WO2011078495A2 - Procédé de prédiction chimiosensible pour un polymorphisme mononucléotidique (snp) - Google Patents
Procédé de prédiction chimiosensible pour un polymorphisme mononucléotidique (snp) Download PDFInfo
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- WO2011078495A2 WO2011078495A2 PCT/KR2010/008640 KR2010008640W WO2011078495A2 WO 2011078495 A2 WO2011078495 A2 WO 2011078495A2 KR 2010008640 W KR2010008640 W KR 2010008640W WO 2011078495 A2 WO2011078495 A2 WO 2011078495A2
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- 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
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- C12Q2600/00—Oligonucleotides characterized by their use
- C12Q2600/172—Haplotypes
Definitions
- the present invention relates to a method for screening SNPs for anticancer susceptibility prediction, an SNP for predicting susceptibility to anticancer drugs, and a method for predicting susceptibility to specific anticancer drugs using the same.
- SNPs monobasic polymorphisms
- the present inventors first confirmed tumor drug responsiveness through in vitro tumor reactivity analysis, and selected and analyzed the results from lymphocyte DNA of the same subject. Through the analysis of the most useful anticancer drug susceptibility prediction SNP genotype was discovered and the present invention was completed.
- the present invention provides a method for screening anti-cancer drug susceptibility prediction SNP.
- Another object of the present invention to provide an anticancer drug susceptibility prediction SNP marker.
- Still another object of the present invention is to provide a kit for predicting anticancer drug sensitivity.
- Still another object of the present invention is to provide a method for predicting susceptibility to anticancer drugs using the SNP marker.
- One aspect of the invention relates to a method for screening SNPs for anticancer drug susceptibility prediction.
- the nominal P-value of the selected genotype is 0.1% or less, the frequency of allele in the Asian genotype, genotype located in the linkage disequilibrium block, htSNP (haplotype tagging SNP), functional SNP and normal Selecting the SNP genotype in consideration of the Hardy-Wineberg equilibrium P value in the population;
- It relates to a method for screening anticancer drug susceptibility prediction SNP comprising a.
- step (1) of the above method can be carried out by the method described in the application number 10-2008-0115296.
- In vitro tumor reactivity test
- the linkage disequilibrium block (LD block) region is a region that is short enough such that a section on a particular genome is passed over generation and cross-over rarely occurs, or is a result of dense genes. Thus, the genetic information in this section is nearly identical and preserved over generations.
- htSNP haplotype tagging SNP refers to a minimum set of SNPs that can distinguish a specific haplotype among all haplotypes, and represents a representative SNP. Therefore, LD block SNP and htSNP can reduce the time and expense by eliminating the effort of repeatedly verifying similar SNPs.
- Hardy-Weinberg equilibrium refers to a genomic equilibrium state when randomly combined in a particular population and is generally expressed as a P value. When this value is less than 0.01, it is out of equilibrium. False positive SNPs resulting from these results can be excluded because they indicate errors in analysis or population selection.
- Table 1 regimens gene SNP ID Allele type result Reference how FL GPC5 rs553717 G A A155V Capecitabine AJAP1 rs242056 G A G263R Capecitabine ERCC4 rs4309380 C T upstream FOLFIRI TNFRSF11B rs2073618 C G N3K FOLFOX SULT1C2 rs17036104 T G S255A FOLFOX SULT1C4 rs7580171 C T upstream FOLFOX EPHA7 rs2278106 + G A R278C FOLFOX EPHA7 rs2278107 T C I138V FL, FOLFIRI, FOLFOX SSTR4 rs2567608 A G F321S SAHA OR5AC2 rs4518168 G A M200I SAHA OR5H1 rs6775533 T C upstream PXD101 DPYD rs1801265 C T R29C
- the screening method further comprises the step of associating the SNP genotype selected in step (2) with an existing clinical course.
- Anticancer agents can be used to validate clinical relevance in the use of anticancer agents whose treatment has been confirmed.
