CN112646878A - Molecular marker for early diagnosis of liver injury diseases in serum - Google Patents
Molecular marker for early diagnosis of liver injury diseases in serum Download PDFInfo
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- CN112646878A CN112646878A CN202110090742.8A CN202110090742A CN112646878A CN 112646878 A CN112646878 A CN 112646878A CN 202110090742 A CN202110090742 A CN 202110090742A CN 112646878 A CN112646878 A CN 112646878A
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Abstract
The invention discloses a molecular marker in serum for early diagnosis of liver injury diseases. The application of a substance for detecting EYA1(eye present 1) gene expression quantity in serum of a person to be detected in the preparation of any one of the following products, (a) products for detecting or assisting in detecting whether the person to be detected has liver diseases; (b) a product for diagnosing or assisting to diagnose whether the person to be detected has liver diseases. The invention collects serum and liver tissue samples of various liver disease patients such as viral hepatitis, fatty liver, autoimmune hepatitis, hereditary liver disease and the like, and uses Enzyme-linked immunosorbent assay (ELISA) method, immunopathological staining method and other methods to detect EYA1 in serum and tissues, thereby proving that EYA1 can be used as a new clinical biological index of liver damage and repair regeneration and represents a Marker (MARKERS) of liver damage and repair regeneration.
Description
Technical Field
The invention relates to the technical field of biomedicine, in particular to a molecular marker for early diagnosis of liver injury diseases in serum.
Background
Liver diseases caused by various reasons are one of the main factors influencing the health of people in China at present, and comprise viral hepatitis, fatty liver, autoimmune hepatitis, drug hepatitis, hereditary liver diseases and the like. In recent years, with the improvement of living standard, people tend to increase the intake of alcohol and food (sugar), and alcoholic liver disease/fatty liver becomes a public health problem which cannot be ignored. Early stages usually manifest as fatty liver, which may progress to alcoholic hepatitis, liver fibrosis and cirrhosis. With the development of various advanced medical diagnosis techniques and the improvement of disease recognition in recent years, it is not rare in clinical practice that autoimmune hepatitis and hereditary liver diseases, etc., which have been difficult to diagnose in the past, are present. Various viral hepatitis, fatty liver, autoimmune hepatitis, hereditary liver diseases and the like are increasingly becoming factors which seriously affect the health of people, and the liver diseases can cause liver cirrhosis or liver cancer at the end stage. Although the pathogenesis, drug research and the like of the liver diseases are greatly improved in recent years, and the antiviral therapeutic drugs for the viral hepatitis are developed in a breakthrough manner, the mechanisms of the occurrence development and the regeneration repair of the liver diseases are still not completely clear, and the serious shortage of biomarkers for judging the progress of the liver diseases is one of the problems in clinical judgment of the severity of the liver diseases. The currently clinically commonly used serum liver function detection markers or methods comprise: liver function detection: alanine Aminotransferase (ALT), aspartate Aminotransferase (AST), alkaline phosphatase (ALP), glutamyl transpeptidase (GGT), Total Protein (TP), albumin (albumin, Alb); globulin (glubulin, G); A/G white ball ratio (ALB/globulin ratio), Total Bilirubin (TBIL), Indirect Bilirubin (IB), Direct Bilirubin (DBIL), Alpha Fetoprotein (AFP), glycocholic acid (CG), ferritin (serum ferritin, SF), prealbumin (prealbumin, PA), Transferrin (TF), Total Bile Acid (TBA). Liver fibrosis six items: hyaluronic Acid (HA), Laminin (LN), collagen Type IV (IV, IV-C), procollagen Type iii N-terminal peptide (ppillnp), glycocholic acid, Fibronectin (FN); golgi protein73 (golgi protein73), abnormal prothrombin (protein induced by vitamin K absence or antagonist-II, PIVKA-II), and the like.
