CN108315430B - Application of PDL1SNP genotype as marker for predicting neoadjuvant chemotherapy curative effect of breast cancer - Google Patents

Application of PDL1SNP genotype as marker for predicting neoadjuvant chemotherapy curative effect of breast cancer Download PDF

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CN108315430B
CN108315430B CN201810398263.0A CN201810398263A CN108315430B CN 108315430 B CN108315430 B CN 108315430B CN 201810398263 A CN201810398263 A CN 201810398263A CN 108315430 B CN108315430 B CN 108315430B
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陆劲松
张蕾
徐曙光
吴子平
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Renji Hospital Shanghai Jiaotong University School of Medicine
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Abstract

The invention provides application of PDL1SNP genotype in preparing a marker for diagnosing and predicting the new auxiliary chemotherapy curative effect of breast cancer. Also provides application of PDL1SNP genotype as a marker in preparing a reagent for diagnosing and predicting the curative effect of breast cancer neoadjuvant chemotherapy. Also provides a kit for detecting PDL1SNP genotype, which contains primers shown in SEQ ID NO. 1-18. The invention finds that after the PDL1 gene non-coding region SNP rs4143815C is changed from G in all breast cancer populations and HR positive populations, a GC genotype patient can more easily reach pCR than a GG and CC genotype patient. Through the detection of SNP of a PDL1 gene non-coding region in the blood of a patient, a GC genotype patient is discovered as early as possible, and neoadjuvant chemotherapy is carried out, so that the complete remission of pathology is achieved, and the survival time is prolonged.

Description

Application of PDL1SNP genotype as marker for predicting neoadjuvant chemotherapy curative effect of breast cancer
Technical Field
The invention belongs to the field of medical detection, and relates to a marker for predicting the neoadjuvant chemotherapy curative effect of breast cancer, in particular to application of PDL1SNP genotype as a marker for predicting the neoadjuvant chemotherapy curative effect of breast cancer.
Background
Breast cancer is one of the most common malignancies in women worldwide. According to the latest global epidemiological data (GLOBOCAN), there are 167 thousands of new breast cancer cases worldwide and 52.2 thousands of people die from breast cancer in 2012 only. The age-standardized incidence rate of the breast cancer in China in the same year reaches 21.6 ten-thousandth. The incidence of breast cancer in China is still lower than that in developed countries (up to 100 out of ten thousand in countries such as North America and North Europe), but has been on the rise from the eighties of the last century, and the growth rate is more than 2 times of the average level in the world. In economically developed areas such as the southeast coast of China, breast cancer has become the first malignant tumor of female morbidity.
The high incidence of the disease attracts the attention of medical workers on breast cancer all over the world. For years, the treatment mode of breast cancer has gradually changed from single surgical treatment in the nineteenth century to the comprehensive treatment mode combining the prior surgery, chemotherapy, radiotherapy and targeted therapy. Among them, Neoadjuvant chemotherapy (NAT) for breast cancer has also become a routine item for breast cancer treatment. Neoadjuvant chemotherapy can not only reduce tumor burden and provide surgical and breast preservation opportunities for patients with locally advanced stages, but also can evaluate the responsiveness of patients to treatment at an early stage, so as to adjust subsequent treatment and predict the long-term prognosis of patients. Complete remission of pathology (pCR) of neoadjuvant chemotherapy refers to the primary foci of the post-treatment surgical specimen, or primary foci plus axillary lymph nodes, with no tumor cell or only intraductal cancer components remaining. Numerous large clinical trials have demonstrated that the prognosis for patients with pCR in NAT is much better than for patients without pCR. However, not all patients can achieve pCR results on the same NAT treatment, and therefore, finding a predictor of pCR becomes a focus and focus of the current phase of research on how to predict early patient response to NAT.
Programmed death-ligand 1 (PDL 1) is a transmembrane glycoprotein of cell membranes. The protein is mainly expressed on the cell membrane surfaces of T cells, NK cells, dendritic cells and tumor cells, and the functions of the protein are mainly related to immunosuppression. Programmed death 1 (PD 1) is mainly expressed on the surface of T cell membrane, and can induce T cell apoptosis and induce T cell differentiation to inhibit T cell after being combined with its ligand PDL 1. Congenital PDL1 expression deficiency is associated with autoimmune diseases, such as systemic lupus erythematosus. Acquired alterations in PDL1 expression correlate with immune escape from the tumor.
Basic experiments suggest that PDL1 is regulated and affected by a variety of cellular pathways, such as the MAPK and PI3K/AKT pathways. In epigenetic aspect, PDL1 is also regulated by many mirnas (Micro-Ribonucleic acids), and thus participates in tumor development processes such as Epithelial-Mesenchymal Transition (EMT). In addition, in the research of gastric cancer and lung cancer, Single Nucleotide Polymorphism (SNP) of PDL1 non-coding region has been reported to be related to tumor onset risk and prognosis.
Unlike gene mutation, a certain mutant base at a site needs to reach a certain frequency of occurrence (greater than 1/1000) in a population to be called as SNP. SNP changes in people are often related to disease onset, drug metabolism and curative effect. SNP sites can be classified into coding region SNPs and non-coding region SNPs according to their distribution on the genome. Coding region SNPs can be divided into synonymous substitutions and non-synonymous substitutions. Both can ultimately affect protein function by either directly altering the protein product or affecting the translation process, respectively. While SNPs in non-coding regions are not involved in protein synthesis, they can affect cellular functions by affecting various biological processes such as gene splicing, transcription factor binding, and mRNA degradation. Non-coding region SNP mutations are often reported to be associated with tumor pathogenesis. The clinical value of PDL1SNP in gastric cancer and lung cancer is just represented by non-coding region SNP.
Preliminary results have been obtained in our new adjuvant clinical trials (SHPD001 and SHPD002) with paclitaxel in combination with cisplatin peritherapy, showing higher pCR rates. Among them, the pCR rate in the total population is 34.4%, and is more than 64.7% and 52.4% in the positive type and triple negative type of Human epidermal growth factor receptor 2 (HER 2) breast cancers, and the therapeutic effect is generally considered to be related to metronomic chemotherapy and immunomodulation. However, in Hormone Receptor (HR) positive patients, pCR rate is less than ideal, so we would prefer to find a predictor of pCR in this part of patients, thereby improving the therapeutic effect. The literature suggests that cisplatin can increase the expression level of PDL1 in tumor cells, and the medicine is also one of the chemotherapy medicines adopted by patients in clinical trials of NAT in the family I.
Disclosure of Invention
The invention aims to provide application of PDL1SNP genotype as a marker for predicting the efficacy of neoadjuvant chemotherapy for breast cancer, and the application aims to solve the technical problem that no appropriate biomarker is available in the prior art for predicting the efficacy of neoadjuvant chemotherapy for breast cancer patients.
The invention provides application of PDL1SNP genotype in preparing a marker for diagnosing and predicting the new auxiliary chemotherapy curative effect of breast cancer.
Further, rs4143815C > G in the PDL1SNP genotype.
Furthermore, the breast cancer is hormone receptor positive.
The invention also provides application of the PDL1SNP genotype as a marker in preparing a reagent for diagnosing and predicting the curative effect of breast cancer neoadjuvant chemotherapy.
The invention also provides application of the PDL1SNP gene as a marker in preparing a reagent for diagnosing and predicting the curative effect of breast cancer neoadjuvant chemotherapy, wherein the sequence of the PDL1SNP gene is shown as SEQ ID NO. 20.
The invention also provides a kit for detecting the PDL1SNP genotype, which contains the primers shown in SEQ ID NO. 2-19.
According to the invention, by detecting the SNP genotype in the whole blood sample before the patient newly assists chemotherapy, if the change of the SNP rs4143815C to G of the non-coding region of the PDL1 gene is found, the patient is more easily to reach pCR; thereby predicting the patient's sensitivity and tolerance to treatment. GC genotype patients are more accessible to pCR than GG and CC genotype patients; however, patients with GG genotype are more prone to DFS events and have poorer survival than those with GC and CC genotypes.
Compared with the prior art, the invention has remarkable technical progress. The invention discovers that after the SNP rs 4143815C-G of the PDL1 gene non-coding region is changed in all people and people with positive HR, a GC genotype patient can more easily reach pCR than GG and CC genotype patients; however, patients with GG genotype are more prone to DFS events and have poorer survival than those with GC and CC genotypes. Through the detection of SNP of a non-coding region of PDL1 gene in the blood of a patient, a GC genotype patient is discovered as soon as possible, so that new adjuvant chemotherapy can be carried out, so that the complete relief of pathology can be achieved, and the survival time is prolonged. If the new adjuvant chemotherapy is found to have poor effect, other means such as operation and the like are adopted, so that excessive treatment is avoided, and the operation time is not delayed.
Drawings
FIG. 1 shows disease-free survival time for patients with different PDL1SNP genotypes; log-rank P value is 0.01.
Fig. 2 shows the disease-free survival time, Log-rank p 0.003, for patients with different SNP genotypes in the HR positive subgroup.
Detailed Description
Example 1
In order to clarify the prediction effect of the SNP genotype of the non-coding region of the PDL1 gene (shown as SEQ ID NO. 1) on the neoadjuvant chemotherapy sensitivity of the breast cancer, in particular to clarify the prediction effect of the SNP genotype in HR positive breast cancer; at the same time, patients of different genotypes were observed for tolerance and safety to treatment. We hypothesized that PDL1SNP genotype can predict patient sensitivity and tolerance to treatment in all populations and HR positive breast cancers, and sensitivity analysis is performed by detecting SNP genotype in whole blood samples of patients before neoadjuvant chemotherapy.
1 materials and methods
1.1 Main Instrument
Figure BDA0001645091770000041
1.2 major kit consumables
Figure BDA0001645091770000051
1.3 grouping patients and specimen Collection
All enrolled cases were from patients enrolled in two clinical trials of the mammary gland surgery of the affiliated economic hospital of the Shanghai university of medical school. Two clinical trials were registered as SHPD001(NCT02199418), SHPD002(NCT02221999) on the clinical trials. gov website, respectively. Both groups received a one-week neoadjuvant chemotherapy regimen of paclitaxel in combination with cisplatin, with SHPD002 patients randomized to endocrine therapy.
And (5) reserving a whole blood sample of the patient before treatment for subsequent SNP detection. And (3) finishing and counting the basic information and tumor data of the patient, including the age, the menstrual state, the family history, the primary tumor size before the operation, an estrogen and progestogen receptor of the puncture specimen, an HER-2 receptor of the puncture specimen, adverse reactions during chemotherapy and PCR after chemotherapy. Both clinical trials were approved by the ethical committee of the affiliated renji hospital of the medical college of Shanghai university of transportation, and all patients signed informed consent to voluntarily enter the group and provided specimens and clinical data for relevant medical studies.
1.4SNP site selection
The SNP sites detected were selected by the public database (NCBI/TargetScan) according to the criteria of A. rare allele Frequency (MAF) >0.05 and B. located in the 3' UTR region of PDL1 gene, or in other non-coding regions of PDL1 gene but reported to have predictive or prognostic value in other tumors. A total of 9 SNP sites were selected. The DNA extraction and SNP genotype detection of the specimen are all completed by Shanghai deep Zhi Biotech company.
1.5DNA extraction: the method was carried out using a TIANAmp Genomic DNA Kit.
A. Mu.l of the protease K solution was added to the sample blood (200. mu.l) and mixed well.
B. Add 200. mu.l buffer GB to the mixture, 10min at 70 ℃.
C. Add 200. mu.l 100% ethanol into the mixture obtained in the above step, shake for 15 s.
D. The solution was put into an adsorption column CB3, centrifuged at 12000rpm for 30s, discarded, and the adsorption column CB3 was placed in a collection tube.
E. To adsorption column CB3, 500. mu.l of buffer solution was added, centrifuged at 12000rpm for 30 seconds, and the waste liquid was discarded, and adsorption column CB3 was put in a collection tube.
F. 600. mu.l of rinsing solution PW was added to adsorption column CB3, and the mixture was separated at 12000rpm for 30 seconds, and the waste liquid was discarded, and adsorption column CB3 was placed in a collection tube.
G. And F, repeating the operation step.
H. The adsorption column CB3 was put back into the collection tube, centrifuged at 12000rpm for 2min, and the waste liquid was discarded. The adsorption column CB3 is placed at room temperature for a plurality of minutes and dried.
