CN103571945A - Method, primer, probe and kit for screening and identifying BCR-ABL unusual fusion types - Google Patents

Method, primer, probe and kit for screening and identifying BCR-ABL unusual fusion types Download PDF

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CN103571945A
CN103571945A CN201310450028.0A CN201310450028A CN103571945A CN 103571945 A CN103571945 A CN 103571945A CN 201310450028 A CN201310450028 A CN 201310450028A CN 103571945 A CN103571945 A CN 103571945A
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primer
abl
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fam
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邹媛
董越
金海波
陈红梅
夏成青
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Nanchang ADICON clinical laboratories Ltd.
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Abstract

The invention discloses a method, primer, probe and kit for detecting six unusual fusion types of BCR-ABL fusion genes such as e6a2, e8a2, e19a2, e1a3, e13a3 and e14a3. The method comprises the following steps: performing primary screening on blood samples by adopting two tubes of fluorescent quantitative polymerase chain reaction (PCR), and quantitatively indentifying specific types of the blood samples belonging to the a2 or a3 group through primary screening judgment. Therefore, the screening cost is reduced, and the detection throughput is also improved. According to the detection method, primer, probe and kit, high sensitivity, high specificity and high detection throughput can be realized, and the method is a rapid and accurate type screening and identifying method.

Description

Examination and the non-common pattern of fusion method for distinguishing of evaluation BCR-ABL, primer, probe and test kit
Technical field
The invention belongs to life science and biological technical field, be particularly related to the non-common pattern of fusion method for distinguishing of a kind of Clinical screening BCR-ABL fusion gene, primer, probe and test kit, adopt Real-Time Fluorescent Quantitative PCR Technique, BCR-ABL fusion gene e6a2, e8a2, e19a2, e1a3, e13a3, these 6 kinds non-common types of e14a3 in human blood sample are carried out to preliminary examination and type evaluation.
Background technology
BCR-ABL fusion gene is long-armed upper by No. 9 long-armed transposition to 22 karyomit(e)s of karyomit(e), causes ABL proto-oncogene and the BCR gene to occur to merge and generation.T (9; 22) (q34; Q11) No. 22 karyomit(e)s after transposition are called again Philadelphia chromosome (Ph karyomit(e)).Ph karyomit(e) and BCR-ABL fusion gene are the molecular basises that chronic myelocytic leukemia (Chronic Myeloid Leukemia, CML) produces.In addition, BCR-ABL fusion gene is also shown in acute lymphoblastic leukemia (AcuteLymphoblastic Leukemia, ALL), rare in acute myeloid leukemia (Acute Myeloblastic Leukemia, AML).
When No. 9 karyomit(e)s and No. 22 karyomit(e) generation transpositions, the fracture position on No. 9 karyomit(e)s is usually located on the 1st intron of abl gene, is secondly intron 2; Fracture position on No. 22 karyomit(e)s can be positioned on a plurality of sections of BCR gene, therefore can form multiple fusion type.In various fusion types, have three kinds to be modal, be respectively: e13a2(is called not only b2a2), e14a2(but be called b3a2) and e1a2; It is exactly the BCR-ABL P210 often saying that first two merges type, and the latter is often called BCR-ABL P190.In addition, report that more non-common type has: e6a2, e8a2, e19a2, e1a3, e13a3 and e14a3.In CML patient, two kinds of pattern of fusion of BCR-ABL e13a2 and e14a2 account for altogether~and 98%; But not common fusion type at least accounts for 1-2%, even more.In adult and children ALL patient, BCR-ABL positive rate is respectively~and 25% and~3%; This wherein e13a2, e14a2 and e1a2 account for altogether~99%; But not common fusion type also at least accounts for 1-2%.
At present, it is clinical when doubtful CML, ALL and AML patient are done to the examination of BCR-ABL fusion gene, conventionally only for e13a2, e14a2 and tri-kinds of types of e1a2, make detection, other non-common types are to chance on during by chromosome karyotype analysis or Fluorescence in situ hybridization (FISH) technical inspection.There is following shortcoming in this examination mode judging by visual inspection: (1) exists undetected situation to the examination of the non-common type of BCR-ABL fusion gene.First, the prerequisite of chromosome karyotype analysis is to cultivate the karyocyte in sample, has nuclear fission phase; If cell cultures failure, without nuclear fission phase, cannot analyze.Secondly, in cell cultures breeding, certain class cell meeting hypertrophy, if normal cell hypertrophy can " flood sick cell " to fall, causes the normal illusion of karyotype.And cannot bone marrow extraction in the situation that, extract peripheral blood and do chromosome karyotype analysis, also have false negative and occur.Moreover the chromosomal transposition of some case is extremely small, there is invisible Ph karyomit(e), this is cannot find in the chromosome examination of analyzing by visual inspection.And FISH method is when detecting BCR-ABL and merging, although without culturing cell, also can detect invisible Ph karyomit(e), its inspection charge is too high, and most of patient can not select the method to detect, therefore do not have the effect of real examination.(2) cannot distinguish the concrete type of BCR-ABL, thereby just cannot carry out targetedly the monitoring of MRD (Minimal Residua Disease, MRD).Chromosome karyotype analysis is by naked eyes, chromosomal transposition to be identified; Equally, FISH is by fluorescent signal, observes the fusion of coloured differently body, and submicroscopic variation cannot be observed.(3) be detected as power and sensitivity is low.
