CN109187987A - Application of the MS4A3 albumen as marker in diagnostic activities tuberculosis - Google Patents

Application of the MS4A3 albumen as marker in diagnostic activities tuberculosis Download PDF

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Publication number
CN109187987A
CN109187987A CN201810965702.1A CN201810965702A CN109187987A CN 109187987 A CN109187987 A CN 109187987A CN 201810965702 A CN201810965702 A CN 201810965702A CN 109187987 A CN109187987 A CN 109187987A
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China
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ms4a3
gene
tuberculosis
albumen
expression quantity
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CN109187987B (en
Inventor
程小星
杨秉芬
翟斐
安红娟
曹志红
刘艳华
王若
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Chinese People's Liberation Army (pla) Third 0 Nine Hospital
309th Hospital of PLA
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Chinese People's Liberation Army (pla) Third 0 Nine Hospital
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/68Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving proteins, peptides or amino acids
    • G01N33/6803General methods of protein analysis not limited to specific proteins or families of proteins
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/62Systems in which the material investigated is excited whereby it emits light or causes a change in wavelength of the incident light
    • G01N21/63Systems in which the material investigated is excited whereby it emits light or causes a change in wavelength of the incident light optically excited
    • G01N21/64Fluorescence; Phosphorescence
    • G01N21/6486Measuring fluorescence of biological material, e.g. DNA, RNA, cells
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/531Production of immunochemical test materials
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2333/00Assays involving biological materials from specific organisms or of a specific nature
    • G01N2333/435Assays involving biological materials from specific organisms or of a specific nature from animals; from humans
    • G01N2333/46Assays involving biological materials from specific organisms or of a specific nature from animals; from humans from vertebrates
    • G01N2333/47Assays involving proteins of known structure or function as defined in the subgroups
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2800/00Detection or diagnosis of diseases
    • G01N2800/12Pulmonary diseases

Abstract

Application the invention discloses MS4A3 albumen as marker in diagnostic activities tuberculosis.Compared with Healthy People and tuberculosis latent infection person, the expression quantity of MS4A3 gene is dramatically increased in the PBMCs of active tuberculosis patient;The expression quantity of MS4A3 gene can be used for distinguishing active tuberculosis patient and tuberculosis latent infection person;The expression quantity of MS4A3 gene can be used for distinguishing active tuberculosis patient and Healthy People.Therefore, MS4A3 albumen and/or MS4A3 gene can be used as marker diagnostic activities tuberculosis.The present invention has great application value.

Description

Application of the MS4A3 albumen as marker in diagnostic activities tuberculosis
Technical field
The invention belongs to Medical Immunology diagnostic techniques fields, and in particular to MS4A3 albumen is lived as marker in diagnosis Application in dynamic property tuberculosis.
Background technique
Tuberculosis is infectious disease caused by mycobacterium tuberculosis (Mycobacterium tuberculosis, MTB), mainly Pass through respiratory infectious.It may occur in which three kinds of different as a result, first is that immunity of organisms is preferable, MTB directly quilts after MTB infection human body It removes;Second is that MTB is inhibited by immunity of organism, but can not be fully erased, develop as tuberculosis latent infection (latent Tuberculosis infection, LTBI);Third is that MTB is proliferated rapidly in body, active tuberculosis is developed into.Tuberculosis Disease is the serious infectious diseases that China needs emphasis prevention and control.
Diagnosis of tuberculosis mainly has the methods of imaging diagnosis, tulase diagnosis and immunology diagnosis at present, but has one Fixed disadvantage.Imaging diagnosis is difficult to differentiate between pulmonary tuberculosis and other pulmonary diseases.It is high that tulase diagnoses false negative.Immunology is examined It is disconnected mainly divide antibody test and cellular immunity detect (such as tuberculin skin test (tuberculin skin test, TST) and Interferon release test (interferon gamma release assays, IGRA)).TST and IGRA is to pass through detection The immune main treating tuberculosis of body is cellullar immunologic response to evaluate tuberculosis infection situation.The country is existing mostly by TST as main inspection Survey means, generally by purified protein derivative (PPD) (PPD) strong positive or in a short time from feminine gender switch to it is positive and without clinical tuberculosis evidence Person is judged as tulase latent infection person.Due to TST feature be it is easy to operate, cheap, have become at present clinically most A kind of common and the simplest tubercle bacillus affection diagnostic method.But PPD is the antigen mixture slightly mentioned from mycobacterium tuberculosis, Comprising 200 multiple proteins, wherein being much the common antigen ingredient of non-tuberculous mycobacteria and BCG vaccine, therefore TST is determined Poor specificity is detected, is also easy to produce false positive results in BCG vaccine (BCG) inoculation crowd and non-tuberculous mycobacteria infection population. TST can only only have 70-80% according to the reaction power auxiliary diagnosis of skin, sensitivity.In addition TST there are when check fee, need It wants subject to pay a return visit (72h), skin test operation and result and explains there is the disadvantages of subjective dependence.IGRA is inhaled using enzyme linked immunological Adhesion test (ELISA) or Enzyme linked immunospot (ELISPOT) method quantitatively detect subject's whole blood or the single core of peripheral blood IFN-γ detection release reaction of the cell to Specific Antigen of Mycobacterium Tuberculosis (ESAT6, CFP10 and TB7.7), for The diagnosis of tubercle bacillus affection, but IGRA is difficult to differentiate between active tuberculosis and latent tuberculosis infection.Activity cannot be early diagnosed Property tuberculosis, on the one hand lead to delay treatment, increase medical expense and the death rate;On the other hand it not can be effectively controlled the infection sources, Cause diffusion lungy.Therefore, special, effective active tuberculosis diagnostic reagent is developed to tuberculosis prevention and treatment with important Meaning.
