WO2001077385A1 - Method of detecting cancer - Google Patents
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- WO2001077385A1 WO2001077385A1 PCT/JP2001/003031 JP0103031W WO0177385A1 WO 2001077385 A1 WO2001077385 A1 WO 2001077385A1 JP 0103031 W JP0103031 W JP 0103031W WO 0177385 A1 WO0177385 A1 WO 0177385A1
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/53—Immunoassay; Biospecific binding assay; Materials therefor
- G01N33/574—Immunoassay; Biospecific binding assay; Materials therefor for cancer
- G01N33/57407—Specifically defined cancers
- G01N33/57446—Specifically defined cancers of stomach or intestine
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- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
- C12Q1/00—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
- C12Q1/68—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving nucleic acids
- C12Q1/6876—Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes
- C12Q1/6883—Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes for diseases caused by alterations of genetic material
- C12Q1/6886—Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes for diseases caused by alterations of genetic material for cancer
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- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
- C12Q2600/00—Oligonucleotides characterized by their use
- C12Q2600/112—Disease subtyping, staging or classification
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- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
- C12Q2600/00—Oligonucleotides characterized by their use
- C12Q2600/158—Expression markers
Definitions
- the present invention provides a method for easily and quickly evaluating cancer malignancy with high reliability, a method for evaluating malignancy of cancer, particularly gastric cancer, an array and a kit used for the evaluation method, simple and high reliability
- the present invention relates to a method for detecting cancer, particularly gastric cancer, and a kit therefor.
- Cancer has been the leading cause of death in Japan since 1981, with gastric cancer being the most frequent cancer. In recent years, it has been clarified that there is a multi-stage carcinogenesis mechanism until normal cells become cancerous [Phiron ER (Fearon. ER) et al., Cell, Vol. 61, No. 759- Pp. 767 (1992), Sugimura T., Science, 258, 603-607 (1992)]. Specifically, canceration of normal cells requires accumulation of multiple genetic abnormalities, including DNA repair genes, tumor suppressor genes, and oncogenes. In general, gene instability and inactivation of tumor suppressor genes are thought to be involved in the development of cancer.
- genes encoding genes that degrade extracellular matrix molecules and genes encoding proteins that regulate cell motility or adhesion are thought to be involved in translocation and invasion.
- Gene instability includes gene instability associated with abnormalities in the DNA mismatch repair system and chromosomal instability.
- the chain length of the simple repetitive sequence existing in the genome is different between the cancerous part and the non-cancerous part of the same individual (microsatellite instability) [Thibodeau. SN, et al., Science, Vol. 260, pp. 8 16—8 19 (1993)], and as an example of the latter, And rearrangement between chromosomes.
- the rearrangement between the chromosomes causes the expression of a protein that is not found in normal cells. On the other hand, even if the protein is expressed in normal cells, it may affect the expression level.
- inactivation of the tumor suppressor gene examples include inactivation of the P53 gene.
- the cause of inactivation is thought to be a deletion in the gene or a point mutation that occurs in a specific part of the coding region (Nigro, JM et al., Nature, Vol. 342. 705-708 (19989), Malkin D. et al., Science, 250, 1233-123 (1990)].
- deletions and point mutations in the p53 gene have been observed in many types of cancer. For example, in gastric cancer, the deletion and point mutation of the p53 gene are found in 60% or more cases of early stage cancer (Yokozaki H., et al., Journal of Cancer Research and Clinical). Oncology (Journal of Cancer Research and Clinical Oncology), Vol. 119, pp. 67-70 (1992)) o
- the P16 / MTS1 gene is known as a gene that is inactivated by homo-deletion. Specifically, high frequency homozygous deletions have been observed in gliomas, spleen cancer, bladder cancer, etc. [Cairns, P., et al., Nature genetics, 1st ed. Volume 1, pages 210-212 (1995)].
- pl6 protein regulates the cell cycle. It has been suggested that the abnormal expression of P16 is involved in canceration of cells (Okamoto A. et al., Proceedings of the National Academy of Sciences of the USA (Pr. oceedings of the National Academy of Sciences of the United States of America). Vol. 91, No. 11045-11049 (1994)].
- Activation of an oncogene includes, for example, insertion mutation of a virus near an oncogene or rearrangement between chromosomes.
- viral insertion mutations have been identified in chicken lymphomas caused by the avian leukosis virus (ALV).
- ALV DNA is inserted in the vicinity of C-myc, which is a kind of gene, and normal C-myc is overexpressed by strong virus enhancer and oral motor, It was confirmed that different new sequences were expressed.
- C-myc which is a kind of gene
- normal C-myc is overexpressed by strong virus enhancer and oral motor
- the c-myc expression product in cancer cells did not differ from that expressed in normal cells, and it is considered that canceration was caused by an increase in the expression level of c-myc [Watson, JD, et al., Molecular Biology of Recombinant DNA, 2nd Edition; Maruzen Co., Ltd., pp. 305-308 (1992)].
- overexpression of a growth factor examples include overexpression of C-Met encoding a hepatocyte growth factor receptor. This abnormal expression of C-Met is not observed in normal mucosa from the early stage of gastric carcinogenesis. The expression of mRNA having a length of 6.0 kilobases was observed. (Kuniyasu.H. , Et al., International Journal of Cancer ⁇ Vol. 55, pp. 72-75 (1993)], Gene amplification is frequently observed in metastatic cancer, and gene amplification and cancer A correlation has been confirmed with the degree of malignancy of tumors [Kunias H. et al., Biochemical and Biophysical Research Communications ⁇ Vol. 189, pp. 227-232 (1992) ) 0
- Examples of correlations between genetic abnormalities and cancer malignancy include c-Met above Amplification and / or overexpression of the oncogene C-erbB2 gene in breast cancer, ovarian cancer, gastric cancer, uterine cancer, etc. [Wright C. (Wright) et al., Cancer Research, Vol. 49, No. 2087- 209 p. (19989), Safari B. (Saffari.B.) Et al., Cancer Research, Vol. 55, 56.93-- 56.98 p. (1995)], 1 tissue of gastric cancer Of the oncogene K-sam gene and overexpression of Z or its overexpression in low-differentiated adenocarcinoma of the type [Tahara, E.
- MMP-7 matrix meta-oral proteinase
- VEGF vascular endothelial cell growth factor
- a first object of the present invention is to provide a gene that can be used as an index for determining the degree of malignancy of cancer, particularly gastric cancer, which has a large number of patients, and in particular, a large number of genes whose expression status changes as the cells become cancerous or develop. And easily and quickly assess cancer malignancy with high reliability It is an object of the present invention to provide a method for evaluating the degree of malignancy of cancer based on analysis of the expression pattern of the gene or a method for detecting cancer. Further, a second object of the present invention is to provide an array or a kit used for evaluating the above-mentioned cancer aggressiveness or detecting cancer cells.
- the present inventors not only individually compare the intracellular expression levels of a large number of genes in cancer tissues, particularly in cancer tissues and gastrointestinal cancer patients, but also have gene expression patterns. Analysis has revealed a large number of genes involved in malignant transformation of cancer, especially gastric cancer. The present inventors have devised an appropriate technique for conducting a pattern analysis of gene expression by a combination of these genes, and have found that it is possible to evaluate the malignancy of cancer, thereby completing the present invention.
- the gist of the present invention is:
- a method for evaluating the degree of malignancy of cancer characterized by performing
- [4] for evaluation of cancer malignancy comprising an antibody or a fragment thereof to a polypeptide or a fragment thereof encoded by at least eight genes whose expression level changes depending on the malignancy of the cancer Or a kit for detecting cancer, and [5] Expression of at least eight genes or polypeptides encoded by the genes whose expression levels change depending on the malignancy of the cancer is examined between the test sample and the control sample.
- a method for detecting cancer comprising detecting cancer cells as an indicator that the test sample contains cancer cells when there is a difference in the expression of the gene or polypeptide from the sample.
- FIG. 1 is a tree diagram of a classification of gastric cancer patients obtained by Hierarchical clustering using [natural logarithmic conversion value of relative expression ratio] of 105 genes.
- FIG. 2 is a tree diagram of expression patterns of each gene in each gastric cancer patient obtained by Hierarchical clustering using [natural logarithmic conversion value of relative expression ratio] of 105 genes.
- FIG. 3 is a tree diagram of classification of gastric cancer patients obtained by Hierarchical clustering using the expression intensity of 105 genes.
- FIG. 4 is a tree diagram of the expression pattern of each gene in each gastric cancer patient obtained by Hierarchical clustering using the expression intensity of 105 genes.
- FIG. 5 is a tree diagram of classification of gastric cancer patients obtained by Hierarchical clustering using [natural logarithmic conversion value of relative expression ratio] of 20 genes.
- FIG. 6 is a tree diagram of the expression pattern of each gene in each gastric cancer patient obtained by Hierarchical clustering using [natural logarithmic conversion value of relative expression ratio] of 20 genes.
- cancer malignancy is determined by the degree of invasion and the presence or absence of metastasis as primary factors. As a result, factors that affect the 5-year survival rate after surgery and other procedures are considered. Point.
- cancer that remains in the mucosa and submucosa and is not metastasized is judged to be of low malignancy, and the 5-year survival rate is expected to be high (over 90%).
- the cancer spreads deeply from the submucosa to the muscular layer, the subserosa, and the serosal surface, and the cancer has spread to lymphatic, hematogenous, invasive, or disseminated, the malignancy is judged to be high, and 5 years The survival rate is low.
- the prognosis is very poor, and the 5-year survival rate is low (20% Less than) .
- the presence or absence of sensitivity to an anticancer agent or radiation is raised as a secondary factor. If the patient has sensitivity to the anticancer agent or radiation, the degree of malignancy is low, and if the resistance is high, the degree of malignancy is determined to be high.
- the method for evaluating the malignancy of cancer, particularly gastric cancer, according to the present invention comprises the following steps:
- One of the features is to perform According to the evaluation method of the present invention, since the expression levels of at least eight genes whose expression levels change according to the malignancy of cancer, particularly gastric cancer described below, are measured, the method is simple, and quickly and with high reliability. It has an excellent effect of being able to evaluate the malignancy of cancer, especially gastric cancer.
- test sample examples include a sample derived from a living body such as blood; urine; feces; and a tissue removed by a surgical technique.
- a lesion tissue collected with a biopsy forceps is desirable from the viewpoint of preoperative diagnosis.
- an individual serving as a source of the test sample may be referred to as a “sample”.
- the gene J whose expression level changes according to the malignancy of the cancer used in the evaluation method of the present invention is a gene that can serve as an index for the evaluation of malignancy of cancer, particularly of gastric cancer, and It refers to a gene whose expression level changes along with it, in other words, a gene whose expression is significantly induced or suppressed.
- genes can be analyzed, for example, by analyzing the copy number of genes in the genome and the pattern of chromosomal rearrangement, comparing the expression levels of gene products in normal cells and cancerous cells, and determining the differences between the two cells. It can be detected by identifying one.
- the gene product include mRNA transcribed from a gene and a protein that is a translation product. In the detection of the gene used in the present invention, it is efficient to use mRNA as an index, for which various techniques have been developed for analysis with the advance of gene manipulation technology.
- Methods for confirming changes in gene expression using mRNA as an index include the Northern Hybridization method, RT-PCR method, subtraction method, differential display method, and the like. These methods are appropriately selected. Thus, the gene used in the present invention can be found. Furthermore, methods for simultaneously detecting changes in the expression of a large number of genes, such as hundreds or thousands, include methods using DNA arrays (such as DNA chip hybridization analysis and DNA macroarray hybridization). Analysis etc.) are known.
- the “gene whose expression level changes according to the malignancy of the cancer” can be obtained by using a DNA array on which a nucleic acid corresponding to a human-derived gene or a fragment thereof is immobilized.
- a DNA microarray on which a fragment of a gene suggested to have some association with cancer is immobilized (IntelliGene Human Cancer CHIP, manufactured by Takara Shuzo Co., Ltd.) and used in the present invention. Can be found.
- the aforementioned “gene whose expression level changes depending on the malignancy of the cancer” can be obtained, for example, by the following gene selection method. Gene selection method:
- mRNA is prepared from a cancerous lesion tissue collected from a cancer patient, and a reverse transcription reaction is performed using the mRNA as a type II.
- a labeled cDNA can be obtained by using an appropriately labeled primer or labeled nucleotide.
- the labeling method is not particularly limited, and examples thereof include a compound containing a radioisotope, a fluorescent substance, and a label using a ligand such as biotin.
- Hybridization is performed between the labeled cDNA and a DNA array in which a nucleic acid corresponding to an appropriate gene or a fragment thereof is immobilized.
- Hybridization may be performed by a known method, and the conditions may be appropriately selected from those suitable for the DNA array-labeled cDNA to be used. For example, it can be carried out under the conditions described in Molecular-cloning, A laboratory manual, 2nd edition, pages 9.52 to 9.55 (1 989).
- nucleic acid derived from a control sample a sample derived from a healthy person, a sample derived from a non-lesion site, etc.
- a control sample a sample derived from a healthy person, a sample derived from a non-lesion site, etc.
- mRNA may be degraded by the action of RNase.
- it is necessary to correct the mRNA levels of both using a standard gene with relatively small fluctuations in expression it is necessary to correct the intensity difference between the two types of fluorescent substances.
- nucleic acid used for the purpose of such correction examples include a nucleic acid derived from a non-lesion site; a housekeeping gene [eg, glyceraldehyde 3-phosphate dehydrogenase (GAPD) gene, cyclophilin gene, actin gene, and Tubulin gene, phospholipase A2 gene, etc.), and to confirm that the nucleic acid is not a non-specific hybridization.
- a housekeeping gene eg, glyceraldehyde 3-phosphate dehydrogenase (GAPD) gene, cyclophilin gene, actin gene, and Tubulin gene, phospholipase A2 gene, etc.
- the negative control examples include nucleic acids derived from a heterologous organism such as plasmid pUC18.
- genes with different expression levels can be detected in both cases.
- an appropriate signal is detected according to the labeling method used, and the cancer lesion of each gene on the array is detected.
- the expression level in the origin sample and the control sample can be compared.
- a multi-wavelength detection fluorescence analyzer capable of detecting a plurality of labels, for example, two types of fluorescence, is used, the difference between the gene expression level in a sample derived from a cancer lesion and the gene expression level in a control sample is determined.
- a sample derived from a cancerous lesion is fluorescently labeled with Cy5-dUPP
- a control nucleic acid sample is fluorescently labeled with Cy3-dUPP.
- the difference in the gene expression level between the two can be detected as the difference in signal color and fluorescence intensity.
- Genes having a significant difference in the signal intensity obtained in this way are genes whose expression level changes as the cells become cancerous, and are genes that can be used as indicators of canceration, cancer, particularly malignancy of gastric cancer. is there.
- the “gene whose expression level changes in accordance with the degree of malignancy of cancer” used in the present invention is more preferably a gene having a larger expression level difference as an index.
- the criteria for selecting a target gene in the above-described gene selection method are as follows:
- the expression intensity in the test sample or control sample is at least twice the expression intensity of the negative control gene
- Example 1 The specific sorting method is described in Example 1.
- Any gene may be used, for example, (1) a group of genes involved in oncogenes and tumor suppressors, (2) a group of genes involved in nuclear receptors or transcription coupling of nuclear receptors, (3) ) Genes involved in kinase-type transmission, (4) genes involved in receptor-type kinase, (5) genes involved in intermediate filament markers, (6) cell cycle, Genes involved in growth cycle (cell cycle & growth regulators), (7) genes involved in apoptosis (apoptosis), (8) DNA damage response, repair & recombination (9) genes involved in receptors (receptors), (10) genes involved in cell death and development regulators,
- Rho family GTPa se and its regulators Rho family small GTPases
- At least eight genes whose expression levels are measured in the present invention are preferably used. It is at least 20 types, more preferably 30 types or more, further preferably 40 types or more, particularly preferably 50 types or more. In particular, from the viewpoint of easiness of the operation when performing pattern analysis of gene expression by Hierarchical clustering described later, it is desirable that the number be 100 or less.
- an apoptosis inhibitor Sano ikubin apoptosis inhibi tor survivin (Genebank registration number: U75285)
- Fibronectin precursor (FN) (Genebank registration number: X02761)] gene
- Perkinase-type plasminogen activator receptor Curokinase-type plasminogen activator receptor; GPI-anchored from precursor (U-PAR); monocyte act ivat ion antigen M03; CD87 antigen (Genebank registration number: U09937)] Child,
- Alpha-2-macroglobulin (alpha-2- ⁇ ) (Genbank accession number: M11313)
- Platelet-derived growth factor receptor precursor Cbeta platelet-derived growth factor receptor precursor (PDGFR-beta); CD140B antigen (Genebank registration number: J03278)] gene,
- XVI I type 1 collagen chain (collagen type XVI I alpha-1 (Genebank registration number: AF018081))
- Growth hormone-dependent insulin-like growth factor-binding protein (growth hormone-dep endent insul in-like growth factor-binding protein (Geneno'nk registration number: M35878)) gene
- HDGF Hepatoma-derived growth factor
- IGFBp2 Cinsul in-like growth factor binding protein 2 (Genebank accession number: X16302)] gene
- Type IV col lagenase (gene bank accession number: M55593) gene
- osteonectin isparc precursor secreted protein acidic and rich in cysteine; osteonectin) (ON); basement membrane protein BM-40 (Genebank registration number: J03040)) gene,
- Chondroitin sulfate proteoglycan core protein 2 Cversican core protein precursor; large f ibroblast proteoglycan; chondroit in sulfate proteogl yean core protein 2; glial hyaluronate-binding protein (GHAP) Link registration number: U16306)] gene,
- Envoplakin (gene bank accession number: U53786) gene, integrin 4 chain Untegrin, beta 4 (gene bank accession number: X53587) gene,
- Vimentin gene bank accession number: Z19554
- Leukocyte antigen related protein (Genebank registration number: Y00815) gene
- GDP dissociation inhibitor (GDI) (Genebank registration number: L20688) gene
- Brain-specific tubulin chain CTubulin, alpha, brain-specific (Genebank registration number: X01703) gene
- Cell cycle regulatory gene cdc2 (cell division cycle 2, Gl to S and G2 to M) (Gene division registration number: X05360),
- Tissue-type plasminogen activator (tissue gene bank registration number: M15518) gene
- Matrix metal loprot einase 10 (stroraelysin 2) (Genebank accession number: X07820) Matrix metalloproteinase 15 (membran e-inserted)] (Genebank accession number: Z48482) gene,
- Retinoblastoma-binding protein 6 gene (Genebank accession number: X85133) gene
- Cathepsin B (Genebank accession number: L22569) gene, signaling and activator of transcription 1, 91kD (Genebank accession number: M97935) gene, carcinoembryonic Antigen-related cell adhesion molecule 6 (non-specific cross-reactive antigen) [carcinoembryonic antigen-related cell adhesion molecule 6 (non-specific cross reacting ant igen)] (Genebank accession number: M18728) gene,
- Heparan sulfate proteoglycan (gene bank registration number: M85289) gene
- Cyclin D 2 Ccycl in D2 (Genebank registration number: D13639) gene, meta-oral proteinase 3 tissue inhibitor [tissue inhibitor of metal loproteinase 3 (Sorsby fundus dystrophy, pseudoinf lammatory)] (Jinnokunk registration number: AL023282) gene,
- Keratin 18 [keratin 18] (Genebank accession number: M26326) gene
- Ia-associated invariant gamma-chain (Genbank accession number: AH001484) gene
- CD72 antigen CCD72 antigen (Genebank accession number: M54992) gene, connective t issue growth factor (Genebank accession number: X78947) gene,
- Matrix meta-oral proteinase 3 (stromelysin 1, rogelatinase)] (Genenok registration number: X05232) gene
- Human SB class I histocompatibility antigen (Human mRNA for SB class l l histocompatibi lity ant igen alpha-chain) (Genebank accession number: X03100) gene,
- Thyroid hormone receptor interacting protein 6 (Genebank registration number: AJ001902) gene, Platelet endothelial cell adhesion molecule (CD31 antigen) Cplatelet / endothelial cell adhesion molecule (CD31 antigen) (Genebank accession number: L34657) Gene, profilin 1 (profil in 1) (Genebank accession number: J03191) Gene, GTP-binding protein [GTP-binding protein] (Genebank accession number: AF120334)
- Homo sapiens clone # 24703 beta tube m R NA CHorao sapiens clone ne 24703 be-tubul in mRNA, complete cds] (Genebank registration number: AF0706 00) gene,
- Rho-associated, coi led -coil containing protein kinase 1 (Gene bank registration number: U43195)
- Type IV collagen, ⁇ -1 chain (col lagen, type IV, alpha 1) (Genebank registration number: 26576) gene,
- Rho GTP ace activating protein 1 [Rho GTPase act ivating protein 1] (Genbank accession number: U02570) gene
- CD9 antigen [CD9 antigen] (Genebank accession number: M38690) gene
- Bone morphogenetic protein 1 (BMpl) (Genebank
- Type VI collagen ⁇ - 3 chain Ccol lagen type VI alpha-3 (Genebank registration number: X52022)] gene
- Interferon-gamma-induced monokine (Genebank registration number: X72755)] gene
- Integrin alpha-3 chain Cintegrin alpha-3 chain (Genebank accession number: M599 11)] gene
- Metastasis-associated MTA1 (genebank accession number: U351 13) gene
- Notch2 Notch homolog 3 (Genebank accession number: U97669)
- GTP-binding protein (rhoA) (Geneno Kunk registration number: L25080)] at least 8 species selected from the group consisting of the respective genes, and more preferably And at least 20 genes. Specific examples of at least eight genes, and at least 20 genes, are not particularly limited, but may be any of the genes described in Table 5 of Example 3 and the genes described in Table 4 of Example 2 below. Genes.
- the expression level of the gene can be measured from the amount of mRNA transcribed from the gene or the amount of polypeptide encoded by the gene. it can.
- RNA amount For the measurement of the mRNA amount, various known methods such as a Northern hybridization method, an in situ hybridization method, a dot blot hybridization method, and a method using a DNA array are used. C represented by Ibridization method; nucleic acid amplification method represented by RT-PCR method can be used. From the viewpoint of obtaining sufficient mRNA detection sensitivity, a hybridization method or a nucleic acid amplification method is preferable.More specifically, a nucleic acid or a fragment thereof corresponding to a gene whose expression level is to be measured is deposited on a support. The hybridization method and the RT-PCR method using an array (eg, a DNA array) immobilized in each defined region are suitable. From the viewpoint of simultaneously measuring the expression of a large number of genes, a hybridization method using a DNA array is particularly suitable.
- DNA array refers to a DNA array in which a gene or a DNA fragment derived from the gene is fixed to a predetermined region on a support, and includes, for example, an array called a DNA chip. I do.
- a DNA or a DNA fragment derived from a gene fixed on a support at a high density is also called a DNA microarray.
- the support of the DNA array is not particularly limited as long as it can be used for hybridization, and a slide glass, a silicon chip, a nitrocellulose nylon membrane or the like is usually used.
- the gene or fragment thereof immobilized on the support is not particularly limited, and may be, for example, a genomic DNA library or a cDNA library, or a gene amplified by a type II PCR. DNA is listed.
- nucleic acid sample By using such a DNA array, the amounts of various types of nucleic acid molecules contained in a nucleic acid sample can be measured simultaneously. Another advantage is that even small amounts of nucleic acid samples can be measured. For example, by expressing mRNA in a sample or preparing a cDNA labeled with mRNA as a type II, and performing hybridization between this and a DNA array, expression in the sample is performed. MRNA detected at the same time, and its expression level can be measured.
- a labeling substance used for labeling a substance such as a radioisotope, a fluorescent substance, a chemiluminescent substance, and a substance having a luminophore can be used.
- a fluorescent substance examples include Cy2, FluorX, Cy3, Cy3.5, Cy5, Cy5.5, Cy7, fluorescein isothiocyanate (FITC :), Texas red, rhodamine and the like.
- FITC fluorescein isothiocyanate
- the labeling of the sample is carried out by labeling the mRNA in the sample, the cDNA derived from the mRNA, or the nucleic acid transcribed or amplified from the cDNA.
- the method for detecting the label can be appropriately selected depending on the type of the labeling substance used. For example, when Cy 3 and Cy 5 are used as labeling substances, Cy 3 532 nm and Cy 5 can be detected by scanning at a wavelength of 635 nm. The strength of the label is used as an index of the expression level of the gene.
- nucleic acid amplification method examples include a PCR (Polymerase Chain Reaction) method (US Pat. No. 4,683,202), an ICAN (Isothermal and Chimeric primer-initiated Amplification of Nucleic Acid) method [International Publication No. / 56877 pamphlet], Strand Displacement Amplification (SDA) method (Walker, GT., Et al., Nucleic Acids Res., Volume 20) , Pp. 1691-1696 (1992)], the Nucleic Acid Sequence-Based Amplification (NASBA) method (Compton, J.) Vol. 350, pp. 91-92 (1991)] and the like.
- PCR Polymerase Chain Reaction
- ICAN Isothermal and Chimeric primer-initiated Amplification of Nucleic Acid
- SDA Strand Displacement Amplification
- NASBA Nucleic Acid Sequence-Based Amplification
- RT-PCR method for example, competitive PCR method, TaqMan method (for example, Linda G. Lee, Nucleic Acids Research) , Vol. 21, p. 376 1-3766 (1993)] and the like].
- RT-PCR method refers to a method in which mRNA is type III, cDNA is synthesized by a reverse transcription reaction, and nucleic acid amplification is performed by PCR.
- Primer, Z or probe for detecting mRNA or its fragment expressed from at least eight genes whose expression level changes depending on the malignancy of cancer A contained kit can be suitably used.
- the amount of polypeptide encoded by the gene can be measured by an enzyme immunoassay, a fluorescent immunoassay, a luminescence immunoassay, or the like using an antibody against the polypeptide or a fragment thereof. it can. Specifically, for example, it can be carried out by a conventional ELISA method using a labeled antibody.
- Such antibodies may be humanized antibodies, Fab fragments, single-chain antibodies, antibody fragments, etc., as long as they specifically bind to the polypeptide encoded by the gene or a fragment thereof.
- step (2) the expression level of the gene is analyzed by comparing the expression level of the gene in the test sample with the expression level of the gene in the control sample.
- the malignancy of gastric cancer can be evaluated.
- the control sample refers to a sample derived from a healthy person or a sample derived from a non-lesion site.
- Analysis of gene expression can be performed by pattern analysis.
- Such a pattern analysis can be performed by a class analysis using the expression intensity signal of each gene in the test sample or the relative expression ratio of each gene in the test sample relative to the control sample.
- class analysis is performed by computer using the obtained expression intensity of each gene.
- the data used for analysis include the expression intensity signal of each gene in the test sample or the phase of each gene in the test sample relative to the control sample. To expression ratio.
- step (2) a correction process of the measured value of the expression level of each gene obtained in step (1) can be further performed.
- the relative expression ratio refers to a value represented by [gene expression level in test sample Z gene expression level in control sample].
- Examples of the clustering method include, but are not limited to, forces such as Hierarchical clustering and Neural network clustering.
- Hierarchical clustering means that when the data measured in each sample is arranged in multidimensional coordinates, the distance between the data is found in order from the closest sample, and finally similar samples are arranged next to each other.
- the feature is that the results can be represented by a tree diagram.
- There are various methods for measuring the distance between samples such as the Euclidean distance and the Mahalanobis' generalized distance.
- the method is not particularly limited, but mainly includes a shortest distance method, a longest distance method, a group average method, and a center of gravity. Law and Ward law.
- the value obtained by subtracting the background signal from the spot signal of each gene (this value is referred to as the expression intensity signal) is input to the computer.
- the distribution of the signal intensity differs for each array, so it is preferable to perform correction (1100 ⁇ 112 & 11011).
- This normalization method has Z-score, Mean deviation ⁇ Mean abs olute deviation, Median absolute deviation, etc., and is selected as appropriate.
- Genes to be subjected to the class ring are selected from the genes shown in Tables 1 and 2, and the larger the number, the more accurate the classification.
- the class of the specimen for example, a stomach cancer specimen
- the clustering of genes are performed.
- classification between specimens on a dendrogram that is, between specimens with similar patterns of gene expression, showed the degree of cancer infiltration in pathological diagnosis, malignancy such as lymph node metastasis, peritoneal metastasis, and liver metastasis.
- Metastatic specimens with high degree of commonality and high-grade metastasis specimens and early-stage cancer specimens with low invasiveness were placed at a distance from each other.
- mRNA is purified from cancer tissue, and subjected to hybridization using, for example, a probe that has been subjected to one-color fluorescence labeling, thereby obtaining an expression intensity signal of each gene.
- a clustering analysis together with the expression intensity signal and the expression intensity signal of a gastric cancer sample that has become a standard whose malignancy has already been determined, it is possible to determine which aggressiveness level the unknown sample is closer to the standard sample.
- the cancer has a relatively good prognosis or a malignant cancer that has the possibility of relapse, Z or metastasis in the future.
- the prognosis could not be determined because it was located at the bifurcation point, by performing the clustering analysis of the present invention, the specimen with unknown malignancy was an early cancer with low malignancy or a high malignancy with metastasis It is clear which of the cancer specimens is closer in distance, and the prognosis can be predicted.
- a test sample eg, gastric cancer tissue
- control sample eg, control normal tissue
- Gene clusterin are classified into genes whose expression fluctuations due to canceration and malignancy are similar.By analyzing the correlation between the expression fluctuations and malignancy factors in pathological diagnosis, genes involved in malignancy are identified. It is possible to specify. As a result, the relationship between the 105 genes shown in Tables 1 and 2, the 51 genes shown in Tables 6 and 7, and the malignancy, that is, the invasion level indicating the degree of cancer invasion, was found.
- the result obtained by the analysis described above is output to another software package such as a printer, a display, or a graphic software for a display. Such an output is particularly advantageous when the result obtained by the evaluation method of the present invention is used for diagnosis or the like.
- the present inventors have found that a simpler diagnosis of malignancy is possible by applying the classification of genes correlated with malignancy found by the above method.
- the level of gene expression fluctuation using the number of genes whose expression fluctuates and the percentage of expression fluctuation as an index without performing complex clustering analysis using a computer, it is possible to evaluate the malignancy of gastric cancer, especially Was found to be possible.
- Such an embodiment is also included in the present invention.
- the “gene expression fluctuation level” is 1) [indicated by the relative expression ratio of the gene whose expression level is increased in the test sample as compared to the control sample or the sum of the absolute values of the logarithms of the relative expression ratio. 2) [The value of the gene whose expression level is higher in the test sample compared to the control sample is taken as 1 point, and the value indicated by the sum of the points of each gene in the test sample] Can be evaluated. Specifically, for example, when the relative expression ratio of the gene whose expression level is increased in the test sample compared to the control sample is 2 or more, one point is set, and the sum of the points of each gene in the test sample is set as one point. Based on the value indicated by, the expression fluctuation level of the gene can be evaluated.
