中OR4F3的含量、OR4F17的含量的试剂。The third aspect of the present invention provides a diagnostic kit for HBV-related diseases, which includes reagents for detecting the content of OR4F3 and OR4F17 in biological samples.

本发明所述的HBV相关疾病的诊断试剂盒,是由反转录系统、引物系统和扩增系统组成,所述的引物系统包括:The diagnostic kit for HBV-related diseases of the present invention is composed of a reverse transcription system, a primer system and an amplification system, and the primer system includes:

对OR4F3与OR4F17具有检测特异性的PCR引物:PCR primers specific for detection of OR4F3 and OR4F17:

所述的生物样品选自:获自对象外周血。The biological sample is selected from: peripheral blood obtained from a subject.

所述的HBV相关疾病,HBV相关疾病,是指HBV感染后引发的相关疾病,包括但不限于乙肝肝炎、肝纤维化、肝硬化和肝癌等。The HBV-related diseases and HBV-related diseases refer to related diseases caused by HBV infection, including but not limited to hepatitis B, liver fibrosis, liver cirrhosis, and liver cancer.

本发明提供了一种HBV相关疾病的诊断试剂盒。The invention provides a diagnostic kit for HBV-related diseases.

本发明的诊断试剂盒,是基于基因组DNA定量PCR检测的HBV相关疾病诊断试剂盒,可以通过定量PCR技术准确计算血液基因组中OR4F3与OR4F17的拷贝数。The diagnostic kit of the present invention is a diagnostic kit for HBV-related diseases based on genomic DNA quantitative PCR detection, and can accurately calculate the copy numbers of OR4F3 and OR4F17 in the blood genome by quantitative PCR technology.

本发明的第四方面,提供了一种利用上述诊断试剂盒进行HBV相关疾病的检测方法,所述的检测方法如图1所示,具体包括以下步骤:The fourth aspect of the present invention provides a method for detecting HBV-related diseases using the above-mentioned diagnostic kit. The detection method is shown in Figure 1, and specifically includes the following steps:

1.抽提血液基因组总DNA;1. Extraction of blood genome total DNA;

2.利用引物对OR4F3与OR4F17的拷贝数进行定量检测的试剂,所述的引物为SEQID NO:1~4所示;2. A reagent for quantitatively detecting the copy numbers of OR4F3 and OR4F17 using primers, wherein the primers are shown in SEQ ID NO: 1-4;

3.计算出OR4F3与OR4F17的拷贝数;较优的可以利用仪器自带软件产生的标准曲线换算出血液基因组OR4F3与OR4F17拷贝数的配套计算软件。3. Calculate the copy numbers of OR4F3 and OR4F17; preferably, the standard curve generated by the instrument's built-in software can be used to convert the matching calculation software for the copy numbers of OR4F3 and OR4F17 in the blood genome.

用本发明的试剂盒、检测方法,抽提样品外周血基因组中总DNA,利用试剂盒首先检测OR4F3的拷贝数。其中当血液基因组中OR4F3的拷贝数<15.66/ml时,样本有99.94%的可能性为正常;当血液基因组中OR4F3的拷贝数的拷贝数>56.08/ml时,样本有93.21%的可能性为肝炎;当血液基因组中OR4F3的拷贝数的拷贝数>56.08/ml<15.66/ml时,样本有49.43%的可能性为肝炎,50.67%的可能性为肝癌。而对于OR4F3的拷贝数在15.66/ml与56.08/ml之间的样本,测定其OR4F17的拷贝数,当OR4F17的拷贝数<14.28/ml时,样本有77.92%的可能性为肝癌,22.08%的可能性为肝炎;当OR4F17的拷贝数>14.28/ml时,样本有98.18%的可能性为肝炎(见图2)。The total DNA in the peripheral blood genome of the sample is extracted by using the kit and detection method of the present invention, and the copy number of OR4F3 is firstly detected by using the kit. Among them, when the copy number of OR4F3 in the blood genome is <15.66/ml, the sample has a 99.94% possibility of being normal; when the copy number of OR4F3 in the blood genome is >56.08/ml, the sample has a 93.21% possibility of being normal Hepatitis; when the copy number of OR4F3 in the blood genome is >56.08/ml<15.66/ml, the sample has a 49.43% probability of hepatitis and a 50.67% probability of liver cancer. For samples whose copy number of OR4F3 is between 15.66/ml and 56.08/ml, the copy number of OR4F17 is determined. When the copy number of OR4F17 is less than 14.28/ml, the sample has a 77.92% possibility of being liver cancer, and a 22.08% probability of being liver cancer. The possibility is hepatitis; when the copy number of OR4F17>14.28/ml, the sample has a probability of 98.18% to be hepatitis (see Figure 2).

