Background technology
Cervical carcinoma is one of most common genital tract malignant tumour of women, is in the first place of female reproductive system cancer, closely
Nian Lai, with the increase of the sexually transmitted diseases such as human papillomavirus, the incidence of disease of cervical carcinoma raises year by year, and age of onset becomes
To rejuvenation.Cervical carcinoma early treatment prognosis bona, and late period finds then poor prognosis.Therefore, the early discovery of cervical carcinoma, early diagnosis
Disconnected, early treatment is significant to the survival rate for improving cervical cancer patient.
In recent years, gradually increased to study the report of morbidity and course of disease mechanism with omics technology, including genomics,
MicroRNA groups, protein science, metabolism group etc..Wherein, what metabolism group can be between tracing detection metabolin mutually turns
Change and change with contents level, these information connect with the biochemistry in pathophysiological process and physiological function change can
Using as potential target and action site, and then determine related biomarker.With genomics and protein science etc. other
Omics technology compares, and metabolism group can show its advantage:1. under metabolism group response gene and albumen aspect comprehensive function
Final result, and the faint change of gene and albumen has " multiplier effect " in metabolism group;2. body small molecular compound
Composition it is relatively easy, it is easier to explain its biological function;3. the data analysis of metabolism group can pass through the number such as KEGG or HMDB
Aided according to storehouse.
Metabolic markers are used for noninvasiveization, high efficiency and hommization that diagnosing cervical can realize diagnosis of cervical cancer.
The content of the invention
Diagnosed it is an object of the invention to provide a kind of tumor diagnosis composition for diagnosis of cervical cancer and for preparing
The purposes of kit, to pass through serum can quick diagnosis cervical carcinoma.
The present invention is achieved by following technical scheme:
Lysophosphatidyl choline (18:2), phosphatidylinositols (20:4/0:0) used with N- phenylpropyl alcohols acyl-Glu joint
In the purposes for the diagnosis composition for preparing diagnosing cervical.
Preferably, the lysophosphatidyl choline (18:2), phosphatidylinositols (20:4/0:And N- phenylpropyl alcohol acyl-L- paddy ammonia 0)
Acid amides is serum hemolysis phosphatidyl choline (18:2), serum paraoxonase acyl inositol (20:4/0:And serum N-phenylpropyl alcohol acyl-L- paddy ammonia 0)
Acid amides.
Lysophosphatidyl choline (18:2), phosphatidylinositols (20:4/0:0) used with N- phenylpropyl alcohols acyl-Glu joint
In the purposes for the diagnostic kit for preparing diagnosing cervical.
Preferably, the lysophosphatidyl choline (18:2), phosphatidylinositols (20:4/0:And N- phenylpropyl alcohol acyl-L- paddy ammonia 0)
Acid amides is serum hemolysis phosphatidyl choline (18:2), serum paraoxonase acyl inositol (20:4/0:And serum N-phenylpropyl alcohol acyl-L- paddy ammonia 0)
Acid amides.
Advantages of the present invention:
Serum hemolysis phosphatidyl choline (18 is used alone:2), phosphatidylinositols (20:4/0:Or N- phenylpropyl alcohol acyl-L- paddy 0)
When glutamine diagnosis distinguishes cervical cancer patient with healthy volunteer, area (AUC) is below 0.7 under ROC curve;Triple combination uses
AUC can bring up to 0.945 when diagnosis distinguishes cervical cancer patient with healthy volunteer.One skilled in the art will appreciate that ROC is bent
Area is between 1.0 and 0.5 under line, in AUC>In the case of 0.5, AUC illustrates that diagnosis effect is better closer to 1.AUC exists
There is relatively low accuracy during 0.5-0.7, AUC has certain accuracy in 0.7-0.9, there is high accuracy when AUC is more than 0.9.
Therefore, serum hemolysis phosphatidyl choline (18:2), phosphatidylinositols (20:4/0:0) can join with N- phenylpropyl alcohols acyl-Glu
Share in the diagnostic kit for preparing diagnosing cervical.
Embodiment
Technical scheme is further described with reference to specific embodiment.
First, experiment material
Cervical cancer patient serum specimen is derived from the attached middle large hospital cervical carcinoma postoperative patients of Southeast China University.All patient's arts
It is preceding not receive the treatment such as radiotherapy, chemotherapy and antineoplastic, there is complete clinical and pathological data.Cervical carcinoma
Patient 95 (cervical carcinoma group), age 31-62 year, average age 53.3 years old.
Healthy volunteer's serum specimen 40 (Normal groups), age 32-65 year, average age 54.5 years old.
Age composition no significant difference between cervical carcinoma group and Normal group.
