CN109342593A - A kind of method and its detection kit for identifying carcinoma of endometrium biomarker - Google Patents

A kind of method and its detection kit for identifying carcinoma of endometrium biomarker Download PDF

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Publication number
CN109342593A
CN109342593A CN201811323625.6A CN201811323625A CN109342593A CN 109342593 A CN109342593 A CN 109342593A CN 201811323625 A CN201811323625 A CN 201811323625A CN 109342593 A CN109342593 A CN 109342593A
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carcinoma
endometrium
glucose
mannose
phase
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张丽娟
曾鹏娇
姚勤
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Affiliated Hospital of University of Qingdao
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Affiliated Hospital of University of Qingdao
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    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
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    • G01N30/02Column chromatography
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N30/00Investigating or analysing materials by separation into components using adsorption, absorption or similar phenomena or using ion-exchange, e.g. chromatography or field flow fractionation
    • G01N30/02Column chromatography
    • G01N30/04Preparation or injection of sample to be analysed
    • G01N30/06Preparation
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N30/00Investigating or analysing materials by separation into components using adsorption, absorption or similar phenomena or using ion-exchange, e.g. chromatography or field flow fractionation
    • G01N30/02Column chromatography
    • G01N30/04Preparation or injection of sample to be analysed
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    • G01N2030/067Preparation by reaction, e.g. derivatising the sample

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Abstract

The present invention provides the methods and its detection kit of a kind of biomarker for identifying carcinoma of endometrium.The biomarker is the free mannose and glucose obtained in serum by high performance liquid chromatography derived from 1- phenyl -5- methylpyrazole quinoline ketone (PMP) before column.Detection method is high performance liquid chromatography derived from PMP before column.Technical solution of the present invention has pre-treatment simple, analysis time is short, instrument price is reasonable, meet conventional use, operating procedure is easy to learn, and testing result accuracy is high, and need to only take a blood sample can distinguish normal person and endometrial carcinoma after efficient liquid phase chromatographic analysis, and the advantages that required serum amount is few, and blood sampling volume is less than 1mL.Acquired results show that this analysis method can have very important meaning for the relationship between research free serum mannose and glucose and carcinoma of endometrium, searching novel uterine endometrial carcinomas clinical detection marker with mannose and glucose free in fast quantification endometrial carcinoma serum.

Description

A kind of method and its detection kit for identifying carcinoma of endometrium biomarker
Technical field
The invention belongs to pharmaceutical technology fields, and in particular to it is a kind of identify carcinoma of endometrium biomarker method and Its detection kit.
Background technique
Carcinoma of endometrium is the most common feminine proses, is apt to occur in climacteric and postmenopausal women.According to beauty Cancer association of state estimates to be diagnosed carcinoma of endometrium there are about 320,000 women and cause 76,000 people dead for 2012.This makes It becomes the second largest female reproductive system malignant tumour after cervical carcinoma.Endometrial biopsy and Transvaginal Ultrasound inspection combination Be standard carcinoma of endometrium preoperative diagnosis detection methods.In addition there are CT scan, Magnetic resonance imaging, the skills such as biopsy Art, but cannot all provide diagnostic result.Most common clinical detection marker is carbohydrate antigen in blood test CA125, people's epididymal proteins 4 (HE4), but its sensitivity is lower, is not easy effective screening patient.These diagnostic methods can bring one Fixed drawback.Therefore, a kind of convenience is found, the detection method of hurtless measure is very necessary.And optimal is exactly to be not required to live Inspection, and sensitivity and specific high serum analysis.
