CN110596389B

CN110596389B - Application of ESRP1 autoantibody detection reagent in preparation of lung cancer screening kit

Info

Publication number: CN110596389B
Application number: CN201910896734.5A
Authority: CN
Inventors: 李为民; 张立
Original assignee: West China Hospital of Sichuan University
Current assignee: West China Hospital of Sichuan University
Priority date: 2019-09-20
Filing date: 2019-09-20
Publication date: 2021-09-10
Anticipated expiration: 2039-09-20
Also published as: CN110596389A

Abstract

The invention relates to the field of in-vitro diagnostic reagents, in particular to application of an ESRP1 autoantibody detection reagent in preparation of a lung cancer screening kit. The invention discovers for the first time that the autoantibody level of ESRP1 protein in the serum of a lung cancer patient is obviously higher than that of a healthy patient. According to the invention, the reagent for detecting the ESRP1 protein autoantibody is used for preparing the lung cancer screening kit, so that effective screening of lung cancer can be realized.

Description

Application of ESRP1 autoantibody detection reagent in preparation of lung cancer screening kit

Technical Field

The invention relates to the field of in-vitro diagnostic reagents, in particular to application of an ESRP1 autoantibody detection reagent in preparation of a lung cancer screening kit.

Background

Lung cancer is one of the most common malignant tumors in the world, the morbidity and mortality of the lung cancer are on the rising trend year by year, the morbidity is at the top of the world at present, and the health and the life of human beings are seriously threatened.

The lung cancer is a disease good in occult, clinical symptoms are often shown only when the disease develops to the advanced stage, 70-80% of lung cancer patients are already at the middle and advanced stages when the lung cancer symptoms are diagnosed, cancer cells are diffused, the best curing time is missed, and the five-year survival rate is low. For early-stage lung cancer patients, the survival rate and the survival quality of the patients can be greatly improved by 5 years and more through timely treatment. Early diagnosis of lung cancer and effective screening are therefore of paramount importance.

The screening of the lung cancer refers to that the conventional physical examination is carried out on people without lung cancer related symptoms, and the lung cancer is found in time before the symptoms appear. If the lung cancer molecular marker in the plasma can be found, the molecular marker has important significance for prompting a clinician to take relevant treatment measures or decisions for a patient at an early stage.

Autoantibodies are antibodies produced by the body to self-organs, cells or cellular components. At present, autoantibodies to certain proteins have become markers for lung cancer, such as: p53, NY-ESO-1, CYFRA, etc. (Tang Z-M, Link Z-G, Wang C-M, Wu Y-B, Kong J-L (2017) Serum tune-associated autoimmune polymers for lung cancer: A systematic review and meta-analysis. PLoS ONE 12 (7): e 0182117).

The ESRP1 protein (Ensemble number of its gene: ENSG00000104413) is an epithelial cell type specific splice regulator. Low expression of ESRP1 protein has been found to be associated with lung cancer (Silenting the Snail-Dependent RNA Splice Regulator ESRP1 drivers dominant Transformation of human pulmonary Epithelial cells cancer Res.2018 Apr15; 78 (8): 1986-1999). However, reports related to ESRP1 protein autoantibodies are not found at present, and reports of ESRP1 protein autoantibodies and lung cancer are not found.

Disclosure of Invention

The invention aims to provide a novel autoantibody lung cancer marker and application of a detection reagent of the marker in preparation of a lung cancer screening kit.

The technical scheme of the invention comprises the following steps:

application of a reagent for detecting an ESRP1 protein autoantibody in preparing a lung cancer screening kit.

As the application, the reagent for detecting the ESRP1 protein autoantibody is a reagent for enzyme-linked immunosorbent assay or a combined immunoassay reagent.

As for the application, the reagent for detecting the ESRP1 protein autoantibody is a western blot reagent.

As the application, the reagent for detecting the ESRP1 protein autoantibody is a reagent for a protein chip detection method.