- the clinical course tracking of the patient was based on the NCCN surveillance guideline (www.nccn, org), and the tumor responsiveness of the anticancer agent was determined by RECIST criteria (Therasse et al., J Natl Cancer Inst 2000; 92). : 205-16).
- the average follow-up period was 40 months (range 4-108 months), which was judged to be sufficient for judging results. This step eliminates the difference of the in vitro tumor reactivity test with the metabolic environment in the body and allows direct entry into the clinical trial.
- the screening method preferably further comprises a cell biological verification.
- a cell biological verification includes gene transformation, cell survival and cytotoxicity assays, apoptosis by caspase-3 western blot and flow cytometry.
- the cytobiological validation comprises the steps of transforming tumor cells with a wild type gene or a mutant gene; Treating the tumor cells with a specific anticancer agent; It may include the step of measuring the cell viability of the tumor cells.
- Another aspect of the invention relates to an anticancer drug susceptibility prediction SNP.
- the SNP of the present invention is as follows.
- SNPs for predicting susceptibility to the anticancer agent FL are in the rs553717 (SNP id) polynucleotide (SEQ ID NOs: 1 and 13) that constitute a part of the GPC5 (glypican5) gene, 401th Polynucleotides comprising a base and consisting of 8 or more consecutive bases or complementary polynucleotides thereof. Those with alternative alleles are more responsive to anticancer FL than those with reference alleles.
- the leucovorin is an adjuvant drug that enhances the efficacy of the anticancer drug 5-FU.
- SNPs for predicting susceptibility to the anticancer agent capecitabine include the 401th base in the rs242056 polynucleotide (SEQ ID NO: 2, No. 1 chromosome) constituting part of the AJAP1 (adherens junctions associated protein 1) gene. Polynucleotides consisting of two or more consecutive bases or complementary polynucleotides thereof. Those with alternative alleles have a higher responsiveness to the anticancer agent capecitabine than with reference alleles.
- SNP for predicting susceptibility to the anticancer agent capecitabine is the 201st in the rs4309380 polynucleotide (SEQ ID NOs: 3 and 16), which forms part of the ERCC4 gene (excision repair cross-complementing rodent repair deficiency, complementation group 4). At least one of polynucleotides or their complementary polynucleotides comprising a base and consisting of eight or more consecutive bases. Those with alternative alleles have a higher responsiveness to the anticancer agent capecitabine than with reference alleles.
- Anticancer drug FOLFIRI (5-FU + leucovorin + irinotecan): A combination of anticancer drug 5-FU and irinotecan, and leukoborin is a synergistic agent for 5-FU. 301st for rs2073618 polynucleotide (SEQ ID NOs: 4, 8) that forms part of the necrosis factor receptor superfamily member 11B precursor) gene Polynucleotides comprising a base and consisting of 8 or more consecutive bases or complementary polynucleotides thereof. Those with alternative alleles are more responsive to the anticancer agent FOLFIRI than those with reference alleles.
- Anticancer drug FOLFOX (5-FU + leucovorin + oxaliplatin): A combination of 5-FU and oxaliplatin, and leukoborin is a synergistic agent for 5-FU. 301st for the rs17036104 polynucleotide (SEQ ID NO: 5, 2) which constitutes a part of Polynucleotides comprising a base and consisting of 8 or more consecutive bases or complementary polynucleotides thereof. Those with alternative alleles are more responsive to the anticancer agent FOLFIRI than those with reference alleles.
- Another susceptibility predictive SNP for the anticancer agent FOLFOX is a polynucleotide comprising the 201 base and consisting of 8 or more consecutive bases in the rs7580171 polynucleotide (SEQ ID NO: 6, 2 chromosome) constituting part of the SULT1C4 gene or Complementary polynucleotides thereof.
- SEQ ID NO: 6, 2 chromosome a polynucleotide comprising the 201 base and consisting of 8 or more consecutive bases in the rs7580171 polynucleotide (SEQ ID NO: 6, 2 chromosome) constituting part of the SULT1C4 gene or Complementary polynucleotides thereof.
