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A prognostic diagnostic marker claudin21 for ovarian cancer and its application

A diagnostic marker, ovarian cancer technology, applied in the field of clinical analysis, can solve the problems of no other family members, no specific Claudin21 related to the prognosis of gynecological tumors, etc.

Active Publication Date: 2022-04-22
ZHEJIANG CANCER HOSPITAL
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, there is currently no research related to the occurrence and development of other family members and tumors, let alone the research on the prognosis of Claudin21 and gynecological tumors. Therefore, this application will be based on the previous research on the relationship between Claudin21 and gynecological tumors and Clinical application value for research and development

Method used

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  • A prognostic diagnostic marker claudin21 for ovarian cancer and its application
  • A prognostic diagnostic marker claudin21 for ovarian cancer and its application
  • A prognostic diagnostic marker claudin21 for ovarian cancer and its application

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0024] Embodiment 1 sample preparation

[0025] 1. Sample collection

[0026] This study collected 38 patients diagnosed with epithelial ovarian cancer in Zhejiang Cancer Hospital from October 2008 to July 2014. All patients received standard treatment: initial tumor cytoreductive surgery or initial staging Surgery plus 6-8 courses of first-line chemotherapy after surgery (platinum combined with paclitaxel), divided according to tumor tissue types: 1. Serous adenocarcinoma; 2. Mucinous adenocarcinoma; 3. Endometrioid adenocarcinoma; 4. Clear cell 5. Unclassified adenocarcinoma; 6. Transitional cell carcinoma; 7. Two or more mixed carcinomas. The clinicopathological data of each patient were carefully collected, and the patients were followed up by telephone after the treatment. The last follow-up time was April 2020, and the patients were followed up for 11-134 months.

[0027] 2. Definitions of relevant indicators such as recurrence, chemotherapy sensitivity, and chemotherap...

Embodiment 2

[0038] Embodiment 2 experimental method

[0039] 1. Immunohistochemistry

[0040] 1) Two senior pathologists will repeat the paraffin sections before conducting follow-up experiments.

[0041] 2) Dewaxing and hydration: Soak the slices in xylene solution for 3 times, 10 minutes each time. After taking it out, soak it in 95% alcohol for 5 minutes, and then soak it in 75% alcohol for 5 minutes. Finally, soak in 50% alcohol for 5 minutes. Take out the slices and soak in distilled water.

[0042] 3) Blocking endogenous peroxidase: soak the dewaxed and hydrated sections in methanol solution containing 3% hydrogen peroxide for 15 minutes. Then rinse with PBS solution 3 times, 5 minutes each time.

[0043] 4) Microwave antigen retrieval: immerse the slice in a buffer solution containing EDTA and citrate, put it in a microwave oven, maintain 100% power for 8 minutes, 80% power for 6 minutes, and 60% power for 6 minutes; Then replenish the buffer in time. After cooling, the slic...

Embodiment 3

[0057] Example 3 Claudin21 expression is associated with poor prognosis

[0058] According to the above-mentioned definition, the expression of Claudin21 in the case was carried out immunohistochemical experiment and after scoring statistics, the specific results are shown in Table 2:

[0059] Table 2 Correlation between expression of Claudin21 and clinicopathological parameters

[0060]

[0061]

[0062] Claudin21 is mainly expressed in the cytoplasm of ovarian cancer cells, and the coloring is brown or brown ( figure 1 ). We found that 94.7% (18 / 19) of patients with low expression of Claudin21 in poorly differentiated ovarian cancer were significantly higher than 5.3% (1 / 19) of patients with high expression of Claudin21 (P=0.009). In addition, we also found that the FIGO stage was I / The patients with low Claudin21 expression accounted for 100% (5 / 5) in II ovarian cancer, which was significantly higher than the patients with high Claudin21 expression 0% (0 / 5) (P=0.02...

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Abstract

The present invention is a prognostic diagnostic marker Claudin21 for ovarian cancer and its application. For the first time, it is found that the expression level of the ovarian cancer drug resistance marker Claudin21 is related to the prognosis of ovarian cancer, specifically the progression-free survival and overall survival when Claudin21 is highly expressed. Among the medium prognostic indicators, ovarian cancer cases show poor prognosis, that is, the discovery of the present invention provides prognosis hints for clinical treatment of ovarian cancer including chemotherapy and surgical treatment.

Description

technical field [0001] The present invention belongs to the field of molecular biology, specifically relates to the field of diagnosis / grading / staging and prognosis of cancer, more specifically, the present invention relates to the field of ovarian cancer. The present invention also relates to the fields of ovarian cancer diagnosis, grading, staging and prognosis including the expression of biomarkers, and also provides related analytical reagents, diagnostic models, test kits and clinical analysis. Background technique [0002] Ovarian cancer is the gynecological tumor with the highest mortality rate among women in my country. According to the China Cancer Annual Report, there were about 52,100 new patients in 2015, and about 22,500 people died of ovarian cancer in the same year. With the aging population in my country, the incidence of ovarian cancer is increasing year by year, and the age of onset tends to be younger. Globally, the incidence of ovarian cancer ranks third...

Claims

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Application Information

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Patent Type & Authority Patents(China)
IPC IPC(8): G01N33/577G01N33/574
CPCG01N33/577G01N33/57484G01N33/57449G01N2333/705
Inventor 傅志勤施亮鲁超杨悦吴一华丁超周陈西龚万钢俞婷婷黄萍
Owner ZHEJIANG CANCER HOSPITAL
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