Studies have shown that MS4A3 albumen may be related to the proliferation of leukaemia cell;MS4A3 albumen is in breast cancer, oophoroma There are significant differences with the expression in the expression and normal tissue in prostate cancer.
Summary of the invention
The purpose of the present invention is diagnostic activities tuberculosis.
The present invention protects the substance for detecting MS4A3 albumen preparing the application in product first;The function of the product Can be following a1) at least one of to a3): a1) diagnostic activities tuberculosis;A2) whether diagnosis person under test is activity Tuberculosis patient;A3) prevention and control tuberculosis.
The present invention also protects substance for detecting MS4A3 albumen and records judgment criteria first and/or judgment criteria third Carrier preparing the application in product;The function of the product can be following a1) at least one of to a3): a1) diagnosis is lived Dynamic property tuberculosis;A2) whether diagnosis person under test is active tuberculosis patient;A3) prevention and control tuberculosis;
The judgment criteria first can are as follows: if the expression quantity of MS4A3 albumen is higher than control peripheral blood in person under test's peripheral blood The expression quantity of middle MS4A3 albumen, then person under test be or it is doubtful be active tuberculosis patient;If in person under test's peripheral blood The expression quantity of MS4A3 albumen lower than control peripheral blood in MS4A3 albumen expression quantity, then person under test be not or it is doubtful be not activity Property tuberculosis patient;
The judgment criteria third can are as follows: if the concentration of MS4A3 albumen is higher than in control peripheral blood in person under test's peripheral blood The concentration of MS4A3 albumen, then person under test be or it is doubtful be active tuberculosis patient;If MS4A3 egg in person under test's peripheral blood White concentration lower than control peripheral blood in MS4A3 albumen concentration, then person under test be not or it is doubtful be not active tuberculosis sufferer Person;
The control peripheral blood can be tuberculosis latent infection person or the peripheral blood of Healthy People.
The expression quantity of the MS4A3 albumen concretely MS4A3 albumen from the PBMCs separated in peripheral blood in the peripheral blood Expression quantity, in serum in the expression quantity or blood plasma of MS4A3 albumen MS4A3 albumen expression quantity.
The present invention also protects the substance for detecting MS4A3 gene preparing the application in product;The function of the product Can be following a1) at least one of to a3): a1) diagnostic activities tuberculosis;A2) whether diagnosis person under test is activity knot Core patient;A3) prevention and control tuberculosis.
The present invention also protects the substance for detecting MS4A3 gene preparing product with the carrier for recording judgment criteria second In application;The function of the product can be following a1) at least one of to a3): a1) diagnostic activities tuberculosis;A2 it) examines Whether disconnected person under test is active tuberculosis patient;A3) prevention and control tuberculosis;
The judgment criteria second can are as follows: if the expression quantity of MS4A3 gene is higher than control peripheral blood in person under test's peripheral blood The expression quantity of middle MS4A3 gene, then person under test be or it is doubtful be active tuberculosis patient;If in person under test's peripheral blood The expression quantity of MS4A3 gene lower than control peripheral blood in MS4A3 gene expression quantity, then person under test be not or it is doubtful be not activity Property tuberculosis patient;The control peripheral blood can be tuberculosis latent infection person or the peripheral blood of Healthy People.
The expression quantity of the MS4A3 gene concretely MS4A3 gene from the PBMCs separated in peripheral blood in the peripheral blood Expression quantity.
The present invention also protects a kind of kit, it may include for detecting the substance of MS4A3 albumen and/or for detecting The substance of MS4A3 gene;The kit can have the function of following a1) at least one of to a3): a1) diagnostic activities tuberculosis Disease;A2) whether diagnosis person under test is active tuberculosis patient;A3) prevention and control tuberculosis.
Any of the above-described " for the detecting the substance of MS4A3 albumen " can be the expression quantity for detecting MS4A3 albumen Substance (corresponding the judgment criteria first) and/or substance (the corresponding judgment criteria the third) for detecting MS4A3 protein concentration.
Any of the above-described " for the detecting the substance of MS4A3 gene " can be the expression quantity for detecting MS4A3 gene Substance.
The expression quantity of any of the above-described MS4A3 albumen can be the relative expression quantity of MS4A3 albumen reference internal reference albumen.
