Cancer detecting method, kit and application thereof
A kit, cancer technology, applied in biochemical equipment and methods, microbial determination/inspection, etc., can solve the problems of inability to simultaneously detect samples or sites, large sample volume, unsatisfactory low-frequency mutation detection, etc.
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Embodiment 1
[0131] Example 1. Mutation Detection of Multiplex PCR+High-throughput Sequencing Technology for Lung Cancer Samples
[0132] The inventors of the present application selected tumor tissue samples from 136 lung cancer patients.
[0133] a) Genomic DNA extraction
[0134] According to the standard FFEP (formalin-fixed, paraffin-embedded) tumor tissue genomic DNA extraction method, using the E.Z.N.A. FFEP DNA kit (Omega Bio-Tek), according to the manufacturer's instructions, the genome was extracted from the FFEP-treated tissue DNA. The extracted DNA was subjected to gel electrophoresis and OD value measurement for quality control and quantification with a Qubit 2.0 fluorometer (Life Technologies).
[0135] b) Establishment of amplified product library
[0136]Using Ion Ampliseq Cancer Panel 2.0 (Life Technologies) and 11 pairs of primers shown in SEQ ID NO: 1-22, according to the instructions provided by the manufacturer, multiplex PCR was performed on 10 ng of genomic DNA to...
Embodiment 2
[0151] Embodiment 2. Utilize Sanger sequencing method to the result verification of the positive sample in embodiment 1
[0152] Among the mutation-positive results, four results were randomly selected for Sanger sequencing verification. Sample information and mutation detection results are as follows:
[0153]
[0154] Sanger sequencing technology, also known as next-generation sequencing technology, is the recognized gold standard for sequencing in the field. Verification result analysis:
[0155] a) L1083
[0156] Such as image 3 As shown, the left side is the detection result diagram obtained according to the method of Example 1, and the right side is the forward and reverse signal peak diagram verified by Sanger. From the Sanger diagram, it can be seen that there are overlapping peaks in the area marked by the arrow, and the analysis shows that there is a deletion of up to 15 bases with the sequence GGAATTAAGAGAAGC, and the mutation frequency is about 25%, and the...
Embodiment 3
[0164] Example 3. Detection of multi-gene multi-site mutations
[0165] The inventor of the present application selected another batch of 76 clinical paraffin samples of lung cancer, and carried out gene mutation detection according to the method of Example 1. As a result, it was found that there were as many as 5 cases of samples with multi-gene or multi-site mutations, accounting for 10% of the total number of samples. 6.6%. Some results are as follows:
[0166]
[0167] Therefore, simultaneous multi-gene and multi-locus mutation detection can provide more accurate guidance for patients' medication. Taking patient 1 as an example, due to the presence of KRAS G12C mutation, it is not recommended to use EGFR tyrosine kinase inhibitors (EGFR TKIs), but vemurafenib or dabrafenib targeting BRAF V600E can be recommended. -label drugs.
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