I. Placing the adsorption column CB3 in another clean centrifuge tube, suspending and dripping 100 μ l of elution buffer TE into the middle of the adsorption membrane, standing at room temperature for 2-5min, centrifuging at 12000rpm for 2min, and collecting the solution in the centrifuge tube.
1.6PCR reaction
The primers described below were designed on-line by Assay Design Suite V2.0 Online.
The primer sequence is as follows:
Figure BDA0001645091770000061
Figure BDA0001645091770000071
A. in the case of 384-well plates, 1. mu.l of DNA sample was added to each well and centrifuged for use.
B. PCR was carried out using Qiagen kit, and the reaction system was as follows:
Figure BDA0001645091770000072
Figure BDA0001645091770000081
C. add 4. mu.l of reaction system to each well of DNA sample, put 384 well plate into PCR instrument, the reaction program is as follows:
Figure BDA0001645091770000082
after the PCR was completed, 384 well plates were ready for use.
1.7SAP treatment
A. SAP reaction liquid preparation is carried out by using a SEQUENOM kit, and the system is as follows:
Figure BDA0001645091770000083
B. mu.l of SAP reaction was added per well after the PCR reaction in 384 well plates.
C. The SAP procedure was performed as follows:
Figure BDA0001645091770000084
after completion of SAP, 384 well plates were ready for use.
1.8 elongation reaction
A. An iPLex reaction system is prepared by using a kit of SEQUENOM company, and the reaction system is as follows:
Figure BDA0001645091770000091
B. mu.l of extension reaction was added per well in the 384 well plate SAP post reaction system.
C. The extension procedure was performed as follows:
Figure BDA0001645091770000092
D. after the extension is completed, the 384-well plate is ready for use.
1.9 purification of the product
A. Placing a little resin on 384-hole resin scraper, scraping off excessive resin to uniformly cover, and standing at room temperature for 20 min.
B. The extended 384 well plates were centrifuged at 1000rpm for 1min, 25. mu.l of deionized water was added to each well, and the plates were inverted on a resin plate. The resin plate was reversed, and the resin was dropped into a 384-well plate to seal the membrane. C. The 384-well plate is turned over for 20min by taking the long axis of the 384-well plate as the axis, and centrifuged for 5min at 3500rpm for standby.
1.10SNP genotype detection
A, spotting a nanodispenser SpectroCHIP chip;
the test samples were transferred from 384-well reaction plates to MassARRAY SpectroCHIP chips on a surface-coated substrate.
Mass spectrometric detection of MassARRAY Analyzer Compac;
and transferring the sample to a SpectroCHIP chip, and then putting the chip into a mass spectrometer for detection, wherein each detection point only needs 3-5 seconds, and full-automatic analysis is carried out.
And C, analyzing an experiment result by TYPER software to obtain typing data.
1.11 statistical analysis
The hardy-weinberg balance of SNP genotypes was done by the chi-square test. Linkage disequilibrium analysis between different SNPs was done by HaploView software (http:// broad. mit. edu/mpg/HaploView). When SNP genotypes are analyzed, four models are built in total: assuming that "T" is a common allele and "a" is a rare/mutant allele at a certain SNP site, the dominant model compares the differences of TT vs TA + AA; comparing the differences of TT + TA vs AA by the recessive model; the co-dominant model compares the differences of TT + AA vs TA; the additive model compares the differences in TT vs TA vs AA.
Calculating the correlation between PDL1SNP position and side reaction by Spearman correlation analysis; the correlation between different genotypes and pCRs of PDL1SNP was analyzed by logistic regression model for single and multifactorial analysis. The present invention uses Disease Free Survival (DFS) for survival assessment, defined as the surgical removal of a lesion to the occurrence of any of the following events: 1. distant metastasis; 2. local recurrence in the ipsilateral region; 3. contralateral breast cancer; 4. and death. The survival curves between different groups are compared and drawn by a Kaplan-Meier method, the survival rate difference is compared by log-rank test, and the COX risk model is subjected to multi-factor adjustment and HR and 95% CI calculation.
The data are analyzed through STATA 12.0 and SPSS 23.0, and the statistical difference of p <0.05 on two sides exists.
2 results of the experiment
2.1 predictive value of PDL1SNP expression
The invention totally detects 9 SNP sites of the non-coding region of the PDL1 gene, and the position and the genotype frequency of each site are shown in Table 1. Two sites, rs7864231 and rs10217310, have not been analyzed subsequently in the text because no mutants can be detected. The remaining 7 sites were tested and were in Hardy-Weinberg equilibrium and were included in subsequent analyses. By multifactorial logistic regression analysis, we found that additive models (OR1 ═ 9.284, p1 ═ 0.049; OR2 ═ 13.501, p2 ═ 0.023) and co-dominant models (OR ═ 2.800, p ═ 0.042) of PDL1 at a non-coding region SNP site, rs4143815C to G change (rs4143815C > G), were associated with the patient's new adjuvant therapy pCR (table 1). By further calculation, the dominant model of this change was also associated with PR expression (p ═ 0.043).
TABLE 1 relationship between different SNP genotypes and pCR
Figure BDA0001645091770000111
a: p <0.05, with statistical differences.
b: multifactorial analysis adjusted age, tumor size, ER, PR, HER2, and ki 67.
2.2 prognostic value of PDL1SNP expression
At 18 months of median follow-up, patients presenting rs4143815C > G (shown in SEQ ID NO. 20) exhibited different DFS. Among them, Kaplan-Meier plot shows that the patients with GG genotype survived worse than those with GC + CC genotype (Log-rank p ═ 0.01; FIG. 1). The COX multi-factor risk model also suggests that the risk of relapse is higher in rs4143815GG genotype patients (HR 20.098, 95% CI 2.774-145.596; p 0.003; see table 2 for details), an independent predictor of DFS. In addition, the patient's age (HR ═ 0.125, 95% CI 0.024-0.656; p ═ 0.014), ki67 status (HR ═ 1.050, 95% CI 1.015-1.088; p ═ 0.005), and post-operative lymph node status (HR ═ 9.750, 95% 1.894-50.194; p ═ 0.006) are also independent predictors of DFS.
TABLE 2 PDL1SNP genotype vs. survival relationship (COX multifactor risk model)
Figure BDA0001645091770000121
Figure BDA0001645091770000131
a: p <0.05, with statistical differences.
2.3 analysis of side reactions
Side reaction analysis was performed on patients with different rs4143815 genotypes, and it was found that neutropenia (rho-0.183, p-0.032) and edema (rho-0.179, p-0.036) were more likely to occur in CC + CG compared to GG patients. CC + GG is more likely to cause elevation of aspartate aminotransferase than CG patients (rho-0.186, p-0.030). The specific spectrum of adverse reactions is shown in Table 3.
TABLE 3 adverse reactions in patients with different rs4143815 genotypes
Table 3Adverse events according to different genotype of rs4143815
Figure BDA0001645091770000132
Figure BDA0001645091770000141
Figure BDA0001645091770000151
Figure BDA0001645091770000161
Figure BDA0001645091770000171
a: p <0.05, with statistical differences.
2.4 subgroup analysis
In a subgroup analysis, we observed similar conclusions as the total population in HR positive breast cancer.
Multifactorial logistic regression analysis in HR positive breast cancer showed that patients with a GC genotype of rs4143815C > G are more susceptible to pCR than GG + CC (OR ═ 2.362, p ═ 0.022; table 4) in predicting pCR.
In terms of survival, Kaplan-Meier plots in HR positive breast cancers show that GG genotype survival is inferior to GC + CC group patients (Log-rank p 0.003; fig. 2). The COX multifactorial risk model suggests that patients with rs4143815C > G have a higher risk of relapse for GG genotype than GC + CC (HR 10.781, p 0.008; table 4). No predictive value of PDL1 was observed in HER2 positive BC, and no effective subgroup analysis was performed due to fewer TNBC breast cancer patient cases.
TABLE 4 relationship of PDL1SNP genotype to pCR and DFS in HR positive subgroups
Figure BDA0001645091770000181
a: p <0.05, with statistical differences.
3 conclusion
We discuss in the present invention the predictive value of different genotypes of the patient PDL1SNP for neoadjuvant chemotherapy pCR and the prognostic value of the long term. The method is the prediction and prognosis value of the novel adjuvant chemotherapy for reporting the PDL1SNP genotype in breast cancer patients for the first time, and is also the prediction and prognosis value of the PDL1SNP genotype in HR positive breast cancer for the first time. The relation between the PDL1SNP genotype and the side effect of the new adjuvant chemotherapy is also observed for the first time.
We found that in all people and the people with positive HR, after the SNP rs4143815C to G of the non-coding region of the PDL1 gene is changed, the GC genotype patients can more easily reach pCR than the GG and CC genotype patients; however, patients with GG genotype are more prone to DFS events and have poorer survival than those with GC and CC genotypes.
Rs4143815 is located in the non-coding 3' UTR region of the PDL1 gene. SNPs in non-coding regions, although not involved in protein synthesis, can affect cellular functions by affecting a variety of biological processes such as gene splicing, transcription factor binding, and mRNA degradation. The invention finds the clinical prediction value of the locus rs 4143815. In one aspect, a genetic polymorphism change at this site causes a change in the expression of PDL1 protein, thereby affecting cell function. Under the induction of IFN gamma, the expression of PDL1 protein on the surfaces of macrophages/monocytes in an rs4143815CC genotype carrier is far higher than that of an individual with a GG genotype.
