KR20090112235A - Human chromosome microdeletion analysis chip and idiopathic infertility screening test - Google Patents
Human chromosome microdeletion analysis chip and idiopathic infertility screening test Download PDFInfo
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- KR20090112235A KR20090112235A KR1020080038005A KR20080038005A KR20090112235A KR 20090112235 A KR20090112235 A KR 20090112235A KR 1020080038005 A KR1020080038005 A KR 1020080038005A KR 20080038005 A KR20080038005 A KR 20080038005A KR 20090112235 A KR20090112235 A KR 20090112235A
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Abstract
본 발명은 인간 Y 염색체 장완(q arm) 진정염색질의 AZFa, AZFb, AZFc region 미세결실 유무를 고-처리량 방식으로 판별하는 단계, 방법 그리고 이를 구현하는 칩(chip)에 관한 것이다. Y 염색체 결실을 분석하는 종래의 방법들인 핵형분석, 서던 블랏팅(Southern blotting), 단일 PCR(single polymerase chain reaction) 등은 저-처리량(low-throughput), 낮은 특이도(specificity)와 정확성(accuracy), 긴 분석 시간이 요구되는 단점이 있다. 이에 본 발명은 인간 Y 염색체 장완의 진정염색질 interval 5 - 6에 존재하는 AZFa, AZFb, AZFc 미세결실 부위를 포괄적이면서 특이적으로 분석할 수 있는 STS marker 및 유전자들에 대한 멀티플렉스(multiplex) PCR과 고-특이도 프로브(probe)를 접목하여 Yq염색체 미세결실에 기인하는 특발성 불임의 정확한 판별방법을 제공하고자 한다.The present invention relates to a step, a method and a chip for implementing the same in a high-throughput method to determine the presence or absence of AZFa, AZFb, AZFc region microdeletion of human Y chromosome long arm chromosome. Conventional methods for analyzing Y chromosome deletions, such as karyotyping, Southern blotting, and single polymerase chain reaction (PCR), have low-throughput, low specificity and accuracy. ), A long analysis time is required. Accordingly, the present invention provides multiplex PCR for STS markers and genes capable of comprehensive and specific analysis of AZFa, AZFb, and AZFc microdeletion sites in the chromosome interval 5-6 of human Y chromosome long arm. By incorporating high-specificity probes, we attempt to provide an accurate method for determining idiopathic infertility due to Yq chromosome microdeletion.
Description
본 발명은 Y 염색체의 미세결실 분석용 칩(chip)에 관한 것으로서, 보다 상세하게는 인간 Y 염색체 장완(q arm) 진정염색질의 AZFa, AZFb, AZFc region 미세결실 유무를 고-처리량 방식으로 판별하는 방법 및 칩에 관한 것이다. The present invention relates to a chip for analyzing microdeletion of Y chromosomes, and more particularly, to determine the presence or absence of AZFa, AZFb, and AZFc region microdeletion of human Y chromosome long arm chromosome in high-throughput manner. It relates to a method and a chip.
인간 Y 염색체는 60 Mb(mega base pairs) 길이로 X 염색체의 165 Mb에 비해 크기가 작으며, 인간의 염색체 중에서 제일 작은 21번과 거의 동일한 크기를 갖는다. Y 염색체의 대부분인 40 Mb가 이질염색질(heterochromatin)로 구성되고 나머지 20 Mb가 진정염색질(euchromatin)로 구성되며 양쪽 말단 부위에 위상염색체 영역(pseudoautosomal region)인 PAR1과 PAR2가 존재한다(도 1 참조). 진정염색질은 3개 영역으로 구성된다. X-전위 영역(X-transposable region)은 진화하는 과정에서 X 염색체에서 Y로 전위(transposition)된 3.4 Mb 길이의 영역으로 반복 서열이 높은 밀도로 존재한다. X-퇴화 영역(X-degenerated region)은 single copy로 존재하는 16개의 X-연관 유전자들이 존재한다. 증폭 영역(ampliconic region)은 99.9% 이상의 상동성을 나타내는 거대한 반복 서열이 10.2 Mb에 걸쳐 존재하며, 반복 서열로 인해 만들어진 8개의 회문(palindrome) 구조를 통해 돌연변이가 발생해도 온전한(intact) 유전정보를 지니고 있는 다른 회문의 유전정보를 copy하는 유전자 변환(inverted conversion)을 통해 유전자의 기능을 유지하지만 결실(deletion)에는 취약한 단점도 존재한다. The human Y chromosome is 60 Mb (mega base pairs) in length, which is smaller than the 165 Mb of the X chromosome and is about the same size as 21, the smallest of human chromosomes. Most of the Y chromosome, 40 Mb is composed of heterochromatin, the remaining 20 Mb is composed of euchromatin, and there is a pseudoautosomal region, PAR1 and PAR2, on both ends (see Fig. 1). . Sedative pigmentation consists of three areas. The X-transposable region is a 3.4 Mb long region translocated to Y on the X chromosome during evolution and has a high density of repeat sequences. The X-degenerated region has 16 X-associated genes present in a single copy. The ampliconic region contains over 10.2 Mb of large repeat sequences that show more than 99.9% homology, and the eight palindrome structures created by the repeat sequences provide intact genetic information even when mutations occur. Inverted conversion, which copies the genetic information of other palindromes, maintains the function of the gene, but also has the disadvantage of being vulnerable to deletion.
Y 염색체의 장완(long arm, q arm)에 위치하는 Yq11의 미세결실(microdeletion)과 정자형성 부전(spermatogenic failure)과의 관련성은 Tiepolo L. 등이 무정자증(azoospermia) 환자의 Y 염색체 장완(Yq)에서 현미경으로 관찰 가능한 결손을 관찰하여 Yq에는 정자형성에 관여하는 부위인 Azoospermia factor(AZF)가 존재할 것이라는 가설을 제시한 이후 후속 연구들이 지속적으로 보고되고 있다(Tiepolo L. et al. Hum . Genet . (1976) 34:119-124). Vollrath 등은 Y 염색체에 이상이 있는 사람으로부터 중합효소 연쇄반응(PCR)을 통해 용이하게 증폭할 수 있는 STS(Sequence-tagged site) 표지자들을 이용하여 결실 지도(deletion map)를 작성함으로써 Y 염색체 상에 존재하는 유전자들이 남성 불임과 관련이 있음을 보고하였다(Vollrath D et al. Science (1992) 258:52-59). The relationship between the microdeletion of Yq11 and the spermatogenic failure in the long arm (q arm) of the Y chromosome is related to the chromosome Yq of azoospermia in Tiepolo L. et al. Subsequent studies have been reported since observing the microscopic observable deficiency at Yq and suggesting that there might be Azoospermia factor (AZF), a site involved in spermatogenesis (Tiepolo L. et al. Hum . Genet . (1976) 34: 119-124. Vollrath et al. Prepared a deletion map using sequence-tagged site (STS) markers that can be easily amplified by polymerase chain reaction (PCR) in people with abnormalities on the Y chromosome. Genes present have been associated with male infertility (Vollrath D et al. Science (1992) 258: 52-59).
Y염색체 장완에서 미세결실이 일어나는 부위는 interval 5 - 6 위치에서 비- 중첩(non-overlapping)된 AZFa, AZFb, AZFc, AZFd(AZFc 근위부) 4개가 존재한다. AZFa 미세결실을 가진 환자의 75%에서 선천적으로 정액내 살아있는 정자 세포가 존재하지 않는 Sertoli cell-only syndrome(SCOS)이, 25%에서는 중증의 희소정자증(oligozoospermia)과 관련된 부분적인 spermatogenic arrest가 일어나며, AZFb 및 AZFc의 미세결실은 무정자증 또는 희소정자증과 관련이 있고, AZFd 미세결실은 무정자증에 해당하는 정자 수 범위부터, 정상적인 정자 수치지만 비정상적인 정자 형태를 나타내는 등 다양한 범위로 나타나는 것으로 보고되고 있다(Reijo R. et al. Nat . Genet . (1995) 10:383-393). AZF region의 미세결실 빈도는 AZFa가 약 3 - 11%, AZFb가 약 8 - 9%, AZFbc가 약 6 - 13%의 빈도를 보이며, AZFc가 약 65 - 79%로 가장 높은 빈도를 나타내는것으로 보고된 바 있다(Simoni M. et al. Intl . J of Andrology (2004) 27:240-249).There are four non-overlapping AZFa, AZFb, AZFc, and AZFd (proximal AZFc) sites in the Y chromosome armband. In 75% of patients with AZFa microdeletion, Sertoli cell-only syndrome (SCOS) without congenital living sperm cells is present, and in 25%, partial spermatogenic arrest is associated with severe oligozoospermia. , Microdeletion of AZFb and AZFc have been associated with atypical or rare spermosis, and AZFd microdeletion has been reported to range from sperm count to sperm count, ranging from normal sperm count to abnormal sperm morphology. Reijo R. et al. Nat . Genet . (1995) 10: 383-393). The frequency of microdeletion in AZF region was about 3-11% for AZFa, about 8-9% for AZFb, about 6-13% for AZFbc, and about 65-79% for AZFc. Simoni M. et al. Intl . J of Andrology (2004) 27: 240-249.