- the term “fluctuation in gene expression” refers to a fluctuation of two times or more, that is, a relative expression ratio ((gene expression level in a test sample, gene expression level in a control sample)) of 2 or more or 12 or less. Say the case. Here, the relative expression ratio is 2
- the above cases are genes with increased expression, and 1Z2 or less are indicators of genes with decreased expression.
- the number of expression-variable genes in a group consisting of eight or more genes selected from a gene group that greatly correlates with each factor of malignancy is a standard for which the malignancy and prognosis are already known. It can be evaluated by comparing with the number of genes whose expression is fluctuated in cancer tissues.
- the value of (the gene expression level in the test sample, the gene expression level in the control sample) is expressed as a logarithm, and the absolute value is used to evaluate the rate of increase and decrease in expression equally. can do.
- the logarithm of time is the natural logarithm log 2, the number absolute versus logi. May be represented by any of
- the evaluation is made based on the number of genes whose expression fluctuates and the sum of the ratio of the expression fluctuation Is more desirable.
- the gene expression level is analyzed by comparing the expression levels of at least eight genes whose expression levels change depending on the malignancy of the cancer and the expression level of the housekeeping gene in the test sample. Can do it.
- the gene expression level is analyzed by comparing the gene expression level in the test sample with the gene expression level in the control sample. Then, the malignancy of cancer, particularly gastric cancer, may be evaluated based on the obtained analysis result of the gene expression amount and the weighting coefficient for each gene. You In other words, the evaluation is made by summing the value expressed by the logarithm of the relative expression ratio of the gene in the test sample with respect to the control sample and a weighting coefficient in consideration of the contribution of each gene to malignant transformation. Can be performed.
- the degree to which each gene expression variation contributes to malignancy is not uniform, it is possible to weight the gene expression variation based on the degree to perform evaluation that reflects malignancy more. Become.
- the weighting coefficient of a gene having a large contribution to malignancy is set high, and the weighting coefficient of a gene having a small contribution is set small. If the gene whose expression is increased in the test sample is inversely correlated with malignancy as compared with the control sample, the weighting coefficient is a negative value.
- the stage of assigning the weighting coefficients is not particularly limited, but is usually assigned in 2 to 10 stages.
- a weighting factor for example, in a test sample, for a gene having a weighting factor of 5 whose expression level is twice as high as that of a control sample, a natural logarithmic value of 2 as an expression ratio is used. A value obtained by multiplying a certain 0.693 by a weighting coefficient of 5.64.65 becomes the point of the gene. Similarly, the points of all genes are determined, and the malignancy is evaluated by the sum of the points.
- the above-mentioned weighting coefficient is set to a value that can examine the level of gene expression fluctuation using clinicopathological data and a specimen with a known prognosis and appropriately indicate the degree of malignancy.
- the array of the present invention for evaluating the degree of sex includes nucleic acids (for example, DNA) corresponding to at least eight genes whose expression levels change according to the malignancy of cancer, particularly gastric cancer, or fragments thereof.
- nucleic acids or fragments thereof corresponding to at least eight genes whose expression levels change according to the malignancy of cancer, particularly gastric cancer, as described in the above section are fixed. Therefore, it has an excellent property that the malignancy of cancer, particularly gastric cancer, can be evaluated by a simple operation.
- immobilized at a predetermined position means that the position where the nucleic acid corresponding to each gene or the fragment thereof is immobilized is determined in advance on the support. means. That is, when such an array is used, it is possible to know from the position of the detected signal which nucleic acid of the gene or its fragment is derived from.
- the support used in the array of the present invention is not particularly limited as long as it can be used for hybridization, and usually a slide glass, a silicon chip, a nitrocellulose-nylon membrane or the like is used. More preferably, any material may be used as long as it is nonporous and has a structure with a smooth surface, and is not particularly limited. For example, glass such as a slide glass can be suitably used.
- the surface of the support may be any as long as it can immobilize single-stranded DNA by covalent or non-covalent bonds, and has a hydrophilic or hydrophobic functional group on the surface of the support. Can be suitably used, and there is no particular limitation.
- those having a hydroxyl group, an amino group, a thiol group, an aldehyde group, a carboxyl group, an acyl group or the like can be preferably used.
- These functional groups may be present as surface characteristics of the support itself, or may be introduced by surface treatment.
- Examples of such a surface-treated product include a product obtained by treating glass with a commercially available silane coupling agent such as an aminoalkylon orane, and a product obtained by treating a glass with a polycation such as polylysine or polyethyleneimine.
- the nucleic acid or a fragment thereof may be fixed in either single-stranded or double-stranded form.
- An NA array may be used.
- the array of the present invention may be a DNA array in which double-stranded DNA is denatured and aligned and spotted on the same support.
- the density of the support of the nucleic acid or fragment thereof of a gene to be immobilized for example, may be a high density ⁇ les I, 1 0 0 dot Z cm 2
- An array having nucleic acids, particularly DNA, immobilized thereon at the above density can be suitably used.
- the nucleic acid or the fragment thereof immobilized on the support is not particularly limited, and may be any of a polynucleotide and an oligonucleotide. There is no particular limitation on the production method, and it may be chemically synthesized, isolated and purified from natural nucleic acids, enzymatically synthesized, or a combination thereof.
- the nucleic acid or its fragment immobilized on the support is not particularly limited.
- a double-stranded polynucleotide having a chain length of 50 bases or more or a derivative thereof, and a PCR (polymerase chain reaction) The DNA prepared by enzymatic amplification by the method or the like is denatured at the time of immobilizing the DNA on the immobilization support, and a single-stranded DNA or a derivative thereof can be suitably used.
- the derivative may be modified as long as it can be immobilized on the support surface, and is not particularly limited. Examples thereof include an amino group and a thiol group at the 5 ′ end of DNA. And DNA into which a functional group such as has been introduced.
- a DNA amplified by PCR or the like using a genomic DNA library or a cDNA library as a type III can be used.
- the array can be prepared by immobilizing a nucleic acid corresponding to the above gene or a fragment thereof on a support having an amino group introduced therein, for example.
- the above operation of immobilization This is performed using a DNA array production device, for example, a DNA chip production device manufactured by Affymetrix Co., Ltd., whereby an array of the present invention in which nucleic acids corresponding to genes are aligned and immobilized can be produced.
- the length of the fragment is not particularly limited, and is preferably, for example, about 100 bases to about 1 kilobase in length. Even if it is shorter or longer than the length, it may be any as long as it specifically hybridizes with the nucleic acid derived from the test sample in the hybridization.
- the gene used in the array of the present invention may be any gene whose expression level changes depending on the degree of malignancy of cancer, particularly gastric cancer, and is not particularly limited, but the genes listed in the above section, Examples thereof include oncogenes, tumor suppressor genes, growth factors, metastasis, invasion factors, angiogenic factors, and genes encoding proteins involved in energy metabolism.
- DD differential expression
- DD differential expression
- all the genes whose expression is fluctuated in the course of malignant transformation of gastric cancer which are found by the gene selection method according to the above item 1, are all available, and cancers in which all nucleic acids corresponding to such genes are immobilized,
- a DNA array for evaluating the degree of malignancy of gastric cancer can be prepared.
- the array of the present invention can also be used to detect cancer cells in cancer, especially gastric cancer.
- the kit for evaluating the malignancy of the cancer of the present invention is a detection target (1) a kit containing primers and / or probes for detecting mRNA or a fragment thereof expressed from at least eight genes whose expression level changes depending on the malignancy of the cancer, and (2) malignancy of the cancer And a kit containing an antibody against a polypeptide or a fragment thereof coded for at least eight kinds of genes whose expression level varies depending on the expression.
- the kit of the present invention comprises: (1) a primer and / or a probe for detecting mRNA or a fragment thereof expressed from at least eight genes whose expression level changes depending on the malignancy of the cancer; or Since it contains an antibody or a fragment thereof against a polypeptide or a fragment thereof encoded by at least eight kinds of genes whose expression level varies depending on the expression level, it can be used in the method for evaluating the malignancy of the cancer, particularly gastric cancer. It enables more convenient and quick operation. Further, the kit of the present invention can also be used for detecting cancer cells in cancer, particularly in gastric cancer.
- the kit of the above (1) is a nucleic acid amplification method, specifically, RT-PCR, of mRNA or a fragment thereof expressed from at least eight genes whose expression level changes according to the malignancy of cancer, particularly gastric cancer. It contains primers and Z or probe for detection by the method.
- the primer and / or probe may be used under conditions that are stringent to at least eight genes whose expression levels change depending on the malignancy of cancer, particularly gastric cancer, or to a nucleic acid having a nucleotide sequence complementary to the gene. Any material can be used as long as it can be pre-hybridized.
- the ⁇ stringent conditions '' are not particularly limited, but include, for example, a solution containing 6 XSSC, 0.5% SDS, 5 x Denhardt, 100 gZm1 two-sperm sperm DNA, (the primer and / or This refers to conditions for keeping the temperature at the probe Tm—25 ° C].
- the base sequence of the above primer may be any sequence that can specifically amplify the nucleic acid corresponding to the gene under the reaction conditions of a usual nucleic acid amplification method, particularly RT-PCR.
- the nucleotide sequence of the probe may be any nucleic acid sequence that can hybridize to the nucleic acid corresponding to the gene under the stringent conditions.
- the Tm of the probe or primer is, for example, represented by the following formula:
- Tm 81.5-16.6 (log 10 [Na + ]) +0.41 (3 ⁇ 4G + C)-(600 / N)
- N is the length of the probe or primer and% G + C is the content of guanine and cytosine residues in the probe or primer
- Tm is, for example, the product of the content of A + T (adenine + thymine) residue and 2 and the content of G + C residue.
- the chain length of the probe which can be estimated by the sum of the product of the weight and the product of 4 ° C [(A + T) X 2 + CG + C) X 4], is not particularly limited. From the viewpoint of preventing excessive hybridization, the length is preferably 15 bases or more, and more preferably 18 bases or more.
- the chain length of the primer is not particularly limited, but is, for example, 15 to 40 bases, and preferably 17 to 30 bases.
- At least eight genes whose expression level changes according to the malignancy of ⁇ preferably, specific examples of the “gene whose expression level changes according to the malignancy of cancer” according to the above section
- the polypeptide may be a polypeptide encoded by at least eight genes whose expression level changes depending on the malignancy of the cancer. More specifically, it may be selected from the group consisting of polypeptides encoded by the genes listed in the specific examples of the “gene whose expression level changes depending on the malignancy of cancer” described in the above section. At least 8, and more preferably, at least 20 selected polypeptides are included.
- the antibody is not particularly limited as long as it has an ability to specifically bind to the polypeptide, and may be either a polyclonal antibody or a monoclonal antibody.
- an antibody or an antibody derivative modified by a known technique for example, a humanized antibody, a Fab fragment, a single-chain antibody, or the like can also be used.
- the antibody is described, for example, in 1992 by John Wiely & Sons, Inc., edited by John E. Coligan, current 'Protocols'in' Immunology. It can be easily prepared by immunizing a heron rat, a mouse or the like with all or a part of the polypeptide by the method described in Current Protocols in Ionology. The antibody thus obtained is purified and then treated with peptidase or the like to obtain an antibody fragment.
- Antibodies can also be produced by genetic engineering.
- the antibody or a fragment thereof of the present invention may be variously modified to facilitate detection by an enzyme immunoassay, a fluorescence immunoassay, a luminescence immunoassay, or the like.
- the above-mentioned antibodies or fragments thereof include those which can specifically bind to certain partial fragments of the polypeptide.
- the kit of the present invention may appropriately contain a detection reagent and the like.
- the present invention analyzes the results obtained by the evaluation method and the like by an analysis means (for example, an image processing method using a computer) and records the results on a recording medium such as paper; It is also possible to provide a diagnostic method which is provided by recording or displaying on a medium or the like. Such a diagnostic method is also included in the present invention.
- an analysis means for example, an image processing method using a computer
- a diagnostic method which is provided by recording or displaying on a medium or the like. Such a diagnostic method is also included in the present invention.
- Cancer detection method of the present invention particularly gastric cancer, and kit used therefor
- the “gene whose expression level changes according to the malignancy of the cancer” is also useful as an index for detecting cancer or cancer cells. Therefore, the method for evaluating the malignancy of cancer, particularly gastric cancer, according to the present invention also enables detection of cancer cells, particularly cancer gastric cancer. Heel A method for detecting cancer or cancer cells is also included in the scope of the present invention.
- the expression of many of the selected genes fluctuates due to malignancy, and the pattern of fluctuation varies due to malignancy.Therefore, the same technique is used to detect cancer or cancer cells. Simultaneously determine the malignancy of the cancer
- the method for detecting cancer comprises a nucleic acid corresponding to at least eight genes whose expression levels change depending on the degree of malignancy of a test sample and a control sample, or The expression of the expressed polypeptide is examined, and when there is a difference in the expression of the gene or polypeptide between the test sample and the control sample, the test sample is used as an indicator that the test sample contains cancer cells.
- One major feature of detecting cancer cells is o
- test sample the same sample as the test sample in the above evaluation method can be used.
- control sample include a sample derived from a healthy person and a non-lesion site, that is, cells derived from a normal tissue.
- the expression level is changed according to the malignancy of the cancer.
- it has an excellent effect that cancer can be detected simply and with high reliability.
- cancer particularly gastric cancer, more specifically, cancer cells, particularly gastric cancer cells, can be detected.
- the cancer in particular, a nucleic acid amplification method, a hybridization method, an enzyme immunoassay, a fluorescence immunoassay, a luminescence immunoassay, etc. It is possible to measure the expression level of at least eight kinds of genes whose expression level changes according to the degree of malignancy or the polypeptide encoded by the gene
- the expression level varies according to the malignancy of the cancer. It is preferable to measure at least 8 types of expression of the nucleic acid corresponding to the "gene" or the polypeptide encoded by the gene, and more preferably to measure at least 20 types of expression.
- the above-described evaluation method is performed, whereby cancer, particularly gastric cancer, and malignancy can be simultaneously evaluated.
- the expression level of at least eight genes whose expression levels change in accordance with the malignancy of the cancer varies in the test sample as compared to the control sample. It serves as an indicator of the presence of cancer, especially gastric cancer cells, in the test sample.
- the result obtained by the above analysis is output to another software package such as a printer, a display, or a graphic software for a display. Such an output is particularly advantageous when the result obtained by the detection method of the present invention is used for diagnosis or the like.
- the method for detecting cancer, particularly gastric cancer, of the present invention includes a primer for detecting mRNA or a fragment thereof expressed from at least eight genes whose expression level changes depending on the malignancy of the pain. And a kit containing a Z or a probe, and a kit containing an antibody against a polypeptide or a fragment thereof encoded by at least eight genes whose expression level changes depending on the malignancy of the cancer or a kit thereof. It can be used for Such a kit can be used as a kit for detecting cancer, particularly gastric cancer.
- the present invention will be described in more detail with reference to examples, but the present invention is not limited to the scope of the examples.
- glyceraldehyde 3-phosphate dehydrogenase (GAPD) and cyclophilin genes were prepared as housekeeping genes and plasmid pUC18 was prepared in the same manner as a negative control. These DNAs were recovered by ethanol precipitation.
- RNAs were individually extracted from each tissue by the AGPC (Acid Guanidium Phenol-Chloroform) method. MRNA was purified from each of these total RNAs using Oligotex-MAG mRNA Purification kit (Takara Shuzo). Table 3
- the stage I is an early stage cancer in which the degree of invasion of the cancer is shallow and no metastasis is observed.
- the stage I I refers to a state in which the cancer has infiltrated and spread to nearby lymph nodes.
- Progression I I I refers to a condition that has spread to distant lymph nodes.
- Grade IV refers to a state in which the disease has progressed further, spread to more distant lymph nodes, and has metastasized to the peritoneum and liver.
- papillary adenocarcinoma pap
- well differentiated adenocarcinoma tub 1
- moderately differentiated adenocarcinoma tub 2
- poorly differentiated adenocarcinoma por
- signet ring cell carcinoma sig
- mucinous carcinoma muc
- Lymph node metastasis (Indicates the degree of metastasis of the lymph node group found histologically): No metastasis (No)
- the cancerous layer shows a swelling growth and is distinguished from its surroundings.
- the above mRNA is defined as type II, and Cy 3—dUTP (manufactured by Amersham Moorf Almatia) for the control normal gastric cancer tissue group, and Cy 5—dUTP (manufactured by Amersham) for the gastric cancer tissue group. (Pharmacia Co., Ltd.), respectively, to prepare fluorescently labeled cDNA.
- the composition of the reaction solution is shown below.
- Reaction solution A oligo dT primer (manufactured by Takara Shuzo Co., Ltd.) of about 1 ⁇ g of mRNA and 300 pmo 1 and getyl pyrocarbonate (DEPC, manufactured by Nacalai Tesque, Inc.) Addition;
- Reaction solution B 5 xAMV RTase buffer (manufactured by Life Science) 4 ⁇ 1, 0. ImM dATP, dCTP, dGTP and 0.065 mM dTTP, 6 OU RNase inhibitor (manufactured by Takara Shuzo), 0.0351111 ⁇ 73- or 5-y5 labeled dUTP (manufactured by Amersham Pharmacia) was mixed to obtain a solution having a final volume of 6.51.
- the reaction solution A was kept at 70 ° C for 5 minutes, and then cooled on an ice bath. Then, add reaction solution B (6.561) and AMV RTase (manufactured by Life Science) to reaction solution A.
- Cy3-labeled cDNA and Cy5-labeled cDNA obtained in this manner are mixed in pairs for each patient, concentrated by ethanol precipitation, and then subjected to hybridization buffer (6XSSCZ0.2% SDSZ5 X denhardt). Solution ZO. Lmg / ml salmon sperm DNA) was dissolved in 8/1 to prepare fluorescently labeled cDNA.
- Prehybridization buffer (6 x SSC / 0.2% SDSZ5 X Denhardt's solution Zl mg / m 1) was added to the DNA array prepared in (1) above and a commercially available DNA array (Intelligene Cancer Chip, manufactured by Takara Shuzo). Salmon sperm DNA) was dropped, covered with a cover glass, and the periphery was sealed with a film. After keeping this at room temperature for 2 hours, the cover glass was removed, washed with 2 ⁇ SSC, then with 0.2 ⁇ SSC, and air-dried.
- the relative expression ratio of the individual genes immobilized on the DNA array used in the cancer tissue and the control normal tissue ([expression level signal of cancer tissue Z expression level signal of control normal tissue]), ie, [gene in test sample The expression level of the gene in the Z control sample] was complicatedly different among the 10 gastric cancer patients. However, some genes showed expression patterns depending on the degree of cancer invasion, the presence or absence of metastasis, or the degree of progression. Through the following steps, genes related to the malignancy of gastric cancer were found from these genes.
- Hierarchical clustering using the clustering software GeneSight (manufactured by BioDiscovery) was performed on the [natural logarithmic conversion value of the relative expression ratio] between the cancer tissues of all the genes used on the DNA array and the control normal tissues.
- the distance between the samples was measured using the Euclid distance, and the distance was defined using the centroid method.
- the vertical axis indicates the classification of the specimen, which is large, and indicates that the initial gastric cancer specimen, and that the cancer has invaded into the muscularis intestinal or the subscleral tissue but metastasized. Stomach cancer specimens without metastasis) and [metastatic specimens].
- the horizontal axis of the dendrogram indicates the classification of the genes, which are [gene groups having a low expression intensity ratio in all cancer tissues of gastric cancer patients], [genes having low expression intensity ratio in all cancer tissues of gastric cancer patients]. It can be seen that the genes are classified into three classes: a high gene group] and a gene group having a different expression pattern for each gastric cancer patient.
- Genes related to the malignancy of gastric cancer were considered to belong to [genes with different expression patterns for each gastric cancer patient] among the above three classifications. First selected as a candidate. From these candidate genes, genes whose cancer expression intensity signal and control normal tissue expression intensity signal were smaller than twice the background value were excluded because their expression was low and the fluctuation evaluation reliability was low. The candidate genes with different expression patterns for each gastric cancer patient are sub-clustered with about 3 to 10 genes as one group.Next, the selected genes are excluded from each sub-cluster gene group. The class was repeated in the same manner using the remaining genes. As a result, we found a sub-clustering group in which the correlation between the classification between specimens and the malignancy was lost. It is thought that the expression of such a gene is closely related to the malignancy of gastric cancer.
- the 105 gene names selected through the above steps and their accession numbers are the same as those shown in Tables 1 and 2 above.
- FIGS. 1 and 2 Tree diagrams obtained by Hierarchical clusterin using these 105 genes are shown in FIGS. 1 and 2.
- FIG. 1 shows the classification of gastric cancer patients.
- FIG. 2 shows a tree diagram of the expression pattern of each gene in each gastric cancer patient.
- Fig. 1 patients with early gastric cancer (MK38 and MK168), who have low cancer penetration and no lymphatic invasion, and those with moderate to advanced advanced gastric cancer with invasive disease I understand.
- the latter includes a group of specimens (MK153, MK44 and MK143) in which the cancer has deeply invaded and metastasized to the lymph nodes, and subclusters of MK144, MK80 and MK96.
- MK96 had relatively low cancer penetration and showed no metastases, but microscopic examination of surgical sections revealed that the cancer was mildly invading the lymphatic vessels. Currently, 4 years and 10 months have passed since the operation, but he is still alive. Although no metastasis was seen during surgery for MK80, the cancer had deeply infiltrated, and the lymphatic vessels were highly invaded by microscopic observation of the excised surgical section. Later, the cancer recurred and died. MK144 was a high-grade, cancer patient with metastases to both the lymph nodes and the peritoneum.
- Hierarchic al clustering was also performed using the expression intensity of the gene on the DNA array in cancer tissues as an index. Z-sc for normalization of expression intensity in cancer tissue The ore method was used, the city block distance was used to measure the distance between samples, and the centroid method was used to define the distance. The obtained dendrograms are shown in FIGS. 3 and 4.
- Patient classification on the vertical axis (Fig. 3) Although the classification of specimens is slightly different from that using the expression ratio, 10 gastric cancer patients still have low cancer penetration and early gastric cancer without lymphatic invasion. There were two major groups of patients with moderate to advanced advanced gastric cancer with lymphatic invasion and Z or dislocation.
- Example 1 For the 105 genes selected in Example 1, a cDNA fragment of about 100 nucleotides to about 1 kilonucleotide in length) was prepared by the method described in Example 1, and the DNA fragment was prepared. A DNA array spotted was prepared.
- Example 2 Using the fluorescence-labeled cDNA prepared in Example 2, hybridization with the DNA array prepared in (1) above was performed. The conditions for the hybridization were the same as in Example 1.
- Notch2 Notch homolog 3 U97669 proto-oncogene rhoA multidrug resistance protein; GTP—binding protein (rhoA) 25080 spare precursor (secreted protein acidic and rich in cysteine; osteonectin) (ON); basement membrane protein BM-40 J03040 thrombospondin 2 precursor L12350 versican core protein precursor; large fibroblast proteoglycan; chondroitin sulfate proteoglycan core protein 2; J02814 glial hyaluronate-binding protein (GHAP)
- GTP binding protein
- rhoA 25080 spare precursor (secreted protein acidic and rich in cysteine; osteonectin) (ON); basement membrane protein BM-40 J03040 thrombospondin 2 precursor L12350 versican core protein precursor; large fibroblast proteoglycan; chondroitin sulfate proteoglycan core protein 2; J02814 glial hyaluronate-bind
- the normal logarithm of the relative expression ratio was used for each gene relative to the control normal tissue of the cancer tissue, no normalization was used, the distance between samples was measured using the Euclidean distance, and the definition of the distance was analyzed using the centroid method did.
- the obtained dendrograms are shown in Fig. 5 and Fig. 6.
- a non-metastatic group and a metastatic group (Fig. 5).
- the non-metastatic group was found to be subclustered into patients with early gastric cancer (MK38 and MK168) and MK80 and MK96 with lymphatic invasion.
- the clinicopathological data at the time of surgery indicate that the malignancy level, whose prognosis is difficult to predict, is gastric cancer with a depth of mp in which the cancer has reached the muscle layer of the stomach without metastasis.
- MRNA was purified from the gastric cancer tissue of stomach cancer patient MK115 classified as clinicopathologically at this level and the control normal gastric tissue by the method described in Example 1, and further fluorescent-labeled cDNA was prepared.
- Hybridization with the DNA microarray prepared in 2 (1) was performed.
- the conditions for hybridization were the same as in Example 1.
- the clinicopathological data of the gastric cancer patient MK115 is as follows:
- Progression I differentiation mod, invasion mp, lymph node metastasis 0, lymph node invasion 0, vein invasion 0, peritoneal metastasis 0, liver metastasis 0, invasive growth mode.
- fluorescent signals for the 105 genes obtained were obtained.
- the eight genes shown in Table 5 were selected, and the relative expression ratio of the ⁇ tissue to the control normal tissue was determined.
- the malignancy was determined based on the gene whose expression in cancer tissue is more than twice as high as that in the control normal tissue, that is, the sum of the relative expression ratios of genes with relative expression ratios of 2 or more or the number of genes with relative expression ratios of 2 or more. .
- fibronectin precursor (FN) X02761 1.73 2.72 3.60 4.34 8.58
- Example 11 Using eight of the samples (stomach cancer tissue and control normal stomach tissue) from the gastric cancer patient described in (2) and a sample newly obtained from 14 patients, MRNA was extracted and purified in the same manner as described above. Further, using the obtained mRNA as type III, a fluorescently labeled cDNA was prepared. These labeled cDNAs were prepared in Example 2 (1). Hybridization was performed using the DNA array thus prepared and a commercially available DNA array (Intelligene Cancer Chip, manufactured by Takara Shuzo Co., Ltd.), and the results were analyzed in the same manner as in Example 11 (3).
- the sum of the points increases in proportion to the grade of malignancy determined by the degree of invasion or progression of the cancer, and more than 100 points of relapse, Z or death within 5 years The re-assignment of the weighting factor of each gene was repeated until.
- Tables 6 and 7 show the names of the above 70 genes and the weighting factors finally obtained as a result of the above work.
- Table 8 shows the clinicopathological data of the 22 types of samples used in the measurement of the gene expression level, and the total points of the changes in the gene expression level of each sample, taking the above weighting factors into consideration.
- Each item in Table 8 is the same as in Table 3 above.
- Point 122 126.4 161.9 164.8 As shown in Table 8, there is a clear correlation between the points calculated by the above method and the cancer malignancy determined from the pathological findings of the sample. It can be seen that the degree can be evaluated.
- the cancer of the present invention in particular, the method for evaluating the malignancy of gastric cancer, the method for detecting cancer, particularly gastric cancer, the cancer, the array for evaluating the malignancy of gastric cancer, particularly the cancer, particularly the gastric cancer, and the cancer, particularly the gastric cancer
- a kit for assessing malignancy or detecting cancer, especially gastric cancer enables rapid, high-sensitivity and systematic measurement of changes in the expression of many genes involved in cancer, especially gastric cancer aggravation.
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Abstract
Description
明細書 Specification
癌の検出方法 技術分野 Method of detecting cancer
本発明は、 簡便かつ迅速に、 高い信頼度で癌の悪性度を評価しうる、 癌、 特に 胃癌の悪性度の評価方法、 該評価方法に用いるアレイ及びキット、 簡便、 かつ高 い信頼度で検出しうる、 癌、 特に胃癌の検出方法及びそのキットに関する。 背景技術 The present invention provides a method for easily and quickly evaluating cancer malignancy with high reliability, a method for evaluating malignancy of cancer, particularly gastric cancer, an array and a kit used for the evaluation method, simple and high reliability The present invention relates to a method for detecting cancer, particularly gastric cancer, and a kit therefor. Background art
癌は、 1 98 1年以降日本における死因の 1位を占め、 中でも胃癌は、 最も頻 度の高い癌である。 近年、 正常細胞が癌になるまでの多段階発癌機構が存在する ことが明らかにされている 〔フィ一ロン E. R. (Fearon.E.R.)ら、 セル (Cell ) , 第 6 1巻、 第 75 9— 76 7頁 ( 1 9 90) 、 スギムラ T. (Sugimura, T. ) 、 サイエンス(Science) 、 第 258巻、 第 603— 60 7頁 ( 1 9 92) 〕 。 具 体的には、 正常細胞の癌化には、 DNA修復遺伝子、 癌抑制遺伝子及び癌遺伝子 を含む複数の遺伝子異常の蓄積が必要とされている。 一般に、 遺伝子の不安定性 と癌抑制遺伝子の不活化とは癌の発生に関与すると考えられている。 また、 癌遺 伝子の活性化及び Z又は増殖因子の過剰発現は、 癌の進展及び悪性化に関与する と考えられている。 さらに、 細胞外マトリックス分子の分解酵素をコードする遺 伝子や細胞の運動能又は接着性を調節するタンパク質をコードする遺伝子は、 転 移、 浸潤に関与すると考えられている。 Cancer has been the leading cause of death in Japan since 1981, with gastric cancer being the most frequent cancer. In recent years, it has been clarified that there is a multi-stage carcinogenesis mechanism until normal cells become cancerous [Phiron ER (Fearon. ER) et al., Cell, Vol. 61, No. 759- Pp. 767 (1992), Sugimura T., Science, 258, 603-607 (1992)]. Specifically, canceration of normal cells requires accumulation of multiple genetic abnormalities, including DNA repair genes, tumor suppressor genes, and oncogenes. In general, gene instability and inactivation of tumor suppressor genes are thought to be involved in the development of cancer. Also, activation of cancer genes and overexpression of Z or growth factors are thought to be involved in cancer progression and malignancy. Furthermore, genes encoding genes that degrade extracellular matrix molecules and genes encoding proteins that regulate cell motility or adhesion are thought to be involved in translocation and invasion.