At present, the lack/defect of the existing detection indexes cannot reflect the pathological condition of the liver well, and a new detection substance for diagnosing the liver disease needs to be researched and developed urgently.
Disclosure of Invention
Therefore, the present invention provides the use of a substance for detecting the expression level of Eya1 gene in the serum of a subject.
In order to achieve the above purpose, the invention provides the following technical scheme:
the invention provides an application of a substance for detecting Eya1 gene expression level in serum of a person to be detected in the preparation of any one of the following products,
(a) detecting or assisting to detect whether the patient to be detected has liver diseases;
(b) a product for diagnosing or assisting to diagnose whether the person to be detected has liver diseases.
In one embodiment of the present invention, the liver disease includes chronic hepatitis b, liver fibrosis, fatty liver disease, alcoholic liver disease, fulminant liver failure, drug-induced liver damage, hereditary liver disease, autoimmune liver disease or hepatitis c.
The invention also provides the application of the substance for detecting the Eya1 gene expression level in the serum of a person to be detected in the preparation of any one of the following products, (a) a product for detecting or assisting in detecting whether the person to be detected has liver diseases;
(b) a product for diagnosing or assisting to diagnose whether the person to be detected has liver diseases.
Comparing the Eya1 gene expression with healthy people, judging the patient to be liver disease; if Eya1 gene is not expressed, it is judged as a patient with non-liver disease.
In one embodiment of the invention, the substance for detecting the expression level of Eya1 gene in the serum of the subject comprises a primer pair for amplifying Eya1 gene.
In one embodiment of the present invention, the substance for detecting the expression level of Eya1 gene in the serum of the subject includes an antibody specifically binding to EYA1 protein.
The invention also provides a product which comprises a substance for detecting the Eya1 gene expression level in the serum of a person to be detected;
the product has any one of the following functions: (a) detecting or assisting to detect whether the person to be detected has liver diseases; (b) diagnosing or assisting in diagnosing whether the subject to be examined has liver disease.
In one embodiment of the present invention, the liver disease includes chronic hepatitis b, liver fibrosis, fatty liver disease, alcoholic liver disease, fulminant liver failure, drug-induced liver damage, hereditary liver disease, autoimmune liver disease or hepatitis c.
In one embodiment of the present invention, in the subject to be examined for liver, if the Eya1 gene is expressed, the subject is determined to be a liver disease patient; if Eya1 gene is not expressed, it is judged as a patient with non-liver disease.
The invention has the following advantages:
the invention collects serum and liver tissue samples of various liver disease patients such as viral hepatitis, fatty liver, autoimmune hepatitis, hereditary liver disease and the like, and uses ELISA method, immunopathological staining and other methods to detect EYA1 in the serum and the tissue, thereby proving that EYA1 can be used as a new clinical biological index of liver damage and regeneration repair, representing a Marker (MARKERS) of liver damage and regeneration repair, and providing a new method and a new target for developing a new detection kit. Is beneficial to improving the diagnosis and treatment level of liver diseases in China and has good economic benefit.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below. It should be apparent that the drawings in the following description are merely exemplary, and that other embodiments can be derived from the drawings provided by those of ordinary skill in the art without inventive effort.
The structures, ratios, sizes, and the like shown in the present specification are only used for matching with the contents disclosed in the specification, so as to be understood and read by those skilled in the art, and are not used to limit the conditions that the present invention can be implemented, so that the present invention has no technical significance, and any structural modifications, changes in the ratio relationship, or adjustments of the sizes, without affecting the effects and the achievable by the present invention, should still fall within the range that the technical contents disclosed in the present invention can cover.
FIG. 1 is an immunofluorescence staining pattern of liver tissues of chronic hepatitis B patients EYA1, SIX1(Sine oculis homeobox homolog 1) and Human Serum Albumin (HSA) provided in an embodiment of the present invention, wherein Panel A, B and C: CHB liver (chronic hepatitis B liver tissue); panel D and E: health control lever (healthy liver tissue control);
FIG. 2 is a graph of immunofluorescence staining of chronic hepatitis B patient EYA1 expression in stellate cells of liver tissue of transgenic mice, provided by an embodiment of the present invention;
FIG. 3 is a chart of immunofluorescence staining of expression of chronic hepatitis B patient SIX1 in transgenic mouse liver stellate cells, provided by an embodiment of the present invention.
