CN108977510A

CN108977510A - Detect the method and application of CLC gene expression amount in nasal cavity cast-off cells

Info

Publication number: CN108977510A
Application number: CN201810719334.2A
Authority: CN
Inventors: 张罗; 王成硕; 闫冰; 刘畅
Original assignee: Beijing Institute Of Otorhinolaryngology; Beijing Tongren Hospital
Current assignee: Beijing Institute Of Otorhinolaryngology; Beijing Tongren Hospital
Priority date: 2018-07-03
Filing date: 2018-07-03
Publication date: 2018-12-11

Abstract

The present invention proposes a kind of method and application for detecting the non-diagnostic purpose of CLC gene expression amount in nasal cavity cast-off cells, the following steps are included: extracting RNA from nasal cavity cast-off cells, it is cDNA by total serum IgE reverse transcription, the specific primer of CLC gene and reference gene specific primer and reference gene that CLC gene is respectively adopted in cDNA is carried out by real-time fluorescence quantitative PCR amplification using quantitative polyase chain reaction, testing result based on amplified production calculates CLC gene expression amount.The method of the present invention, using the CLC gene of Effective selection as biomarker, detection method to its gene expression amount is provided, realize the calculating to CLC gene expression amount in nasal cavity cast-off cells, CLC gene expression amount can be effectively obtained, and the method provided is simple and fast, sensibility is high, it is reproducible, it is suitable for wide popularization and application.

Description

Detect the method and application of CLC gene expression amount in nasal cavity cast-off cells

Technical field

The invention belongs to CLC gene expressions in biomedicine technical field more particularly to a kind of detection nasal cavity cast-off cells The method of amount.

Background technique

Chronic nasosinusitis is with nasal polyp (Chronic rhinosinusitis with nasal polyps, CRSwNP) The chronic inflammation of sinus mucosa, the visible nasal cavity of physical examination or middle nasal meatus polyp are formed.CRSwNP common sympton is stifled nose, runny nose or nose Tears refluence, hyposphresia, the bored swollen sense of face or feeling of stress, duration are more than 12 weeks.Illness rate is about 0.5-4%, CRSwNP It is often accompanied by asthma and allergic rhinitis, has been reported that 7% asthmatic patient suffers from CRSwNP, and the CRSwNP of 26-48% is with heavy breathing Asthma.CRSwNP pathogenesis is also uncertain at present, and mucosal epithelial cells destroy, host immune system is unbalance and pathogenic microorganism enters Invade the main reason for may be its morbidity.The main therapeutic modality of CRSwNP is operation and drug therapy.But studies have shown that even if By the drug or operative treatment of specification, chronic nasosinusitis is still up to 56% with the recurrence rate of nasal polyp, and it is raw to seriously affect patient Bioplasm amount, while bringing high medical to pay, but clinical shortage radical treatment method, thus become nasology research field Emphasis.

Degree according to eosinophils can divide CRSwNP for eosinophil type (Eosinophilic CRSwNP, ECRSwNP) and Non eosinophilic granulocyte type (Noneosinophilic CRSwNP, nonECRSwNP), the two is faced Bed performance, medication and prognosis are different, and the clinical symptoms of eosinophil type are heavier, with nose is stifled and hyposphresia based on, it is more It is associated with asthma, Postoperative recurrent rate is higher.Eosinophils degree and relapse are the closest in human nasal polyps tissues, When the cell percentages are more than 27% in tissue, risk of recurrence is more than 90%.Eosinophil type polyp is to sugared cortical hormone The susceptibility of plain class drug is significantly higher than Non eosinophilic granulocyte type.Non eosinophilic granulocyte type clinical symptoms are generally relatively light, and The probability for merging asthma is smaller, and airway inflammation is lighter, and Postoperative recurrent rate is low compared with eosinophil type, to macrolides medicine Object therapeutic response is good.Western countries are mainly shown as TH2 inflammatory reaction based on eosinophil type, and the acidophilus in China Property granulocyte type and Non eosinophilic granulocyte type ratio account for about half, and Non eosinophilic granulocyte type is mainly shown as TH1/TH17 Based on inflammatory reaction.In conclusion eosinophil type and Non eosinophilic granulocyte type are in immunopathogenesis type, clinical condition There are significantly different for shape, drug therapy reaction and prognosis.Different chronic nasosinusitis treat plan with inflammation/pathological of nasal polyp It is slightly different.So the identification to chronic nasosinusitis with the pathological of nasal polyp is particularly important.

The judgement of two kinds of hypotypes is lacked non-invasive mainly according to histopathology specimen staining after bronchia mucosal biopsy at present Biological markers are used for antidiastole.After patient obtains polyp sample under nasal endoscopes, the Pathologic specimens such as progress paraffin is fixed Conventional treatment, then carry out haematoxylin Yihong dyeing, followed by the inflammatory cell of ultramicroscopic observation tissue infiltration (main inflammatory cell includes eosinophil, neutrophil leucocyte, lymphocyte, thick liquid cell) infiltrates number, carries out cell point Type.The shortcomings that bronchia mucosal pathological biopsy is as follows: 1. be invasive inspection: increasing the infection risk of patient, is not suitable for being immunized Power lower crowd such as children, the elderly etc.；Nasal bleeding when materials often causes patient frightened and worry.2. being difficult to obtain disease The real-time dynamic-change information of disease: pathological biopsy cannot be carried out to healing stage mucous membrane after surgery.But clinical data shows chronic nose Sinusitis can be lapsed to the pathological classification of nasal polyp with drug therapy, operative treatment etc., can not with the pathological biopsy result before treatment Represent the feature of whole disease durations.3. time-consuming and increase medical treatment cost, general to pathological examination is obtained from tissue samples are obtained 3-4 working day.Due to can not obtain the same day or next day as a result, the additional transportation expenses of generations such as nonlocal patient sees a doctor, hotel expense, Registration fee increases medical treatment cost.4. the inflammatory cell quantity that different pathologists counts has can there are certain human error Can be different, influence the judgement of polyp parting.5. tissue pathological slice relatively limits to, it can only reflect the sample inflammation shape of slice position State cannot reflect the overall picture of tissue, be likely to result in mistaken diagnosis.6. every piece requires Pathologis artificial counting, it is difficult to Batch operation.

In recent years the real-time fluorescence quantitative PCR risen compensates for the deficiency of above-mentioned technology.This method is in PCR reaction system Fluorophor is added, using the entire PCR process of the accumulation real-time monitoring of fluorescence signal, finally according to fluorescence signal to surveyed DNA Sample carries out quantitative analysis, and this method is easy to operate, and sensibility is high, and reproducible and result accuracy is high.However the prior art In not yet disclose the method for CLC gene expression amount in detection nasal cavity cast-off cells be effectively provided, it is de- preferably to get nasal cavity Fall intracellular CLC gene content situation.

Summary of the invention

The present invention for the above technical issues, proposes a kind of side for detecting CLC gene expression amount in nasal cavity cast-off cells Method.

In order to achieve the above object, the technical solution adopted by the present invention are as follows:

A method of CLC gene expression amount in detection nasal cavity cast-off cells, comprising the following steps: from nasal cavity cast-off cells Total serum IgE reverse transcription is cDNA, using quantitative polyase chain reaction by the CLC gene and reference gene in cDNA by middle extraction RNA The specific primer of specific primer and reference gene that CLC gene is respectively adopted carries out real-time fluorescence quantitative PCR amplification, is based on The testing result of amplified production calculates CLC gene expression amount.