本发明的有益保障及效果如下:Beneficial protection and effect of the present invention are as follows:

申请人从合作的东方肝胆医院外科医院取得了大量的HBV相关病人的外周血标本,为本发明的研究提供了有力的保障。The applicant obtained a large number of peripheral blood samples of HBV-related patients from the surgical hospital of Dongfang Hepatobiliary Hospital, which provided a strong guarantee for the research of the present invention.

就技术而言,OR4F3与OR4F17的检测本质上是一种血液基因组的定量PCR检测,具有操作简便、检测灵敏、特异性好、重复性高等特点,现今已越来越多地被应用于临床检验技术中。In terms of technology, the detection of OR4F3 and OR4F17 is essentially a quantitative PCR detection of the blood genome, which has the characteristics of simple operation, sensitive detection, good specificity, and high repeatability, and has been increasingly used in clinical testing. in technology.

我们所采用基本检测方法是定量PCR,这一技术在现代实验诊断学中已被证实是高灵敏度、高准确度的检测方法,试验技术已经十分成熟。并且我们采用的是这一技术中的标准曲线定量法,可以准确地对各种样品中特点核酸分子做精确定量。The basic detection method we adopt is quantitative PCR, which has been proved to be a highly sensitive and accurate detection method in modern experimental diagnostics, and the test technology is very mature. And we use the standard curve quantification method in this technology, which can accurately quantify the characteristic nucleic acid molecules in various samples.

而且本发明所涉及的两种指标OR4F3与OR4F17,其AUC值分别为81.1458%和90.7262%,相比于甲胎蛋白,其临床参考价值和可信度较高。所以,此种检测试剂盒,可以提高家族性肝癌的检出率和准确率,对于家族性肝癌的临床治疗有着重大的意义。Moreover, the AUC values of the two indexes OR4F3 and OR4F17 involved in the present invention are 81.1458% and 90.7262% respectively, which are higher in clinical reference value and reliability than alpha-fetoprotein. Therefore, this detection kit can improve the detection rate and accuracy of familial liver cancer, and has great significance for the clinical treatment of familial liver cancer.

本发明提供了一种以定量PCR为基础的家族性肝癌检测试剂盒,可以通过检测病人外周血基因组DNA中嗅觉基因OR4F3与OR4F17的拷贝数来对HBV相关疾病做出诊断。其检测方法特别简便、周期短、灵敏度高,是现行检测试剂的有效补充。The invention provides a quantitative PCR-based detection kit for familial liver cancer, which can diagnose HBV-related diseases by detecting the copy numbers of the olfactory genes OR4F3 and OR4F17 in the patient's peripheral blood genomic DNA. Its detection method is particularly convenient, with short cycle time and high sensitivity, and is an effective supplement to the current detection reagents.

附图说明Description of drawings

图1:通过检测血液基因组中嗅觉基因OR4F3与OR4F17的拷贝数来诊断HBV相关疾病的示意图;其中A:获取待检测病人的外周血;B:利用离心法获取血细胞;C:获取外周白细胞;D:抽提总DNA;E:利用特异引物对DNA进行扩增;F:利用标准曲线对扩增结果进行分析;G:相关扩增曲线。Figure 1: Diagnosis of HBV-related diseases by detecting the copy numbers of the olfactory genes OR4F3 and OR4F17 in the blood genome; A: Obtain peripheral blood from the patient to be tested; B: Obtain blood cells by centrifugation; C: Obtain peripheral white blood cells; D : total DNA extracted; E: DNA amplification using specific primers; F: analysis of amplification results using standard curve; G: correlation amplification curve.