Detailed Description
The present invention is described in terms of particular embodiments, other advantages and features of the invention will become apparent to those skilled in the art from the following disclosure, and it is to be understood that the described embodiments are merely exemplary of the invention and that it is not intended to limit the invention to the particular embodiments disclosed. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Example 1 detection of SIX1/EYA1 protein in serum of liver disease patients by ELISA method
In this example, the Six and Eya gene families are involved in the development of various organs in animals, plants and humans. There are 6 Six genes and 4 Eya genes in the mammalian genome. The transcription factor coded by the Six gene and directly combined with DNA, EYA is a transcription auxiliary factor, and can influence transcription by forming a complex with its downstream target SIX, and a great deal of researches have found that SIX1/EYA1 is related to proliferation, differentiation and maintenance of cells, and influences development, diseases and tumorigenesis of various organs.
Eya1 Gene complete Sequence (NCBI Reference Sequence: NM-001370333.1) https:// www.ncbi.nlm.nih.gov/nuccore/NM-001370333.1. The Eya1 gene is shown in SEQ ID NO.3, and the amino acid sequence of the protein is shown in 4; eya1 the amplification primer sequences of the genes are shown below:
Forward primer:TAAACACCGAGGCAGAACCC;
Reverse primer:GTGCCATTGGGAGTCATGGA。
the complete sequence of the gene of the Six1 gene is shown as SEQ ID NO.1, and the amino acid sequence of the protein is shown as 2. The complete Sequence of the Six1 gene (NCBI Reference Sequence: NM-005982.4). https:// www.ncbi.nlm.nih.gov/nuccore/NM _ 005982.4. The amplification primer sequences of the Six1 gene are shown below:
Forward primer:AACAGGATTGGCTTGCTTGTG;
Reverse primer1:ATTTCTCCGTGGCCCAAGAC。
serum from 313 Chronic Hepatitis B (CHB) patients, 153 other liver disease patients and 33 healthy controls were collected from among hospitalized patients collected from the clinic and the department of housing of the southwest hospital of the third military medical science, and the EYA1 protein in the serum was detected by ELISA method, with the serum collected from the health management center. Performing ELISA detection on the serum of the patient, wherein the ELISA detection comprises the following test steps:
the 96-well plate containing the coated antibody was left at 4 ℃ overnight, the supernatant removed the next day before starting the experiment, and 50. mu.l of the appropriately diluted standard SIX1/EYA1 protein or sample was added to each appropriate well followed by 100. mu.l of Horseradish Peroxidase (HRP) -labeled detection antibody and 60 minutes at 37 ℃.
Then, the 96-well plate was washed 4 times, and then 50. mu.l of a TMB color developing solution (3,3',5,5' -tetramethylbenzidine) was added as a substrate, and the plate was left at 37 ℃ for 15 minutes in the absence of light.
Finally, 50. mu.l of 1M hydrochloric acid stop solution was added to each well, the optical density (O.D) at 450nm of each well was measured in a microplate reader (Multiskan, Thermo Scientific, Waltham, MA, USA) within 15 minutes, and then the protein concentration of each sample was calculated from the standard curve, and the results of the measurement are shown in tables 1 to 3.