遺伝子の不安定性には、 DNAミスマッチ修復系の異常に関連した遺伝子の不 安定性と染色体レベルの不安定性とがある。 前者の例として、 ゲノム中に存在す る単純繰り返し配列の鎖長が同一個体の癌部と非癌部とで異なること (マイクロ サテライト不安定性) 〔シボド一 S. N. (Thibodeau. S. N.) ら、 サイエンス 、 第 26 0巻、 第 8 1 6— 8 1 9頁 ( 1 9 93 ) 〕 が挙げられ、 後者の例として 、 染色体間の再配列が挙げられる。 前記染色体間の再配列は、 正常細胞では認め られないタンパク質を発現させ、 一方、 正常細胞において発現しているタンパク 質であっても、 その発現量に影響を与える場合がある。 実際、 ヒトの慢性骨髄性 白血病において、 染色体間の再配列により、 bcr遺伝子と c-abl 遺伝子の融合が 起こり、 正常細胞では存在しない bcr-abl 融合遺伝子より転写されたハイブリツ ド mRNAの発現が確認されている。 更に、 bcr-abl 融合遺伝子を動物に導入すると 白血病を発症することが確認されている 〔ワトソン(Watson, J.D.)ら著、 組み換 え DNAの分子生物学 第 2版;丸善株式会社、 第 30 9頁 ( 1 9 9 2) 〕 。 Gene instability includes gene instability associated with abnormalities in the DNA mismatch repair system and chromosomal instability. As an example of the former, the chain length of the simple repetitive sequence existing in the genome is different between the cancerous part and the non-cancerous part of the same individual (microsatellite instability) [Thibodeau. SN, et al., Science, Vol. 260, pp. 8 16—8 19 (1993)], and as an example of the latter, And rearrangement between chromosomes. The rearrangement between the chromosomes causes the expression of a protein that is not found in normal cells. On the other hand, even if the protein is expressed in normal cells, it may affect the expression level. In fact, in human chronic myeloid leukemia, rearrangement between chromosomes caused fusion of the bcr and c-abl genes, confirming the expression of hybrid mRNA transcribed from the bcr-abl fusion gene, which is not present in normal cells. Have been. Furthermore, it has been confirmed that leukemia develops when the bcr-abl fusion gene is introduced into animals [Watson, JD, et al., Molecular Biology of Recombinant DNA, Second Edition; 9 pages (1992)].
癌抑制遺伝子の不活化としては、 例えば、 P 53遺伝子の不活化が挙げられる 。 不活化の原因としては、 遺伝子内の欠失かコード領域の特定の部分に起こる点 突然変異によると考えられている 〔ニグ口 J. M. (Nigro, J.M.)ら、 ネーチヤ 一 (Nature) 、 第 342巻、 第 705— 70 8頁 ( 1 9 8 9) 、 マルキン D (Ma lkin.D.)ら、 サイエンス、 第 25 0巻、 第 1 233— 1 23 8頁 ( 1 9 90) 〕 。 また、 p 53遺伝子の欠失及び点突然変異は、 多くの種類の癌で観察されてい る。 例えば、 胃癌においては、 前記 p 53遺伝子の欠失及び点突然変異は、 早期 癌の 6割以上の症例に認められる 〔ョコザキ H. (Yoko zaki,H.)ら、 ジャーナル ォブ キャンサー リサーチ アンド クリニカルオンコロジ一 (Journal of Cancer Research and Clinical Oncology) 、 第 1 1 9巻、 第 6 7 - 70頁 ( 1 9 92) ) o Examples of inactivation of the tumor suppressor gene include inactivation of the P53 gene. The cause of inactivation is thought to be a deletion in the gene or a point mutation that occurs in a specific part of the coding region (Nigro, JM et al., Nature, Vol. 342. 705-708 (19989), Malkin D. et al., Science, 250, 1233-123 (1990)]. Also, deletions and point mutations in the p53 gene have been observed in many types of cancer. For example, in gastric cancer, the deletion and point mutation of the p53 gene are found in 60% or more cases of early stage cancer (Yokozaki H., et al., Journal of Cancer Research and Clinical). Oncology (Journal of Cancer Research and Clinical Oncology), Vol. 119, pp. 67-70 (1992)) o
一方、 P16/MTS1遺伝子は、 ホモ欠失により不活化する遺伝子として知られてい る。 具体的には、 グリオ一マ、 脾癌、 ぼうこう癌等で高頻度のホモ欠失が観察さ れている 〔ケアンズ P. (Cairns, P.)ら、 ネーチヤ一 ジヱネテイクス (Nature genetics)、 第 1 1巻、 第 2 1 0— 2 1 2頁 ( 1 9 95 ) 〕 。 pl6 タンパク質は 、 細胞周期を調節している。 前記 P16 の発現異常は、 細胞の癌化に関与すること が示唆されている 〔オカモト A. (Okamoto.A.) ら、 プロシーディングズ ォブ ザ ナショナル アカデミー ォブ サイエンシーズ ォブ ザ USA (Pr oceedings of the National Academy of Sciences of the United States of Am erica). 第 9 1巻、 第 1 1 045 - 1 1 04 9頁 ( 1 9 94) 〕 。 On the other hand, the P16 / MTS1 gene is known as a gene that is inactivated by homo-deletion. Specifically, high frequency homozygous deletions have been observed in gliomas, spleen cancer, bladder cancer, etc. [Cairns, P., et al., Nature genetics, 1st ed. Volume 1, pages 210-212 (1995)]. pl6 protein regulates the cell cycle. It has been suggested that the abnormal expression of P16 is involved in canceration of cells (Okamoto A. et al., Proceedings of the National Academy of Sciences of the USA (Pr. oceedings of the National Academy of Sciences of the United States of America). Vol. 91, No. 11045-11049 (1994)].
癌遺伝子の活性化としては、 例えば、 癌遺伝子近傍における、 ウィルスの挿入 突然変異や、 染色体間の再配列が原因として挙げられる。 例えば、 トリ白血病ゥ ィルス avian leukosis virus (ALV) によって起こる、 ニヮトリのリンパ腫にお いて、 ウィルスによる挿入突然変異が確認されている。 この場合、 ALV の DNA が 遺伝子の一種である C- mycの近傍に挿入され、 ウィルスの強いェンハンサ一とプ 口モータ一により、 正常な C- mycが過剰発現したり、 正常な遺伝子とは一部異な つた新しい配列が発現されることが確認された。 また、 ある種のヒト B細胞の腫 瘍では、 染色体間の再配列により、 癌遺伝子の一つである c-mycが免疫グロプリ ンの強い転写シグナルのもとに置かれ、 その発現量が増加することが確認されて いる。 この場合、 癌細胞における c-myc発現産物は、 正常細胞に発現している該 産物と差は認められず、 癌化は、 c-myc 発現量の増加に起因していると考えられ ている 〔ワトソン(Watson, J.D.)ら著、 組み換え DNAの分子生物学 第 2版; 丸善株式会社、 第 305— 30 8頁 ( 1 9 92) 〕 。 Activation of an oncogene includes, for example, insertion mutation of a virus near an oncogene or rearrangement between chromosomes. For example, viral insertion mutations have been identified in chicken lymphomas caused by the avian leukosis virus (ALV). In this case, ALV DNA is inserted in the vicinity of C-myc, which is a kind of gene, and normal C-myc is overexpressed by strong virus enhancer and oral motor, It was confirmed that different new sequences were expressed. In some types of human B-cell tumors, c-myc, an oncogene, is placed under the strong transcription signal of immunoglobulin due to interchromosomal rearrangement, and its expression level increases. It has been confirmed that In this case, the c-myc expression product in cancer cells did not differ from that expressed in normal cells, and it is considered that canceration was caused by an increase in the expression level of c-myc [Watson, JD, et al., Molecular Biology of Recombinant DNA, 2nd Edition; Maruzen Co., Ltd., pp. 305-308 (1992)].
増殖因子の過剰発現としては、 例えば、 肝細胞増殖因子レセプターをコードす る C-Metの過剰発現が挙げられる。 この C-Metの発現異常は、 胃癌の発生初期か ら正常粘膜には認められない 6. 0キロ塩基長の長さを有する m R N Aの発現が 見られたり 〔クニヤス H. (Kuniyasu.H.)ら、 インタ一ナショナル ジャーナル ォブ キャンサー (International Journal of Cancer) ^ 第 55巻、 第 72— 75頁 ( 1 9 93 ) 〕 、 転移癌において遺伝子増幅が高頻度で見られ、 遺伝子増 幅と癌の悪性度に相関性が確認されている 〔クニヤス H. ら、 バイオケミカル アンド バイオフィジカル リサーチ コミュニケーションズ (Biochemical an d Biophysical Research Communications)^ 第 1 8 9巻、 第 227— 232頁 ( 1 9 9 2 ) ) 0 Examples of overexpression of a growth factor include overexpression of C-Met encoding a hepatocyte growth factor receptor. This abnormal expression of C-Met is not observed in normal mucosa from the early stage of gastric carcinogenesis.The expression of mRNA having a length of 6.0 kilobases was observed. (Kuniyasu.H. , Et al., International Journal of Cancer ^ Vol. 55, pp. 72-75 (1993)], Gene amplification is frequently observed in metastatic cancer, and gene amplification and cancer A correlation has been confirmed with the degree of malignancy of tumors [Kunias H. et al., Biochemical and Biophysical Research Communications ^ Vol. 189, pp. 227-232 (1992) ) 0
遺伝子異常と癌の悪性度に相関が確認されている例として、 上記 c- Met のほか 、 乳癌、 卵巣癌、 胃癌、 子宮癌等における癌遺伝子 C- erbB2遺伝子の増幅及び 又はその過剰発現 〔ライト C. (Wright )ら、 キャンサー リサーチ (Cancer Research), 第 4 9巻、 第 20 87— 20 9 0頁 ( 1 98 9 ) 、 サファリ B. ( Saffari.B.) ら、 キャンサー リサーチ、 第 55巻、 第 5 6 9 3— 5 6 9 8頁 ( 1 9 95 ) 〕 、 胃癌の 1組織型である低分化腺癌における、 癌遺伝子 K-sam遺伝 子の増幅及び Z又はその過剰発現 〔夕ハラ E. (Tahara, E.) ら著、 ガストリッ クキャンサー, 東京 (Gastric Cancer, Tokyo) スプリンガー社 (Springer-Ver lag), 1 9 93年発行、 第 20 9— 2 1 7頁〕 等がそれぞれ確認されている。 癌細胞が組織を浸潤して転移するには、 細胞外マトリックスの分解が必要であ り、 分解酵素として代表的なマトリックス メタ口プロテナーゼ (MMP) ファ ミリーに属する種々の酵素が正常細胞に比べ過剰生産されている 〔ゴールドバー グ G I. (Goldberg GI. ) ら、 キャンサートリートメントリサーチ(Cacer Treat ment Reseach) 、 第 53巻、 第 70 1 - 70 8頁 ( 1 9 9 1 ) 〕 。 胃癌においては 、 比較的特異的に癌細胞が発現するマトリリシン (MMP— 7) の mRNAを、 6割以上の症例で過剰発現していたと報告されている 〔セノ夕 A. ら、 クリニ力 ル&ェクスペリメンタル メタス夕シス(Clinical &Experimental Metastasis) 、 第 1 6巻、 第 3 1 3— 32 1頁 ( 1 9 9 8) 〕 。 Examples of correlations between genetic abnormalities and cancer malignancy include c-Met above Amplification and / or overexpression of the oncogene C-erbB2 gene in breast cancer, ovarian cancer, gastric cancer, uterine cancer, etc. [Wright C. (Wright) et al., Cancer Research, Vol. 49, No. 2087- 209 p. (19989), Safari B. (Saffari.B.) Et al., Cancer Research, Vol. 55, 56.93-- 56.98 p. (1995)], 1 tissue of gastric cancer Of the oncogene K-sam gene and overexpression of Z or its overexpression in low-differentiated adenocarcinoma of the type [Tahara, E. et al., Gastric Cancer, Tokyo Springer (Springer-Ver lag), published in 1993, pp. 209-217], respectively. In order for cancer cells to invade tissues and metastasize, extracellular matrix must be degraded, and various enzymes belonging to the matrix meta-oral proteinase (MMP) family, representative of degrading enzymes, are in excess compared to normal cells. [Goldberg GI. Et al., Cancer Treatment Research, Vol. 53, pp. 701-708 (1991)]. In gastric cancer, it has been reported that the mRNA of matrilysin (MMP-7), which is expressed relatively specifically by cancer cells, was overexpressed in more than 60% of the cases [Senoyu A. et al. Clinical & Experimental Metastasis, Vol. 16, pp. 31-321 (1998)].
悪性腫瘍においては、 腫瘍血管が新生されなければ大きくなることはできず、 血管新生を誘導することにより加速度的に増殖可能となる。 腫瘍血管新生は、 さ まざまな調節因子、 血管新生促進因子及び抑制因子等の発現バランスにより制御 されているが、 もっとも重要な因子として血管内皮細胞増殖因子 V E G Fが上げ られる。 種々の固形腫瘍で V EGFの発現と血管新生の亢進に正の相関が認めら れており 〔シブャ Mら、 アドバンスドキャンサーリサーチ (Advanced Cancer Re search) 、 第 67巻、 第 28 1頁 ( 1 9 9 5) 〕 、 また胃癌、 食道癌、 大腸癌等に おいて VEGF高発現腫瘍の予後が不良であることが報告されている 〔トイ Mら , モレキュラー 'メディシン (Molecular Medicine) 第 35巻、 第 1206— 1215頁 ( 1 9 9 8 ) D o Malignant tumors cannot grow unless tumor blood vessels are regenerated, and they can grow at an accelerated rate by inducing angiogenesis. Tumor angiogenesis is controlled by the expression balance of various regulatory factors, angiogenesis promoting factors and suppressors, but the most important factor is vascular endothelial cell growth factor VEGF. A positive correlation has been found between VEGF expression and enhanced angiogenesis in various solid tumors [Shiva M et al., Advanced Cancer Research, Vol. 67, pp. 281 (19) 9 5)] In addition, it has been reported that the prognosis of VEGF-high expressing tumors is poor in gastric cancer, esophageal cancer, colorectal cancer, etc. [Toy M et al., Molecular Medicine, Volume 35, Vol. 1206—1215 pages ( 1 9 9 8) D o
これまで、 病理診断のみでしか不可能であった癌の分類が、 D NAマイクロア レイを用レ、多数の遺伝子発現を同時に測定することで可能となつた初めての報告 が最近なされた。 すなわち、 ゴラブ T. R.らは、 D NAマイクロアレイ上に固定さ れた人の 6817遺伝子につきスクリーニングを行い、 主に 5 0遺伝子の発現量の変 化により急性白血病の分類 (A L L又は AM L ) が可能であることを示した 〔サ ィエンス (Science :) 第 2 8 6巻、 第 5 3 1— 5 3 7ページ ( 1 9 9 9 ) 〕 。 このように個々の遺伝子のレベルでは癌の発生、 進展に関与する遺伝子、 及び 該遺伝子異常に関する情報は増えてきている。 しかしながら、 発癌機構は、 多段 階であり、 複数の変異の蓄積が必要とされるため、 単一の遺伝子や、 少数の遺伝 子のランダムな組み合わせによる判定では、 いまだに実用性に十分な、 癌の確定 診断や予後の判定にはいたっていないのが現状である。 Recently, the first report has been made that the classification of cancer, which was previously only possible by pathological diagnosis, was made possible by simultaneously measuring the expression of a large number of genes using a DNA microarray. In other words, Golab TR et al. Screened 6817 genes of a person immobilized on a DNA microarray and were able to classify acute leukemia (ALL or AML) mainly by changing the expression level of 50 genes. (Science, Vol. 28, Vol. 5, pp. 53-53 (p. 199 9)). As described above, at the level of each gene, information on genes involved in the development and progression of cancer, and information on the gene abnormality are increasing. However, since the mechanism of carcinogenesis is multi-stage and requires the accumulation of multiple mutations, the determination of a single gene or a random combination of a small number of genes is still sufficient for practical use. At present, no definitive diagnosis or prognosis has been made.
事実、 現在においても癌の診断や進行度、 分化度の判定はすべて病理診断によ り行われている。 しかしながら、 病理学的にはほぼ同様の進行度、 分化度を示す 癌であっても予後の良い症例が有る一方、 早期に再発、 転移する悪性度の高い症 例が存在する。 また一部の症例では、 抗癌剤や放射線照射に感受性を示すものの 、 他方では抵抗性を示す症例が多数存在する。 したがって、 現時点ではこれらを 治療前や手術後早期に予測することは不可能であるのが現伏である。 発明の開示 In fact, even today, the diagnosis of cancer and the determination of its progress and differentiation are all performed by pathological diagnosis. However, pathologically, there are cases with good prognosis even for cancers showing almost the same degree of progression and differentiation, while there are cases with high malignancy that relapse or metastasize early. In some cases, there are many cases showing sensitivity to anticancer drugs and radiation irradiation, but showing resistance in other cases. Therefore, at present it is impossible to predict these before treatment or early after surgery. Disclosure of the invention
癌の診断や進行度、 分化度等を予測できれば、 不必要な治療を避けることが可 能となり、 患者の負担を最小限に押さえ、 かつ個々の患者に適した治療方針を立 てることに大きく貢献できる。 また医療費の抑制にもつながると考えられる。 したがって、 本発明の第 1の目的は、 癌、 特に、 患者数の多い胃癌の悪性度の 判定の指標となりうる遺伝子、 特に、 細胞の癌化、 進展に伴い発現状態が変化す る多数の遺伝子を明らかにし、 簡便かつ迅速に、 高い信頼度で癌の悪性度を評価 しうる、 該遺伝子の発現パターンの解析に基づく癌の悪性度の評価方法、 又は癌 の検出方法を提供することにある。 また、 本発明の第 2の目的は、 上記の癌の悪 性度の評価、 又は癌細胞の検出に使用される、 アレイ又はキットを提供すること にある。 Predicting the diagnosis, progression, differentiation, etc. of cancer can prevent unnecessary treatment, greatly minimizing the burden on patients and establishing a treatment policy suitable for individual patients. Can contribute. It is also thought that this will lead to a reduction in medical expenses. Therefore, a first object of the present invention is to provide a gene that can be used as an index for determining the degree of malignancy of cancer, particularly gastric cancer, which has a large number of patients, and in particular, a large number of genes whose expression status changes as the cells become cancerous or develop. And easily and quickly assess cancer malignancy with high reliability It is an object of the present invention to provide a method for evaluating the degree of malignancy of cancer based on analysis of the expression pattern of the gene or a method for detecting cancer. Further, a second object of the present invention is to provide an array or a kit used for evaluating the above-mentioned cancer aggressiveness or detecting cancer cells.
本発明者らは、 上記目的を達成するために癌患者、 特に胃癌患者の癌組織及び 対照正常組織における、 多数の遺伝子の細胞内発現量を個別に比較するだけでな く、 遺伝子発現のパターン解析により癌、 特に胃癌の悪性化に関与する多数の遺 伝子を見出した。 これらの遺伝子の組み合わせによる遺伝子発現のパ夕一ン解析 をする上での適切な手法を考案し、 癌の悪性度の評価が可能であることを見出し 、 本発明を完成するに至った。 In order to achieve the above object, the present inventors not only individually compare the intracellular expression levels of a large number of genes in cancer tissues, particularly in cancer tissues and gastrointestinal cancer patients, but also have gene expression patterns. Analysis has revealed a large number of genes involved in malignant transformation of cancer, especially gastric cancer. The present inventors have devised an appropriate technique for conducting a pattern analysis of gene expression by a combination of these genes, and have found that it is possible to evaluate the malignancy of cancer, thereby completing the present invention.
すなわち、 本発明の要旨は、 That is, the gist of the present invention is:
〔1〕 下記ステップ: [1] The following steps:
( 1 ) 被検試料において、 癌の悪性度に応じて発現量が変化する少なくとも 8種 の遺伝子の発現量を測定するステップ、 及び (1) measuring the expression level of at least eight genes whose expression level changes in accordance with the malignancy of the cancer in the test sample; and
( 2 ) ( 1 ) で得られた各遺伝子の発現量に基づき、 癌の悪性度を評価するステ ップ (2) Step of evaluating the malignancy of cancer based on the expression level of each gene obtained in (1)
を行なうことを特徴とする癌の悪性度の評価方法、 A method for evaluating the degree of malignancy of cancer, characterized by performing
〔2〕 癌の悪性度に応じて発現量が変化する少なくとも 8種の遺伝子に対応す る核酸又はその断片がそれぞれ支持体上の定められた領域に固定化されてなる、 癌の悪性度を評価するためのアレイ、 (2) a nucleic acid or a fragment thereof corresponding to at least eight genes whose expression level changes according to the malignancy of the cancer is immobilized in a predetermined region on the support, Array to evaluate,
〔3〕 癌の悪性度に応じて発現量が変化する少なくとも 8種の遺伝子から発現 される m R N A又はその断片を検出するためのプライマー及び Z又はプローブを 含有してなる、 癌の悪性度の評価用又は癌の検出用キット、 (3) a primer or Z or probe for detecting mRNA or a fragment thereof expressed from at least eight genes whose expression level changes depending on the grade of cancer malignancy, Evaluation or cancer detection kit,
〔4〕 癌の悪性度に応じて発現量の変化する少なくとも 8種の遺伝子にコ一ド されたポリべプチド又はその断片に対する抗体又はその断片を含有してなる、 癌 の悪性度の評価用又は癌の検出用キット、 並びに 〔5〕 被検試料と対照試料とについて、 癌の悪性度に応じて発現量が変化する 少なくとも 8種の遺伝子又は該遺伝子にコードされたポリべプチドの発現を調べ 、 該被検試料と対照試料との間において該遺伝子又はポリべプチドの発現の差異 がある場合に、 該被検試料が癌細胞を含むことの指標として、 癌細胞を検出する ことを特徴とする、 癌の検出方法、 [4] for evaluation of cancer malignancy, comprising an antibody or a fragment thereof to a polypeptide or a fragment thereof encoded by at least eight genes whose expression level changes depending on the malignancy of the cancer Or a kit for detecting cancer, and [5] Expression of at least eight genes or polypeptides encoded by the genes whose expression levels change depending on the malignancy of the cancer is examined between the test sample and the control sample. A method for detecting cancer, comprising detecting cancer cells as an indicator that the test sample contains cancer cells when there is a difference in the expression of the gene or polypeptide from the sample.
に関する。 図面の簡単な説明 About. BRIEF DESCRIPTION OF THE FIGURES
第 1図は、 1 0 5遺伝子の 〔相対発現比率の自然対数変換値〕 を用いた Hierar chical clustering により得られた胃癌患者の分類の樹形図である。 FIG. 1 is a tree diagram of a classification of gastric cancer patients obtained by Hierarchical clustering using [natural logarithmic conversion value of relative expression ratio] of 105 genes.
第 2図は、 1 0 5遺伝子の 〔相対発現比率の自然対数変換値〕 を用いた Hierar chical clustering により得られた各胃癌患者における各遺伝子の発現パターン の樹形図である。 FIG. 2 is a tree diagram of expression patterns of each gene in each gastric cancer patient obtained by Hierarchical clustering using [natural logarithmic conversion value of relative expression ratio] of 105 genes.
第 3図は、 1 0 5遺伝子の発現強度を用いた Hierarchical clustering により 得られた胃癌患者の分類の樹形図である。 FIG. 3 is a tree diagram of classification of gastric cancer patients obtained by Hierarchical clustering using the expression intensity of 105 genes.
第 4図は、 1 0 5遺伝子の発現強度を用いた Hierarchical clustering により 得られた各胃癌患者における各遺伝子の発現パターンの樹形図である。 FIG. 4 is a tree diagram of the expression pattern of each gene in each gastric cancer patient obtained by Hierarchical clustering using the expression intensity of 105 genes.
第 5図は、 2 0遺伝子の 〔相対発現比率の自然対数変換値〕 を用いた Hierarch ical clustering により得られた胃癌患者の分類の樹形図である。 FIG. 5 is a tree diagram of classification of gastric cancer patients obtained by Hierarchical clustering using [natural logarithmic conversion value of relative expression ratio] of 20 genes.
第 6図は、 2 0遺伝子の 〔相対発現比率の自然対数変換値〕 を用いた Hierarch ical clustering により得られた各胃癌患者における各遺伝子の発現パターンの 樹形図である。 発明を実施するための最良の形態 FIG. 6 is a tree diagram of the expression pattern of each gene in each gastric cancer patient obtained by Hierarchical clustering using [natural logarithmic conversion value of relative expression ratio] of 20 genes. BEST MODE FOR CARRYING OUT THE INVENTION
本明細書において、 「癌の悪性度」 とは、 第一次因子として浸潤の程度、 転移 の有無により決定され、 結果として手術等処置後の 5年生存率を左右する要因を 指す。 As used herein, “cancer malignancy” is determined by the degree of invasion and the presence or absence of metastasis as primary factors. As a result, factors that affect the 5-year survival rate after surgery and other procedures are considered. Point.
具体的には、 癌が粘膜、 粘膜下層にとどまり、 転移のない瘙は悪性度の低い瘙 と判断され、 5年生存率が高い (9 0 %以上) と予測される。 一方、 粘膜下層か ら筋層、 漿膜下層、 漿膜面へと深く浸潤し、 リンパ行性、 血行性、 浸潤性、 又は 播種性に癌が転移した場合、 悪性度は高いと判断され、 5年生存率は低い。 なか でも腹膜へ播種性転移、 肝転移、 遠隔リンパ節への転移が認められ、 又はさらに 癌の浸潤が他の臓器におよぶ場合は予後が非常に悪く、 5年生存率は低い (2 0 %以下) 。 また、 第二次因子として抗癌剤や放射線への感受性の有無が上げられ 、 該抗癌剤や放射線への感受性のある場合は悪性度が低く、 抵抗性の場合を悪性 度が高いと判断する。 Specifically, cancer that remains in the mucosa and submucosa and is not metastasized is judged to be of low malignancy, and the 5-year survival rate is expected to be high (over 90%). On the other hand, if the cancer spreads deeply from the submucosa to the muscular layer, the subserosa, and the serosal surface, and the cancer has spread to lymphatic, hematogenous, invasive, or disseminated, the malignancy is judged to be high, and 5 years The survival rate is low. Among them, disseminated metastasis to the peritoneum, liver metastasis, distant lymph node metastasis, or when the cancer spreads to other organs, the prognosis is very poor, and the 5-year survival rate is low (20% Less than) . In addition, the presence or absence of sensitivity to an anticancer agent or radiation is raised as a secondary factor. If the patient has sensitivity to the anticancer agent or radiation, the degree of malignancy is low, and if the resistance is high, the degree of malignancy is determined to be high.
1 . 本発明の癌、 特に胃癌の悪性度の評価方法 1. The method for evaluating the malignancy of cancer of the present invention, particularly gastric cancer
本発明の癌、 特に胃癌の悪性度の評価方法は、 下記ステップ: The method for evaluating the malignancy of cancer, particularly gastric cancer, according to the present invention comprises the following steps:
( 1 ) 被検試料において、 癌、 特に胃癌の悪性度に応じて発現量が変化する少な くとも 8種の遺伝子の発現量を測定するステップ、 及び (1) measuring the expression level of at least eight genes in the test sample whose expression level changes depending on the malignancy of cancer, particularly gastric cancer; and
( 2 ) ( 1 ) で得られた各遺伝子の発現量に基づき、 癌、 特に胃癌の悪性度を評 価するステップ (2) Step of evaluating the malignancy of cancer, particularly gastric cancer, based on the expression level of each gene obtained in (1)
を行なうことを 1つの特徴とする。 本発明の評価方法によれば、 後述の癌、 特に 胃癌の悪性度に応じて発現量が変化する少なくとも 8種の遺伝子の発現量を測定 するため、 簡便で、 かつ迅速に高い信頼度で、 癌、 特に胃癌の悪性度を評価する ことができるという優れた効果を発揮する。 One of the features is to perform According to the evaluation method of the present invention, since the expression levels of at least eight genes whose expression levels change according to the malignancy of cancer, particularly gastric cancer described below, are measured, the method is simple, and quickly and with high reliability. It has an excellent effect of being able to evaluate the malignancy of cancer, especially gastric cancer.
前記被検試料としては、 血液;尿;糞便;外科的手法により摘出した組織等の 生体由来の試料が挙げられる。 本発明の癌、 特に胃癌の悪性度の評価方法におい ては、 術前診断の観点から、 生検鉗子で採取された病変組織が望ましい。 また、 本明細書においては、 前記被検試料の供給源となる個体を 「検体」 と示す場合が あ 本発明の評価方法に用いられる 「癌の悪性度に応じて発現量が変化する遺伝子 J は、 癌化、 癌、 特に胃癌の悪性度の評価の指標となりうる遺伝子であり、 細胞 の癌化に伴ってその発現量が変化する遺伝子、 言い換えれば、 その発現が有意に 誘導又は抑制される遺伝子をいう。 Examples of the test sample include a sample derived from a living body such as blood; urine; feces; and a tissue removed by a surgical technique. In the method for evaluating the malignancy of cancer, particularly gastric cancer, of the present invention, a lesion tissue collected with a biopsy forceps is desirable from the viewpoint of preoperative diagnosis. In this specification, an individual serving as a source of the test sample may be referred to as a “sample”. The gene J whose expression level changes according to the malignancy of the cancer used in the evaluation method of the present invention is a gene that can serve as an index for the evaluation of malignancy of cancer, particularly of gastric cancer, and It refers to a gene whose expression level changes along with it, in other words, a gene whose expression is significantly induced or suppressed.
このような遺伝子は、 例えば、 ゲノム中の遺伝子のコピー数や染色体の再配列 のパターンの解析のほか、 正常細胞と癌化した細胞における遺伝子産物の発現量 を比較し、 両細胞間で差異のあるものを特定することにより検出することができ る。 遺伝子産物としては、 例えば、 遺伝子より転写される m R NAや翻訳産物で あるタンパク質が挙げられる。 本発明に使用される遺伝子の検出においては、 遺 伝子操作技術の進歩に伴い、 その解析に様々な手法が開発されている m R NAを 指標とするのが効率的である。 Such genes can be analyzed, for example, by analyzing the copy number of genes in the genome and the pattern of chromosomal rearrangement, comparing the expression levels of gene products in normal cells and cancerous cells, and determining the differences between the two cells. It can be detected by identifying one. Examples of the gene product include mRNA transcribed from a gene and a protein that is a translation product. In the detection of the gene used in the present invention, it is efficient to use mRNA as an index, for which various techniques have been developed for analysis with the advance of gene manipulation technology.
m R NAを指標にした遺伝子発現の変化を確認する手法としては、 ノーザンハ イブリダィゼ一シヨン法、 R T— P C R法、 サブトラクシヨン法、 ディファレン シャル ·ディスプレイ法等が挙げられ、 これらの方法を適宜選択して本発明に使 用される遺伝子を見出すことができる。 さらに、 数百、 数千といった多数の遺伝 子の発現の変化を同時に検出する方法としては、 D NAアレイを使用した方法 ( D NAチップハイプリダイゼ一シヨン解析、 D NAマクロアレイハイプリダイゼ ーシヨン解析等) が知られている。 Methods for confirming changes in gene expression using mRNA as an index include the Northern Hybridization method, RT-PCR method, subtraction method, differential display method, and the like. These methods are appropriately selected. Thus, the gene used in the present invention can be found. Furthermore, methods for simultaneously detecting changes in the expression of a large number of genes, such as hundreds or thousands, include methods using DNA arrays (such as DNA chip hybridization analysis and DNA macroarray hybridization). Analysis etc.) are known.
