Detection of mutation site of PIK3CA gene in ctDNA in urine
A urine sample and mixed solution technology, applied in the biological field, can solve problems such as ctDNA to be developed
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Embodiment 1
[0038] In this embodiment, the following method is used to determine whether the ctDNA in the urine sample carries a predetermined mutation site:
[0039] 1. Isolation of ctDNA from urine
[0040] The patients with lung cancer were treated with gefitinib, and the urine samples were continuously sampled before and every 21 days after the treatment, and the fasting morning urine of the patients was collected. Use a 120ml collection cup to collect 110ml of urine, add EDTA to make the final concentration 10mmol / L, to inhibit the activity of nuclease. Centrifuge the mixture at a speed of 1800g and a temperature of 18°C to 23°C for 10min, collect the supernatant, concentrate the supernatant to 4mL through an ultrafiltration tube, mix the concentrated sample with 750μl of Q Sepharose anion exchange resin, place in Incubate at room temperature on a rotator, and use the Micro Bio-Spin to collect the precipitate TM (BioRad) chromatographic column was washed and eluted, and the elute...
Embodiment 2
[0060] In this example, the accuracy of using urine ctDNA as the detection object was verified.
[0061] Specifically, three control groups were set up:
[0062] Control group 1: Drugs for lung cancer patients (gefitinib), collected tissue biopsy samples every 21 days before the drug and after the drug, embedded the collected samples in paraffin, estimated the tumor cell content after hematoxylin and eosin staining, Samples containing tumor tissue were available for subsequent analysis, and cancer tissue DNA was extracted using a commercial kit, QIAamp DNA FFPE Tissue Kit (Qiagen).
[0063] Control group 2: Drugs (gefitinib) were administered to patients with lung cancer, samples were taken every 21 days before and after the medication, and peripheral blood was collected from the patient's fasting vein on the same day. Blood samples were collected with EDTA anticoagulated vacuum blood collection tubes from Streck Company. Plasma was separated within 30 minutes after blood col...
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