Preferably, the upstream primer of CLC gene is as shown in SEQIDNO:2, the downstream primer of CLC gene such as SEQIDNO: Shown in 3.

Preferably, the reference gene is GAPDH, the upstream primer of the reference gene is as shown in SEQIDNO:4, institute Downstream primer is stated as shown in SEQIDNO:5.

Preferably, the nasal cavity cast-off cells are obtained using hairbrush in nasal polyp surface, and it will acquire nasal cavity and fall off carefully Hairbrush after born of the same parents is placed in cell pyrolysis liquid to be saved in 4 DEG C or less.

Preferably, the method for extracting RNA from nasal cavity cast-off cells, including two methods, wherein first method packet Include following steps:

Step 1: the nasal cavity cast-off cells being dissolved in 100~2000 μ L cell pyrolysis liquids, and are added in equal volume Ethyl alcohol is added after mixing into RNA purification column, after centrifugal treating, removes the filtrate in collecting pipe, the RNA is purified Column is placed in collecting pipe；

Step 2: the first buffer of 300 μ of μ L~700 L being added into the RNA purification column obtained in step 1, is centrifuged After processing, the first filtrate is removed；Continue that 400 μ of μ L~800 the second buffers of L are added to the RNA purification column, after centrifugal treating, The second filtrate is removed, takes RNA purification column through affording RNA.

Preferably, the method for extracting RNA from nasal cavity cast-off cells, further comprising the steps of: to described in removing 10~100 μ L DNA enzymatic reaction solutions are added in RNA purification column after second filtrate, and after stewing process, 300 μ of μ L~700 are added Second buffer described in L after centrifugal treating, removes third filtrate, takes RNA purification column after eluting using spectrophotometer measurement RNA purity, obtains RNA；

The preparation method of the DNA enzymatic reaction solution goes RNA enzyme the following steps are included: take DNA enzymatic buffer, recombinant dnase Distilled water be mixed to get DNA enzymatic reaction solution.It is preferred that the preparation method of the DNA enzymatic reaction solution is the following steps are included: take 5 μ L 10 × DNA enzymatic buffer, 4 μ L recombinant dnases, 41 μ L go the distilled water of RNA enzyme to be mixed to get DNA enzymatic reaction solution.

Preferably, genome content is lower or when material initial amount is less when carrying out RNA extraction, it is described de- from nasal cavity The method for extracting RNA is fallen in cell, and further comprising the steps of: in the step 1, the nasal cavity cast-off cells are dissolved in cell and split It is first added after in solution liquid into genomic DNA adsorption column and takes filtrate, then isometric ethyl alcohol is added into the filtrate.

Preferably, in order to obtain the RNA of higher concentration, the method that RNA is extracted from nasal cavity cast-off cells is also wrapped It includes following steps: taking RNA purification column to be eluted that the distilled water for removing RNA hydrolase or pyrocarbonic acid diethyl ester processing water, room is added After temperature is stood, RNA is obtained using spectrophotometer measurement RNA purity through centrifugal treating, the elution RNA purification column.

Wherein step 1 can be crushed rapidly nasal cavity cast-off cells using cell pyrolysis liquid and nasal cavity cast-off cells is inhibited to discharge The substance of nuclease out；Using genomic DNA adsorption column for removing genomic DNA；RNA purification column in step 2 is used for It is enriched with RNA；Wherein collecting pipe be used for collects remove genomic DNA after solution, for remove be adsorbed with RNA purification column it is miscellaneous First buffer of matter, the second buffer for removing impurity and salinity in RNA solution.

Specifically, the first method for extracting RNA from nasal cavity cast-off cells, comprising the following steps:

Step 1: the nasal cavity cast-off cells being dissolved in 300 μ L cell pyrolysis liquids, and 70% isometric second is added Solution is uniformly mixed by alcohol using liquid-transfering gun；Mixed liquor is added into RNA purification column immediately, 12000 revs/min, is centrifuged 1min removes filtrate, the RNA purification column is placed in 2mL collecting pipe；

Step 2: it is added the first buffer of 500 μ L into the RNA purification column obtained in step 1,12000 revs/min Clock is centrifuged 30s, removes the first filtrate；Continue that 600 the second buffers of μ L are added to the RNA purification column, 12000 revs/min, It is centrifuged 30s, removes the second filtrate；

Step 3: taking 5 μ 10 × DNA enzymatic of L buffers, 4 μ L recombinant dnases, 41 μ L go the distilled water of RNA enzyme through mixing To DNA enzymatic reaction solution, 50 μ L DNA enzymatic reaction solutions are added into the RNA purification column after removing second filtrate, are stored at room temperature 15 minutes, the second buffer described in 350 μ L is added, 12000 revs/min, is centrifuged 30s, removes third filtrate；

Step 4: the RNA purification column that third filtrate is removed in step 3 is placed in 1.5mL without RNA hydrolase collecting pipe, to The distilled water for removing RNA hydrolase of 50 μ L is added in RNA purification column or 0.1% pyrocarbonic acid diethyl ester handles water, is stored at room temperature 5 points Clock, is centrifuged 2min, eluted rna purification column, using the OD260/OD280 of spectrophotometer measurement RNA solution by 12000 revs/min When ratio is 1.7~2.1, RNA is obtained.

Or the method that RNA is extracted from nasal cavity cast-off cells, comprising the following steps:

Step 1: take genomic DNA adsorption column to be placed in 2mL collecting pipe, the nasal cavity cast-off cells are dissolved in 100~ It is added after in 2000 μ L cell pyrolysis liquids into genomic DNA adsorption column, takes filtrate, be added in equal volume into the filtrate 70% ethyl alcohol is added after mixing into RNA purification column, 12000 revs/min, is centrifuged 1min, filtrate is removed, by the RNA Purification column is placed in 2mL collecting pipe；

Step 3: the RNA purification column that the second filtrate is removed in step 2 is placed in 1.5mL without RNA hydrolase collecting pipe, to The distilled water for removing RNA hydrolase of 50 μ L is added in RNA purification column or 0.1% pyrocarbonic acid diethyl ester handles water, is stored at room temperature 5 points Clock, is centrifuged 2min, eluted rna purification column, using the OD260/OD280 of spectrophotometer measurement RNA solution by 12000 revs/min When ratio is 1.7~2.1, RNA is obtained.

Preferably, the second method for extracting RNA from nasal cavity cast-off cells, comprising the following steps: to being equipped with Be added in the centrifuge tube of nasal cavity cast-off cells 0.1mL~20mL RNA extract dissolved, vibrate after RNA extracting is added 0.1~0.5 times of chloroform of liquid product, concussion mix, are stored at room temperature, the centrifuge tube is centrifuged, and take supernatant, described in addition 0.5~3 times of isopropanol of chloroform volume stands after mixing, is centrifuged, abandons supernatant, retains the first precipitating, to first precipitating The ethyl alcohol of middle 0.5~5 times of the concentration 65%~90% that the isopropanol volume is added mixes, centrifugation after washed, in abandoning Clearly, retain the second precipitating；The centrifuge tube is covered tightly, is centrifuged again, supernatant is removed, continues to be added 0.01 into the centrifuge tube ~5mL goes RNA enzyme and the water of DNA enzymatic is gone to dissolve second precipitating, using spectrophotometer measurement RNA purity, obtains RNA.

