CN106048076A - Kit for clopidogrel personalized medicine related gene SNP detection, and detection method thereof - Google Patents

Kit for clopidogrel personalized medicine related gene SNP detection, and detection method thereof Download PDF

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CN106048076A
CN106048076A CN201610700306.7A CN201610700306A CN106048076A CN 106048076 A CN106048076 A CN 106048076A CN 201610700306 A CN201610700306 A CN 201610700306A CN 106048076 A CN106048076 A CN 106048076A
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李同恩
刘志霈
王建刚
孙颖
朱兵
王秉孝
陶然
王晶晶
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Source Concord Gene Technology Co Ltd
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Abstract

The invention discloses a kit for clopidogrel personalized medicine related gene SNP detection and a detection method thereof. The kit comprises two forward primers and a reverse primer for detecting gene CYP2C19* 2 locus, and two forward primers and a reverse primer for detecting gene CYP2C19*3 locus. With the kit of the present invention, the two loci can be subjected to the high-throughput detection, and the genotyping result can be intuitively discerned through the software so as to quantitatively control the clopidogrel measurement and minimize the side effect.

Description

Test kit and inspection thereof for clopidogrel personalized medicine related gene SNP detection Survey method
Technical field
The present invention relates to test kit and the detection method thereof of multiple gene detection, use in particular for clopidogrel individuation The test kit of medicine related gene SNP detection and detection method thereof.
Background technology
Clopidogrel is a kind of novel thienopyridine analog derivative, and it is by selective and platelet surface adenosine The adp receptor of cyclase of acid coupling combines and irreversibly suppresses platelet aggregation, is now widely used for Acute Coronary Syndrome Levy, complication that ischemic cerebral thrombosis, thromboangiitis obliterans and arteriosclerosis and thromboembolism cause.Cardiac stent is postoperative Patient needs long-term taking clopidogrel to obstruct with regeneration in preventing support.Clinical research shows that clopidogrel curative effect exists significantly Individual variation, the patient of 4%~30% takes the clopidogrel of routine dose and can not effectively suppress platelet aggregation to react.
Clopidogrel mainly plays antiplatelet effect after CYP2C19 metabolism activation, and therefore CYP2C19 hereditary variation can Cause the individual variation of enzymatic activity, make crowd's occur ultra-rapid metabolism person (ultrarapid metabolizer, UM), fast metabolizer (extensive metabolizer, EM), intermediate supersession person (intermediate metabolizer, IM) and poor metabolizer (poor metabolizer, PM) 4 kinds of phenotypes.CYP2C19*2 (rs4244285, c.681G > A) and CYP2C19*3 (rs4986893, c.636G > A) is 2 kinds of major allele causing CYP2C19 enzyme defect present in Chinese population. CYP2C19*2 causes shearing disappearance, and CYP2C19*3 is termination codon sudden change.EM individuality only carries CYP2C19*1 equipotential base Cause;IM individuality carries CYP2C19*2 or CYP2C19*3 heterozygote genotype;PM individuality includes CYP2C19*2/*2, CYP2C19* 2/*3 and CYP2C19*3/*3 genotype.In the crowd of east, the PM of 75-85% is by caused by CYP2C19*2, the PM of about 20-25% by Caused by CYP2C19*3.U.S. FDA and ACC's suggestion, metabolic gene type patient slow for CYP2C19 needs to consider Changing therapeutic scheme, particular view is: CYP2C19*1/*1 genotype individuals application clopidogrel is effective, can conventional use; Clopidogrel curative effect is reduced by CYP2C19*2 or * 3 genotype individuals, it is proposed that be replaced with prasugrel or Ticagrelor; CYP2C19*2 or CYP2C19*3 saltant type homozygotic individual application clopidogrel weak effect, it is proposed that use prasugrel instead or for card Gray.