The expression quantity of any of the above-described MS4A3 gene can be the relative expression quantity of MS4A3 gene reference reference gene.
The expression quantity of any of the above-described detection MS4A3 albumen specifically can be used Western Blot experiment and carry out.
Any of the above-described detection MS4A3 protein concentration is particularly used in Elisa experiment and carries out.
Any of the above-described substance or any of the above-described described for detecting for detecting the expression quantity of MS4A3 gene The substance of " relative expression quantity of MS4A3 gene reference reference gene " includes the primer of primer pair and internal control primer to composition To combination;
The primer pair can be made of primer MS4A3-F and primer MS4A3-R;The target gene of the primer pair Sequence 6 containing ordered list DNA fragmentation shown in the 438th to 517 from 5 ' ends;
The internal control primer primers F and primer R to can be made of;The target gene of the internal control primer pair can be people's internal reference base The all or part of cause.
The primer MS4A3-F can be following a1) or a2):
A1) single strand dna shown in the sequence 1 of sequence table;
A2) there is phase by sequence 1 by the substitution and/or deletion and/or addition of one or several nucleotide and with sequence 1 The DNA molecular of congenerous.
The primer MS4A3-R can be following a3) or a4):
A3) single strand dna shown in the sequence 2 of sequence table;
A4) there is phase by sequence 2 by the substitution and/or deletion and/or addition of one or several nucleotide and with sequence 2 The DNA molecular of congenerous.
The primers F can be following b1) or b2):
B1) single strand dna shown in the sequence 1 of sequence table;
B2) there is phase by sequence 1 by the substitution and/or deletion and/or addition of one or several nucleotide and with sequence 1 The DNA molecular of congenerous.
The primer R can be following b3) or b4):
B3) single strand dna shown in the sequence 2 of sequence table;
B4) there is phase by sequence 2 by the substitution and/or deletion and/or addition of one or several nucleotide and with sequence 2 The DNA molecular of congenerous.
Any of the above-described primer pair also belongs to protection scope of the present invention.
In expression quantity or detection MS4A3 gene reference using any of the above-described primer pair detection MS4A3 gene The relative expression quantity of ginseng gene also belongs to protection scope of the present invention.
Using in the expression quantity or detection MS4A3 gene reference of any of the above-described primer pair combine detection MS4A3 gene The relative expression quantity of ginseng gene also belongs to protection scope of the present invention.
Above, using MS4A3 gene reference internal reference base in any of the above-described primer pair combine detection person under test cDNA The method of the relative expression quantity of cause is concretely: using person under test cDNA as template, using any of the above-described primer pair or Then any of the above-described internal control primer uses 2 to real-time fluorescence quantitative PCR is carried out-ΔCtMethod, which calculates, to be obtained.The person under test CDNA can be the cDNA of the PBMCs separated in person under test's peripheral blood.
Any of the above-described internal reference albumen can be GAPDH albumen.
Any of the above-described reference gene can be GAPDH gene.
The present invention also protects Y1) or Y2) or Y3) or Y4):
Y1) application of the MS4A3 albumen as marker in exploitation diagnostic activities reagent lungy;
Y2) application of the MS4A3 albumen as marker in diagnostic activities tuberculosis;
Y3) application of the MS4A3 gene as marker in exploitation diagnostic activities reagent lungy;
Y4) application of the MS4A3 gene as marker in diagnostic activities tuberculosis.
Sequence in the amino acid sequence of any of the above-described MS4A3 albumen (No. GeneID are as follows: NP_006129.4) such as sequence table Shown in column 5.In the nucleotide sequence of any of the above-described MS4A3 gene (No. Genebank are as follows: NM_006138.4) such as sequence table Shown in sequence 6.
It is demonstrated experimentally that compared with Healthy People and tuberculosis latent infection person, MS4A3 in the PBMCs of active tuberculosis patient The expression quantity of gene dramatically increases;The expression quantity of MS4A3 gene can be used for distinguishing active tuberculosis patient and tuberculosis is latent The infected;The expression quantity of MS4A3 gene can be used for distinguishing active tuberculosis patient and Healthy People.Therefore, MS4A3 gene Expression quantity has important application value in terms of diagnostic activities tuberculosis.
Detailed description of the invention
Fig. 1 is that real-time fluorescence quantitative PCR detects active tuberculosis patient, tuberculosis latent infection person and Healthy People The relative expression quantity of MS4A3 gene in PBMCs.
Fig. 2 is MS4A3 gene in ROC curve analytic activity tuberculosis patient and the PBMCs of tuberculosis latent infection person Relative expression quantity.
Fig. 3 is the relative expression of MS4A3 gene in the PBMCs of ROC curve analytic activity tuberculosis patient and Healthy People Amount.
Specific embodiment
Embodiment below facilitates a better understanding of the present invention, but does not limit the present invention.Experiment in following embodiments Method is unless otherwise specified conventional method.Test material as used in the following examples is unless otherwise specified certainly What routine biochemistry reagent shop was commercially available.Quantitative test in following embodiment is respectively provided with three repeated experiments, as a result makes even Mean value.