「癌の悪性度に応じて発現量が変化する遺伝子」 は、 ヒト由来の遺伝子に対応 する核酸又はその断片が固定化された D N Aアレイを使用することにより得られ る。 例えば、 癌に対して何らかの関連が示唆された遺伝子の断片を固定化した D NAマイクロアレイが市販されており (Intell iGene Human Cancer CHIP、 宝酒 造社製) 、 これを使用して本発明に使用される遺伝子を見出すことができる。 前 記 「癌の悪性度に応じて発現量が変化する遺伝子」 は、 例えば以下のような遺伝 子選別方法により得ることができる。 遺伝子選別方法: The “gene whose expression level changes according to the malignancy of the cancer” can be obtained by using a DNA array on which a nucleic acid corresponding to a human-derived gene or a fragment thereof is immobilized. For example, a DNA microarray on which a fragment of a gene suggested to have some association with cancer is immobilized (IntelliGene Human Cancer CHIP, manufactured by Takara Shuzo Co., Ltd.) and used in the present invention. Can be found. The aforementioned “gene whose expression level changes depending on the malignancy of the cancer” can be obtained, for example, by the following gene selection method. Gene selection method:
例えば、 癌患者より採取された癌病変部組織から mRNAを調製し、 該 mRN Aを铸型とした逆転写反応を行なう。 この際、 例えば適切な標識を付したプライ マ一や標識ヌクレオチドを使用することにより、 標識された c DNAを得ること ができる。 標識方法としては特に限定されないが、 放射性同位体を含む化合物、 蛍光物質、 ピオチンのようなリガンドを使用した標識等が挙げられる。 For example, mRNA is prepared from a cancerous lesion tissue collected from a cancer patient, and a reverse transcription reaction is performed using the mRNA as a type II. At this time, for example, a labeled cDNA can be obtained by using an appropriately labeled primer or labeled nucleotide. The labeling method is not particularly limited, and examples thereof include a compound containing a radioisotope, a fluorescent substance, and a label using a ligand such as biotin.
次に、 上記の標識 cDNAと、 適当な遺伝子に対応する核酸又はその断片を固 定化された DNAアレイとの間でハイプリダイゼーシヨンを実施する。 ハイプリ ダイゼーシヨンは公知の方法で実施すればよく、 その条件は使用する DNAァレ ィゃ標識 cDNAに適したものを適宜選択すればよい。 例えばモレキュラー - ク ローニング、 ァ ·ラボラトリーマニュアル (Molecular cloning, A laboratory manual)、 第 2版、 第 9. 52 - 9. 55頁 (1 989) に記載の条件で行なう ことができる。 Next, hybridization is performed between the labeled cDNA and a DNA array in which a nucleic acid corresponding to an appropriate gene or a fragment thereof is immobilized. Hybridization may be performed by a known method, and the conditions may be appropriately selected from those suitable for the DNA array-labeled cDNA to be used. For example, it can be carried out under the conditions described in Molecular-cloning, A laboratory manual, 2nd edition, pages 9.52 to 9.55 (1 989).
また、 前記と同様のハイブリダィゼーシヨン条件下に対照試料 (健常人由来試 料、 非病変部位由来の試料等) 由来の核酸と前記 DN Aアレイとのハイブリダィ ゼ一シヨンを行なう。 これらのヒト由来の試料は、 採取から遺伝子発現量の測定 までに時間がかかり、 R N A分解酵素の作用により m R N Aが分解を受ける可能 性がある。 被検試料と対照試料との遺伝子発現の差を測定するためには、 比較的 発現変動の少ない標準的な遣伝子を用いて両者の mRNA量を補正する必要があ る。 さらに、 以下に述べる 2種類の蛍光を用いて 1枚の DN Aアレイ上で競合ハ ィブリダイゼ一シヨンを行なう場合には、 2種の蛍光物質間の強度差を補正する 必要もある。 このような補正の目的に使用される核酸としては、 非病変部位由来 の核酸;ハウスキーピング遺伝子 〔例えば、 グリセルアルデヒド 3—リン酸デヒ ドロゲナーゼ (GAPD)遺伝子、 シクロフィリン遺伝子、 ーァクチン遺伝子、 ひ —チューブリン遺伝子、 ホスフォリパーゼ A 2遺伝子等〕 に対応する核酸等が挙 げられ、 また、 非特異的なハイブリダィゼ一シヨンでないことを確認するための 陰性対照としては、 例えば、 プラスミ ド p U C 1 8のような異種生物由来の核酸 等が挙げられる。 Further, under the same hybridization conditions as described above, hybridization of nucleic acid derived from a control sample (a sample derived from a healthy person, a sample derived from a non-lesion site, etc.) and the DNA array is performed. In these human samples, it takes time from collection to measurement of gene expression level, and mRNA may be degraded by the action of RNase. In order to measure the difference in gene expression between the test sample and the control sample, it is necessary to correct the mRNA levels of both using a standard gene with relatively small fluctuations in expression. Furthermore, when competitive hybridization is performed on a single DNA array using the two types of fluorescence described below, it is necessary to correct the intensity difference between the two types of fluorescent substances. Examples of the nucleic acid used for the purpose of such correction include a nucleic acid derived from a non-lesion site; a housekeeping gene [eg, glyceraldehyde 3-phosphate dehydrogenase (GAPD) gene, cyclophilin gene, actin gene, and Tubulin gene, phospholipase A2 gene, etc.), and to confirm that the nucleic acid is not a non-specific hybridization. Examples of the negative control include nucleic acids derived from a heterologous organism such as plasmid pUC18.
ついで、 瘙病変部由来の試料とのハイプリダイゼーシヨン及び対照試料とのハ ィブリダイゼーションのそれぞれ結果を比較することにより、 両者で発現量の異 なる遺伝子を検出することができる。 具体的には、 上記の方法で標識された核酸 試料とハイブリダィゼ一ションを行なつたアレイについて、 使用された標識方法 に応じて適切なシグナルの検出を行ない、 アレイ上の各遺伝子の癌病変部由来試 料、 対照試料中の発現量を比較することができる。 好ましくは、 複数の標識、 例 えば 2種類の蛍光を検出することができる多波長検出蛍光アナライザ一を用いれ ば、 癌病変部由来の試料における遺伝子発現量と対照試料での遺伝子発現量との 差を同じ D NAアレイ上で競合ハイプリダイゼーシヨンにて比較することができ る。 例えば、 癌病変部由来の試料については C y 5— d U T Pで蛍光標識を行な い、 対照の核酸試料については C y 3— d U T Pで蛍光標識する。 両者を等量混 合して D N Aアレイとハイブリダィゼ一シヨンを行なうことで両者の遺伝子発現 量の差を、 シグナルの色及び蛍光強度の違いとして検出することができる。 こうして得られたシグナルの強度に有意な差のある遺伝子は、 細胞の癌化に伴 つて発現量が変化する遺伝子であり、 癌化、 癌、 特に胃癌の悪性化の指標として 使用可能な遺伝子である。 本発明に用いられる 「癌の悪性度に応じて発現量が変 化する遺伝子」 は、 発現量の差の大きな遺伝子ほど指標として望ましい。 Next, by comparing the results of hybridization with the sample derived from the lesion and the results of hybridization with the control sample, genes with different expression levels can be detected in both cases. Specifically, for an array hybridized with the nucleic acid sample labeled by the above method, an appropriate signal is detected according to the labeling method used, and the cancer lesion of each gene on the array is detected. The expression level in the origin sample and the control sample can be compared. Preferably, if a multi-wavelength detection fluorescence analyzer capable of detecting a plurality of labels, for example, two types of fluorescence, is used, the difference between the gene expression level in a sample derived from a cancer lesion and the gene expression level in a control sample is determined. Can be compared on the same DNA array by competitive hybridization. For example, a sample derived from a cancerous lesion is fluorescently labeled with Cy5-dUPP, and a control nucleic acid sample is fluorescently labeled with Cy3-dUPP. By mixing the two in equal amounts and performing hybridization with the DNA array, the difference in the gene expression level between the two can be detected as the difference in signal color and fluorescence intensity. Genes having a significant difference in the signal intensity obtained in this way are genes whose expression level changes as the cells become cancerous, and are genes that can be used as indicators of canceration, cancer, particularly malignancy of gastric cancer. is there. The “gene whose expression level changes in accordance with the degree of malignancy of cancer” used in the present invention is more preferably a gene having a larger expression level difference as an index.
前記した遺伝子選別方法における目的遺伝子の選別基準は、 下記基準: The criteria for selecting a target gene in the above-described gene selection method are as follows:
( I ) 被検試料または対照試料における発現強度が、 陰性対照遺伝子の発現強度 の 2倍以上であること、 (I) the expression intensity in the test sample or control sample is at least twice the expression intensity of the negative control gene,
( I I ) 癌の悪性度との相関性が高いこと (II) High correlation with cancer malignancy
が挙げられる。 なお、 具体的選別法を実施例 1に記載する。 前記のようにして得られる遺伝子としては、 細胞の癌化に伴つてその発現が変 化する遺伝子であればよく、 例えば、 ( 1 ) オンコジーン及び腫瘍抑制 (oncoge nes & tumor suppressors ) に関与する遺伝子群、 (2)核内レセプター又は核 内レセプター転写共役に関与する遺伝子群、 (3) キナーゼ型伝達に関与する遺 伝子群、 (4) レセプター型キナーゼに関与する遺伝子群、 (5) 中間フィラメ ントマ一力一 (intermediate filament markers ) に関与する遺伝子、 (6)細 胞周期、 成長調節 (cell cycle & growth regulators) に関与する遺伝子群、 ( 7) アポトーシス (apoptosis ) に関与する遺伝子群、 (8) DNA損傷反応、 修復、 再構成 (腿 damage response, repair & recombination ) に関与する遺 伝子群、 (9) レセプター (receptors ) に関与する遺伝子群、 (1 0)細胞死 及び分化調節 (cell fate & development regulators) に関与する遺伝子群、 (Is mentioned. The specific sorting method is described in Example 1. As for the gene obtained as described above, its expression changes as the cells become cancerous. Any gene may be used, for example, (1) a group of genes involved in oncogenes and tumor suppressors, (2) a group of genes involved in nuclear receptors or transcription coupling of nuclear receptors, (3) ) Genes involved in kinase-type transmission, (4) genes involved in receptor-type kinase, (5) genes involved in intermediate filament markers, (6) cell cycle, Genes involved in growth cycle (cell cycle & growth regulators), (7) genes involved in apoptosis (apoptosis), (8) DNA damage response, repair & recombination (9) genes involved in receptors (receptors), (10) genes involved in cell death and development regulators,
1 1) 細胞接着、 運動性及び浸潤 (cell adhesion, motility & invasion) に閩 与する遺伝子群、 (1 2)血管新生促進 (angiogenesis regulators ) に関与す る遺伝子群、 (1 3)細胞浸潤 (invasion regulators ) に関与する遺伝子群、1 1) Genes involved in cell adhesion, motility & invasion (1 2) Genes involved in angiogenesis regulators, (1 3) Cell invasion ( invasion regulators),
(1 4)細胞間相互作用 (cell-cell interactions) に閼与する遺伝子群、 (1 5) Rho ファミ リ一 GTPa s e及びその調節因子 (Rho family small GTPases(14) genes that contribute to cell-cell interactions; (15) Rho family GTPa se and its regulators (Rho family small GTPases
& their regulator) に関与する遺伝子群、 (1 6)成長因子及びサイトカイン& their regulator), (1 6) Growth factors and cytokines
(growth factors & cytokines) に関与する遺伝子群、 (1 7) エネルギー代謝 に関与する遺伝子群等が挙げられる。 (growth factors & cytokines), and (17) genes involved in energy metabolism.
より具体的には、 下記表 1及び 2に列挙される 1 05種の遺伝子並びに後述の 表 6及び 7にさらに列挙される 5 1種の遺伝子の発現量を測定し、 癌の悪性度の 評価を行なうことができる。 More specifically, the expression levels of 105 genes listed in Tables 1 and 2 below and 51 genes further listed in Tables 6 and 7 described below were measured to evaluate the malignancy of cancer. Can be performed.
表 2 Table 2
本発明の癌、 特に胃癌の悪性度の評価方法においては、 正確な評価を得る観点 から、 上記遺伝子のうち、 本発明において発現量を測定される遺伝子は、 少なく とも 8種であり、 好ましくは少なくとも 2 0種であり、 より好ましくは 3 0種以 上であり、 さらに好ましくは 4 0種以上であり、 特に好ましくは 5 0種以上であ ることが望ましく、 評価方法における操作の容易性、 特に後述の Hierarchical c lustering により遺伝子発現のパターン解析を行なう場合の操作の容易性の観点 から、 1 0 0種以下であることが望ましい。 In the method for evaluating the malignancy of cancer, particularly gastric cancer, of the present invention, from the viewpoint of obtaining an accurate evaluation, among the above genes, at least eight genes whose expression levels are measured in the present invention are preferably used. It is at least 20 types, more preferably 30 types or more, further preferably 40 types or more, particularly preferably 50 types or more. In particular, from the viewpoint of easiness of the operation when performing pattern analysis of gene expression by Hierarchical clustering described later, it is desirable that the number be 100 or less.
「癌の悪性度に応じて発現量が変化する遺伝子」 の具体例としては、 好ましく は、 アポト一シスインヒビター サーノくイビン 〔apoptosis inhibi tor survivin (ジーンバンク登録番号: U75285) ) 遺伝子、 As a specific example of the “gene whose expression level changes depending on the malignancy of the cancer”, preferably, an apoptosis inhibitor Sano ikubin (apoptosis inhibi tor survivin (Genebank registration number: U75285)) gene,
I型コラーゲンひ一 2 Ccol lagen type I a -2 (ジーンバンク登録番号: J03464 ) 〕 遺伝子、 Type I collagen Hiichi 2 Ccol lagen type I a -2 (Genebank registration number: J03464)] gene,
Ι Π 型コラーゲン プロ一 α— 1鎖 (col lagen type I I I pro-alpha-1 (ジーン バンク登録番号: X14420) 〕 遺伝子、 Ι type Π collagen pro-α-1 chain (collagen type I I I pro-alpha-1 (Genebank accession number: X14420))
フイブロネクチン前駆体 (F N) Cfibronectin precursor (FN) (ジーンバンク 登録番号: X02761) 〕 遺伝子、 Fibronectin precursor (FN) (Genebank registration number: X02761)] gene,
MM P - 1 ;消化管コラゲナーゼ C matrix metal loproteinase 1 ; intestinal c ol lagenase (ジーンバンク登録番号: M13509) 〕 遺伝子、 MM P-1; gastrointestinal collagenase C matrix metal loproteinase 1; intestinal col lagenase (Genebank registration number: M13509)] gene,
MM P - 7 ;子宮マ卜リリシン Cniatrix metal loproteinase 7; matri lysin, ut erine (ジーンバンク登録番号: Z11887) 〕 遺伝子、 MM P-7; uterine matrilysin Cniatrix metal loproteinase 7; matri lysin, ut erine (Genebank accession number: Z11887)] gene,
U -プラスミノーゲン活性化因子 Curokinase-type plasminogen activator pre cursor (EC 3. 4. 21. 73) ; U - plasminogen act ivator (UP A); plasminogen activa tor. urokinase (ジーンバンク登録番号: X02419) 〕 遺伝子、 U-plasminogen activator Curokinase-type plasminogen activator pre cursor (EC 3.4.21.73); U-plasminogen act ivator (UP A); plasminogen activa tor. Urokinase (Genebank registration number: X02419)] Gene,
ゥロキナーゼ型プラスミノ一ゲン活性化因子受容体 Curokinase-type plasminog en activator receptor; GP I -anchored from precursor (U-PAR) ; monocyte act ivat ion antigen M03; CD87 antigen (ジーンバンク登録番号: U09937) 〕 遺伝 子、 Perkinase-type plasminogen activator receptor Curokinase-type plasminogen activator receptor; GPI-anchored from precursor (U-PAR); monocyte act ivat ion antigen M03; CD87 antigen (Genebank registration number: U09937)] Child,
アルファ一 2—マクログロブリン 〔alpha-2-macroglobul in (alpha-2-Μ) (ジ一 ンバンク登録番号: M11313) 〕 遺伝子、 Alpha-2-macroglobulin (alpha-2-Μ) (Genbank accession number: M11313)
型血小板由来増殖因子受容体前駆体 Cbeta platelet-derived growth factor receptor precursor (PDGFR-beta); CD140B antigen (ジーンバンク登録番号: J03278) 〕 遺伝子、 Platelet-derived growth factor receptor precursor Cbeta platelet-derived growth factor receptor precursor (PDGFR-beta); CD140B antigen (Genebank registration number: J03278)] gene,
BIGH3 (ジーンバンク登録番号: M77349) 遺伝子、 BIGH3 (Genebank accession number: M77349) gene,
XVI I I 型コラーゲンひ— 1鎖 〔col lagen type XVI I I alpha-1 (ジーンバンク登 録番号: AF018081) 〕 遺伝子、 XVI I type 1 collagen chain (collagen type XVI I alpha-1 (Genebank registration number: AF018081))
成長ホルモン依存性ィンスリン様増殖因子結合タンパク質 〔growth hormone-dep endent insul in-l ike growth factor-binding protein (ジーンノ 'ンク登録番 : M35878) 〕 遺伝子、 Growth hormone-dependent insulin-like growth factor-binding protein (growth hormone-dep endent insul in-like growth factor-binding protein (Geneno'nk registration number: M35878)) gene,
肝癌由来増殖因子 〔hepatoma-derived growth factor (HDGF) (ジーンバンク登 録番号: D16431) 〕 遺伝子、 Hepatoma-derived growth factor (HDGF) (Genebank registration number: D16431) gene,
インスリン様増殖因子結合タンパク質 2 Cinsul in-l ike growth factor binding protein 2 (IGFBp2) (ジーンバンク登録番号: X16302) 〕 遺伝子、 Cinsul in-like growth factor binding protein 2 (IGFBp2) (Genebank accession number: X16302)] gene,
IV型コラゲナ一ゼ 〔type IV col lagenase (ジーンバンク登録番号: M55593) 〕 遺伝子、 Type IV col lagenase (gene bank accession number: M55593) gene,
s p a r c前駆体 ォステオネクチン) isparc precursor secreted protein acidic and rich in cysteine ; osteonectin) (ON); basement membrane protei n BM-40 (ジーンバンク登録番号: J03040) ) 遺伝子、 osteonectin) isparc precursor secreted protein acidic and rich in cysteine; osteonectin) (ON); basement membrane protein BM-40 (Genebank registration number: J03040)) gene,
トロンボスボンジン 2前駆体 Cthrombospondin 2 precursor (ジーンバンク登録 番号: L12350) 〕 遺伝子、 Cthrombospondin 2 precursor (Genebank registration number: L12350)] gene,
コンドロイチン硫酸プロテオグリカンコアタンパク質 2 Cversican core protei n precursor; large f ibroblast proteoglycan; chondroi t in sulfate proteogl yean core protein 2; gl ial hyaluronate-binding protein (GHAP) (ジーンノく ンク登録番号: U16306) 〕 遺伝子、 Chondroitin sulfate proteoglycan core protein 2 Cversican core protein precursor; large f ibroblast proteoglycan; chondroit in sulfate proteogl yean core protein 2; glial hyaluronate-binding protein (GHAP) Link registration number: U16306)] gene,
ェンポプラキン 〔envoplakin〕 (ジーンバンク登録番号: U53786) 遺伝子、 インテグリ ン ー 4鎖 Untegrin, beta 4〕 (ジーンバンク登録番号: X53587) 遺伝子、 Envoplakin (gene bank accession number: U53786) gene, integrin 4 chain Untegrin, beta 4 (gene bank accession number: X53587) gene,
ビメンチン 〔vimentin〕 (ジーンバンク登録番号: Z19554) 遺伝子、 Vimentin (gene bank accession number: Z19554) gene,
c-fms プロ トオンコジーン 〔c-fms proto-oncogene〕 (ジーンバンク登録番号:c-fms proto-oncogene [c-fms proto-oncogene] (Genebank registration number:
X03663)、 X03663),
増殖性細胞核抗原 (prol iferating cell nuclear antigen) (ジーンバンク登録 番号: M15796) 遺伝子、 Proliferating cell nuclear antigen (Genebank registration number: M15796) gene,
白血球抗原関連タンパク質 [leukocyte antigen related protein 〕 (ジーンバ ンク登録番号: Y00815) 遺伝子、 Leukocyte antigen related protein (Genebank registration number: Y00815) gene,
インタ一ロイキン 8 Cinterleukin 8 〕 (ジーンバンク登録番号: M26383) 遺伝 子、 Interleukin 8] (Genebank registration number: M26383)
GDP 解離阻害因子 (GDI) CGDP dissociation inhibitor (GDI)) (ジーンバンク 登録番号: L20688) 遺伝子、 GDP dissociation inhibitor (GDI) (Genebank registration number: L20688) gene,
脳特異的チューブリ ン 鎖 CTubulin, alpha, brain-specif ic) (ジーンバンク 登録番号: X01703) 遺伝子、 Brain-specific tubulin chain CTubulin, alpha, brain-specific) (Genebank registration number: X01703) gene,
細胞周期制御遺伝子 c d c 2 (細胞分裂サイクル 2 , G1期から S期& G2期から M期) (cell division cycle 2, Gl to S and G2 to M〕 (ジーンバンク登録番 号: X05360)、 Cell cycle regulatory gene cdc2 (cell division cycle 2, Gl to S and G2 to M) (Gene division registration number: X05360),
組織型プラスミノーゲン活性化因子 (plasminogen activator, tissue ジーン バンク登録番号: M15518〕 遺伝子、 Tissue-type plasminogen activator (tissue gene bank registration number: M15518) gene,
ストローマ細胞由来因子 1 [stromal cell-derived factor 1 〕 (ジーンバンク 登録番号: U16752) 遺伝子、 Stromal cell-derived factor 1 (Genebank registration number: U16752) gene,
マトリ ックスメタ口プロテナーゼ 1 0 (ストロメリシン) (matrix metal loprot einase 10 (stroraelysin 2) 〕 (ジーンバンク登録番号: X07820) 遺伝子、 マトリックスメタ口プロテナ一ゼ 1 5 (matrix metal loproteinase 15 (membran e-inserted) 〕 (ジーンバンク登録番号: Z48482) 遺伝子、 Matrix metal loprot einase 10 (stroraelysin 2) (Genebank accession number: X07820) Matrix metalloproteinase 15 (membran e-inserted)] (Genebank accession number: Z48482) gene,
抗酸化タンパク質 Cantioxidant protein 1 〕 (ジーンバンク登録番号: D49396 ) 遺伝子、 Cantioxidant protein 1] (Genebank accession number: D49396) gene,
ラミニン α— 4鎖 Claminin, alpha 4〕 (ジーンバンク登録番号: S78569) 遺伝 子、 Laminin α-4 chain Claminin, alpha 4] (Genebank registration number: S78569)
ュビキチン結合酵素 E2M (酵母 UBC12 に相同的である) Cubiqui tin- conjugat in g enzyme E2M (homologous to yeast UBC12)〕 ジーンバンク登録番号: AF075599 遺伝子、 Cubiquitin-conjugat in g enzyme E2M (homologous to yeast UBC12)] Gene bank accession number: AF075599 gene,
レチノブラスト一マ結合タンパク質 6 Cretinoblastoma-binding protein ( ジーンバンク登録番号: X85133) 遺伝子、 Retinoblastoma-binding protein 6 gene (Genebank accession number: X85133) gene,
K一サム 〔K-sam〕 (ジーンバンク登録番号: M87770) 遺伝子、 K-sam (gene bank registration number: M87770) gene,
カテブシン B Ccathepsin B 〕 (ジーンバンク登録番号: L22569) 遺伝子、 シグナル伝達 &転写活性化因子 1 . ; 91kD (signal transducer and activator of transcription 1, 91kD〕 (ジーンバンク登録番号: M97935) 遺伝子、 癌胎児性抗原関連細胞接着分子 6 (非特異的交差反応性抗原) 〔carcinoembryon ic antigen-related cel l adhesion molecule 6 (non-specific cross reacting ant igen) 〕 (ジーンバンク登録番号: M18728) 遺伝子、 Cathepsin B] (Genebank accession number: L22569) gene, signaling and activator of transcription 1, 91kD (Genebank accession number: M97935) gene, carcinoembryonic Antigen-related cell adhesion molecule 6 (non-specific cross-reactive antigen) [carcinoembryonic antigen-related cell adhesion molecule 6 (non-specific cross reacting ant igen)] (Genebank accession number: M18728) gene,
へパラン硫酸プロテオグリカン (heparan sulfate proteoglycan ) (ジーンバン ク登録番号: M85289) 遺伝子、 Heparan sulfate proteoglycan (gene bank registration number: M85289) gene,
v- i-ras2 Kirs ten ラッ ト肉腫ウィルスオンコジーンホモログ (v-Ki-ras2 Kirs ten rat sarcoma 2 viral oncogene homolog〕 いジーンノくンク登録番^": M54968 ) 遺伝子、 v-i-ras2 Kirs ten rat sarcoma 2 viral oncogene homolog (v-Ki-ras2 Kirs ten rat sarcoma 2 viral oncogene homolog)
ラスホモログ遺伝子ファミ リー、 D因子 Cras homo log gene fami ly, member D 〕 (ジーンバンク登録番号: D85815) 遺伝子、 Ras homolog gene family, member D] (Genebank accession number: D85815)
へキサブラキオン (テナシン C、 サイトタクチン) Oiexabrachion (tenascin C Hexabrachion (tenascin C)
1 δ , cytotact in) 〕 (ジーンバンク登録番号: X78565) 遺伝子、 1 δ , Cytotact in)] (Gene Bank accession number: X78565) gene,
サイクリン D 2 Ccycl in D2 (ジーンバンク登録番号: D13639) 遺伝子、 メタ口プロテナ一ゼ 3組織阻害因子 [tissue inhibitor of metal loproteinase 3 (Sorsby fundus dystrophy, pseudoinf lammatory) 〕 (ジ一ンノくンク登録番号 : AL023282) 遺伝子、 Cyclin D 2 Ccycl in D2 (Genebank registration number: D13639) gene, meta-oral proteinase 3 tissue inhibitor [tissue inhibitor of metal loproteinase 3 (Sorsby fundus dystrophy, pseudoinf lammatory)] (Jinnokunk registration number: AL023282) gene,
ラミニン受容体 1、 リポゾ一マルタンパク質 S A Claminin receptor 1 (67kD, ribosomal protein SA) 〕 (ジーンバンク登録番号: U43901) 遺伝子、 乳酸脱水素酵素 (lactate dehydrogenase A 〕 (ジーンバンク登録番号: X02152 ) 遺伝子 Laminin receptor 1, liposomal protein S A Claminin receptor 1 (67kD, ribosomal protein SA)] (Genebank registry number: U43901) gene, lactate dehydrogenase (lactate dehydrogenase A) (Genebank registry number: X02152) gene
ケラチン 1 8 〔keratin 18〕 (ジーンバンク登録番号: M26326) 遺伝子、 Keratin 18 [keratin 18] (Genebank accession number: M26326) gene,
I a関連インノくリアント 7鎖 Cla-associated invariant gamma-chain 〕 (ジ一 ンバンク登録番号: AH001484) 遺伝子、 Ia-associated invariant gamma-chain] (Genbank accession number: AH001484) gene,
CD72抗原 CCD72 antigen) (ジーンバンク登録番号: M54992) 遺伝子、 結合組織増殖因子 (connective t issue growth factor 〕 (ジーンバンク登録番 号: X78947) 遺伝子、 CD72 antigen CCD72 antigen) (Genebank accession number: M54992) gene, connective t issue growth factor (Genebank accession number: X78947) gene,
マトリックスメタ口プロテナーゼ 3 (ストロメリシン 1、 ゼラチナーゼ前駆体) atrix metal loproteinase 3 (stromelysin 1, rogelatinase) 〕 (ジーンノく ンク登録番号: X05232) 遺伝子、 Matrix meta-oral proteinase 3 (stromelysin 1, rogelatinase)] (Genenok registration number: X05232) gene,
サイクリン依存性キナーゼ 4 Ccycl in-dependent kinase 4 〕 (ジーンバンク登 録番号:隱 22) 遺伝子、 Cyclin-dependent kinase 4] (Genebank registration number: Oki 22)
ヒト SBクラス I I組織適合性抗原 (Human mRNA for SB classl l histocompatibi l i ty ant igen alpha-chain) (ジーンバンク登録番号: X03100) 遺伝子、 Human SB class I histocompatibility antigen (Human mRNA for SB class l l histocompatibi lity ant igen alpha-chain) (Genebank accession number: X03100) gene,
トランスホーミング増殖因子;8— 3鎖 Ctransforming growth factor, beta 3〕 (ジーンバンク登録番号: X14885) 遺伝子、 Transforming growth factor; 8-3 chain Ctransforming growth factor, beta 3] (Genebank accession number: X14885) gene,
甲状腺ホルモン受容体相互作用因子 6 (thyroid hormone receptor interacting protein 6〕 (ジーンバンク登録番号: AJ001902) 遺伝子、 血小板 内皮細胞接着分子 (CD31抗原) Cplatelet/endothel ial cel l adhesion molecule (CD31 antigen)) (ジーンバンク登録番号: L34657) 遺伝子、 プロフィ リ ン 1 〔prof i l in 1〕 (ジーンバンク登録番号: J03191) 遺伝子、 GTP 結合因子 〔GTP- binding protein 〕 (ジーンバンク登録番号: AF120334) 遺 伝子、 Thyroid hormone receptor interacting protein 6 (Genebank registration number: AJ001902) gene, Platelet endothelial cell adhesion molecule (CD31 antigen) Cplatelet / endothelial cell adhesion molecule (CD31 antigen) (Genebank accession number: L34657) Gene, profilin 1 (profil in 1) (Genebank accession number: J03191) Gene, GTP-binding protein [GTP-binding protein] (Genebank accession number: AF120334)
ホモサピエンスクローン 24703番 βチューブ、) ン m R NA CHorao sapiens clo ne 24703 be - tubul in mRNA, complete cds〕 (ジーンバンク登録番号: AF0706 00) 遺伝子、 Homo sapiens clone # 24703 beta tube,) m R NA CHorao sapiens clone ne 24703 be-tubul in mRNA, complete cds] (Genebank registration number: AF0706 00) gene,
Rho 関連コイルドーコイル含有プロテインキナーゼ 1 〔Rho-associated, coi led -coi l containing protein kinase 1 〕 (ジーンバンク登録番号: U43195) 遺伝 子、 Rho-associated, coi led -coil containing protein kinase 1 (Gene bank registration number: U43195)
IV型コラーゲン、 α— 1鎖 (col lagen, type IV, alpha 1〕 (ジーンバンク登録 番号: 26576) 遺伝子、 Type IV collagen, α-1 chain (col lagen, type IV, alpha 1) (Genebank registration number: 26576) gene,
トポイソメラーゼ (DNA) I Ctopoisomerase (DNA) I 〕 (ジーンバンク登録番号 : M60706) 遺伝子、 Topoisomerase (DNA) I Ctopoisomerase (DNA) I] (Genebank accession number: M60706) gene,
Kuni tz 1型セリンプロテナ一ゼ阻害因子、 Cserine protease inhibi tor, Kuni t z type 1〕 (ジーンバンク登録番号: AB000095) 遺伝子、 Kunitz type 1 serine proteinase inhibitor, Cserine protease inhibitor, Kunitz type 1] (Genebank registration number: AB000095) gene,
Rho GTP エース活性化タンパク質 1 〔Rho GTPase act ivating protein 1 〕 (ジ ーンバンク登録番号: U02570) 遺伝子、 Rho GTP ace activating protein 1 [Rho GTPase act ivating protein 1] (Genbank accession number: U02570) gene,
ニドジ ン 〔nidogen 〕 (ジーンバンク登録番号: M30269) 遺伝子、 Nidogen (Genebank accession number: M30269) gene,
サイクリン依存性キナーゼ 5、 制御因子 1 Ccycl in- dependent kinase 5. regul atory subuni t 1 (p35) 〕 (ジーンバンク登録番号: X80343) 遺伝子、 Cyclin-dependent kinase 5, regulatory factor 1 Ccycl in-dependent kinase 5. regul atory subunit 1 (p35)] (Genebank accession number: X80343) gene,
CD9抗原 〔CD9 antigen 〕 (ジーンバンク登録番号: M38690) 遺伝子、 CD9 antigen [CD9 antigen] (Genebank accession number: M38690) gene,
大動脈タイプ平滑筋なーァクチン遺伝子、 ェキソン 9 Caort ic-type smooth mus cle alpha-act in gene, exon 9 (ジーンバンク登録番号: M33216) 〕 、 Aortic-type smooth muscle actin gene, exon 9 Caortic-type smooth muscle alpha-act in gene, exon 9 (Genebank registration number: M33216)],
骨形成タンパク質 1 〔bone morphogenet ic protein 1 (BMpl) (ジーンバンク登 Bone morphogenetic protein 1 (BMpl) (Genebank
2 o 録番号: U50330) 〕 遺伝子、 2 o (Record number: U50330)] Gene,
VI型コラーゲン α— 3鎖 Ccol lagen type VI alpha-3 (ジーンバンク登録番号: X52022) 〕 遺伝子、 Type VI collagen α- 3 chain Ccol lagen type VI alpha-3 (Genebank registration number: X52022)] gene,
サイ 卜力イン h u m i g ytokine humig ; interferon - gamma - induced monokin e (MIG) (ジーンバンク登録番号: X72755) 〕 遺伝子、 Interferon-gamma-induced monokine (MIG) (Genebank registration number: X72755)] gene,
インテグリン α— 3鎖 Cintegrin alpha-3 chain (ジーンバンク登録番号: M599 11) 〕 遺伝子、 Integrin alpha-3 chain Cintegrin alpha-3 chain (Genebank accession number: M599 11)] gene,
インタ一フエロン誘導'性遺伝子フアミリ一 (interferon inducible gene fami ly (ジーンバンク登録番号: X57351) 〕 遺伝子、 Interferon inducible gene family (Genebank accession number: X57351)] gene,
転移関連 MT A 1 (metastasis-associated MTA1 (ジーンバンク登録番号: U351 13) 〕 遺伝子 Metastasis-associated MTA1 (genebank accession number: U351 13) gene
ノッチ 2 ノッチ ホモログ 3 CNotch2 Notch homo log 3 (ジーンバンク登録番 号: U97669) 〕 遺伝子、 及び Notch2 Notch homolog 3 (Genebank accession number: U97669)]
プロトーオンコジーン r h 0 A多剤耐性タンノヽ。ク質 〔proto-oncogene rhoA mul t idrug resistance protein ; GTP - binding protein (rhoA) (ジーンノくンク登録番 号: L25080) 〕 遺伝子のそれぞれの遺伝子からなる群より選択された少なくとも 8種、 より好ましくは、 少なくとも 2 0種の遺伝子が挙げられる。 なお、 少なく とも 8種の遺伝子、 少なくとも 2 0種の遺伝子の具体例としては、 特に限定され ないが、 それぞれ後述の実施例 3の表 5に記載の遺伝子、 実施例 2の表 4に記載 の遺伝子が挙げられる。 Proto-oncogene rh0A multidrug resistant tannoII. GTP-binding protein (rhoA) (Geneno Kunk registration number: L25080)] at least 8 species selected from the group consisting of the respective genes, and more preferably And at least 20 genes. Specific examples of at least eight genes, and at least 20 genes, are not particularly limited, but may be any of the genes described in Table 5 of Example 3 and the genes described in Table 4 of Example 2 below. Genes.