图2:用本发明试剂盒的检测结果;A:OR4F3作为诊断指标的阈值;B:OR4F17作为诊断指标的阈值。Fig. 2: The detection result with the kit of the present invention; A: OR4F3 is used as the threshold value of the diagnostic index; B: OR4F17 is used as the threshold value of the diagnostic index.

图3:在乙肝肝炎(CHB)患者外周血标本、肝硬化(LC)患者外周血标本和乙肝肝癌(HBV-HCC)患者外周血标本中测得的OR4F3与OR4F17两个基因的拷贝数。Figure 3: The copy numbers of OR4F3 and OR4F17 genes measured in peripheral blood samples of patients with hepatitis B (CHB), peripheral blood samples of patients with liver cirrhosis (LC) and peripheral blood samples of patients with hepatitis B liver cancer (HBV-HCC).

图4:血液样本的采集、处理照片;其中圆圈处代表淋巴细胞。Figure 4: Photos of blood sample collection and processing; the circles represent lymphocytes.

图5:正常人与HBV相关患者血液基因组中OR4F3(A)与OR4F17(B)基因拷贝数的差异检测结果。Figure 5: Difference detection results of OR4F3 (A) and OR4F17 (B) gene copy numbers in blood genomes of normal people and HBV-related patients.

具体实施方式Detailed ways

现结合实施例和附图,对本发明作详细描述,但本发明的实施不仅限于此。Now, the present invention will be described in detail in conjunction with the embodiments and accompanying drawings, but the implementation of the present invention is not limited thereto.

本发明所用试剂和原料均市售可得或可按文献方法制备。下列实施例中未注明具体条件的实验方法,通常按照常规条件如Sambrook等人《分子克隆:实验室指南》(NewYork:Cold Spring Harbor Laboratory Press,1989)中所述的条件,或按照常规条件,或按照制造厂商所建议的条件。除非另外说明,否则百分比和份数按重量计算。The reagents and raw materials used in the present invention are commercially available or can be prepared according to literature methods. The experimental method that does not indicate specific conditions in the following examples, generally according to conventional conditions such as the conditions described in Sambrook et al. , or as recommended by the manufacturer. Percentages and parts are by weight unless otherwise indicated.

实施例1:Example 1:

前期我们利用高通量的比较基因组杂交芯片(comparative genomehybridization,CGH)筛选得到了在乙肝肝癌患者外周血基因组上拷贝数高度变异的基因,即OR4F3与OR4F17。In the early stage, we used the high-throughput comparative genome hybridization chip (comparative genome hybridization, CGH) to screen the genes with highly variable copy numbers in the peripheral blood genome of patients with hepatitis B liver cancer, namely OR4F3 and OR4F17.

然后我们收集了5例正常人外周血标本作为对照,10例乙肝肝炎(CHB)患者外周血标本,10例肝硬化(LC)患者外周血标本和10例乙肝肝癌(HBV-HCC)患者外周血标本,提取基因组DNA,设计引物进行了PCR验证,结果发现与对照相比较,OR4F3与OR4F17两个基因的拷贝数在已测样本中均有不同程度的明显升高(见图3)。Then we collected peripheral blood samples from 5 normal people as controls, peripheral blood samples from 10 patients with hepatitis B (CHB), peripheral blood samples from 10 patients with liver cirrhosis (LC) and peripheral blood samples from 10 patients with hepatitis B-hepatic cancer (HBV-HCC) Specimens, genomic DNA was extracted, and primers were designed for PCR verification. It was found that compared with the control, the copy numbers of the two genes OR4F3 and OR4F17 were significantly increased in varying degrees in the tested samples (see Figure 3).

结果提示OR4F3与OR4F17可能参与了乙肝肝癌的发生发展,并对HBV相关疾病有一定的预示作用。The results suggest that OR4F3 and OR4F17 may be involved in the occurrence and development of HBV liver cancer, and have a certain predictive effect on HBV-related diseases.

实施例2:Example 2:

一、血液样本的采集、处理及提取其中的全基因组DNA。1. Collection, processing and extraction of whole genome DNA from blood samples.

(1)血液样本收集:收集约5ml HBV相关病人的外周血放入含EDTA的抗凝管中,静置约1小时。(1) Blood sample collection: Collect about 5ml of peripheral blood from HBV-related patients, put it into an anticoagulant tube containing EDTA, and let it stand for about 1 hour.