Ficoll-Paque PLUS is the product of U.S. GE company.96 orifice plates are the product of Millipore company.AIM VTMMedium serum free medium is the product of gibco company, catalog number 12055091.RPMI 1640 culture medium is The product of Gibco company, catalog number 11875-093.IFN-γ ELISPOT detection kit is the production for being company up to section Product.IFN-γ monoclonal captures antibody, IFN-γ detection antibody, tubercle bacillus differential mixed polypeptide A, tubercle bacillus differential mixing Polypeptide B and phytohemagglutin phytolectin are the component in IFN-γ ELISPOT detection kit.TRIzolTMReagent is The product of Invitrogen company.PrimeScriptTMRT reagent Kit with gDNA Eraser is TaKaRa The product of Biotechnology company.KAPATM Fast quantification PCR kit is the production of Kapa Biosystems company Product.2 × Green Master Mix is KAPATM Component in fast quantification PCR kit.Nuclease-free water is the U.S. The product of Ambion company.480 II fluorescence quantitative PCR instruments are the product of Roche Holding Ag.
Cleaning solution: the PBS buffer solution of pH7.4,0.01M containing 0.05% (v/v) polysorbas20.
Application of the relative expression quantity in diagnostic activities tuberculosis of embodiment 1, MS4A3 gene
One, the acquisition of periphery blood specimen
1, the periphery blood specimen of tuberculosis latent infection person and the periphery blood specimen of Healthy People are distinguished
The sign or symptom of tuberculosis latent infection person and health per capita without tuberculosis morbidity, are distinguished in accordance with the following steps:
A, it is coated with
(1) 96 orifice plates are taken, every hole is added 100 μ L IFN-γ monoclonals and captures antibody, and 4 DEG C of coatings are overnight.
(2) after completing step (1), 96 orifice plate is taken, abandons liquid phase, the PBS buffer solution washing two of pH7.4,0.01M is added Secondary (each 1min), pats dry.
(3) after completing step (2), 96 orifice plate is taken, pH7.4,0.01M that 200 μ L contain 2% (v/v) BSA is added in every hole PBS buffer solution, 37 DEG C of incubation 1h.
(4) after completing step (3), 96 orifice plate is taken, abandons liquid phase, it is primary that the rinse of RPMI 1640 culture medium is added.
B, the preparation of PBMCs suspension
(1) the RPMI 1640 culture medium of 2mL peripheral blood to be measured and 2mL is uniformly mixed;Then it is slowly added into being equipped with In the sterile centrifugation tube of 3mL Ficoll-Paque PLUS, room temperature, 2000rcf are centrifuged 20min, are from top to bottom divided into three layers.
(2) it after completing step (1), draws middle layer and is transferred in the centrifuge tube of the RPMI 1640 culture medium equipped with 2mL.
(3) after completing step (2), the RPMI 1640 culture medium that 8mL is preheated to 37 DEG C is added into the centrifuge tube, uses Dropper gently blows and beats mixing, and room temperature, 1400rpm are centrifuged 7min.
(4) after completing step (3), the centrifuge tube is taken, abandons supernatant, the culture of RPMI 1640 that 6mL is preheated to 37 DEG C is added Liquid is resuspended, and room temperature, 1400rpm are centrifuged 7min.
(5) after completing step (4), the centrifuge tube is taken, abandons supernatant, addition is preheated to 37 DEG C of AIM VTMMedium is without blood Clear culture medium is resuspended, and obtaining concentration is 2.5 × 106The PBMCs suspension of a/mL.
C, immunodotting detects
With reference to the specification of IFN-γ ELISPOT detection kit, immunodotting detection is carried out using the kit.Reagent The equal by specification of dosage carries out.Specific step is as follows:
(1) take into 96 orifice plate of step a, every hole be added 100 μ L step b preparation PBMCs suspension (about 2.5 × 105A PBMC).
(2) after completing step (1), tubercle bacillus differential mixed polypeptide A is added in each detection hole or tubercle bacillus differential is mixed Close polypeptide B;Serum free medium is added in each negative control hole;Phytohemagglutin phytolectin is added in each Positive control wells.
(3) after completing step (2), 96 orifice plate is placed in incubator, 37 DEG C, 5%CO2Cultivate 20h.
(4) after completing step (3), 96 orifice plate is taken, abandons supernatant, the ice water of 200 μ L pre-cooling, 4 DEG C of placement 10min are added (purpose is lytic cell).
(5) after completing step (4), 96 orifice plate is taken, abandons supernatant, 5 times is washed with cleaning solution and (200 μ L is added every time to wash Liquid is washed, washs 1min every time), it pats dry.
(6) after completing step (5), 96 orifice plate is taken, every hole is added 100 μ L IFN-γ and detects antibody (Avidin mark Note) dilution (being mixed by the PBS buffer solution of 99 parts by volume pH7.4,0.01M and 1 parts by volume IFN-γ detection antibody), 37 DEG C be incubated for 1h.