The content highest of glucose in human serum free monosaccharide, the range of normal person are 3.90~6.16mmol/L.Mesh Before, hospital laboratory directly can detect concentration of glucose by surveying biochemical indicator, and it is dense temporarily cannot directly to detect mannose Degree.The concentration range of free mannose is 20~80 μm of ol/L in health adult's blood plasma.The content of mannose is about that glucose contains The 1% of amount.Its major part is considered as from the glucose isomerization in cell.And some researches show that flow in cell recently Free mannose out is the main source of free mannose in mammalian.The free mannose in this two parts source Maintain the stabilization of mannose in serum.D-MANNOSE is glycoprotein, cell surface glycoconjugates and glycolsyl-phosphatidylinositol Required monosaccharide in the structures such as anchorin.Wherein, mannose is the important component of N- sugar chain in various polysaccharide compounds, and N- is poly- Glucose or mannose of the mannose residue in blood in sugar.Free mannose is normal plasma composition.Currently, The measuring method of serum mannose mainly has enzyme process, gas-liquid chromatography, high resolution liquid chromatography, gas-liquid chromatography-mass spectrography and hair Cons electrophoresis method etc..But there is certain shortcoming in these methods.For example, using enzyme process, gas-liquid chromatography and high-resolution When liquid chromatography, to avoid the influence needs of glucose of high concentration from removing it, cause pretreatment process comparatively laborious;Gas-liquid Chromatography mass spectrometry instrument price is expensive, is not suitable for routine purpose;Required serum sample amount is big.Before document report column High performance liquid chromatography derived from 1- phenyl -5- methylpyrazole quinoline ketone (PMP) detects endometrial carcinoma serum middle reaches simultaneously From mannose and glucose.
Summary of the invention
The object of the present invention is to provide for identifying biomarker and its application of carcinoma of endometrium, the present invention is used Monosaccharide more particularly to serum before column in high performance liquid chromatography derived from PMP (HPLC) detection endometrial carcinoma serum In dissociate mannose and glucose detection.Technical solution of the present invention can be used for detecting endometrial carcinoma or normal person Free serum mannose and concentration of glucose can be used for identifying endometrial carcinoma.
To achieve the purpose of the present invention, the present invention is achieved by the following technical programs:
For identifying that the biomarker of carcinoma of endometrium, the biomarker are serum by derived from PMP before column The free mannose and glucose that high performance liquid chromatography obtains.
For identifying the quantitative analysis method of the biomarker of carcinoma of endometrium, it is characterised in that: this method is before column High performance liquid chromatography derived from PMP, comprising the following specific steps
(1) adjusting pH is 7-14: taking blood serum sample to be detected to add ultrapure water in EP pipe, sodium hydroxide is added, be vortexed It mixes;
(2) PMP is derivative: PMP is added in each sample, is vortexed and mixes, and centrifugation is placed on baking oven reaction;
(3) acid adding neutralization reaction: the sample in baking oven is taken out, and places cooling, and hydrochloric acid is added in each sample, is vortexed mixed It is even;
(4) extract: organic solvent is added in every pipe, is vortexed, and centrifugation removes lower layer's organic solvent, retains supernatant;
(5) sample is centrifuged, takes supernatant in sample bottle, covering tightly lid in the brown equipped with interpolation pipe, is centrifuged, is ready to use in High-efficient liquid phase analysis;
(6) standard curve of mannose and glucose is drawn;
(7) standard curve in the chromatogram for obtaining step (5) and step (6) compares simultaneously analytical calculation, determines sweet dew The ratio of sugar, the concentration of glucose and glucose and mannose concentration.
The high performance liquid chromatography is 1260 efficient liquid phase system of Agilent, Agilent Poroshell EC-C18 color It composes column (4.6mm × 100mm, 2.7 μm), the chromatographic condition in the step (5) are as follows:
Detection wavelength: 254nm, bandwidth 4nm;
Reference wavelength: 350nm, bandwidth 100nm;
Column temperature: 37 DEG C;
Flow velocity: 1mL/min;
Sampling volume: 20 μ L;
Mobile phase: A phase is acetonitrile, and B phase is 0.1mol/L ammonium acetate-acetic acid buffer solution that pH is 5.5.
The change of gradient of mobile phase in the step (5) are as follows:
0min, A phase 15%, B phase 85%;
10min, A phase 22%, B phase 78%;
15min, A phase 24%, B phase 76%;
15.1min, A phase 15%, B phase 85%;
20min, A phase 15%, B phase 85%.
The concentration of hydrochloric acid is 0.3mol/L in the step (3).
Organic solvent is at least one in chloroform, methylene chloride, ethyl acetate and n-hexane in the step (4) Kind.
Biomarker is preparing the purposes in the kit for detecting carcinoma of endometrium, it is characterised in that: the examination It include the titer for the glucose that concentration is 64.71 μm of ol/L mannoses and concentration is 5149 μm of ol/L in agent box.
A kind of kit for identifying carcinoma of endometrium, which is characterized in that the kit contains biomarker, i.e. serum passes through Cross the free mannose and glucose that high performance liquid chromatography derived from PMP obtains before column.
It include the mark for the glucose that concentration is 64.71 μm of ol/L mannoses and concentration is 5149 μm of ol/L in the kit Quasi- liquid.