Sequence listing
<110> Shanghai university of traffic medical college affiliated renji hospital
Application of PDL1SNP genotype as marker for predicting breast cancer neoadjuvant chemotherapy curative effect
<160> 20
<170> SIPOSequenceListing 1.0
<210> 1
<211> 20065
<212> DNA
<213> PDL1 Gene (Homo sapiens)
<400> 1
ggcgcaacgc tgagcagctg gcgcgtcccg cgcggcccca gttctgcgca gcttcccgag 60
gctccgcacc agccgcgctt ctgtccgcct gcaggtaggg agcgttgttc ctccgcgggt 120
gcccacggcc cagtatctct ggctagctcg ctgggcactt taggacggag ggtctctaca 180
ccctttcttt gggatggaga gaggagaagg gaaagggaac gcgatggtct agggggcagt 240
agagccaatt acctgttggg gttaataaga acaggcaatg catctggcct tcctccaggc 300
gcgattcagt tttgctctaa aaataattta tacctctaaa aataaataag ataggtagta 360
taggataggt agtcattctt atgcgactgt gtgttcagaa tatagctctg atgctaggct 420
ggaggtctgg acacgggtcc aagtccaccg ccagctgctt gctagtaaca tgacttgtgt 480
aagttatccc agctgcagca tctaagtaag tctcttcctg cgctaagcag gtccaggatc 540
cctgaacgga atttatttgc tctgtccatt ctgagaaccc aaaggagtcc taaaagagga 600
atggaggagc ctaagaataa aaatagtata ataaaacatt tcttagacac attgaccttg 660
gcctatgtca aagttcagtc tgggtttgtc ttataacaca aggagtaaaa gtaccattgt 720
tctacctctt tttttaatac ttgaaaaaaa tttactgtgg atgcttttct atgaattaaa 780
taaccttcta aaaaatgttt tcattgctgc attcgattag attgggtaac taaatgaaat 840
taattcctca ctgttgggta taaaggttat ttacagtggt tctgtcttag ccattcactg 900
aactcattgc atatatatct ctggaatatt gctgattgtt tccttcaagt aaacttagaa 960
gtgtaactac ttagtcaaag agcctgaata ttttaaaggc cttttgaaga aaactgaaaa 1020
tgctttccag aaaggatgta tcagttgaca atgacagtcg tcaacagtat ttaaggagaa 1080
ctatgatact ctgaagaaaa acttagcctt tctcagtaaa agtaggtagg cagaggccac 1140
atgacagcag ttagagtgtg gtcttcaagg aagtcacaga aatactgtgg ggaattgaaa 1200
ccccatgtgg aaaatgtaca agagtgtctc agtgtgactg agaaggaggt tgggcatggg 1260
gtttcatgga gtttaataaa gtttggtcac ttagtagagg tttaataaat caactgtctt 1320
aatctttgat cctacttaag aatttttttt ttgtttttgt agagatgggg ctcttgttat 1380
gttgcccagg ctgttctcga actcctagcc tcaggcgatc ctccctcctc aggctccaga 1440
agtcctggga ttactggcgg gagccaccat gcaggcctct tgctcctact tttgagaaag 1500
gaagtttaac cggttttttt tgtctttttt tttttttttt tgagacagag tctcactctg 1560
ttgcccatgc tggagtgcag tggtgcaatc tcagctcact gcctcccggg ttcaagtgat 1620
tctcctgcct cagcctcccg agtagctggg actacaggca cctgccacca cgcccagcta 1680
atttttgtat ttttagtaga aatggggttt caccatattg gccaggctga tctcgaactc 1740
ctgacctcag gtgatccgcc tgcctcggcc tcccaaagtg ctgggattac aggcatgagc 1800
cactgctcct ggctgcttaa ctttttctct atctcatcct cctacccatc ctacccttgg 1860
aagatagaga agtagtatta gttccatagt gttatactgg gcttccccca gggacaaacc 1920
cacttcccca acctgaatga gccatcactt cttccccagt ttacatttca ttgctcttta 1980
aatgtctcca ttcggatatg ggaattcaca tatggtcata attcttacct gaagaagatg 2040
tcagtcttct tctcttagac caactgccct gatatgaggt ttagaggtta aagaacatgt 2100
gtgtatttac atgatctttg tattctgcct tttcgtccct cactaatgac agctgcaccc 2160
caaggaaatg gagctgtgga agagagggtt tgataagaaa ttaagtaaat attggatcta 2220
atccatcacc ctccaggaag cctttattac tcctaaaaat ttcaaccaaa ttcattaaag 2280
gacaagaact ccaccagagt aggccataaa cattggcaaa attagttgta atccatgact 2340
agatttaatg tccctttgtt ttattcccat atggttataa tgctttgctt ggcattaggg 2400
gtattttaag ttttcttctg cctagtaagt gaatttgtgt ttataataca ataatcataa 2460
aatatcacat taatatttta taactgtaca gttataaaat attttataag taatatttat 2520
attttataag taatatttta taactgtaca gttaactctg gcccaaggaa aagatagtct 2580
gatagatgct gcagccccat tttagcaaat gtgacctcac aggcctgaat gccatcgcta 2640
ttccacatct acaggataga cggaaaggaa agaaataaaa aaataggtac ctaacactgg 2700
caagaggatg atgactcatg ttatttcact taaccttttt atcttttaac atgaaggact 2760
catacaggtt gataagaaac cagtgacata aacagaccaa aaaatgatca gatctttcaa 2820
attagcaaaa aaataatatt ttttaaacaa tgggtgaaaa tacagtgtaa cagtaccaat 2880
tatcaacatg tgttgagaac cagaaaaatg ttctttttct ttgatcagca acactatttg 2940
ggaaaatcta tcctcagggc ctagcctggg gccctggcac acagtaggca ctcaacgaat 3000
atttgctgaa cacacaaata cttatgatat tttaaaaaat tggcaacaat ctgataccta 3060
acaatagagg gattaaatat tatggaactg ttaaataaga tgcttatgaa taccatgcag 3120
taagatgggc aatatttatg ccataagctt taatgaaaca aatgggtatt aaatgtatga 3180
taaggttata aattactttt taaaagatta cagggaaaaa aattgaaaga tatacactga 3240
aatgtttttt gctcacagtg gtgacaaggt ttctcagcac tggcactgtt gacgttttag 3300
gctgtatgtc tttgctgtgg gaggctggcc tgtgcactgc agggtgtttg gcagcactct 3360
tggcctctgc ccctagatag caatagcagt cctccctcaa ccagcccaat tttgacaacc 3420
aaaaatgttt ccaggcatca ccagatgctc cctgggtgag agtgatgaaa tagtagggga 3480
ttttcccctt cttttcttat tttctgtaat tccattatat tactttaata ataaagaaaa 3540
aaacataaaa aataaacgaa tgttattatt ctacgtcagt ttggatgttt ggactccatt 3600
ttggggttct ttccattata tcacttggtc tgctaaacat tctacggttt ggtaaggtga 3660
agtgattcat gaaattttgg ttttattttt ttcctgatac taaaaataaa acattctttc 3720
acttggaaat ttggacacag aacaccaaaa aaaatccata atctcatctc tctttttctg 3780
tcttttcctt ccttttttcc ctttaaaaac aataaagagt gaaacctacc tgttctccct 3840
ctaatttaat tcctaaatat aatcactgtc aatatcttgg acatttcctg tgtctaaaca 3900
cacacacaca cttttttttt tcagcaaaag tggatttctg ctacatgtag tgttctgcaa 3960
cttactttct atgtgtttac aaaatcagta catgtacata tgctgaattc agtccttaat 4020
ggtattatat tttgtgaata taccaaaatt tgtttaacca cttagacaat ctaggatatt 4080
ctcagtttgc tgttatgagc aatgctcttc ctttacatat acagacatat atatatatat 4140
gtgtgtgtgt gtgtttttgt tttagtagga tagatttcta ggagagggtg aaaggtctta 4200
tgacatccgc atttacgatt gtaataggaa gtatcaaagt gccccctaaa gaaaaaaatc 4260
ctcccattag tgggtaagaa agcctatttg ttcatatctt cacaaacact aaatattaga 4320
aatatttaca attgtggtca agctcataag tgaaaatggt atttcatatc ttatattttt 4380
tattgtgaga ttgaacatct ttcatatgtt tacatgtcac ctgtatttct tattctctga 4440
actatatgtt atgacctttc actttttttc ctcatgggtt atgtgtagtt tgtatagttg 4500
tcttattgat tgttaggagc tatttatata ttaggaacat taatctcctg tcttatatat 4560
acgtggcatc gattagttga tcatttgtga gttcatgtct gtatacaaag attggagagg 4620
cactaagagg gaaaacttac ctctttctta tcaaagtttg taaatatatg tataacagaa 4680
gagggagaaa atattaataa atgcacagat tggctgaaat agagtataaa tcttttactc 4740
ccctacttca acataaactg caaaaggaga gtgacttttc tttcactctg acttccgtat 4800
tcctcatgct taaaatagtg cctagcacag aagaggtgct caatcagtgt ttgctaaacg 4860
aaataattag tcacatttca agcaggatga ctaaatgaag aatagaatct aggcagatac 4920
tctggaagag tggctgtgag tcattcatat cttagtatga attagtcaaa tccaactctc 4980
tccccttccc actccccact gttagtagaa gaatctgttt attgagagaa tagatttata 5040
atttagaata agtgagaggg gcagaagagg agattttgaa ggatggcacc tgaaggagga 5100
ctagcatggc tgagacagtg aagtggaagc cttgaatagc taaagggtaa gatgaaagta 5160
tttagctgta gggggaaaaa gcattgacag gttggaaaag taaaagtcag attctccttg 5220
ctctgaaatt ttgtacaggg caggttctac taggtatgtt acaatgcaga aaaaacatga 5280
aataattgag aggaatttgg tgcaatatta tcttcttggc ttcttttgag tgggcagatt 5340
tttttcacgg cctgtaacta taataaattt gaaacttctc atcttttagt aacttttttc 5400
acttaagttt atgtggctgt gggcaatgga atgaagatat tgaacttcca attccctgtt 5460
gggtttccac aattacaagt caatcatgac tggttattag aagactattt cagttagaac 5520
caccaagtcc catattgtca tattgtatgt ttaattatta agtgaagcag tcttcttttc 5580
gtgttttcca taattagggc attccagaaa gatgaggata tttgctgtct ttatattcat 5640
gacctactgg catttgctga acggtaagac accaaatcct tccattaggt tctatatttt 5700
aaatatttta accatgagtt taaaactaaa atgatcattt aaaatgcatg caattttctt 5760
atagagagaa cattctattc tttcttctac tttacacaat ggcaaagtct tctttctact 5820
ttacgcaatg ataaagttac ctgtgtcatt ttgtaaaaat atagagaata tagacaaatt 5880
gaaagacaca aaataatcta ttacccattt cccagggtta actactgaaa atatctgggg 5940
aaatggcctg tatgtataca tttatttgtt tgctttcaac aaggccaaga tcctttgatc 6000
tttcagtctt ggttgctctg tgacatgcct ttcctgatga ggatacttta aggaagaatt 6060
gtaagataca tggaaaatgt caggctaaca cagtactggc atcaccctgt gctctttcct 6120
gaactccata ccaatgtact tcttgccaga aaactgatca aaagtttagg gaagtaaaaa 6180
gagatgactg ttagaatcta ccattccctc tatgtaggaa gcaaataggt gtcctgtcaa 6240
aggacattct ggggatgtct acatgaaacc aagtctccct ggttgtaagg actccatctc 6300
catataatat ttatacagta atatatgttt ataaattgtg ggggcaactt gtttagctaa 6360
ttttattatt ctgctattgg gacactgtgt ctcagcatga gatatagtgt cccaaaacat 6420
atttcaagcc cattggataa aatatgtgtt tagcaagttc ttaaatataa tgataacata 6480
accgaccaga taaagtgatt tataaacgct gtgccaattt tgtaaatgtt tcgaggaatt 6540
ttcccttttc tgaagattgt ccttctttct ttttagcatt tactgtcacg gttcccaagg 6600
acctatatgt ggtagagtat ggtagcaata tgacaattga atgcaaattc ccagtagaaa 6660
aacaattaga cctggctgca ctaattgtct attgggaaat ggaggataag aacattattc 6720
aatttgtgca tggagaggaa gacctgaagg ttcagcatag tagctacaga cagagggccc 6780
ggctgttgaa ggaccagctc tccctgggaa atgctgcact tcagatcaca gatgtgaaat 6840
tgcaggatgc aggggtgtac cgctgcatga tcagctatgg tggtgccgac tacaagcgaa 6900
ttactgtgaa agtcaatggt aagaattatt atagatgaga ggcctgatct ttattgaaaa 6960
catattccaa gtgttgaaga cttttcattc ttgtaagtcc atacttattt tcaaacagaa 7020
cagcatagtc tgttcattca ttcattcaat tcatgaattc attcacataa ttatccaatt 7080
tcttgagcac ctatttgata gtcactggaa atccagagac aaacaacaca gagccatgtt 7140