At present, even if targetedly the non-common type of BCR-ABL fusion gene is identified, also be first by carrying out multiplex PCR (m μ ltiplex PCR) or nest-type PRC (nested PCR) method, to increase, then in conjunction with agarose gel electrophoresis or order-checking.The shortcoming that multiplex PCR carries out examination in conjunction with agarose gel electrophoresis or order-checking is as follows: (1) exists non-specific amplification, there will be many PCR product bands during electrophoresis, is prone to false positive; (2) while analyzing by electrophoresis there is subjectivity in result judgement, and particularly, when the monitoring to MRD, critical result cannot be carried out clear and definite analysis judgement, cause cost to increase, and greatly extends and can arrive by order-checking the time cycle; (3) sensitivity is lower than nest-type PRC and fluorescent PCR; (4) can only carry out qualitative detection; (5) length consuming time, if identify that by electrophoresis PCR product needs 5-6 hour; If identify by order-checking, need 10-12 hour.And nest-type PRC carries out examination in conjunction with agarose gel electrophoresis or order-checking and also has following shortcoming: (1) process is loaded down with trivial details, easily pollutes, and when electrophoresis is identified, the judgement of critical result is more subjective; (2) PCR reaction system is many, and cost is high, is not suitable for high-throughout pattern detection; (3) can only carry out qualitative detection; (4) length consuming time, if identify that by electrophoresis PCR product needs 5-6 hour; If identify by order-checking, need 10-12 hour.Therefore be no matter first by carrying out multiplex PCR (m μ ltiplex PCR) or nest-type PRC (nested PCR) method increases, the non-common type of BCR-ABL fusion gene is identified in recycling agarose gel electrophoresis or order-checking, all can not meet the highly sensitive and good advantage of specificity simultaneously.
Summary of the invention
Deficiency in view of the non-common type method of current examination BCR-ABL fusion gene, the present invention designs these 6 kinds non-common pattern of fusion method for distinguishing, primer, probe and test kits for detection of BCR-ABL fusion gene e6a2, e8a2, e19a2, e1a3, e13a3 and e14a3, thus can be in high sensitivity, with high specificity, high-throughput ground and examination rapidly and accurately and identify the non-common type of BCR-ABL fusion gene.
The object of the present invention is to provide for examination BCR-ABL fusion gene e6a2, e8a2, e19a2, e1a3, e13a3 and these 6 kinds non-other primers of common pattern of fusion of e14a3 and probe, it is characterized in that, the nucleotide sequence of described primer and probe is as follows:
E6F:5’-GAGCCAGAAGCAACAAAGATG-3’
E8F:5’-TTCCTGTCCAGCATCAATGAG-3’
E19F:5’-TGGAGGAGGTGGGCATCTA-3’
A2R:5’-AGTTCCAACGAGCGGCTT-3’
A2P:5’-FAM-CCCTTCAGCGGCCAGTAGCATCTGAC-TAMRA-3’
E1F:5’-CTCGCAGAACTCGCAACAG-3’
E13F:5’-GATGCTGACCAACTCGTGTGT-3’
E14F:5’-GTCATCGTCCACTCAGCCAC-3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’。
Further, described primer and probe also comprise that its nucleotide sequence is as follows for increasing as primer and the probe of the house-keeping gene ABL of internal reference:
ABL-F:5’-GATACGAAGGGAGGGTGTACCA-3’
ABL-R:5’-CTCGGCCAGGGTGTTGAA-3’
ABL-P:5’-FAM-TGCTTCTGATGGCAAGCTCTACGTCTCCT-TAMRA-3’。
The present invention also provides for the identification of these 6 kinds non-other primers of common pattern of fusion of BCR-ABL fusion gene e6a2, e8a2, e19a2, e1a3, e13a3 and e14a3 and probe, it is characterized in that,
Identify that the primer of e6a2 type and the nucleotide sequence of probe are as follows:
E6F:5’-GAGCCAGAAGCAACAAAGATG-3’
A2R:5’-AGTTCCAACGAGCGGCTT-3’
A2P:5’-FAM-CCCTTCAGCGGCCAGTAGCATCTGAC-TAMRA-3’
Identify that the primer of e8a2 type and the nucleotide sequence of probe are as follows:
E8F:5’-TTCCTGTCCAGCATCAATGAG-3’
A2R:5’-AGTTCCAACGAGCGGCTT-3’
A2P:5’-FAM-CCCTTCAGCGGCCAGTAGCATCTGAC-TAMRA-3’
Identify that the primer of e19a2 type and the nucleotide sequence of probe are as follows:
E19F:5’-TGGAGGAGGTGGGCATCTA-3’
A2R:5’-AGTTCCAACGAGCGGCTT-3’
A2P:5’-FAM-CCCTTCAGCGGCCAGTAGCATCTGAC-TAMRA-3’
Identify that the primer of e1a3 type and the nucleotide sequence of probe are as follows:
E1F:5’-CTCGCAGAACTCGCAACAG-3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’
Identify that the primer of e13a3 type and the nucleotide sequence of probe are as follows:
E13F:5’-GATGCTGACCAACTCGTGTGT-3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’
Identify that the primer of e14a3 type and the nucleotide sequence of probe are as follows:
E14F:5’-GTCATCGTCCACTCAGCCAC-3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’。