Y 염색체의 미세결실은 남성 불임의 원인이 될 수 있는 고환성숙, 정자생성과정 및 무정자증과 깊은 관련성을 가지고 있으며, 정자형성 부전의 주된 유전적 요인이다. Yq 염색체 미세결실은 de novo(From the new 의미의 라틴어)로 발생하기에 가임 가능한(fertile) 아버지로부터 아들에게 유전되지는 않지만, 일단 정자내에서 Yq 미세결실이 발생하면 후대의 남자 자손에게는 모두 유전이 된다. 설사 세포질내 정자주입법(intracytoplasmic sperm injection, ICSI)을 적용한 시험관 아기 시술을 통해 가임을 하는 경우에도 유전이 된다(Aittomaki K. et al. Hum . Reproduction (2004) 19(3):472-476). The microdeletion of the Y chromosome is closely related to testicular maturation, spermatogenesis, and spermatogenesis, which may cause male infertility, and is a major genetic factor of spermatogenesis. Yq chromosome microdeletion is de It is not inherited from the fertile father to son because it occurs as novo (Latin in the meaning of the new), but once the Yq microdeletion occurs in the sperm, it is inherited to all later male offspring. Diarrhea is also inherited when fertility is achieved through in vitro baby procedures with intracytoplasmic sperm injection (ICSI) (Aittomaki K. et al. Hum . Reproduction (2004) 19 (3): 472-476).
가임 부부의 10 - 15%가 불임(infertility)을 경험하고 있으며 그 중의 40 - 50%는 남성 측에 원인이 있고, 세부적으로 정맥류(varicocele), 정관 폐쇄(완전 폐쇄, 또는 불완전 폐쇄), 호르몬 이상, 사정능력 이상, 감염 등의 원인 이외에도, 정자 표면의 항정자 항체, 정자의 형태 기형 등을 검사하여 일차적인 검사를 진행하고 있다. 일차검사에서 원인을 규명할 수 없는 특발성(idiopathic) 남성불임의 원인 중에 Yq11 미세결실이 중요한 요소로 대두되고 있다. Ten to fifteen percent of fertile couples experience infertility, 40 to 50 percent of which are due to male causes, specifically varicose veins, vas deferens (complete or incomplete obstruction), and hormonal abnormalities. In addition to the causes of abnormal ejaculation, infection, and the like, anti-sperm antibodies on the surface of sperm, morphological malformations of sperm, and the like are examined, and primary tests are conducted. Among the causes of idiopathic male infertility that cannot be identified in the primary test, Yq11 microdeletion is emerging as an important factor.
특발성 무정자증의 15 - 20%에서 그리고 중증의 희소정자증의 7 - 10%에서 AZF(azoospermia factor) 부위들의 미세결실이 확인되는것으로 보고되었다(McElreavey et al. The Genetic Basis of Male Infertility (1999) 211pp). Microdeletion of AZF (azoospermia factor) sites has been reported in 15-20% of idiopathic atherosclerosis and 7-10% of severe rare spermatosis (McElreavey et al. The Genetic Basis of Male Infertility (1999) 211 pp ).
Y 염색체 결실을 분석하는 종래의 방법들인 핵형분석, 서던 블랏팅(Southern blotting), 1회 반응에 1 종류의 STS marker 또는 유전자를 증폭하는 single PCR 등은 저-처리량(low-throughput), 낮은 특이도와 정확성, 긴 분석 시간이 요구되는 단점이 있어왔다. 이에 본 발명은 인간 Yq 염색체의 AZFa, AZFb, AZFc 미세결실 부위를 포괄적이면서 특이적으로 분석할 수 있는 STS marker 및 유전자들에 대한 멀티플렉스(multiplex) PCR과 고-특이도 프로브(probe)를 접목하여 Yq 염색체 미세결실에 대한 고-처리량 판별방법 및 이를 구현하는 칩을 제공하고자 한다.Conventional methods for analyzing Y chromosome deletions, such as karyotyping, Southern blotting, single-stage STS markers or gene amplification in a single reaction, have low-throughput, low specificity. There have been drawbacks to require help, accuracy and long analysis time. Therefore, the present invention combines multiplex PCR and high-specificity probes for STS markers and genes capable of comprehensive and specific analysis of AZFa, AZFb, and AZFc microdeletion sites of the human Yq chromosome. By providing a high-throughput determination method for Yq chromosome microdeletion and a chip for implementing the same.
Y 염색체 장완의 interval 5, 6에 존재하는 17개의 유전자 스크리닝(gene-based screening)을 통한 Y 염색체 결실 분석은 유전형-표현형 상관성 측면에서 바람직하나, 유전자 엑손(exon) 이외의 enhancer나 promoter등의 DNA 조절부위에 위치하는 미세결실이 누락될 수 있는 가능성이 있어, 본 발명은 유전자 뿐만이 아니라 STS marker들을 포함해서 미세결실을 분석하고자 한다. Analysis of Y chromosome deletion through 17 gene-based screening at Y5 and 6 of Y chromosome armband is preferable in terms of genotype-phenotype correlation, but DNAs such as enhancers and promoters other than gene exons Since there is a possibility that a microdeletion located at the regulatory region may be missing, the present invention intends to analyze microdeletion including STS markers as well as genes.
또한, AZFa와 AZFb region의 partial 미세결실에 의한 이들 부위의 위양성 오류를 방지하기 위해, 이들 부위의 미세결실과 밀접한 유전자 및 필수적인 STS marker들의분석 결과를 확증할 수 있는 다수의 confirmatory STS marker들을 포함함으로써 결과의 정확성(accuracy)을 향상시키는것을 목적으로 한다. In addition, in order to prevent false positives of these sites due to partial microdeletion of AZFa and AZFb regions, by including multiple confirmatory STS markers that can confirm the analysis of genes and essential STS markers that are closely related to microdeletion of these sites. It aims to improve the accuracy of the results.
상기 본 발명의 목적을 달성하기 위해, 인간 Y 염색체 장완 진정염색질(euchromatin)의 AZFa, AZFb 및 AZFc 부위에서 발생하는 미세결실(microdeletion) 유무를 고-처리량(high-throughput)으로 판별할 수 있는 분석방법을 제공한다.In order to achieve the object of the present invention, the analysis that can determine the high-throughput (microdeletion) occurring in the AZFa, AZFb and AZFc region of human Y chromosome eguromatin Provide a method.
그리고 자세하게 상기 분석방법에 있어서, 5'- 또는 3'-말단에 아미노 모디파이어(amino modifier)가 수식된 25종의 프로브가 스팟팅(spotting)된 칩(chip)을 제작하는 단계;In detail, the analysis method comprises the steps of: fabricating a chip in which 25 types of probes modified with an amino modifier at a 5'- or 3'-end are spotted;
혈액 또는 정액 검체로부터 마그네틱 비드(magnetic bead) 방식으로 게노믹(genomic) DNA를 분리하는 단계; Separating genomic DNA from a blood or semen sample by magnetic bead method;
AZFa 9종, AZFb 10종, AZFc 9종 STS(sequence tagged-site) marker 및 유전자를 멀티플렉스 PCR(polymerase chain reaction)을 통해 증폭하면서 형광색소(fluorescent dye)가 포함되도록 타겟(target) DNA 증폭산물을 준비하는 단계;Target DNA amplification products containing fluorescent dyes while amplifying 9 AZFa, 10 AZFb, and 9 AZFc sequence tagged-site markers and genes through multiplex PCR (polymerase chain reaction) Preparing a;
상기 멀티플렉스 PCR 반응산물과 칩 표면에 고정화된 프로브간 혼성화(hybridization) 반응을 유도하고 세척(washing)하는 단계;Inducing and washing a hybridization reaction between the multiplex PCR reaction product and a probe immobilized on a chip surface;
형광색소에 특이적인 파장의 레이저(laser)로 칩을 스캐닝(scanning)하고 혼성화 반응 결과에 따른 형광강도를 측정함으로써 AZFa, AZFb, AZFc 미세결실 유무를 동시에 판별하는 단계; 그리고 Simultaneously determining the presence or absence of AZFa, AZFb, AZFc microdeletion by scanning the chip with a laser of a wavelength specific to the fluorescent dye and measuring the fluorescence intensity according to the hybridization reaction result; And
상기 분석단계 전부를 포함하는 인간 Y 염색체 미세결실 분석방법을 제공한다.It provides a human Y chromosome microdeletion analysis method comprising all of the above analysis step.