TABLE 1 serum levels of SIX1 and EYA1 in patients with chronic hepatitis B and in healthy persons
TABLE 2 serum levels of SIX1 and EYA1 in patients with other liver diseases
TABLE 3 dynamic observations of the changes in SIX1 and EYA1 in the sera of 35 patients with chronic hepatitis B
The serum test results are shown in tables 1 to 3, and the results show that the levels of SIX1 and EYA1 in 313 chronic hepatitis B patients are respectively 7.24 +/-0.11 ng/ml and 25.21 +/-0.51 ng/ml, which are obviously higher than those of 33 healthy controls (2.84 +/-0.15 ng/ml and 13.11 +/-1.01 ng/ml; P is less than 0.05). The serum SIX1 of patients with hepatic fibrosis, fatty liver, alcoholic liver disease, fulminant liver failure, autoimmune liver disease and hepatitis C is also obviously higher than that of the serum SIX1 of healthy control group (P is less than 0.05). Dynamic observation of serum levels of SIX1 and EYA1 in 35 chronic hepatitis B patients increased in the interval of 34 to 193 days, while the levels of alanine Aminotransferase (ALT) and aspartate Aminotransferase (AST) were both below 100 IU/L.
Example 2, immunofluorescence assay for SIX1, EYA1, human serum albumin and glial fibrillary acidic protein
In this embodiment, the immunofluorescence staining of SIX1, EYA1, human serum albumin HSA, and Glial Fibrillary Acidic Protein (GFAP) in human or transgenic mouse liver tissue sections comprises the following steps:
frozen sections of human or transgenic mouse liver tissue from patients with chronic hepatitis were fixed with 100% ethanol for 15 minutes and the cells were permeabilized twice with 0.05% tween 20 for 2 minutes each time. Then blocked with 3% bovine serum albumin for 30 minutes at room temperature. After washing with PBS, rabbit anti-human SIX1 primary antibody (1:100 dilution) (HPA001893, Sigma, St. Louis, Mo USA) or rabbit anti-human EYA1 primary antibody (1:100 dilution) (ab85009, abcam, Cambridge, MA, USA) and mouse anti-human HSA primary antibody (1:1000 dilution) (MAB1455, R & D Systems, Minneapolis MN, USA) or mouse anti-human GFAP primary antibody (1:100 dilution) (MA5-12023, ThermoFisher, Waltham, MA, USA) were used overnight at 4 ℃.
The slices were then aligned with Alexa488 donkey anti-mouse IgG and Alexa568 donkey anti-rabbit IgG (1:1000 dilution) (A21202, A10042, ThermoFisher, Waltham, MA, USA) was incubated at room temperature for 1 hour. After washing with PBS, the sections were counterstained with 4', 6-diamino-2-phenylindole (4', 6-diaminodino-2-phenylindole, DAPI). Finally, coverslips were mounted with fade resistant media and immunofluorescence signals were observed and recorded using an Olympus DP72 microscope and cellSens Standard 1.5 software.
As shown in fig. 1 to 3, immunofluorescence staining of liver tissue of chronic hepatitis b patients showed that SIX1 and EYA1 were expressed only in hepatic stellate cells and were significantly expressed in chronic hepatitis b tissue, but not in normal liver tissue.
According to the embodiment of the invention, the researches on a human Eya1LacZ transgenic mouse and a Six1LacZ transgenic mouse find that the Eya1 and Six1 genes are mainly expressed in satellite cells of livers, and the research on the regeneration of the Six1/Eya1 genes and hepatocytes suggests that the SIX1 and the EYA1 are new biomarkers of chronic hepatitis B and hepatic injury of other liver diseases, and have potential clinical application values.
Although the invention has been described in detail above with reference to a general description and specific examples, it will be apparent to one skilled in the art that modifications or improvements may be made thereto based on the invention. Accordingly, such modifications and improvements are intended to be within the scope of the invention as claimed.