Further, identify that be selected from the primer of any type and the nucleotide sequence of probe in e6a2, e8a2, e19a2, e1a3, e13a3 and e14a3 type also comprises that amplification is as primer and the probe of the house-keeping gene ABL of internal reference, its nucleotide sequence is as follows:
ABL-F:5’-GATACGAAGGGAGGGTGTACCA-3’
ABL-R:5’-CTCGGCCAGGGTGTTGAA-3’
ABL-P:5’-FAM-TGCTTCTGATGGCAAGCTCTACGTCTCCT-TAMRA-3’
The present invention also provides a kind of examination and has identified BCR-ABL fusion gene e6a2, e8a2, e19a2, e1a3, e13a3 and these 6 kinds non-common pattern of fusion method for distinguishing of e14a3, it is characterized in that, said method comprising the steps of:
(1) extract the RNA in blood sample;
(2) by the RNA reverse transcription cDNA in step (1);
(3) utilize the described cDNA of fluorescent PCR amplification step (2), carry out described other preliminary examination of non-common pattern of fusion;
(4) if by the preliminary examination of step (3), determine that described blood sample is not that described non-common pattern of fusion is other, detect and finish; If by the preliminary examination of step (3), determine that described blood sample is that described non-common pattern of fusion is other, is increased and is carried out concrete type Quantitative measurement by fluorescent PCR again.
Further, utilize the preliminary examination of described step (3) to judge that described blood preparation belongs to a2 group, a3 group or be not that described non-common pattern of fusion is other.
Further, for the amplimer of described step (3) and the nucleotides sequence of probe, classify as:
E6F:5’-GAGCCAGAAGCAACAAAGATG-3’
E8F:5’-TTCCTGTCCAGCATCAATGAG-3’
E19F:5’-TGGAGGAGGTGGGCATCTA-3’
A2R:5’-AGTTCCAACGAGCGGCTT-3’
A2P:5’-FAM-CCCTTCAGCGGCCAGTAGCATCTGAC-TAMRA-3’
E1F:5’-CTCGCAGAACTCGCAACAG-3’
E13F:5’-GATGCTGACCAACTCGTGTGT-3’
E14F:5’-GTCATCGTCCACTCAGCCAC-3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’。
Further, according to the judged result in step (3), if a2 group is carried out e6a2, e8a2, e19a2 type is identified; If a3 group, carries out e1a3, e13a3, e14a3 type is identified.
Further, in described step (4), for carrying out the primer of concrete type Quantitative measurement by the amplification of described fluorescent PCR and the nucleotides sequence of probe is classified as:
Identify that the primer of e6a2 type and the nucleotide sequence of probe are as follows:
E6F:5’-GAGCCAGAAGCAACAAAGATG-3’
A2R:5’-AGTTCCAACGAGCGGCTT-3’
A2P:5’-FAM-CCCTTCAGCGGCCAGTAGCATCTGAC-TAMRA-3’
Identify that the primer of e8a2 type and the nucleotide sequence of probe are as follows:
E8F:5’-TTCCTGTCCAGCATCAATGAG-3’
A2R:5’-AGTTCCAACGAGCGGCTT-3’
A2P:5’-FAM-CCCTTCAGCGGCCAGTAGCATCTGAC-TAMRA-3’
Identify that the primer of e19a2 type and the nucleotide sequence of probe are as follows:
E19F:5’-TGGAGGAGGTGGGCATCTA-3’
A2R:5’-AGTTCCAACGAGCGGCTT-3’
A2P:5’-FAM-CCCTTCAGCGGCCAGTAGCATCTGAC-TAMRA-3’
Identify that the primer of e1a3 type and the nucleotide sequence of probe are as follows:
E1F:5’-CTCGCAGAACTCGCAACAG-3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’
Identify that the primer of e13a3 type and the nucleotide sequence of probe are as follows:
E13F:5’-GATGCTGACCAACTCGTGTGT-3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’
Identify that the primer of e14a3 type and the nucleotide sequence of probe are as follows:
E14F:5’-GTCATCGTCCACTCAGCCAC-3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’。
The present invention also provides a kind of examination and has identified BCR-ABL fusion gene e6a2, e8a2, e19a2, e1a3, e13a3 and these 6 kinds non-other test kits of common pattern of fusion of e14a3, comprise blood rna extracting solution, reverse transcription reagent, pcr amplification reaction system, described pcr amplification reaction system comprises primer and probe, it is characterized in that, the nucleotide sequence of described primer and probe is as follows:
E6F:5’-GAGCCAGAAGCAACAAAGATG-3’
E8F:5’-TTCCTGTCCAGCATCAATGAG-3’
E19F:5’-TGGAGGAGGTGGGCATCTA-3’
A2R:5’-AGTTCCAACGAGCGGCTT-3’
A2P:5’-FAM-CCCTTCAGCGGCCAGTAGCATCTGAC-TAMRA-3’
E1F:5’-CTCGCAGAACTCGCAACAG-3’
E13F:5’-GATGCTGACCAACTCGTGTGT-3’
E14F:5’-GTCATCGTCCACTCAGCCAC-3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’
ABL-F:5’-GATACGAAGGGAGGGTGTACCA-3’
ABL-R:5’-CTCGGCCAGGGTGTTGAA-3’
ABL-P:5’-FAM-TGCTTCTGATGGCAAGCTCTACGTCTCCT-TAMRA-3’。
Because these 6 kinds non-other incidences of common pattern of fusion of BCR-ABL fusion gene e6a2, e8a2, e19a2, e1a3, e13a3 and e14a3 are low, therefore the present invention is by the design optimization of primer probe, take two pipe PCR reactions first by the method for multi-primers combined with fluorescent PCR, to carry out blood sample primary dcreening operation, to belonging to the blood preparation of a2 group or a3 group, carry out again the method for concrete type Quantitative measurement, reduce like this cost of examination, improved again the flux detecting.