The method of the most conventional detection gene pleiomorphism has DNA direct sequencing, restriction fragment length polymorphism to divide Analysis method (PCR-PFLP), high-resolution solubility curve (HRM), gene chip, Luminex, fluorescence quantitative PCR method etc..Order-checking The goldstandard of the detection gene mutation that technology is well recognized as, but its equipment cost is high, detection cycle length, detection flux are low, detection spirit Sensitivity technical operation low, to experimenter requires the reasons such as high, result determination step is loaded down with trivial details, it is more difficult to form business-like diagnosis Product;Restriction fragment length polymorphism analysis method detection sensitivity is the highest, complex operation step, and the result of detection still needs to The checking again of generation sequencing to be carried out, especially easily causes the cross-contamination of PCR primer and easily goes out when sample size is many Existing enzyme action is insufficient or enzyme action excessively false negative or false positive results occurs, the most also cannot be applied to clinically.Chip is examined Surveying because accuracy and the repeatability of its testing result are poor, experimental period, the shortcoming such as length, was also unsuitable for developing clinical detection reagent Box.The detection method of quantitative fluorescent PCR has low cost, highly sensitive, high specificity, the advantage such as reproducible of result, is Extraordinary a kind of detection means of detection SNP, but the Taqman sonde method probe Order Cost of routine is the highest, multiple sites Simultaneously it is difficult to ensure that all primed probe all reach extraordinary expanding effect under same amplification condition during detection.Therefore, anxious Need to find a kind of simple and easy to do methods of genotyping.
Summary of the invention
The technical problem to be solved is to provide a kind of quick, easy, economic, practical for clopidogrel The test kit of personalized medicine related gene SNP detection and detection method thereof.
In order to solve above-mentioned technical problem, the technical solution used in the present invention is: a kind of for clopidogrel individuation use The test kit of medicine related gene SNP detection, including 2X qPCR mixed reaction solution and detection the drawing of gene C YP2C19*2SNP site Thing mix and the primer mix in detection gene C YP2C19*3SNP site;The primer in described detection gene C YP2C19*2SNP site Mix contains two specific forward primer and a reverse primer, described detection gene C YP2C19* detecting this SNP site The primer mix in 3SNP site contains and detects two specific forward primer of this SNP site and a reverse primer;Described detection Gene C YP2C19*2SNP site two specific forward primer and a reverse primer sequences such as SEQ ID NO.3, SEQ Shown in ID NO.4, SEQ ID NO.5, described detection gene C YP2C19*3SNP site two specific forward primer and Article one, reverse primer sequences is as shown in SEQ ID NO.6, SEQ ID NO.7, SEQ IDNO.8.
Buffer, MgCl Han PCR in described 2X qPCR mixed reaction solution2, dNTPs, Taq archaeal dna polymerase, two Respectively with the universal fluorescent probe of FAM and HEX labelling, the universal fluorescent probe sequence such as SEQ ID NO.1 institute of described FAM labelling Showing, the universal fluorescent probe sequence of described HEX labelling is as shown in SEQ ID NO.2.
Specifically, comprise the following steps: extract the genomic DNA of sample to be detected, be then divided into 2 reaction tubes a, b and enter Row detection, is first separately added into 2X qPCR mixed reaction solution in each reaction tube, then adds detection at the first reaction tube a The primer mix in gene C YP2C19*2SNP site;The primer in detection gene C YP2C19*3SNP site is added at the second reaction tube b Mix, finally adds the genomic DNA of sample to be detected in 2 reaction tubes a, b, and the quantitative fluorescent PCR carrying out sample of nucleic acid expands Increase, carry out the scanning of fluorescence signal at 37 DEG C, use in LightCycler 480Softwarerelease software Endpiont Genotyping module, intensity and ratio according to two kinds of fluorescence signals carry out automatic interpretation to genotype.
Described PCR amplification program is as follows:
The condition of denaturation is: temperature is 94 DEG C, and the time is 15 seconds;
PCR amplification is made up of first stage and second stage;
First stage is made up of 10 amplification cycles, and its condition is:
Degeneration: temperature is 94 DEG C, the time is 20 seconds;
Annealing+extend: initial temperature is 61 DEG C, each takes turns amplification cycles lapse of temperature 0.5 DEG C, until amplification cycles knot Bundle, the time is 60 seconds;
Second stage is taken turns circulation by 29 and is constituted, and its condition is:
Degeneration: temperature is 94 DEG C, the time is 20 seconds;
Annealing+extend: temperature is 55 DEG C, and the time is 60 seconds;
Signal scanning condition is: temperature is 37 DEG C, and the time is 60 seconds.
The invention has the beneficial effects as follows: the test kit of the present invention can be quick, easy, economic, practical to gene type, and And by with generation sequencing technologies testing result comparison, result goodness of fit is up to more than 99%, is expected to divide at clinical rapid gene Type is used widely.Solve that other detection techniques existing are expensive, inefficiency and the highest problem of flux.
