Background technology
Trisomy 21 syndrome be also known as Down syndrome or mongolism category autosome distortion, be in children's chromosomal disorder most
Common one kind, incidence about 1/ (600~800) in baby living, maternal age is bigger, and this sick incidence of disease is higher.About 60% suffers from
Youngster is miscarriage of dying young in fetus early stage.Trisomy 21 syndrome can cause to include learning disorder, disturbance of intelligence and deformity etc..In addition,
13rd, 18, the aneuploidy of X and Y chromosome causes pa pottery Cotard, Edward's syndrome, Ke Laien Fils spy comprehensive respectively
Simulator sickness and Turner's syndrome, hereditary disease caused by these non-multiple chromosomes can make human body growth error to some extent and go out
Existing other lesions.Once infant is born, huge pain will be brought to family, also bring white elephant to society.
At present, the means for being clinically used to detect Down syndrome mainly extract pregnancy serum, detect in maternal serum
Pregnancy-associated plasma protein (PAPP-A), free hCGB subunits (early stage two) or A type fetoprotein (AFP) and fine hair rush property
The index of glandular hormone (HCG) and FE3 (uE3) (mid-term three), when with reference to pregnant woman's expected date of childbirth, body weight, age and taking a blood sample
Pregnant week, calculate the danger coefficient of " Tang Shi ", can so find 80% Tang Shi and the body of part 18 3, but can not be true
Whether ill examine fetus.Tang Shi examinations index should carry out amniocentesis inspection or fine hair inspection, Ran Houjin beyond normal pregnant woman
Row fetal cell chromosome karyotype analysis.And the shortcomings that chromosome karyotype analysis is that time-consuming (more than one week), technical requirements phase
To higher, charge is also higher.
Molecule diagnoses, also known as gene diagnosis, is a kind of using high-tech means detection DNA and RNA, and then disclose gene
Structure and the technology of expression.The technology is quickly grown at present, and application field is quite varied.Our method application multiplex PCR and
The method of electrocapillary phoresis, there is the technical advantages such as sensitive, quantitative, quick, high flux.Our invention can provide for clinical obstetricses
A kind of superior molecular diagnosis method.
The content of the invention
The invention provides a kind of 38 human gene sites of synchronous amplification, (site of male 38, women 30
One site) multiplex PCR scheme, and can synchronously detect 13,18,21, the method for five numerical abnormalities of chromosomes of X and Y and the party
The purposes of method.
According to the first aspect of the invention, a kind of method for detecting five numerical abnormalities of chromosomes, for detecting bag simultaneously
Include 21,13,18, five chromosome number purpose aneuploidy including X and Y chromosome, including:(1), in five chromosome
It is upper to choose seven genes respectively, devise 38 pairs of primers (table 1) for 38 selected gene;(2), utilize with
Upper primer combination carries out multiplex PCR and electrocapillary phoresis;(3), electrophoresis result is analyzed using software.
Preferably, the chromosome number purpose aneuploidy refer to different from normal human chromosome number purpose increase or
Person lacks.
Preferably, step (1) also includes choosing three gene conducts on other chromosomes outside this five chromosomes
Compare (CK).
Preferably, the pcr template in the step (2) is human genome DNA.
Preferably, several genes of same chromosome are tried one's best positioned at the different zones of the chromosome;Design clip size
Between 100bp and 400bp, the difference of adjacent two clip size is generally 3~10bp.
According to another aspect of the present invention, a kind of purposes using preceding method, described method are applied to using invasive
The pre-natal diagnosis for the clinical sample for needing to detect is obtained with noninvasive two kinds of means.
Preferably, described invasive means obtain amniotic fluid or embryo villi theca cell by amniocentesis.
Preferably, described non-invasive means screen maternal blood by flow cytometer and obtain fetal cell.
By adopting the above-described technical solution, the present invention has following beneficial effect:
The present inventor passes through in-depth study, and development & production combines PCR and the " human chromosome of electrocapillary phoresis advantage first
Body aneuploidy multiple molecular detection kit " (hereinafter referred to as " kit ").The method that the kit uses molecule diagnosis, no
Only sensitivity and accuracy rate are high, take short (8 hours), and can detect 5 kinds of different congenital genetic disorders simultaneously, and expense is also relative
It is cheap.This is exactly the diagnostic means of current urgent clinical needs, has good market application foreground.
Table 1, human chromosomal aneuploidy analyze each site and primer sequence table
Embodiment
Embodiments of the invention are as follows:
First, DNA is extracted
Sample DNA extraction uses Chelex-100 (BioRad) method.
