Application of miRNA in preparation of medicaments and diagnostic reagents for treating primary aldosteronism adenoid tumors
A diagnostic reagent, aldosterone technology, applied in the field of medicine and biology
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Embodiment 1
[0017] 128 patients diagnosed with primary aldosteronism (PA) and treated with surgery
[0018] I. Screening object selection criteria:
[0019] (1) JNC (Joint National Committee on the Prevention, Evaluation, and Treetment of High BLood Pressure) hypertension grade 2 (BP>160-179 / 100-109mmHg), grade 3 (BP>180 / 110mmHg);
[0020] (2) Refractory hypertension (combined use of 3 antihypertensive drugs, which must include diuretics, and each antihypertensive drug has reached the conventional therapeutic dose, and the blood pressure is still greater than 140 / 90mmHg);
[0021] (3) Spontaneous or diuretic-induced hypokalemia;
[0022] (4) Adrenal accidental tumor;
[0023] (5) Family history of premature hypertension or premature (less than 40 years old) family history of cerebrovascular accident;
[0024] (6) There are first-degree relatives of hypertensive patients with primary aldehyde.
[0025] II. Diagnosis of Selected Subjects
[0026] Aldosterone / renin (ARR): All subjects sto...
Embodiment 2
[0042] Get the total RNA obtained in Example 1 and carry out microRNA chip analysis
[0043] (1) RNA quality control detection
[0044] The extracted primary aldosteronism (PA) adenoma, nodular hyperplasia tissue and normal adrenal cortex tissue were sent to LC Sciences for RNA quality testing. Qualified RNA was used for the next step of microarray gene expression detection.
[0045] (2) µParaflo TM microRNA microarray gene expression experiment
[0046] The samples sent for chip testing included RNA from 6 cases of adenoma tissue, 6 cases of RNA from nodular hyperplasia tissue and 3 cases of RNA from normal adrenal cortex tissue. Microarray gene expression detection experiments were completed by LC Sciences. The specific experimental procedure is as follows: 10 μg of total RNA sample is required for microarray experiments. Total RNA was separated by YM-100 (Millipore) microcentrifuge filter column to obtain small RNAs with a length less than 300nt. Poly(A) polymerase is...
Embodiment 3
[0053] According to the analysis of miRNA expression difference of the two kinds of microarray results in the embodiment, miR-375, miR-7 and miR-29a / b / c expression of adenoma, nodular hyperplasia tissue and normal adrenal cortex in primary aldosteronism The expanded sample verification of real-time PCR was carried out horizontally (the expanded samples included 6 cases of adenoma tissue, 6 cases of nodular hyperplasia tissue and 3 cases of normal adrenal cortex tissue that were originally sent for microarray detection). The result is as Figure 1-Figure 5 . The steps are:
[0054] I. Reverse transcription into cDNA
[0055]The operation of the reverse transcription process was carried out according to the instructions of the Exiqon Universal cDNA synthesis kit. This reverse transcription method can reverse transcribe all microRNA at one time for subsequent real-time PCR.
[0056] II. Real-time PCR
[0057] (1) Primer design and synthesis: both were completed by Exiqon. P...
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