Accompanying drawing explanation
Fig. 1 be two specific forward primer using the detection gene C YP2C19*2 site in test kit of the present invention with Article one, the reverse primer testing result figure to four samples.
Fig. 2 is the generation order-checking (Sanger of six samples to be tested of 1-1,1-2,1-3,1-4,1-5,1-6 shown in Fig. 1 Order-checking) figure.
Fig. 3 be two specific forward primer using the detection gene C YP2C19*3 site in test kit of the present invention with Article one, the reverse primer testing result figure to four samples.
Fig. 4 is generation order-checking (Sanger order-checking) figure of tetra-samples to be tested of 2-1,2-2,2-3,2-4 shown in Fig. 3.
Detailed description of the invention
With detailed description of the invention, the present invention is described in further detail below in conjunction with the accompanying drawings:
The present invention is used for test kit and the detection method thereof of clopidogrel personalized medicine related gene SNP detection, described Test kit include detect gene C YP2C19*2SNP site two specific forward primer and a reverse primer, and detection Two specific forward primer in gene C YP2C19*3SNP site and a reverse primer.
Described detection gene C YP2C19*2SNP site two specific forward primer and a reverse primer sequences As follows:
A allele forward primer: GAAGGTGACCAAGTTCATGCTAATTTTCCCACTATCATTGATTATTTCCCA SEQ ID NO.3
G allele forward primer: GAAGGTCGGAGTCAACGGATTTCCCACTATCATTGATTATTTCCCG SEQ ID NO.4
Reverse primer: GCAAGGTTTTTAAGTAATTTGTTATGGGTT SEQ ID NO.5
Described detection gene C YP2C19*3 site two specific forward primer and a reverse primer sequences as follows Shown in:
A allele forward primer: GAAGGTGACCAAGTTCATGCTCAGGATTGTAAGCACCCCCTGA SEQ ID NO.6
C allele forward primer: GAAGGTCGGAGTCAACGGATTAGGATTGTAAGCACCCCCTGG SEQ ID NO.7
Reverse primer: GCAAAAAACTTGGCCTTACCTGGAT SEQ ID NO.8
Wherein, described forward primer is combined into by two parts sequence: 5 ' ends of saltant type forward primer are general sequence Row GAAGGTGACCAAGTTCATGCT (SEQ ID NO.1), 3 ' ends are the distinguished sequence identifying corresponding site;Wild type forward 5 ' ends of primer are universal sequence GAAGGTCGGAGTCAACGGATT (SEQ ID NO.2), and 3 ' ends are the spy identifying corresponding site Different sequence.
The detection method of test kit of the present invention, amplification program is as follows:
The condition of denaturation is: temperature is 94 DEG C, and the time is 15 seconds;
PCR amplification is made up of first stage and second stage;
First stage is made up of 10 amplification cycles, and its condition is:
Degeneration: temperature is 94 DEG C, the time is 20 seconds;
Annealing+extend: initial temperature is 61 DEG C, each takes turns amplification cycles lapse of temperature 0.5 DEG C, until amplification cycles knot Bundle, the time is 60 seconds;
Second stage is taken turns circulation by 29 and is constituted, and its condition is:
Degeneration: temperature is 94 DEG C, the time is 20 seconds;
Annealing+extend: temperature is 55 DEG C, and the time is 60 seconds;
Signal scanning condition is: temperature is 37 DEG C, and the time is 60 seconds.
The primer (primer) of the present invention is the important component part in PCR (polymerase chain reaction) technology, and it is one Segment single stranded DNA, as the starting point of DNA replication dna, when nucleic acid synthetic reaction, carries out extending as each polynucleotide chain Starting point and the polynucleotide chain that works, on 3 '-OH of primer, nucleotide synthesizes with diester linkage form, therefore draws 3 '-OH of thing must be free.5 ' universal sequences of saltant type forward primer and 2X PCR mixed reaction solution use FAM fluorescence The universal sequence of dye marker is consistent;5 ' universal sequences of wild type forward primer are glimmering with HEX with 2X PCR mixed reaction solution The universal sequence of photoinitiator dye labelling is consistent;Carry the universal sequence of fluorochrome label for completing for fluorescent quantitative PCR Rear offer fluorescence signal.