ctacagtatg tacagttttc caaaaagaat ttctagtctt tactttttta ttacaaatgg 7200
aatacgtata cttgcaaata attcagatac tgtggaagag atcaaatgaa ttgcaaaagt 7260
gtccctcctc ccttcaccac tatctcccat ggcatgcaga gagagtaacc attatttgtg 7320
tgtccctcca gaaatttttt tattcaacta ctattttttt attttattag gtccgtcagt 7380
tttccttttt tgagcctctc tatatcaaat gcaaataaat atattcagaa caaaccccac 7440
tgtaaggttc acattaaaaa agacttgaag tcaccctatg aagacaaaaa ataatcacat 7500
taagtgtgaa agaacctatt cttccagtac aggataagcc atacttactg ggcatatatt 7560
catcttgaaa atctatactg atgttgtctt ggggaattga aaaggaacta ggagtgttag 7620
ttcctcggta ttgacccaca gttatgttat caggtcactt gagttcaaag ttttgtgttg 7680
gcactagcta agtaaaggaa aacacctctg ctttcattgt tgagtttcac agaattgaga 7740
gctgaaagga tcccaggcag gagcagctaa tccaaactcc cacaaagaac aaaaatcccc 7800
cagaggatct tctgttctta tatttcctgc aatggcgtcc ctgtcatatc ccacaatggc 7860
ctccctgcca tttggatatc ccttccatat cctgttgaaa ttactcccta atagtaagct 7920
gaaatctgcc cctctagttg tagtcttggg attatttcat ttacatgatg accttttaat 7980
atttgactag aattaaatca tctccccttg gtctttccat tcctgggcta actaccatca 8040
atctgagggc taacaataca agtagaaaaa gtatacattt gtcactgatc actgatcaat 8100
tattaatcaa tgatcactga taactataaa ctcaaaaaca aaatcatgtg gggattaaga 8160
gaaatgtatc agttttatgt tgtatttctg gtccctgata ctggctcagg taatgccact 8220
attgtcaaga agataccact tgtaaagtag atttaatttt cattatattt taccatatgc 8280
ttctccattc atgacatctc ttgagatgtt gtggtttata ctttcagttt ttctccagtc 8340
catccgcaaa tatcaggcat ctactgtgtt ccaagatatt aaagaaatca tcatgactta 8400
gcctcatcaa cagcattgct agatctggga tggaaaggaa gagtataatc ctggcagtca 8460
ggaagaaggc agcataaagt ataagtttct gcttccaaaa aaggtctctc atcagcctgt 8520
agggagtgtg tagggaaggg acagctgtcc ttgtagtagg gaagggtttt attcaggtcg 8580
tctgggctcc ataatatccc ttgtgtatct gcagtctcct ttgccatgga tcaacacaat 8640
aggaaatctt ccggcactga tggtttttcc aagggggagt tcttcctgga gcaaagcaaa 8700
tgaccaacca ggtttgagga cctgatttgt ttgacaattc cattttgtat tgtaaattac 8760
ttaattggca ttctactccc aatccatctt gtcatttgca tacagtggtt ttgggattga 8820
gttcagctat accaaaagtc tgaaccttct gcacttagaa caaggcaacc accaagcttc 8880
acttgcactg aggccgtgtc tccaatggaa atgaggcagc tggcttgcag gagcttccca 8940
actcagggaa gtagaactcc tgagtcacct ccatatgcaa atgatttcac agtaatgctg 9000
ttgaacttca cttcccatca cagcaaatgt gtggtaacat agcttcccca caggagttta 9060
ctcaccatgg tattttaaag gtgaaacatt tcaaaactga aatttgaaag aatttagttt 9120
tggattcact caattatcac tatcacttcg ggtgttattg cacctttctt gtttgtgagt 9180
ttaaatgcca gactctcagg ccactaactt tcaattaaaa gtgtttttct ttaatcgctg 9240
aacctaacag cagggaaaac gaaatgttca ttcagacttt cagaaccttc aatgagatta 9300
ggcagctgaa agatcaaagt gttgcatagt tgtcccgata aagctatttg gatcatatgg 9360
accaaatcga ctgctgtcat tccccaccaa ccccatctct ccccaaaatt cccagccctg 9420
tttaagtgtt ctctgtagca tttatctcta tctagtatat tgtgtagcat atcatatcat 9480
acttttctgt tttgtttatt gtctctctcc tcctagaata taaactccac aagcacaaag 9540
atttgggcct gttttataat attgttgcat ccccagggcc tgatatacag cagagtggtg 9600
gtacgaaaag agcacacaaa aaaatatttg ttgagtcaat gaatgaatga tttcctcaaa 9660
taggattagc ctaaaatttt ggaaacatga acagatttgg atatgtgaaa atttatttcc 9720
agactgttca tcaggaactg ttagcagctt ctaaagggta cactggagca gcagtagtaa 9780
aaggaggaag aggagcagct ctgctactgc tactatcgag tactactaca attagcactt 9840
gcttattctg tgtgttaggc cctgtactga acactctgtc taaattagtt catttcctcc 9900
tggaaatgac tctagggggt aagtgcttca tcatgtaaga tgagtatttt tcacattttg 9960
ttgtgtctga aatctgagtg tgtctttcaa tgatggaatc tttgattcca tgataagtgg 10020
tattattccc attttaagga tgaggaaact gaggtccaaa gaaattaagt aatttgccca 10080
aattcaccca gcctagaaaa tgataaagct agttctaaac ccaagcagat tagctctgaa 10140
gtctgggccc ttaataacca ctttttattg cctatatttg tacctctggt gtacgtatca 10200
agttatatgt tgacttcaaa actatcatga ccttttcttg gttttgattg tccaacatta 10260
gtatagtgtt ctgggtctgc aaaaattttg attactcatc tcatctgtaa aacattttga 10320
actcgtgtgt ttgtgcatgc acatttgtgt gtaattataa aaattttact ttctgttaat 10380
atataagttg tatcataaga aactgccgtt tttgaagagc aaaaaaaggt tgaatgttac 10440
cagttacatc tggttcaacc taatagacat ttgtacaaaa acagacattt taagaggttg 10500
aaataaaaat ttaataaaca atattttcag tttttactaa ttgtgatgct tcactatcat 10560
tagctaatat gtcaaggcat aatatacctt agggtgaact ttatcattaa caaaggtgga 10620
tggtgtcaat aatcttgagg tttgtgtttt tttatataac actgcgaggt ctaattaagt 10680
acttactgtt taccacctca tacagtggcc gataaaaagt gtcacttctg ctgtttcctc 10740
tgggttgtgc ttgaattatt agtattatct tcagtcctca gtttctttgt gggaaacttt 10800
ttaattagtt gtttaatttt gtaagatggt tagtttagtc aaaattagat aagagaattt 10860
gaaaatccgt agctacccca aagcaaccta cacataagaa ctattatttt tgtgttttga 10920
aatcataatt ttattgattt ccagtgtttc cactggtagt ggtttcattg atataggagt 10980
atcaaaacat cactcattat ttatttcagt ttcatttgat cctagccgtt ttgtattaac 11040
tctctgtgaa gaaattacct cacaaatcta ttgctgtcct tggtaaagga atggagaatt 11100
aaggctctag atcattagtg gttacactat agtattagaa gtaaaaaaaa gattatacca 11160
acaaaataag aacatgttaa tgtacttgta atgaataaac atgaataaag ctcttatgct 11220
atataggtgc actaaacaat ctactagaat tgtcagcaaa ctacgtatct taatcctgaa 11280
agggtcccaa accaatgatc taaaattgaa tcaaactttc ttccttgagc ataattactt 11340
aaatgattta ttaaaatagc cagcatttaa aagcttaaaa tgtaaatatc ataatgtggt 11400
atcctagata gcatcccaga acagaaaaag gatattaggg aaaaactgga ggaatggaat 11460
aaattatgca gtttagttat taataatgta ctaacgtcct tagttatgac gattgtacca 11520
tggtaatgta agatactaac aatagaggaa accgggtaag gagtatacag taactctata 11580
ctatctttgc aacttttttg taaatttaaa acttctaaaa taaagaacaa atttaaacat 11640
taaaaagtat caccaggaac atatatcact gtttacagat gaaatactat gtattttcat 11700
atctaatttc tgatcattga cttcaaatca gaaaagtgaa tgacacctca aaatcaggtt 11760
ttctgtttac tgaagtctaa gaaaagaaag cataccagct ggagagattc atgtttataa 11820
agacagattt ataacaacaa aaataaaata tccaagaata aatttaagaa gaagcacttt 11880
actgagaaac atatgaaaac ctgaacaaat ggagagggat attttgtatt tgaatagaaa 11940
gacttctggt ttaaagataa ttctctttaa attatttttt gtagaaattt aaggggtaca 12000
agagcagtgt tgtcacatgg atatattaca tagtggtgaa gtctggggtt ttagtgtaaa 12060
ttaatcttta cattttgttt gagcccaata aatgtaccaa catgattttt atagaaagat 12120
agtcattcct attaatccaa acttgtccca actttgaatt gaattgaggc agagctagca 12180
ggtgttcccc acggctgagg catctgaaca ttaagcatat ccctctgaga accagcctgc 12240
attgatactc tttctaatgt ggacagcatc aagctatgta cgtagttctg tgctcagcaa 12300
aagccctgac ttctttttgt ttatgtccta gccccataca acaaaatcaa ccaaagaatt 12360
ttggttgtgg atccagtcac ctctgaacat gaactgacat gtcaggctga gggctacccc 12420
aaggccgaag tcatctggac aagcagtgac catcaagtcc tgagtggtaa gaccaccacc 12480
accaattcca agagagagga gaagcttttc aatgtgacca gcacactgag aatcaacaca 12540
acaactaatg agattttcta ctgcactttt aggagattag atcctgagga aaaccataca 12600
gctgaattgg tcatcccagg taatattctg aatgtgtcca ttaaaatatg tctaacactg 12660
tcccctagca cctagcatga tgtctgccta tcatagtcat tcagtgattg ttgaataaat 12720
gaatgaatga ataacactat gtttacaaaa tatatcctaa ttcctcacct ccattcatcc 12780
aaaccatatt gttacttaat aaacattcag cagatattta tggaatatac cttttgttcc 12840
atgcattgta gtactcattg gatacacata gaataataag actcagttca cactcttcag 12900
gaaacagata aaaaactaag aaacaaacaa aaaacaggca atccaacacc atgtgggaaa 12960
tgctttcata gccgggaaac ctggggaata cctgagagga atactcaatt caggccttgt 13020
ttcaggaatc caaatcctgg cacatcagag ctgcttccct ctttccaggg tggcaggaaa 13080
taaatggaac atatttttct atcttatgcc aaacatgagg gaccctttct ccccggtgcc 13140
tctcccaagg tagtctacaa tatttcaact ctagcagtct gcttagtgca tagaacatga 13200
ggctgtgtgt ccctgggcaa attactagac ttctgtgtgc ttcactttcc ctgtaggatt 13260
ataatctact gagcaagctt attgtaaggg tcagattagc aacagtgtat gaaaatgatt 13320
tgagaccatt gcctgcacaa attcaactat ttttttttat ctcactactc tacagaagta 13380
ggtagggtgg gagacagagt ctgatgagag gctcagaatg tgaaagaaag tgaggcgagt 13440
gagcatgata tttaatataa acacaaagat attctgagaa gagctgctca ctgccccctc 13500
ccccaataca tgttgatagg aaaatgccac gtacttcagc aaaaacaact gaaaaattag 13560
atagaaaagt caatcaatag gaaaagataa tccaggacgg tgttgtgaac agaaagaggg 13620
ggaaaaaact ttagaaaatg atggggatgc tcttactggg gtacgagtcc tcaggtattg 13680
aactggcttt cagtaaaagc tagattagtg ggttcctgcc atttacaagc tgttttatga 13740
caacttactt gttgggtggc ctacagtaac tcacctaact gcactgagtc tgtttcctca 13800
tctgtaaatt ggggattttt ttttaaatac ctggcatgcc taactcataa agttgttctg 13860
aaactgaaat aaaacatacg tgaacaggca ttgtaaactg taagttacgg aaaaagctgg 13920
ctgttgttgt gtctttaaag tttcacctgg gtagtcaaag atggatcatg ggtctcagtg 13980
gagagctgag ccaggcagga gctgactaag ggtgagaggt gggagttagc agcctctgaa 14040
catctgtgta ccatgggacc ccctttcctc ctgcatggta ccccagacaa ggagcctagt 14100
aagagatact aatggcttgt tgtccagaga tgttcaaact gcagagaaag ataagacaac 14160
aagcattggc ctccaatcat gatgacagat aggaggaggt gggagctcct tagcagtgct 14220
ggttggcctt ccatgttcta ctgtgggcca tctctgccat gtactgtagg ctactagctt 14280
ctatattaaa gaatgcaaga ggggccagga gcggaggctc atgcctgtaa tctcagcact 14340
ttgggaggcc aaggtgggca gatcacttga ggtcaggagt ttgtgaccag cctggccaac 14400
atggtgaaac tctgccttta ctaaaaatat aaaaattagc tgggtgtggt ggtgtgcacc 14460
tgtaatccca gctactcggg agactgaggc acaagaattg cttgaacctg ggaggcggaa 14520