또한, 상기 분석방법에 있어서, AZFa region에 대한 STS marker는 sY84, sY86, sY82, sY83, sY87, sY88이며 AZFa 미세결실 특이적인 분석 유전자로 DDX3Y를 포함하고;In the above assay method, the STS marker for the AZFa region is sY84, sY86, sY82, sY83, sY87, sY88 and includes DDX3Y as an AZFa microdeletion specific analytical gene;
AZFb region에 대한 STS marker는 sY127, sY134, sY129, sY105, sY114, sY143, sY152이며 AZFb 미세결실 특이적인 분석 유전자로 RBMY를 포함하고;STS markers for the AZFb region are sY127, sY134, sY129, sY105, sY114, sY143, sY152 and include RBMY as an AZFb microdeletion specific analytical gene;
AZFc region에 대한 STS marker는 sY254, sY255, sY153, sY158, sY586, sY554이며 AZFc 미세결실 특이적인 분석 유전자로 DAZ를 포함하고; 그리고STS markers for the AZFc region are sY254, sY255, sY153, sY158, sY586, sY554 and include DAZ as an AZFc microdeletion specific analytical gene; And
내부 대조군(internal control)으로 SRY, ZFY 유전자를 포함하는 인간 Y 염색체 미세결실 유무를 고-처리량(high-throughput)으로 판별할 수 있는 분석방법을 제공한다.As an internal control, the present invention provides a high-throughput method for determining the presence or absence of human Y chromosome microdeletion including SRY and ZFY genes.
그리고, 본 발명의 목적을 바람직하게 실현하기 위해, 서열목록번호 1 내지 50의 염기서열을 갖는 DNA(deoxyribonucleic acid) 또는 PNA(peptide nucleic acid) 올리고뉴클레오티드(oligonucleotide)로 이루어진 그룹에서 선택된 하나 이상의 DNA 또는 PNA 프로브(probe)를 포함하는 인간 Y 염색체 미세결실 분석용 칩을 제공한다.And, in order to achieve the object of the present invention preferably, at least one DNA selected from the group consisting of DNA (deoxyribonucleic acid) or PNA (peptide nucleic acid) oligonucleotide having a nucleotide sequence of SEQ ID NO: 1 to 50 or Provided are a chip for analyzing a human Y chromosome microdeletion including a PNA probe.
본 발명의 바람직한 실현을 통해, 인간 Y 염색체 장완의 진정염색질 AZFa, AZFb, AZFc 부위의 미세결실 판별을 위한 19종 STS marker와 5종 유전자를 대상으로 신속한 고-처리량 분석이 가능하다.According to a preferred embodiment of the present invention, rapid high-throughput analysis is possible for 19 STS markers and five genes for microdeletion of the chromosome AZFa, AZFb, and AZFc regions of human Y chromosome long arm.
Yq 염색체 미세결실은 de novo로 발생하지만, 일단 발생하면 남성 자손에게 유전되므로, 본 발명의 바람직한 실시를 통해 특발성 불임의 조기 진단 및 그에 따른 적절한 조치를 가능케 한다. 또한 Y 염색체 미세결실에 기인하는 생식세포암(germ cell cancer) 유전 소인 스크리닝 검사로 활용 가능하다..Yq chromosome microdeletion occurs as de novo, but once it is inherited in male offspring, the preferred practice of the present invention allows early diagnosis of idiopathic infertility and appropriate action. It can also be used as a screening test for germ cell cancer genetic factors due to Y chromosome microdeletion.
그리고 한국인 Y 염색체 미세결실에 특이적인 STS marker들을 포함하여 한국인에 적합한 특발성 불임 판별 방법 및 그에 따른 칩을 제공한다.The present invention also provides a method for discriminating idiopathic infertility suitable for Koreans, including STS markers specific to Korean Y chromosome microdeletion, and a chip accordingly.
이하 도면 및 표를 참조하여 본 발명의 바람직한 실시예를 상세히 설명한다. 본 명세서에 기재된 도면, 표 및 실시예에 도시된 구성은 본 발명의 가장 바람직한 일 실시예에 불과할 뿐이고 본 발명의 기술적 사상을 모두 대변하는 것은 아니므로, 본 출원시점에 있어서 이들을 대체할 수 있는 다양한 균등물과 변형예들이 있을 수 있음을 이해하여야 한다. Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the drawings and tables. Configurations shown in the drawings, tables and examples described herein are only one of the most preferred embodiments of the present invention and do not represent all of the technical idea of the present invention, various modifications that can be substituted for them at the time of the present application It should be understood that there may be equivalents and variations.
또한 본 발명이 청구하는 범위내에서 당해 발명이 속하는 기술분야에서 통상의 지식을 가진 자에 의해 다양한 변형의 실시가 가능하며 이러한 변형은 본 발명의 범위에 속한다. Also, within the scope of the present invention, various modifications may be made by those skilled in the art to which the present invention pertains, and such modifications are within the scope of the present invention.
<< 실시예Example 1> Y 염색체 미세결실 분석을 위한 멀티플렉스 1> Multiplex for analysis of Y chromosome microdeletion PCRPCR 반응에 포함되는 프라이머 디자인 및 합성 Primer design and synthesis involved in the reaction
Y 염색체 장완의 미세결실 고-처리량(high-throughput) 분석을 위한 칩(chip) 반응을 위해 선행하여 실시하는 멀티플렉스 PCR 반응에 포함되는 프라이머(primer)는 게노믹 랜드마크 시퀀스와 STS(sequence-tagged sites)에 대한 염기서열 및 맵핑(mapping) 데이터를 보유하고 있는 미국 NCBI의 dbSTS 데이터베이스, 그리고 NCBI(National Center for Biotechnology Information)의 데이터베이스간 교차 검색이 가능한 Entrez(http://www.ncbi.nlm.nih.gov/sites/gquery)로부터 검 색된 관련 유전자 및 STS marker들의 염기서열을 분석하여 제작하였다. Primers included in the multiplex PCR reactions performed earlier for chip reactions for microdeletion high-throughput analysis of Y chromosome armbands include genomic landmark sequences and STS. Entrez (http: //www.ncbi.nlm), which allows cross-searching between the dbSTS database of the US NCBI, which contains sequencing and mapping data for tagged sites, and the database of the National Center for Biotechnology Information (NCBI). .nih.gov / sites / gquery) was used to analyze the sequence of the relevant genes and STS markers detected.
프라이머(primer)는 유전자-특이적 또는 해당 STS-특이적인 증폭이 가능하도록 타겟 부위(target region)를 선별하였다. 이후, 선별된 프라이머 타겟 부위로부터 프라이머 프리미어(Primer premier version 5, Premier Biosoft International, Palo Alto, CA, USA), 디엔에이시스 맥스 (DNASIS MAX Version 2.7, MiraiBio Group, South San Francisco, CA, USA) 프로그램을 응용하여 프라이머를 디자인하였다. 프라이머 선발의 기본 요건은 다음과 같다 ; 프라이머 길이(18 - 25 base pair), 융해온도[Tm(℃), 58 - 63℃], 3' 말단의 GC 함량이 높지 않아야하며, 프라이머 서열내 염기 4개 이상 연속해서 상보적이지 않도록 해서 이차구조 형성을 방지하였으며, 3'말단에 동일한 염기가 3개 이상 연속해서 위치하지 않도록 해서 프라이머 이합체(dimer)의 형성을 방지하였다. 그리고 타겟 부위내에 단일염기 다형성(single nucletide polymorphism, SNP)이 포함되지 않도록하여 높은 특이도를 확보하였다. 또한 해당 프라이머 염기서열이 본 발명이 목적하는 칩을 구성하는 타 유전자 또는 STS marker들과 cross-reactive한 특성을 나타내지 않음을 미국 NCBI 염기서열 데이터베이스 등 다양한 염기서열 검색 툴(tool)을 활용하여 검증하였다. Y 염색체 장완의 미세결실 고-처리량(high-throughput) 분석을 위한 칩(chip) 반응을 위해 선행하여 실시하는 멀티플렉스 PCR 반응에 포함되는 프라이머(primer)들의 세부정보는 표 1에 기술하였다. 본 발명에 사용하는 프라이머(primer)는 미국 IDT(Integrated DNA Technologies, Inc., San Jose, CA, USA)를 통해 합성하였다. 본 발명의 바람직한 구현을 통해, DNA 염기서열의 5'말단 또는 3'말단에 형광색소 가 표지된 프라이머를 사용하거나, 또는 형광색소가 표지되지 않은 일반적인 프라이머를 사용하고 멀티플렉스 PCR 반응 중에 형광색소가 표지된 디옥시리보뉴클레오티드 트리포스페이트가 증폭산물에 삽입되게끔 유도하여 증폭산물을 표지하는 두가지 방법을 모두 확인하였다. 본 발명에 사용하는 형광색소는 6-FAM(6-carboxyfluorescein), Cy5, Cy3, Cy5.5, JOE(6-carboxy-4', 5'-dichloro-2', 7'-dimethoxyfluorescein), Rhodamine Green, TAMRA NHS(N-hydroxysuccinimide) Ester, Texas Red 이다. 프라이머의 농도는 ND-1000 분광광도계(NanoDrop Technologies, Rockland, Maine, USA)를 통해 확인하고 최종 50 - 200 pmole/uL 범위의 농도가 되도록 3차 탈이온 멸균 증류수로 재현탁(resuspension)하고 aliquots으로 -70℃ 냉동보관하였다.Primers were selected for target regions to enable gene-specific or corresponding STS-specific amplification. Subsequently, primer primer (Primer