The operation principle of the present invention is: separately designed two specific forward primer and one reversely for each site Primer.Article two, specific forward primer 3 ' holds the base pair complementarity that last nucleotide is detected respectively with mutational site, Combine reverse primer when PCR (polymerase chain reaction) expands and DNA profiling to be measured is carried out specific amplification.First 10 of PCR The amplification of circulation have employed Touchdown PCR, i.e. touchdown PCR, is a kind of PCR method after optimizing and improveing, refers to each (or n) circulation reduces by 0.5 DEG C of (or n DEG C) annealing temperature, until reaching a relatively low annealing temperature, (Touchdown anneals Temperature), all with the primer that this ensures different Tm value can combine with corresponding DNA profiling to be measured and carry out specific amplification. In the PCR amplification procedure of carry out subsequently 29 circulations, in 2X PCR mixed reaction solution respectively with the two of FAM and HEX labelling Bar general probe can 10 PCR primer produced when taking turns PCR amplification be template in the past, coordinates reverse primer to produce and carries difference The PCR primer of fluorochrome label.The last scanning carrying out fluorescence signal at 37 DEG C, by strong according to two kinds of fluorescence signals of software Degree and ratio carry out automatic discrimination to genotype.
The present invention compared with prior art has the following advantages that and effect:
1, the present invention uses the primer of particular design, and fluorescence signal is carried different fluorescence dye by two kinds in PCR mixed liquor The universal sequence of material labelling provides, it is not necessary to individually designed specific probe, greatly reduces R&D cycle and testing cost.
2, the present invention uses special PCR program, greatly reduces the primer caused owing to Tm value is the lowest and exists with template The combination in mistake site, thus improve PCR efficiency and sensitivity, adjusting for clinical clopidogrel dosage provides reliably Foundation.
3, the SNP site genotyping software that the present invention uses, can the base in each site to be measured of automatic discrimination intuitively Because of type, it is not necessary to by the troublesome calculation of Ct value, greatly reduce human error during result interpretation, and shorten result interpretation Time, improve detection efficiency.
4, the test kit of the present invention, can according to the number of sample to be tested quantity, select flexibly 8 connecting legs, 96 orifice plates or Person 384 orifice plate detects, and detection flux once is respectively 1 person-portion, 28 person-portions and 124 person-portions.
5, the test kit of the present invention, it is possible to achieve high accuracy, high efficiency to * 2, * 3 two on CYP2C19 gene SNP site detects, thus reaches the quantified controlling to clopidogrel dosage, even prevention, the anticoagulant to thrombotic disease The selection of medicine, the research and development of acenocoumarol medicine, thrombotic disease prognosis also function to certain effect.
Embodiment 1
A kind of test kit for instructing clopidogrel personalized medicine related gene SNP to detect comprises: 2X PCR mixes Reactant liquor, the primer mix in detection CYP2C19*2SNP site and the primer mix in detection CYP2C19*3SNP site.
The primer mix in described detection gene C YP2C19*2SNP site is reversely drawn by two specific forward primer and one Thing forms, and sequence is as follows:
A allele forward primer: GAAGGTGACCAAGTTCATGCTAATTTTCCCACTATCATTGATTATTTCCCA SEQ ID NO.3
G allele forward primer: GAAGGTCGGAGTCAACGGATTTCCCACTATCATTGATTATTTCCCG SEQ ID NO.4
Reverse primer: GCAAGGTTTTTAAGTAATTTGTTATGGGTT SEQ ID NO.5
The primer mix in described detection gene C YP2C19*3 site is by two specific forward primer and a reverse primer Composition, sequence is as follows:
A allele forward primer: GAAGGTGACCAAGTTCATGCTCAGGATTGTAAGCACCCCCTGA SEQ ID NO.6
C allele forward primer: GAAGGTCGGAGTCAACGGATTAGGATTGTAAGCACCCCCTGG SEQ ID NO.7
Reverse primer: GCAAAAAACTTGGCCTTACCTGGAT SEQ ID NO.8
Wherein, described forward primer is combined into by two parts sequence: 5 ' ends of saltant type forward primer are general sequence Row GAAGGTGACCAAGTTCATGCT (SEQ ID NO.1), 3 ' ends are the distinguished sequence identifying corresponding site;Wild type forward 5 ' ends of primer are universal sequence GAAGGTCGGAGTCAACGGATT (SEQ ID NO.2), and 3 ' ends are the spy identifying corresponding site Different sequence.
Embodiment 2
The PCR amplification side that a kind of test kit for instructing clopidogrel personalized medicine related gene SNP to detect uses Method comprises the following steps:
The first step: sample to be tested extracting genome DNA
(1) blood sample is extracted from patient.