本発明の癌、 特に胃癌の悪性度の評価方法においては、 遺伝子の発現量は、 該 遺伝子より転写される m R N A量又は該遺伝子にコ一ドされたポリぺプチド量か ら測定することができる。 In the method of the present invention for evaluating the malignancy of cancer, particularly gastric cancer, the expression level of the gene can be measured from the amount of mRNA transcribed from the gene or the amount of polypeptide encoded by the gene. it can.
前記 m R NA量の測定には、 公知の種々の方法、 例えば、 ノーザン ·ハイプリ ダイゼーシヨン法、 i n s i t uハイブリダィゼーシヨン法、 ドット ·ブロッ ト ·ハイブリダィゼーシヨン法、 D N Aアレイを使用する方法等に代表されるハ イブリダィゼーシヨン法; RT— PCR法に代表される核酸増幅法等が使用でき る。 十分な mRNAの検出感度を得る観点から、 ハイブリダィゼーシヨン法又は 核酸増幅法が好ましく、 より具体的には、 発現量を測定しょうとする遺伝子に対 応ずる核酸又はその断片が支持体上のそれぞれ定められた領域に固定化されたァ レイ (例えば、 DNAアレイ) を使用するハイブリダィゼーシヨン法、 RT— P CR法が好適である。 多数の遺伝子の発現を同時に測定する観点から、 DNAァ レィを使用するハイブリダイゼーション法が特に好適である。 For the measurement of the mRNA amount, various known methods such as a Northern hybridization method, an in situ hybridization method, a dot blot hybridization method, and a method using a DNA array are used. C represented by Ibridization method; nucleic acid amplification method represented by RT-PCR method can be used. From the viewpoint of obtaining sufficient mRNA detection sensitivity, a hybridization method or a nucleic acid amplification method is preferable.More specifically, a nucleic acid or a fragment thereof corresponding to a gene whose expression level is to be measured is deposited on a support. The hybridization method and the RT-PCR method using an array (eg, a DNA array) immobilized in each defined region are suitable. From the viewpoint of simultaneously measuring the expression of a large number of genes, a hybridization method using a DNA array is particularly suitable.
本明細書において 「DNAアレイ」 とは、 遺伝子又は遺伝子由来の DNA断片 が支持体上の定められた領域に固定されているものを措し、 例えば、 DNAチッ プと呼称されているものを包含する。 また、 遺伝子又は遺伝子由来の DNA断片 が支持体上に高密度に固定されているものは DN Aマイクロアレイとも呼ばれる As used herein, the term "DNA array" refers to a DNA array in which a gene or a DNA fragment derived from the gene is fixed to a predetermined region on a support, and includes, for example, an array called a DNA chip. I do. A DNA or a DNA fragment derived from a gene fixed on a support at a high density is also called a DNA microarray.
D N Aアレイの支持体は、 ハイブリダイゼ一シヨンに使用可能なものであれば 特に限定はなく、 通常スライドグラス、 シリコンチップ、 ニトロセルロースゃナ ィロンの膜等が使用される。 また、 支持体上に固定される遺伝子又はその断片と しては、 特に限定するものではないが、 例えばゲノム DNAライブラリーや cD N Aライブラリ一、 これらを铸型とした PC R等によって増幅された DN Aが挙 げられる。 The support of the DNA array is not particularly limited as long as it can be used for hybridization, and a slide glass, a silicon chip, a nitrocellulose nylon membrane or the like is usually used. The gene or fragment thereof immobilized on the support is not particularly limited, and may be, for example, a genomic DNA library or a cDNA library, or a gene amplified by a type II PCR. DNA is listed.
このような DN Aアレイを使用することにより、 核酸試料中に含まれる多種類 の核酸分子の量を同時に測定することができる。 また、 少量の核酸試料でも測定 できるという利点がある。 例えば、 試料中の mRNAを標識するか、 もしくは m RN Aを铸型として標識された c DNAを調製し、 これと DN Aアレイの間でハ イブリダィゼ一シヨンを実施することにより、 試料中で発現されている mRNA を同時に検出し、 さらにその発現量を測定することができる。 By using such a DNA array, the amounts of various types of nucleic acid molecules contained in a nucleic acid sample can be measured simultaneously. Another advantage is that even small amounts of nucleic acid samples can be measured. For example, by expressing mRNA in a sample or preparing a cDNA labeled with mRNA as a type II, and performing hybridization between this and a DNA array, expression in the sample is performed. MRNA detected at the same time, and its expression level can be measured.
標識に用いられる標識物質としては、 放射性同位元素、 蛍光物質、 化学発光物 質、 発光団を有する物質等の物質を用いることができる。 例えば、 蛍光物質とし ては、 Cy 2、 F l uo rX、 Cy 3, Cy 3. 5、 Cy 5, Cy 5. 5、 Cy 7、 イソチォシアン酸フルォレセイン (F ITC:) 、 テキサスレツ ド、 ローダミ ン等が挙げられる。 また、 同時に検出できる点から、 2種類以上の蛍光物質を用 いて、 被検試料、 対照として用いる試料をそれぞれ異なった蛍光物質で標識する ことが望ましい。 ここで試料の標識は、 試料中の mRNA、 該 mRNA由来の c DN Aもしくは該 c DN Aより転写あるいは増幅された核酸を標識することによ つて実施される。 As a labeling substance used for labeling, a substance such as a radioisotope, a fluorescent substance, a chemiluminescent substance, and a substance having a luminophore can be used. For example, a fluorescent substance Examples include Cy2, FluorX, Cy3, Cy3.5, Cy5, Cy5.5, Cy7, fluorescein isothiocyanate (FITC :), Texas red, rhodamine and the like. In addition, it is desirable to use two or more fluorescent substances and label the test sample and the sample used as a control with different fluorescent substances from the viewpoint of simultaneous detection. Here, the labeling of the sample is carried out by labeling the mRNA in the sample, the cDNA derived from the mRNA, or the nucleic acid transcribed or amplified from the cDNA.
標識の検出法は、 用いられる標識物質の種類により、 適宜選択することができ る。 例えば、 前記 Cy 3及び Cy 5を標識物質として用いる場合、 Cy 3 53 2 nm、 Cy 5は 635 nmの波長でスキャンすることにより検出することがで きる。 なお、 標識の強度を遺伝子の発現量の指標とする。 The method for detecting the label can be appropriately selected depending on the type of the labeling substance used. For example, when Cy 3 and Cy 5 are used as labeling substances, Cy 3 532 nm and Cy 5 can be detected by scanning at a wavelength of 635 nm. The strength of the label is used as an index of the expression level of the gene.
前記核酸増幅法としては、 例えば、 PCR (Polymerase Chain Reaction)法 〔 米国特許第 4, 683, 202号明細書〕 、 I CAN (Isothermal and Chimeric primer -initiated Amplification of Nucleic Acid)法 〔国際公開第 00/56877号パンフ レッ ト〕 、 ストランド ディスプレースメント アンブリフィケ一シヨン (Stra nd Displacement Amplification ) (SDA) 法 〔ウォー力— G. T. (Walker, G.T . ) ら、 ヌクレイック ァシッズ リサーチ (Nucleic Acids Res.)、 第 20巻 、 第 1 69 1〜 1 696頁 (1 992) 〕 、 ヌクレイック アシッド シークェ ンス一べ一スド アンプリフィケーシヨン (Nucleic Acid Sequense— Based Ampl ification)(NASBA) 法 〔コムプトン J. (Compton,J.) 、 ネーチヤ一、 第 350 巻、 第 9 1〜92頁 (1 99 1) 〕 等が挙げられる。 核酸増幅法、 特に RT— PCR法により mRNA量を測定する場合、 例えば、 競合 PC R法、 Ta qMa n法 〔例えば、 リンダ ·ジ一 · リー等 (L i n d a G. Le e)、 ヌクレイック ァシッズ リサーチ、 第 21巻、 第 376 1— 3 766頁 (1 993 ) 等を参照のこと〕 等により、 mRNA量を測定できる。 な お、 前記 R T— P C R法とは、 mRNAを铸型とし、 逆転写反応により c DNA を合成後、 P C Rによる核酸増幅を行なう方法をいう。 Examples of the nucleic acid amplification method include a PCR (Polymerase Chain Reaction) method (US Pat. No. 4,683,202), an ICAN (Isothermal and Chimeric primer-initiated Amplification of Nucleic Acid) method [International Publication No. / 56877 pamphlet], Strand Displacement Amplification (SDA) method (Walker, GT., Et al., Nucleic Acids Res., Volume 20) , Pp. 1691-1696 (1992)], the Nucleic Acid Sequence-Based Amplification (NASBA) method (Compton, J.) Vol. 350, pp. 91-92 (1991)] and the like. When measuring mRNA amount by nucleic acid amplification method, especially RT-PCR method, for example, competitive PCR method, TaqMan method (for example, Linda G. Lee, Nucleic Acids Research) , Vol. 21, p. 376 1-3766 (1993)] and the like]. What The RT-PCR method refers to a method in which mRNA is type III, cDNA is synthesized by a reverse transcription reaction, and nucleic acid amplification is performed by PCR.
m R N A量により遺伝子発現量を測定する場合、 ①癌の悪性度に応じて発現量 が変化する少なくとも 8種の遺伝子から発現される mRNA又はその断片を検出 するためのプライマ一及び Z又はプローブを含有したキットが好適に用いられう る。 When measuring gene expression level based on mRNA level, (1) Primer, Z or probe for detecting mRNA or its fragment expressed from at least eight genes whose expression level changes depending on the malignancy of cancer A contained kit can be suitably used.
前記遺伝子にコ一ドされたボリぺプチド量は、 該ポリぺプチド又はその断片に 対する抗体を用いた、 酵素免疫測定法、 蛍光免疫測定法、 発光免疫測定法等によ り測定することができる。 具体的には、 例えば、 標識抗体を用い、 慣用の E L I S A法等により行なうことができる。 かかる抗体は、 前記遺伝子にコードされた ポリペプチド又はその断片に特異的に結合するものであれば、 ヒト化抗体、 F a bフラグメント、 単鎖抗体、 抗体断片などであってもよい。 The amount of polypeptide encoded by the gene can be measured by an enzyme immunoassay, a fluorescent immunoassay, a luminescence immunoassay, or the like using an antibody against the polypeptide or a fragment thereof. it can. Specifically, for example, it can be carried out by a conventional ELISA method using a labeled antibody. Such antibodies may be humanized antibodies, Fab fragments, single-chain antibodies, antibody fragments, etc., as long as they specifically bind to the polypeptide encoded by the gene or a fragment thereof.
ポリべプチド量により遺伝子発現量を測定する場合、 ②癌の悪性度に応じて発 現量の変化する少なくとも 8種の遺伝子にコ一ドされたポリべプチド又はその断 片に対する抗体又はその断片を含有したキッ卜が好適に用いられうる。 When measuring the gene expression level based on the amount of polypeptide, (2) Antibodies against polypeptides or fragments thereof encoded by at least eight genes whose expression levels change depending on the malignancy of cancer or fragments thereof A kit containing is preferably used.
本発明の評価方法においては、 ステップ (2 ) において、 被検試料における遺 伝子発現量と対照試料における遺伝子発現量とを比較することにより遺伝子の発 現量を解析し、 それにより癌、 特に胃癌の悪性度を評価することができる。 ここ で、 対照試料とは、 健常人由来試料又は非病変部位由来の試料をいう。 In the evaluation method of the present invention, in step (2), the expression level of the gene is analyzed by comparing the expression level of the gene in the test sample with the expression level of the gene in the control sample. The malignancy of gastric cancer can be evaluated. Here, the control sample refers to a sample derived from a healthy person or a sample derived from a non-lesion site.
遺伝子の発現の解析は、 パターン解析により行なうことができる。 かかるバタ —ン解析は、 被検試料における各遺伝子の発現強度シグナル、 又は対照試料に対 する被検試料における各遺伝子の相対発現比率を用いたクラス夕リング解析によ り行なうことができる。 Analysis of gene expression can be performed by pattern analysis. Such a pattern analysis can be performed by a class analysis using the expression intensity signal of each gene in the test sample or the relative expression ratio of each gene in the test sample relative to the control sample.
すなわち、 得られた各遺伝子の発現強度を用いコンピューターによるクラス夕 リング解析を行なう。 解析に用いられるデータとしては、 被検試料における各遺 伝子の発現強度シグナル、 又は対照試料に対する被検試料における各遺伝子の相 対発現比率が挙げられる。 That is, class analysis is performed by computer using the obtained expression intensity of each gene. The data used for analysis include the expression intensity signal of each gene in the test sample or the phase of each gene in the test sample relative to the control sample. To expression ratio.
なお、 ステップ (2 ) において、 さらにステップ ( 1 ) で得られた各遺伝子の 発現量の測定値の補正処理を行なうことができる。 In step (2), a correction process of the measured value of the expression level of each gene obtained in step (1) can be further performed.
前記相対発現比率とは、 〔被検試料における遺伝子発現量 Z対照試料における 遺伝子発現量〕 により示される値をいう。 クラスタリングの手法としては、 特に 限定されない力、 Hierarchical clustering 、 Neural network clustering 等力 挙げられる。 The relative expression ratio refers to a value represented by [gene expression level in test sample Z gene expression level in control sample]. Examples of the clustering method include, but are not limited to, forces such as Hierarchical clustering and Neural network clustering.
以下にバイオテクノ口ジー分野で比較的よく用いられる Hierarchical clu s te ringについて説明する。 The following describes the Hierarchical clustering that is relatively frequently used in the field of biotechnology.
Hierarchical clustering とは、 個々のサンプルにっき測定されたデ一夕を多 次元座標に配置した場合、 データ間の距離が最も近いサンプルから順に見つけ、 最終的には似たサンプルが隣り合うように並べるもので、 結果を樹形図で表現で きるのが特色である。 サンプル間の距離の測定法には種々あり、 ユークリッド距 離、 マハラノビスの汎距離等がよく用いられる。 また、 樹形図を作成する過程で 、 個々のサンプルをまとめた組の相互の距離の定義の仕方も種々あり、 特に限定 されないが、 主に最短距離法、 最長距離法、 群平均法、 重心法、 ウォード法が挙 げられる。 Hierarchical clustering means that when the data measured in each sample is arranged in multidimensional coordinates, the distance between the data is found in order from the closest sample, and finally similar samples are arranged next to each other. The feature is that the results can be represented by a tree diagram. There are various methods for measuring the distance between samples, such as the Euclidean distance and the Mahalanobis' generalized distance. In the process of creating a dendrogram, there are various ways of defining the mutual distance of a set of individual samples, and the method is not particularly limited, but mainly includes a shortest distance method, a longest distance method, a group average method, and a center of gravity. Law and Ward law.
被検試料、 例えば、 癌組織における各遺伝子の発現強度シグナルを用いる場合 は、 各遺伝子のスポットシグナルからバックグラウンドシグナルを差し引いた値 (本値を発現強度シグナルとする) をコンピューターに入力するが、 この際のシ グナル強度の分布はァレィ毎に異なるので補正(1100^112&11011) を行なう方が好 ましレヽ。 この normal ization の方法には、 Z - score 、 Mean deviation^ Mean abs olute deviation 、 Median absolute deviation等力あり、 適宜選択する。 クラ ス夕リングの対象となる遺伝子は、 前記表 1及び 2に記載の遺伝子から選択され 、 数が多いほうがより精度の高い分類が可能である。 具体的には、 少なくとも 8 種の限定された遺伝子の組み合わせでも、 限られた悪性度因子を判定可能である ついで、 normalization後の発現強度シグナルについて、 Hierarchical clust erin 解析を行なうことにより、 検体、 例えば、 胃癌検体のクラス夕リング並び に遺伝子のクラスタリングが行なわれる。 その結果、 樹形図上での検体間分類、 すなわち遺伝子発現の強弱パターンが似通った検体間相互には、 病理診断におけ る癌の浸潤程度、 リンパ節転移、 腹膜転移、 肝転移等の悪性度の面での共通性が あり、 かつ悪性度の高い転移検体と浸潤程度の低い早期癌検体はもつとも離れた 距離に配置された。 この方法を用いることにより、 手術前、 バイオプシーにより 少量の癌組織を採取するだけで、 未知の検体の悪性度が判定可能となる。 すなわ ち、 癌組織より mRNAを精製し、 たとえば一色蛍光ラベリングしたプローブを 用いハイプリダイゼーシヨンを行ない、 個々の遺伝子の発現強度シグナルを求め る。 この発現強度シグナルと既に悪性度の判明した標準となる胃癌検体の発現強 度シグナルと共にクラスタリング解析を行なうことにより、 未知の検体がどの悪 性度レベルの標準検体に近いかが判定される。 また従来の手術後の病理診断では 、 癌の浸潤が粘膜から筋層に広がっていた場合、 予後の比較的良い癌なのか、 将 来、 再発及び Z又は転移する可能性がある悪性の癌なのかの分岐点に位置するた め予後の判定不能であつたが、 本発明のクラスタリング解析を行なうことにより 悪性度未知の検体が、 悪性度の低い初期の癌か、 あるいは転移した悪性度の高い 癌検体のいずれに距離的に近いか判明し、 予後が予想可能となる。 When using the expression intensity signal of each gene in a test sample, for example, cancer tissue, the value obtained by subtracting the background signal from the spot signal of each gene (this value is referred to as the expression intensity signal) is input to the computer. At this time, the distribution of the signal intensity differs for each array, so it is preferable to perform correction (1100 ^ 112 & 11011). This normalization method has Z-score, Mean deviation ^ Mean abs olute deviation, Median absolute deviation, etc., and is selected as appropriate. Genes to be subjected to the class ring are selected from the genes shown in Tables 1 and 2, and the larger the number, the more accurate the classification. Specifically, even a combination of at least eight limited genes can determine limited malignancy factors Next, by performing Hierarchical cluster analysis on the expression intensity signal after normalization, the class of the specimen, for example, a stomach cancer specimen, and the clustering of genes are performed. As a result, classification between specimens on a dendrogram, that is, between specimens with similar patterns of gene expression, showed the degree of cancer infiltration in pathological diagnosis, malignancy such as lymph node metastasis, peritoneal metastasis, and liver metastasis. Metastatic specimens with high degree of commonality and high-grade metastasis specimens and early-stage cancer specimens with low invasiveness were placed at a distance from each other. By using this method, it is possible to determine the degree of malignancy of an unknown specimen by collecting a small amount of cancer tissue by biopsy before surgery. In other words, mRNA is purified from cancer tissue, and subjected to hybridization using, for example, a probe that has been subjected to one-color fluorescence labeling, thereby obtaining an expression intensity signal of each gene. By performing a clustering analysis together with the expression intensity signal and the expression intensity signal of a gastric cancer sample that has become a standard whose malignancy has already been determined, it is possible to determine which aggressiveness level the unknown sample is closer to the standard sample. In the conventional pathological diagnosis after surgery, if the invasion of the cancer has spread from the mucosa to the muscular layer, the cancer has a relatively good prognosis or a malignant cancer that has the possibility of relapse, Z or metastasis in the future. Although the prognosis could not be determined because it was located at the bifurcation point, by performing the clustering analysis of the present invention, the specimen with unknown malignancy was an early cancer with low malignancy or a high malignancy with metastasis It is clear which of the cancer specimens is closer in distance, and the prognosis can be predicted.
一方、 被検試料 (例えば、 胃癌組織) の対照試料 (例えば、 対照正常組織) に 対する各遺伝子の相対発現比率、 すなわち、 〔被検試料における遺伝子発現量/ 対照試料における遺伝子発現量〕 (具体的には、 〔癌組織における遺伝子発現量 対照正常組織における遺伝子発現量〕 ) を用いた場合においても、 胃癌検体の クラスタリングは、 癌組織の発現強度シグナルを用いた場合とほぼ同様の結果が 得られる。 相対発現比率を用いた場合は、 遺伝子発現における個体差を排除した 遺伝子発現プロファイルを見ることができる利点がある。 遺伝子のクラスタリン グは癌化及び悪性化による発現変動が似通つた遺伝子ごとに分類されており、 そ の発現変動と病理診断上の悪性度因子との相関性解析を行なうことにより悪性化 に関与する遺伝子を特定することが可能である。 これにより、 表 1及び 2に示す 1 0 5個の遺伝子、 表 6及び 7に示す 5 1個の遺伝子と悪性度との関連性、 すな わち癌の浸潤程度を示す深達度レベルとの相関性が見出された。 On the other hand, the relative expression ratio of each gene in a test sample (eg, gastric cancer tissue) with respect to a control sample (eg, control normal tissue), that is, [gene expression amount in test sample / gene expression amount in control sample] (specific Specifically, even when [the gene expression level in cancer tissues and the gene expression level in control normal tissues]) are used, clustering of stomach cancer specimens yields almost the same results as when the cancer tissue expression intensity signal is used. Can be When the relative expression ratio is used, there is an advantage that a gene expression profile excluding individual differences in gene expression can be viewed. Gene clusterin Are classified into genes whose expression fluctuations due to canceration and malignancy are similar.By analyzing the correlation between the expression fluctuations and malignancy factors in pathological diagnosis, genes involved in malignancy are identified. It is possible to specify. As a result, the relationship between the 105 genes shown in Tables 1 and 2, the 51 genes shown in Tables 6 and 7, and the malignancy, that is, the invasion level indicating the degree of cancer invasion, Was found.
以上のように解析して得られた結果は、 例えば、 プリンター、 ディスプレイま たはディスプレイ用グラフィックソフトウヱァのような他のソフトウエアパッケ —ジに対して出力が与えられる。 かかる出力は、 本発明の評価方法により得られ た結果を診断などに用いる場合、 特に有利である。 The result obtained by the analysis described above is output to another software package such as a printer, a display, or a graphic software for a display. Such an output is particularly advantageous when the result obtained by the evaluation method of the present invention is used for diagnosis or the like.
さらに、 上記方法より見出された悪性度に相関する遺伝子の分類を応用し、 よ り簡易的な悪性度診断が可能なことを見出した。 すなわち、 コンピュータによる 複雑なクラスタリング解析を行なうことなく、 発現変動する遺伝子の数や発現変 動の割合を指標として、 遺伝子の発現変動レベルを評価することにより、 瘙、 特 に胃癌の悪性度の評価が可能であることを見出した。 かかる態様も本発明に含ま れる。 Furthermore, the present inventors have found that a simpler diagnosis of malignancy is possible by applying the classification of genes correlated with malignancy found by the above method. In other words, by evaluating the level of gene expression fluctuation using the number of genes whose expression fluctuates and the percentage of expression fluctuation as an index without performing complex clustering analysis using a computer, it is possible to evaluate the malignancy of gastric cancer, especially Was found to be possible. Such an embodiment is also included in the present invention.
ここで、 「遺伝子の発現変動レベル」 は、 1 ) 〔対照試料に比較して被検試料 において発現量の上昇した遺伝子の相対発現比率若しくは該相対発現比率の対数 の絶対値の総和により示された値〕 、 又は 2 ) 〔対照試料に比較して被検試料に おいて発現量の上昇した遺伝子を 1ポイントとし、 被検試料中の各遺伝子のボイ ントの総和により示された値〕 により評価することができる。 具体的には、 例え ば、 対照試料に比較して、 被検試料において発現量の上昇した遺伝子の相対発現 比率が 2以上のときを 1ポイントとし、 被検試料中の各遺伝子のボイントの総和 により示された値により、 遺伝子の発現変動レベルを評価することができる。 本明細書において 「遺伝子の発現変動」 とは、 2倍以上の変動、 すなわち、 相 対発現比率 ( 〔被検試料における遺伝子発現量 対照試料における遺伝子発現量 ) ) が 2以上若しくは 1 2以下の場合をいう。 ここで、 前記相対発現比率が 2 以上の場合が発現上昇した遺伝子であり、 1 Z 2以下の場合が発現低下した遺伝 子であることの指標である。 前記 2 ) では、 悪性度の各因子と大きく相関する遺 伝子群から選択された 8個以上からなるグループの発現変動遺伝子の個数を、 す でに悪性度、 予後がわかっている標準となる癌組織の発現変動遺伝子数と比較す ることにより評価可能である。 Here, the “gene expression fluctuation level” is 1) [indicated by the relative expression ratio of the gene whose expression level is increased in the test sample as compared to the control sample or the sum of the absolute values of the logarithms of the relative expression ratio. 2) [The value of the gene whose expression level is higher in the test sample compared to the control sample is taken as 1 point, and the value indicated by the sum of the points of each gene in the test sample] Can be evaluated. Specifically, for example, when the relative expression ratio of the gene whose expression level is increased in the test sample compared to the control sample is 2 or more, one point is set, and the sum of the points of each gene in the test sample is set as one point. Based on the value indicated by, the expression fluctuation level of the gene can be evaluated. As used herein, the term “fluctuation in gene expression” refers to a fluctuation of two times or more, that is, a relative expression ratio ((gene expression level in a test sample, gene expression level in a control sample)) of 2 or more or 12 or less. Say the case. Here, the relative expression ratio is 2 The above cases are genes with increased expression, and 1Z2 or less are indicators of genes with decreased expression. In 2) above, the number of expression-variable genes in a group consisting of eight or more genes selected from a gene group that greatly correlates with each factor of malignancy is a standard for which the malignancy and prognosis are already known. It can be evaluated by comparing with the number of genes whose expression is fluctuated in cancer tissues.