Sequence listing
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cggacaaact gtgtgaatat tttagtaaca actactcagc tcatcccagc attggcgaaa 1620
gtcctgctgt atgggttagg aattgtattt ccaatagaaa atatttacag tgcaactaaa 1680
ataggaaaag aaagctgttt tgagagaata attcaaaggt ttggaagaaa agtggtgtat 1740
gttgttatag gagatggtgt agaagaagaa caaggagcaa aaaagcacgc gatgcccttc 1800
tggaggatct ccagccactc ggacctcatg gccctgcacc atgccttgga actggagtac 1860
ctgtaa 1866
<210> 4
<211> 621
<212> PRT
<213> Artificial Sequence
<400> 4
Met Glu Asp Pro Arg Gly Ile Asn Gly Gln Ser Val Gln Thr Ser Gln
1 5 10 15
Ala Ser Ser Asp Val Ala Val Ser Ser Ser Cys Arg Ser Met Glu Met
20 25 30
Gln Asp Leu Thr Ser Pro His Ser Arg Leu Ser Gly Ser Ser Glu Ser
35 40 45
Pro Ser Gly Pro Lys Leu Gly Asn Ser His Ile Asn Ser Asn Ser Met
50 55 60
Thr Pro Asn Gly Thr Glu Val Lys Thr Glu Pro Met Ser Ser Ser Glu
65 70 75 80
Thr Ala Ser Thr Thr Ala Asp Gly Ser Leu Asn Asn Phe Ser Gly Ser
85 90 95
Ala Ile Gly Ser Ser Ser Phe Ser Pro Arg Pro Thr His Gln Phe Ser
100 105 110
Pro Pro Gln Ile Tyr Pro Ser Asn Arg Pro Tyr Pro His Ile Leu Pro
115 120 125
Thr Pro Ser Ser Gln Thr Met Ala Ala Tyr Gly Gln Thr Gln Phe Thr
130 135 140
Thr Gly Met Gln Gln Ala Thr Ala Tyr Ala Thr Tyr Pro Gln Pro Gly
145 150 155 160
Gln Pro Tyr Gly Ile Ser Ser Tyr Gly Ala Leu Trp Ala Gly Ile Lys
165 170 175
Thr Glu Gly Gly Leu Ser Gln Ser Gln Ser Pro Gly Gln Thr Gly Phe
180 185 190
Leu Ser Tyr Gly Thr Ser Phe Ser Thr Pro Gln Pro Gly Gln Ala Pro
195 200 205
Tyr Ser Tyr Gln Met Gln Gly Ser Ser Phe Thr Thr Ser Ser Gly Ile
210 215 220
Tyr Thr Gly Asn Asn Ser Leu Thr Asn Ser Ser Gly Phe Asn Ser Ser
225 230 235 240
Gln Gln Asp Tyr Pro Ser Tyr Pro Ser Phe Gly Gln Gly Gln Tyr Ala
245 250 255
Gln Tyr Tyr Asn Ser Ser Pro Tyr Pro Ala His Tyr Met Thr Ser Ser
260 265 270
Asn Thr Ser Pro Thr Thr Pro Ser Thr Asn Ala Thr Tyr Gln Leu Gln
275 280 285
Glu Pro Pro Ser Gly Ile Thr Ser Gln Ala Val Thr Asp Pro Thr Ala
290 295 300
Glu Tyr Ser Thr Ile His Ser Pro Ser Thr Pro Ile Lys Asp Ser Asp
305 310 315 320
Ser Asp Arg Leu Arg Arg Gly Ser Asp Gly Lys Ser Arg Gly Arg Gly
325 330 335
Arg Arg Asn Asn Asn Pro Ser Pro Pro Pro Asp Ser Asp Leu Glu Arg
340 345 350
Val Phe Ile Trp Asp Leu Asp Glu Thr Ile Ile Val Phe His Ser Leu
355 360 365
Leu Thr Gly Ser Tyr Ala Asn Arg Tyr Gly Arg Asp Pro Pro Thr Ser
370 375 380
Val Ser Leu Gly Leu Arg Met Glu Glu Met Ile Phe Asn Leu Ala Asp
385 390 395 400
Thr His Leu Phe Phe Asn Asp Leu Glu Glu Cys Asp Gln Val His Ile
405 410 415
Asp Asp Val Ser Ser Asp Asp Asn Gly Gln Asp Leu Ser Thr Tyr Asn
420 425 430
Phe Gly Thr Asp Gly Phe Pro Ala Ala Ala Thr Ser Ala Asn Leu Cys
435 440 445
Leu Ala Thr Gly Val Arg Gly Gly Val Asp Trp Met Arg Lys Leu Ala
450 455 460
Phe Arg Tyr Arg Arg Val Lys Glu Ile Tyr Asn Thr Tyr Lys Asn Asn
465 470 475 480
Val Gly Gly Leu Leu Gly Pro Ala Lys Arg Glu Ala Trp Leu Gln Leu
485 490 495
Arg Ala Glu Ile Glu Ala Leu Thr Asp Ser Trp Leu Thr Leu Ala Leu
500 505 510
Lys Ala Leu Ser Leu Ile His Ser Arg Thr Asn Cys Val Asn Ile Leu