gttgcagtga gcccagattg cgccactgca ctccaccctg ggcaacagag aaagactctg 14580
cctcaaaaaa aaaaaaaaaa agcaagagga agtgaaataa tcaaggccgc catttaatag 14640
tgagcagcca ctccatgtgg tactgtgcaa gcacattata aatattagcc tcacaagaaa 14700
tgtattagca tttgtatttt gtacactggt taagtatctt gcccaagacc tcaaaactgg 14760
ttaagggcag cagaatttag ccccagcacc accttttcaa agcctgggct tctcacactt 14820
ctccatgctg ttcccatttt aacacaggta tctcgccatt ccagccactc aaactttggc 14880
atttaagaaa attatcctaa agctaaacta aacttcaagg atgaccattc tcctgacccc 14940
ttcccatcaa aattttatct ttagtcagtt tgttttcgtt ttgttttgtt tttcagaact 15000
acctctggca catcctccaa atgaaaggac tcacttggta attctgggag ccatcttatt 15060
atgccttggt gtagcactga cattcatctt ccgtttaaga aaaggtagta tttccttaat 15120
tgcagtggtc tccactgggg gtgaggaagg ggtgagaatt ggatcatggc tgcaaggaaa 15180
cccgacttaa cctctgcaag gtggtgcaaa ggcattccac tgttcaacag caattatatt 15240
gaagctgagt gggatcactg ggtgaagatg aagcgtaagg ggtgaggggc aggagaatgg 15300
gtatggatgg aggtagaaga tgcagtgtca tacagttttt ttctatcatg aaaataacca 15360
cagacttaca gaagagaaag agctaaaatg cccgtcattt tcagttgcat tttagtcttg 15420
cattagttgc aaccagctgg tttctgggta ccctaagtaa taaaaatagt tcctctgtag 15480
aactgtagta tgtttaccat agagtatttt gcaaaatttt tggtagagga tgttacataa 15540
tttgcatgtg ttcatttctc catttacctg tgggaacaat taaaatccag gaaaatgagt 15600
atattcaaat aatttcctcc catttaagat gagtcagagt aaataattcc tccaatactt 15660
agagaagtat accaagagat ccagtgatgg tatagagttg tctgatgtta aatagggaag 15720
tagaatatgg aaggggattc caatagtcgt tgaaaaattc cccataaccc cttacatggg 15780
ggaaagtagt gttaactgag agagtagaga taagctgttt ccaaaaatta tattcttaac 15840
aggactgaga tagccagaat ataaggatca agtttcaatg acagtaagat cctgagatgg 15900
agttgatttg cacaaagaaa taattgttgc cagcatgcat tttgaatatt tctctggaaa 15960
aaaagattag ttggcagtag aaatggatag aaatcaatag atattaaaat acctcagaat 16020
ttggttcatc tctgggaaaa gatgaaaaat aaaagtgtat actcctcaag aacatctagg 16080
atcaaaagca tgtgccctac actattgaat taattaacct cataagttgg gacctgtgga 16140
ataaggatgt ccaccagact tcctagggat tacaaatgtt tcacagaact tgaaatttaa 16200
acttgggtca ctgtatggga tgtagagctg tgctatatgg aaataaaaat gatttctttt 16260
tctcaaggga gaatgatgga tgtgaaaaaa tgtggcatcc aagatacaaa ctcaaagaag 16320
caaagtggta agaatatcag aaggaattgg gaagtaaaag tcaaaggaaa caaaaagcta 16380
aagcaataac aaagagaaat ccatcagtca taatctcctc tccttttaaa gaatgctggt 16440
tcccctttgc ctcacagcta acacaagaac tcctccaccg tctgaggagg tttaggagca 16500
gggaagggga aggagtcagc ttcatttgct aatcttctgt tgccctgcac cctagcagct 16560
ccttgcagca ggggacaagg atgacttagg tggatggata attaattgat tctaaaatat 16620
tgtgtgtcag tattgtaata ctatgttaat tgcaccatgc acggtatctc atttaatccc 16680
ccaccccttg ccattaccaa agagagagag agagagagag agagaaatac tagaatttat 16740
cctcatttta cagtagagaa aacagagggt caagaagata atgtaaagtg cccaagaaca 16800
cacagctgat cacaaaaatc aagcttgggg gccattagcc taaccacaga cccttactct 16860
taacccatct gcttcaatcc attttgctac aaatgtttac atttataagc agggcagaaa 16920
aacctcatcc aggttattga actaagaaga aagttatatt aaggtttcta atttttttaa 16980
tgtagttaga aaccaaactt aacaatgagc ccaagtttaa agcagtctaa ttaacctgga 17040
caagctcagg caagtttcat tctgtggccc atagcatcat ctgtgttgta aagctaagta 17100
gcaaatgttg tttgggtcat gctgggggac aagccatccc aatttgctca ggactgaggg 17160
gttttccagg atatcatgta aggataattg ggtacaaata taacctgctg ctttctctca 17220
tttcaaattt atcatttatc atatcagcaa ctatgagtta tgttttttat tagatttctt 17280
gttacttttt ccccagacca cttcccatga aattaatata ctattatcac tctccagata 17340
cacatttgga ggagacgtaa tccagcattg gaacttctga tcttcaagca gggattctca 17400
acctgtggtt taggggttca tcggggctga gcgtgacaag aggaaggaat gggcccgtgg 17460
gatgcaggca atgtgggact taaaaggccc aagcactgaa aatggaacct ggcgaaagca 17520
gaggaggaga atgaagaaag atggagtcaa acagggagcc tggagggaga ccttgatact 17580
ttcaaatgcc tgaggggctc atcgacgcct gtgacaggga gaaaggatac ttctgaacaa 17640
ggagcctcca agcaaatcat ccattgctca tcctaggaag acgggttgag aatccctaat 17700
ttgagggtca gttcctgcag aagtgccctt tgcctccact caatgcctca atttcttttc 17760
tgcatgactg agagtctcag tgttggaacg ggacagtatt tatgtatgag tttttcctat 17820
ttattttgag tctgtgaggt cttcttgtca tgtgagtgtg gttgtgaatg atttcttttg 17880
aagatatatt gtagtagatg ttacaatttt gtcgccaaac taaacttgct gcttaatgat 17940
ttgctcacat ctagtaaaac atggagtatt tgtaaggtgc ttggtctcct ctataactac 18000
aagtatacat tggaagcata aagatcaaac cgttggttgc ataggatgtc acctttattt 18060
aacccattaa tactctggtt gacctaatct tattctcaga cctcaagtgt ctgtgcagta 18120
tctgttccat ttaaatatca gctttacaat tatgtggtag cctacacaca taatctcatt 18180
tcatcgctgt aaccaccctg ttgtgataac cactattatt ttacccatcg tacagctgag 18240
gaagcaaaca gattaagtaa cttgcccaaa ccagtaaata gcagacctca gactgccacc 18300
cactgtcctt ttataataca atttacagct atattttact ttaagcaatt cttttattca 18360
aaaaccattt attaagtgcc cttgcaatat caatcgctgt gccaggcatt gaatctacag 18420
atgtgagcaa gacaaagtac ctgtcctcaa ggagctcata gtataatgag gagattaaca 18480
agaaaatgta ttattacaat ttagtccagt gtcatagcat aaggatgatg cgaggggaaa 18540
acccgagcag tgttgccaag aggaggaaat aggccaatgt ggtctgggac ggttggatat 18600
acttaaacat cttaataatc agagtaattt tcatttacaa agagaggtcg gtacttaaaa 18660
taaccctgaa aaataacact ggaattcctt ttctagcatt atatttattc ctgatttgcc 18720
tttgccatat aatctaatgc ttgtttatat agtgtctggt attgtttaac agttctgtct 18780
tttctattta aatgccacta aattttaaat tcataccttt ccatgattca aaattcaaaa 18840
gatcccatgg gagatggttg gaaaatctcc acttcatcct ccaagccatt caagtttcct 18900
ttccagaagc aactgctact gcctttcatt catatgttct tctaaagata gtctacattt 18960
ggaaatgtat gttaaaagca cgtattttta aaattttttt cctaaatagt aacacattgt 19020
atgtctgctg tgtactttgc tatttttatt tattttagtg tttcttatat agcagatgga 19080
atgaatttga agttcccagg gctgaggatc catgccttct ttgtttctaa gttatctttc 19140
ccatagcttt tcattatctt tcatatgatc cagtatatgt taaatatgtc ctacatatac 19200
atttagacaa ccaccatttg ttaagtattt gctctaggac agagtttgga tttgtttatg 19260
tttgctcaaa aggagaccca tgggctctcc agggtgcact gagtcaatct agtcctaaaa 19320
agcaatctta ttattaactc tgtatgacag aatcatgtct ggaacttttg ttttctgctt 19380
tctgtcaagt ataaacttca ctttgatgct gtacttgcaa aatcacattt tctttctgga 19440
aattccggca gtgtaccttg actgctagct accctgtgcc agaaaagcct cattcgttgt 19500
gcttgaaccc ttgaatgcca ccagctgtca tcactacaca gccctcctaa gaggcttcct 19560
ggaggtttcg agattcagat gccctgggag atcccagagt ttcctttccc tcttggccat 19620
attctggtgt caatgacaag gagtaccttg gctttgccac atgtcaaggc tgaagaaaca 19680
gtgtctccaa cagagctcct tgtgttatct gtttgtacat gtgcatttgt acagtaattg 19740
gtgtgacagt gttctttgtg tgaattacag gcaagaattg tggctgagca aggcacatag 19800
tctactcagt ctattcctaa gtcctaactc ctccttgtgg tgttggattt gtaaggcact 19860
ttatcccttt tgtctcatgt ttcatcgtaa atggcatagg cagagatgat acctaattct 19920
gcatttgatt gtcacttttt gtacctgcat taatttaata aaatattctt atttattttg 19980
ttacttggta caccagcatg tccattttct tgtttatttt gtgtttaata aaatgttcag 20040
tttaacatcc cagtggagaa agtta 20065
<210> 2
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 2
acgttggatg atttgagggt cagttcctgc 30
<210> 3
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 3
acgttggatg actgagactc tcagtcatgc 30
<210> 4
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 4
acgttggatg tccactggga tgttaaactg 30
<210> 5
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 5
acgttggatg ttgtcacttt ttgtacctgc 30
<210> 6
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 6
acgttggatg acagagctcc ttgtgttatc 30
<210> 7
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 7
acgttggatg tgctcagcca caattcttgc 30
<210> 8
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 8
acgttggatg gaggatccat gccttctttg 30
<210> 9
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 9
acgttggatg cttaacaaat ggtggttgtc 30
<210> 10
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 10
acgttggatg ttaagtccca cattgcctgc 30
<210> 11
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 11
acgttggatg tctcaacctg tggtttaggg 30
<210> 12
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 12
acgttggatg atacctagta gaacctgccc 30
<210> 13
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 13
acgttggatg gcattgacag gttggaaaag 30
<210> 14
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 14
acgttggatg atttgctgcc ttgggcagag 30
<210> 15
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 15
acgttggatg tcgggaagct gcgcagaact 30
<210> 16
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 16
acgttggatg aacaggtggg aaagatgaac 30
<210> 17
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 17
acgttggatg gttgctgatg ggaattgagg 30
<210> 18
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 18
acgttggatg actttggtga ctgtgacctc 30
<210> 19
<211> 30
<212> DNA
<213> Artificial Sequence (Artificial Sequence)
<400> 19
acgttggatg catgtgtgtg tcatacacag 30
<210> 20
<211> 20065
<212> DNA
<213> PDL1 Gene (Homo sapiens)
<400> 20
ggcgcaacgc tgagcagctg gcgcgtcccg cgcggcccca gttctgcgca gcttcccgag 60
gctccgcacc agccgcgctt ctgtccgcct gcaggtaggg agcgttgttc ctccgcgggt 120