前記 1 ) の値においては、 〔被検試料における遺伝子発現量 対照試料におけ る遺伝子発現量〕 の値を対数で示し、 その絶対値を用いることで発現の増加率と 減少率を対等に評価することができる。 その際の対数値は自然対数 log2、 絶対対 数 logi。 のいずれで表されてもよい。 In the value of 1) above, the value of (the gene expression level in the test sample, the gene expression level in the control sample) is expressed as a logarithm, and the absolute value is used to evaluate the rate of increase and decrease in expression equally. can do. The logarithm of time is the natural logarithm log 2, the number absolute versus logi. May be represented by any of
発現変動する遺伝子の数や発現変動の割合を指標に悪性度を評価する際には、 同一チップ上に搭載した陰性対照遺伝子の強度シグナル (バックグラウンド値) を基準に判定すると信頼性の高い評価をすることが可能である。 すなわち、 被検 試料における発現強度シグナル又は対照試料における発現強度シグナルの両者が バックグラウンド値の 2倍より小さい場合は変動の信頼性は低いが、 いずれかが 2倍以上で 4倍より小さい場合は信頼度が高く、 またいずれかが 4倍以上の場合 はさらに信頼度が高い。 これらの信頼度を悪性度判定に加味すると評価の信頼性 があがる。 すなわち癌の発現強度シグナル又は対照正常組織の発現強度シグナル のいずれかが陰性対照遺伝子の強度シグナルの 2倍以上の場合の発現変動する遺 伝子の数や発現変動の割合の和で評価することがより望ましい。 When assessing the degree of malignancy using the number of genes whose expression fluctuates and the percentage of expression fluctuation as indices, it is highly reliable to judge based on the intensity signal (background value) of the negative control gene mounted on the same chip. It is possible to That is, when both the expression intensity signal in the test sample and the expression intensity signal in the control sample are smaller than twice the background value, the reliability of the fluctuation is low, but when either of them is 2 times or more and smaller than 4 times, The reliability is high, and if any of them is four times or more, the reliability is even higher. The reliability of the evaluation increases when these reliability factors are added to the determination of malignancy. That is, when either the expression intensity signal of the cancer or the expression intensity signal of the control normal tissue is more than twice the intensity signal of the negative control gene, the evaluation is made based on the number of genes whose expression fluctuates and the sum of the ratio of the expression fluctuation Is more desirable.
本発明においては、 遺伝子発現量の解析は、 癌の悪性度に応じて発現量が変化 する少なくとも 8種の遺伝子の発現量と、 被検試料におけるハウスキーピング遺 伝子の発現量との比較により行なうことができる。 In the present invention, the gene expression level is analyzed by comparing the expression levels of at least eight genes whose expression levels change depending on the malignancy of the cancer and the expression level of the housekeeping gene in the test sample. Can do it.
本発明の瘙、 特に胃癌の悪性度の評価方法においては、 ステップ (2 ) におい て、 被検試料における遺伝子発現量と対照試料における遺伝子発現量とを比較す ることにより遺伝子の発現量を解析し、 得られた遺伝子発現量の解析結果と各遺 伝子に関する重み付け係数とにより癌、 特に胃癌の悪性度を評価してもよい。 す なわち、 対照試料に対する被検試料における遺伝子の相対発現比率の対数により 示された値に、 各遺伝子の悪性化への寄与の大きさを考慮した重み付け係数を掛 け合せた値の総和により評価を行なうことができる。 本発明においては、 それぞ れの遺伝子の発現変動が悪性化に寄与する程度は均一ではないため、 その程度に より遺伝子の発現変動に重み付けをすることで悪性化をより反映した評価が可能 となる。 In the method of the present invention for evaluating the degree of malignancy of gastric cancer, in particular, in step (2), the gene expression level is analyzed by comparing the gene expression level in the test sample with the gene expression level in the control sample. Then, the malignancy of cancer, particularly gastric cancer, may be evaluated based on the obtained analysis result of the gene expression amount and the weighting coefficient for each gene. You In other words, the evaluation is made by summing the value expressed by the logarithm of the relative expression ratio of the gene in the test sample with respect to the control sample and a weighting coefficient in consideration of the contribution of each gene to malignant transformation. Can be performed. In the present invention, since the degree to which each gene expression variation contributes to malignancy is not uniform, it is possible to weight the gene expression variation based on the degree to perform evaluation that reflects malignancy more. Become.
上記の態様においては、 悪性化への寄与程度の大きな遺伝子の重み付け係数を 高く、 寄与程度の小さい遺伝子の重み付け係数を小さく設定される。 また、 対照 試料に比較して、 被検試料において発現上昇した遺伝子が悪性化と逆相関する場 合は、 重み付け係数はマイナスの値となる。 In the above embodiment, the weighting coefficient of a gene having a large contribution to malignancy is set high, and the weighting coefficient of a gene having a small contribution is set small. If the gene whose expression is increased in the test sample is inversely correlated with malignancy as compared with the control sample, the weighting coefficient is a negative value.
重み付け係数の配点段階は、 特に限定されないが、 通常 2から 1 0段階で配点 される。 The stage of assigning the weighting coefficients is not particularly limited, but is usually assigned in 2 to 10 stages.
例えば、 後述の実施例に記載の表 6及び表 7には 7 0種の遺伝子について、 一 3、 一 1、 1、 2、 3、 4、 5の 7段階からなる重み付け係数が例示されている が、 これを 5または 3段階に変更してもよい。 For example, in Tables 6 and 7 described in Examples described later, for 70 types of genes, a weighting coefficient consisting of 7 levels of 1, 3, 1, 1, 2, 3, 4, 5 is exemplified. However, this may be changed to 5 or 3 levels.
重み付け係数を使用した具体的な評価の方法としては、 例えば、 被検試料にお いて対照試料の 2倍に発現量が上昇した重み付け係数 5の遺伝子について、 発現 比率である 2の自然対数値である 0 . 6 9 3に重み付け係数の 5を掛け合せた値 3 . 4 6 5が当該遺伝子のポイントとなる。 同様にすベての遺伝子のポイントを 求め、 ボイン卜の総和で悪性度が評価される。 As a specific evaluation method using a weighting factor, for example, in a test sample, for a gene having a weighting factor of 5 whose expression level is twice as high as that of a control sample, a natural logarithmic value of 2 as an expression ratio is used. A value obtained by multiplying a certain 0.693 by a weighting coefficient of 5.64.65 becomes the point of the gene. Similarly, the points of all genes are determined, and the malignancy is evaluated by the sum of the points.
上記の重み付け係数は、 臨床病理データおよび予後のわかっている検体を用い て遺伝子の発現変動レベルを調べ、 悪性度を適切に指示し得るような値が設定さ れる。 The above-mentioned weighting coefficient is set to a value that can examine the level of gene expression fluctuation using clinicopathological data and a specimen with a known prognosis and appropriately indicate the degree of malignancy.
2 . 本発明のアレイ 2. The array of the present invention
癌化、 癌、 特に胃癌の悪性化を評価するために用いられる、 癌、 特に胃癌の悪 性度を評価するための本発明のアレイは、 癌、 特に胃癌の悪性度に応じて発現量 が変化する少なくとも 8種の遺伝子に対応する核酸 (例えば、 D NA等) 又はそ の断片がそれぞれ支持体上の定められた領域に固定化されたアレイである。 本発 明のアレイにおいては、 前記し の項に挙げられた、 癌、 特に胃癌の悪性度に応 じて発現量が変化する少なくとも 8種の遺伝子に対応する核酸又はその断片が固 定されているため、 癌、 特に胃癌の悪性度を簡便な操作により評価することがで きるという優れた性質を有する。 Used to evaluate malignant transformation of cancer, especially gastric cancer, The array of the present invention for evaluating the degree of sex includes nucleic acids (for example, DNA) corresponding to at least eight genes whose expression levels change according to the malignancy of cancer, particularly gastric cancer, or fragments thereof. An array immobilized on a defined area on a support. In the array of the present invention, nucleic acids or fragments thereof corresponding to at least eight genes whose expression levels change according to the malignancy of cancer, particularly gastric cancer, as described in the above section, are fixed. Therefore, it has an excellent property that the malignancy of cancer, particularly gastric cancer, can be evaluated by a simple operation.
ここで、 「それぞれ定められた位置に固定化される」 とは、 おのおのの遺伝子 に対応する核酸又はその断片の固定化されている位置が支持体上においてあらか じめ決定されていることを意味する。 すなわち、 このようなアレイを使用した場 合には、 検出されたシグナルの位置からこのシグナルがどの遺伝子の核酸又はそ の断片に由来するのかを知ることができる。 Here, "immobilized at a predetermined position" means that the position where the nucleic acid corresponding to each gene or the fragment thereof is immobilized is determined in advance on the support. means. That is, when such an array is used, it is possible to know from the position of the detected signal which nucleic acid of the gene or its fragment is derived from.
本発明のアレイに用いる支持体は、 ハイプリダイゼ一シヨンに使用可能なもの であれば特に限定はなく、 通常スライドグラス、 シリコンチップ、 ニトロセル口 ースゃナイロンの膜等が使用される。 更に好ましくは、 非多孔性で、 表面が滑ら かな構造を有する材質であればよく、 特に限定はないが、 例えばスライドガラス 等のガラスが好適に使用できる。 支持体の表面は、 共有結合又は非共有結合によ り一本鎖 D N Aを固定化できるものであればいずれでもよく、 支持体の表面に親 水性又は疎水性の官能基を有しているものが好適に使用でき、 特に限定はないが 、 例えば、 水酸基、 アミノ基、 チオール基、 アルデヒド基、 カルボキシル基、 ァ シル基等を有しているものが好適に使用できる。 これらの官能基は、 支持体自体 の表面特性として存在していてもよいが、 表面処理によって導入してもよい。 こ のような表面処理物としては、 例えば、 ガラスをァミノアルキルンラン等の市販 のシランカップリング剤で処理したものや、 ポリリジンやポリエチレンイミン等 のポリ陽イオンで処理したもの等が挙げられる。 また、 これらの処理を施したス ライドガラスの一部は市販されている。 本発明のアレイにおいては、 核酸又はその断片は、 一本鎖、 二本鎖のどちらが 固定されていてもよい。 例えば、 該核酸子又はその断片が、 変性された二本の鎖 として支持体に整列固定化された D NAアレイや、 固定化された D N Aの少なく とも一部が一本鎖 D NAである D NAアレイでもよい。 また、 本発明のアレイは 、 二本鎖 D NAを変性下において、 同一支持体に整列させてスポットした D NA アレイでもよい。 The support used in the array of the present invention is not particularly limited as long as it can be used for hybridization, and usually a slide glass, a silicon chip, a nitrocellulose-nylon membrane or the like is used. More preferably, any material may be used as long as it is nonporous and has a structure with a smooth surface, and is not particularly limited. For example, glass such as a slide glass can be suitably used. The surface of the support may be any as long as it can immobilize single-stranded DNA by covalent or non-covalent bonds, and has a hydrophilic or hydrophobic functional group on the surface of the support. Can be suitably used, and there is no particular limitation. For example, those having a hydroxyl group, an amino group, a thiol group, an aldehyde group, a carboxyl group, an acyl group or the like can be preferably used. These functional groups may be present as surface characteristics of the support itself, or may be introduced by surface treatment. Examples of such a surface-treated product include a product obtained by treating glass with a commercially available silane coupling agent such as an aminoalkylon orane, and a product obtained by treating a glass with a polycation such as polylysine or polyethyleneimine. Some of the slide glasses that have undergone these treatments are commercially available. In the array of the present invention, the nucleic acid or a fragment thereof may be fixed in either single-stranded or double-stranded form. For example, a DNA array in which the nucleic acid or a fragment thereof is aligned and immobilized as two denatured strands on a support, or a DNA in which at least a part of the immobilized DNA is single-stranded DNA An NA array may be used. Further, the array of the present invention may be a DNA array in which double-stranded DNA is denatured and aligned and spotted on the same support.
さらに、 本発明のアレイにおいては、 固定化される遺伝子の核酸あるいはその 断片の支持体上における密度について特に限定はないが、 例えば、 高密度のァレ ィでもよく、 1 0 0 ドット Z c m2 以上の密度で核酸、 特に D NAが固定化され たアレイが好適に使用できる。 Further, in the array of the present invention, there is no particular limitation on the density of the support of the nucleic acid or fragment thereof of a gene to be immobilized, for example, may be a high density § les I, 1 0 0 dot Z cm 2 An array having nucleic acids, particularly DNA, immobilized thereon at the above density can be suitably used.
支持体上に固定化される核酸又はその断片には特に限定はなく、 ポリヌクレオ チド、 オリゴヌクレオチドのいずれであってもよい。 また、 その製法にも特に限 定はなく、 化学的に合成したもの、 天然の核酸から単離、 精製したもの、 酵素的 に合成したもの、 さらにはこれらを組み合わせて使用することができる。 The nucleic acid or the fragment thereof immobilized on the support is not particularly limited, and may be any of a polynucleotide and an oligonucleotide. There is no particular limitation on the production method, and it may be chemically synthesized, isolated and purified from natural nucleic acids, enzymatically synthesized, or a combination thereof.
支持体上に固定される核酸又はその断片としては、 特に限定するものではない が、 例えば、 鎖長が 5 0塩基長以上の二本鎖ボリヌクレオチド又はその誘導体で あって、 P C R (polymerase chain reaction ) 法等により、 酵素的に増幅して 調製されるものを、 D NAの固定化支持体への固定化時に変性し、 一本鎖 D NA 又はその誘導体としたものが好適に使用できる。 該誘導体としては、 支持体表面 への固定化を可能にするような修飾を付されたものであれば良く、 特に限定する ものではないが、 例えば D NAの 5 ' 末端にアミノ基ゃチオール基等の官能基が 導入された D N Aが挙げられる。 The nucleic acid or its fragment immobilized on the support is not particularly limited. For example, a double-stranded polynucleotide having a chain length of 50 bases or more or a derivative thereof, and a PCR (polymerase chain reaction) ) The DNA prepared by enzymatic amplification by the method or the like is denatured at the time of immobilizing the DNA on the immobilization support, and a single-stranded DNA or a derivative thereof can be suitably used. The derivative may be modified as long as it can be immobilized on the support surface, and is not particularly limited. Examples thereof include an amino group and a thiol group at the 5 ′ end of DNA. And DNA into which a functional group such as has been introduced.
例えば、 ゲノム D NAライブラリーあるいは c D N Aライブラリ一を铸型とし た P C R等によって増幅された D NAを使用することができる。 上記の遺伝子に 対応する核酸又はその断片を公知の方法、 例えばァミノ基を導入した支持体上に 固定することにより該アレイを作製することができる。 また、 上記固定化の操作 を D N Aアレイ作製装置、 例えばァフィメトリックス社製の D N Aチップ作製装 置を使用して行なうことにより、 遺伝子に対応する核酸が整列、 固定化された本 発明のァレィを作製することができる。 For example, a DNA amplified by PCR or the like using a genomic DNA library or a cDNA library as a type III can be used. The array can be prepared by immobilizing a nucleic acid corresponding to the above gene or a fragment thereof on a support having an amino group introduced therein, for example. In addition, the above operation of immobilization This is performed using a DNA array production device, for example, a DNA chip production device manufactured by Affymetrix Co., Ltd., whereby an array of the present invention in which nucleic acids corresponding to genes are aligned and immobilized can be produced.
アレイに核酸の断片を固定する場合、 該断片の鎖長は、 特に限定されるもので はなく、 例えば、 約 1 0 0塩基長〜約 1キロ塩基長であることが望ましく、 また 、 該鎖長より短いあるいは長いものであっても被検試料由来の核酸とハイプリダ ィゼ一シヨンにおいて特異的にハイプリダイズするものであればよい。 When a nucleic acid fragment is immobilized on an array, the length of the fragment is not particularly limited, and is preferably, for example, about 100 bases to about 1 kilobase in length. Even if it is shorter or longer than the length, it may be any as long as it specifically hybridizes with the nucleic acid derived from the test sample in the hybridization.
本発明のアレイに用いられる遺伝子は、 癌、 特に胃癌の悪性度に応じて発現量 が変化する遺伝子であればよく、 特に限定されるものではないが、 前記し の項 で挙げられた遺伝子、 例えば、 癌遺伝子、 癌抑制遺伝子、 増殖因子、 転移,浸潤 因子、 血管新生因子もしくはエネルギー代謝に関与するタンパクをコードする遺 伝子等が挙げられる。 さらに、 例えば、 機能は未知であるが種々の悪性度の異な る癌患者の癌組織及び対照正常組織より抽出された全 R N A中よりディファレン シアルディスプレイ (D D) 法により癌の悪性化に伴い発現の減少、 又は増加す る遺伝子を見出してこれらを固定化してもよい。 さらに、 前記 1 . の項に記載の 遺伝子選別方法で判明した癌、 特に胃癌の悪性化の過程で発現変動する遺伝子は 全て入手可能であり、 かかる遺伝子に対応する核酸を全て固定化した癌、 特に胃 癌の悪性度評価用 D N Aアレイを作製することができる。 The gene used in the array of the present invention may be any gene whose expression level changes depending on the degree of malignancy of cancer, particularly gastric cancer, and is not particularly limited, but the genes listed in the above section, Examples thereof include oncogenes, tumor suppressor genes, growth factors, metastasis, invasion factors, angiogenic factors, and genes encoding proteins involved in energy metabolism. Furthermore, for example, differential expression (DD) is used to express the expression of malignant tumors from the total RNA extracted from cancer tissues and control normal tissues of cancer patients of various grades of cancer whose functions are unknown. You may find genes that decrease or increase and immobilize them. Furthermore, all the genes whose expression is fluctuated in the course of malignant transformation of gastric cancer, which are found by the gene selection method according to the above item 1, are all available, and cancers in which all nucleic acids corresponding to such genes are immobilized, In particular, a DNA array for evaluating the degree of malignancy of gastric cancer can be prepared.
具体的には、 前記し の項に記載の 「癌の悪性度に応じて発現量が変化する遺 伝子」 の具体例に挙げられた遺伝子からなる群より選択された少なくとも 8種、 好ましくは少なくとも 2 0種の遺伝子が挙げられる。 Specifically, at least eight, preferably at least eight, selected from the group consisting of the genes listed in the specific examples of the `` gene whose expression level changes in accordance with the degree of malignancy of cancer '' described in the above section, preferably At least 20 genes are included.
本発明のアレイは、 癌、 特に胃癌における癌細胞を検出するためにも使用する ことができる。 The array of the present invention can also be used to detect cancer cells in cancer, especially gastric cancer.
3 . 本発明の癌、 特に胃癌の悪性度を評価するためのキット 3. Kit for evaluating the malignancy of cancer of the present invention, particularly gastric cancer
本発明の癌、 特に胃癌の悪性度を評価するためのキットとしては、 検出対象物 により、 ①癌の悪性度に応じて発現量が変化する少なくとも 8種の遺伝子から発 現される m R N A又はその断片を検出するためのプライマー及び 又はプローブ を含有したキット、 並びに②癌の悪性度に応じて発現量の変化する少なくとも 8 種の遺伝子にコ一ドされたポリべプチド又はその断片に対する抗体又はその断片 を含有したキットが挙げられる。 The kit for evaluating the malignancy of the cancer of the present invention, in particular, gastric cancer, is a detection target (1) a kit containing primers and / or probes for detecting mRNA or a fragment thereof expressed from at least eight genes whose expression level changes depending on the malignancy of the cancer, and (2) malignancy of the cancer And a kit containing an antibody against a polypeptide or a fragment thereof coded for at least eight kinds of genes whose expression level varies depending on the expression.
本発明のキットは、 ①癌の悪性度に応じて発現量が変化する少なくとも 8種の 遺伝子から発現される mR N A又はその断片を検出するためのプライマー及ぴ 又はプローブ、 あるいは②癌の悪性度に応じて発現量の変化する少なくとも 8種 の遺伝子にコードされたポリべプチド又はその断片に対する抗体又はその断片を 含有しているため、 前記癌、 特に胃癌の悪性度の評価方法に用いることができ、 より簡便、 かつ迅速な操作を可能にする。 また、 本発明のキットは、 癌、 特に胃 癌における癌細胞を検出するためにも使用することができる。 The kit of the present invention comprises: (1) a primer and / or a probe for detecting mRNA or a fragment thereof expressed from at least eight genes whose expression level changes depending on the malignancy of the cancer; or Since it contains an antibody or a fragment thereof against a polypeptide or a fragment thereof encoded by at least eight kinds of genes whose expression level varies depending on the expression level, it can be used in the method for evaluating the malignancy of the cancer, particularly gastric cancer. It enables more convenient and quick operation. Further, the kit of the present invention can also be used for detecting cancer cells in cancer, particularly in gastric cancer.
前記①のキットは、 癌、 特に胃癌の悪性度に応じて発現量の変化する少なくと も 8種の遺伝子から発現される mR NA又はその断片を核酸増幅法、 具体的には 、 R T— P C R法によって検出するためのプライマー及び Z又はプローブを含有 する。 The kit of the above (1) is a nucleic acid amplification method, specifically, RT-PCR, of mRNA or a fragment thereof expressed from at least eight genes whose expression level changes according to the malignancy of cancer, particularly gastric cancer. It contains primers and Z or probe for detection by the method.
前記プライマ一及び 又はプローブは、 癌、 特に胃癌の悪性度に応じて発現量 の変化する少なくとも 8種の遺伝子に、 又は該遺伝子に相補的な塩基配列を有す る核酸にストリンジェントな条件下にハイプリダイズするものであればよい。 上記 「ストリンジェントな条件」 とは、 特に限定されないが、 例えば、 6 X S S C、 0 . 5 % S D S、 5 xデンハルト、 1 0 0 gZm 1二シン精子 D NAを 含む溶液中、 〔前記プライマー及び 又はプローブの Tm— 2 5 °C〕 の温度で一 晚保温する条件等をいう。 The primer and / or probe may be used under conditions that are stringent to at least eight genes whose expression levels change depending on the malignancy of cancer, particularly gastric cancer, or to a nucleic acid having a nucleotide sequence complementary to the gene. Any material can be used as long as it can be pre-hybridized. The `` stringent conditions '' are not particularly limited, but include, for example, a solution containing 6 XSSC, 0.5% SDS, 5 x Denhardt, 100 gZm1 two-sperm sperm DNA, (the primer and / or This refers to conditions for keeping the temperature at the probe Tm—25 ° C].
また、 上記のプライマーの塩基配列は、 通常の核酸増幅法、 特に R T— P C R におけるの反応条件下に、 前記遺伝子に対応する核酸を特異的に増幅しうる配列 であればよい。 一方、 プローブの塩基配列も、 前記遺伝子に対応する核酸に前記ストリンジェ ントな条件下にハイブリダィズしうる核酸の配列であればょレ、。 The base sequence of the above primer may be any sequence that can specifically amplify the nucleic acid corresponding to the gene under the reaction conditions of a usual nucleic acid amplification method, particularly RT-PCR. On the other hand, the nucleotide sequence of the probe may be any nucleic acid sequence that can hybridize to the nucleic acid corresponding to the gene under the stringent conditions.
なお、 プローブ又はプライマーの Tmは、 例えば、 下記式: The Tm of the probe or primer is, for example, represented by the following formula:
Tm = 81. 5- 16. 6 (log1 0 [Na+ ]) +0. 41 (¾G + C) - (600/N) Tm = 81.5-16.6 (log 10 [Na + ]) +0.41 (¾G + C)-(600 / N)
(式中、 Nはプローブ又はプライマーの鎖長であり、 %G + Cはプローブ又はプ ライマー中のグァニン及びシトシン残基の含有量である) (Where N is the length of the probe or primer and% G + C is the content of guanine and cytosine residues in the probe or primer)
により求められる。 Required by
また、 プローブ又はプライマーの鎖長が 1 8塩基より短い場合、 Tmは、 例え ば、 A + T (アデニン +チミン) 残基の含有量と 2でとの積と、 G + C残基の含 有量と 4 °Cとの積との和 〔(A+T) X 2+CG+C) X 4 〕 により推定することができる 前記プローブの鎖長は、 特に限定はないが、 非特異的なハイブリダィゼーショ ンを防止する観点から、 1 5塩基以上であり、 好ましくは 1 8塩基以上であるこ とが望ましい。 When the length of the probe or primer is shorter than 18 bases, Tm is, for example, the product of the content of A + T (adenine + thymine) residue and 2 and the content of G + C residue. The chain length of the probe, which can be estimated by the sum of the product of the weight and the product of 4 ° C [(A + T) X 2 + CG + C) X 4], is not particularly limited. From the viewpoint of preventing excessive hybridization, the length is preferably 15 bases or more, and more preferably 18 bases or more.
また、 プライマーの鎖長は、 特に限定はないが、 例えば、 1 5〜4 0塩基長で あり、 好ましくは 1 7〜3 0塩基長であることが望ましい。 The chain length of the primer is not particularly limited, but is, for example, 15 to 40 bases, and preferably 17 to 30 bases.
前記 「瘙の悪性度に応じて発現量の変化する少なくとも 8種の遺伝子」 として は、 好ましくは、 前記 の項に記載の 「癌の悪性度に応じて発現量が変化する 遺伝子」 の具体例に挙げられた遺伝子からなる群より選択された少なくとも 8種 、 より好ましくは少なくとも 2 0種の遺伝子が挙げられる。 As the “at least eight genes whose expression level changes according to the malignancy of 瘙”, preferably, specific examples of the “gene whose expression level changes according to the malignancy of cancer” according to the above section And at least 20 genes, more preferably at least 20 genes selected from the group consisting of the genes listed above.
前記②のキットにおいて、 ポリペプチドは、 前記癌の悪性度に応じて発現量の 変化する少なくとも 8種の遺伝子によりコードされたポリべプチドが挙げられる 。 具体的には、 前記し の項に記載の 「癌の悪性度に応じて発現量が変化する遺 伝子」 の具体例に挙げられた遺伝子にコ一ドされたポリぺプチドからなる群より 選択された少なくとも 8種、 より好ましくは少なくとも 2 0種のポリペプチドが 挙げられる。 抗体は、 前記ポリペプチドに特異的に結合する能力を有するものであれば、 特 に限定はなく、 ポリクローナル抗体、 モノクローナル抗体のどちらでもよい。 さ らに、 公知技術により修飾された抗体や抗体の誘導体、 例えばヒト化抗体、 Fab フラグメント、 単鎖抗体等を使用することもできる。 前記抗体は、 例えば、 1992 年、 ジョン .ワイリー &サンズ社 (John Wiely & Sons, Inc) 発行、 ジョン · Ε • コリガン (John E. Col igan ) 編集、 カレント 'プロトコルズ'イン 'ィムノ ロジ— (Current Protocols in I瞧 unology ) に記載の方法により、 前記ポリべ プチドの全部又は一部を用いてゥサギゃラット、 マウス等を免疫することにより 、 容易に作製され得る。 こうして得られた抗体を精製後、 ぺプチダ一ゼ等により 処理することにより、 抗体の断片が得られる。 また、 遺伝子工学的に抗体を作製 することもできる。 さらに、 本発明の抗体又はその断片は、 酵素免疫測定法、 蛍 光免疫測定法、 発光免疫測定法等による検出を容易にするために、 各種修飾をし てもよい。 In the kit of (1), the polypeptide may be a polypeptide encoded by at least eight genes whose expression level changes depending on the malignancy of the cancer. More specifically, it may be selected from the group consisting of polypeptides encoded by the genes listed in the specific examples of the “gene whose expression level changes depending on the malignancy of cancer” described in the above section. At least 8, and more preferably, at least 20 selected polypeptides are included. The antibody is not particularly limited as long as it has an ability to specifically bind to the polypeptide, and may be either a polyclonal antibody or a monoclonal antibody. Furthermore, an antibody or an antibody derivative modified by a known technique, for example, a humanized antibody, a Fab fragment, a single-chain antibody, or the like can also be used. The antibody is described, for example, in 1992 by John Wiely & Sons, Inc., edited by John E. Coligan, current 'Protocols'in' Immunology. It can be easily prepared by immunizing a heron rat, a mouse or the like with all or a part of the polypeptide by the method described in Current Protocols in Ionology. The antibody thus obtained is purified and then treated with peptidase or the like to obtain an antibody fragment. Antibodies can also be produced by genetic engineering. Furthermore, the antibody or a fragment thereof of the present invention may be variously modified to facilitate detection by an enzyme immunoassay, a fluorescence immunoassay, a luminescence immunoassay, or the like.
上記の抗体又はその断片には、 ポリべプチドのある部分断片に特異的に結合し うるものも含まれる。 The above-mentioned antibodies or fragments thereof include those which can specifically bind to certain partial fragments of the polypeptide.
本発明のキットは、 検出用試薬等を適宜含有してもよい。 The kit of the present invention may appropriately contain a detection reagent and the like.
また、 本発明は、 前記評価方法等により、 得られた結果を解析手段 (例えば、 コンピューターによる画像処理方法等) により解析し、 その結果を、 例えば、 紙 等の記録媒体; コンピューター読み取り可能な記録媒体等に記録又は表示して提 供する診断方法をも提供することができる。 かかる診断方法も本発明に含まれる In addition, the present invention analyzes the results obtained by the evaluation method and the like by an analysis means (for example, an image processing method using a computer) and records the results on a recording medium such as paper; It is also possible to provide a diagnostic method which is provided by recording or displaying on a medium or the like. Such a diagnostic method is also included in the present invention.
4 . 本発明の癌、 特に胃癌の検出方法及びそれに用いるキット 4. Cancer detection method of the present invention, particularly gastric cancer, and kit used therefor
前記 「癌の悪性度に応じて発現量が変化する遺伝子」 は、 癌又は癌細胞を検出 するための指標としても有用である。 したがって、 本発明の癌、 特に胃癌の悪性 度の評価方法により、 癌、 特に胃癌における癌細胞の検出をも可能にする。 かか る癌又は癌細胞の検出方法も本発明の範囲に包含される。 The “gene whose expression level changes according to the malignancy of the cancer” is also useful as an index for detecting cancer or cancer cells. Therefore, the method for evaluating the malignancy of cancer, particularly gastric cancer, according to the present invention also enables detection of cancer cells, particularly cancer gastric cancer. Heel A method for detecting cancer or cancer cells is also included in the scope of the present invention.