<< 실시예Example 2> 임상 검체로부터 2> from clinical specimen 게노믹Genomic DNADNA 분리 detach
말초 혈액 검체로부터 마그네틱 비드(magnetic bead) 방식으로 게노믹 DNA를 추출하였다. 0.01 - 0.02 mL 부피의 말초혈액을 96-웰 또는 384-웰 플레이트(well plate)에 검체 수만큼 첨가하여 모듈에 위치시켰다. 이후 8-채널 피펫팅 헤드(pipetting head)가 피펫 팁 랙(tip rack)의 피펫을 장착한 후 시료를 분해하는 완충용액 믹스(mix) 500 uL를 흡인하여 상기 라이시스(lysis) 플레이트의 각 웰에 첨가하여 10분간 반응시켰다. 반응 도중 반응액을 피펫으로 업 앤 다운 15회 반복하면서 혼합하여 반응을 촉진하였다. 이후 마그네틱 비드가 포함된 반응액 70 uL를 첨가하고 피펫으로 혼합한 뒤 1분간 실온에서 정치한 후 마그네틱 분리기(separator)가 작동되고 추가로 2분간 반응하였다. 비드를 제외한 상층액을 폐액 저장기(waste reservoir)로 용출하여 제거하고 마그네틱 분리기의 작동을 중단하였다. 이후 단백분해효소 K가 포함되지 않은 라이시스(lysis) 완충용액 500 uL를 첨가하고 마그네틱 비드가 균일하게 퍼지도록 피펫으로 혼합하였다. 그리고 정제 완충용액 50 uL를 첨가하고 피펫으로 혼합한 뒤 1분간 실온에서 정치한 후 마그네틱 분리기(separator)가 작동되고 추가로 2분간 반응하였다. 상기와 마찬가지로 비드를 제외한 상층액을 폐액 저장기(waste reservoir)로 용출하여 제거하고 마그네틱 분리기의 작동을 중단하였다. 이후 세척 완충용액 500 uL를 첨가하고 마그네틱 분리기가 작동되어 불순물을 제거하는 과정을 2회 반복하였다. 최종 과정으로 DNA를 회수하기 위해 용출 완충용액 100 uL를 로딩하고 피펫으로 업 앤 다운 50회를 반복하면서 실온에서 5분 처리하고 순수 DNA를 포함하는 상층액을 회수하여 멀티플렉스 PCR 반응 전까지 보관하였다. Genomic DNA was extracted from the peripheral blood sample by magnetic bead method. Peripheral blood in a volume of 0.01-0.02 mL was added to the 96-well or 384-well plate by number of samples and placed in the module. An 8-channel pipetting head is then fitted with a pipette of a pipette tip rack and then aspirates 500 uL of a buffer mix to dissolve the sample, so that each well of the lysis plate It was added to and reacted for 10 minutes. During the reaction, the reaction solution was mixed by pipetting up and down 15 times to promote the reaction. Thereafter, 70 uL of the reaction solution containing the magnetic beads was added, mixed with a pipette, and allowed to stand at room temperature for 1 minute, and then a magnetic separator was operated and reacted for an additional 2 minutes. The supernatant except the beads was eluted with a waste reservoir and the magnetic separator was shut down. Thereafter, 500 uL of lysis buffer containing no protease K was added and mixed with a pipette to uniformly spread the magnetic beads. After adding 50 uL of the purification buffer and mixing with a pipette, the mixture was allowed to stand at room temperature for 1 minute, and then a magnetic separator was operated and reacted for another 2 minutes. As above, the supernatant except the beads was eluted with a waste reservoir and the magnetic separator was stopped. Thereafter, 500 uL of washing buffer was added and the magnetic separator was operated twice to remove impurities. In order to recover the DNA as a final process, 100 uL of the elution buffer was loaded, and the pipette was repeatedly processed up and down 50 times for 5 minutes at room temperature, and the supernatant containing pure DNA was recovered and stored until the multiplex PCR reaction.
<< 실시예Example 3> 멀티플렉스 3> multiplex PCRPCR 을 통한 Y 염색체 미세결실 분석용 칩(Y chromosome microdeletion analysis chip through chipchip )의 )of 타겟target 유전자 및 Gene and STSSTS markersmarkers 증폭 Amplification
고-처리량 칩(chip) 분석에 앞서, 검체로부터 분리한 게노믹 DNA를 주형으로 타겟 유전자 및 STS markers를 멀티플렉스 PCR 반응을 통해 증폭하였다. 이후, 증폭된 반응산물들을 칩(chip) 위에 미리 고정화시켜둔 선택적 프로브들과 혼성화(hybridization) 반응을 실시함으로써 Y 염색체 장완의 미세결실 유무를 판별할 수 있게 된다. Prior to high-throughput chip analysis, target genes and STS markers were amplified by multiplex PCR reactions with genomic DNA isolated from the sample as a template. Thereafter, hybridization reactions with selective probes immobilized with the amplified reaction products on a chip can be used to determine the presence or absence of microdeletion of the Y chromosome long arm.
AZF sub-region별로 내부 대조군(internal control)을 포함해서 9 - 10종의 유전자/STS markers를 동일한 PCR 튜브(single tube)내에서 1회 반응만으로 특이적으로 증폭시킬 수 있는 멀티플렉스 PCR을 수행하였다. 전기 멀티플렉스 PCR에 포함되는 내부 대조군은 SRY(sex determining region Y), ZFY(zinc finger protein, Y-linked)이다. ZFY는 male 특이적인 서열로 female검체에서는 증폭이 되지 않는다. SRY는 Y 염색체 단완의 TDF(testicular determining factor) 서열이 존재함을 증명하는 것으로 ZFY가 존재하지 않는 XX male까지도 구분하는 것을 가능케 한다. 이들 내부대조군은 Yq11 미세결실 여부와 관계없이 증폭되어야 하는 대조군의 역할로 매우 바람직하다. 본 실시예에 기술하는 AZF sub-region별 멀티플렉스 PCR의 프리메이드(pre-made) PCR 마스터믹스(mastermix)의 구성 조성 및 PCR 반응조건은 하기 표 2, 3, 4와 같다. Multiplex PCR was performed to specifically amplify 9-10 genes / STS markers in a single reaction in the same PCR tube, including internal control for each AZF sub-region. . Internal controls included in the electrical multiplex PCR are sex determining region Y (SRY) and zinc finger protein (Y-linked). ZFY is a male-specific sequence that is not amplified in female samples. SRY demonstrates the presence of the testicular determining factor (TDF) sequence of the Y chromosome forearm, allowing the identification of XX males without ZFY. These internal controls are highly desirable as the control to be amplified regardless of Yq11 microdeletion. The compositional composition and PCR reaction conditions of the pre-made PCR mastermix of the multiplex PCR for each AZF sub-region described in this embodiment are shown in Tables 2, 3, and 4 below.
2X 멀티플렉스 PCR 프리믹스에 포함되는 PCR 완충용액의 최종농도는 50 mM KCl, 3.5 mM MgCl2, 10mM Tris-HCl, pH 8.2이며, 2.5 unit의 Taq 중합효소, 300 uM dNTPs(Boehringer Mannheim, Mannheim, Germany), 10 mg/mL 소혈청알부민(Bovine serum albumin)을 포함한다. The final concentration of the PCR buffer in the 2X multiplex PCR premix was 50 mM KCl, 3.5 mM MgCl 2 , 10 mM Tris-HCl, pH 8.2, 2.5 unit Taq polymerase, 300 uM dNTPs (Boehringer Mannheim, Mannheim, Germany). ), 10 mg / mL bovine serum albumin.
상기 멀티플렉스 PCR 마스터믹스에 포함되는 Y 염색체 미세결실 분석용 프라이머들의 정방향(sense) 프라이머들은 이들의 5'말단에 Cy3 형광색소를 표지시켜 합성하였다(Integrated DNA Technologies, Inc., Coralville, IA, USA).Sense primers of the Y chromosome microdeletion assay primers included in the multiplex PCR mastermix were synthesized by labeling Cy3 fluorescent dyes at their 5 'ends (Integrated DNA Technologies, Inc., Coralville, IA, USA). ).