- Those with alternative alleles are more responsive to the anticancer agent FOLFIRI than those with reference alleles.
- Another susceptibility predictive SNP for the anticancer agent FOLFOX is the 301th in the rs2278107 (SEQ ID NO: 7, Chromosome No. 7) constituting part of the EPHA7 (ephrin type-A receptor 7 precursor) gene.
- Polynucleotides comprising a base and consisting of 8 or more consecutive bases or complementary polynucleotides thereof. Those with alternative alleles are more responsive to the anticancer agent FOLFIRI than those with reference alleles.
- the SNP for predicting susceptibility to at least one of the anticancer agent FL, FOLFIRI or FOLFOX is the 401st of the rs2567608 polynucleotide (SEQ ID NOs: 8 and 20) that constitutes a part of the somatostatin receptor type 4 (SSTR4) gene.
- Polynucleotides comprising a base and consisting of 8 or more consecutive bases or complementary polynucleotides thereof. Those with alternative alleles are more responsive to at least one of the anticancer agents FL, FOLFIRI or FOLFOX compared to those with the reference allele.
- SNPs for predicting susceptibility to the anticancer drug SAHA include the 401th base and the 8th base of the rs4518168 polynucleotide (SEQ ID NOs: 9 and 3) that constitute a part of the olfactory receptor 5AC2 (OR5AC2) gene.
- SNPs for predicting susceptibility to the anticancer drug SAHA include the 251 st base for the rs6775533 polynucleotide (SEQ ID NO: 10, chromosome 3) that forms part of the OR5H1 (olfactory receptor 5H1) gene. At least one of a polynucleotide consisting of two or more consecutive bases or a complementary polynucleotide thereof. Those with alternative alleles are more responsive to anticancer drug SAHA than those with reference alleles.
- the SNP for predicting susceptibility to the anticancer agent PXD101 is the 401th of rs1801265 polynucleotide (SEQ ID NO: 11, No. 1) which forms part of the DPYD (Dihydropyrimidine dehydrogenase [NADP +] precursor) gene.
- DPYD Dihydropyrimidine dehydrogenase [NADP +] precursor
- Polynucleotides comprising a base and consisting of 8 or more consecutive bases or complementary polynucleotides thereof. Those with alternative alleles are more responsive to anticancer agent PXD101 than those with reference alleles.
- SNP stands for single nucleotide polymorphism, where rs is an abbreviation for the reference sequence, and the number after it is an accession number that distinguishes each single nucleotide polymorphism provided by the database dbSNP.
- the present invention is the 401 nucleotide of SEQ ID NO: 1,2,8,9,11, the 201 nucleotide of SEQ ID NO: 3,6, the 301 nucleotide of SEQ ID NO: 4,5,7 and the 251 nucleotide of SEQ ID NO: 10
- one or more anticancer drug sensitivity predictive polynucleotides selected from polynucleotides consisting of 8 or more consecutive bases comprising a complementary polynucleotide thereof.
- the eight or more consecutive bases are preferably 8 to 100 consecutive bases.
- susceptibility prediction for an anticancer agent means the prediction of the therapeutic effect when the patient is treated with the anticancer agent. If the sensitivity to the anticancer agent is high, excellent therapeutic effect can be expected, while if the sensitivity to the anticancer agent is low, the therapeutic effect is expected to be low.
- SNP Single Nucleotide Polymorphism
- the polynucleotides of SEQ ID NOs. 1-11 described above are polymorphic sequences.
- the polymorphic sequence refers to a sequence including a polymorphic site representing SNP in the polynucleotide sequence.
- the polynucleotide can be DNA or RNA.
- the polynucleotides of SEQ ID NOs. 1-11 described above are allelic-specific.