Identify that the kit of carcinoma of endometrium is preparing the purposes in the kit for detecting carcinoma of endometrium.
Compared with prior art, high performance liquid chromatography derived from PMP before column is used for endometrial carcinoma by the present invention The detection of free serum monosaccharide, advantageous effects are:
1, pre-treatment is simple.
2, analysis time is short.
3, required amount of serum is few, simply needs to be less than the blood volume of 1mL every time.
4, instrument price is reasonable, meets conventional use.
5, operating procedure is easy to learn.
6, detection is accurate.
The present invention uses hplc simultaneous determination free serum mannose and glucose derived from PMP before column, Simplify operation, and amount of serum is few, and the measurement for having proven to the method mannose concentration will not be by high concentration glucose Influence.Pass through the statistics of the ratio (G/M ratio) to free serum mannose, glucose and glucose and mannose concentration Data analysis, establishes the relationship between carcinoma of endometrium and three.It can quickly be distinguished just using technical solution of the present invention Ordinary person and endometrial carcinoma.
Detailed description of the invention
Fig. 1 is two types column chromatography figure;
Fig. 2 is the chromatogram of different eluent gradients;
Fig. 3 is endometrial carcinoma and the free mannose of normal human serum, glucose and glucose and mannose concentration Ratio scatter plot;
Fig. 4 is the ROC curve of endometrial carcinoma free serum mannose and glucose;
Fig. 5 is normal person and endometrial carcinoma free serum mannose, glucose and glucose and mannose concentration Ratio building 3 dimensional drawing.
Specific embodiment
Technical solution of the present invention is further described in detail in the following with reference to the drawings and specific embodiments.
All blood samples involved in embodiment are provided by affiliated hospital of University Of Qingdao of Qingdao City.
Technical solution of the present invention the following steps are included:
Embodiment 1
(1) precision weighs mannose (Man), gucosamine (GlcN), galactosamine (GalN), glucuronic acid (GlcUA), glucose (Glc), galactolipin (Gal), xylose (Xyl), fucose (Fuc) in right amount, add deionized water to prepare two parts Containing the above monosaccharide 0.1mg/mL hybrid standard product solution, matching while using;
(2) it creates alkaline environment: taking 40 μ L mixing monosaccharide standard to manage in 1.5mL EP, 40 μ L 0.3mol/L hydrogen are added Sodium oxide molybdena is vortexed and mixes;
(3) PMP is derivative: 60 μ L 0.5mol/L 1- phenyl -5- methylpyrazole quinoline ketone (PMP) are added in each sample, are vortexed It mixes, 70 DEG C of baking ovens react 1h after centrifugation;
(4) acid adding neutralization reaction: the sample in baking oven is taken out, and places cooling, and 40 μ L 0.3mol/L are added in each sample Hydrochloric acid is vortexed and mixes;
(5) extract: 500 μ L chloroforms are added in every pipe, are vortexed, and centrifugation removes lower layer's chloroform, retain supernatant, weight It is 3 times multiple;
(6) sample 13000r/min is centrifuged 10min, takes 80 μ L supernatants in the brown loading that 150 μ L interpolation pipes are housed In bottle, lid is covered tightly, is centrifuged, two parts of samples carry out high-efficient liquid phase analysis, efficient liquid phase using different chromatographic column A and B respectively Chromatography is 1260 efficient liquid phase system of Agilent, and gained chromatogram is shown in Fig. 1.