(2)血液样本处理:采集的外周血样品用预冷的PBS稀释一倍,缓慢加到2倍样本体积的淋巴细胞分离液之上,2000rpm离心30min,取中间乳白色分层分装于EP管中(如图4所示,圆圈处代表淋巴细胞),进行下一步处理。(2) Blood sample processing: The collected peripheral blood sample is diluted twice with pre-cooled PBS, slowly added to the lymphocyte separation medium of 2 times the sample volume, centrifuged at 2000rpm for 30min, and the middle milky white layer is divided into EP tubes (as shown in Figure 4, the circles represent lymphocytes), proceed to the next step.

(3)提取全基因组DNA:取步骤(2)中处理得到的淋巴细胞,按照从Qiagen公司购买的D70K PureGene DNA isolation kits提取全基因组DNA。(3) Extract whole-genome DNA: take the lymphocytes obtained in step (2), and extract whole-genome DNA according to D70K PureGene DNA isolation kits purchased from Qiagen.

二、引物设计与筛选2. Primer design and screening

(1)引物设计:利用NCBI查得OR4F3(NC_000005.10)与OR4F17(NC_000019.10)的全长序列,针对全长序列利用Primer Premier 5软件设计PCR的上下游引物2对(如表1所示),由生工公司负责引物合成。(1) Primer design: use NCBI to check the full-length sequences of OR4F3 (NC_000005.10) and OR4F17 (NC_000019.10), and use Primer Premier 5 software to design 2 pairs of upstream and downstream primers for PCR for the full-length sequences (as shown in Table 1. shown), the primers were synthesized by Shenggong Company.

表1:用于检测血液基因组中OR4F3与OR4F17设计的2对引物Table 1: 2 pairs of primers designed to detect OR4F3 and OR4F17 in the blood genome

名称name 序列sequence R-H-OR4F3-DNA-FR-H-OR4F3-DNA-F CCAGCTCCTCCTCCTAGTGTCCAGCTCCTCCTCCTAGTGT R-H-OR4F3-DNA-RR-H-OR4F3-DNA-R CATCTCCACACCACCAACGACATTCTCCACACCACCAACGA R-H-OR4F17-DNA-FR-H-OR4F17-DNA-F TGGTGTGCTCACTGTGTGTTTGGTGTGCTCACTGTGTGTT R-H-OR4F17-DNA-RR-H-OR4F17-DNA-R TGGACAGAGCTTTGGACGACTGGACAGAGCTTTGGACGAC

表2:定量PCR配方为Table 2: qPCR recipe for

成分Element 体积volume SYBRgreen PCR Master MixSYBRgreen PCR Master Mix 10ul10ul DNA模板DNA template 0.5ul0.5ul 引物(各20mM)Primers (20mM each) 0.5ul0.5ul water 9ul9ul

表3:定量PCR反应条件为Table 3: Quantitative PCR reaction conditions are

三、正常人与HBV相关患者血液基因组中OR4F3与OR4F17基因拷贝数的差异检测。3. Difference detection of OR4F3 and OR4F17 gene copy numbers in blood genomes of normal people and HBV-related patients.

按照上述方法,用筛选出的引物对20例正常人血液基因组标本与100例CHB、100例LC和100例HBV-HCC患者血液基因组标本OR4F3与OR4F17基因的拷贝数进行检测,结果发现与20例正常人标本相比,100例CHB患者标本中OR4F3与OR4F17基因的拷贝数有明显的升高,100例LC与100例HBV-HCC患者标本OR4F3与OR4F17基因的拷贝数也有升高,但低于CHB患者标本(见图5)。According to the above method, the gene copy numbers of OR4F3 and OR4F17 genes in 20 cases of normal human blood genome samples and 100 cases of CHB, 100 cases of LC and 100 cases of HBV-HCC were detected with the screened primers, and the results were found to be the same as those in 20 cases. Compared with normal samples, the copy numbers of OR4F3 and OR4F17 genes in 100 samples of CHB patients were significantly increased, and the copy numbers of OR4F3 and OR4F17 genes in 100 cases of LC and 100 samples of HBV-HCC patients were also increased, but lower than CHB patient specimens (see Figure 5).