Preferably, the RNA extract is Trizol, RNAiso Blood, RNAiso Plus or other contain benzene The reagent of any one or more of phenol, guanidinium isothiocyanate, 8-hydroxyquinoline, guanidinium isothiocyanate and beta -mercaptoethanol.

Preferably, the second method for extracting RNA from nasal cavity cast-off cells, comprising the following steps: to being equipped with After addition 0.1~20mLRNA extract is dissolved, vibrated in the centrifuge tube of nasal cavity cast-off cells, it is stored at room temperature 3~7min； 40 μ L~5mL chloroforms are added, concussion mixes, and is stored at room temperature 3~7min, and in 3 DEG C~5 DEG C, 10000~14000r/min is centrifuged 10 ~20min；40 μ L~8mL of supernatant is taken, isometric isopropanol is added, 8~12min is stood after mixing, in 3 DEG C~5 DEG C, 10000~14000r/min is centrifuged 10~20min and abandons supernatant, retains the first precipitating；Addition and isopropyl into first precipitating The ethyl alcohol of the isometric concentration 65%~90% of alcohol, on 3 DEG C~5 DEG C, 7000~14000r/min, 10~20min of centrifugation, abandoning Clearly, retain the second precipitating；The centrifuge tube is covered tightly, on 3 DEG C~5 DEG C, 7000~14000r/min, 1~3min of centrifugation, removing Clear liquid, stand 10~20min after continue into the centrifuge tube be added 0.01~5mL go RNA enzyme and go DNA enzymatic water dissolve institute The second precipitating is stated, using spectrophotometer measurement RNA purity, obtains RNA.

Specifically, the second method for extracting RNA from nasal cavity cast-off cells, comprising the following steps: to equipped with nose After addition 1mLRNA extract is dissolved, vibrated in the centrifuge tube of chamber cast-off cells, it is stored at room temperature 5min；200 μ L chlorine are added Imitative, concussion mixes, and is stored at room temperature 5min, and in 4 DEG C, 12000r/min is centrifuged 15min；200 μ L of supernatant is taken, it is different that 200 μ L are added Propyl alcohol stands 10min after mixing, and in 4 DEG C, 12000r/min is centrifuged 15min and abandons supernatant, retains the first precipitating；To described first The ethyl alcohol with the isometric concentration 75% of isopropanol is added in precipitating, in 4 DEG C, 7500r/min is centrifuged 15min, abandons supernatant, retains Second precipitating；Cover tightly the centrifuge tube, in 4 DEG C, 7500r/min is centrifuged 2min, removes supernatant, stand continue after 15min to 50 μ L are added in the centrifuge tube to go RNA enzyme and the water of DNA enzymatic is gone to dissolve second precipitating, using spectrophotometer measurement RNA solution OD260/OD280 ratio is 1.7~2.1, obtains RNA.

Preferably, by total serum IgE reverse transcription be cDNA method the following steps are included: the reverse transcription of 1~3 μ L is taken to mix Liquid, 0~10 μ L go RNA hydrolase distilled water and the RNA of extraction to issue raw reverse transcription reaction 15min in 37 DEG C of temperature conditions, The inactivation reaction for issuing raw reverse transcriptase in 84 DEG C of temperature conditions afterwards, obtains reverse transcription product cDNA.

More preferably, by total serum IgE reverse transcription be cDNA method the following steps are included: taking the reverse transcription of 2 μ L Mixed liquor, the described of 8 μ L go RNA hydrolase distilled water and total amount to be no more than the total serum IgE of 500ng or volume no more than 8 μ L, It is described to go RNA hydrolase distilled water polishing to 10 μ L；Reverse transcription reaction is carried out after soft mixing, condition is as follows: in 37 DEG C of item Under part, 15 minutes reverse transcription reactions are carried out；Under conditions of 85 DEG C, the inactivation reaction of 5 seconds reverse transcriptase is carried out；Product 4 DEG C place.Wherein reaction system can accordingly amplify on demand, 10 μ L reaction systems can the maximum total serum IgE for using 500ng, this field Technical staff can select according to actual needs.

Preferably, real-time fluorescence quantitative PCR amplification the following steps are included:

Step 1: preparing real-time fluorescence quantitative PCR reaction solution: the PCR premix including 1 μ of μ L~25 L, 0 μ of μ L~10 L Distilled water polishing total volume water to 10 μ L, 0 μ of μ L~2 L machine fluorescence compensation and corrigent, 0.01~100 μM of CLC The upstream primer of gene, the downstream primer of 0.01~100 μM of CLC gene, the upstream of 0.01~100 μM of reference gene is drawn Object, the downstream primer of 0.01~100 μM of reference gene, the cDNA of 0.01 μ of μ L~5 L；

Step 2: it is fixed that real-time fluorescence being carried out using two-step method PCR amplification standardization program or three-step approach PCR amplification standardization program Measure PCR detection；

Step 3: calculating CLC gene expression amount.

More preferably, prepare real-time fluorescence quantitative PCR reaction solution: the PCR premix including 5 μ L, 2.8 μ L's is double Machine fluorescence compensation and corrigent, the upstream of the CLC gene of 0.5 μ L of the water polishing total volume water to 10 μ L, 0.2 μ L is steamed to draw Draw in the downstream of object, the downstream primer of the CLC gene of 0.5 μ L, the upstream primer of the reference gene of 0.5 μ L, the reference gene of 0.5 μ L The RNA of object, the cDNA of 1ng/ μ L or 0.01 μ L to 5 μ L.

Preferably, the reaction condition of the two-step method PCR amplification standardization program is the following steps are included: the 1st stage: 95 Initial denaturation 30 seconds under conditions of DEG C；The reaction of 2nd stage PCR: under conditions of 95 DEG C, reaction 15 seconds, under conditions of 60 DEG C, instead It answers 60 seconds, annealing extends, and so carries out 40 circulations；

The reaction condition of the three-step approach PCR amplification standardization program is the following steps are included: the 1st stage: in 95 DEG C of condition Lower initial denaturation 2 minutes；The reaction of 2nd stage PCR: under conditions of 95 DEG C, reacting 1 minute, under conditions of 55 DEG C, reacts 1 point Clock reacts 1 minute under conditions of 72 DEG C, so carries out 40 circulations；Last 72 DEG C, annealing in 7 minutes extends；

The method for calculating the CLC gene expression amount are as follows: calculate Δ CT or 2^-ΔΔCTTo calculate the expression quantity of target gene； Wherein Δ CT=(CT (CLC)-CT (GAPDH)) ,-Δ Δ CT=- (Δ CT (processing sample CT (CLC)-CT (GAPDH))-health Control group average delta CT)；The each control group Δ CT of healthy control group average delta CT=∑ (CT (CLC)-CT (GAPDH))/control Group sample number.

The method of CLC gene expression amount is in preparation for detecting with nasal polyp in a kind of above-mentioned detection nasal cavity cast-off cells Chronic nasosinusitis hypotype kit in application.

Compared with prior art, the advantages and positive effects of the present invention are:

1, the method provided by the invention for detecting CLC gene expression amount in nasal cavity cast-off cells, with the CLC base of Effective selection Because as biomarker, providing the detection method to its gene expression amount, realize to CLC gene expression in nasal cavity cast-off cells The calculating of amount can effectively obtain CLC gene expression amount, and the method provided is simple and fast, and sensibility is high, reproducible, be suitable for Wide popularization and application.