- the allele specific polynucleotide means to hybridize specifically to each allele. That is, it means hybridizing so that the base of the polymorphic site in each polymorphic sequence of SEQ ID NO: 1-11 can be distinguished specifically.
- hybridization is usually carried out under stringent conditions, for example, salt concentrations below 1 M and temperatures above 25 ° C.
- stringent conditions for example, salt concentrations below 1 M and temperatures above 25 ° C.
- 5 ⁇ SSPE 750 mM NaCl, 50 mM Na Phosphate, 5 mM EDTA, pH7.4
- 25-30 ° C. may be suitable for allele specific probe hybridization.
- the allele-specific polynucleotide may be a primer.
- primers refer to single-stranded oligonucleotides that can act as a starting point for template-directed DNA synthesis under appropriate conditions (eg, dNTP or dUTP, DNA, RNA polymerase or reverse transcriptase) in appropriate buffers and at appropriate temperatures.
- the appropriate length of the primer may vary depending on the purpose of use, but is usually 15 to 30 nucleotides. In general, short primer molecules require lower temperatures to form stable hybrids with the template.
- the primer has its 3 'end aligned with the polymorphic site of SEQ ID NOs: 1-11.
- the primer hybridizes to the target DNA comprising the polymorphic site and initiates amplification of an allelic form in which the primer shows complete homology.
- This primer is used in pairs with a second primer that hybridizes to the other side. By amplification the product is amplified from two primers, which means that certain allelic forms are present.
- the allele specific polynucleotide may be a probe.
- the probe refers to a hybridization probe, and refers to an oligonucleotide capable of sequence-specific binding to the complementary strand of a nucleic acid.
- the probe of the present invention is an allele-specific probe, in which polymorphic sites exist in nucleic acid fragments derived from two members of the same species, and hybridize to DNA fragments derived from one member, but not to fragments derived from other members. .
- Hybridization conditions in this case show significant differences in hybridization strength between alleles and should be sufficiently stringent to hybridize to only one of the alleles.
- the center portion eg, position 7 for 15-nucleotide probes and position 8 or 9 for 16-nucleotide probes. This can lead to good formation differences between different allelic forms.
- microarray comprising an anticancer drug susceptibility predicting SNP, a polynucleotide comprising a SNP, a polypeptide encoded by the same or a cDNA thereof according to the present invention.
- Microarrays according to the present invention can be prepared by conventional methods known to those skilled in the art using anti-cancer drug susceptibility prediction SNP.
- the nucleotide may be immobilized on a substrate coated with an active group selected from the group consisting of amino-silane, poly-L-lysine, and aldehyde.
- the substrate may be selected from the group consisting of silicon wafer, glass, quartz, metal and plastic.
- Another aspect of the present invention relates to a kit for predicting anticancer drug sensitivity comprising the microarray according to the present invention.
- the kit according to the present invention may further comprise a primer set used to separate and amplify DNA containing the SNP from the subject in addition to the microarray of the present invention.
- a primer set used to separate and amplify DNA containing the SNP from the subject in addition to the microarray of the present invention.
- Another aspect of the invention relates to a method for predicting anticancer drug susceptibility using SNPs for anticancer drug susceptibility prediction.
- DNA is isolated from tissues, body fluids, or cells of a subject, and then amplified by PCR, followed by SNP analysis.
- SNP analysis can be performed by conventional methods known in the art.
- the SNP analysis may be performed using a real time PCR system, or may be performed by determining the nucleotide sequence of the nucleic acid directly by the dideoxy method, or a probe including the sequence of the SNP region or a complementary probe thereof.
- step (2) the base of the SNP position corresponding to the 401th nucleotide of SEQ ID NO: 1 is identified as A (identified by G / A or A / A heterologous type)
- the anticancer drug FL (5-FU + leucovorin) can be expected to be highly susceptible.
- the clinical correlation analysis of the FL formulation using group shows a homozygous replacement allele (homozygous substitution allele) in the SNP id rs553717 of the gene GPC 5 having a reference allele (reference allele)
- the relapse was about 2 times higher, and the average disease-free survival was significantly reduced (Example 3-1). This suggests that the addition of another medicament is recommended for those with alternative allele types.