또한 본 발명이 목적하는 Y 염색체 미세결실 분석용 칩(chip) 키트는 PCR 과정중에 Cy3 형광색소가 표지된 디옥시사이토신 트리포스페이트(Cy3-dCTP)가 증폭산물을 구성하는 뉴클레오티드로 첨가되도록 하여 칩 반응의 민감도와 특이도를 향상시킬 수 있었다. Cy3-dCTP를 사용하는 AZF sub-region 멀티플렉스 PCR 반응에는 형광색소가 표지되지 않은 프라이머 프리믹스를 사용하고 PCR 완충용액을 구성하는 반응물들의 최종농도는 50 mM KCl, 3.5 mM MgCl2, 10mM Tris-HCl, pH 8.2이며, 2.5 unit의 Taq 중합효소, 300 uM dATP, 300 uM dGTP, 300 uM dTTP, 25 uM dCTP, 275 uM Cy3-dCTP(FluoroLink Cy3-dCTP, Amersham Pharmacia Biotech AB, Piscataway, NJ, USA), 10 mg/mL 소혈청알부민(Bovine serum albumin)을 포함하였다. In addition, the chip kit for Y chromosome microdeletion analysis, which is the object of the present invention, is prepared by adding Cy3 fluorescent dye-labeled deoxycytosine triphosphate (Cy3-dCTP) as a nucleotide constituting an amplification product during PCR. The sensitivity and specificity of the reaction could be improved. For the AZF sub-region multiplex PCR reaction using Cy3-dCTP, primer premix without fluorescent dye was used, and the final concentrations of the reactants constituting the PCR buffer were 50 mM KCl, 3.5 mM MgCl 2 , and 10 mM Tris-HCl. , pH 8.2, 2.5 unit Taq polymerase, 300 uM dATP, 300 uM dGTP, 300 uM dTTP, 25 uM dCTP, 275 uM Cy3-dCTP (FluoroLink Cy3-dCTP, Amersham Pharmacia Biotech AB, Piscataway, NJ, USA) , 10 mg / mL bovine serum albumin.
<< 실시예Example 4> Y 염색체 미세결실 분석용 칩( 4> Y chromosome microdeletion analysis chip ( chipchip )을 구성하는 Make up) 프로브Probe (( probeprobe ) 디자인 및 합성A) design and synthesis
Yp 염색체에 위치하는 내부 대조군과 Yq 염색체 AZF sub-region별로 해당 유전자 또는 STS marker들의 amplicon내에 특이적인(specific) 프로브 타겟 부위를 선별하기 위하여, 프라이머 프리미어(Primer premier version 5, Premier Biosoft International, Palo Alto, CA, USA), 디엔에이시스 맥스 (DNASIS MAX Version 2.7, MiraiBio Group, South San Francisco, CA, USA), 또는 올리고어레이(OligoArray 2.0, http://cbr-rbc.nrc-cnrc.gc.ca) 프로그램을 응용하여 디자인하였고 그 세부정보는 표 5와 같다. 목적하는 DNA 또는 PNA 프로브 염기서열의 5'말단 또는 3'말단에 아미노 모디파이어(Amino modifiers)를 표지하여 해당 유전자 또는 STS marker-특이적 프로브를 합성하였다(MWG-Biotech AG, Ebersberg, Germany). 프로브의 5'말단에 아미노 모디파이어를 수식할 경우 탄소 6개에서 15개의 스페이서(spacer)를 첨가하여 반응 효율을 촉진하였다. 프로브의 3'말단에 아미노 모디파이어를 수식할 경우에는 스페이서를 사용하지 않았다. 프로브의 아민기는 1차 아민기의 성질을 지니며, 알데히드-활성화된 또는 카르복실(carboxyl)-활성화된 칩(chip) 표면에 부착하였다. 프로브의 농도는 260nm에서 흡광도 수치를 통해 환산하였고 몰디-토프(MALDI-TOF, Matrix Assisted Laser Desorption/Ionization Time-of-Flight)를 통해 불순물 함유 여부를 확인하고 고성능 액체 크로마토그래피(HPLC, High-performance liquid chromatography)를 통해 순수 정제한 후 멸균 3차 증류수에 최종농도가 100-300 pM 되도록 제조하였다.
<< 실시예Example 5> Y 염색체 미세결실 분석용 칩( 5> Y chromosome microdeletion analysis chip ( chipchip ) 제작Production
본 발명의 바람직한 일실시예에 따른 Y 염색체 미세결실 분석용 칩은 AZFa region 분석을 위해 6종 STS markers와 1종 유전자를, AZFb region 분석을 위해 7종 STS markers와 1종 유전자를, AZFc region 분석을 위해 6종 STS markers와 1종 유전자를 그리고 내부 대조군으로 SRY와 ZFY 유전자에 대한 고-특이도의 프로브가 고정화되어있다. 18종 STS markers와 5종 유전자로 구성된 Y 염색체 미세결실 분석용 고-특이도 프로브들의 그리드(grid)를 설계하고, 하나의 칩 기판위에 8개의 그리드가 포함되도록 하였으며, 8 웰 혼성화 반응 챔버(8 well hybridization reaction chamber)를 통해 8개의 개별 검체에 대한 분석을 동시에 진행할 수 있도록 고안하였다(도 2 참조). 영하 70℃ 보관중인 프로브 스탁(stock)을 실온에서 해동한 후, 탈이온 멸균 3차 증류수에 최종농도 10 nM이 되도록 희석하여 워킹 스탁(working stock)으로 사용하였다. 워킹 스탁을 50배 희석한 각각의 프로브들을 3X SSC 스포팅 용액(500 mM NaCl, 3 mM sodium citrate, 1.5 M N,N,N-trimethylglycine, pH 6.8)과 1 : 5 - 10 비율(v/v)로 혼합하여 최종 96 웰 플레이트(well plate)에 분주되는 프로브의 농도범위가 20 - 40 pmole/uL 가 되도록 하였다. 상기 플레이트를 Microssys 5100 microarrayer(Cartesian Technologies, Ann Arbor, MI, USA)에 장착하고 이로부터 알데하이드-, 티오이소시아네이트-, 아민-활성화된 글라스 슬라이드(CEL associates Inc., Houston, TX, USA) 혹은 에폭시-활성화된 플라스틱 칩 표면에 프로브들을 순서에 따라 2개씩 스포팅하였다. 스팟(spot)의 평균 크기(diameter)는 80 - 150 마이크로미터(micrometer)이며 스팟간 크로스-토크(cross-talk)효과를 최소화하기 위해 스팟간의 거리는 400 - 500 마이크로미터를 유지하였다. 칩 제작은 74% 습도( humidity)를 유지하는 클래스 10,000 룸에서 실시하였다. 프로브가 스팟팅된 칩을 120℃, 1시간 베이킹(baking)한 후, 0.25% SDS(Sodium dodecyl sulfate)용액에서 3분간 세척하고 멸균 3차 증류수로 다시 세척하였다. 이후 칩을 0.2% 소디움 보로하이드라이드(NaBH4)를 포함하는 용액에 반응시켜 프로브를 블럭킹(blocking)하였다. 이후 3차 증류수로 2회 세척하고 물기를 제거한 후 사용시점까지 데시케이터(dessicator)에 보관하였다.The Y chromosome microdeletion analysis chip according to the preferred embodiment of the present invention is six STS markers and one gene for AZFa region analysis, seven STS markers and one gene for AZFb region analysis, and AZFc region analysis. Six STS markers, one gene, and a high-specificity probe for the SRY and ZFY genes as immobilized controls were immobilized. A grid of high-specificity probes for Y chromosome microdeletion analysis consisting of 18 STS markers and 5 genes was designed, and 8 grids were included on one chip substrate, and an 8 well hybridization reaction chamber (8 A well hybridization reaction chamber was designed to simultaneously analyze 8 individual samples (see FIG. 2). After thawing at 70 ° C., the probe stock was stored at room temperature, and then diluted with deionized sterile tertiary distilled water to a final concentration of 10 nM and used as a working stock. Each probe with 50-fold dilution of working stock was subjected to a 1: 5-10 ratio (v / v) with 3X SSC spotting solution (500 mM NaCl, 3 mM sodium citrate, 1.5 MN, N, N-trimethylglycine, pH 6.8). Mixing was performed so that the concentration range of the probe dispensed into the final 96 well plate was 20-40 pmole / uL. The plate was mounted on a Microssys 5100 microarrayer (Cartesian Technologies, Ann Arbor, MI, USA) from which aldehyde-, thiocyanate-, amine-activated glass slides (CEL associates Inc., Houston, TX, USA) or epoxy- Two probes were spotted in order on the activated plastic chip surface. The average diameter of the spots is 80-150 micrometers and the distance between spots was maintained at 400-500 micrometers to minimize cross-talk effects between spots. Chip fabrication was carried out in a class 10,000 room maintaining 74% humidity. The probe spotted chips were baked at 120 ° C. for 1 hour, and then washed in 0.25% SDS (Sodium dodecyl sulfate) solution for 3 minutes and washed again with sterile tertiary distilled water. The chip was then reacted with a solution containing 0.2% sodium borohydride (NaBH 4) to block the probe. After washing twice with 3 distilled water, the water was removed and stored in a desiccator (dessicator) until the point of use.