(2) from blood, obtain DNA, use the TGuide poba gene group that root biochemical (Beijing) company limited in sky produces DNA extraction kit (OSR-M102) is extracted on its supporting TGuide M16 nucleic acid automatic extracting instrument.
Extraction process is as follows:
A. toward sample cell adds the mammalian whole blood sample of 200 μ l/400 μ l, and 10 μ l/20 μ l E.C. 3.4.21.64s are added Mixing.
B. sample cell is placed in the position, hole 4 of T-shaped frame.Run numbering 102 program (Whole Blood Genomic DNA extraction procedure), Select corresponding sample size volume and final elution volume.
Second step: DNA is expanded
Using 10ng/10ul reaction system, concrete operations are:
1, by above-mentioned a series of primers respectively with poba gene group DNA, 2X PCR mixed reaction solution, deionized water according to one Certainty ratio mixing constitutes single reaction system, is specifically shown in following table:
Reagent name Volume (ul)
Genomic DNA (10ng) 2ul
Primer mix 1ul
2X PCR mixed reaction solution 5ul
Deionized water 2ul
2, above-mentioned reaction system carrying out PCR cycle, PCR cycle condition see table:
3rd step: observed result
Table 1 be use two specific forward primer in the detection gene C YP2C9*2 site in test kit and one reverse The primer genotype results to four samples.
Table 1
As it is shown in figure 1, in the fluorescent quantitative PCR system in CYP2C19*2 site, A is allelic special in detection Property forward primer 5 ' terminal sequence consistent with the fluorescently-labeled primer sequence of FAM in 2*qPCR reaction mixture, detect G allele Specific forward primer 5 ' terminal sequence consistent with the fluorescently-labeled primer sequence of HEX in 2*qPCR reaction mixture.X in Fig. 1 Axle represents the intensity of FAM fluorescence, and Y-axis represents the intensity of HEX fluorescence, and the testing result of two samples of 1-1,1-2 is near X Axle, illustrates that only FAM fluorescence is detected, and therefore genotype is AA and isozygotys;The testing result of two samples of 1-3,1-4 is near right Linea angulata, illustrates that two kinds of fluorescence of FAM and HEX are detected simultaneously, and therefore genotype is AG heterozygosis;The detection of two samples of 1-5,1-6 Result, near Y-axis, illustrates that only HEX fluorescence is detected, and therefore genotype is GG and isozygotys.
As in figure 2 it is shown, two samples of 1-1,1-2 only detect A allele in CYP2C19*2 site, illustrate two The sample genotype in CYP2C19*2 site is that AA isozygotys;Two samples of 1-3,1-4 detect in CYP2C19*2 site simultaneously To two kinds of allele of A and G, illustrate that two samples genotype in CYP2C19*2 site is AG heterozygosis;Two samples of 1-5,1-6 This only detects G allele in CYP2C19*2 site, illustrates that two samples genotype in CYP2C19*2 site is GG Isozygoty.Generation sequencing result is consistent with test kit testing result.
Table 2 is to use two specific forward primer in the detection gene C YP2C19*3 site in test kit and one instead To the primer genotype results to four samples.
Table 2
As it is shown on figure 3, in the fluorescent quantitative PCR system in CYP2C19*3 site, A is allelic special in detection Property forward primer 5 ' terminal sequence consistent with the fluorescently-labeled primer sequence of FAM in 2*qPCR reaction mixture, detect G allele Specific forward primer 5 ' terminal sequence is consistent with the fluorescently-labeled primer sequence of HEX in 2*qPCR reaction mixture.X-axis in Fig. 3 Representing the intensity of FAM fluorescence, Y-axis represents the intensity of HEX fluorescence, and two pattern detection results of 2-1 and 2-2 are near diagonal Position, illustrate that two kinds of fluorescence of FAM and HEX are all detected, therefore genotype is AG heterozygosis;Two pattern detection knots of 2-3 and 2-4 Fruit, near Y-axis, illustrates that only HEX fluorescence is detected, and therefore genotype is that GG isozygotys.
As shown in Figure 4, two samples of 2-1 and 2-2 are detected simultaneously by two kinds of equipotential bases of A and G in CYP2C19*3 site Cause, so the genotype that two samples of 2-1 and 2-2 are in CYP2C19*3 site is AG heterozygosis;Two samples of 2-3 and 2-4 exist CYP2C19*3 site only detects G allele, so the genotype that two samples of 2-3 and 2-4 are in CYP2C19*3 site Isozygoty for GG.Generation sequencing result is consistent with test kit testing result.