- the anticancer drug capcitabine has high sensitivity.
- the base of the SNP position corresponding to 301 nucleotide of SEQ ID NO: 5 is G
- the base of the SNP position corresponding to 201 nucleotide of SEQ ID NO: 6 is T
- the base of the SNP position corresponding to 301 nucleotide of SEQ ID NO: 7 is C
- the results of clinical association analysis of the FOLFIRI or FOLFOX® drug use group showed a significantly lower anti-cancer drug responsiveness when the reference allele group of EPHA7 rs2272107 and SSTR4 rs2567608 was used (Example 3-2).
- the base of the SNP position corresponding to the 401 nucleotide of SEQ ID NO: 9 is identified as A or the base of the SNP position corresponding to the 251 nucleotide of SEQ ID NO: 10 can be predicted to have high susceptibility to the anticancer drug SAHA.
- the base of the SNP position corresponding to the 401 nucleotide of SEQ ID NO: 11 is identified as T, it can be predicted that the susceptibility to the anticancer agent PXD101 is high.
- the present invention allows the use of small blood samples from patients to predict in advance useful drugs for tumors that are resistant to drugs, enable the selection of the most appropriate anticancer drugs throughout the course of the patient, and develop appropriate genetic diagnostic tools. Was done.
- the present invention can extend the scope of application to the technology that can newly discover the SNP markers that can predict the reactivity of the anticancer agent and the general treatment using the drug, including the new drug in the future.
- 1 shows 12 SNP candidates of 11 selected genes showing susceptibility to 6 anticancer agents.
- Figure 2 shows the overall survival (OS) and disease-free survival (DFS) in the FL-assisted use group according to the GPC5 rs553717 type, showing a significant DFS reduction in the homozygous allele.
- a total of 766 SNPs out of a total of 344,048 SNPs were obtained by correlating high-intensity high-speed SNP analysis (using Affymetrix SNP Array 5.0) and in vitro tumor reactivity analysis in 104 patients with colorectal cancer.
- the nominal P-value is 0.001 (0.1%) or less, SNP genotype showing a frequency of 5% or more in the existing Japanese and Chinese analysis data (), and linkage disequilibrium. Candidates were selected and 12 candidate SNPs were further identified through non-synonymous, haplotype-tagging and functional SNP screening (FIG. 1).
- the cDNA clone of the gene (GPC5 was obtained from Korea Research Institute of Bioscience and Biotechnology; SSTR4 and EPHA7 were obtained from OriGene Technologies, Rockville, MD, USA).
- SNP-type mutant plasmids were prepared using a site-directed mutagenesis kit and wild-type and mutated plasmids were transferred to RKO cells, a colorectal cancer cell line, by sequencing method, followed by 10 days G418 selection. Cell lines were constructed in which each gene was overexpressed. Primers used for the mutagenesis are listed in Table 4.
- FIG. 1 The apoptosis of the corresponding agents against the cell lines was indicated by a trypan blue exclusion assay, and cell viability was determined using a cytotoxicity assay kit (CCK8).
- Figure 3 shows the results of treatment with the corresponding anticancer agent at 24 hours, three repeats showed the same low sensitivity as the clinical association analysis in the reference allele genotype (P ⁇ 0.001).
- flow cytometry was performed on the corresponding anticancer agents of the imported cell lines of the SSTR4 and EPHA7 genotypes to observe cell death along the cell cycle. Measurement was performed using a FACscaliber flow cytometer (Becton Dickinson, SanJose, CA, USA) using the Annexin V-FITC Apoptosis Detection kit.