2, the method provided by the invention for detecting CLC gene expression amount in nasal cavity cast-off cells, wherein CLC gene is acidophilus The lysophospholipase expressed in property granulocyte and basophilic granulocyte.Lysophosphatidyl choline is hydrolyzed to choline glycerophosphatide by it And free fatty acid.The albumen may have carbohydrate or IgE to combine activity.It structurally and functionally all with β-gala The protein-bonded galactose agglutinin family of glucosides is related.It is related with inflammation and some myelocytic leukemias.It is relevant to CLC Disease includes auto-inflammatory, lipodystrophy and skin disease syndrome.What wherein invention provided is directed in nasal cavity cast-off cells The method of CLC gene expression amount can be used for detecting CLC expression in nasal cavity cast-off cells.

3, the method provided by the invention for detecting CLC gene expression amount in nasal cavity cast-off cells, uses according to actual needs Δ Ct or 2^-ΔΔCtThe relative quantification method of method has selected the relative constant reference gene of expression quantity, has been carried out with the quantity of reference gene Standardization, by measuring the different calculating destination gene expression amount of Ct value difference of sample target gene and reference gene, method is easy to be fast Speed, detection accuracy is high, can reduce testing cost, saves detection time.As a result the advantages that being convenient for interpretation.Greatly improve experiment effect Rate.

4, the method provided by the invention for detecting CLC gene expression amount in nasal cavity cast-off cells, in the future for nose The detection genescreen technology of the chronic nasosinusitis hypotype of polyp provides the foundation, and providing for clinical guidance and drug therapy can The basis leaned on.It ensure that for detecting the kit with the chronic nasosinusitis hypotype of nasal polyp in the feasibility of clinical application.

Specific embodiment

The technical scheme in the embodiments of the invention will be clearly and completely described below, it is clear that described implementation Example is only a part of the embodiment of the present invention, instead of all the embodiments.Based on the embodiments of the present invention, this field is common Technical staff's every other embodiment obtained without making creative work belongs to the model that the present invention protects It encloses.

It is including following the embodiment of the invention provides a kind of method of CLC gene expression amount in detection nasal cavity cast-off cells Step: extracting RNA from nasal cavity cast-off cells, is cDNA by total serum IgE reverse transcription, will be in cDNA using quantitative polyase chain reaction CLC gene and reference gene specific primer and reference gene that CLC gene is respectively adopted specific primer carry out it is real-time Fluorescent quantitative PCR, the testing result based on amplified production calculate CLC gene expression amount.

The present invention screens to obtain by proteomics and transcription group method through a large amount of creative experiments passes through calculating CLC gene expression amount is come the calculating for CLC gene expression amount that detects the chronic nasosinusitis hypotype with nasal polyp, and provide Method is easy to be reliable, and accuracy is high.Corresponding any report is not yet provided in current existing technology.Wherein it is directed to CLC gene For known, gene I/D 1178, as shown in seqid no:1, gene NM is 001828.5 to DNA sequence dna.

In an alternative embodiment, the upstream primer of CLC gene is as shown in SEQIDNO:2, and the downstream primer of CLC gene is such as Shown in SEQIDNO:3.For the design of the upstream primer and downstream primer of CLC gene, sensibility is higher, is carrying out detection CLC When gene expression amount, keep result more acurrate, repeatability is more preferable.

In an alternative embodiment, the reference gene is GAPDH, the upstream primer of the reference gene such as SEQIDNO: Shown in 4, the downstream primer is as shown in SEQIDNO:5.Design of feature at this is drawn in conjunction with the upstream of above-mentioned CLC gene The downstream primer of object and CLC gene obtains suitable Δ CT value, to carry out CLC gene expression amount calculating, and standard with higher True rate.

In an alternative embodiment, the nasal cavity cast-off cells are obtained using hairbrush in nasal polyp surface, and will acquire nose Hairbrush after chamber cast-off cells is placed in cell pyrolysis liquid to be saved in 4 DEG C or less.Method of the invention is based on this kind of mode and avoids The surface of a wound is caused to patient, improves the safety of patient's inspection, and operate it is more convenient, saved human cost and see a doctor at This.

In an alternative embodiment, the method that RNA is extracted from nasal cavity cast-off cells, including two methods, wherein first Kind of method the following steps are included:

Step 1: take genomic DNA adsorption column to be placed in 2mL collecting pipe, the nasal cavity cast-off cells are dissolved in 100~ It is added after in 2000 μ L cell pyrolysis liquids into genomic DNA adsorption column, takes filtrate, isometric 70% is added into the filter Ethyl alcohol is added after mixing into RNA purification column, 12000 revs/min, is centrifuged 1min, is removed filtrate, the RNA is purified Column is placed in 2mL collecting pipe；

Wherein step 1 can be crushed rapidly nasal cavity cast-off cells using cell pyrolysis liquid and nasal cavity cast-off cells is inhibited to discharge The substance of nuclease out；Step 1 is using genomic DNA adsorption column for removing genomic DNA；RNA purification column in step 2 For being enriched with RNA；Wherein collecting pipe is used to collect the solution after removal genomic DNA, for removing the purification column for being adsorbed with RNA Impurity the first buffer, the second buffer for removing impurity and salinity in RNA solution.

In an alternative embodiment, the second method of RNA is extracted from nasal cavity cast-off cells, comprising the following steps: to In centrifuge tube equipped with nasal cavity cast-off cells be added 0.1mL~20mL RNA extract dissolved, vibrate after the RNA is added 0.1~0.5 times of chloroform of extract volume, concussion mix, are stored at room temperature, the centrifuge tube is centrifuged, take supernatant, are added 0.5~3 times of isopropanol of the chloroform volume stands after mixing, is centrifuged, abandons supernatant, retains the first precipitating, to described first The ethyl alcohol of 0.5~5 times of concentration 65%~90% of the isopropanol volume is added in precipitating, mixes, centrifugation, abandons after washed Supernatant retains the second precipitating；The centrifuge tube is covered tightly, is centrifuged again, supernatant is removed, continues to be added into the centrifuge tube 0.01~5mL goes RNA enzyme and the water of DNA enzymatic is gone to dissolve second precipitating, using spectrophotometer measurement RNA purity, obtains RNA。

It is preferred that the RNA extract is Trizol, RNAiso Blood, RNAiso Plus or other contain phenol, different sulphur The reagent of any one or more of cyanic acid guanidine, 8-hydroxyquinoline, guanidinium isothiocyanate and beta -mercaptoethanol.

In a preferred embodiment, the second method that RNA is extracted from nasal cavity cast-off cells, including following step It is rapid: after into the centrifuge tube equipped with nasal cavity cast-off cells, addition 0.1~20mLRNA extract is dissolved, vibrated, to be stored at room temperature 3~7min；It is added 40 μ L~5mL chloroforms, concussion mixes, it is stored at room temperature 3~7min, in 3 DEG C~5 DEG C, 10000~14000r/ Min is centrifuged 10~20min；40 μ L~8mL of supernatant is taken, isometric isopropanol is added, 8~12min is stood after mixing, in 3 DEG C~5 DEG C, 10000~14000r/min is centrifuged 10~20min and abandons supernatant, retains the first precipitating；Add into first precipitating The ethyl alcohol for entering the concentration 65%~90% isometric with isopropanol, in 3 DEG C~5 DEG C, 7000~14000r/min centrifugation 10~ 20min abandons supernatant, retains the second precipitating；The centrifuge tube is covered tightly, in 3 DEG C~5 DEG C, 7000~14000r/min centrifugation 1~ 3min removes supernatant, continues 0.01~5mL of addition into the centrifuge tube after 10~20min of standing and goes RNA enzyme and remove DNA The water dissolution of enzyme second precipitating, using spectrophotometer measurement RNA purity, obtains RNA.