gcccacggcc cagtatctct ggctagctcg ctgggcactt taggacggag ggtctctaca 180
ccctttcttt gggatggaga gaggagaagg gaaagggaac gcgatggtct agggggcagt 240
agagccaatt acctgttggg gttaataaga acaggcaatg catctggcct tcctccaggc 300
gcgattcagt tttgctctaa aaataattta tacctctaaa aataaataag ataggtagta 360
taggataggt agtcattctt atgcgactgt gtgttcagaa tatagctctg atgctaggct 420
ggaggtctgg acacgggtcc aagtccaccg ccagctgctt gctagtaaca tgacttgtgt 480
aagttatccc agctgcagca tctaagtaag tctcttcctg cgctaagcag gtccaggatc 540
cctgaacgga atttatttgc tctgtccatt ctgagaaccc aaaggagtcc taaaagagga 600
atggaggagc ctaagaataa aaatagtata ataaaacatt tcttagacac attgaccttg 660
gcctatgtca aagttcagtc tgggtttgtc ttataacaca aggagtaaaa gtaccattgt 720
tctacctctt tttttaatac ttgaaaaaaa tttactgtgg atgcttttct atgaattaaa 780
taaccttcta aaaaatgttt tcattgctgc attcgattag attgggtaac taaatgaaat 840
taattcctca ctgttgggta taaaggttat ttacagtggt tctgtcttag ccattcactg 900
aactcattgc atatatatct ctggaatatt gctgattgtt tccttcaagt aaacttagaa 960
gtgtaactac ttagtcaaag agcctgaata ttttaaaggc cttttgaaga aaactgaaaa 1020
tgctttccag aaaggatgta tcagttgaca atgacagtcg tcaacagtat ttaaggagaa 1080
ctatgatact ctgaagaaaa acttagcctt tctcagtaaa agtaggtagg cagaggccac 1140
atgacagcag ttagagtgtg gtcttcaagg aagtcacaga aatactgtgg ggaattgaaa 1200
ccccatgtgg aaaatgtaca agagtgtctc agtgtgactg agaaggaggt tgggcatggg 1260
gtttcatgga gtttaataaa gtttggtcac ttagtagagg tttaataaat caactgtctt 1320
aatctttgat cctacttaag aatttttttt ttgtttttgt agagatgggg ctcttgttat 1380
gttgcccagg ctgttctcga actcctagcc tcaggcgatc ctccctcctc aggctccaga 1440
agtcctggga ttactggcgg gagccaccat gcaggcctct tgctcctact tttgagaaag 1500
gaagtttaac cggttttttt tgtctttttt tttttttttt tgagacagag tctcactctg 1560
ttgcccatgc tggagtgcag tggtgcaatc tcagctcact gcctcccggg ttcaagtgat 1620
tctcctgcct cagcctcccg agtagctggg actacaggca cctgccacca cgcccagcta 1680
atttttgtat ttttagtaga aatggggttt caccatattg gccaggctga tctcgaactc 1740
ctgacctcag gtgatccgcc tgcctcggcc tcccaaagtg ctgggattac aggcatgagc 1800
cactgctcct ggctgcttaa ctttttctct atctcatcct cctacccatc ctacccttgg 1860
aagatagaga agtagtatta gttccatagt gttatactgg gcttccccca gggacaaacc 1920
cacttcccca acctgaatga gccatcactt cttccccagt ttacatttca ttgctcttta 1980
aatgtctcca ttcggatatg ggaattcaca tatggtcata attcttacct gaagaagatg 2040
tcagtcttct tctcttagac caactgccct gatatgaggt ttagaggtta aagaacatgt 2100
gtgtatttac atgatctttg tattctgcct tttcgtccct cactaatgac agctgcaccc 2160
caaggaaatg gagctgtgga agagagggtt tgataagaaa ttaagtaaat attggatcta 2220
atccatcacc ctccaggaag cctttattac tcctaaaaat ttcaaccaaa ttcattaaag 2280
gacaagaact ccaccagagt aggccataaa cattggcaaa attagttgta atccatgact 2340
agatttaatg tccctttgtt ttattcccat atggttataa tgctttgctt ggcattaggg 2400
gtattttaag ttttcttctg cctagtaagt gaatttgtgt ttataataca ataatcataa 2460
aatatcacat taatatttta taactgtaca gttataaaat attttataag taatatttat 2520
attttataag taatatttta taactgtaca gttaactctg gcccaaggaa aagatagtct 2580
gatagatgct gcagccccat tttagcaaat gtgacctcac aggcctgaat gccatcgcta 2640
ttccacatct acaggataga cggaaaggaa agaaataaaa aaataggtac ctaacactgg 2700
caagaggatg atgactcatg ttatttcact taaccttttt atcttttaac atgaaggact 2760
catacaggtt gataagaaac cagtgacata aacagaccaa aaaatgatca gatctttcaa 2820
attagcaaaa aaataatatt ttttaaacaa tgggtgaaaa tacagtgtaa cagtaccaat 2880
tatcaacatg tgttgagaac cagaaaaatg ttctttttct ttgatcagca acactatttg 2940
ggaaaatcta tcctcagggc ctagcctggg gccctggcac acagtaggca ctcaacgaat 3000
atttgctgaa cacacaaata cttatgatat tttaaaaaat tggcaacaat ctgataccta 3060
acaatagagg gattaaatat tatggaactg ttaaataaga tgcttatgaa taccatgcag 3120
taagatgggc aatatttatg ccataagctt taatgaaaca aatgggtatt aaatgtatga 3180
taaggttata aattactttt taaaagatta cagggaaaaa aattgaaaga tatacactga 3240
aatgtttttt gctcacagtg gtgacaaggt ttctcagcac tggcactgtt gacgttttag 3300
gctgtatgtc tttgctgtgg gaggctggcc tgtgcactgc agggtgtttg gcagcactct 3360
tggcctctgc ccctagatag caatagcagt cctccctcaa ccagcccaat tttgacaacc 3420
aaaaatgttt ccaggcatca ccagatgctc cctgggtgag agtgatgaaa tagtagggga 3480
ttttcccctt cttttcttat tttctgtaat tccattatat tactttaata ataaagaaaa 3540
aaacataaaa aataaacgaa tgttattatt ctacgtcagt ttggatgttt ggactccatt 3600
ttggggttct ttccattata tcacttggtc tgctaaacat tctacggttt ggtaaggtga 3660
agtgattcat gaaattttgg ttttattttt ttcctgatac taaaaataaa acattctttc 3720
acttggaaat ttggacacag aacaccaaaa aaaatccata atctcatctc tctttttctg 3780
tcttttcctt ccttttttcc ctttaaaaac aataaagagt gaaacctacc tgttctccct 3840
ctaatttaat tcctaaatat aatcactgtc aatatcttgg acatttcctg tgtctaaaca 3900
cacacacaca cttttttttt tcagcaaaag tggatttctg ctacatgtag tgttctgcaa 3960
cttactttct atgtgtttac aaaatcagta catgtacata tgctgaattc agtccttaat 4020
ggtattatat tttgtgaata taccaaaatt tgtttaacca cttagacaat ctaggatatt 4080
ctcagtttgc tgttatgagc aatgctcttc ctttacatat acagacatat atatatatat 4140
gtgtgtgtgt gtgtttttgt tttagtagga tagatttcta ggagagggtg aaaggtctta 4200
tgacatccgc atttacgatt gtaataggaa gtatcaaagt gccccctaaa gaaaaaaatc 4260
ctcccattag tgggtaagaa agcctatttg ttcatatctt cacaaacact aaatattaga 4320
aatatttaca attgtggtca agctcataag tgaaaatggt atttcatatc ttatattttt 4380
tattgtgaga ttgaacatct ttcatatgtt tacatgtcac ctgtatttct tattctctga 4440
actatatgtt atgacctttc actttttttc ctcatgggtt atgtgtagtt tgtatagttg 4500
tcttattgat tgttaggagc tatttatata ttaggaacat taatctcctg tcttatatat 4560
acgtggcatc gattagttga tcatttgtga gttcatgtct gtatacaaag attggagagg 4620
cactaagagg gaaaacttac ctctttctta tcaaagtttg taaatatatg tataacagaa 4680
gagggagaaa atattaataa atgcacagat tggctgaaat agagtataaa tcttttactc 4740
ccctacttca acataaactg caaaaggaga gtgacttttc tttcactctg acttccgtat 4800
tcctcatgct taaaatagtg cctagcacag aagaggtgct caatcagtgt ttgctaaacg 4860
aaataattag tcacatttca agcaggatga ctaaatgaag aatagaatct aggcagatac 4920
tctggaagag tggctgtgag tcattcatat cttagtatga attagtcaaa tccaactctc 4980
tccccttccc actccccact gttagtagaa gaatctgttt attgagagaa tagatttata 5040
atttagaata agtgagaggg gcagaagagg agattttgaa ggatggcacc tgaaggagga 5100
ctagcatggc tgagacagtg aagtggaagc cttgaatagc taaagggtaa gatgaaagta 5160
tttagctgta gggggaaaaa gcattgacag gttggaaaag taaaagtcag attctccttg 5220
ctctgaaatt ttgtacaggg caggttctac taggtatgtt acaatgcaga aaaaacatga 5280
aataattgag aggaatttgg tgcaatatta tcttcttggc ttcttttgag tgggcagatt 5340
tttttcacgg cctgtaacta taataaattt gaaacttctc atcttttagt aacttttttc 5400
acttaagttt atgtggctgt gggcaatgga atgaagatat tgaacttcca attccctgtt 5460
gggtttccac aattacaagt caatcatgac tggttattag aagactattt cagttagaac 5520
caccaagtcc catattgtca tattgtatgt ttaattatta agtgaagcag tcttcttttc 5580
gtgttttcca taattagggc attccagaaa gatgaggata tttgctgtct ttatattcat 5640
gacctactgg catttgctga acggtaagac accaaatcct tccattaggt tctatatttt 5700
aaatatttta accatgagtt taaaactaaa atgatcattt aaaatgcatg caattttctt 5760
atagagagaa cattctattc tttcttctac tttacacaat ggcaaagtct tctttctact 5820
ttacgcaatg ataaagttac ctgtgtcatt ttgtaaaaat atagagaata tagacaaatt 5880
gaaagacaca aaataatcta ttacccattt cccagggtta actactgaaa atatctgggg 5940
aaatggcctg tatgtataca tttatttgtt tgctttcaac aaggccaaga tcctttgatc 6000
tttcagtctt ggttgctctg tgacatgcct ttcctgatga ggatacttta aggaagaatt 6060
gtaagataca tggaaaatgt caggctaaca cagtactggc atcaccctgt gctctttcct 6120
gaactccata ccaatgtact tcttgccaga aaactgatca aaagtttagg gaagtaaaaa 6180
gagatgactg ttagaatcta ccattccctc tatgtaggaa gcaaataggt gtcctgtcaa 6240
aggacattct ggggatgtct acatgaaacc aagtctccct ggttgtaagg actccatctc 6300
catataatat ttatacagta atatatgttt ataaattgtg ggggcaactt gtttagctaa 6360
ttttattatt ctgctattgg gacactgtgt ctcagcatga gatatagtgt cccaaaacat 6420
atttcaagcc cattggataa aatatgtgtt tagcaagttc ttaaatataa tgataacata 6480
accgaccaga taaagtgatt tataaacgct gtgccaattt tgtaaatgtt tcgaggaatt 6540
ttcccttttc tgaagattgt ccttctttct ttttagcatt tactgtcacg gttcccaagg 6600
acctatatgt ggtagagtat ggtagcaata tgacaattga atgcaaattc ccagtagaaa 6660
aacaattaga cctggctgca ctaattgtct attgggaaat ggaggataag aacattattc 6720
aatttgtgca tggagaggaa gacctgaagg ttcagcatag tagctacaga cagagggccc 6780
ggctgttgaa ggaccagctc tccctgggaa atgctgcact tcagatcaca gatgtgaaat 6840
tgcaggatgc aggggtgtac cgctgcatga tcagctatgg tggtgccgac tacaagcgaa 6900
ttactgtgaa agtcaatggt aagaattatt atagatgaga ggcctgatct ttattgaaaa 6960
catattccaa gtgttgaaga cttttcattc ttgtaagtcc atacttattt tcaaacagaa 7020
cagcatagtc tgttcattca ttcattcaat tcatgaattc attcacataa ttatccaatt 7080
tcttgagcac ctatttgata gtcactggaa atccagagac aaacaacaca gagccatgtt 7140
ctacagtatg tacagttttc caaaaagaat ttctagtctt tactttttta ttacaaatgg 7200
aatacgtata cttgcaaata attcagatac tgtggaagag atcaaatgaa ttgcaaaagt 7260
gtccctcctc ccttcaccac tatctcccat ggcatgcaga gagagtaacc attatttgtg 7320
tgtccctcca gaaatttttt tattcaacta ctattttttt attttattag gtccgtcagt 7380
tttccttttt tgagcctctc tatatcaaat gcaaataaat atattcagaa caaaccccac 7440
tgtaaggttc acattaaaaa agacttgaag tcaccctatg aagacaaaaa ataatcacat 7500
taagtgtgaa agaacctatt cttccagtac aggataagcc atacttactg ggcatatatt 7560