Being grouped as follows of the design of primer probe of the present invention and examination system: according to BCR-ABL in fusion process, the relatively-stationary feature of fracture position on abl gene, examination system is divided into two groups: a2 group (fracture position is positioned at abl gene the 1st intron), by e6a2, e8a2, e19a2 type forms; A3 group (fracture position is positioned at abl gene intron 2), by e1a3, e13a3, e14a3 type forms.Meanwhile, on the exon 2 of abl gene, design downstream primer and the fluorescent probe of a2 group; On the 3rd exon, design downstream primer and the fluorescent probe of a3 group.Subsequently, according to downstream primer design with it suitable carry out PCR reaction upstream primer.The upstream primer of a2 group lays respectively at the 6th exon, the 8th exon and the 19th exon of BCR gene; Just in time can detect e6a2, e8a2, tri-kinds of types of e19a2 with downstream primer combination like this.In like manner, the upstream primer of a3 group lays respectively at the 1st exon, the 13rd exon and the 14th exon of BCR gene, with downstream primer combine detection e1a3, e13a3 and tri-kinds of types of e14a3.Three upstream primers of this design share the matching method of a downstream primer and probe, reduced in a tube reaction system owing to there are many primer probes and mutually suppressed situation about disturbing, not only saved cost but also increased sensitivity and the specificity of detection system.No matter be in a2 group or in a3 group simultaneously, because downstream primer in every group shares, so should follow first design total downstream primer on the same group, design again the principle of interior different other upstream primers of pattern of fusion on the same group, if not so other upstream primer of pattern of fusion in design on the same group in advance designs its downstream primer again, then other upstream primer of another pattern of fusion in design on the same group designs its downstream primer again, the very possible inconsistent phenomenon of downstream primer that produces twice design, and cause downstream primer to redesign, thereby bring great time waste.
According to statistics, these 6 kinds non-common pattern of fusion not in, the incidence of any type is probably at 1-2%, thereby easily out in the cold and undetected in clinical detection.If adopt, utilize multiple fluorescence PCR to carry out examination in single tube, the fluorophor adopting for the probe of each type must be different, and this not only can increase testing cost, and sensitivity, specificity can not meet clinical requirement, and result reliability is also poor.If each type is identified separately, need to carry out six pipe detections, simultaneously also in view of these 6 kinds non-common pattern of fusion not in, the incidence of any type is only 1-2% left and right, this just means in 1000 parts of blood samples, at least by 980 duplicate samples, does not belong to any in not of these 6 kinds non-common pattern of fusion, if this at least 980 duplicate samples is all carried out to six pipe detections, so not only to consume the more blood sample sample of patient, also greatly increase reagent and human cost simultaneously.The present invention utilizes the array mode of corresponding many upstream primers of a downstream primer probe, first carry out carrying out quantitative typing after qualitatively screening, the reaction system of primary dcreening operation inspection is tapered to two pipes, so just can above-mentioned at least 980 duplicate samples be excluded in the primary dcreening operation stage, just need not carry out again follow-up detection by quantitative and somatotype, therefore this has not only saved cost, has increased again the flux of a batch of detection, for high-throughout blood sample screening facilitates.Moreover, for the probe of each type, can share identical fluorophor, also help and reduce reagent cost of development, for ease of the exploitation of product.In addition, this array mode is combined with fluorescent quantitative PCR technique, avoid the reaction of uncapping of nest-type PRC, improved the accuracy of result, avoid the generation of polluting; Also improved the easy judgement of result, made the more objective readability of detected result.Finally, when identifying, introduces concrete type ABL typical curve, both carried out somatotype, carried out again quantitatively, be conducive to clinically generation development and prognosis in conjunction with result comprehensive assessment diseases such as bone marrow examination, chromosome karyotype analysis, immunophenotypings, carry out targetedly MRD monitoring, predicting recurrence risk simultaneously.