515 520 525
Val Thr Thr Thr Gln Leu Ile Pro Ala Leu Ala Lys Val Leu Leu Tyr
530 535 540
Gly Leu Gly Ile Val Phe Pro Ile Glu Asn Ile Tyr Ser Ala Thr Lys
545 550 555 560
Ile Gly Lys Glu Ser Cys Phe Glu Arg Ile Ile Gln Arg Phe Gly Arg
565 570 575
Lys Val Val Tyr Val Val Ile Gly Asp Gly Val Glu Glu Glu Gln Gly
580 585 590
Ala Lys Lys His Ala Met Pro Phe Trp Arg Ile Ser Ser His Ser Asp
595 600 605
Leu Met Ala Leu His His Ala Leu Glu Leu Glu Tyr Leu
610 615 620
Claims (8)
1. The application of the substance for detecting the Eya1 gene expression level in the serum of a person to be detected in the preparation of any one of the following products,
(a) detecting or assisting to detect whether the patient to be detected has liver diseases;
(b) a product for diagnosing or assisting to diagnose whether the person to be detected has liver diseases.
2. The use according to claim 1,
the liver disease comprises chronic hepatitis B, hepatic fibrosis, fatty liver disease, alcoholic liver disease, fulminant liver failure, drug-induced liver injury, hereditary liver disease, autoimmune liver disease or hepatitis C.
3. The application of the substance for detecting the Eya1 gene expression level in the serum of a person to be detected in the preparation of any one of the following products,
(a) detecting or assisting to detect whether the patient to be detected has liver diseases;
(b) products for diagnosing or assisting in diagnosing whether a person to be examined suffers from liver diseases,
comparing the Eya1 gene expression with healthy people, judging the patient to be liver disease; if Eya1 gene is not expressed, it is judged as a patient with non-liver disease.
4. The use according to any one of claims 1 to 3,
the substance for detecting the Eya1 gene expression level in the serum of the person to be detected comprises a primer pair for amplifying Eya1 gene.
5. The use according to any one of claims 1 to 3,
the substance for detecting the Eya1 gene expression level in the serum of the patient to be detected comprises an antibody specifically bound with EYA1 protein.
6. A product characterized by comprising a substance for detecting the expression level of Eya1 gene in the serum of a subject to be tested;
the product has any one of the following functions: (a) detecting or assisting to detect whether the person to be detected has liver diseases; (b) diagnosing or assisting in diagnosing whether the subject to be examined has liver disease.
7. The product of claim 6,
the liver disease comprises chronic hepatitis B, hepatic fibrosis, fatty liver disease, alcoholic liver disease, fulminant liver failure, drug-induced liver injury, hereditary liver disease, autoimmune liver disease or hepatitis C.
8. The product of claim 6,
if the Eya1 gene is expressed in the patient to be detected, the patient is judged to be a liver disease patient; if Eya1 gene is not expressed, it is judged as a patient with non-liver disease.
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