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Abstract
La présente invention porte sur un procédé de criblage chimiosensible pour prédire un polymorphisme mononucléotidique (SNP) à l'aide de marqueurs à polymorphisme mononucléotidique, et prédire une sensibilité à un cancer à l'aide de tels marqueurs à SNP. Le procédé fournit également un moyen pour sélectionner le meilleurs cours de traitement et la médication anticancer la plus appropriée même dans des cas de résistance aux médicaments après que les patients ont été identifiés de façon sélective conformément à la présente invention.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| KR10-2009-0130540 | 2009-12-24 | ||
| KR1020090130540A KR20110073799A (ko) | 2009-12-24 | 2009-12-24 | 항암제 감수성 예측용 snp |
Publications (2)
| Publication Number | Publication Date |
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| WO2011078495A2 true WO2011078495A2 (fr) | 2011-06-30 |
| WO2011078495A3 WO2011078495A3 (fr) | 2011-11-10 |
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| Application Number | Title | Priority Date | Filing Date |
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| PCT/KR2010/008640 Ceased WO2011078495A2 (fr) | 2009-12-24 | 2010-12-03 | Procédé de prédiction chimiosensible pour un polymorphisme mononucléotidique (snp) |
Country Status (2)
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| KR (1) | KR20110073799A (fr) |
| WO (1) | WO2011078495A2 (fr) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112195247A (zh) * | 2020-11-06 | 2021-01-08 | 南京普恩瑞生物科技有限公司 | 一种folfox药物方案有效性检测方法及试剂盒 |
| CN112680517A (zh) * | 2020-12-28 | 2021-04-20 | 广东南芯医疗科技有限公司 | 奥沙利铂个体化用药基因的指导方法及试剂盒 |
-
2009
- 2009-12-24 KR KR1020090130540A patent/KR20110073799A/ko not_active Ceased
-
2010
- 2010-12-03 WO PCT/KR2010/008640 patent/WO2011078495A2/fr not_active Ceased
Non-Patent Citations (6)
| Title |
|---|
| CHA, PC ET AL.: 'Single nucleotide polymorphism in ABCG2 is associated with irinotecan- induced severe myelosuppression.' JOURNAL OF HUMAN GENETICS. vol. 54, no. 10, October 2009, pages 572 - 580 * |
| DATABASE NCBI 04 December 2007 Database accession no. rs553717 * |
| GAMELIN, E ET AL.: 'Pharmacogenetics of anti-cancer drugs' ANNALES PHARMACEUTIQUES FRANCḉAISES vol. 65, no. 6, November 2007, pages 390 - 401 * |
| KIM, JC ET AL.: 'Genome-wide identification of chemosensitive single nucleotide polymorphism markers in colorectal cancer' CANCER SCIENCE vol. 101, no. 4, 08 December 2009, pages 1007 - 1013 * |
| LIU, C ET AL.: 'Genome-wide association scan identifies candidate polymorphisms associated with differential response to anti-TNF treatment in rheumatoid arthritis' MOLECULAR MEDICINE vol. 14, no. 9-10, September 2008, pages 575 - 581 * |
| NORDGARD, SH ET AL.: 'Pathway based analysis of SNPs with relevance to 5-FU therapy: relation to intratumoral mRNA expression and survival' INTERNATIONAL JOURNAL OF CANCER vol. 123, no. 3, 01 August 2008, pages 577 - 585 * |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112195247A (zh) * | 2020-11-06 | 2021-01-08 | 南京普恩瑞生物科技有限公司 | 一种folfox药物方案有效性检测方法及试剂盒 |
| CN112195247B (zh) * | 2020-11-06 | 2024-02-23 | 南京普恩瑞生物科技有限公司 | 一种folfox药物方案有效性检测方法及试剂盒 |
| CN112680517A (zh) * | 2020-12-28 | 2021-04-20 | 广东南芯医疗科技有限公司 | 奥沙利铂个体化用药基因的指导方法及试剂盒 |
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| Publication number | Publication date |
|---|---|
| KR20110073799A (ko) | 2011-06-30 |
| WO2011078495A3 (fr) | 2011-11-10 |
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