Accompanying drawing explanation
Fig. 1 is primer of the present invention and probe design site plan
Fig. 2 is used primer of the present invention, probe and detection method a blood sample to be checked to be carried out to the amplified fluorescence graphic representation of examination and type evaluation
Fig. 3 is used primer of the present invention, probe and detection method second blood sample to be checked to be carried out to the amplified fluorescence graphic representation of examination and type evaluation
Fig. 4 is used primer of the present invention, probe and detection method the 3rd blood sample to be checked to be carried out to the amplified fluorescence graphic representation of examination and type evaluation
Fig. 5 is used primer of the present invention, probe and detection method the 4th blood sample to be checked to be carried out to the amplified fluorescence graphic representation of examination and type evaluation
Fig. 6 is used primer of the present invention, probe and detection method the 5th blood sample to be checked to be carried out to the amplified fluorescence graphic representation of examination and type evaluation
Fig. 7 is used primer of the present invention, probe and detection method the 6th sample to be checked to be carried out to the amplified fluorescence graphic representation of examination and type evaluation
Fig. 8 is the amplified fluorescence graphic representation that uses primer of the present invention, probe and detection method to carry out examination to the 7th blood sample to be checked
Embodiment
Embodiment 1:
The extraction of blood rna: add 1ml1 * erythrocyte cracked liquid in 1.5ml centrifuge tube, get blood sample 0.5ml to be checked, put upside down and mix.Centrifugal 4000rpm, 3min, inhales and abandons supernatant, adds erythrocyte cracked liquid washing once, obtains required cell; Add l ml TotalRNA Isolation Reagent (Shanghai Pu Fei Bioisystech Co., Ltd), pressure-vaccum is until the obvious cell mass of nothing adds chloroform 200 μ l repeatedly, and whirlpool mixes 30s, on ice standing 10min.Then, 4 ℃ centrifugal 14,000rpm, 10min.With pipettor, draw supernatant liquor 450 μ l and be transferred in another centrifuge tube, add isopyknic pre-cold isopropanol, put upside down mix after at standing 10min on ice.4 ℃ centrifugal 14,000rpm, 10min.Then with 75% ethanol and dehydrated alcohol, wash respectively once centrifugal.Drying at room temperature 5min, adds 50 μ l DEPC-H2O to dissolve, and obtains RNA extracting solution.
10 * erythrocyte splitting liquid formula is: NH 4cl82g, NaHCO 38.4g, EDTA-Na 23.72g, adds ddH 2o is settled to 1000ml.
Embodiment 2:
Reverse transcription: get the about 200ng/ μ of the RNA extracting solution 4 μ l(concentration l in embodiment 1) add 1 μ l Primer mix(ReverTra AceqPCR RT Kit, purchased from Japan, spin (Shanghai) bio tech ltd) and 3 μ l DEPC-H2O mix, 70 ℃ of denaturation 5min; After quenching 1min, add 4 μ l5*RT buffer(ReverTra Ace qPCR RT Kit on ice), 1 μ l Enzyme Mix(ReverTra Ace qPCR RT Kit), and add 7 μ l DEPC-H 20 to cumulative volume be 20 μ l.37 ℃ of 60min react rear 98 ℃ of 5min deactivations, and gained is the cDNA of blood sample to be checked.
Embodiment 3:
Fluorescent PCR primary dcreening operation: according to each material as shown in table 1 and consumption configuration preliminary screening agent.Preliminary screening agent is altogether containing 3 reaction tubess: each pipe of a2 group, a3 group and ABL; Wherein ABL is internal reference detector tube, for judging that RNA extracts quality and whether meets the requirements.Add each 2 μ l of gained cDNA in embodiment 2.By following program, detect: 95 ℃ of denaturation 30s; 95 ℃ of 10s, 58 ℃ of 35s, totally 40 circulations; In the time of 58 ℃, gather fluorescence.HUNDERBIRD Probe qPCR Mix spins (Shanghai) bio tech ltd purchased from Japan.
Table 1
Embodiment 4:
First blood sample to be checked is carried out to RNA extraction by the method described in embodiment 1-3, obtain cDNA and fluorescent PCR primary dcreening operation, primary dcreening operation shows that first blood sample to be checked belongs to a2 group.Acquired results is as shown in Fig. 2-A.Then each type of a2 group is identified respectively and quantitatively.Reagent configuration is as shown in table 2, and adds each 2 μ l of obtained cDNA.Trace routine is with embodiment 3.Through identifying that first blood sample to be checked is BCR-ABL fusion gene e8a2 type, acquired results, as shown in Fig. 2-B, show that according to detecting computed in software its relative quantification result (BCR-ABL e8a2/ABL) is 161.81%.Finally this sample is carried out to sequence verification, be defined as BCR-ABL fusion gene e8a2 type.
Table 2
Embodiment 5:
Second blood sample to be checked carried out to RNA extraction by described in embodiment 1-3, obtain cDNA and fluorescent PCR primary dcreening operation, acquired results is as shown in Fig. 3-A: primary dcreening operation shows that second blood sample to be checked belongs to a3 group.Again each type of a3 group is identified respectively and quantitatively.Reagent configuration is as shown in table 3, and adds each 2 μ l of obtained cDNA.Trace routine is with embodiment 3.Acquired results is as shown in Fig. 3-B: through identifying that first blood sample to be checked is BCR-ABL fusion gene e1a3 type, according to detecting computed in software, show that its relative quantification result (BCR-ABL e1a3/ABL) is 50.97%.By this sample detection validation that checks order, be defined as BCR-ABL fusion gene e1a3 type.