1.1 amniotic fluid and its cell culture
1ml amniotic fluid or 200 μ l cell cultures are taken, into 1.5ml centrifuge tubes, add the μ l pure water of people 500, acutely vibration, room
Temperature is lower to place 15 minutes.13,000rpm centrifugations 3 minutes, remove supernatant, collect precipitation.The Chelex- of 200 μ l 5% are added in precipitation
100 solution (5%Chelex-100 is suspension, using shake well is preceding wanted, makes Chelex-100 particles suspend), in oscillator
On vibrate repeatedly, be put into 56 DEG C be incubated more than 30 minutes.Vibrated after taking-up, 100 DEG C are incubated 8 minutes, after vibration, 13,000rpm
Centrifugation 3 minutes, supernatant expands for PCR, or puts 4 DEG C and save backup.
1.2 fetus fine hair membrane tissues
The tissue block of soya bean size is taken, is put into 1.5ml centrifuge tubes, pure water is added and washes once, then add 200 μ l 5%
Chelex-100 and 5 μ l 5mg/ml Proteinase K, be put into 56 DEG C be incubated more than 3 hours.Vibration is taken out, 100 DEG C are incubated 8 points
Clock, vibration, 13000rpm are centrifuged 3 minutes, and supernatant expands for PCR or puts 4 DEG C and saves backup.
2nd, kit forms (PCR reagent, 100 secondary responses)
The composition of this kit includes:
H without DNA enzymatic/RNase2O, 1000 μ l
10 × PCR buffer solutions, 220 μ l
5 × PCR primer mixture, 440 μ l
MgCl2, 440 μ l, 25mM
Taq archaeal dna polymerases, 55 μ l
Solution X, 220 μ l
DNA is compareed, 100 μ l, 20ng/ μ l
3rd, experimentation
3.1PCR reaction:
3.1.1 reagent and sample (table 2) are added in 96 hole sample panels (PCR plate) in proportion
Table 2, PCR reaction systems
PCR reaction reagents |
Amount/reaction |
10 × PCR buffer solutions |
2μl |
25mM MgCl2 |
4μl |
5 × PCR primer mixture |
4μl |
HotStart Taq archaeal dna polymerases |
0.7μl |
Solution X |
2μl |
DNA profiling |
50~100ng |
H without DNA enzymatic/RNase2O |
Add to 20 μ l |
Cumulative volume |
20μl |
3.1.2 thermal cycle reaction (table 3) is carried out by temperature below
Table 3, PCR programs
Step |
Temperature |
Time |
1 |
94℃ |
3min |
2 |
94℃ |
30s |
3 |
60℃ |
30s |
4 |
70℃ |
1min |
5 |
N/A |
Repeat 2-4 steps 34 time (totally 35 times) |
6 |
70℃ |
1min |
7 |
4℃ |
Continue:Until collecting PCR primer |
3.2 electrocapillary phoresis (by taking GeXP genetic analyzers as an example)
3.2.1 GeXP samples (table 4) are prepared
Table 4, GeXP loading systems
GeXP samples |
Amount/hole |
The upper foreign buffer solutions of GeXP |
38.75μl |
DNA fragmentation size criteria -400 |
0.25μl |
PCR primer |
1μl |
Cumulative volume |
40μl |
Mineral oil |
1 drop |
3.2.2 separating liquid is prepared:About 250 μ l separating liquids are added on 96 hole separating liquid plates in an appropriate number of hole.
3.2.3GenomeLab GeXP genetic analyzers electrocapillary phoresis separation sample
(see GenomeLab GeXP genetic analyzers specification)
4th, data analysis
4.1 data export
" File " → " file of Export Fragments/Genotypes As " → preservation CSV forms.
4.2 data analysis
This kit includes 38 pairs of primers, and its amplified production size is between 151 and 372bp.Wherein 35 pairs of primers are put down
13,18,21, X and Y chromosome are distributed in, every chromosome seven is to primer.Other 3 pairs of primer amplified fragments are respectively 150bp
(Chr.11, RRM1), 239bp (Chr.11/16, β-Globin) and 282bp (Chr.10, RNaseP), as control.
4.2.1 the comparison in sample
By taking XY samples as an example, 35 genes that we expand 35 pairs of primers are divided into seven groups, and each group includes 13 respectively,
18,21, X and Y chromosome on a gene.When analyzing the relative signal of some gene, we are calculated corresponding to the gene
The peak area (Peak Area) at GeXP peaks accounts for the summation of five gene peak areas of group.Seven gene peaks on each chromosome
Area accounting value can average, and calculate variation value (Stdev).The advantages of this computational methods is farthest to subtract
The influence that small pieces piecewise analysis baseline (Baseline) is brought;Its shortcoming is such as trisomy 21 when running into three body samples, and No. 21 are dyed
Gene peak area accounting increase on body, while gene peak area accounting will have and reduce to some extent on other chromosomes, this
Kind, which reduces, to be obscured with situation during corresponding chromosome monosomy.Conversely, when running into monomer sample.Such as X monomers, X dyeing
Gene peak area accounting on body reduces, while gene peak area accounting will have and increase to some extent on other chromosomes, this
Kind increase may be obscured with situation during corresponding chromosome trisomy.This just needs us further to analyze.