As for the aforementioned application, the reagent for detecting the ESRP1 protein autoantibody is a reagent for detecting the ESRP1 protein autoantibody in human serum.

A lung cancer screening kit comprises a reagent for detecting ESRP1 protein autoantibody.

As the kit, the reagent for detecting the ESRP1 protein autoantibody is a reagent for enzyme-linked immunosorbent assay or an enzyme-linked immunoassay reagent.

As the kit, the reagent for detecting the ESRP1 protein autoantibody is a western blot reagent.

As the kit, the reagent for detecting the ESRP1 protein autoantibody is a reagent for a protein chip detection method.

As the kit, the reagent for detecting the ESRP1 protein autoantibody is a reagent for detecting the ESRP1 protein autoantibody in human serum.

The key point of the invention is that the content of ESRP1 autoantibodies in human blood is determined to be obviously related to the risk of lung cancer, so that the risk of lung cancer can be judged by detecting the content of ESRP1 autoantibodies in human blood, and as for a means for specifically detecting ESRP1 autoantibodies in human blood, various means disclosed in the prior art can be adopted.

The invention provides a new lung cancer screening marker and a new lung cancer screening kit, which can realize effective screening of lung cancer; and the serum can be used as a detection sample, so that the harm to a patient is low. The invention has good application prospect.

Obviously, many modifications, substitutions, and variations are possible in light of the above teachings of the invention, without departing from the basic technical spirit of the invention, as defined by the following claims.

The foregoing aspects of the present invention are explained in further detail below with reference to specific embodiments. This should not be understood as limiting the scope of the above-described subject matter of the present invention to the following examples. All the technologies realized based on the above contents of the present invention belong to the scope of the present invention.

Hereinafter, "ESRP 1 autoantibody" refers to "ESRP 1 protein autoantibody".

Drawings

FIG. 1: lung cancer patients (LC), benign lung Disease (DC), healthy control (NC) plasma levels of ESRP1 autoantibodies were compared.

FIG. 2: ROC analysis of lung cancer patients (LC) and benign lung Disease (DC).

FIG. 3: lung cancer patients (LC) were analyzed by ROC with healthy controls (NC).

Detailed Description

Example 1 correlation of ESRP1 autoantibodies in plasma with Lung cancer

First, clinical data

30 lung cancer patients, 29 lung benign diseases (non-malignant tumors such as tuberculosis and hamartoma) and 29 healthy controls are selected, and basic information is as follows:

basic information	Patients with lung cancer	Benign lung disease	Healthy controls
				Number of people	30	29	29
Age (age)	49.5±5.7	46.5±10	42.0±8.9
				Proportion of male	20(66.7％)	12(41.4％)	13(46.7％)

Second, detection principle

HuProt^TMThe human protein custom chip is fixed with ESRP1 protein (full-length protein, Ensemble number is ENSP00000429125), after serum is added for incubation, ESRP1 autoantibodies (mainly including IgG and IgM antibodies and other types of antibodies) in serum can be combined, the unbound antibodies and other proteins are removed by cleaning, anti-human IgM fluorescent labeled secondary antibody (cy5 labeled and red) and anti-human IgG fluorescent secondary antibody (cy3 labeled and green) are used for detection, signals are read by a fluorescence scanner, and the strength of the signals is positively correlated with the affinity and the quantity of the antibodies.

Third, method

The reagents used in this section were as follows:

the method comprises the following specific steps:

1) rewarming: taking out the chip from a refrigerator at-80 deg.C, putting in a refrigerator at 4 deg.C for rewarming for half an hour, and then putting in room temperature for rewarming for 15 min;

2) and (3) sealing: fixing 14 blocks in the rewarming chip, adding sealing liquid into each block after fixing, placing on a side swing bed, and sealing at room temperature for 3 hr;