(7) after completing step (6), 96 orifice plate is taken, abandons supernatant, 5 times is washed with cleaning solution and (200 μ L is added every time to wash Liquid is washed, washs 1min every time), it pats dry.
(8) after completing step (7), take 96 orifice plate, every hole be added the streptomysin of 100 μ LHRP label dilution (by The streptomysin of the PBS buffer solution of 99 parts by volume pH7.4,0.01M and 1 parts by volume HRP label mixes), 37 DEG C of incubation 1h.
(9) after completing step (8), 96 orifice plate is taken, abandons supernatant, 5 times is washed with cleaning solution and (200 μ L is added every time to wash Liquid is washed, washs 1min every time), it pats dry.
(10) after completing step (9), 96 orifice plate is taken, zymolyte is added in every hole, at room temperature black out colour developing 15-45min.
(11) after completing step (10), 96 orifice plate is taken, with distilled water flushing 3 times (purpose is stopped reaction), then 96 orifice plate is stored at room temperature, naturally dry.
(12) after completing step (11), 96 orifice plate is taken, immunodotting calculating instrument (Cellular is used Technology Ltd, USA) image and spot count are carried out, then make the following judgment: the number of spots of negative control hole is small When 6, if the number of spots that the number of spots of detection hole subtracts negative control hole be 6 or more, if detection hole be positive, if The number of spots that the number of spots of detection hole subtracts negative control hole is less than 6, then detection hole is negative;The spot of negative control hole Point number be 6 or more when, if the number of spots of detection hole be negative control hole number of spots 2 times or more, if detect Hole be the positive, if the number of spots of detection hole than negative control hole number of spots less than 2 times, if detection hole be feminine gender.Inspection Gaging hole is the positive, then peripheral blood to be measured provides (i.e. the periphery blood specimen of tuberculosis latent infection person) by tuberculosis latent infection person;Inspection Gaging hole is feminine gender, then peripheral blood to be measured provides (i.e. the periphery blood specimen of Healthy People) by Healthy People.
2, the acquisition of periphery blood specimen
(1) active tuberculosis group: 20 periphery blood specimens.
20 periphery blood specimens: 20 patient's (all trouble for being clinically diagnosed as active tuberculosis disease are extracted respectively The equal informed consent of person) peripheral blood 2-3mL, be placed in the pipe of anticoagulant blood-collecting containing EDTA, turn upside down 5-6 times (purpose be anti-freezing liquid and Peripheral blood mixes), obtain 20 periphery blood specimens.
(2) tuberculosis latent infection group: 25 periphery blood specimens.
25 periphery blood specimens: 25 tuberculosis latent infection persons for being clinically diagnosed as tuberculosis latent infection are extracted respectively The peripheral blood 2-3mL of (equal informed consent) is placed in the pipe of anticoagulant blood-collecting containing EDTA, and turning upside down 5-6 times, (purpose is for anti-freezing liquid and outside All blood mixes), obtain 25 periphery blood specimens.
(3) healthy control group: 35 periphery blood specimens.
35 periphery blood specimens: the peripheral blood 2-3mL of 35 Healthy Peoples (equal informed consent) is extracted respectively, is placed in containing EDTA Anticoagulant blood-collecting pipe turns upside down 5-6 times (purpose is that anti-freezing liquid and peripheral blood mix), obtains 35 periphery blood specimens.
80 periphery blood specimens need to be placed in room temperature (do not freeze or refrigerate), and standing time is less than 6h.
Two, application of the relative expression quantity of MS4A3 gene in diagnostic activities tuberculosis
The amino acid sequence of MS4A3 albumen (No. GeneID are as follows: NP_006129.4) is as shown in sequence 5 in sequence table.Coding In the nucleotide sequence of the gene (abbreviation MS4A3 gene, No. Genebank are as follows: NM_006138.4) of MS4A3 albumen such as sequence table Shown in sequence 6.
1, the acquisition of the cDNA of 80 periphery blood specimens
(1) preparation of PBMCs suspension
The peripheral blood to be measured of b in step 11 is replaced in step 12 80 periphery blood specimens, other steps respectively It is constant, obtain the PBMCs suspension of 80 periphery blood specimens.
(2) RNA is extracted
The RNA of the PBMCs suspension of 80 periphery blood specimens is extracted respectively.Specific step is as follows:
1. taking 96 orifice plates, it is separately added into the PBMCs suspension of 80 periphery blood specimens.Every 150 μ L of hole.
2. after completing step 1., taking 96 orifice plate, the dilution of 50 μ L Mycobacterium tuberculosis H37Rv lysates is added in every hole Liquid is (by AIM VTMMedium serum free medium dilutes Mycobacterium tuberculosis H37Rv lysate and obtains;Protein concentration is 10 μ g/ ML), mix.
