实施例2、人胰腺癌患者血清中tCD109检测方法及预后分析
2.1、检测方法
采用本发明的试剂盒,对人胰腺癌患者血清中tCD109进行ELISA检测,试剂盒主要包括包被有CD109抗体(抗原为氨基酸Val22-Arg663)(本发明采用的是市售的CD109(H-7)抗体,购自Santa Cruz biotechnology公司,货号是sc-365780)的测试板、1%BSA、tCD109标准品(用大肠杆菌常规制作方法表达纯化的蛋白质)、偶联HRP的抗人源CD109(抗原为氨基酸Val22-Ser1268)(购自R&D Systems公司,货号是AF4385)、显色剂(四甲基联苯胺溶液)和终止液(H2SO4),具体步骤为:
(1)收集73例胰腺疾病患者,其中病理明确确诊的胰腺癌患者58例,胰腺患者15例,血清标本用于tCD109ELISA检测。所有的血清样品用1%BSA进行1:50稀释,再以100μl/孔的量,将稀释的样品和系列浓度的tCD109标准品分别加入CD109(H-7)抗体包被的测试板的各孔中,4℃孵育过夜。孵育之后,弃掉孔中液体并且用PBS缓冲液洗涤4次。加入100μl偶联HRP的抗人源CD109(抗原为氨基酸Val22-Ser1268),4℃孵育1h。用PBS缓冲液洗涤5次,每孔加入100μl四甲基联苯胺溶液室温孵育30min。最后,每孔加入100μl 2M H2SO4终止液。反应终止后,使用酶标仪测量各个样品在450nm/570nm的吸光度,并根据标准曲线计算各个样品的浓度。
统计结果表明,在胰腺炎患者血清中,没有检测到tCD109(0/15)。而在58例经病理确诊的胰腺癌患者中,有38例患者检测血清中检测到tCD109,阳性率65.5%(38/58),20例(34.5%,20/58)胰腺癌患者血清中未检测到tCD109。说明本发明检测游离的tCD109的方法用于胰腺癌诊断的特异性达到100%,而敏感性为65.5%。
2.2、预后分析
用Kaplan-Meier方法比较了58例血清中tCD109含量与胰腺癌患者的生存关系(图5),血清中tCD109含量升高(tCD109+)的胰腺癌患者的平均生存时间(14个月)明显低于血清tCD109阴性(tCD109-)的患者的平均生存时间(18个月)(p<0.05)。为了明确其他因素是否影响血清中tCD109含量与生存的关系,进行了多因素分析。Cox回归分析(表1)显示,血清tCD109含量和远端转移是两个与胰腺癌患者生存相关的重要因素,结果说明,胰腺癌患者血清tCD109检测除了用于诊断,也是重要的预后指标。
表1、Cox回归分析结果
以上所述仅为本发明最佳的实施例,对于本领域的技术人员来说,本发明可以有各种更改和变化。凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。
SEQUENCE LISTING
<110> 郑州大学第一附属医院
<120> 一种人tCD109及其检测试剂盒在胰腺癌诊断中的应用
<160> 2
<170> PatentIn version 3.5
<210> 1
<211> 642
<212> PRT
<213> CD109
<400> 1
Val Ala Pro Gly Pro Arg Phe Leu Val Thr Ala Pro Gly Ile Ile Arg
1 5 10 15
Pro Gly Gly Asn Val Thr Ile Gly Val Glu Leu Leu Glu His Cys Pro
20 25 30
Ser Gln Val Thr Val Lys Ala Glu Leu Leu Lys Thr Ala Ser Asn Leu
35 40 45
Thr Val Ser Val Leu Glu Ala Glu Gly Val Phe Glu Lys Gly Ser Phe
50 55 60
Lys Thr Leu Thr Leu Pro Ser Leu Pro Leu Asn Ser Ala Asp Glu Ile
65 70 75 80
Tyr Glu Leu Arg Val Thr Gly Arg Thr Gln Asp Glu Ile Leu Phe Ser
85 90 95
Asn Ser Thr Arg Leu Ser Phe Glu Thr Lys Arg Ile Ser Val Phe Ile
100 105 110
Gln Thr Asp Lys Ala Leu Tyr Lys Pro Lys Gln Glu Val Lys Phe Arg
115 120 125
Ile Val Thr Leu Phe Ser Asp Phe Lys Pro Tyr Lys Thr Ser Leu Asn
130 135 140
Ile Leu Ile Lys Asp Pro Lys Ser Asn Leu Ile Gln Gln Trp Leu Ser
145 150 155 160
Gln Gln Ser Asp Leu Gly Val Ile Ser Lys Thr Phe Gln Leu Ser Ser
165 170 175
His Pro Ile Leu Gly Asp Trp Ser Ile Gln Val Gln Val Asn Asp Gln
180 185 190