4.2.2 the comparison of sample room
The seven gene peak area accounting values on each chromosome relatively drawn in above sample can be with normal control pair
The accounting value answered is compared.In addition, when analyzing the relative signal of gene, except by peak area value corresponding to each gene divided by
Outside crt gene (RRM1, β-Globin and RNaseP) peak area value, also need each gene peak and normal reference sample
Each gene peak is compared.We introduce such computational methods:
X represents unknown DNA sample to be analyzed, XG1-2, XG3-4And XG5-71-2 groups, 3-4 groups and 5-7 groups are represented respectively
The peak area of gene, XRRM1, Xβ-GlobinAnd XRNasePFor the peak area of each crt gene,;Ctrl represents normal comparison DNA sample
Product (X sexes corresponding with Ctrl are consistent).
There are seven log values on each chromosome corresponding to seven genes;Log values between coloured differently body can carry out difference
Significance analysis is to analyze chromosome number purpose aneuploidy.
Herein, normal control is particularly important.This normal reference sample needs to meet certain requirement, i.e., with dividing
Sample is analysed from similar tissue samples, extracts DNA with same method, while enter performing PCR and GeXP analyses.With it is normal right
When product are compared in the same old way, the principle of same gender comparison must be followed.
5th, sample analysis
The present inventor using kit a collection of fetus chorionic cells sample is analyzed (table 5) analysis result with
MLPA results are coincide.The kit is working properly, shows as:Peak number meets design;Peak type is normal (Fig. 1);Chromosome (13,18
With No. 21 chromosomes) on each gene primer it is working properly, quantitative purpose (Fig. 2) can be reached;Sex recall rate reaches
100%;Each chromosomal aneuploidy case can clearly detect (Fig. 3).
The analysis of cases of Fig. 1 chromosomal aneuploidies.DNA sample (50-100ng) is illustrated after multiplex PCR, GeXP capillarys
The result of electrophoretic analysis is successively from top to bottom:Normal female DNA sample;X chromosome monomer;No. 13 chromosome trisomies;No. 18
Chromosome trisomy and No. 21 chromosome trisomies.Chromosomal aneuploidy can be detected by quantitative analysis.Such as pass through observation
The relative altitude of each chromosome specific peak can clearly illustrate the difference and chromosomal aneuploidy or sex pair of peak height in black surround
Should;Chromosomal aneuploidy can be more accurately shown additionally by the relative peak area for comparing and calculating each chromosome specific peak
(see " embodiment 4, data analysis ")
Chromosome number purpose quantitative analysis in Fig. 2 normal specimens.Each base on each chromosome (13,18 and No. 21 chromosome)
Because the Relative copy number of (primer pair) represents quantitative result, wherein 50% sample is located in cylindricality box;95% sample position
In in error line.(n=205, SD=0.07~0.24)
Chromosome number purpose quantitative analysis in Fig. 3 normal specimens and case sample.Cylindricality box represents each in normal specimens
The Relative copy number of each gene (primer pair) on chromosome (13,18,21, X and Y chromosome).50% sample is located at cylindricality
In box;95% sample is located in error line.The statistics of sex chromosome comes from two gender groups (n=102 and 77, SD=
0.05~0.09).Horizontal line represents in case sample each gene (primer on each chromosome (13,18,21, X and Y chromosome)
It is right) Relative copy number average value.
Table 5, chromosomal aneuploidy sample analysis result.
Chromosomal aneuploidy |
Statistics numbers |
Normally |
179 |
X monomers |
22 |
13 3 bodies |
8 |
18 3 bodies |
4 |
Trisomy 21 |
12 |
XXY |
1 |
XYY |
1 |
21 monomers |
4 |
It is total |
231 |
|
|
Obviously, the above embodiment of the present invention is only intended to clearly illustrate example of the present invention, and is not pair
The restriction of embodiments of the present invention.For those of ordinary skill in the field, may be used also on the basis of the above description
To make other various forms of changes and variation.Here all embodiments can not be exhaustive.It is every to belong to this hair
Row of the obvious changes or variations that bright technical scheme is amplified out still in protection scope of the present invention.