The preparation method of Mycobacterium tuberculosis H37Rv lysate: the thallus of Mycobacterium tuberculosis H37Rv, first Co 60 spoke are taken It is resuspended according to inactivation, then with PBS buffer solution, obtains re-suspension liquid;Re-suspension liquid is subjected to somatic cells using super-pressure biomixer Broken, 4 DEG C, 12000rcf centrifugation 10min collect supernatant;Supernatant is taken, protein concentration is measured using BCA method.
3. taking 96 orifice plate, 37 DEG C, 5%CO after completing step 2.216h is cultivated, TRIzol is then usedTM Reagent extracts RNA.
(3) synthesis of cDNA
The RNA for taking the PBMCs suspension of 80 periphery blood specimens respectively, using PrimeScriptTM RT reagent Kit With gDNA Eraser carries out reverse transcription, obtains the cDNA of 80 periphery blood specimens.
2, the preparation of primer pair combination
According to the nucleotide sequence of MS4A3 gene, primer pair shown in table 1 is designed and synthesized.
According to the nucleotide sequence of GAPDH gene, internal control primer pair shown in table 1 is designed and synthesized.
Primer pair combination is by primer pair and internal control primer to forming.
Each primer (HPLC purifying) is synthesized by Shanghai Sheng Gong Biotechnology Co., Ltd.
Table 1
3, the relative expression quantity of real-time fluorescence quantitative PCR detection MS4A3 gene
Respectively using the cDNA of 80 periphery blood specimens as template, the primer pair or internal control primer that are prepared using step 2 To progress real-time quantitative PCR, and then obtain the relative expression quantity of MS4A3 gene in each template.Specific step is as follows:
(1) reaction system 1 and reaction system 2 are prepared
Reaction system 1 is 20 μ L, and by 10 μ L2 × Green Master Mix, 0.4 μ L MS4A3-F aqueous solution, (concentration is 10 μM), 0.4 μ L MS4A3-R aqueous solution (concentration be 10 μM), 2 μ L templates (5-20ng) and 7.2 μ L nuclease-free waters form.
Reaction system 2 is 20 μ L, and by 10 μ L2 × Green Master Mix, 0.4 μ L GAPDH-F aqueous solution, (concentration is 10 μM), 0.4 μ L GAPDH-R aqueous solution (concentration be 10 μM), 2 μ L templates (5-20ng) and 7.2 μ L nuclease-free waters form.
(2) real-time quantitative PCR detects
Each reaction system that step (1) is prepared is existedIt is carried out on 480 II fluorescence quantitative PCR instruments real When quantitative PCR detection.Use 2-ΔCtMethod calculates the relative expression quantity of MS4A3 gene in each template.
Reaction condition: 95 DEG C of initial denaturation 3min;95 DEG C of 5s, 60 DEG C of 30sec, 40 circulations, fluorescence signal are extending the stage Acquisition.
Experimental result is shown in Fig. 1 (TB is active tuberculosis group, and LI is tuberculosis latent infection group, and Nor is healthy control group). The result shows that compared with healthy control group and tuberculosis latent infection group, MS4A3 gene in the PBMCs of active tuberculosis group Relative expression quantity dramatically increases.
(3) it statisticallys analyze
It is for statistical analysis using result of the GraphPad Prism 5 to step (2).
According to the relative expression quantity of MS4A3 gene in the PBMCs of active tuberculosis group and tuberculosis latent infection group, use GraphPad Prism 5 carries out Receiver operating curve's analysis.As a result see Fig. 2.The result shows that MS4A3 gene is opposite Expression quantity can be used for distinguishing active tuberculosis patient and tuberculosis latent infection person.As the transcriptional level cut- of MS4A3 gene When off value takes 0.0008971, youden index (Youden ' s index, YI) is maximum, and sensitivity at this time is 85%, and specificity is 84%.
According to the relative expression quantity of MS4A3 gene in the PBMCs of active tuberculosis group and healthy control group, use GraphPad Prism 5 carries out Receiver operating curve's analysis.As a result see Fig. 3.The result shows that MS4A3 gene is opposite Expression quantity can be used for distinguishing active tuberculosis patient and Healthy People.When the transcriptional level cut-off value of MS4A3 gene takes When 0.0009417, youden index is maximum, and sensitivity at this time is 85%, and specificity is 88.57%.
The above results show that the relative expression quantity of MS4A3 gene has important answer in terms of diagnostic activities tuberculosis With value.