Thr Tyr Tyr Gln Ser Phe Gln Val Ser Glu Tyr Val Leu Pro Lys Phe
195 200 205
Glu Val Thr Leu Gln Thr Pro Leu Tyr Cys Ser Met Asn Ser Lys His
210 215 220
Leu Asn Gly Thr Ile Thr Ala Lys Tyr Thr Tyr Gly Lys Pro Val Lys
225 230 235 240
Gly Asp Val Thr Leu Thr Phe Leu Pro Leu Ser Phe Trp Gly Lys Lys
245 250 255
Lys Asn Ile Thr Lys Thr Phe Lys Ile Asn Gly Ser Ala Asn Phe Ser
260 265 270
Phe Asn Asp Glu Glu Met Lys Asn Val Met Asp Ser Ser Asn Gly Leu
275 280 285
Ser Glu Tyr Leu Asp Leu Ser Ser Pro Gly Pro Val Glu Ile Leu Thr
290 295 300
Thr Val Thr Glu Ser Val Thr Gly Ile Ser Arg Asn Val Ser Thr Asn
305 310 315 320
Val Phe Phe Lys Gln His Asp Tyr Ile Ile Glu Phe Phe Asp Tyr Thr
325 330 335
Thr Val Leu Lys Pro Ser Leu Asn Phe Thr Ala Thr Val Lys Val Thr
340 345 350
Arg Ala Asp Gly Asn Gln Leu Thr Leu Glu Glu Arg Arg Asn Asn Val
355 360 365
Val Ile Thr Val Thr Gln Arg Asn Tyr Thr Glu Tyr Trp Ser Gly Ser
370 375 380
Asn Ser Gly Asn Gln Lys Met Glu Ala Val Gln Lys Ile Asn Tyr Thr
385 390 395 400
Val Pro Gln Ser Gly Thr Phe Lys Ile Glu Phe Pro Ile Leu Glu Asp
405 410 415
Ser Ser Glu Leu Gln Leu Lys Ala Tyr Phe Leu Gly Ser Lys Ser Ser
420 425 430
Met Ala Val His Ser Leu Phe Lys Ser Pro Ser Lys Thr Tyr Ile Gln
435 440 445
Leu Lys Thr Arg Asp Glu Asn Ile Lys Val Gly Ser Pro Phe Glu Leu
450 455 460
Val Val Ser Gly Asn Lys Arg Leu Lys Glu Leu Ser Tyr Met Val Val
465 470 475 480
Ser Arg Gly Gln Leu Val Ala Val Gly Lys Gln Asn Ser Thr Met Phe
485 490 495
Ser Leu Thr Pro Glu Asn Ser Trp Thr Pro Lys Ala Cys Val Ile Val
500 505 510
Tyr Tyr Ile Glu Asp Asp Gly Glu Ile Ile Ser Asp Val Leu Lys Ile
515 520 525
Pro Val Gln Leu Val Phe Lys Asn Lys Ile Lys Leu Tyr Trp Ser Lys
530 535 540
Val Lys Ala Glu Pro Ser Glu Lys Val Ser Leu Arg Ile Ser Val Thr
545 550 555 560
Gln Pro Asp Ser Ile Val Gly Ile Val Ala Val Asp Lys Ser Val Asn
565 570 575
Leu Met Asn Ala Ser Asn Asp Ile Thr Met Glu Asn Val Val His Glu
580 585 590
Leu Glu Leu Tyr Asn Thr Gly Tyr Tyr Leu Gly Met Phe Met Asn Ser
595 600 605
Phe Ala Val Phe Gln Glu Cys Gly Leu Trp Val Leu Thr Asp Ala Asn
610 615 620
Leu Thr Lys Asp Tyr Ile Asp Gly Val Tyr Asp Asn Ala Glu Tyr Ala
625 630 635 640
Glu Arg
<210> 2
<211> 1926
<212> DNA
<213> CD109