2nd, experimental method
1st, serum sample pre-treatment
200 μ L serum are taken in 1.5mL centrifuge tubes, add 50 μ L 1mg/mL 2- isopropylmalate acid solution internal standards, whirlpool
Rotation mixes for 20 seconds, the mixed solution (ratio 2.5: 1: 1) of 400 μ L methanol, chloroform and water is added, then in 70 DEG C of metal bath
Upper shaking 30min (1200rpm), 16000g × 5min centrifugations (4 DEG C), takes 500 μ L of supernatant in 1.5mL centrifuge tubes, adds 500
μ L distilled water, it is vortexed and mixes, then 16000g × 5min centrifuges (4 DEG C), 500 μ L of supernatant is taken in 1.5mL centrifuge tubes, in room temperature
Lower to be dried up with nitrogen evaporator, the residue obtained methoxamine pyridine solution with 80 μ L dissolves, and the oximate 8h under the conditions of 50 DEG C, adds 60 μ L
N- methyl-N- trimethyl silicon substrate trifluoroacetamides, derivatization 2h, is produced under the conditions of 70 DEG C.
2nd, GC-MS is analyzed
The μ L of sample 2 of above-mentioned derivatization are taken to carry out GC-MS analyses.
Liquid phase chromatogram condition is as follows:Injector temperature:270℃;Sample size:2.0μL;Splitless injecting samples, carrier gas:High-pure helium
(99.999%);Flow velocity:1.0mL/min;Interface temperature:260℃;Chromatographic column:DB-5MS capillary columns, chromatogram column and programmed temperature
Detected, 80 DEG C of constant temperature 2min, 80 DEG C -300 DEG C (5 DEG C/min) constant temperature 6min.
Mass Spectrometry Conditions are as follows:Ion source temperature:230℃;Level Four bar temperature:150 DEG C, solvent delay:5min;Electron collision
Ionization voltage:70eV, mass spectrum full scan scope (m/z):30-600, using full scan mode.
Lysophosphatidyl choline (18 is used respectively:2), phosphatidylinositols (20:4/0:Or N- phenylpropyl alcohols acyl-Glu 0)
Chromatographic peak area divided by internal reference 2- isopropylmolic acids peak area, gained ratio is respectively as hemolytic phosphatidyl in each sample
Choline (18:2), phosphatidylinositols (20:4/0:0) or N- phenylpropyl alcohols acyl-Glu relative amount.
3rd, statistical procedures
Analyzed using the softwares of SPSS 20.0, represented with mean value ± deviation, compared between group and examined using t.Evaluation is every
Index application value, draw Receiver Operating Characteristics (ROC) curve, and area (AUC) under calculated curve;It is poor with P < 0.05
It is different statistically significant.The diagnostic value of each single index and Joint Index to cervical carcinoma is evaluated using ROC curve.
3rd, experimental result
1st, between two groups Tumor Marker Levels comparison
Lysophosphatidyl choline (18 in cervical carcinoma group serum:2) relative amount is significantly lower than Normal group, cervical carcinoma
Phosphatidylinositols (20 in group serum:4/0:0), the relative amount of N- phenylpropyl alcohols acyl-Glu is obviously higher than normal control
Group, difference are statistically significant (t values are respectively 1.733,1.479 and 2.314, P < 0.01).Comparative result is as shown in table 1.
The comparison (mean value ± deviation) of Tumor Marker Levels between 1 two groups of table
2nd, tumor-marker analyte detection cervical carcinoma ROC curve is analyzed
Serum hemolysis phosphatidyl choline (18 is used alone:2), phosphatidylinositols (20:4/0:Or N- phenylpropyl alcohol acyl-L- paddy 0)
When glutamine diagnosis distinguishes cervical cancer patient with healthy volunteer, area (AUC) is below 0.7 under ROC curve;Triple combination uses
AUC can bring up to 0.945 when diagnosis distinguishes cervical cancer patient with healthy volunteer.As can be seen here, serum hemolysis phosphatidyl
Choline (18:2), phosphatidylinositols (20:4/0:0) have with N- phenylpropyl alcohols acyl-Glu triple combination for diagnosing cervical
There is higher clinical value.The ROC curve analysis of three indexs combines dualistic logistic regression and operated.
ROC curve analysis result is as shown in table 2 and Fig. 1-4.
2 three serum protein moteblites of table individually and Combining diagnosis value ratio compared with
One skilled in the art will appreciate that area is between 1.0 and 0.5 under ROC curve, in AUC>In the case of 0.5, AUC
Closer to 1, illustrate that diagnosis effect is better.AUC has relatively low accuracy in 0.5-0.7, and AUC fixes in 0.7-0.9
True property, there is high accuracy when AUC is more than 0.9.Therefore, serum hemolysis phosphatidyl choline (18:2), phosphatidylinositols (20:
4/0:0) and N- phenylpropyl alcohols acyl-Glu can combine the diagnostic kit for preparing diagnosing cervical.