<110>No.309 Hospital of PLA
<120>application of the MS4A3 albumen as marker in diagnostic activities tuberculosis
<160> 6
<170> PatentIn version 3.5
<210> 1
<211> 18
<212> DNA
<213>artificial sequence
<220>
<223>
<400> 1
accttgtctg ttgtagca 18
<210> 2
<211> 18
<212> DNA
<213>artificial sequence
<220>
<223>
<400> 2
gtagcactgg caatgttc 18
<210> 3
<211> 20
<212> DNA
<213>artificial sequence
<220>
<223>
<400> 3
tgttgccatc aatgacccct 20
<210> 4
<211> 20
<212> DNA
<213>artificial sequence
<220>
<223>
<400> 4
tcgccccact tgattttgga 20
<210> 5
<211> 214
<212> PRT
<213>artificial sequence
<220>
<223>
<400> 5
Met Ala Ser His Glu Val Asp Asn Ala Glu Leu Gly Ser Ala Ser Ala
1 5 10 15
His Gly Thr Pro Gly Ser Glu Ala Gly Pro Glu Glu Leu Asn Thr Ser
20 25 30
Val Tyr Gln Pro Ile Asp Gly Ser Pro Asp Tyr Gln Lys Ala Lys Leu
35 40 45
Gln Val Leu Gly Ala Ile Gln Ile Leu Asn Ala Ala Met Ile Leu Ala
50 55 60
Leu Gly Val Phe Leu Gly Ser Leu Gln Tyr Pro Tyr His Phe Gln Lys
65 70 75 80
His Phe Phe Phe Phe Thr Phe Tyr Thr Gly Tyr Pro Ile Trp Gly Ala
85 90 95
Val Phe Phe Cys Ser Ser Gly Thr Leu Ser Val Val Ala Gly Ile Lys
100 105 110
Pro Thr Arg Thr Trp Ile Gln Asn Ser Phe Gly Met Asn Ile Ala Ser
115 120 125
Ala Thr Ile Ala Leu Val Gly Thr Ala Phe Leu Ser Leu Asn Ile Ala
130 135 140
Val Asn Ile Gln Ser Leu Arg Ser Cys His Ser Ser Ser Glu Ser Pro
145 150 155 160
Asp Leu Cys Asn Tyr Met Gly Ser Ile Ser Asn Gly Met Val Ser Leu
165 170 175
Leu Leu Ile Leu Thr Leu Leu Glu Leu Cys Val Thr Ile Ser Thr Ile
180 185 190
Ala Met Trp Cys Asn Ala Asn Cys Cys Asn Ser Arg Glu Glu Ile Ser
195 200 205
Ser Pro Pro Asn Ser Val
210
<210> 6
<211> 1665
<212> DNA
<213>artificial sequence
<220>
<223>
<400> 6
ggaggcttcc gttatcggga aaagatgctg tagtgatctt ttctgagtgt ctcctacttg 60
cgacaaggtg gacttgggag gaaagccgtc tgccaaagcc tgaagcctcc aagccataaa 120
caaccccaat ggcctcccac gaagttgata atgcagagct ggggtcagcc tctgcccatg 180
gtaccccagg cagtgaggcg ggaccagaag agctgaatac ttctgtctac cagcccatag 240
atggatcacc agattatcag aaagcaaaat tacaagttct tggggccatc cagatcctga 300
atgcagcaat gattctggct ttgggtgtct ttctgggttc cttgcaatac ccataccact 360
tccaaaagca cttctttttc ttcaccttct acacaggcta cccgatttgg ggtgctgtgt 420
ttttctgtag ttcaggaacc ttgtctgttg tagcagggat aaaacccaca agaacatgga 480
tacagaacag ttttggaatg aacattgcca gtgctacaat tgcactagtg gggactgctt 540
ttctctcact aaatatagca gttaatatcc agtcattaag gagttgtcac tcttcatcag 600
agtcaccgga cctatgcaat tacatgggct ccatatcaaa tggcatggtg tctctactgc 660
tgattctcac cttgctggaa ttatgcgtaa ccatctctac catagccatg tggtgcaatg 720
caaactgctg taattcaaga gaggaaattt cctcacctcc caattctgtg taatcaagaa 780
tacctcctta attctgagag catgaatatt tgaccttaaa tctccagtga ctcagagctt 840
cacccacaaa ctcaggagaa cataagcctg ctcgtaaagc tcaatccttc tatcatggca 900
ccaatcacaa gaaccttgga cgtttgactg actctatcct ttctctccta actataaatc 960
ctatttgtgt gtcgtgggta tggaaggaca gatatatttc tttaggcatt cttggatatc 1020
tgtaacttct atgatcatta ctccaaagtt gtttccagaa attggttcta tttcttctta 1080
tccacctact ccattgcttt atgaggttta aggaaggaag gcggtataat ccctattcaa 1140
tatatttttt ctaaaatcca acttctgacc gcccagtagg aagaaaaatg agacattttt 1200
tccattacag agaaatgctt cttgacttta acatcagcat tataaaaagt gtcaaataaa 1260
aaattaccat cattatcatt aaaataaatt ttcactgtat ttgagatggg agggttaagg 1320
ctcagggatt ttatttcagt gaactgctgg aactcacaca tgccctgata tgtaaatgat 1380
gatttatgtt ggcgagtctg agagcaagcc caaatgtgtt cttcaaagga caatgggaaa 1440
ctgtaaagta gagaactaaa gaataaggcc tttagaatct gacacatctg ggttcaaatt 1500
ctgaaactgt cacttattac ctgtatgaac atgggcaaat tatctaatct ctctgatcta 1560
tttttcctca tctgtaaaat aggtgtaata ataacaacta ctttgtcggt tgctctgagg 1620
gttaaatgaa aataaaaaga aaatgtgaaa cagcaaaaaa aaaaa 1665

Claims (10)

1. the substance for detecting MS4A3 albumen is preparing the application in product;The function of the product is following a1) to a3) At least one of: a1) diagnostic activities tuberculosis;A2) whether diagnosis person under test is active tuberculosis patient;A3) prevention and control Tuberculosis.