痛又は癌細胞の検出方法においては、 選択された遺伝子の多くは癌化によりそ の発現が変動し、 さらに悪性化により変動パターンが異なるため、 同一の手法に より、 癌又は癌細胞の検出とその癌の悪性化判定とを同時に行なうことができる In the method of detecting pain or cancer cells, the expression of many of the selected genes fluctuates due to malignancy, and the pattern of fluctuation varies due to malignancy.Therefore, the same technique is used to detect cancer or cancer cells. Simultaneously determine the malignancy of the cancer
0 0
本発明の癌の検出方法は、 具体的には、 被検試料と対照試料とについて、 癌の 悪性度に応じて発現量が変化する少なくとも 8種の遺伝子に対応する核酸又は該 遺伝子にコ一ドされたボリべプチドの発現を調べ、 該被検試料と対照試料との間 において該遺伝子又はポリべプチドの発現の差異がある場合に、 該被検試料が癌 細胞を含むことの指標として、 癌細胞を検出することを 1つの大きな特徴とする o Specifically, the method for detecting cancer according to the present invention comprises a nucleic acid corresponding to at least eight genes whose expression levels change depending on the degree of malignancy of a test sample and a control sample, or The expression of the expressed polypeptide is examined, and when there is a difference in the expression of the gene or polypeptide between the test sample and the control sample, the test sample is used as an indicator that the test sample contains cancer cells. One major feature of detecting cancer cells is o
被検試料としては、 前記評価方法における被検試料と同様の試料が挙げられる 。 また、 対照試料として、 健常人由来試料、 非病変部位、 すなわち正常組織由来 の細胞等が挙げられる。 As the test sample, the same sample as the test sample in the above evaluation method can be used. Examples of the control sample include a sample derived from a healthy person and a non-lesion site, that is, cells derived from a normal tissue.
本発明の癌の検出方法においては、 前記癌の悪性度に応じて発現量が変化する 少なくとも 8種の遺伝子に対応する核酸又は該遺伝子にコ一ドされたポリべプチ ドの発現を調べるため、 簡便に、 かつ高い信頼度で癌を検出することができると いう優れた効果を発揮する。 In the method for detecting cancer according to the present invention, the expression level is changed according to the malignancy of the cancer. In order to examine the expression of nucleic acids corresponding to at least eight kinds of genes or polypeptides encoded by the genes, It has an excellent effect that cancer can be detected simply and with high reliability.
本発明の癌の検出方法によれば、 癌、 特に胃癌、 より具体的には、 癌細胞、 特 に胃癌細胞を検出することができる。 According to the method for detecting cancer of the present invention, cancer, particularly gastric cancer, more specifically, cancer cells, particularly gastric cancer cells, can be detected.
本発明の検出方法においては、 前記癌、 特に胃癌の評価方法と同様の核酸増幅 方法、 ハイブリダィゼーシヨン法、 酵素免疫測定法、 蛍光免疫測定法、 発光免疫 測定法等により、 前記癌の悪性度に応じて発現量が変化する少なくとも 8種の遺 伝子又は該遺伝子にコ一ドされたポリべプチドの発現量を測定することができる In the detection method of the present invention, the cancer, in particular, a nucleic acid amplification method, a hybridization method, an enzyme immunoassay, a fluorescence immunoassay, a luminescence immunoassay, etc. It is possible to measure the expression level of at least eight kinds of genes whose expression level changes according to the degree of malignancy or the polypeptide encoded by the gene
O O
本発明の検出方法においては、 前記 「癌の悪性度に応じて発現量が変化する遺 伝子」 に対応する核酸又は該遺伝子にコードされたポリペプチドについて、 少な くとも 8種の発現を測定することが好ましく、 少なくとも 2 0種の発現を測定す ることがより好ましい。 In the detection method of the present invention, it is preferable that the expression level varies according to the malignancy of the cancer. It is preferable to measure at least 8 types of expression of the nucleic acid corresponding to the "gene" or the polypeptide encoded by the gene, and more preferably to measure at least 20 types of expression.
前記 「癌の悪性度に応じて発現量が変化する遺伝子」 に対応する核酸の発現を 測定する場合、 被検試料中における多種類の 「癌の悪性度に応じて発現量が変化 する遺伝子」 の発現を同時に調べることができるため、 前記アレイを用いて、 遺 伝子の発現を調べることがより好適である。 When measuring the expression of a nucleic acid corresponding to the “gene whose expression level changes according to the malignancy of the cancer”, various types of “genes whose expression level changes according to the malignancy of the cancer” in the test sample are used. Therefore, it is more preferable to use the array to examine the expression of the gene.
本発明の検出方法においては、 前記評価方法を行ない、 癌、 特に胃癌の検出及 び悪性度の評価を同時に行なうことができる。 In the detection method of the present invention, the above-described evaluation method is performed, whereby cancer, particularly gastric cancer, and malignancy can be simultaneously evaluated.
本発明の検出方法においては、 癌の悪性度に応じて発現量が変化する少なくと も 8種の遺伝子の被検試料における発現が、 対照試料に比較して変動しているこ とが、 前記被検試料中に癌、 特に胃癌細胞が存在することの指標となる。 In the detection method of the present invention, the expression level of at least eight genes whose expression levels change in accordance with the malignancy of the cancer varies in the test sample as compared to the control sample. It serves as an indicator of the presence of cancer, especially gastric cancer cells, in the test sample.
以上のように解析して得られた結果は、 例えば、 プリンター、 ディスプレイま たはディスプレイ用グラフィックソフトウエアのような他のソフトウエアパッケ —ジに対して出力が与えられる。 かかる出力は、 本発明の検出方法により得られ た結果を診断などに用いる場合、 特に有利である。 The result obtained by the above analysis is output to another software package such as a printer, a display, or a graphic software for a display. Such an output is particularly advantageous when the result obtained by the detection method of the present invention is used for diagnosis or the like.
本発明の癌、 特に胃癌の検出方法には、 前記①痛の悪性度に応じて発現量が変 化する少なくとも 8種の遺伝子から発現される m R NA又はその断片を検出する ためのブライマ一及び Z又はプローブを含有したキット、 並びに②癌の悪性度に 応じて発現量の変化する少なくとも 8種の遺伝子にコードされたポリべプチド又 はその断片に対する抗体又はその断片を含有したキットを好適に用いることがで きる。 かかるキットは、 癌、 特に胃癌の検出用キットとして用いられうる。 以下に実施例をもってさらに詳細に本発明を説明するが、 本発明は実施例の範 囲に限定されるものではない。 The method for detecting cancer, particularly gastric cancer, of the present invention includes a primer for detecting mRNA or a fragment thereof expressed from at least eight genes whose expression level changes depending on the malignancy of the pain. And a kit containing a Z or a probe, and a kit containing an antibody against a polypeptide or a fragment thereof encoded by at least eight genes whose expression level changes depending on the malignancy of the cancer or a kit thereof. It can be used for Such a kit can be used as a kit for detecting cancer, particularly gastric cancer. Hereinafter, the present invention will be described in more detail with reference to examples, but the present invention is not limited to the scope of the examples.
実施例 1 (1) DNAアレイの作成 Example 1 (1) Creating a DNA array
ディファレンシャルディスプレイ (DD)法により見いだされた、 国際公開公 報第 98/371 87号公報に記載の癌関連遺伝子の p B 1 u e s c r i p tフ ァージミ ドクローンに挿入されている DNA断片を铸型とし、 当該ファージミ ド のマルチクローニングサイトの両端に設定されたプライマ一を使用した PC R法 により目的の cDNA断片を増幅し、 回収した。 さらに、 ハウスキーピング遺伝 子としてグリセルアルデヒド 3—リン酸デヒドロゲナーゼ (GAPD)、 シクロフィ リン遺伝子を、 陰性対照としてプラスミ ド pUC l 8をそれぞれ同様に調製した これらの DNAをエタノール沈殿法により回収して 1 0 OmM 炭酸バッファ - (pH9. 5) で 1 czMとなるように溶解し、 DN Aチップ作製装置 (ァフィ メトリックス社製) を用いてアミノ基導入スライドガラス (シグマ社製) にスポ ットし、 UV照射により固定した。 スライドを 0. 2%SDS、 次いで蒸留水で 洗浄乾燥して DNAアレイとした。 The DNA fragment found in the pB1uescript phagemid clone of the cancer-related gene described in International Publication No. WO98 / 371187, which was found by the differential display (DD) method, was designated as type III, and The cDNA fragment of interest was amplified and recovered by the PCR method using primers set at both ends of the multicloning site of the cDNA. In addition, glyceraldehyde 3-phosphate dehydrogenase (GAPD) and cyclophilin genes were prepared as housekeeping genes and plasmid pUC18 was prepared in the same manner as a negative control. These DNAs were recovered by ethanol precipitation. 0 OmM Carbonate buffer-Dissolve to 1 czM with (pH 9.5), and spot on amino group-introduced slide glass (Sigma) using DNA chip making equipment (Affilimes). It was fixed by UV irradiation. The slide was washed with 0.2% SDS and then with distilled water and dried to obtain a DNA array.
(2)蛍光標識 cDNAの調製 (2) Preparation of fluorescently labeled cDNA
表 3に示す、 癌の浸潤程度、 転移の有無、 又は進行度の異なる 1 0人の胃癌患 者より、 癌摘出手術時に摘出された組織から胃癌組織と対照正常胃組織とを取り わけた。 ついで、 AGPC (Acid Guanidium Phenol-Chloroform)法により、 各組織 から個々に全 RN Aを抽出した。 これらの全 RNAのそれぞれから Oligotex-MAG mRNA Purification kit (宝酒造社製) を用いて、 mRNAを精製した。 表 3 As shown in Table 3, gastric cancer tissues and control normal stomach tissues were separated from the tissues removed at the time of cancer removal surgery from 10 gastric cancer patients with different degrees of cancer invasion, metastasis, or progression. Next, all RNAs were individually extracted from each tissue by the AGPC (Acid Guanidium Phenol-Chloroform) method. MRNA was purified from each of these total RNAs using Oligotex-MAG mRNA Purification kit (Takara Shuzo). Table 3
なお、 表 3中の各項目は以下のような所見を示す: Each item in Table 3 shows the following findings:
進行度: Degree of progress:
進行度 Iは、 癌の浸潤程度が浅く、 転移の認められない早期の癌である 進行度 I Iは、 癌が浸潤、 近接リンパ節に転移した状態をいう。 The stage I is an early stage cancer in which the degree of invasion of the cancer is shallow and no metastasis is observed. The stage I I refers to a state in which the cancer has infiltrated and spread to nearby lymph nodes.
進行度 I I Iは、 遠隔リンパ節に広がった状態をいう。 Progression I I I refers to a condition that has spread to distant lymph nodes.
進行度 I Vは、 さらに進行し、 より遠隔リンパ節に広がるとともに腹膜転移、 肝 転移した状態をいう。 Grade IV refers to a state in which the disease has progressed further, spread to more distant lymph nodes, and has metastasized to the peritoneum and liver.
分化度: Differentiation degree:
一般型として、 乳頭腺癌 (pap) 、 高分化腺癌(tub 1) 、 中分化腺癌(tub 2) 、 低 分化腺癌(por) 、 印環細胞癌(sig) 、 粘液癌 (muc) に分類される 深達度: As general types, papillary adenocarcinoma (pap), well differentiated adenocarcinoma (tub 1), moderately differentiated adenocarcinoma (tub 2), poorly differentiated adenocarcinoma (por), signet ring cell carcinoma (sig), mucinous carcinoma (muc) are categorized Depth:
癌浸潤の及んだ最も深い胃壁の層で表し、 粘膜 (ra) 、 拈膜下層 (sm)、 筋層 Onp), しょう膜化組織 (ss)、 しょう膜を破り腹膜に露出 (se)で表現される。 It is the deepest layer of the stomach wall that has invaded the cancer. Is expressed.
リンパ節転移 (組織学的に検索されたリンパ節群の転移程度を表わす) : 全く転移を認めない (No) Lymph node metastasis (Indicates the degree of metastasis of the lymph node group found histologically): No metastasis (No)
第 1群リンパ節のみに転移を認める Metastasis only in group 1 lymph nodes
第 2群リンパ節に転移を認めるが、 第 3群、 第 4群には転移を認めない (N2) 第 3群リンパ節に転移を認めるが、 第 4群には転移を認めない (N3) Metastasis in lymph nodes of group 2 but no metastasis in groups 3 and 4 (N 2 ) Metastasis in lymph nodes of group 3 but no metastasis in group 4 (N 3 )
第 4群リンパ節に転移を認める(N4) リンパ管侵襲: Metastasis to lymph nodes in group 4 (N 4 ) Lymphatic invasion:
侵襲が認められない (0) No invasion found (0)
侵襲が軽度に認められる (1) Mildly invasive (1)
侵襲が中程度に認められる (2) Moderate invasion (2)
侵襲が高度に認められる (3) 静脈侵襲: Highly invasive (3) Venous invasion:
侵襲が認められない (0) No invasion found (0)
侵襲が軽度に認められる (1) Mildly invasive (1)
侵襲が中程度に認められる (2) Moderate invasion (2)
侵襲が高度に認められる (3) 腹膜転移: Highly invasive (3) Peritoneal metastasis:
全く播種を認めない (0) No sowing at all (0)
近接腹膜に播種を認める (1) Seeding in the adjacent peritoneum (1)
遠隔腹膜に少数の転移 (2) 遠隔腹膜に多数の転移 (3) 肝転移: Few metastases to distant peritoneum (2) Numerous metastases to the distant peritoneum (3) Liver metastases:
全く肝転移を認めない (0) No liver metastasis (0)
一葉にのみ肝転移を認める (1) Liver metastasis is observed only in one lobe (1)
両葉に少数散在性の転移 ( 2 ) Few sporadic metastases on both leaves (2)
両葉に多数散在性の転移 ( 3 ) 浸潤増殖様式: Many scattered metastases on both leaves (3) Invasive growth pattern:
癌層が膨張性の発育を示し周囲と一線を画する (ひ) The cancerous layer shows a swelling growth and is distinguished from its surroundings.
病巣が浸潤性の増殖を示し周囲組織との境が不明瞭 (τ The lesion shows invasive growth and the boundary with surrounding tissue is unclear (τ
その中間にあるもの ( ) 上記の mRNAを铸型とし、 対照正常胃癌組織群には Cy 3— dUTP (アマ シャムーフアルマシア社製) 、 胃癌組織群には Cy 5— dUTP (アマシャム社 製-フアルマシア社製) をそれぞれ使用した逆転写反応を行い、 蛍光標識 cDN Aを調製した。 Intermediate () The above mRNA is defined as type II, and Cy 3—dUTP (manufactured by Amersham Moorf Almatia) for the control normal gastric cancer tissue group, and Cy 5—dUTP (manufactured by Amersham) for the gastric cancer tissue group. (Pharmacia Co., Ltd.), respectively, to prepare fluorescently labeled cDNA.
反応液組成を以下に示す。 The composition of the reaction solution is shown below.
反応液 A: mRNA約 1〃 g、 300 pmo 1のオリゴ dTプライマー (宝酒造 社製) 及び最終的に 1 1. 9 1になるようジェチルピロカーボネート (DEP C、 ナカライテスク社製) 処理水を添加; Reaction solution A: oligo dT primer (manufactured by Takara Shuzo Co., Ltd.) of about 1 µg of mRNA and 300 pmo 1 and getyl pyrocarbonate (DEPC, manufactured by Nacalai Tesque, Inc.) Addition;
反応液 B: 5 xAMV RTa s e用緩衝液 (ライフサイエンス社製) 4〃 1、 0. ImMの dATP、 dCTP、 dGTP及び 0. 065 mMの dTTP、 6 OUの RNa s eインヒビター (宝酒造社製) 、 0. 0351111^の〇73又は〇 y5標識 dUTP (アマシャムフアルマシア社製) を混合し、 最終容量 6. 5 1の溶液を得た。 反応液 Aを 70°Cで 5分間保持した後、 氷浴上で冷却した。 その後、 前記反応 液 Aに反応液 B (6. 5^ 1) と AMV RTa s e (ライフサイエンス社製)Reaction solution B: 5 xAMV RTase buffer (manufactured by Life Science) 4〃1, 0. ImM dATP, dCTP, dGTP and 0.065 mM dTTP, 6 OU RNase inhibitor (manufactured by Takara Shuzo), 0.0351111 ^ 73- or 5-y5 labeled dUTP (manufactured by Amersham Pharmacia) was mixed to obtain a solution having a final volume of 6.51. The reaction solution A was kept at 70 ° C for 5 minutes, and then cooled on an ice bath. Then, add reaction solution B (6.561) and AMV RTase (manufactured by Life Science) to reaction solution A.
30Uとを加え、 RT反応液を得た。 この RT反応液を 55でで 30分間保持し た後、 温度を 42でとした。 前記 RT反応液に、 さらに 30Uの AMV RTa s eを追加して液量を 20 1に調整した後、 得られた混合液を再度 42でで 630 U was added to obtain an RT reaction solution. After keeping the RT reaction solution at 55 for 30 minutes, the temperature was adjusted to 42. To the RT reaction solution, 30 U of AMV RTase was further added to adjust the solution volume to 201, and the obtained mixture was again subjected to 6 by pressing at 42.
0分間保持した。 得られた反応液に 50 OmMの EDTA溶液 2. 5 1と 1 Mの水酸化ナトリウム 5〃 1とを加え、 37°Cで 1 0分間保持し、 铸型 RNA を分解させた。 反応液を室温まで冷却した後、 1Mのトリス一塩酸 (pH7. 5 ) を 1 2. 5 1添加した。 この溶液を Centri-Sep spin column (アプライド ' バイオシステムズ社製) を用いてゲルろ過した。 これにより、 Cy 3標識 cDN A溶液 (約 35 1 ) 及び Cy 5標識 c DNA (約 35〃 1 ) を得た。 Hold for 0 minutes. To the obtained reaction solution, 50 OmM EDTA solution 2.51 and 1 M sodium hydroxide (5-1) were added, and the mixture was kept at 37 ° C for 10 minutes to degrade type I RNA. After cooling the reaction solution to room temperature, 12.5 1M Tris-hydrochloric acid (pH 7.5) was added. This solution was subjected to gel filtration using a Centri-Sep spin column (Applied 'Biosystems). As a result, a Cy3-labeled cDNA solution (about 351) and a Cy5-labeled cDNA (about 35〃1) were obtained.
こうして得られた C y 3標識 c DNA、 C y 5標識 c DNAを同一患者ごとに 対になるように混合してエタノ一ル沈殿濃縮し、 ハイブリダイゼ一ションバッフ ァー (6XSSCZ0. 2%SDSZ5 Xデンハート液 ZO. lmg/mlサケ 精子 DNA) 8 / 1に溶解して、 蛍光標識 cDNAを調製した。 The Cy3-labeled cDNA and Cy5-labeled cDNA obtained in this manner are mixed in pairs for each patient, concentrated by ethanol precipitation, and then subjected to hybridization buffer (6XSSCZ0.2% SDSZ5 X denhardt). Solution ZO. Lmg / ml salmon sperm DNA) was dissolved in 8/1 to prepare fluorescently labeled cDNA.
(3)標識 c DNAと DNAアレイとのハイプリダイゼ一シヨン (3) Hybridization of labeled cDNA and DNA array
上記 (1) で作成した DNAアレイ、 ならびに市販の DNAアレイ (Intellig ene Cancer Chip、 宝酒造社製) にプレハイブリダィゼーシヨンバッファー (6 xSSC/0. 2%SDSZ5 Xデンハート液 Zl mg/m 1サケ精子 DNA) を滴下し、 カバーグラスをかけて周囲をフィルムで密閉した。 これを室温で 2時 間保持した後、 カバ一グラスを除いて、 2XSSCで洗浄、 次いで 0. 2 xSS Cで洗浄し、 風乾した。 Prehybridization buffer (6 x SSC / 0.2% SDSZ5 X Denhardt's solution Zl mg / m 1) was added to the DNA array prepared in (1) above and a commercially available DNA array (Intelligene Cancer Chip, manufactured by Takara Shuzo). Salmon sperm DNA) was dropped, covered with a cover glass, and the periphery was sealed with a film. After keeping this at room temperature for 2 hours, the cover glass was removed, washed with 2 × SSC, then with 0.2 × SSC, and air-dried.
(2) で調製した蛍光標識 cDN Aを熱変性 (94°C、 3分) 後、 その 8 1 をプレハイプリダイズされた DNAアレイに滴下し、 カバーグラスをかけて周囲 をフィルムで密閉した。 得られたアレイを 65°Cで 1 6時間保持した後、 カバー グラスを除いて、 2XSSCZ0. 2%SDS中で 55°C、 30分洗浄を 2回、 次いで 65°C、 5分洗浄を 1回、 さらに 0. 05XSSC中で室温、 1 0分洗浄 し、 風乾した。 得られたアレイをマイクロアレイスキャナー (GMS社製) にか けて各スポットの蛍光シグナルを測定した。 測定されたシグナルを発現データ解 析ソフトゥヱァ Imagen e (バイオディスカバリー社製) で解析し、 癌組織 、 対照正常組織における各遺伝子の発現量を調べた。 After heat denaturation (94 ° C, 3 minutes) of the fluorescent-labeled cDNA prepared in (2), 81 was dropped on the prehybridized DNA array, covered with a cover glass, and sealed with a film. After keeping the obtained array at 65 ° C for 16 hours, cover With the exception of the glass, 2XSSCZ 0.2% SDS was washed twice at 55 ° C for 30 minutes, then once at 65 ° C for 5 minutes, and then washed at room temperature for 10 minutes in 0.05XSSC and air-dried. did. The obtained array was applied to a microarray scanner (manufactured by GMS) to measure the fluorescent signal of each spot. The measured signals were analyzed by an expression data analysis software Imagenage (manufactured by BioDiscovery), and the expression levels of each gene in cancer tissues and control normal tissues were examined.
使用した DNAアレイに固定化された個々の遺伝子の、 癌組織と対照正常組織 における相対発現比率 ( [癌組織の発現強度シグナル Z対照正常組織の発現強度 シグナル] )、 すなわち 〔被検試料における遺伝子発現量 Z対照試料における遺 伝子発現量〕 は、 1 0人の胃癌患者によりそれぞれ複雑に異なっていた。 しかし 一部の遺伝子は、 癌の浸潤程度、 転移の有無又は進行度に依存した、 発現パター ンを示した。 これらの遺伝子の中から以下のステップを経て、 胃癌の悪性度に関 連する遺伝子を見い出した。 The relative expression ratio of the individual genes immobilized on the DNA array used in the cancer tissue and the control normal tissue ([expression level signal of cancer tissue Z expression level signal of control normal tissue]), ie, [gene in test sample The expression level of the gene in the Z control sample] was complicatedly different among the 10 gastric cancer patients. However, some genes showed expression patterns depending on the degree of cancer invasion, the presence or absence of metastasis, or the degree of progression. Through the following steps, genes related to the malignancy of gastric cancer were found from these genes.
まず使用した DNAアレイ上の遺伝子全ての癌組織と対照正常組織とにおける 〔相対発現比率の自然対数変換値〕 について、 クラスタリングソフト GeneSight (BioDiscovery社製) を使用した Hierarchical clusteringを実施した。 各サン プル間の距離の測定法にはュ一クリッド距離を、 距離の定義には重心法を用いた 。 なお、 この解析により得られる樹形図において、 縦軸は、 検体の分類を示し、 大きく、 〔初期胃癌検体〕 、 〔癌が固有筋層又はしょう膜下組織まで浸潤してい るが転移はしていない胃癌検体〕 及び 〔転移検体〕 の 3つのグループに分類され ることが示される。 また、 樹形図の横軸は遺伝子の分類を示しており、 これらは 、 〔すべての胃癌患者癌組織で発現強度比の低い遺伝子群〕 、 〔すべての胃癌患 者癌組織で発現強度比の高い遺伝子群〕 及び 〔胃癌患者ごとに発現パターンの異 なる遺伝子群〕 の 3分類に分類されることがわかる。 First, Hierarchical clustering using the clustering software GeneSight (manufactured by BioDiscovery) was performed on the [natural logarithmic conversion value of the relative expression ratio] between the cancer tissues of all the genes used on the DNA array and the control normal tissues. The distance between the samples was measured using the Euclid distance, and the distance was defined using the centroid method. In the dendrogram obtained by this analysis, the vertical axis indicates the classification of the specimen, which is large, and indicates that the initial gastric cancer specimen, and that the cancer has invaded into the muscularis propria or the subscleral tissue but metastasized. Stomach cancer specimens without metastasis) and [metastatic specimens]. In addition, the horizontal axis of the dendrogram indicates the classification of the genes, which are [gene groups having a low expression intensity ratio in all cancer tissues of gastric cancer patients], [genes having low expression intensity ratio in all cancer tissues of gastric cancer patients]. It can be seen that the genes are classified into three classes: a high gene group] and a gene group having a different expression pattern for each gastric cancer patient.
胃癌の悪性度に関連する遺伝子は、 前記 3分類のうち、 〔胃癌患者ごとに発現 パターンの異なる遺伝子群〕 に属すると考えられたため、 本グループの遺伝子を まず候補として選択した。 これら候補遺伝子から、 癌の発現強度シグナル及び対 照正常組織の発現強度シグナルがバックグラウンド値の 2倍より小さい遺伝子は 、 発現が低く変動の評価信頼性が低いため除去した。 胃癌患者ごとに発現パター ンの異なる候補遺伝子群は、 およそ 3から 1 0遺伝子を 1グループとしてサブク ラスタリングしているため、 次に、 選択遺伝子からサブクラスター遺伝子のグル ープごとに除いていき、 残りの遺伝子を用い同様にクラス夕リングしていった。 その結果、 検体間の分類と悪性度との相関性が失われるサブクラスタリンググル —プを見出した。 このような遺伝子はその発現が胃癌の悪性度に密接に関連して いると考えられる。 Genes related to the malignancy of gastric cancer were considered to belong to [genes with different expression patterns for each gastric cancer patient] among the above three classifications. First selected as a candidate. From these candidate genes, genes whose cancer expression intensity signal and control normal tissue expression intensity signal were smaller than twice the background value were excluded because their expression was low and the fluctuation evaluation reliability was low. The candidate genes with different expression patterns for each gastric cancer patient are sub-clustered with about 3 to 10 genes as one group.Next, the selected genes are excluded from each sub-cluster gene group. The class was repeated in the same manner using the remaining genes. As a result, we found a sub-clustering group in which the correlation between the classification between specimens and the malignancy was lost. It is thought that the expression of such a gene is closely related to the malignancy of gastric cancer.
上記ステップを経て選択された 1 0 5の遺伝子名とそのァクセッション番号は 、 前出の表 1及び 2に示されたものと同様である。 The 105 gene names selected through the above steps and their accession numbers are the same as those shown in Tables 1 and 2 above.
これら 1 0 5遺伝子を用いた Hierarchical clusterin により得られた樹形図 を第 1図及び第 2図に示す。 第 1図は、 胃癌患者の分類を示す。 また、 第 2図は 、 各胃癌患者における各遺伝子の発現パターンの樹形図を示す。 第 1図に示すよ うに、 癌の深達度が低くリンパ管侵襲の見られない初期胃癌患者 (MK38及び MK16 8 ) と、 侵襲の見られる中程度から高度の進行胃癌検体とに大きく分かれること がわかる。 また、 後者は、 癌が深く浸潤しリンパ節に転移している検体群 (MK15 3 、 MK44及び MK143 ) と MK144 、 MK80及び MK96のサブクラスターを含むことがわ かる。 これらのうち MK96は、 癌の深達が比較的低く、 転移が見られなかったが、 手術切片を顕微鏡観察したところ、 リンパ管に癌が軽度に侵襲していた。 現在、 手術後 4年 1 0力月経過するが生存中である。 MK80も手術時転移は見られなつた が癌が深く浸潤し、 摘出された手術切片の顕微鏡観察でリンパ管に癌が高度に侵 襲していた。 その後、 癌が再発し、 死亡している。 MK144 は、 リンパ節にも腹膜 にも転移している悪性度の高 、癌患者であつた。 Tree diagrams obtained by Hierarchical clusterin using these 105 genes are shown in FIGS. 1 and 2. FIG. 1 shows the classification of gastric cancer patients. FIG. 2 shows a tree diagram of the expression pattern of each gene in each gastric cancer patient. As shown in Fig. 1, patients with early gastric cancer (MK38 and MK168), who have low cancer penetration and no lymphatic invasion, and those with moderate to advanced advanced gastric cancer with invasive disease I understand. In addition, it can be seen that the latter includes a group of specimens (MK153, MK44 and MK143) in which the cancer has deeply invaded and metastasized to the lymph nodes, and subclusters of MK144, MK80 and MK96. Of these, MK96 had relatively low cancer penetration and showed no metastases, but microscopic examination of surgical sections revealed that the cancer was mildly invading the lymphatic vessels. Currently, 4 years and 10 months have passed since the operation, but he is still alive. Although no metastasis was seen during surgery for MK80, the cancer had deeply infiltrated, and the lymphatic vessels were highly invaded by microscopic observation of the excised surgical section. Later, the cancer recurred and died. MK144 was a high-grade, cancer patient with metastases to both the lymph nodes and the peritoneum.
D NAアレイ上の遺伝子の癌組織における発現強度を指標とした、 Hierarchic al clustering も実施した。 癌組織における発現強度の normal ization には Z-sc ore法を、 サンプル間の距離の測定法にはシィティーブロック距離を、 距離の定 義には重心法を用いた。 得られた樹形図を第 3図及び第 4図に示す。 縦軸の患者 検体の分類 (第 3図) は発現比率を用いた場合とわずかに異なるものの、 1 0人 の胃癌患者は、 やはり癌の深達度が低く リンパ管侵襲の見られない初期胃癌患者 とリンパ管侵襲及び Z又は転位の見られる中程度から高度の進行胃癌検体の 2グ ループに大きく分かれた。 さらに後者は転移の見られない MK80及び MK96のサブク ラスタ一を含み、 転移検体がこのサブクラスタ一に複雑に絡んでいた (第 4図) 癌組織の発現強度を用いた場合と、 癌組織との対照正常組織の相対発現比率を 用いた場合の Hierarchical clustering が似通っておりかつ胃癌の悪性度と相関 していることから、 これら 1 0 5遺伝子の癌組織における発現変化は個体差によ る変化ではなく、 胃癌の悪性化に関連していると判断された。 実施例 2 Hierarchic al clustering was also performed using the expression intensity of the gene on the DNA array in cancer tissues as an index. Z-sc for normalization of expression intensity in cancer tissue The ore method was used, the city block distance was used to measure the distance between samples, and the centroid method was used to define the distance. The obtained dendrograms are shown in FIGS. 3 and 4. Patient classification on the vertical axis (Fig. 3) Although the classification of specimens is slightly different from that using the expression ratio, 10 gastric cancer patients still have low cancer penetration and early gastric cancer without lymphatic invasion. There were two major groups of patients with moderate to advanced advanced gastric cancer with lymphatic invasion and Z or dislocation. In addition, the latter contained a subcluster of MK80 and MK96 where metastasis was not observed, and metastasis specimens were intricately entangled with this subcluster (Fig. 4). Hierarchical clustering when using the relative expression ratio of control normal tissues of the above was similar and correlated with the malignancy of gastric cancer. Instead, it was determined to be related to malignant transformation of gastric cancer. Example 2
( 1 ) D NAアレイの作製 (1) Preparation of DNA array
実施例 1で選択された 1 0 5種類の遺伝子について、 実施例 1記載の方法によ り、 約 1 0 0ヌクレオチド長〜約 1キロヌクレオチド長) の c D NA断片を調製 し、 該 DNA断片をスポットした D NAアレイを作製した。 For the 105 genes selected in Example 1, a cDNA fragment of about 100 nucleotides to about 1 kilonucleotide in length) was prepared by the method described in Example 1, and the DNA fragment was prepared. A DNA array spotted was prepared.