catcttgaaa atctatactg atgttgtctt ggggaattga aaaggaacta ggagtgttag 7620
ttcctcggta ttgacccaca gttatgttat caggtcactt gagttcaaag ttttgtgttg 7680
gcactagcta agtaaaggaa aacacctctg ctttcattgt tgagtttcac agaattgaga 7740
gctgaaagga tcccaggcag gagcagctaa tccaaactcc cacaaagaac aaaaatcccc 7800
cagaggatct tctgttctta tatttcctgc aatggcgtcc ctgtcatatc ccacaatggc 7860
ctccctgcca tttggatatc ccttccatat cctgttgaaa ttactcccta atagtaagct 7920
gaaatctgcc cctctagttg tagtcttggg attatttcat ttacatgatg accttttaat 7980
atttgactag aattaaatca tctccccttg gtctttccat tcctgggcta actaccatca 8040
atctgagggc taacaataca agtagaaaaa gtatacattt gtcactgatc actgatcaat 8100
tattaatcaa tgatcactga taactataaa ctcaaaaaca aaatcatgtg gggattaaga 8160
gaaatgtatc agttttatgt tgtatttctg gtccctgata ctggctcagg taatgccact 8220
attgtcaaga agataccact tgtaaagtag atttaatttt cattatattt taccatatgc 8280
ttctccattc atgacatctc ttgagatgtt gtggtttata ctttcagttt ttctccagtc 8340
catccgcaaa tatcaggcat ctactgtgtt ccaagatatt aaagaaatca tcatgactta 8400
gcctcatcaa cagcattgct agatctggga tggaaaggaa gagtataatc ctggcagtca 8460
ggaagaaggc agcataaagt ataagtttct gcttccaaaa aaggtctctc atcagcctgt 8520
agggagtgtg tagggaaggg acagctgtcc ttgtagtagg gaagggtttt attcaggtcg 8580
tctgggctcc ataatatccc ttgtgtatct gcagtctcct ttgccatgga tcaacacaat 8640
aggaaatctt ccggcactga tggtttttcc aagggggagt tcttcctgga gcaaagcaaa 8700
tgaccaacca ggtttgagga cctgatttgt ttgacaattc cattttgtat tgtaaattac 8760
ttaattggca ttctactccc aatccatctt gtcatttgca tacagtggtt ttgggattga 8820
gttcagctat accaaaagtc tgaaccttct gcacttagaa caaggcaacc accaagcttc 8880
acttgcactg aggccgtgtc tccaatggaa atgaggcagc tggcttgcag gagcttccca 8940
actcagggaa gtagaactcc tgagtcacct ccatatgcaa atgatttcac agtaatgctg 9000
ttgaacttca cttcccatca cagcaaatgt gtggtaacat agcttcccca caggagttta 9060
ctcaccatgg tattttaaag gtgaaacatt tcaaaactga aatttgaaag aatttagttt 9120
tggattcact caattatcac tatcacttcg ggtgttattg cacctttctt gtttgtgagt 9180
ttaaatgcca gactctcagg ccactaactt tcaattaaaa gtgtttttct ttaatcgctg 9240
aacctaacag cagggaaaac gaaatgttca ttcagacttt cagaaccttc aatgagatta 9300
ggcagctgaa agatcaaagt gttgcatagt tgtcccgata aagctatttg gatcatatgg 9360
accaaatcga ctgctgtcat tccccaccaa ccccatctct ccccaaaatt cccagccctg 9420
tttaagtgtt ctctgtagca tttatctcta tctagtatat tgtgtagcat atcatatcat 9480
acttttctgt tttgtttatt gtctctctcc tcctagaata taaactccac aagcacaaag 9540
atttgggcct gttttataat attgttgcat ccccagggcc tgatatacag cagagtggtg 9600
gtacgaaaag agcacacaaa aaaatatttg ttgagtcaat gaatgaatga tttcctcaaa 9660
taggattagc ctaaaatttt ggaaacatga acagatttgg atatgtgaaa atttatttcc 9720
agactgttca tcaggaactg ttagcagctt ctaaagggta cactggagca gcagtagtaa 9780
aaggaggaag aggagcagct ctgctactgc tactatcgag tactactaca attagcactt 9840
gcttattctg tgtgttaggc cctgtactga acactctgtc taaattagtt catttcctcc 9900
tggaaatgac tctagggggt aagtgcttca tcatgtaaga tgagtatttt tcacattttg 9960
ttgtgtctga aatctgagtg tgtctttcaa tgatggaatc tttgattcca tgataagtgg 10020
tattattccc attttaagga tgaggaaact gaggtccaaa gaaattaagt aatttgccca 10080
aattcaccca gcctagaaaa tgataaagct agttctaaac ccaagcagat tagctctgaa 10140
gtctgggccc ttaataacca ctttttattg cctatatttg tacctctggt gtacgtatca 10200
agttatatgt tgacttcaaa actatcatga ccttttcttg gttttgattg tccaacatta 10260
gtatagtgtt ctgggtctgc aaaaattttg attactcatc tcatctgtaa aacattttga 10320
actcgtgtgt ttgtgcatgc acatttgtgt gtaattataa aaattttact ttctgttaat 10380
atataagttg tatcataaga aactgccgtt tttgaagagc aaaaaaaggt tgaatgttac 10440
cagttacatc tggttcaacc taatagacat ttgtacaaaa acagacattt taagaggttg 10500
aaataaaaat ttaataaaca atattttcag tttttactaa ttgtgatgct tcactatcat 10560
tagctaatat gtcaaggcat aatatacctt agggtgaact ttatcattaa caaaggtgga 10620
tggtgtcaat aatcttgagg tttgtgtttt tttatataac actgcgaggt ctaattaagt 10680
acttactgtt taccacctca tacagtggcc gataaaaagt gtcacttctg ctgtttcctc 10740
tgggttgtgc ttgaattatt agtattatct tcagtcctca gtttctttgt gggaaacttt 10800
ttaattagtt gtttaatttt gtaagatggt tagtttagtc aaaattagat aagagaattt 10860
gaaaatccgt agctacccca aagcaaccta cacataagaa ctattatttt tgtgttttga 10920
aatcataatt ttattgattt ccagtgtttc cactggtagt ggtttcattg atataggagt 10980
atcaaaacat cactcattat ttatttcagt ttcatttgat cctagccgtt ttgtattaac 11040
tctctgtgaa gaaattacct cacaaatcta ttgctgtcct tggtaaagga atggagaatt 11100
aaggctctag atcattagtg gttacactat agtattagaa gtaaaaaaaa gattatacca 11160
acaaaataag aacatgttaa tgtacttgta atgaataaac atgaataaag ctcttatgct 11220
atataggtgc actaaacaat ctactagaat tgtcagcaaa ctacgtatct taatcctgaa 11280
agggtcccaa accaatgatc taaaattgaa tcaaactttc ttccttgagc ataattactt 11340
aaatgattta ttaaaatagc cagcatttaa aagcttaaaa tgtaaatatc ataatgtggt 11400
atcctagata gcatcccaga acagaaaaag gatattaggg aaaaactgga ggaatggaat 11460
aaattatgca gtttagttat taataatgta ctaacgtcct tagttatgac gattgtacca 11520
tggtaatgta agatactaac aatagaggaa accgggtaag gagtatacag taactctata 11580
ctatctttgc aacttttttg taaatttaaa acttctaaaa taaagaacaa atttaaacat 11640
taaaaagtat caccaggaac atatatcact gtttacagat gaaatactat gtattttcat 11700
atctaatttc tgatcattga cttcaaatca gaaaagtgaa tgacacctca aaatcaggtt 11760
ttctgtttac tgaagtctaa gaaaagaaag cataccagct ggagagattc atgtttataa 11820
agacagattt ataacaacaa aaataaaata tccaagaata aatttaagaa gaagcacttt 11880
actgagaaac atatgaaaac ctgaacaaat ggagagggat attttgtatt tgaatagaaa 11940
gacttctggt ttaaagataa ttctctttaa attatttttt gtagaaattt aaggggtaca 12000
agagcagtgt tgtcacatgg atatattaca tagtggtgaa gtctggggtt ttagtgtaaa 12060
ttaatcttta cattttgttt gagcccaata aatgtaccaa catgattttt atagaaagat 12120
agtcattcct attaatccaa acttgtccca actttgaatt gaattgaggc agagctagca 12180
ggtgttcccc acggctgagg catctgaaca ttaagcatat ccctctgaga accagcctgc 12240
attgatactc tttctaatgt ggacagcatc aagctatgta cgtagttctg tgctcagcaa 12300
aagccctgac ttctttttgt ttatgtccta gccccataca acaaaatcaa ccaaagaatt 12360
ttggttgtgg atccagtcac ctctgaacat gaactgacat gtcaggctga gggctacccc 12420
aaggccgaag tcatctggac aagcagtgac catcaagtcc tgagtggtaa gaccaccacc 12480
accaattcca agagagagga gaagcttttc aatgtgacca gcacactgag aatcaacaca 12540
acaactaatg agattttcta ctgcactttt aggagattag atcctgagga aaaccataca 12600
gctgaattgg tcatcccagg taatattctg aatgtgtcca ttaaaatatg tctaacactg 12660
tcccctagca cctagcatga tgtctgccta tcatagtcat tcagtgattg ttgaataaat 12720
gaatgaatga ataacactat gtttacaaaa tatatcctaa ttcctcacct ccattcatcc 12780
aaaccatatt gttacttaat aaacattcag cagatattta tggaatatac cttttgttcc 12840
atgcattgta gtactcattg gatacacata gaataataag actcagttca cactcttcag 12900
gaaacagata aaaaactaag aaacaaacaa aaaacaggca atccaacacc atgtgggaaa 12960
tgctttcata gccgggaaac ctggggaata cctgagagga atactcaatt caggccttgt 13020
ttcaggaatc caaatcctgg cacatcagag ctgcttccct ctttccaggg tggcaggaaa 13080
taaatggaac atatttttct atcttatgcc aaacatgagg gaccctttct ccccggtgcc 13140
tctcccaagg tagtctacaa tatttcaact ctagcagtct gcttagtgca tagaacatga 13200
ggctgtgtgt ccctgggcaa attactagac ttctgtgtgc ttcactttcc ctgtaggatt 13260
ataatctact gagcaagctt attgtaaggg tcagattagc aacagtgtat gaaaatgatt 13320
tgagaccatt gcctgcacaa attcaactat ttttttttat ctcactactc tacagaagta 13380
ggtagggtgg gagacagagt ctgatgagag gctcagaatg tgaaagaaag tgaggcgagt 13440
gagcatgata tttaatataa acacaaagat attctgagaa gagctgctca ctgccccctc 13500
ccccaataca tgttgatagg aaaatgccac gtacttcagc aaaaacaact gaaaaattag 13560
atagaaaagt caatcaatag gaaaagataa tccaggacgg tgttgtgaac agaaagaggg 13620
ggaaaaaact ttagaaaatg atggggatgc tcttactggg gtacgagtcc tcaggtattg 13680
aactggcttt cagtaaaagc tagattagtg ggttcctgcc atttacaagc tgttttatga 13740
caacttactt gttgggtggc ctacagtaac tcacctaact gcactgagtc tgtttcctca 13800
tctgtaaatt ggggattttt ttttaaatac ctggcatgcc taactcataa agttgttctg 13860
aaactgaaat aaaacatacg tgaacaggca ttgtaaactg taagttacgg aaaaagctgg 13920
ctgttgttgt gtctttaaag tttcacctgg gtagtcaaag atggatcatg ggtctcagtg 13980
gagagctgag ccaggcagga gctgactaag ggtgagaggt gggagttagc agcctctgaa 14040
catctgtgta ccatgggacc ccctttcctc ctgcatggta ccccagacaa ggagcctagt 14100
aagagatact aatggcttgt tgtccagaga tgttcaaact gcagagaaag ataagacaac 14160
aagcattggc ctccaatcat gatgacagat aggaggaggt gggagctcct tagcagtgct 14220
ggttggcctt ccatgttcta ctgtgggcca tctctgccat gtactgtagg ctactagctt 14280
ctatattaaa gaatgcaaga ggggccagga gcggaggctc atgcctgtaa tctcagcact 14340
ttgggaggcc aaggtgggca gatcacttga ggtcaggagt ttgtgaccag cctggccaac 14400
atggtgaaac tctgccttta ctaaaaatat aaaaattagc tgggtgtggt ggtgtgcacc 14460
tgtaatccca gctactcggg agactgaggc acaagaattg cttgaacctg ggaggcggaa 14520
gttgcagtga gcccagattg cgccactgca ctccaccctg ggcaacagag aaagactctg 14580
cctcaaaaaa aaaaaaaaaa agcaagagga agtgaaataa tcaaggccgc catttaatag 14640
tgagcagcca ctccatgtgg tactgtgcaa gcacattata aatattagcc tcacaagaaa 14700
tgtattagca tttgtatttt gtacactggt taagtatctt gcccaagacc tcaaaactgg 14760
ttaagggcag cagaatttag ccccagcacc accttttcaa agcctgggct tctcacactt 14820
ctccatgctg ttcccatttt aacacaggta tctcgccatt ccagccactc aaactttggc 14880