2. the substance for detecting MS4A3 albumen is produced with the carrier for recording judgment criteria first and/or judgment criteria third in preparation Application in product;The function of the product is at least one of following a1) to a3): a1) diagnostic activities tuberculosis;A2 it) examines Whether disconnected person under test is active tuberculosis patient;A3) prevention and control tuberculosis;
The judgment criteria first are as follows: if the expression quantity of MS4A3 albumen is higher than MS4A3 in control peripheral blood in person under test's peripheral blood The expression quantity of albumen, then person under test be or it is doubtful be active tuberculosis patient;If MS4A3 albumen in person under test's peripheral blood Expression quantity lower than control peripheral blood in MS4A3 albumen expression quantity, then person under test be not or it is doubtful be not active tuberculosis sufferer Person;
The judgment criteria third are as follows: if the concentration of MS4A3 albumen is higher than MS4A3 egg in control peripheral blood in person under test's peripheral blood White concentration, then person under test be or it is doubtful be active tuberculosis patient;If the concentration of MS4A3 albumen in person under test's peripheral blood Lower than control peripheral blood in MS4A3 albumen concentration, then person under test be not or it is doubtful be not active tuberculosis patient;
The control peripheral blood is the peripheral blood of tuberculosis latent infection person or Healthy People.
3. the substance for detecting MS4A3 gene is preparing the application in product;The function of the product is following a1) to a3) At least one of: a1) diagnostic activities tuberculosis;A2) whether diagnosis person under test is active tuberculosis patient;A3) prevention and control Tuberculosis.
4. the substance for detecting MS4A3 gene is preparing the application in product with the carrier for recording judgment criteria second;It is described The function of product is at least one of following a1) to a3): a1) diagnostic activities tuberculosis;A2) diagnosis person under test whether be Active tuberculosis patient;A3) prevention and control tuberculosis;
The judgment criteria second are as follows: if the expression quantity of MS4A3 gene is higher than MS4A3 in control peripheral blood in person under test's peripheral blood The expression quantity of gene, then person under test be or it is doubtful be active tuberculosis patient;If MS4A3 gene in person under test's peripheral blood Expression quantity lower than control peripheral blood in MS4A3 gene expression quantity, then person under test be not or it is doubtful be not active tuberculosis sufferer Person;The control peripheral blood is the peripheral blood of tuberculosis latent infection person or Healthy People.
5. a kind of kit, including the substance for detecting MS4A3 albumen and/or the substance for detecting MS4A3 gene;It is described Kit has the function of following a1) at least one of to a3): a1) diagnostic activities tuberculosis;A2) diagnosis person under test whether be Active tuberculosis patient;A3) prevention and control tuberculosis.
6. the application as described in Claims 1-4 is any or the kit as described in claim 5, it is characterised in that:
" for the detecting the substance of MS4A3 albumen " is for detecting the substance of the expression quantity of MS4A3 albumen and/or for examining Survey the substance of MS4A3 protein concentration;
" for the detecting the substance of MS4A3 gene " is the substance for detecting the expression quantity of MS4A3 gene.
7. application as claimed in claim 6 or kit, it is characterised in that:
The expression quantity of the MS4A3 albumen is the relative expression quantity of MS4A3 albumen reference internal reference albumen;
The expression quantity of the MS4A3 gene is the relative expression quantity of MS4A3 gene reference reference gene.
8. application or kit as claimed in claims 6 or 7, it is characterised in that:
The substance or described for detecting " MS4A3 gene reference reference gene for detecting the expression quantity of MS4A3 gene The substance of relative expression quantity " includes that primer pair and internal control primer combine the primer pair of composition;
The primer pair is made of primer MS4A3-F and primer MS4A3-R;The target gene of the primer pair is containing orderly The sequence 6 of list DNA fragmentation shown in the 438th to 517 from 5 ' ends;
The internal control primer is formed to by primers F and primer R;The target gene of the internal control primer pair is the whole of people's reference gene Or part.
9. primer pair described in claim 8.
10.Y1) or Y2) Y3) or Y4):
Y1) application of the MS4A3 albumen as marker in exploitation diagnostic activities reagent lungy;
Y2) application of the MS4A3 albumen as marker in diagnostic activities tuberculosis;
Y3) application of the MS4A3 gene as marker in exploitation diagnostic activities reagent lungy;
Y4) application of the MS4A3 gene as marker in diagnostic activities tuberculosis.
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