Chromatographic column A:Agilent Poroshell EC-C18 chromatographic column (4.6mm × 100mm, 2.7 μm);
Agilent Poroshell EC-C18 chromatographic column (4.6mm × 100mm, 2.7 μm) chromatographic condition:
Detection wavelength: 254nm, bandwidth 4nm;
Reference wavelength: 350nm, bandwidth 100nm;
Column temperature: 37 DEG C;
Flow velocity: 1mL/min;
Sampling volume: 20 μ L;
Mobile phase: 0.1mol/L ammonium acetate-acetic acid buffer solution, acetonitrile;
Change of gradient:
Time Acetonitrile 0.1mol/L ammonium acetate pH5.5
0min 15% 85%
10min 22% 78%
15min 24% 76%
15.1min 15% 85%
20min 15% 85%
Chromatographic column B:Agilent ZORBAX XDB-C18 chromatographic column (4.6mm × 150mm, 5 μm);
Agilent ZORBAX XDB-C18 chromatographic column (4.6mm × 150mm, 5 μm) chromatographic condition:
Detection wavelength: 254nm, bandwidth 4nm;
Reference wavelength: 350nm, bandwidth 100nm;
Column temperature: 37 DEG C;
Flow velocity: 1mL/min;
Sampling volume: 20 μ L;
Mobile phase: 0.1mol/L ammonium acetate-acetic acid buffer solution, acetonitrile;
Change of gradient:
Time Acetonitrile 0.1mol/L ammonium acetate pH5.5
0min 15% 85%
40min 22% 78%
40.1min 15% 85%
55min 15% 85%
It will be seen from figure 1 that the Agilent ZORBAX XDB-C18 chromatogram column analysis time is long, chromatographic peak separating degree is poor, The Agilent Poroshell EC-C18 chromatogram column analysis time is the 1/3 of ZORBAX XDB-C18 chromatographic column, and chromatographic peak is good. Abscissa is time (min), and ordinate is DAD signal strength.1,2,3,4,5,6,7,8 successively Man, GlcN, GalN, GlcUA, The chromatographic peak of Glc, Gal, Xyl, Fuc.
Embodiment 2
(1) precision weighs mannose (Man), rhamnose (Rha) and glucose (Glc) in right amount, and deionized water is added to prepare phase Same 5 parts contain the above monosaccharide 0.1mg/mL hybrid standard product solution, matching while using;
(2) it creates alkaline environment: taking 40 μ L mixing monosaccharide standard to manage in 1.5mL EP, 40 μ L 0.3mol/L hydrogen are added Sodium oxide molybdena is vortexed and mixes;
(3) PMP is derivative;60 μ L 0.5mol/L PMP are added in each sample, are vortexed and mix, 70 DEG C of baking oven reactions after centrifugation 1h;
(4) acid adding neutralization reaction: the sample in baking oven is taken out, and places cooling, and 40 μ L 0.3mol/L are added in each sample Hydrochloric acid is vortexed and mixes;
(5) extract: 500 μ L chloroforms are added in every pipe, are vortexed, and centrifugation removes lower layer's chloroform, retain supernatant, weight It is 3 times multiple;
(6) sample 13000r/min is centrifuged 10min, takes 80 μ L supernatants in the brown loading that 150 μ L interpolation pipes are housed In bottle, lid is covered tightly, is centrifuged, 5 parts of samples are used for high-efficient liquid phase analysis, gained chromatography under different mobile phase variable gradients respectively Figure, is shown in Fig. 2.
High performance liquid chromatography is 1260 efficient liquid phase system of Agilent, Agilent Poroshell EC-C18 chromatographic column (4.6mm × 100mm, 2.7 μm);
Chromatographic condition:
Detection wavelength: 254nm, bandwidth 4nm;
Reference wavelength: 350nm, bandwidth 100nm;
Column temperature: 37 DEG C;
Flow velocity: 1mL/min;
Sampling volume: 20 μ L;
Mobile phase: 0.1mol/L ammonium acetate-acetic acid buffer solution, acetonitrile;
Mobile phase variable gradient A:
Time Acetonitrile 0.1mol/L ammonium acetate pH5.5
0min 15% 85%
20min 15% 85%
Mobile phase variable gradient B:
Time Acetonitrile 0.1mol/L ammonium acetate pH5.5
0min 20% 80%
20min 20% 80%
Mobile phase variable gradient C:
Time Acetonitrile 0.1mol/L ammonium acetate pH5.5
0min 22% 78%
20min 22% 78%
Mobile phase variable gradient D:
Time Acetonitrile 0.1mol/L ammonium acetate pH5.5
0min 15% 85%
10min 22% 78%
15min 15% 85%
20min 15% 85%
Mobile phase variable gradient E:
Time Acetonitrile 0.1mol/L ammonium acetate pH5.5
0min 15% 85%
10min 22% 78%
15min 24% 76%
15.1min 15% 85%
20min 15% 85%
Figure it is seen that only Man is eluted out under the conditions of gradient A;Under the conditions of gradient B, although three Can be separated and, but the peak of solvent PMP and Man from it is relatively close;And under the conditions of gradient C, solvent peak and the peak Man weight It closes;Under the conditions of gradient D, the overlong time that the peak Glc is eluted out leads to cannot to be formed point and high peak.Only in gradient E item Under part, appearance is symmetrical, and separating degree is good.Abscissa is time (min), and ordinate is DAD signal strength.1,2 and 3 is successively The chromatographic peak of Man, Rha and Glc.