这一结果提示:OR4F3与OR4F17可作为HBV相关疾病的诊断标志物使用;OR4F3与OR4F17可能成为AFP在肝癌诊断方面必要和有益的补充。The results suggest that OR4F3 and OR4F17 can be used as diagnostic markers for HBV-related diseases; OR4F3 and OR4F17 may become necessary and beneficial supplements of AFP in the diagnosis of liver cancer.

四、用本发明试剂盒的检测结果与HBV相关疾病的相关性如下:Four, with the correlation of the detection result of test kit of the present invention and HBV related disease as follows:

抽提样品外周血基因组中总DNA,利用试剂盒首先检测OR4F3的拷贝数。其中当血液基因组中OR4F3的拷贝数<15.66/ml时,样本有99.94%的可能性为正常;当血液基因组中OR4F3的拷贝数的拷贝数>56.08/ml时,样本有93.21%的可能性为肝炎;当血液基因组中OR4F3的拷贝数的拷贝数>56.08/ml<15.66/ml时,样本有49.43%的可能性为肝炎,50.67%的可能性为肝癌。而对于OR4F3的拷贝数在15.66/ml与56.08/ml之间的样本,测定其OR4F17的拷贝数,当OR4F17的拷贝数<14.28/ml时,样本有77.92%的可能性为肝癌,22.08%的可能性为肝炎;当OR4F17的拷贝数>14.28/ml时,样本有98.18%的可能性为肝炎(见图2)。Extract the total DNA in the peripheral blood genome of the sample, and use the kit to first detect the copy number of OR4F3. Among them, when the copy number of OR4F3 in the blood genome is <15.66/ml, the sample has a 99.94% possibility of being normal; when the copy number of OR4F3 in the blood genome is >56.08/ml, the sample has a 93.21% possibility of being normal Hepatitis; when the copy number of OR4F3 in the blood genome is >56.08/ml<15.66/ml, the sample has a 49.43% probability of hepatitis and a 50.67% probability of liver cancer. For samples whose copy number of OR4F3 is between 15.66/ml and 56.08/ml, the copy number of OR4F17 is determined. When the copy number of OR4F17 is less than 14.28/ml, the sample has a 77.92% possibility of being liver cancer, and a 22.08% probability of being liver cancer. The possibility is hepatitis; when the copy number of OR4F17>14.28/ml, the sample has a 98.18% possibility of hepatitis (see Figure 2).

以上已对本发明创造的较佳实施例进行了具体说明,但本发明创造并不限于所述实施例,熟悉本领域的技术人员在不违背本发明创造精神的前提下还可作出种种的等同的变型或替换,这些等同的变型或替换均包含在本申请权利要求所限定的范围内。The preferred embodiments of the present invention have been specifically described above, but the present invention is not limited to the described embodiments, and those skilled in the art can also make various equivalents without violating the spirit of the present invention. Modifications or replacements, these equivalent modifications or replacements are all included within the scope defined by the claims of the present application.

Claims (4)

1.OR4F3 and applications of the OR4F17 in HBV relevant diseases diagnostic reagent or diagnostic kit is prepared;The HBV phases Related disorders are hepatitis B hepatitis, hepatic sclerosis or liver cancer;The diagnostic reagent is detection OR4F3 and the reagent of OR4F17 copy numbers.
2. OR4F3 according to claim 1 and OR4F17 is in HBV relevant diseases diagnostic reagent or diagnostic kit is prepared Application, it is characterised in that the reagent of the detection OR4F3 and OR4F17 copy numbers, are selected from:Have to OR4F3, OR4F17 Detect specific PCR primer.
3. OR4F3 according to claim 2 and OR4F17 is in HBV relevant diseases diagnostic reagent or diagnostic kit is prepared Application, it is characterised in that it is described have to OR4F3 and OR4F17 detect specific PCR primer such as SEQ ID NO:1~4 It is shown.
4. the OR4F3 and OR4F17 according to claim 1,2 or 3 are preparing HBV relevant diseases diagnostic reagent or diagnosis examination Application in agent box, it is characterised in that the biological sample that the diagnostic reagent or diagnostic kit are used to detect is peripheral blood.
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