Specifically, extracting the second method of RNA from nasal cavity cast-off cells, comprising the following steps: taken off to equipped with nasal cavity It falls in the centrifuge tube of cell and is added after 1mLRNA extract dissolved, vibrated, be stored at room temperature 5min；200 μ L chloroforms are added, shake Mixing is swung, 5min is stored at room temperature, in 4 DEG C, 12000r/min is centrifuged 15min；200 μ L of supernatant is taken, 200 μ L isopropanols are added, 10min is stood after mixing, in 4 DEG C, 12000r/min is centrifuged 15min and abandons supernatant, retains the first precipitating；Into first precipitating The ethyl alcohol with the isometric concentration 75% of isopropanol is added, in 4 DEG C, 7500r/min is centrifuged 15min, abandons supernatant, and it is heavy to retain second It forms sediment；Cover tightly the centrifuge tube, in 4 DEG C, 7500r/min is centrifuged 2min, removes supernatant, stand continue after 15min to it is described from 50 μ L are added in heart pipe to go RNA enzyme and the water of DNA enzymatic is gone to dissolve second precipitating, using spectrophotometer measurement RNA solution OD260/OD280 ratio is 1.7~2.1, obtains RNA.

In an alternative embodiment, by method that total serum IgE reverse transcription is cDNA the following steps are included: taking that 2 μ L's is described inverse Mixed liquor is transcribed, the described of 8 μ L goes RNA hydrolase distilled water and total amount total no more than 8 μ L no more than 500ng or volume RNA, it is described to go RNA hydrolase distilled water polishing to 10 μ L；Reverse transcription reaction is carried out after soft mixing, condition is as follows: at 37 DEG C Under conditions of, carry out 15 minutes reverse transcription reactions；Under conditions of 85 DEG C, the inactivation reaction of 5 seconds reverse transcriptase is carried out；It produces 4 DEG C of object placements.

In an alternative embodiment, real-time fluorescence quantitative PCR amplification the following steps are included:

Step 3: calculating CLC gene expression amount.

Specifically, preparing real-time fluorescence quantitative PCR reaction solution: the distilled water of the PCR premix including 5 μ L, 2.8 μ L is mended Machine fluorescence compensation and corrigent of the neat total volume water to 10 μ L, 0.2 μ L, the upstream primer of the CLC gene of 0.5 μ L, 0.5 μ L CLC gene downstream primer, the upstream primer of the reference gene of 0.5 μ L, the downstream primer of the reference gene of 0.5 μ L, 1ng/ μ The cDNA of L.

In an alternative embodiment, the reaction condition of the two-step method PCR amplification standardization program is the following steps are included: the 1st Stage: the initial denaturation 30 seconds under conditions of 95 DEG C；The reaction of 2nd stage PCR: it under conditions of 95 DEG C, reacts 15 seconds, at 60 DEG C Under the conditions of, it reacts 60 seconds, annealing extends, and so carries out 40 circulations；

The method for calculating the CLC gene expression amount are as follows: calculate Δ CT or 2^-ΔΔCTTo calculate the expression quantity of target gene； Wherein Δ CT=(CT (CLC)-CT (GAPDH)) ,-Δ Δ CT=- (Δ CT (processing sample CT (CLC)-CT (GAPDH))-health Control group average delta CT)；The each control group Δ CT of healthy control group average delta CT=∑ (CT (CLC)-CT (GAPDH))/control Group sample number.Using Δ CT method or 2^-ΔΔCtThe relative quantification method of method has selected the relative constant reference gene of expression quantity, with interior The quantity of ginseng gene is standardized, by the different calculating target gene table of Ct value difference for measuring sample target gene and reference gene Up to amount, method is easy quickly, and detection accuracy is high, can reduce testing cost, saves detection time.As a result the advantages that being convenient for interpretation. Greatly improve conventional efficient.

It is specifically directed to the expression difference of same subject CLC and reference gene, reference gene is that expression is more steady in vivo Fixed gene will not usually change with disease etc., therefore be able to reflect compared with reference gene target gene and reference gene Δ CT method then can be used in relative abundance.It then can be used 2 for the expression difference of different subject CLC and reference gene^-ΔΔCt Method.

CLC gene in a kind of detection nasal cavity cast-off cells provided by the embodiment of the present invention is introduced in detail in order to become apparent from The method and application of expression quantity, are described below in conjunction with specific embodiment.

Embodiment 1:

The collection and processing of sample:

After certain patient normal saline flushing nasal cavity, with hairbrush (production of Copan company) in nasal polyp surface under nasal endoscopes 30s, 3~4 circle of rotation are pressed, hairbrush is placed in by lysate by swipe polyp surface, 4 DEG C of short-term preservations (being no more than 24 hours), Or it is transferred to lower than -20 DEG C of long-term preservations.

A method of CLC gene expression amount in detection nasal cavity cast-off cells, comprising the following steps:

Step 1: RNA is extracted from nasal cavity cast-off cells:

Step 1: taking genomic DNA adsorption column to be placed in 2mL collecting pipe, the nasal cavity cast-off cells are dissolved in 300 μ L It is added after in cell pyrolysis liquid into genomic DNA adsorption column, takes filtrate, 70% isometric ethyl alcohol is added into the filter, It is added after mixing into RNA purification column, 12000 revs/min, is centrifuged 1min, removed filtrate, the RNA purification column is set In 2mL collecting pipe；

Step 3: the RNA purification column that the second filtrate is removed in step 2 is placed in 1.5mL without RNA hydrolase collecting pipe, to The distilled water for removing RNA hydrolase of 50 μ L is added in RNA purification column or 0.1% pyrocarbonic acid diethyl ester handles water, is stored at room temperature 5 points Clock, is centrifuged 2min, eluted rna purification column, using the OD260/OD280 of spectrophotometer measurement RNA solution by 12000 revs/min Ratio is 2.0, obtains RNA；

Step 2: reverse transcription prepares cDNA, comprising the following steps: takes the reverse transcription mixed liquor of 2 μ L, the institute of 0~8 μ L RNA hydrolase distilled water is stated (to be no more than 500ng according to RNA amount water polishing to 8 μ L) and total amount or volume is no more than 8 μ The total serum IgE of L, it is described to go RNA hydrolase distilled water polishing to 10 μ L；Reverse transcription reaction is carried out after soft mixing, condition is as follows: Under conditions of 37 DEG C, 15 minutes reverse transcription reactions are carried out；Under conditions of 85 DEG C, the inactivation for carrying out 5 seconds reverse transcriptase is anti- It answers；4 DEG C of product placements.