Embodiment 3
(1) precision weighs mannose and proper amount of glucose, and deionized water is added to be configured to each 0.5mg/mL containing the above monosaccharide, 0.25mg/mL, 0.1mg/mL, 0.05mg/mL, 0.01mg/mL, 0.005mg/mL, 0.0025mg/mL, 0.001mg/mL, The hybrid standard product solution of 0.0005mg/mL, matching while using;
(2) it creates alkaline environment: taking 40 μ L mixing monosaccharide standard to manage in 1.5mL EP, 40 μ L 0.3mol/L hydrogen are added Sodium oxide molybdena is vortexed and mixes;
(3) PMP is derivative: 60 μ L 0.5mol/L PMP are added in each sample, are vortexed and mix, 70 DEG C of baking oven reactions after centrifugation 1h;
(4) acid adding neutralization reaction: the sample in baking oven is taken out, and places cooling, and 40 μ L 0.3mol/L are added in each sample Hydrochloric acid is vortexed and mixes;
(5) extract: 500 μ L chloroforms are added in every pipe, are vortexed, and centrifugation removes lower layer's chloroform, retain supernatant, weight It is 3 times multiple;
(6) sample 13000r/min is centrifuged 10min, takes 80 μ L supernatants in the brown loading that 150 μ L interpolation pipes are housed In bottle, lid is covered tightly, is centrifuged, is ready to use in high-efficient liquid phase analysis.
High performance liquid chromatography is 1260 efficient liquid phase system of Agilent, Agilent Poroshell EC-C18 chromatographic column (4.6mm × 100mm, 2.7 μm);
Chromatographic condition:
Detection wavelength: 254nm, bandwidth 4nm;
Reference wavelength: 350nm, bandwidth 100nm;
Column temperature: 37 DEG C;
Flow velocity: 1mL/min;
Sampling volume: 20 μ L;
Mobile phase: 0.1mol/L ammonium acetate-acetic acid buffer solution, acetonitrile;
Mobile phase variable gradient:
Time Acetonitrile 0.1mol/L ammonium acetate pH5.5
0min 15% 85%
10min 22% 78%
15min 24% 76%
15.1min 15% 85%
20min 15% 85%
(7) standard curve of mannose and glucose is drawn.
Embodiment 4
(1) it creates alkaline environment: taking 95 normal human sera samples and 95 endometrial carcinomas made a definite diagnosis respectively 10 μ L of blood serum sample adds 30 μ L ultrapure waters in 1.5mL EP pipe, and 40 μ L 0.3mol/L sodium hydroxides are added, and is vortexed and mixes;
(2) for remaining step with embodiment 3, analytical calculation mannose, the concentration of glucose and glucose and mannose are dense The ratio of degree.Statistic mixed-state is as a result, be shown in Fig. 3.
Fig. 3 result is summarized to Tables 1 and 2.
The comparable trend of table 1. endometrial carcinoma free serum monosaccharide and G/M ratio and normal person
Mannose Glucose G/M ratio
Carcinoma of endometrium ↑NS ↑*** ↑***
Annotation: " NS " representative is compared with normal people that there was no significant difference, " * * * p < 0.001 ", " * * p < 0.01 " and " * p < 0.05 ", which is respectively represented, has been compared with normal people significant difference, " ↑ " and " ↓ " respectively represent be compared with normal people rising or under Drop.
2 kinds of free monosaccharide concentration (μm ol/L) and its ratio result in 2. endometrial carcinoma of table and normal human serum
Mannose Glucose G/M ratio
Normal person 60.19±19.52 4943±1382 89.14±16.18
Carcinoma of endometrium 75.87±43.52 7488±3424 116.6±51.95
In addition, to the glucose and glucose that have significant difference in table 1 with normal person and mannose concentration ratio (G/M) into It has gone ROC curve analysis, the higher index of area under the curve (AUC), sensitivity and specificity is found with expectation, to determine most Good screening positive critical value (cutoff value), AUC illustrate that diagnosis effect is better closer to 1.Testing result is shown in Fig. 4, by Fig. 4 As a result it summarizes to table 3.