atttaagaaa attatcctaa agctaaacta aacttcaagg atgaccattc tcctgacccc 14940
ttcccatcaa aattttatct ttagtcagtt tgttttcgtt ttgttttgtt tttcagaact 15000
acctctggca catcctccaa atgaaaggac tcacttggta attctgggag ccatcttatt 15060
atgccttggt gtagcactga cattcatctt ccgtttaaga aaaggtagta tttccttaat 15120
tgcagtggtc tccactgggg gtgaggaagg ggtgagaatt ggatcatggc tgcaaggaaa 15180
cccgacttaa cctctgcaag gtggtgcaaa ggcattccac tgttcaacag caattatatt 15240
gaagctgagt gggatcactg ggtgaagatg aagcgtaagg ggtgaggggc aggagaatgg 15300
gtatggatgg aggtagaaga tgcagtgtca tacagttttt ttctatcatg aaaataacca 15360
cagacttaca gaagagaaag agctaaaatg cccgtcattt tcagttgcat tttagtcttg 15420
cattagttgc aaccagctgg tttctgggta ccctaagtaa taaaaatagt tcctctgtag 15480
aactgtagta tgtttaccat agagtatttt gcaaaatttt tggtagagga tgttacataa 15540
tttgcatgtg ttcatttctc catttacctg tgggaacaat taaaatccag gaaaatgagt 15600
atattcaaat aatttcctcc catttaagat gagtcagagt aaataattcc tccaatactt 15660
agagaagtat accaagagat ccagtgatgg tatagagttg tctgatgtta aatagggaag 15720
tagaatatgg aaggggattc caatagtcgt tgaaaaattc cccataaccc cttacatggg 15780
ggaaagtagt gttaactgag agagtagaga taagctgttt ccaaaaatta tattcttaac 15840
aggactgaga tagccagaat ataaggatca agtttcaatg acagtaagat cctgagatgg 15900
agttgatttg cacaaagaaa taattgttgc cagcatgcat tttgaatatt tctctggaaa 15960
aaaagattag ttggcagtag aaatggatag aaatcaatag atattaaaat acctcagaat 16020
ttggttcatc tctgggaaaa gatgaaaaat aaaagtgtat actcctcaag aacatctagg 16080
atcaaaagca tgtgccctac actattgaat taattaacct cataagttgg gacctgtgga 16140
ataaggatgt ccaccagact tcctagggat tacaaatgtt tcacagaact tgaaatttaa 16200
acttgggtca ctgtatggga tgtagagctg tgctatatgg aaataaaaat gatttctttt 16260
tctcaaggga gaatgatgga tgtgaaaaaa tgtggcatcc aagatacaaa ctcaaagaag 16320
caaagtggta agaatatcag aaggaattgg gaagtaaaag tcaaaggaaa caaaaagcta 16380
aagcaataac aaagagaaat ccatcagtca taatctcctc tccttttaaa gaatgctggt 16440
tcccctttgc ctcacagcta acacaagaac tcctccaccg tctgaggagg tttaggagca 16500
gggaagggga aggagtcagc ttcatttgct aatcttctgt tgccctgcac cctagcagct 16560
ccttgcagca ggggacaagg atgacttagg tggatggata attaattgat tctaaaatat 16620
tgtgtgtcag tattgtaata ctatgttaat tgcaccatgc acggtatctc atttaatccc 16680
ccaccccttg ccattaccaa agagagagag agagagagag agagaaatac tagaatttat 16740
cctcatttta cagtagagaa aacagagggt caagaagata atgtaaagtg cccaagaaca 16800
cacagctgat cacaaaaatc aagcttgggg gccattagcc taaccacaga cccttactct 16860
taacccatct gcttcaatcc attttgctac aaatgtttac atttataagc agggcagaaa 16920
aacctcatcc aggttattga actaagaaga aagttatatt aaggtttcta atttttttaa 16980
tgtagttaga aaccaaactt aacaatgagc ccaagtttaa agcagtctaa ttaacctgga 17040
caagctcagg caagtttcat tctgtggccc atagcatcat ctgtgttgta aagctaagta 17100
gcaaatgttg tttgggtcat gctgggggac aagccatccc aatttgctca ggactgaggg 17160
gttttccagg atatcatgta aggataattg ggtacaaata taacctgctg ctttctctca 17220
tttcaaattt atcatttatc atatcagcaa ctatgagtta tgttttttat tagatttctt 17280
gttacttttt ccccagacca cttcccatga aattaatata ctattatcac tctccagata 17340
cacatttgga ggagacgtaa tccagcattg gaacttctga tcttcaagca gggattctca 17400
acctgtggtt taggggttca tcggggctga gcgtgacaag aggaaggaat gggcccgtgg 17460
gatgcaggca atgtgggact taaaaggccc aagcactgaa aatggaacct ggcgaaagca 17520
gaggaggaga atgaagaaag atggagtcaa acagggagcc tggagggaga ccttgatact 17580
ttcaaatgcc tgaggggctc atcgacgcct gtgacaggga gaaaggatac ttctgaacaa 17640
ggagcctcca agcaaatcat ccattgctca tcctaggaag acgggttgag aatccctaat 17700
ttgagggtca gttcctgcag aagtgccctt tgcctccact caatgcctca atttgttttc 17760
tgcatgactg agagtctcag tgttggaacg ggacagtatt tatgtatgag tttttcctat 17820
ttattttgag tctgtgaggt cttcttgtca tgtgagtgtg gttgtgaatg atttcttttg 17880
aagatatatt gtagtagatg ttacaatttt gtcgccaaac taaacttgct gcttaatgat 17940
ttgctcacat ctagtaaaac atggagtatt tgtaaggtgc ttggtctcct ctataactac 18000
aagtatacat tggaagcata aagatcaaac cgttggttgc ataggatgtc acctttattt 18060
aacccattaa tactctggtt gacctaatct tattctcaga cctcaagtgt ctgtgcagta 18120
tctgttccat ttaaatatca gctttacaat tatgtggtag cctacacaca taatctcatt 18180
tcatcgctgt aaccaccctg ttgtgataac cactattatt ttacccatcg tacagctgag 18240
gaagcaaaca gattaagtaa cttgcccaaa ccagtaaata gcagacctca gactgccacc 18300
cactgtcctt ttataataca atttacagct atattttact ttaagcaatt cttttattca 18360
aaaaccattt attaagtgcc cttgcaatat caatcgctgt gccaggcatt gaatctacag 18420
atgtgagcaa gacaaagtac ctgtcctcaa ggagctcata gtataatgag gagattaaca 18480
agaaaatgta ttattacaat ttagtccagt gtcatagcat aaggatgatg cgaggggaaa 18540
acccgagcag tgttgccaag aggaggaaat aggccaatgt ggtctgggac ggttggatat 18600
acttaaacat cttaataatc agagtaattt tcatttacaa agagaggtcg gtacttaaaa 18660
taaccctgaa aaataacact ggaattcctt ttctagcatt atatttattc ctgatttgcc 18720
tttgccatat aatctaatgc ttgtttatat agtgtctggt attgtttaac agttctgtct 18780
tttctattta aatgccacta aattttaaat tcataccttt ccatgattca aaattcaaaa 18840
gatcccatgg gagatggttg gaaaatctcc acttcatcct ccaagccatt caagtttcct 18900
ttccagaagc aactgctact gcctttcatt catatgttct tctaaagata gtctacattt 18960
ggaaatgtat gttaaaagca cgtattttta aaattttttt cctaaatagt aacacattgt 19020
atgtctgctg tgtactttgc tatttttatt tattttagtg tttcttatat agcagatgga 19080
atgaatttga agttcccagg gctgaggatc catgccttct ttgtttctaa gttatctttc 19140
ccatagcttt tcattatctt tcatatgatc cagtatatgt taaatatgtc ctacatatac 19200
atttagacaa ccaccatttg ttaagtattt gctctaggac agagtttgga tttgtttatg 19260
tttgctcaaa aggagaccca tgggctctcc agggtgcact gagtcaatct agtcctaaaa 19320
agcaatctta ttattaactc tgtatgacag aatcatgtct ggaacttttg ttttctgctt 19380
tctgtcaagt ataaacttca ctttgatgct gtacttgcaa aatcacattt tctttctgga 19440
aattccggca gtgtaccttg actgctagct accctgtgcc agaaaagcct cattcgttgt 19500
gcttgaaccc ttgaatgcca ccagctgtca tcactacaca gccctcctaa gaggcttcct 19560
ggaggtttcg agattcagat gccctgggag atcccagagt ttcctttccc tcttggccat 19620
attctggtgt caatgacaag gagtaccttg gctttgccac atgtcaaggc tgaagaaaca 19680
gtgtctccaa cagagctcct tgtgttatct gtttgtacat gtgcatttgt acagtaattg 19740
gtgtgacagt gttctttgtg tgaattacag gcaagaattg tggctgagca aggcacatag 19800
tctactcagt ctattcctaa gtcctaactc ctccttgtgg tgttggattt gtaaggcact 19860
ttatcccttt tgtctcatgt ttcatcgtaa atggcatagg cagagatgat acctaattct 19920
gcatttgatt gtcacttttt gtacctgcat taatttaata aaatattctt atttattttg 19980
ttacttggta caccagcatg tccattttct tgtttatttt gtgtttaata aaatgttcag 20040
tttaacatcc cagtggagaa agtta 20065

Claims (3)

  1. The application of the rs4143815 genotype in preparing a marker for diagnosing and predicting the curative effect of breast cancer neoadjuvant chemotherapy, wherein the rs4143815 genotype is CC, CG or GG, and the neoadjuvant chemotherapy is a single-week neoadjuvant chemotherapy scheme for receiving paclitaxel combined cisplatin; the curative effect of the neoadjuvant chemotherapy is as follows: compared with a patient with the genotype of GG, the patient with the genotype of CC and CG is more likely to have neutropenia and is less likely to have adverse reaction of edema, and compared with a patient with the genotype of CC + GG, the patient with the genotype of CC + GG is more likely to have the rise of glutamic-oxaloacetic transaminase; patients with genotype GC are more susceptible to pCR than patients with genotypes GG and CC in predicting complete remission of pathology (pCR); in terms of survival, patients with genotype GG survived worse than patients with genotypes GC and CC; patients with genotype GG have a higher risk of relapse than patients with genotypes GC and CC.
  2. 2. Use according to claim 1, characterized in that: the breast cancer is hormone receptor positive.
  3. The application of the rs4143815 genotype in preparing a reagent for diagnosing and predicting the curative effect of breast cancer neoadjuvant chemotherapy, wherein the rs4143815 genotype is CC, CG or GG, and the neoadjuvant chemotherapy is a single-week neoadjuvant chemotherapy scheme for receiving paclitaxel combined cisplatin; the curative effect of the neoadjuvant chemotherapy is as follows: compared with a patient with the genotype of GG, the patient with the genotype of CC and CG is more likely to have neutropenia and is less likely to have adverse reaction of edema, and compared with a patient with the genotype of CC + GG, the patient with the genotype of CC + GG is more likely to have the rise of glutamic-oxaloacetic transaminase; patients with genotype GC are more susceptible to pCR than patients with genotypes GG and CC in predicting complete remission of pathology (pCR); in terms of survival, patients with genotype GG survived worse than patients with genotypes GC and CC; patients with genotype GG have a higher risk of relapse than patients with genotypes GC and CC.
CN201810398263.0A 2018-04-28 2018-04-28 Application of PDL1SNP genotype as marker for predicting neoadjuvant chemotherapy curative effect of breast cancer Expired - Fee Related CN108315430B (en)

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