Step 3: real-time fluorescence quantitative PCR augmentation detection, comprising the following steps:

Step 1: preparing real-time fluorescence quantitative PCR reaction solution: the PCR premix including 1 μ L, the distilled water of 0-10 μ L (according to total volume water polishing to 10 μ L), the machine fluorescence compensation of 0.2 μ L and corrigent, the upstream of 1 μM of CLC gene are drawn Object, the downstream primer of 1 μM of CLC gene, the upstream primer of 1 μM of reference gene, the downstream primer of 1 μM of reference gene, The cDNA of 0.01 μ L, the positive control of 1 μ g, the negative control of 1 μ g, positive control are the plasmid containing CLC, negative control It is empty plasmid (plasmid vector)；

Step 2: using two-step method PCR amplification standardization program: the reaction condition packet of the two-step method PCR amplification standardization program Include following steps: the 1st stage: the initial denaturation 30 seconds under conditions of 95 DEG C；2nd stage PCR reaction: under conditions of 95 DEG C, instead It answers 15 seconds, under conditions of 60 DEG C, reacts 60 seconds, annealing extends, and so carries out 40 circulations.

Step 4: the CLC gene expression amount is calculated:

The amplification curve and melting curve for confirming real-time fluorescence quantitative PCR after reaction, read the Ct of CLC and GAPDH Value selects △ Ct analytic approach (the Ct value of CLC subtracts the Ct value of GAPDH) to be analyzed, using GAPDH as reference gene；It is positive Control Ct value<20 and negative control Ct value>38 are considered as experiment effectively, and otherwise experiment is invalid；

The Δ CT method that the present embodiment uses compares the expression difference of CLC and reference gene: CLC mean CT-number for 20.1, GAPDH mean CT-number is 18.9, and Δ CT value is 1.2.

Embodiment 2:

The collection and processing of sample:

Step 1: RNA is extracted from nasal cavity cast-off cells:

Step 1: taking genomic DNA adsorption column to be placed in 2mL collecting pipe, the nasal cavity cast-off cells are dissolved in 100 μ L It is added after in cell pyrolysis liquid into genomic DNA adsorption column, is centrifuged 60s under conditions of 12000 turns/min, takes filtrate, to 70% isometric ethyl alcohol is added in the filter, is added after mixing into RNA purification column, 12000 revs/min, centrifugation 1min removes filtrate, the RNA purification column is placed in 2mL collecting pipe；

Step 2: it is added the first buffer of 300 μ L into the RNA purification column obtained in step 1,12000 revs/min Clock is centrifuged 30s, removes the first filtrate；Continue that 400 the second buffers of μ L are added to the RNA purification column, 12000 revs/min, It is centrifuged 30s, removes the second filtrate；

Step 2: reverse transcription prepares cDNA, comprising the following steps: the reverse transcription mixed liquor of 1 μ L is taken, 0~10 μ L's It is described that RNA hydrolase distilled water and total amount is gone to be no more than the total serum IgE of 500ng or volume no more than 8 μ L, it is described that RNA is gone to hydrolyze Enzyme distilled water polishing is to 10 μ L；Reverse transcription reaction is carried out after soft mixing, condition is as follows: under conditions of 37 DEG C, carrying out 15 points The reverse transcription reaction of clock；Under conditions of 85 DEG C, the inactivation reaction of 5 seconds reverse transcriptase is carried out；4 DEG C of product placements.

Step 1: preparing real-time fluorescence quantitative PCR reaction solution: the PCR premix including 25 μ L, the distilled water of 0~10 μ L (according to total volume water polishing to 10 μ L), the dyestuff (fluorescence for carrying out machine compensates and correction) of 0~2 μ L, 0.01 μM CLC gene upstream primer, the downstream primer of 0.01 μM of CLC gene, the upstream primer of 0.01 μM of reference gene, 0.01 μM reference gene downstream primer, the cDNA of 5 μ L, 1 μ g positive control, 1 μ g negative control, positive control is containing CLC Plasmid, negative control are empty plasmid (plasmid vectors)；

Step 4: the CLC gene expression amount is calculated:

It uses Δ CT method to compare the expression difference of CLC and reference gene: obtaining the mean CT-number of CLC as 24.5, GAPDH Mean CT-number be 18.0, Δ CT value be 6.5.

Embodiment 3:

The collection and processing of sample:

Step 1: RNA is extracted from nasal cavity cast-off cells:

Step 1: taking genomic DNA adsorption column to be placed in 2mL collecting pipe, the nasal cavity cast-off cells are dissolved in 2000 μ L It is added after in cell pyrolysis liquid into genomic DNA adsorption column, is centrifuged 60s under conditions of 12000 turns/min, takes filtrate, to 70% isometric ethyl alcohol is added in the filter, is added after mixing into RNA purification column, 12000 revs/min, centrifugation 1min removes filtrate, the RNA purification column is placed in 2mL collecting pipe；

Step 2: it is added the first buffer of 700 μ L into the RNA purification column obtained in step 1,12000 revs/min Clock is centrifuged 30s, removes the first filtrate；Continue that 800 the second buffers of μ L are added to the RNA purification column, 12000 revs/min, It is centrifuged 30s, removes the second filtrate；

Step 2: reverse transcription prepares cDNA, comprising the following steps: takes the reverse transcription mixed liquor of 3 μ L, 0~8 μ L is gone RNA enzyme and the water of DNA enzymatic is gone (to be no more than 500ng according to RNA amount water polishing to 8 μ L) and total amount or volume is no more than 8 μ L Total serum IgE, it is described to go RNA hydrolase distilled water polishing to 10 μ L；Reverse transcription reaction is carried out after soft mixing, condition is as follows: Under conditions of 37 DEG C, 15 minutes reverse transcription reactions are carried out；Under conditions of 85 DEG C, the inactivation for carrying out 5 seconds reverse transcriptase is anti- It answers；4 DEG C of product placements.

Step 1: preparing real-time fluorescence quantitative PCR reaction solution: (gentle containing enzyme required for PCR including 5 μ L premixs Fliud flushing), (according to total volume with water polishing to 10 μ L), the dyestuff of 0~2 μ L is (for carrying out the glimmering of machine for the distilled water of 0-10 μ L Light compensation and correction), the upstream primer of 1 μM of CLC gene, the downstream primer of 1 μM of CLC gene, 1 μM of reference gene it is upper Swim primer, the downstream primer of 1 μM of reference gene, the cDNA of 2 μ L, 1 μ g positive control, 1 μ g negative control；

Step 4: the CLC gene expression amount is calculated:

It uses Δ CT method to compare the expression difference of CLC and reference gene: obtaining the mean CT-number of CLC as 24.0, GAPDH Mean CT-number be 17.9, Δ CT value be 6.1.

In the above embodiment of the present invention 1~3, the manufacturer of preferred first buffer RWA buffer used is Takara company, article No. 9767；The manufacturer of second buffer RWB buffer is Takara company, article No. 9767.But this Application protection scope is simultaneously confined to above-mentioned the first buffer and the second buffer.Those skilled in the art can be according to practical application It is selected.

Embodiment 4:

The collection and processing of sample:

After 78 subjects normal saline flushing nasal cavity, with hairbrush (production of Copan company) in nasal polyp under nasal endoscopes Surface presses 30s, rotation 3-4 circle, and hairbrush is placed in the subsequent lysate by swipe polyp surface, and 4 DEG C of short-term preservations are (no More than 24 hours), or be transferred to lower than -20 DEG C of long-term preservations.