Cutoff value (the μ of 3. endometrial carcinoma glucose in serum of table and glucose and mannose concentration ratio (G/M) ) and its sensitivity (%) and specific (%) mol/L
AUC Cutoff value Sensitivity Specificity
Glucose 0.7706 5405 71.58 76.84
G/M 0.6809 112.5 51.58 96.84
From Fig. 3, table 1, table 2 is as can be seen that endometrial carcinoma free serum glucose and glucose and mannose are dense Degree ratio significantly rises.In addition, table 3 is shown, glucose and glucose and mannose concentration ratio it is specific higher, therefore can be with Endometrial carcinoma is detected as biomarker using free glucose and glucose and mannose concentration ratio.
Embodiment 5
It is used to detect the application of carcinoma of endometrium using biomarker of the present invention, specifically includes the following steps:
(1) it creates alkaline environment: 10 μ L of blood serum sample to be detected being taken to add 30 μ L ultrapure waters in 1.5mLEP pipe, be added 40 μ L 0.3mol/L sodium hydroxides are vortexed and mix;
(2) PMP is derivative: 60 μ L 0.5mol/L PMP are added in each sample, are vortexed and mix, 70 DEG C of baking oven reactions after centrifugation 1h;
(3) acid adding neutralization reaction: the sample in baking oven is taken out, and places cooling, and 40 μ L 0.3mol/L are added in each sample Hydrochloric acid is vortexed and mixes;
(4) extract: 500 μ L chloroforms are added in every pipe, are vortexed, and centrifugation removes lower layer's chloroform, retain supernatant, weight It is 3 times multiple;
(5) sample 13000r/min is centrifuged 10min, takes 80 μ L supernatants in the brown loading that 150 μ L interpolation pipes are housed In bottle, lid is covered tightly, is centrifuged, is ready to use in high-efficient liquid phase analysis.High performance liquid chromatography is 1260 efficient liquid phase system of Agilent, Agilent Poroshell EC-C18 chromatographic column (4.6mm × 100mm, 2.7 μm);
Chromatographic condition:
Detection wavelength: 254nm, bandwidth 4nm;
Reference wavelength: 350nm, bandwidth 100nm;
Column temperature: 37 DEG C;
Flow velocity: 1mL/min;
Sampling volume: 20 μ L;
Mobile phase: 0.1mol/L ammonium acetate-acetic acid buffer solution, acetonitrile;
Change of gradient:
(6) draw the standard curve of mannose and glucose: precision weighs mannose and proper amount of glucose, adds deionized water It is configured to each 0.5mg/mL, 0.25mg/mL, 0.1mg/mL, 0.05mg/mL, 0.01mg/mL, 0.005mg/mL containing the above monosaccharide, The hybrid standard product solution of 0.0025mg/mL, 0.001mg/mL, 0.0005mg/mL, matching while using;Take 40 μ L mixing monosaccharide marks Quasi- product are managed in 1.5mL EP, and 40 μ L 0.3mol/L sodium hydroxides are added, and are vortexed and are mixed;Remaining step with (2), (3), (4), (5)。
(7) standard curve in the chromatogram for obtaining step (5) and step (5) compares simultaneously analytical calculation, determines sweet dew The ratio of sugar, the concentration of glucose and glucose and mannose concentration.And it is made between three by 9 software of Origin Can 3 dimensional drawing distinguish normal person and endometrial carcinoma more intuitively to observe triple combination, see Fig. 5.
If the free concentration of glucose in test serum sample is greater than 5405 μm of ol/L, G/ between glucose and mannose M ratio is greater than 112.5, then determines that test serum sample very likely comes from endometrial carcinoma.
Result above shows: this method pre-treatment is simple;Analysis time is short;Required amount of serum is few, every time only The blood volume of 1mL need to be less than;Instrument price is reasonable, meets conventional use;Operating procedure is easy to learn;Detection is accurate.It detects and counts The ratio for calculating mannose, glucose and the glucose and mannose concentration that dissociate in serum can distinguish normal person and endometrium Cancer patient is suitble to clinically be used for the diagnosis of endometrial carcinoma.
The above examples are only used to illustrate the technical scheme of the present invention, rather than is limited;Although referring to aforementioned reality Applying example, invention is explained in detail, for those of ordinary skill in the art, still can be to aforementioned implementation Technical solution documented by example is modified or equivalent replacement of some of the technical features;And these are modified or replace It changes, the spirit and scope for claimed technical solution of the invention that it does not separate the essence of the corresponding technical solution.