In sum, present disclosure is not limited in the above embodiments, and the knowledgeable people in same area can Can propose other embodiment within technological guidance's thought of the present invention easily, but this embodiment is included in this Within the scope of bright.

Claims (4)

1. the test kit for clopidogrel personalized medicine related gene SNP detection, it is characterised in that include 2XqPCR The primer mix in mixed reaction solution and detection gene C YP2C19*2SNP site and the primer in detection gene C YP2C19*3SNP site mix;The primer mix in described detection gene C YP2C19*2SNP site contains two the specificity forwards detecting this SNP site Primer and a reverse primer, the primer mix in described detection gene C YP2C19*3SNP site contains this SNP site of detection Article two, specific forward primer and a reverse primer;Described detection gene C YP2C19*2SNP site two specificitys just To primer and a reverse primer sequences as shown in SEQ ID NO.3, SEQ ID NO.4, SEQ ID NO.5, described detection base Because of CYP2C19*3SNP site two specific forward primer and a reverse primer sequences such as SEQ ID NO.6, SEQ Shown in ID NO.7, SEQ ID NO.8.
Test kit for clopidogrel personalized medicine related gene SNP detection the most according to claim 1, its feature It is, Buffer, MgCl Han PCR in described 2X qPCR mixed reaction solution2, dNTPs, Taq archaeal dna polymerase, two difference With the universal fluorescent probe of FAM and HEX labelling, the universal fluorescent probe sequence of described FAM labelling as shown in SEQ ID NO.1, The universal fluorescent probe sequence of described HEX labelling is as shown in SEQ ID NO.2.
3. the detection side of the test kit for clopidogrel personalized medicine related gene SNP detection as claimed in claim 1 Method, it is characterised in that comprise the following steps: extract the genomic DNA of sample to be detected, is then divided into 2 reaction tubes (a, b) and enters Row detection, is first separately added into 2X qPCR mixed reaction solution in each reaction tube, then adds inspection at the first reaction tube (a) The primer mix in cls gene CYP2C19*2SNP site;Detection gene C YP2C19*3SNP site is added at the second reaction tube (b) Primer mix, finally adds the genomic DNA of sample to be detected in 2 reaction tubes (a, b), and the fluorescence carrying out sample of nucleic acid is fixed Amount PCR amplification, carries out the scanning of fluorescence signal, uses in LightCycler 480Software release software at 37 DEG C Endpiont Genotyping module, intensity and ratio according to two kinds of fluorescence signals carry out automatic interpretation to genotype.
The detection of the test kit for clopidogrel personalized medicine related gene SNP detection the most according to claim 3 Method, it is characterised in that described PCR amplification program is as follows:
The condition of denaturation is: temperature is 94 DEG C, and the time is 15 seconds;
PCR amplification is made up of first stage and second stage;
First stage is made up of 10 amplification cycles, and its condition is:
Degeneration: temperature is 94 DEG C, the time is 20 seconds;
Annealing+extend: initial temperature is 61 DEG C, each takes turns amplification cycles lapse of temperature 0.5 DEG C, until amplification cycles terminates, time Between be 60 seconds;
Second stage is taken turns circulation by 29 and is constituted, and its condition is:
Degeneration: temperature is 94 DEG C, the time is 20 seconds;
Annealing+extend: temperature is 55 DEG C, and the time is 60 seconds;
Signal scanning condition is: temperature is 37 DEG C, and the time is 60 seconds.
CN201610700306.7A 2016-08-19 2016-08-19 Kit for clopidogrel personalized medicine related gene SNP detection, and detection method thereof Pending CN106048076A (en)

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Cited By (3)

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CN108715805A (en) * 2018-06-11 2018-10-30 首都医科大学附属北京潞河医院 The automatic presentment system of clopidogrel medication related gene examining report
CN110684839A (en) * 2019-11-11 2020-01-14 福建医科大学附属第一医院 Digital PCR detection kit for CYP2C19 x2 and CYP2C19 x 3 and detection method thereof
CN111733221A (en) * 2019-03-25 2020-10-02 北京大学第一医院 ITGA2 gene SNP marker for assisting accurate medication of clopidogrel

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