Step 1: RNA is extracted from nasal cavity cast-off cells: 1mLRNA is added into the centrifuge tube equipped with nasal cavity cast-off cells After extract is dissolved, vibrated, it is stored at room temperature 5min；200 μ L chloroforms are added, concussion mixes, it is stored at room temperature 5min, in 4 DEG C, 12000r/min is centrifuged 15min；200 μ L of supernatant is taken, 200 μ L isopropanols are added, stand 10min after mixing, in 4 DEG C, 12000r/min is centrifuged 15min and abandons supernatant, retains the first precipitating；To it is described first precipitating in be added with isopropanol in equal volume it is dense The ethyl alcohol of degree 75%, in 4 DEG C, 7500r/min is centrifuged 15min, abandons supernatant, retains the second precipitating；The centrifuge tube is covered tightly, in 4 DEG C, 7500r/min is centrifuged 2min, removes supernatant, stands to continue 50 μ L are added into the centrifuge tube after 15min and goes RNA enzyme And the water of DNA enzymatic is gone to dissolve second precipitating, use spectrophotometer measurement RNA solution OD260/OD280 ratio for 1.8, Obtain RNA；

Step 2: reverse transcription prepares cDNA step with embodiment one.

Step 3: real-time fluorescence quantitative PCR augmentation detection step is the same as embodiment one.

Step 4: the CLC gene expression amount is calculated:

Step 1: calculate healthy control group average delta CT: subject 1~10 is healthy control group in this example,

Calculation method is as follows: average delta CT (CT (CLC)-CT (GAPDH))=(5.304+6.364+6.733+4.366+ 5.709+6.338+5.894+6.25+6.319+5.649)/10=5.8926；

Step 2: calculate subject's relative expression quantity:

On the basis of 5.8926, finding out each subject's relative expression quantity (indicates Ben Jiyin relative healths in subject Compare cell mean expression height, numerical value represent variation multiple, such as 1.5 be equivalent to the subject expression quantity be health it is right According to 1.5 times of cell mean), calculated result is as shown in table 1.

Calculation formula is 2^-ΔΔCT(Δ CT (subject CT (CLC)-CT (GAPDH))-average delta CT is (strong by ,-Δ Δ CT=- Health control group average delta CT)).

The CLC gene expression amount calculated result for the method that 1 embodiment 2 of table provides

Embodiment 5:

The collection and processing of sample:

Patient's normal saline flushing nasal cavity is advised before obtaining cell, with hairbrush (production of Copan company) in nose under nasal endoscopes Polyp surface presses 30s, rotation 3-4 circle, and hairbrush is placed in lysate by swipe polyp surface, and 4 DEG C of short-term preservations (are no more than 24 hours), or be transferred to lower than -20 DEG C of long-term preservations.

Step 1: from nasal cavity cast-off cells extract RNA step: to equipped with nasal cavity cast-off cells centrifuge tube in be added After 20mLRNA extract is dissolved, vibrated, it is stored at room temperature 7min；10mL chloroform is added, concussion mixes, it is stored at room temperature 7min, In 5 DEG C, 14000r/min is centrifuged 20min；Supernatant 20mL is taken, the isopropanol of 20mL is added, 12min is stood after mixing, in 5 DEG C, 14000r/min is centrifuged 20min and abandons supernatant, retains the first precipitating；The concentration 90% of 40mL is added into first precipitating Ethyl alcohol, in 5 DEG C, 14000r/min is centrifuged 3min, abandons supernatant, retains the second precipitating；The centrifuge tube is covered tightly, in 5 DEG C, 14000r/min is centrifuged 3min, removes supernatant, continues the addition 5mL into the centrifuge tube after standing 20min and goes RNA enzyme and go The water dissolution of DNA enzymatic second precipitating, uses spectrophotometer measurement RNA solution OD260/OD280 ratio to obtain for 2.1 RNA；

Step 2: reverse transcription prepares cDNA step with embodiment one.

Step 3: real-time fluorescence quantitative PCR reaction solution is prepared with implementation in real-time fluorescence quantitative PCR augmentation detection step Example one, for PCR amplification standardization program use three-step approach, the reaction condition of the three-step approach PCR amplification standardization program include with Lower step: the 1st stage: the initial denaturation 2 minutes under conditions of 95 DEG C；The reaction of 2nd stage PCR: under conditions of 95 DEG C, reaction 1 Minute, it under conditions of 55 DEG C, reacts 1 minute, under conditions of 72 DEG C, reacts 1 minute, so carry out 40 circulations；Finally 72 DEG C, annealing in 7 minutes extends.

Step 4: the CLC gene expression amount is calculated:

Positive control wells are averaged Ct:16.9；Negative control hole is averaged Ct:39.7；Sample CLC is averaged Ct:18.8；Sample GAPDH is averaged Ct:16.4；Difference value: 18.8-16.4 2.4.Indicate that the patient CLC is expressed as 0.19 times (1/ of GAPDH 2^2.4)。

Embodiment 6:

The collection and processing of sample:

Step 1: from nasal cavity cast-off cells extract RNA step: to equipped with nasal cavity cast-off cells centrifuge tube in be added After 0.1mLRNA extract is dissolved, vibrated, it is stored at room temperature 7min；0.03mL chloroform is added, concussion is mixed, is stored at room temperature 7min, in 5 DEG C, 14000r/min is centrifuged 20min；Supernatant 20mL is taken, the isopropanol of 0.015mL is added, is stood after mixing 12min, in 5 DEG C, 14000r/min is centrifuged 20min and abandons supernatant, retains the first precipitating；It is added into first precipitating The ethyl alcohol of the concentration 90% of 0.0075mL, in 5 DEG C, 14000r/min is centrifuged 3min, abandons supernatant, retains the second precipitating；Cover tightly institute Centrifuge tube is stated, in 5 DEG C, 14000r/min is centrifuged 3min, removes supernatant, continues to add into the centrifuge tube after standing 20min Enter 0.01mL to go RNA enzyme and the water of DNA enzymatic is gone to dissolve second precipitating, using spectrophotometer measurement RNA solution OD260/ OD280 ratio is 2.1, obtains RNA；

Step 2: reverse transcription prepares cDNA step with embodiment one.

Step 4: the CLC gene expression amount is calculated:

Positive control wells are averaged Ct:15.9；Negative control hole is averaged Ct:38.7；Sample CLC is averaged Ct:23.8；Sample GAPDH is averaged Ct:16.4；Difference value: 23.8-16.4 7.4.Indicate that the patient CLC is expressed as 0.006 times (1/ of GAPDH 2^7.4)。

Sequence table

<110>it raises

Wang Chengshuo

Yan Bing

Beijing Otorhinolaryngology Inst.

Capital University Of Medical Sciences Affiliated Beijing Tongren Hospital

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<141> 2018-07-03

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Claims

1. a kind of method of CLC gene expression amount in detection nasal cavity cast-off cells, it is characterised in that: the following steps are included: from nose RNA is extracted in chamber cast-off cells, is cDNA by total serum IgE reverse transcription, using quantitative polyase chain reaction by the CLC gene in cDNA The specific primer of CLC gene is respectively adopted with reference gene specific primer and reference gene carries out real time fluorescent quantitative PCR amplification, the testing result based on amplified production calculate CLC gene expression amount.