Claims (13)

1. for identifying the biomarker of carcinoma of endometrium, it is characterised in that: the biomarker is serum by before column The free mannose and glucose that high performance liquid chromatography derived from 1- phenyl -5- methylpyrazole quinoline ketone (PMP) obtains.
2. according to claim 1 for identifying the quantitative analysis method of the biomarker of carcinoma of endometrium, feature Be: this method is high performance liquid chromatography derived from PMP before column, comprising the following specific steps
(1) adjusting pH is 7-14: taking blood serum sample to be detected to add ultrapure water in EP pipe, sodium hydroxide is added, be vortexed and mix;
(2) PMP is derivative: PMP is added in each sample, is vortexed and mixes, and centrifugation is placed on baking oven reaction;
(3) acid adding neutralization reaction: the sample in baking oven is taken out, and places cooling, and hydrochloric acid is added in each sample, is vortexed and is mixed;
(4) extract: organic solvent is added in every pipe, is vortexed, and centrifugation removes lower layer's organic solvent, retains supernatant;
(5) sample is centrifuged, takes supernatant in sample bottle, covering tightly lid in the brown equipped with interpolation pipe, is centrifuged, is ready to use in efficiently Liquid phase analysis;
(6) standard curve of mannose and glucose is drawn;
(7) chromatogram for obtaining step (5) and the standard curve of step (6) compare simultaneously analytical calculation, determine mannose, grape The concentration of sugar and the ratio of glucose and mannose concentration.
3. according to claim 2 for identifying the quantitative analysis method of the biomarker of carcinoma of endometrium, feature Be: the high performance liquid chromatography is 1260 efficient liquid phase system of Agilent, Agilent Poroshell EC-C18 chromatography Column (4.6mm × 100mm, 2.7 μm), the chromatographic condition in the step (5) are as follows:
Detection wavelength: 254nm, bandwidth 4nm;
Reference wavelength: 350nm, bandwidth 100nm;
Column temperature: 37 DEG C;
Flow velocity: 1mL/min;
Sampling volume: 20 μ L;
Mobile phase: A phase is acetonitrile, and B phase is 0.1mol/L ammonium acetate-acetic acid buffer solution that pH is 5.5.
4. according to claim 3 for identifying the quantitative analysis method of the biomarker of carcinoma of endometrium, feature It is: the change of gradient of mobile phase in the step (5) are as follows:
0min, A phase 15%, B phase 85%;
10min, A phase 22%, B phase 78%;
15min, A phase 24%, B phase 76%;
15.1min, A phase 15%, B phase 85%;
20min, A phase 15%, B phase 85%.
5. according to claim 2 for identifying the quantitative analysis method of the biomarker of carcinoma of endometrium, feature Be: the concentration of hydrochloric acid is 0.3mol/L in the step (3).
6. according to claim 2 for identifying the quantitative analysis method of the biomarker of carcinoma of endometrium, feature Be: organic solvent is at least one of chloroform, methylene chloride, ethyl acetate and n-hexane in the step (4).
7. the quantitative analysis method Endometrial Carcinomas disease of the biomarker of identification carcinoma of endometrium described in claim 2-6 Application in disease, it is characterised in that the blood serum sample is the serum of endometrial carcinoma.
8. a kind of kit for identifying carcinoma of endometrium, which is characterized in that the kit contains biology mark described in claim 1 The free mannose and glucose that note object, i.e. serum are obtained by high performance liquid chromatography derived from PMP before column.
9. the kit of identification carcinoma of endometrium according to claim 8, which is characterized in that include dense in the kit The titer for the glucose that degree is 64.71 μm of ol/L mannoses and concentration is 5149 μm of ol/L.
10. the described in any item reagent consumptive materials of claim 2-9 preparation for mannose in endometrial carcinoma serum and Purposes in the kit of glucose quantitation.
11. a kind of kit for identifying carcinoma of endometrium, it is characterised in that pass through the mannose and glucose quantitation mirror in serum Stator endometrial carcinoma.
12. the use that the kit of the described in any item identification carcinomas of endometrium of claim 8-11 detects carcinoma of endometrium in vitro On the way.
13. purposes according to claim 12, it is characterised in that identified by mannose in serum and glucose quantitation Carcinoma of endometrium.
CN201811323625.6A 2018-11-01 2018-11-01 A kind of method and its detection kit for identifying carcinoma of endometrium biomarker Pending CN109342593A (en)

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