<< 실시예Example 6> Y 염색체 미세결실 분석용 칩( 6> Y chromosome microdeletion analysis chip ( chipchip ) ) 혼성화Hybridization (( hybridizationhybridization ) 반응 및 결과 분석) Response and result analysis
본 발명의 바람직한 일실시예에 따른 Y 염색체 미세결실 고-처리량(high-throughput) 분석을 위한 멀티플렉스 PCR 반응을 AZF sub-region별로 수행한 후 각 PCR 반응산물 13 uL씩 총 39 uL에 탈이온 3차 멸균 증류수 39 uL를 첨가하여 95℃, 5분간 열변성시킨 후 얼음위에 5분간 보존하고 원심분리기로 스핀다운(spin down)하였다. 칩(chip) 표면에는 8 웰 혼성화 반응 챔버(8 well hybridization chamber)를 위치시키고 웰 커버(cover)로 웰 상층부를 덮어두었다. 이후 반응시키고자하는 웰(well)에 상기 반응 혼합용액에 혼성화 반응 온도인 50℃로 미리 가열해둔 60 uL의 혼성화 반응 용액(3X SSC, 0.1% SDS, 0.2 mg/mL 소혈청알부민, pH 7)을 첨가하여 혼합한 후 웰 커버의 구멍(hole)을 통해 반응액 혼합물을 주입하고 버블(bubble)이 발생하지 않도록 주의하였다. 챔버 리드(lid)를 고정시킨 후 50℃, 30분간 혼성화 반응을 통해 칩 표면의 프로브와 멀티플렉스 PCR 반응산물간 특이적인 뉴클레오티드 상보적(complementary) 결합을 유도하였다. 혼성화 반응이 종료된 칩 표면의 웰 커버를 제거하고 칩을 세척버퍼 1(0.1X SSC, 0.05% SDS)용액에 담그고 2분간 2,000 rpm에서 교반하면서 세척(washing)하고 이를 반복하였다. 이후 세척용액 2(2X SSC, 0.1% SDS)용액에 2분간 2,000 rpm에서 교반하면서 세척(washing)하고 이를 반복하였다. 이후 탈이온 3차 멸균 증류수에 담가 2회 세척하고 1,000 rpm에서 원심분리하여 칩을 건조하였다. 상기 칩을 스캔어래이 라이트(ScanArray Lite, Packard Instrument Co., Meriden, CT, USA) 스캐너를 이용하여 판독하였고, 분석 소프트웨어(QuantArray 2.0)를 이용하여 양성 대조군 스팟들의 평균 형광강도(fluorescence intensity) 및 표준오차를 스파 주변의 값들과 비교하여 signal-to-noise(S/R) 비율을 구한 뒤 이 값이 5 이상일 경우 양성 값으로 스코어링(scoring) 처리하였다(도 3 참조). A multiplex PCR reaction for Y chromosome microdeletion high-throughput analysis according to one preferred embodiment of the present invention was performed for each AZF sub-region, followed by deionization in a total of 39 uL of 13 uL of each PCR reaction product. 39 μL of third sterile distilled water was added thereto, followed by thermal denaturation at 95 ° C. for 5 minutes, preservation on ice for 5 minutes, and spin down with a centrifuge. An 8 well hybridization chamber was placed on the chip surface and the well top was covered with a well cover. Thereafter, 60 uL of a hybridization reaction solution (3X SSC, 0.1% SDS, 0.2 mg / mL bovine serum albumin, pH 7) was preheated to the reaction mixture solution at 50 ° C. in the reaction mixture solution. After the addition and mixing, the reaction solution mixture was injected through the hole of the well cover, and care was taken not to generate bubbles. After fixing the chamber lid, the hybridization reaction was conducted at 50 ° C. for 30 minutes to induce specific nucleotide complementary binding between the probe on the chip surface and the multiplex PCR reaction product. The well cover of the chip surface where the hybridization reaction was completed was removed, the chip was immersed in the washing buffer 1 (0.1X SSC, 0.05% SDS) solution, washed with stirring at 2,000 rpm for 2 minutes, and repeated. After washing with washing solution 2 (2X SSC, 0.1% SDS) solution at 2,000 rpm for 2 minutes (washing) was repeated. Thereafter, the chips were dried by immersion in deionized tertiary sterile distilled water twice and centrifuged at 1,000 rpm. The chip was read using a ScanArray Lite (Packard Instrument Co., Meriden, CT, USA) scanner, and the mean fluorescence intensity and standard of the positive control spots using the analysis software (QuantArray 2.0). Signal-to-noise (S / R) ratio was obtained by comparing the error with the values around the spa and then scored as positive if this value was 5 or more (see FIG. 3).
도 1은 본 발명이 목적하는 Y 염색체 미세결실 분석용 칩(chip)에 포함된 분석 대상 유전자 및 STS marker들의 염색체 내 위치를 나타낸 모식도이다. 내부 대조군인 SRY, ZFY 유전자는 Y 염색체 단완의 interval 1 부위에 존재하며, AZFa 미세결실 부위는 Y 염색체 장완의 동질염색질 내 interval 5 부위에, AZFb는 interval 5 - 6 연결 부위에, AZFc는 interval 6 부위에 존재함을 나타내었다. 또한 AZF sub-region별로 본 발명이 포함하는 미세결실 분석용 유전자 및 STS marker 들을 나타내었다. Figure 1 is a schematic diagram showing the position in the chromosome of the analysis target gene and STS markers included in the Y chromosome microdeletion analysis chip of the present invention. The internal control SRY and ZFY genes are present at
도 2는 본 발명에 따라 제작된 Y 염색체 미세결실 분석용 칩의 모식도이며, AZFa, AZFb, AZFc 각각의 미세결실 부위별로 프로브(probe)가 배열된 칩 그리드(grid)를 나타내었으며, 형광물질이 표지된 타겟 DNA와 칩 위에 배열된 프로브간 혼성화(hybridization)반응이 이루어지는 8웰 혼성화 반응 챔버를 모식하여 나타냈다.Figure 2 is a schematic diagram of the Y chromosome microdeletion analysis chip manufactured according to the present invention, and shows a chip grid in which probes are arranged for each microdeletion site of AZFa, AZFb, and AZFc. An 8-well hybridization reaction chamber in which hybridization reaction between the labeled target DNA and the probes arranged on the chip is performed is shown schematically.
도 3은 본 발명에 따라 프로브가 고정화된 칩 제작 이후, 검체로부터 분리한 게노믹 DNA를 주형으로 타겟 유전자 및 STS markers를 멀티플렉스 PCR 반응을 통해 증폭한 뒤, 칩 위의 선택적 프로브들과 혼성화(hybridization) 반응을 실시함으로써 Y 염색체 미세결실 유무를 분석하는 칩 분석과정의 주요 단계를 나타낸 흐름도이다.3, after fabrication of the chip in which the probe is immobilized according to the present invention, the target gene and STS markers are amplified by multiplex PCR reaction with genomic DNA isolated from the sample as a template, and hybridized with selective probes on the chip ( This is a flowchart showing the main steps of the chip analysis process for analyzing the presence or absence of Y chromosome microdeletion by performing a hybridization reaction.
도 4는 본 발명에 따른 Y 염색체 미세결실 분석용 칩 반응을 위한 AZF sub-region별 멀티플렉스 PCR의 임상결과예를 나타내었다. AZFa region의 미세결실 분석을 위해 내부 대조군을 포함한 9종 멀티플렉스 PCR 반응을 통해 임상검체 7례의 타겟 DNA 분포양상을 확인할 수 있다. 그리고 AZFb region은 10종, AZFc region은 9종의 멀티플렉스 PCR 반응을 통해 타겟 유전자 및 STS marker들이 특이적으로 증폭됨을 확인할 수 있었다. M은 DNA 분자량 size marker, P는 positive control, S 번호는 검체 일련번호를 나타낸다. Figure 4 shows the clinical results of the multiplex PCR for each AZF sub-region for the chip reaction for Y chromosome microdeletion analysis according to the present invention. The target DNA distribution of 7 clinical specimens can be confirmed through 9 multiplex PCR reactions including an internal control for microdeletion analysis of AZFa region. In addition, it was confirmed that target genes and STS markers were specifically amplified by 10 multiplex PCR reactions in AZFb region and 9 in AZFc region. M is the DNA molecular weight size marker, P is the positive control, and S number is the sample serial number.
도 5는 본 발명에 따라 Y 염색체 미세결실 고-처리량 분석을 위한 AZF 타겟 유전자 및 STS marker들을 분석한 결과를 나타내는 칩 스캔 이미지(좌측 그림)와 칩 그리드(우측 그림)를 나타낸다. AZFb-c 미세결실이 일어난 임상례가 나타난 결과로서, sY127, sY134 STS marker와 RBMY 유전자가 결실되어 있으며, sY105, sY152는 증폭되면서 sY114, sY143 marker는 결실되어있는 것을 통해 전형적인 AZFb 미세결실을 확인할 수 있다. 또한 sY254 및 sY255 marker와 DAZ 유전자가 결실되어 있는 AZFc 미세결실을 확인할 수 있다.5 shows a chip scan image (left picture) and a chip grid (right picture) showing the results of analyzing AZF target gene and STS markers for Y chromosome microdeletion high-throughput analysis according to the present invention. As a result of clinical cases of AZFb-c microdeletion, sY127 and sY134 STS markers and RBMY genes were deleted, and sY105 and sY152 were amplified while sY114 and sY143 markers were deleted. . In addition, AZFc microdeletion in which the sY254 and sY255 markers and the DAZ gene are deleted can be confirmed.