( 2 ) 標識 c D NAと D NAアレイとのハイプリダイゼ一シヨン (2) Hybridization of labeled cDNA and DNA array
実施例 2で調製した蛍光標識 c D NAを使用し、 上記 ( 1 ) で作成した D NA アレイとのハイプリダイゼーシヨンを実施した。 ハイプリダイゼーシヨンの条件 は実施例 1と同様の条件とした。 Using the fluorescence-labeled cDNA prepared in Example 2, hybridization with the DNA array prepared in (1) above was performed. The conditions for the hybridization were the same as in Example 1.
ハイブリダィゼ一シヨンの結果に基づき、 得られた 1 0 5遺伝子についての蛍 光シグナルのうち、 表 4に示す 2 0種の遺伝子を選択し、 該 2 0種の遺伝子につ いて、 実施例 1と同様に Hierarchical clustering を実施した。 遗伝子名 GenBank登錄番号 alpha-2-macro globulin precursor (alpha- 2 - M) M1 1313 aortic-type smooth muscle alpha - actin gene, exon 9 M33216 beta platelet-derived growth factor receptor precursor (PDGFR-beta): CD 140B antigen J03278Based on the results of the hybridization, out of the fluorescent signals obtained for the 105 genes, 20 types of genes shown in Table 4 were selected, and for the 20 types of genes, Examples 1 and 2 were used. Hierarchical clustering was also conducted. Gene name GenBank registration number alpha-2-macro globulin precursor (alpha-2-M) M1 1313 aortic-type smooth muscle alpha-actin gene, exon 9 M33216 beta platelet-derived growth factor receptor precursor (PDGFR-beta): CD 140B antigen J03278
B1GH3 M77349 bone morphogenetic protein 1 (BMp l ) U50330 collagen type V【 alpha - 3 X52022 collagen type XVI11 alpha L22548 cytokine humig; interferon - gamma - induced monokine (MIG) X72755 growth hormone-dependent insulin-like growth factor-binding protein M35878 hepatoma— derived growth factor (HDGF) D 16431 insulin-like growth factor binding protein 2 (IGFBp2 ) X I 6302 integrin alpha - 3 chain M5991 1 leukocyte interferon-inducible peptide X57351 metastasis - associated MTA1 U351 13B1GH3 M77349 bone morphogenetic protein 1 (BMpl) U50330 collagen type V [alpha-3 X52022 collagen type XVI11 alpha L22548 cytokine humig; interferon-gamma-induced monokine (MIG) X72755 growth hormone-dependent insulin-like growth factor-binding protein M35878 hepatoma-- derived growth factor (HDGF) D 16431 insulin-like growth factor binding protein 2 (IGFBp2) XI 6302 integrin alpha-3 chain M5991 1 leukocyte interferon-inducible peptide X57351 metastasis-associated MTA1 U351 13
MMP-2; gelatinase A Z48482MMP-2; gelatinase A Z48482
Notch2 Notch homolog 3 U97669 proto-oncogene rhoA multidrug resistance protein; GTP— binding protein (rhoA) し 25080 spare precursor (secreted protein acidic and rich in cysteine; osteonectin) (ON); basement membrane protein BM-40 J03040 thrombospondin 2 precursor L12350 versican core protein precursor; large fibroblast proteoglycan; chondroitin sulfate proteoglycan core protein 2; J02814 glial hyaluronate-binding protein (GHAP) Notch2 Notch homolog 3 U97669 proto-oncogene rhoA multidrug resistance protein; GTP—binding protein (rhoA) 25080 spare precursor (secreted protein acidic and rich in cysteine; osteonectin) (ON); basement membrane protein BM-40 J03040 thrombospondin 2 precursor L12350 versican core protein precursor; large fibroblast proteoglycan; chondroitin sulfate proteoglycan core protein 2; J02814 glial hyaluronate-binding protein (GHAP)
なお、 癌組織の対照正常組織に対する各遺伝子の 〔相対発現比率の自然対数変 換値〕 を用い、 normal ization無し、 サンプル間の距離の測定はユークリッ ド距 離、 距離の定義は重心法により解析した。 得られた樹形図を第 5図及び第 6図に 示す。 その結果、 10人の胃癌患者は非転移群と転移群の 2グループに分かれるこ とがわかる (第 5図) 。 また、 非転移群は、 初期胃癌患者 (MK38と MK168 ) と、 リンパ管侵襲の見られる MK80及び MK96とにサブクラスタリングされることがわか る。 転移群のサブクラスターを構成する検体はいずれも広範囲のリンパ節に転移 が認められた高進行癌の検体であることがわかる。 このように、 表 4に示す 20個 の遺伝子の組み合わせで、 悪性度と密接に関連したクラスタリングが可能である ことが示される。 本実験よりこれら 2 0種の遺伝子の胃癌の悪性度への関与が再 確認された。 実施例 3 The normal logarithm of the relative expression ratio was used for each gene relative to the control normal tissue of the cancer tissue, no normalization was used, the distance between samples was measured using the Euclidean distance, and the definition of the distance was analyzed using the centroid method did. The obtained dendrograms are shown in Fig. 5 and Fig. 6. As a result, it can be seen that the 10 gastric cancer patients are divided into two groups, a non-metastatic group and a metastatic group (Fig. 5). In addition, the non-metastatic group was found to be subclustered into patients with early gastric cancer (MK38 and MK168) and MK80 and MK96 with lymphatic invasion. It can be seen that all the samples constituting the sub-cluster of the metastatic group were samples of highly advanced cancer in which metastasis was observed in a wide range of lymph nodes. Thus, the combination of the 20 genes shown in Table 4 indicates that clustering closely related to malignancy is possible. This experiment reconfirmed the involvement of these 20 genes in the malignancy of gastric cancer. Example 3
( 1 ) 標識 c D NAと D NAアレイとのハイプリダイゼ一シヨン (1) Hybridization of labeled cDNA and DNA array
手術時の臨床病理データでは予後の予想のつきにくい悪性度レベルは、 転移が 認められないが、 癌が胃の筋層に達した深達度 mpの胃癌である。 臨床病理的にこ のレベルに分類される胃癌患者 MK115 の胃癌組織及び対照正常胃組織から、 実施 例 1記載の方法で m R NAを精製し、 さらに蛍光標識 c D NAを調製した。 この 蛍光標識 c D NAと、 実施例 1で調製した蛍光標識 c D N Aとを使用して実施例 The clinicopathological data at the time of surgery indicate that the malignancy level, whose prognosis is difficult to predict, is gastric cancer with a depth of mp in which the cancer has reached the muscle layer of the stomach without metastasis. MRNA was purified from the gastric cancer tissue of stomach cancer patient MK115 classified as clinicopathologically at this level and the control normal gastric tissue by the method described in Example 1, and further fluorescent-labeled cDNA was prepared. Example using this fluorescently labeled cDNA and the fluorescently labeled cDNA prepared in Example 1
2 ( 1 ) で作成された D N Aマイクロアレイとのハイブリダィゼーシヨンを実施 した。 なお、 ハイブリダィゼーシヨンの条件は、 実施例 1と同様の条件とした。 前記胃癌患者 MK115 の臨床病理データは、 次の通りである : Hybridization with the DNA microarray prepared in 2 (1) was performed. The conditions for hybridization were the same as in Example 1. The clinicopathological data of the gastric cancer patient MK115 is as follows:
進行度 I、 分化度 mod、 深達度 mp、 リンパ節転移 0、 リンパ節侵襲 0 、 静脈侵襲 0、 腹膜転移 0、 肝転移 0、 浸潤増殖様式 。 Progression I, differentiation mod, invasion mp, lymph node metastasis 0, lymph node invasion 0, vein invasion 0, peritoneal metastasis 0, liver metastasis 0, invasive growth mode.
ハイブリダィゼーシヨンの結果、 得られた 1 0 5遺伝子についての蛍光シグナ ルのうち、 表 5に示す遺伝子 8種を選択し、 瘙組織の対照正常組織に対する相対 発現比率を求めた。 癌組織における発現が対照正常組織の 2倍以上上昇している 遺伝子、 すなわち相対発現比率が 2以上の遺伝子の相対発現比率の総和又は相対 発現比率が 2以上の遺伝子数にて悪性度を判定した。 As a result of the hybridization, fluorescent signals for the 105 genes obtained were obtained. Of the genes, the eight genes shown in Table 5 were selected, and the relative expression ratio of the 瘙 tissue to the control normal tissue was determined. The malignancy was determined based on the gene whose expression in cancer tissue is more than twice as high as that in the control normal tissue, that is, the sum of the relative expression ratios of genes with relative expression ratios of 2 or more or the number of genes with relative expression ratios of 2 or more. .
標準癌検体として実施例 1及び 2で用いられた癌検体 1 0検体と上記検体を比 較した。 表 5に結果を示す。 The above-mentioned samples were compared with the 10 cancer samples used in Examples 1 and 2 as standard cancer samples. Table 5 shows the results.
g i§患者 ¾号 38 ΜΚΊ 68 MK96 MK80 K30 M 1 53 g i§ Patient ¾ No. 38 ΜΚΊ 68 MK96 MK80 K30 M1 53
GenBank登 GenBank climb
apoptosis inhibitor survivin U75285 1.66 0.69 1.87 2.27 1.27 3.82 collagen type I , J03464 0.64 0.56 1.20 1.60 5.01 2.57 collagen type ΠΙ pro-alpha-1 X14420 0.67 0.95 1.12 t.45 10.0Ϊ 3.72 fibronectin precursor (FN) X02761 0.47 0.45 1.33 1.44 8.71 2.28 apoptosis inhibitor survivin U75285 1.66 0.69 1.87 2.27 1.27 3.82 collagen type I, J03464 0.64 0.56 1.20 1.60 5.01 2.57 collagen type ΠΙ pro-alpha-1 X14420 0.67 0.95 1.12 t.45 10.0Ϊ 3.72 fibronectin precursor (FN) X02761 0.47 0.45 1.33 1.44 8.71 2.28
MMP-1; collagenase-1 X54925 0.84 0.44 1.53 2.29 1.99 0.94 MMP-1; collagenase-1 X54925 0.84 0.44 1.53 2.29 1.99 0.94
WP-7; matrilysin X07819 0.36 0.32 0.70 6.57 2.84 3.73 urokinase - type plasminogen activator precursor X02419 0.92 0.44 1.35 1.25 2.05 2.71 uroKmase-type plasminogen activator receptor 09937 0.60 0.60 0.87 1.42 1.31 1.07 ί目対発現比率の合計 6.17 4.45 9.97 18.29 33.19 20.83 WP-7; matrilysin X07819 0.36 0.32 0.70 6.57 2.84 3.73 urokinase-type plasminogen activator precursor X02419 0.92 0.44 1.35 1.25 2.05 2.71 uroKmase-type plasminogen activator receptor 09937 0.60 0.60 0.87 1.42 1.31 1.07 合計 total expression ratio 6.17 4.45 9.97 18.29 20.83
発現上昇 子の相対 現比 ιεの合計 0 0 0 1 1.13 28.62 18.82 Relative expression ratio of expressed child Total of ιε 0 0 0 1 1.13 28.62 18.82
上昇遺伝子の ¾ 0 ひ 0 3 5 6 遺 伝 子 0 ひ 0 3 5 6
患者 ¾号 MK44 ΜΚΊ 43 ΜΚ Ί 44 MK 1 74 ΜΚΠ 5 m en Patient code MK44 ΜΚΊ 43 ΜΚ Ί 44 MK 1 74 ΜΚΠ 5 m en
GenBank登 $|番号 GenBank registration $ | number
apoptosis inhibitor survivin U75265 1.6t 2.97 2.28 1.42 1.36 apoptosis inhibitor survivin U75265 1.6t 2.97 2.28 1.42 1.36
collagen type I J03464 3.17 3.38 1.79 3.96 6.76 collagen type I J03464 3.17 3.38 1.79 3.96 6.76
collagen type III pro - alpha - 1 X14420 3.81 3.1 1 2.59 3.76 7.37 collagen type III pro-alpha-1 X14420 3.81 3.1 1 2.59 3.76 7.37
fibronectin precursor (FN) X02761 1.73 2.72 3.60 4.34 8.58 fibronectin precursor (FN) X02761 1.73 2.72 3.60 4.34 8.58
MMP-1; collagenase-1 X54925 2.89 0.62 8.69 0.61 2.24 MMP-1; collagenase-1 X54925 2.89 0.62 8.69 0.61 2.24
MP-7; matrilysin X07819 1.84, 1.85 3.97 1.09 0.96 MP-7; matrilysin X07819 1.84, 1.85 3.97 1.09 0.96
urokinase— type plasminogen activator precursor X02419 3.34 1.29 3.47 1.29 1.74 urokinase— type plasminogen activator precursor X02419 3.34 1.29 3.47 1.29 1.74
urokinase - type plasminogen activator receptor U09937 2.76 1.55 2.46 1.87 1.21 urokinase-type plasminogen activator receptor U09937 2.76 1.55 2.46 1.87 1.21
21.15 17.48 28.84 18.34 30.21 21.15 17.48 28.84 18.34 30.21
発現上昇^伝子の相対発現比 の合計 15.97 12.18 27.05 12.06 24.95 Increased expression ^ Total relative expression ratio of gene 15.97 12.18 27.05 12.06 24.95
発現上昇追伝子の效 5 4 7 3 4 5 4 7 3 4
胃癌患者 MK115 〖まリンパ管侵襲、 血管侵襲も全く見られない進行度 I bにもか かわらず選択された 8遺伝子の相対発現比率の総和と相対発現比率が 2以上の遺 伝子数はともに大きく進行癌と同レベルであった。 同様に、 相対発現比率が 2以 上である遺伝子の相対発現比率の総和も進行癌と同レベルであった。 そこで、 こ の患者の予後を調べてみると 3年 9ヶ月後にガンが再発し死亡していた。 通常、 リンパ管侵襲、 血管侵襲も見られない進行度 Iの患者がこのような早期に再発す ることはまれであり、 3年後の癌の再発が既に手術時の遺伝子の発現変化で予想 できることは意義深い。 Gastric cancer patients MK115 Pama lymphatic invasion, no vascular invasion No progression Ib Despite progression Ib, the sum of the relative expression ratios of the 8 genes selected and the number of genes with relative expression ratios of 2 or more are both Largely at the same level as advanced cancer. Similarly, the sum of the relative expression ratios of genes having a relative expression ratio of 2 or more was also at the same level as in advanced cancer. Examining the prognosis of this patient, the cancer recurred and died three years and nine months later. Patients with stage I who do not usually have lymphatic invasion or vascular invasion rarely recur in this early stage, and recurrence of cancer three years later is already predicted by changes in gene expression at the time of surgery What you can do is significant.
ここで選択した 8遺伝子は、 転移や悪性度との相関が示唆されている遺伝子が 多いにもかかわらず、 転移、 非転移という観点で見ても該遺伝子の発現は、 検体 ごとに異なり均一ではない。 例えば、 マトリリシン (MM P— 7 ) は、 胃癌の悪 性との関連性が高いとの報告 〔セノ夕 A. ら、 クリニカル &ェクスペリメンタル メタス夕シス(Clinical & Experimental Metastasis), 第 1 6巻、 第 3 1 3— 3 2 1頁 ( 1 9 9 8 ) 〕 があるが、 今回測定した 1 1人の患者のうち 4人で過剰 発現していたに過ぎない。 しかも、 悪性度の高い転移検体でも半数で発現増加が 見られるのみである。 この結果より明らかなように、 単一の遺伝子のみでは精度 の高い悪性度判定は不可能であり、 悪性度と関連する遺伝子の複数の組み合わせ によって、 予後の判定が可能になる。 Of the eight genes selected here, many genes have been suggested to correlate with metastasis or malignancy, but even from the viewpoint of metastasis and non-metastasis, the expression of these genes differs from sample to sample and is not uniform. Absent. For example, matrilysin (MMP-7) has been reported to be highly associated with gastric cancer malignancy (Senoyu A. et al., Clinical & Experimental Metastasis, 16th Edition). Vol., Pp. 313–3221 (19998)], but only 4 of 11 patients measured this time overexpressed. Moreover, even in metastatic specimens with a high degree of malignancy, only half increase the expression. As is evident from these results, highly accurate determination of malignancy is not possible with only a single gene, and prognosis can be determined by multiple combinations of genes associated with malignancy.
このように本発明は、 従来の病理診断では予測不可能であつた癌の悪性度ゃ予 後の診断に有効であることが明らかとなつた。 実施例 4 悪性度の指標となる遺伝子の検索 Thus, it has been clarified that the present invention is effective for diagnosis of cancer malignancy ゃ prognosis, which cannot be predicted by conventional pathological diagnosis. Example 4 Search for Genes That Are Indicators of Malignancy
実施例 1一 (2 ) 記載の胃癌患者由来の試料 (胃癌組織と対照正常胃組織) の うちの 8種と、 新たに 1 4人の患者から得られた試料とを使用し、 実施例 1 と同 様に m R NAを抽出、 精製した。 さらに、 得られた m R NAを铸型とし、 蛍光標 識 c D NAを調製した。 これらの標識 c D NAについて、 実施例 2— ( 1 ) で作 成した D N Aアレイ、 ならびに市販の D NAアレイ (Intell igene Cancer Chip 、 宝酒造社製) を使用したハイブリダィゼーシヨンを実施し、 その結果を実施例 1一 (3 ) と同様に解析した。 Example 11 Using eight of the samples (stomach cancer tissue and control normal stomach tissue) from the gastric cancer patient described in (2) and a sample newly obtained from 14 patients, MRNA was extracted and purified in the same manner as described above. Further, using the obtained mRNA as type III, a fluorescently labeled cDNA was prepared. These labeled cDNAs were prepared in Example 2 (1). Hybridization was performed using the DNA array thus prepared and a commercially available DNA array (Intelligene Cancer Chip, manufactured by Takara Shuzo Co., Ltd.), and the results were analyzed in the same manner as in Example 11 (3).
上記のハイブリダイゼーションの結果、 胃癌の悪性度に関与するサブクラス夕 リンググループに属する 7 0種の遺伝子が見出された。 このサブクラスタリング グループに属する遺伝子をさらに詳しく観察すると、 悪性度が上がるにつれ大き く発現が増加する遺伝子;悪性度が上がるにつれ発現が増加する傾向はあるもの の、 同一進行レベルにある検体間にばらつきがある遺伝子;悪性度が上がるにつ れ遺伝子発現が下がる遺伝子などが含まれていることがわかった。 そこで、 これ らの遺伝子を重み付け係数を用いて重み付けすることにより、 悪性化への寄与率 を反映したボイント診断が可能になるよう試みた。 As a result of the above hybridization, 70 types of genes belonging to a subclass ring group involved in the malignancy of gastric cancer were found. A closer look at the genes belonging to this sub-clustering group reveals that genes whose expression increases significantly with increasing malignancy; there is a tendency for expression to increase with increasing malignancy, but there are variations between samples at the same progression level. It was found that some genes were included; genes whose gene expression decreased with increasing malignancy were included. Therefore, by weighting these genes using weighting factors, we attempted to make point diagnosis that reflects the contribution rate to malignancy.
悪性度に相関してその発現量が上昇する遺伝子について、 その上昇の度合いに 応じて 5点〜 1点の重み付け係数を配点し、 また、 逆に悪性度が上がるにつれ遺 伝子発現量が下がる遺伝子には一 1または一 3の配点を行なった。 対照試料に対 する被検試料における遺伝子の相対発現比率の対数に、 上記重み付け係数を掛け 合せ、 7 0種の遺伝子のボイントの総和を求めた。 For genes whose expression level increases in correlation with malignancy, a weighting factor of 5 to 1 is assigned according to the degree of increase, and conversely, gene expression level decreases as malignancy increases The genes were assigned 11 or 13 scoring. The logarithm of the relative expression ratio of the gene in the test sample with respect to the control sample was multiplied by the above-mentioned weighting coefficient to obtain the sum of the points of the 70 genes.
癌の深達度や進行度といつた悪性化因子で判定される悪性度に比例してポイン トの総和が上昇し、 さらに 5年以内に再発及び Z又は死亡した検体が 100 点以上 のポイントとなるまで、 個々の遺伝子の重み付け係数の配点のやり直しを繰り返 した。 The sum of the points increases in proportion to the grade of malignancy determined by the degree of invasion or progression of the cancer, and more than 100 points of relapse, Z or death within 5 years The re-assignment of the weighting factor of each gene was repeated until.
上記の 7 0遺伝子の名称と、 上記の作業の結果、 最終的に得られた重み付け係 数を表 6及び表 7に示す。 Tables 6 and 7 show the names of the above 70 genes and the weighting factors finally obtained as a result of the above work.
また、 今回の遺伝子発現量の測定に使用された 2 2種の試料の臨床病理データ 、 ならびに各試料の遺伝子発現量の変化について、 上記の重み付け係数を加味し たポイント合計を表 8に示す。 なお、 表 8中の各項目は、 前記表 3と同様である Table 8 shows the clinicopathological data of the 22 types of samples used in the measurement of the gene expression level, and the total points of the changes in the gene expression level of each sample, taking the above weighting factors into consideration. Each item in Table 8 is the same as in Table 3 above.
表 8 胃癌患者番号 MK38 MK1 68 MK96 MK34 MK1 75 MK22 進行度 la la la I I II 分化型 tubl tubl tub2 por tubl por 深達度 m m sm sm mp mp リンパ節転移 0 0 0 0 0 0 リンパ管侵襲 0 0 1 1 0 0 静脈侵襲 0 0 0 0 0 0 腹膜転移 0 0 0 0 0 0 肝転移 0 0 0 0 0 0Table 8 Patient number of gastric cancer MK38 MK1 68 MK96 MK34 MK1 75 MK22 Progression la la la II II Differentiation type tubl tubl tub2 por tubl por Depth depth mm sm sm mp mp Lymph node metastasis 0 0 0 0 0 0 Lymphatic invasion 0 0 1 1 0 0 Venous invasion 0 0 0 0 0 0 Peritoneal metastasis 0 0 0 0 0 0 Liver metastasis 0 0 0 0 0 0
5年生存 生存 生存 生存 不明 不明 生存 ポイント -46.7 23.3 53.9 31.1 20.1 66 胃癌患者番号 K46 MK1 58 MK92 MK80 MK48 MK 1 37 進行度 I I II II II II 分化型 por por sig pap tub2 tub2 深達度 mp ss se se se se リンパ節転移 0 0 0 0 1 1 リンパ管侵襲 2 0 0 3 1 2 静脈侵襲 1 0 0 0 0 0 腹膜転移 0 0 0 0 0 0 肝転移 0 0 0 0 0 0Survival 5 years Survival Survival Unknown Unknown Survival point -46.7 23.3 53.9 31.1 20.1 66 Gastric cancer patient number K46 MK1 58 MK92 MK80 MK48 MK 1 37 Progression II II II II II Differentiated por por sig pap tub2 tub2 Depth mp ssse se se se Lymph node metastasis 0 0 0 0 1 1 Lymph vessel invasion 2 0 0 3 1 2 Venous invasion 1 0 0 0 0 0 Peritoneal metastasis 0 0 0 0 0 0 Liver metastasis 0 0 0 0 0 0
5年生存 不明 生存 生存 4年で死亡 生存 生存 ポイント 65.9 39.3 93.3 107.2 45.6 31.8 胃 IS 者番号 K1 6 MK44 MK1 43 MK1 5 MK42 MK1 09 進行度 III IV IV IV IV IV 分化型 tub2 sig por por por por 深達度 se se ss se se ss リンパ節転移 2 3 3 4 4 1 リンパ管侵襲 3 3 3 3 3 1 静脈侵襲 0 0 0 0 0 _ 1 腹膜転移 0 0 0 0 0 0 Survival 5 years Unknown Survival Survival Death at 4 years Survival Survival point 65.9 39.3 93.3 107.2 45.6 31.8 Stomach IS Patient ID K1 6 MK44 MK1 43 MK1 5 MK42 MK1 09 Progression III IV IV IV IV IV Differentiated tub2 sig por por por por por depth Degree se se ss se se ss Lymph node metastasis 2 3 3 4 4 1 Lymph vessel invasion 3 3 3 3 3 1 Venous invasion 0 0 0 0 0 _ 1 Peritoneal metastasis 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
5年生存 4ヶ月で死亡 2年弱で死亡 1年弱で死亡 4ヶ月で死亡 2ヶ月で死亡 1年で死亡 ポイント 147.5 124.1 1 18.4 137 128.5 128.3 目 3B3忠 杳 MK27 MK 1 74 MK 1 44 M 1 1 1 5 years survival Died in 4 months Died in less than 2 years Died in less than 1 year Died in 4 months Died in 2 months Died in 1 year Points 147.5 124.1 1 18.4 137 128.5 128.3 3B3 Churan MK27 MK1 74 MK1 44 M1 1 1
進行度 Illb IV IV IV Progress Illb IV IV IV
分化型 por tub2 tub2 tub2 Differentiated por tub2 tub2 tub2
深達度 se se se se Depth of se se se se
リンパ節転移 2 2 2 2 Lymph node metastasis 2 2 2 2
リンパ管侵襲 1 3 2 2 Lymph vessel invasion 1 3 2 2
静脈侵襲 1 1 2 3 Venous invasion 1 1 2 3
腹膜転移 0 2 2 3 Peritoneal metastasis 0 2 2 3
肝転移 0 1 0 0 Liver metastasis 0 1 0 0
5年生存 2ヶ月で死亡 7ヶ月で死亡 3年半で死亡 9ヶ月で死亡 5 years survival 2 months died 7 months died 3.5 years died 9 months died
ポイント 122 126.4 161.9 164.8 表 8に示されるように、 上記の手法で算出されたポイントと、 検体試料の病理 学的な所見から判定される癌悪性度との間には明確な相関があり、 当該ポイント によって癌の悪性度を評価することが可能であることがわかる。 Point 122 126.4 161.9 164.8 As shown in Table 8, there is a clear correlation between the points calculated by the above method and the cancer malignancy determined from the pathological findings of the sample. It can be seen that the degree can be evaluated.
さらに、 実施例 3に記載の胃癌患者 M K 115 由来の試料について上記の 7 0種 の遺伝子の発現量の変化を調べ、 ポイントを算出したところ、 1 3 8 . 6のボイ ントが得られた。 すなわち、 臨床的には悪性度が低く診断される胃癌においても 、 上記の方法により正確に悪性度が判定できることが明らかとなつた。 産業上の利用可能性 Furthermore, the samples derived from the gastric cancer patient MK115 described in Example 3 were examined for changes in the expression levels of the above 70 genes, and the points were calculated. As a result, 138.6 points were obtained. In other words, it has become clear that even in gastric cancer that is clinically diagnosed with low malignancy, the malignancy can be accurately determined by the above method. Industrial applicability
本発明の癌、 特に胃癌の悪性度の評価方法、 癌、 特に胃癌の検出方法、 癌、 特 に胃癌の悪性度を評価又は癌、 特に胃癌を検出するためのアレイ及び癌、 特に胃 癌の悪性度の評価用又は癌、 特に胃癌の検出用キットにより、 癌、 特に胃癌の悪 性化に関与する多数の遺伝子の発現変化を迅速、 かつ高感度に系統的に測定でき The cancer of the present invention, in particular, the method for evaluating the malignancy of gastric cancer, the method for detecting cancer, particularly gastric cancer, the cancer, the array for evaluating the malignancy of gastric cancer, particularly the cancer, particularly the gastric cancer, and the cancer, particularly the gastric cancer A kit for assessing malignancy or detecting cancer, especially gastric cancer, enables rapid, high-sensitivity and systematic measurement of changes in the expression of many genes involved in cancer, especially gastric cancer aggravation.
、 これらの遺伝子発現変動のパターン解析により、 癌、 特に胃癌の悪性度の判定 、 又は癌、 特に胃癌の検出をすることができるとい優れた効果を奏する。 By analyzing the pattern of these gene expression fluctuations, it is possible to determine the degree of malignancy of cancer, especially gastric cancer, or to detect cancer, particularly gastric cancer.
Claims
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2005001126A1 (en) * | 2003-06-12 | 2005-01-06 | Korea Research Institute Of Bioscience And Biotechnology | Detection kit for gastric cancer and metastatic gastric cancer |
| WO2005084109A3 (en) * | 2004-03-08 | 2006-04-20 | Medigen Biotechnology Corp | Cancer specific gene mh15 |
| WO2007032373A1 (en) * | 2005-09-13 | 2007-03-22 | Falco Biosystems Ltd. | Analysis method on risk of tumor formation |
| CN106645746A (en) * | 2016-11-18 | 2017-05-10 | 福建中医药大学 | Method for screening and confirming kidney-yang deficiency animal model biomarker |
-
2001
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- 2001-04-09 AU AU2001246862A patent/AU2001246862A1/en not_active Abandoned
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Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2005001126A1 (en) * | 2003-06-12 | 2005-01-06 | Korea Research Institute Of Bioscience And Biotechnology | Detection kit for gastric cancer and metastatic gastric cancer |
| WO2005084109A3 (en) * | 2004-03-08 | 2006-04-20 | Medigen Biotechnology Corp | Cancer specific gene mh15 |
| US7507532B2 (en) | 2004-03-08 | 2009-03-24 | Medigen Biotechnology Corporation | Cancer specific gene MH15 |
| WO2007032373A1 (en) * | 2005-09-13 | 2007-03-22 | Falco Biosystems Ltd. | Analysis method on risk of tumor formation |
| CN106645746A (en) * | 2016-11-18 | 2017-05-10 | 福建中医药大学 | Method for screening and confirming kidney-yang deficiency animal model biomarker |
| CN106645746B (en) * | 2016-11-18 | 2018-09-28 | 福建中医药大学 | A kind of screening of syndrome of deficiency of kidney yang animal model biomarker and determine method |
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