Table 3
Figure BDA0000389234570000111
Embodiment 6:
The 3rd blood sample to be checked carried out to RNA extraction by described in embodiment 1-3, obtain cDNA and fluorescent PCR primary dcreening operation, acquired results is as shown in Fig. 4-A: primary dcreening operation shows that the 3rd blood sample to be checked belongs to a3 group.Again each type of a3 group is identified respectively and quantitatively.Reagent configuration and trace routine are with embodiment 5.Acquired results is as shown in Fig. 4-B: through identifying that the 3rd blood sample to be checked is BCR-ABL fusion gene e13a3 type, according to detecting computed in software, show that its relative quantification result (BCR-ABL e13a3/ABL) is 384.62%.By this sample detection validation that checks order, be defined as BCR-ABL fusion gene e13a3 type.
Embodiment 7:
The 4th blood sample to be checked carried out to RNA extraction by described in embodiment 1-3, obtain cDNA and fluorescent PCR primary dcreening operation, acquired results is as shown in Fig. 5-A: primary dcreening operation shows that the 4th blood sample to be checked belongs to a2 group.Again each type of a2 group is identified respectively and quantitatively.Reagent configuration and trace routine are with embodiment 4.Acquired results is as shown in Fig. 5-B: through identifying that the 4th blood sample to be checked is BCR-ABL fusion gene e19a2 type, according to detecting computed in software, show that its relative quantification result (BCR-ABL e19a2/ABL) is 70.88%.By this sample detection validation that checks order, be defined as BCR-ABL fusion gene e19a2 type.
Embodiment 8:
The 5th blood sample to be checked carried out to RNA extraction by described in embodiment 1-3, obtain cDNA and fluorescent PCR primary dcreening operation, acquired results is as shown in Fig. 6-A: primary dcreening operation shows that the 5th blood sample to be checked belongs to a2 group.Again each type of a2 group is identified respectively and quantitatively.Reagent configuration and trace routine are with embodiment 4.Acquired results is as shown in Fig. 6-B: through identifying that the 5th blood sample to be checked is BCR-ABL fusion gene e6a2 type, according to detecting computed in software, show that its relative quantification result (BCR-ABL e6a2/ABL) is 70.95%.By this sample detection validation that checks order, be defined as BCR-ABL fusion gene e6a2 type.
Embodiment 9:
The 6th blood sample to be checked carried out to RNA extraction by described in embodiment 1-3, obtain cDNA and fluorescent PCR primary dcreening operation, acquired results is as shown in Fig. 7-A: primary dcreening operation shows that the 6th blood sample to be checked belongs to a3 group.Again each type of a3 group is identified respectively and quantitatively.Reagent configuration and trace routine are with embodiment 5.Acquired results is as shown in Fig. 7-B: through identifying that the 6th blood sample to be checked is BCR-ABL fusion gene e14a3 type, according to detecting computed in software, show that its relative quantification result (BCR-ABL e14a3/ABL) is 96.29%.By this sample detection validation that checks order, be defined as BCR-ABL fusion gene e14a3 type.
Embodiment 10:
The 7th blood sample to be checked carried out to RNA extraction by described in embodiment 1-3, obtain cDNA and fluorescent PCR primary dcreening operation, acquired results is as shown in Figure 8: the 7th blood sample to be checked do not belong to a2 group, do not belong to a3 group yet, product everyone to get rid of the 7th blood sample to be checked be e6a2, e8a2, e19a2, e1a3, e13a3, the possibility of e14a3 type.Dyed body karyotyping results verification is that caryogram is normal.
Embodiment 11:
According to the BCR-ABL fusion gene type result of embodiment 4 to embodiment 10 gained, summarize.Result is as shown in table 4.
Table 4
Figure BDA0000389234570000131
As shown in Table 4, the present invention designs for detection of the other e6a2 of the non-common pattern of fusion of BCR-ABL fusion gene, e8a2, e19a2, e1a3, e13a3 and e14a3 method, primer, probe and test kit can detect this six kinds of types.The result detecting is all consistent with the result that order-checking detects or chromosome karyotype analysis obtains.