도 6은 본 발명에 따라 Y 염색체 미세결실 고-처리량 분석을 위한 AZF 타겟 유전자 및 STS marker들을 분석한 결과를 나타내는 칩 스캔 이미지(좌측 그림)와 칩 그리드(우측 그림)를 나타내며, AZFa 미세결실이 일어난 임상례 분석결과이다. sY84, sY86 STS marker와 DDX3Y(DBY) 유전자가 결실되어 있으며, sY82, sY88은 증폭되면서 sY83, sY87 breakpoint marker는 결실되어있는 것을 통해 AZFa 미세결실을 확인할 수 있다. Figure 6 shows a chip scan image (left picture) and chip grid (right picture) showing the results of the analysis of the AZF target gene and STS markers for Y chromosome microdeletion high-throughput analysis according to the present invention, the AZFa microdeletion This is the result of clinical case analysis. The AZFa microdeletion can be confirmed by sY84 and sY86 STS markers and DDX3Y (DBY) genes, sY82 and sY88 are amplified and sY83 and sY87 breakpoint markers are deleted.
도 7은 본 발명에 따라 Y 염색체 미세결실 고-처리량 분석을 위한 AZF 타겟 유전자 및 STS marker들을 분석한 결과를 나타내는 칩 스캔 이미지(좌측 그림)와 칩 그리드(우측 그림)를 나타내며, AZFb 미세결실이 일어난 임상례 분석결과이다. sY127, sY129, sY134 marker와 RBMY 유전자가 결실되어 있으며, sY105, sY152는 증폭되면서 sY114, sY143 breakpoint marker는 결실되어있는 것을 통해 AZFb 미세결실을 확인할 수 있다. Figure 7 shows a chip scan image (left picture) and chip grid (right picture) showing the results of the analysis of the AZF target gene and STS markers for Y chromosome microdeletion high-throughput analysis according to the present invention, the AZFb microdeletion This is the result of clinical case analysis. AZFb microdeletion can be confirmed by the deletion of the sY127, sY129, sY134 markers and the RBMY gene, and the deletion of the sY114 and sY143 breakpoint markers as sY105 and sY152 are amplified.
도 8은 본 발명에 따라 Y 염색체 미세결실 고-처리량 분석을 위한 AZF 타겟 유전자 및 STS marker들을 분석한 결과를 나타내는 칩 스캔 이미지(좌측 그림)와 칩 그리드(우측 그림)를 나타내며, AZFc 미세결실이 일어난 임상례 분석결과이다. sY254, sY255, sY153, sY586 STS marker와 DAZ 유전자가 결실되어 있는 것을 통해 AZFc 미세결실을 확인할 수 있다. 8 shows a chip scan image (left picture) and a chip grid (right picture) showing the results of analyzing the AZF target gene and STS markers for Y chromosome microdeletion high-throughput analysis according to the present invention. This is the result of clinical case analysis. The AZFc microdeletion can be confirmed by the deletion of the sY254, sY255, sY153, and sY586 STS markers and the DAZ gene.
<110> PARK, MinKoo <120> Human Y chromosome microdeletion diagnosing chip and idiopathic infertility screening analysis therethrough <160> 50 <170> KopatentIn 1.71 <210> 1 <211> 21 <212> DNA <213> Artificial Sequence <220> <223> sY84 probe <400> 1 atgggctgga gattcagtgg g 21 <210> 2 <211> 21 <212> DNA <213> Artificial Sequence <220> <223> sY84 probe <400> 2 gggctggaga ttcagtggga c 21 <210> 3 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY86 probe <400> 3 tctccttggg ttgtagatgc tg 22 <210> 4 <211> 18 <212> DNA <213> Artificial Sequence <220> <223> sY86 probe <400> 4 ccagggctgg ttcctcct 18 <210> 5 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY82 probe <400> 5 ggagattcag aagggcagga tg 22 <210> 6 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY82 probe <400> 6 gacactggag attcagaagg gca 23 <210> 7 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY83 probe <400> 7 gatgtttagg gctgctgttg ct 22 <210> 8 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY83 probe <400> 8 cagatgttta gggctgctgt tg 22 <210> 9 <211> 21 <212> DNA <213> Artificial Sequence <220> <223> sY87 probe <400> 9 tgaggcctgg gcaaagacaa g 21 <210> 10 <211> 21 <212> DNA <213> Artificial Sequence <220> <223> sY87 probe <400> 10 cttgtctttg cccaggcctc a 21 <210> 11 <211> 21 <212> DNA <213> Artificial Sequence <220> <223> sY88 probe <400> 11 gtaaaacaaa tggctgggtg c 21 <210> 12 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY88 probe <400> 12 gtaaaacaaa tggctgggtg ca 22 <210> 13 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> DBY gene probe <400> 13 ttagcgatat tgacatggga gaa 23 <210> 14 <211> 24 <212> DNA <213> Artificial Sequence <220> <223> DBY gene probe <400> 14 gtcaatatcg ctaaactgcc aaga 24 <210> 15 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY127 probe <400> 15 tggaatctac caaagcccac tgt 23 <210> 16 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY127 probe <400> 16 gtgggctttg gtagattcca gt 22 <210> 17 <211> 25 <212> DNA <213> Artificial Sequence <220> <223> sY134 probe <400> 17 cattctactt gaagcgttct gtgac 25 <210> 18 <211> 24 <212> DNA <213> Artificial Sequence <220> <223> sY134 probe <400> 18 cattctactt gaagcgttct gtga 24 <210> 19 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY129 probe <400> 19 gcagcaacac gaatgtagct aga 23 <210> 20 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY129 probe <400> 20 tctagctaca ttcgtgttgc tgc 23 <210> 21 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY105 probe <400> 21 aataaagggg aaacattgaa ccc 23 <210> 22 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY105 probe <400> 22 gggaaacatt gaaccccaga ga 22 <210> 23 <211> 24 <212> DNA <213> Artificial Sequence <220> <223> sY114 probe <400> 23 tggagacaac agtcttgcca taag 24 <210> 24 <211> 25 <212> DNA <213> Artificial Sequence <220> <223> sY114 probe <400> 24 tggagacaac agtcttgcca taagt 25 <210> 25 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY143 probe <400> 25 gtcatatttg gcttctgctt gg 22 <210> 26 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY143 probe <400> 26 gctttatcta gcaacagccc aa 22 <210> 27 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY152 probe <400> 27 aagacagtct gccatgtttc agc 23 <210> 28 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY152 probe <400> 28 ctgccatgtt tcagctcttt gac 23 <210> 29 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> RBMY gene probe <400> 29 gcctcggatg tcttatggtg ga 22 <210> 30 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> RBMY gene probe <400> 30 tccaccataa gacatccgag gc 22 <210> 31 <211> 19 <212> DNA <213> Artificial Sequence <220> <223> sY254 probe <400> 31 agggctgctg gtcattcgg 19 <210> 32 <211> 20 <212> DNA <213> Artificial Sequence <220> <223> sY254 probe <400> 32 cgaatgacca gcagcccttt 20 <210> 33 <211> 20 <212> DNA <213> Artificial Sequence <220> <223> sY255 probe <400> 33 caggattcgg cgtgatttgg 20 <210> 34 <211> 21 <212> DNA <213> Artificial Sequence <220> <223> sY255 probe <400> 34 caaatcacgc cgaatcctgt a 21 <210> 35 <211> 25 <212> DNA <213> Artificial Sequence <220> <223> sY153 probe <400> 35 gaactcgctt tatactcagt gcttt 25 <210> 36 <211> 25 <212> DNA <213> Artificial Sequence <220> <223> sY153 probe <400> 36 aagcactgag tataaagcga gttct 25 <210> 37 <211> 24 <212> DNA <213> Artificial Sequence <220> <223> sY158 probe <400> 37 ctcactatct acccgctaca aacc 24 <210> 38 <211> 25 <212> DNA <213> Artificial Sequence <220> <223> sY158 probe <400> 38 cagtggtttg tagcgggtag atagt 25 <210> 39 <211> 24 <212> DNA <213> Artificial Sequence <220> <223> sY586 probe <400> 39 aagcaatggc ttctccaaat tatg 24 <210> 40 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY586 probe <400> 40 aaaaggcact gtttctccca tg 22 <210> 41 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY554 probe <400> 41 attcaaaacc agcaacttcc ca 22 <210> 42 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY554 probe <400> 42 gtttcatggg aagttgctgg ttt 23 <210> 43 <211> 24 <212> DNA <213> Artificial Sequence <220> <223> DAZ gene probe <400> 43 tcactgaacc gtatctacca aagc 24 <210> 44 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> DAZ gene probe <400> 44 aaaatgtgct aggattaggg cag 23 <210> 45 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY14 probe <400> 45 atgggtcgct tcactctatc ctg 23 <210> 46 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY14 probe <400> 46 tccaggatag agtgaagcga cc 22 <210> 47 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY18 probe <400> 47 ggtgactgac tccaagccaa at 22 <210> 48 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY18 probe <400> 48 aagtccagca tttctgcttt gg 22 <210> 49 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> ZFY gene probe <400> 49 atggcgactt agaacaaatg gg 22 <210> 50 <211> 24 <212> DNA <213> Artificial Sequence <220> <223> ZFY gene probe <400> 50 aatatggcga cttagaacaa atgg 24 <110> PARK, MinKoo <120> Human Y chromosome microdeletion diagnosing chip and idiopathic infertility screening analysis therethrough <160> 50 <170> KopatentIn 1.71 <210> 1 <211> 21 <212> DNA <213> Artificial Sequence <220> <223> sY84 probe <400> 1 atgggctgga gattcagtgg g 21 <210> 2 <211> 21 <212> DNA <213> Artificial Sequence <220> <223> sY84 probe <400> 2 gggctggaga ttcagtggga c 21 <210> 3 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY86 probe <400> 3 tctccttggg ttgtagatgc tg 22 <210> 4 <211> 18 <212> DNA <213> Artificial Sequence <220> <223> sY86 probe <400> 4 ccagggctgg ttcctcct 18 <210> 5 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY82 probe <400> 5 ggagattcag aagggcagga tg 22 <210> 6 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY82 probe <400> 6 gacactggag attcagaagg gca 23 <210> 7 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY83 probe <400> 7 gatgtttagg gctgctgttg ct 22 <210> 8 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY83 probe <400> 8 cagatgttta gggctgctgt tg 22 <210> 9 <211> 21 <212> DNA <213> Artificial Sequence <220> <223> sY87 probe <400> 9 tgaggcctgg gcaaagacaa g 21 <210> 10 <211> 21 <212> DNA <213> Artificial Sequence <220> <223> sY87 probe <400> 10 cttgtctttg cccaggcctc a 21 <210> 11 <211> 21 <212> DNA <213> Artificial Sequence <220> <223> sY88 probe <400> 11 gtaaaacaaa tggctgggtg c 21 <210> 12 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY88 probe <400> 12 gtaaaacaaa tggctgggtg ca 22 <210> 13 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> DBY gene probe <400> 13 ttagcgatat tgacatggga gaa 23 <210> 14 <211> 24 <212> DNA <213> Artificial Sequence <220> <223> DBY gene probe <400> 14 gtcaatatcg ctaaactgcc aaga 24 <210> 15 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY127 probe <400> 15 tggaatctac caaagcccac tgt 23 <210> 16 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY127 probe <400> 16 gtgggctttg gtagattcca gt 22 <210> 17 <211> 25 <212> DNA <213> Artificial Sequence <220> <223> sY134 probe <400> 17 cattctactt gaagcgttct gtgac 25 <210> 18 <211> 24 <212> DNA <213> Artificial Sequence <220> <223> sY134 probe <400> 18 cattctactt gaagcgttct gtga 24 <210> 19 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY129 probe <400> 19 gcagcaacac gaatgtagct aga 23 <210> 20 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY129 probe <400> 20 tctagctaca ttcgtgttgc tgc 23 <210> 21 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY105 probe <400> 21 aataaagggg aaacattgaa ccc 23 <210> 22 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY105 probe <400> 22 gggaaacatt gaaccccaga ga 22 <210> 23 <211> 24 <212> DNA <213> Artificial Sequence <220> <223> sY114 probe <400> 23 tggagacaac agtcttgcca taag 24 <210> 24 <211> 25 <212> DNA <213> Artificial Sequence <220> <223> sY114 probe <400> 24 tggagacaac agtcttgcca taagt 25 <210> 25 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY143 probe <400> 25 gtcatatttg gcttctgctt gg 22 <210> 26 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY143 probe <400> 26 gctttatcta gcaacagccc aa 22 <210> 27 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY152 probe <400> 27 aagacagtct gccatgtttc agc 23 <210> 28 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY152 probe <400> 28 ctgccatgtt tcagctcttt gac 23 <210> 29 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> RBMY gene probe <400> 29 gcctcggatg tcttatggtg ga 22 <210> 30 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> RBMY gene probe <400> 30 tccaccataa gacatccgag gc 22 <210> 31 <211> 19 <212> DNA <213> Artificial Sequence <220> <223> sY254 probe <400> 31 agggctgctg gtcattcgg 19 <210> 32 <211> 20 <212> DNA <213> Artificial Sequence <220> <223> sY254 probe <400> 32 cgaatgacca gcagcccttt 20 <210> 33 <211> 20 <212> DNA <213> Artificial Sequence <220> <223> sY255 probe <400> 33 caggattcgg cgtgatttgg 20 <210> 34 <211> 21 <212> DNA <213> Artificial Sequence <220> <223> sY255 probe <400> 34 caaatcacgc cgaatcctgt a 21 <210> 35 <211> 25 <212> DNA <213> Artificial Sequence <220> <223> sY153 probe <400> 35 gaactcgctt tatactcagt gcttt 25 <210> 36 <211> 25 <212> DNA <213> Artificial Sequence <220> <223> sY153 probe <400> 36 aagcactgag tataaagcga gttct 25 <210> 37 <211> 24 <212> DNA <213> Artificial Sequence <220> <223> sY158 probe <400> 37 ctcactatct acccgctaca aacc 24 <210> 38 <211> 25 <212> DNA <213> Artificial Sequence <220> <223> sY158 probe <400> 38 cagtggtttg tagcgggtag atagt 25 <210> 39 <211> 24 <212> DNA <213> Artificial Sequence <220> <223> sY586 probe <400> 39 aagcaatggc ttctccaaat tatg 24 <210> 40 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY586 probe <400> 40 aaaaggcact gtttctccca tg 22 <210> 41 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY554 probe <400> 41 attcaaaacc agcaacttcc ca 22 <210> 42 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY554 probe <400> 42 gtttcatggg aagttgctgg ttt 23 <210> 43 <211> 24 <212> DNA <213> Artificial Sequence <220> <223> DAZ gene probe <400> 43 tcactgaacc gtatctacca aagc 24 <210> 44 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> DAZ gene probe <400> 44 aaaatgtgct aggattaggg cag 23 <210> 45 <211> 23 <212> DNA <213> Artificial Sequence <220> <223> sY14 probe <400> 45 atgggtcgct tcactctatc ctg 23 <210> 46 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY14 probe <400> 46 tccaggatag agtgaagcga cc 22 <210> 47 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY18 probe <400> 47 ggtgactgac tccaagccaa at 22 <210> 48 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> sY18 probe <400> 48 aagtccagca tttctgcttt gg 22 <210> 49 <211> 22 <212> DNA <213> Artificial Sequence <220> <223> ZFY gene probe <400> 49 atggcgactt agaacaaatg gg 22 <210> 50 <211> 24 <212> DNA <213> Artificial Sequence <220> <223> ZFY gene probe <400> 50 aatatggcga cttagaacaa atgg 24
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Cited By (5)
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| DE102010036935A1 (en) | 2009-11-19 | 2011-05-26 | Amotech Co., Ltd. | Electric water pump |
| WO2013127049A1 (en) * | 2012-02-27 | 2013-09-06 | 深圳华大基因科技有限公司 | Method and device for detecting microdeletion in chromosome sts area |
| WO2014036925A1 (en) * | 2012-09-04 | 2014-03-13 | Luo Ziyi | Real-time fluorescence quantitative pcr kit and method for detecting y-chromosome microdeletion |
| CN109957616A (en) * | 2019-04-16 | 2019-07-02 | 北京和合医学诊断技术股份有限公司 | The Amplification object and kit of the micro-deleted detection of Y chromosome |
| CN112725419A (en) * | 2021-01-18 | 2021-04-30 | 益善生物技术股份有限公司 | Y chromosome microdeletion detection kit |
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| DE102010036935A1 (en) | 2009-11-19 | 2011-05-26 | Amotech Co., Ltd. | Electric water pump |
| WO2013127049A1 (en) * | 2012-02-27 | 2013-09-06 | 深圳华大基因科技有限公司 | Method and device for detecting microdeletion in chromosome sts area |
| CN104145028A (en) * | 2012-02-27 | 2014-11-12 | 深圳华大基因医学有限公司 | A method and device for detecting microdeletion in chromosome STS region |
| RU2610691C2 (en) * | 2012-02-27 | 2017-02-14 | БГИ Диагносис Ко., Лтд. | Method for microdeletion detection near chromosome with dna-marking section |
| WO2014036925A1 (en) * | 2012-09-04 | 2014-03-13 | Luo Ziyi | Real-time fluorescence quantitative pcr kit and method for detecting y-chromosome microdeletion |
| CN109957616A (en) * | 2019-04-16 | 2019-07-02 | 北京和合医学诊断技术股份有限公司 | The Amplification object and kit of the micro-deleted detection of Y chromosome |
| CN109957616B (en) * | 2019-04-16 | 2022-07-29 | 北京和合医学诊断技术股份有限公司 | Amplification composition and kit for detecting microdeletion of Y chromosome |
| CN112725419A (en) * | 2021-01-18 | 2021-04-30 | 益善生物技术股份有限公司 | Y chromosome microdeletion detection kit |
| CN112725419B (en) * | 2021-01-18 | 2024-02-13 | 益善生物技术股份有限公司 | Y chromosome microdeletion detection kit |
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