2. the method for CLC gene expression amount in detection nasal cavity cast-off cells according to claim 1, it is characterised in that: CLC The upstream primer of gene is as shown in SEQ ID NO:2, and the downstream primer of CLC gene is as shown in SEQ ID NO:3；

The reference gene is GAPDH, and the upstream primer of the reference gene is as shown in SEQ ID NO:4, the downstream primer As shown in SEQ ID NO:5.

3. the method for CLC gene expression amount in detection nasal cavity cast-off cells according to claim 1, it is characterised in that: institute It states nasal cavity cast-off cells and is obtained using hairbrush in nasal polyp surface, and will acquire the hairbrush after nasal cavity cast-off cells and be placed in cell and split It solves in liquid and is saved in 4 DEG C or less.

4. the method for CLC gene expression amount in detection nasal cavity cast-off cells according to claim 1, it is characterised in that: from The method of RNA is extracted in nasal cavity cast-off cells, comprising the following steps:

Step 1: the nasal cavity cast-off cells are dissolved in 100~2000 μ L cell pyrolysis liquids, and isometric ethyl alcohol is added, It is added after mixing into RNA purification column, after centrifugal treating, removes filtrate, the RNA purification column is placed in collecting pipe；

Step 2: the first buffer of 300 μ of μ L~700 L, centrifugal treating being added into the RNA purification column obtained in step 1 Afterwards, the first filtrate is removed；Continue that 400 μ of μ L~800 the second buffers of L are added to the RNA purification column, after centrifugal treating, removes Second filtrate takes RNA purification column through affording RNA.

5. the method for CLC gene expression amount in detection nasal cavity cast-off cells according to claim 4, it is characterised in that: from The method that RNA is extracted in nasal cavity cast-off cells, it is further comprising the steps of: into the RNA purification column after removing second filtrate 10~100 μ LDNA enzyme reaction solutions are added, after stewing process, the second buffer described in 300 μ of μ L~700 L, centrifugal treating is added Afterwards, third filtrate is removed, RNA purification column is taken, using spectrophotometer measurement RNA purity, to obtain RNA after eluting；

The preparation method of the DNA enzymatic reaction solution goes the double of RNA enzyme the following steps are included: take DNA enzymatic buffer, recombinant dnase It steams water and is mixed to get DNA enzymatic reaction solution.

6. the method for CLC gene expression amount in detection nasal cavity cast-off cells according to claim 4, it is characterised in that: from The method that RNA is extracted in nasal cavity cast-off cells, further comprising the steps of: in the step 1, the nasal cavity cast-off cells are dissolved in It is first added after in cell pyrolysis liquid into genomic DNA adsorption column and takes filtrate, then isometric ethyl alcohol is added into the filtrate.

7. the method for CLC gene expression amount, special in detection nasal cavity cast-off cells according to any one of claim 4 to 6 Sign is: the method that RNA is extracted from nasal cavity cast-off cells, further comprising the steps of: taking RNA purification column to be eluted to be added and goes The distilled water or pyrocarbonic acid diethyl ester of RNA hydrolase handle water, after being stored at room temperature, purify through centrifugal treating, the elution RNA Column obtains RNA using spectrophotometer measurement RNA purity.

8. the method for CLC gene expression amount in detection nasal cavity cast-off cells according to claim 1, it is characterised in that: from The method of RNA is extracted in nasal cavity cast-off cells, comprising the following steps: be added into the centrifuge tube equipped with nasal cavity cast-off cells 0.1mL~20mLRNA extract dissolved, vibrate after 0.1~0.5 times of chloroform of the RNA extract volume, shake is added Mixing is swung, is stored at room temperature, the centrifuge tube is centrifuged, supernatant is taken, 0.5~3 times of isopropanol of the chloroform volume is added, After mixing stand, be centrifuged, abandon supernatant, retain first precipitating, to it is described first precipitating in be added the isopropanol volume 0.5~ The ethyl alcohol of 5 times of concentration 65%~90% mixes, centrifugation after washed, abandons supernatant, retains the second precipitating；Centrifuge tube is covered tightly, then Secondary centrifugation removes supernatant, continues 0.01~5mL of addition into the centrifuge tube and goes RNA enzyme and go described in the water dissolution of DNA enzymatic Second precipitating, using spectrophotometer measurement RNA purity, obtains RNA；

The RNA extract be Trizol, RNAiso Blood, RNAiso Plus or other containing phenol, guanidinium isothiocyanate, The reagent of any one or more of 8-hydroxyquinoline, guanidinium isothiocyanate and beta -mercaptoethanol.

9. the method for CLC gene expression amount in detection nasal cavity cast-off cells according to claim 1, it is characterised in that:

By method that total serum IgE reverse transcription is cDNA the following steps are included: the reverse transcription mixed liquor of 1~3 μ L, 0~10 μ L is taken to go RNA hydrolase distilled water and the RNA of extraction issue raw reverse transcription reaction 15min in 37 DEG C of temperature conditions, after in 84 DEG C of temperature strips The inactivation reaction that reverse transcriptase occurs under part, obtains reverse transcription product cDNA；

Real-time fluorescence quantitative PCR amplification the following steps are included:

Step 1: prepare real-time fluorescence quantitative PCR reaction solution: the PCR premix including 1 μ of μ L~25 L, 0 μ of μ L~10 L's is double Steam machine fluorescence compensation and corrigent of the water polishing total volume water to 10 μ L, 0 μ of μ L~2 L, 0.01~100 μM of CLC gene Upstream primer, the downstream primer of 0.01~100 μM of CLC gene, the upstream primer of 0.01~100 μM of reference gene, The downstream primer of 0.01~100 μM of reference gene, the cDNA of 0.01 μ of μ L~5 L；

Step 2: real-time fluorescence quantitative PCR is carried out using two-step method PCR amplification standardization program or three-step approach PCR amplification standardization program Detection；

Step 3: calculating CLC gene expression amount.

10. the method for CLC gene expression amount in detection nasal cavity cast-off cells according to claim 9, it is characterised in that: institute The reaction condition of two-step method PCR amplification standardization program is stated the following steps are included: the 1st stage: the initial denaturation 30 under conditions of 95 DEG C Second；The reaction of 2nd stage PCR: under conditions of 95 DEG C, reacting 15 seconds, under conditions of 60 DEG C, reacts 60 seconds, annealing extends, such as This carries out 40 circulations；

The reaction condition of the three-step approach PCR amplification standardization program is the following steps are included: the 1st stage: pre- under conditions of 95 DEG C Denaturation 2 minutes；The reaction of 2nd stage PCR: under conditions of 95 DEG C, reacting 1 minute, under conditions of 55 DEG C, reacts 1 minute, It under conditions of 72 DEG C, reacts 1 minute, so carries out 40 circulations；Last 72 DEG C, annealing in 7 minutes extends；

The method for calculating the CLC gene expression amount are as follows: calculate Δ CT or 2^-ΔΔCTTo calculate the expression quantity of target gene；Wherein Δ CT=(CT (CLC)-CT (GAPDH)) ,-Δ Δ CT=- (Δ CT (processing sample CT (CLC)-CT (GAPDH))-normal healthy controls Group average delta CT)；The each control group Δ CT of healthy control group average delta CT=∑ (CT (CLC)-CT (GAPDH))/control group sample This number.

11. the method for CLC gene expression amount is being made in a kind of described in any item detection nasal cavity cast-off cells of claim 1~10 Detection is ready for use on the application in the kit of the chronic nasosinusitis hypotype of nasal polyp.