SEQUENCE LISTING
<110> Shenyang company limited of Ai Dikang medical test institute
<120> examination and the non-common pattern of fusion method for distinguishing of evaluation BCR-ABL, primer, probe and test kit
<130>
<160> 13
<170> PatentIn version 3.3
<210> 1
<211> 21
<212> DNA
<213> artificial sequence
<400> 1
gagccagaag caacaaagat g 21
<210> 2
<211> 21
<212> DNA
<213> artificial sequence
<400> 2
ttcctgtcca gcatcaatga g 21
<210> 3
<211> 19
<212> DNA
<213> artificial sequence
<400> 3
tggaggaggt gggcatcta 19
<210> 4
<211> 18
<212> DNA
<213> artificial sequence
<400> 4
agttccaacg agcggctt 18
<210> 5
<211> 26
<212> DNA
<213> artificial sequence
<400> 5
cccttcagcg gccagtagca tctgac 26
<210> 6
<211> 19
<212> DNA
<213> artificial sequence
<400> 6
ctcgcagaac tcgcaacag 19
<210> 7
<211> 21
<212> DNA
<213> artificial sequence
<400> 7
gatgctgacc aactcgtgtg t 21
<210> 8
<211> 20
<212> DNA
<213> artificial sequence
<400> 8
gtcatcgtcc actcagccac 20
<210> 9
<211> 20
<212> DNA
<213> artificial sequence
<400> 9
ttttggtttg ggcttcacac 20
<210> 10
<211> 24
<212> DNA
<213> artificial sequence
<400> 10
ctccgggtct taggctataa tcac 24
<210> 11
<211> 22
<212> DNA
<213> artificial sequence
<400> 11
gatacgaagg gagggtgtac ca 22
<210> 12
<211> 18
<212> DNA
<213> artificial sequence
<400> 12
ctcggccagg gtgttgaa 18
<210> 13
<211> 29
<212> DNA
<213> artificial sequence
<400> 13
tgcttctgat ggcaagctct acgtctcct 29

Claims (10)

1. for examination BCR-ABL fusion gene e6a2, e8a2, e19a2, e1a3, e13a3 and these 6 kinds non-other primers of common pattern of fusion of e14a3 and probe, it is characterized in that, the nucleotide sequence of described primer and probe is as follows:
E6F:5’-GAGCCAGAAGCAACAAAGATG-3’
E8F:5’-TTCCTGTCCAGCATCAATGAG-3’
E19F:5’- TGGAGGAGGTGGGCATCTA -3’
A2R:5’- AGTTCCAACGAGCGGCTT -3’
A2P:5’-FAM- CCCTTCAGCGGCCAGTAGCATCTGAC -TAMRA-3’
E1F:5’- CTCGCAGAACTCGCAACAG -3’
E13F:5’- GATGCTGACCAACTCGTGTGT -3’
E14F:5’- GTCATCGTCCACTCAGCCAC -3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’。
2. primer as claimed in claim 1 and probe, is characterized in that, described primer and probe also comprise that its nucleotide sequence is as follows for increasing as primer and the probe of the house-keeping gene ABL of internal reference:
ABL-F:5’-GATACGAAGGGAGGGTGTACCA-3’
ABL-R:5’-CTCGGCCAGGGTGTTGAA-3’
ABL-P:5’-FAM-TGCTTCTGATGGCAAGCTCTACGTCTCCT - TAMRA-3’。
3. for the identification of these 6 kinds non-other primers of common pattern of fusion of BCR-ABL fusion gene e6a2, e8a2, e19a2, e1a3, e13a3 and e14a3 and probe, it is characterized in that,
Identify that the primer of e6a2 type and the nucleotide sequence of probe are as follows:
E6F:5’-GAGCCAGAAGCAACAAAGATG-3’
A2R:5’- AGTTCCAACGAGCGGCTT -3’
A2P:5’-FAM- CCCTTCAGCGGCCAGTAGCATCTGAC -TAMRA-3’
Identify that the primer of e8a2 type and the nucleotide sequence of probe are as follows:
E8F:5’-TTCCTGTCCAGCATCAATGAG-3’
A2R:5’- AGTTCCAACGAGCGGCTT -3’
A2P:5’-FAM- CCCTTCAGCGGCCAGTAGCATCTGAC -TAMRA-3’
Identify that the primer of e19a2 type and the nucleotide sequence of probe are as follows:
E19F:5’- TGGAGGAGGTGGGCATCTA -3’
A2R:5’- AGTTCCAACGAGCGGCTT -3’
A2P:5’-FAM- CCCTTCAGCGGCCAGTAGCATCTGAC -TAMRA-3’
Identify that the primer of e1a3 type and the nucleotide sequence of probe are as follows:
E1F:5’- CTCGCAGAACTCGCAACAG -3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’
Identify that the primer of e13a3 type and the nucleotide sequence of probe are as follows:
E13F:5’- GATGCTGACCAACTCGTGTGT -3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’
Identify that the primer of e14a3 type and the nucleotide sequence of probe are as follows:
E14F:5’- GTCATCGTCCACTCAGCCAC -3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’。
4. primer as claimed in claim 3 and probe, it is characterized in that, evaluation is selected from the primer of any type and the nucleotide sequence of probe in e6a2, e8a2, e19a2, e1a3, e13a3 and e14a3 type and also comprises that amplification is as primer and the probe of the house-keeping gene ABL of internal reference, and its nucleotide sequence is as follows:
ABL-F:5’-GATACGAAGGGAGGGTGTACCA-3’
ABL-R:5’-CTCGGCCAGGGTGTTGAA-3’
ABL-P:5’-FAM-TGCTTCTGATGGCAAGCTCTACGTCTCCT - TAMRA-3’。
5. examination and evaluation BCR-ABL fusion gene e6a2, e8a2, e19a2, e1a3, e13a3 and these 6 kinds non-common pattern of fusion method for distinguishing of e14a3, is characterized in that, said method comprising the steps of:
(1) extract the RNA in blood sample;
(2) by the RNA reverse transcription cDNA in step (1);
(3) utilize the described cDNA of fluorescent PCR amplification step (2), carry out described other preliminary examination of non-common pattern of fusion;
(4) if by the preliminary examination of step (3), determine that described blood sample is not that described non-common pattern of fusion is other, detect and finish; If by the preliminary examination of step (3), determine that described blood sample is that described non-common pattern of fusion is other, is increased and is carried out concrete type Quantitative measurement by fluorescent PCR again.