3) incubation of serum samples: after sealing is finished, pouring the sealing liquid completely, then quickly adding a serum incubation liquid prepared in advance, wherein each chip can incubate 14 serum samples, the sample loading volume of each serum sample is 200 mu L, and the shaking table is laterally swung at 20rpm and incubated overnight at 4 ℃ (the serum samples are firstly put in a chromatography cabinet at 4 ℃ for freeze thawing, and the incubation liquid is added to dilute in a ratio of 1: 50 to obtain the serum incubation liquid);

4) cleaning: the chip and the chip fence are taken out together, the sample is sucked, then the PBST with the same volume is added rapidly, and the cycle is repeated for a plurality of times, so that no cross contamination exists among the serum samples when the chip fence is detached. After the chip fence is removed, the chip is placed in a chip cleaning box with cleaning solution, and is cleaned for 3 times (10 min each time) by a horizontal shaking table at room temperature of 80 rpm;

5) and (3) secondary antibody incubation: transferring the chip into an incubation box added with 3mL of secondary antibody incubation liquid, laterally swinging a shaker at 40rpm, keeping out of the sun, and keeping at room temperature for 1 hr;

6) cleaning: the chip was removed (note that the upper surface of the chip was not touched or scratched), and placed in a chip washing cassette containing a washing solution, and washed 3 times 10min each time, on a horizontal shaker at room temperature and 80 rpm. After the completion, the mixture is washed for 2 times for 10min by ddH 2O;

7) drying;

8) scanning: scanning by using a crystal core LuxScan 10K microarray chip scanner;

9) data extraction: opening the corresponding GAL file (recording the position of protein in the chip), aligning the chip image and each array of the GAL file integrally, pressing an automatic alignment button, extracting data and storing.

Fourthly, the result

The mean expression level of the ESRP1 autoantibodies in the plasma of the lung cancer patients was 33.0SNR (fluorescence signal relative quantitative ratio), the mean expression level of the ESRP1 autoantibodies in the plasma of benign diseases in the lung was 9.9SNR, and the mean expression level of the ESRP1 autoantibodies in the plasma of healthy controls was 20.2 SNR. The lung cancer group was statistically significant compared to the benign lung disease group (p < 0.05) and the healthy control group (p < 0.001) (FIG. 1). The specificity of the ROC analysis result of the lung cancer group and benign diseases is 96.6%, and the sensitivity is 79.3% (figure 2); the ROC analysis of the lung cancer group and the healthy control gave a specificity of 96.6% and a sensitivity of 34.5% (FIG. 3), indicating that the ESRP1 autoantibodies specifically distinguished lung cancer from benign lung disease and the healthy control.

The results show that the level difference of the ESRP1 autoantibody in the serum of the lung cancer patient and the non-lung cancer patient is obvious, and the purpose of screening the lung cancer can be achieved by detecting the level of the ESRP1 autoantibody in the serum.

EXAMPLE 2 composition of the detection kit of the invention and method of use thereof

Kit composition

Detection kit (14 persons):

second, kit using method

Same as example 1, third part- "detection of ESRP1 autoantibodies in serum".

The kit can screen the risk of the lung cancer of the people to be detected by detecting the level of the ESRP1 autoantibody in serum: if the level of ESRP1 autoantibodies is high (relative to healthy people) the risk for lung cancer is high, and if the level of ESRP1 autoantibodies is low the risk for lung cancer is low. The method can be used for the auxiliary diagnosis of clinical lung cancer, provides effective basis for patients to take relevant treatment measures or decisions, and has good clinical application prospect.

Claims

1. The application of a reagent for detecting an ESRP1 protein autoantibody in human serum in preparing a lung cancer screening kit.

2. The use of claim 1, wherein the reagent for detecting ESRP1 protein autoantibodies in human serum is a reagent for enzyme-linked immunosorbent assay or enzyme-linked immunoassay.

3. The use according to claim 1, wherein the reagent for detecting autoantibodies to the ESRP1 protein in human serum is a western blot reagent.

4. The use of claim 1, wherein the reagent for detecting ESRP1 protein autoantibodies in human serum is a reagent for a protein chip detection method.