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gtggctcccg ggcctcggtt tctggtgaca gccccaggga tcatcaggcc cggaggaaat 60
gtgactattg gggtggagct tctggaacac tgcccttcac aggtgactgt gaaggcggag 120
ctgctcaaga cagcatcaaa cctcactgtc tctgtcctgg aagcagaagg agtctttgaa 180
aaaggctctt ttaagacact tactcttcca tcactacctc tgaacagtgc agatgagatt 240
tatgagctac gtgtaaccgg acgtacccag gatgagattt tattctctaa tagtacccgc 300
ttatcatttg agaccaagag aatatctgtc ttcattcaaa cagacaaggc cttatacaag 360
ccaaagcaag aagtgaagtt tcgcattgtt acactcttct cagattttaa gccttacaaa 420
acctctttaa acattctcat taaggacccc aaatcaaatt tgatccaaca gtggttgtca 480
caacaaagtg atcttggagt catttccaaa acttttcagc tatcttccca tccaatactt 540
ggtgactggt ctattcaagt tcaagtgaat gaccagacat actatcaatc atttcaggtt 600
tcagaatatg tattaccaaa atttgaagtg actttgcaga caccattata ttgttctatg 660
aattctaagc atttaaatgg taccatcacg gcaaagtata catatgggaa gccagtgaaa 720
ggagacgtaa cgcttacatt tttaccttta tccttttggg gaaagaagaa aaatattaca 780
aaaacattta agataaatgg atctgcaaac ttctctttta atgatgaaga gatgaaaaat 840
gtaatggatt cttcaaatgg actttctgaa tacctggatc tatcttcccc tggaccagta 900
gaaattttaa ccacagtgac agaatcagtt acaggtattt caagaaatgt aagcactaat 960
gtgttcttca agcaacatga ttacatcatt gagttttttg attatactac tgtcttgaag 1020
ccatctctca acttcacagc cactgtgaag gtaactcgtg ctgatggcaa ccaactgact 1080
cttgaagaaa gaagaaataa tgtagtcata acagtgacac agagaaacta tactgagtac 1140
tggagcggat ctaacagtgg aaatcagaaa atggaagctg ttcagaaaat aaattatact 1200
gtcccccaaa gtggaacttt taagattgaa ttcccaatcc tggaggattc cagtgagcta 1260
cagttgaagg cctatttcct tggtagtaaa agtagcatgg cagttcatag tctgtttaag 1320
tctcctagta agacatacat ccaactaaaa acaagagatg aaaatataaa ggtgggatcg 1380
ccttttgagt tggtggttag tggcaacaaa cgattgaagg agttaagcta tatggtagta 1440
tccaggggac agttggtggc tgtaggaaaa caaaattcaa caatgttctc tttaacacca 1500
gaaaattctt ggactccaaa agcctgtgta attgtgtatt atattgaaga tgatggggaa 1560
attataagtg atgttctaaa aattcctgtt cagcttgttt ttaaaaataa gataaagcta 1620
tattggagta aagtgaaagc tgaaccatct gagaaagtct ctcttaggat ctctgtgaca 1680
cagcctgact ccatagttgg gattgtagct gttgacaaaa gtgtgaatct gatgaatgcc 1740
tctaatgata ttacaatgga aaatgtggtc catgagttgg aactttataa cacaggatat 1800
tatttaggca tgttcatgaa ttcttttgca gtctttcagg aatgtggact ctgggtattg 1860
acagatgcaa acctcacgaa ggattatatt gatggtgttt atgacaatgc agaatatgct 1920
gagagg 1926