6. method as claimed in claim 5, is characterized in that, utilizes the preliminary examination of described step (3) to judge that described blood preparation is to belong to a2 group, a3 group or is not that described non-common pattern of fusion is other.
7. method as claimed in claim 5, is characterized in that, for the amplimer of described step (3) and the nucleotides sequence of probe, classifies as:
E6F:5’-GAGCCAGAAGCAACAAAGATG-3’
E8F:5’-TTCCTGTCCAGCATCAATGAG-3’
E19F:5’- TGGAGGAGGTGGGCATCTA -3’
A2R:5’- AGTTCCAACGAGCGGCTT -3’
A2P:5’-FAM- CCCTTCAGCGGCCAGTAGCATCTGAC -TAMRA-3’
E1F:5’- CTCGCAGAACTCGCAACAG -3’
E13F:5’- GATGCTGACCAACTCGTGTGT -3’
E14F:5’- GTCATCGTCCACTCAGCCAC -3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’。
8. method as claimed in claim 6, is characterized in that, according to the judged result in step (3), if a2 group is carried out e6a2, and e8a2, e19a2 type is identified; If a3 group, carries out e1a3, e13a3, e14a3 type is identified.
9. method as claimed in claim 5, is characterized in that, in described step (4), for carrying out the primer of concrete type Quantitative measurement by the amplification of described fluorescent PCR and the nucleotides sequence of probe is classified as:
Identify that the primer of e6a2 type and the nucleotide sequence of probe are as follows:
E6F:5’-GAGCCAGAAGCAACAAAGATG-3’
A2R:5’- AGTTCCAACGAGCGGCTT -3’
A2P:5’-FAM- CCCTTCAGCGGCCAGTAGCATCTGAC -TAMRA-3’
Identify that the primer of e8a2 type and the nucleotide sequence of probe are as follows:
E8F:5’-TTCCTGTCCAGCATCAATGAG-3’
A2R:5’- AGTTCCAACGAGCGGCTT -3’
A2P:5’-FAM- CCCTTCAGCGGCCAGTAGCATCTGAC -TAMRA-3’
Identify that the primer of e19a2 type and the nucleotide sequence of probe are as follows:
E19F:5’- TGGAGGAGGTGGGCATCTA -3’
A2R:5’- AGTTCCAACGAGCGGCTT -3’
A2P:5’-FAM- CCCTTCAGCGGCCAGTAGCATCTGAC -TAMRA-3’
Identify that the primer of e1a3 type and the nucleotide sequence of probe are as follows:
E1F:5’- CTCGCAGAACTCGCAACAG -3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’
Identify that the primer of e13a3 type and the nucleotide sequence of probe are as follows:
E13F:5’- GATGCTGACCAACTCGTGTGT -3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’
Identify that the primer of e14a3 type and the nucleotide sequence of probe are as follows:
E14F:5’- GTCATCGTCCACTCAGCCAC -3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’。
10. an examination and identify BCR-ABL fusion gene e6a2, e8a2, e19a2, e1a3, e13a3 and these 6 kinds non-other test kits of common pattern of fusion of e14a3, comprise blood rna extracting solution, reverse transcription reagent, pcr amplification reaction system, described pcr amplification reaction system comprises primer and probe, it is characterized in that, the nucleotide sequence of described primer and probe is as follows:
E6F:5’-GAGCCAGAAGCAACAAAGATG-3’
E8F:5’-TTCCTGTCCAGCATCAATGAG-3’
E19F:5’- TGGAGGAGGTGGGCATCTA -3’
A2R:5’- AGTTCCAACGAGCGGCTT -3’
A2P:5’-FAM- CCCTTCAGCGGCCAGTAGCATCTGAC -TAMRA-3’
E1F:5’- CTCGCAGAACTCGCAACAG -3’
E13F:5’- GATGCTGACCAACTCGTGTGT -3’
E14F:5’- GTCATCGTCCACTCAGCCAC -3’
A3R:5’-TTTTGGTTTGGGCTTCACAC-3’
A3P:5’-FAM-CTCCGGGTCTTAGGCTATAATCAC-TAMRA-3’
ABL-F:5’-GATACGAAGGGAGGGTGTACCA-3’
ABL-R:5’-CTCGGCCAGGGTGTTGAA-3’
ABL-P:5’-FAM-TGCTTCTGATGGCAAGCTCTACGTCTCCT - TAMRA-3’。
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CN106399462A (en) * 2015-07-27 2017-02-15 上海睿玻生物科技有限公司 BCR-ABL fusion gene amplification kit and BCR-ABL fusion gene detection kit
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Address after: 330029, 1111, Qingshan Avenue, hi tech Development Zone, Nanchang, Jiangxi, 1, Nanchang

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