CN113957149B - Kit for detecting expression levels of alpha fetoprotein gene and PGR13 gene and application thereof - Google Patents

Kit for detecting expression levels of alpha fetoprotein gene and PGR13 gene and application thereof Download PDF

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CN113957149B
CN113957149B CN202111324996.8A CN202111324996A CN113957149B CN 113957149 B CN113957149 B CN 113957149B CN 202111324996 A CN202111324996 A CN 202111324996A CN 113957149 B CN113957149 B CN 113957149B
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杜飞
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Yuanjian Biotechnology Shanghai Co ltd
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Abstract

The invention provides a kit for detecting the expression levels of alpha fetoprotein genes and PGR13 genes and application thereof, wherein the kit comprises primer pairs for respectively and specifically amplifying the alpha fetoprotein genes and the PGR13 genes. And analyzing the liver cancer tissues and the paracancerous tissues by using an mRNA gene chip, wherein the analysis and screening results show that the PGR13 gene is differentially expressed in the liver cancer tissues and the paracancerous tissues. In the invention, alpha fetoprotein gene and PGR13 gene are taken as liver cancer markers, the alpha fetoprotein gene and the PGR13 gene are obviously and highly expressed in liver cancer tissues and are positively correlated, and compared with the single alpha fetoprotein gene which is taken as a diagnosis index, the combined diagnosis of the alpha fetoprotein gene and the PGR13 gene has higher sensitivity and specificity.

Description

Kit for detecting expression levels of alpha fetoprotein gene and PGR13 gene and application thereof
Technical Field
The invention belongs to the field of biological medicine, and relates to a kit for detecting the expression levels of alpha fetoprotein genes and PGR13 genes and application thereof.
Background
Primary liver cancer is one of malignant tumors with high morbidity and mortality, and in primary liver cancer, hepatocellular carcinoma (Hepatocellular Carcinoma, HCC) accounts for a relatively high proportion, and most patients reach middle and late stages in diagnosis and may miss early treatment due to lack of effective detection and diagnosis indexes. The liver cancer has high malignancy, unobvious early symptoms, rapid disease development and easy occurrence of intrahepatic metastasis and multiple metastasis of other organs, so the early diagnosis of the liver cancer is the key of clinical diagnosis and treatment.
Current screening methods for clinical liver cancer include B-mode ultrasound imaging and serum content screening of tumor marker alpha fetoprotein (alpha fetoprotein, AFP).
Patent CN101984919a discloses a method for detecting liver cancer pathological tissue targets in early stage by three-dimensional ultrasonic imaging, by processing scanned images, the sonography information can be effectively reflected in three-dimensional mode, the display accuracy of the images achieves the effect of low power microscope, and the method has important application value for diagnosing liver fibrosis in each stage, inflammation stage of chronic hepatitis, liver cirrhosis, early diagnosis of liver cancer and the like. However, imaging means have low sensitivity to early HCC diagnosis and have difficulty in detecting recurrence after HCC surgery.
Patent CN112098648A discloses a method for detecting serum biomarkers of liver cancer patients, alpha fetoprotein is closely related to the occurrence and development of various tumors, is clinically mainly used as serum markers of liver cancer, and is used for diagnosis and curative effect monitoring of primary liver cancer. Therefore, the high-sensitivity detection of alpha fetoprotein has important significance for early diagnosis and treatment of liver cancer patients. According to the method for detecting the serum biomarker of the liver cancer patient, the polydopamine and the hollow nano gold are utilized to construct the signal controlled release nano material, so that the AFP is simply and efficiently detected. Although its sensitivity of detection is high, its false negative rate is as high as 40%, and some non-neoplastic diseases such as hepatitis and liver cirrhosis, the AFP in the blood of its patients may also be elevated.
Therefore, the novel index for early diagnosis of liver cancer is searched, the accuracy of diagnosis is improved, early discovery and early treatment of liver cancer can be facilitated, and the method has important significance for treatment and diagnosis of liver cancer.
Disclosure of Invention
In order to overcome the defects of the prior art, the invention aims to provide a kit for detecting the expression levels of alpha fetoprotein genes and PGR13 genes (G protein-coupled receptor 13, PGR13 and G protein coupling receptor 13) and application thereof, wherein the kit comprises primer pairs for respectively and specifically amplifying the alpha fetoprotein genes and the PGR13 genes. And analyzing the liver cancer tissues and the paracancerous tissues by using an mRNA gene chip, wherein the analysis and screening results show that the PGR13 gene is differentially expressed in the liver cancer tissues and the paracancerous tissues. In the invention, alpha fetoprotein gene and PGR13 gene are taken as liver cancer markers, the alpha fetoprotein gene and the PGR13 gene are obviously and highly expressed in liver cancer tissues and are positively correlated, and compared with the single alpha fetoprotein gene which is taken as a diagnosis index, the combined diagnosis of the alpha fetoprotein gene and the PGR13 gene has higher sensitivity and specificity.
In order to achieve the aim of the invention, the invention adopts the following technical scheme:
in a first aspect, the present invention provides a kit for detecting the expression levels of alpha fetoprotein gene and PGR13 gene, the kit comprising a primer pair for specifically amplifying alpha fetoprotein gene and PGR13 gene, respectively.
In the invention, the mRNA gene chip is used for analyzing the genes differentially expressed in liver cancer tissues and cancer tissues, and the result shows that the relative expression level of the PGR13 gene in the liver cancer tissues is higher than that in the cancer tissues.
Preferably, the upstream primer for specifically amplifying the alpha-fetoprotein gene in the kit comprises a nucleotide sequence shown in SEQ ID No.1, and the downstream primer for specifically amplifying the alpha-fetoprotein gene comprises a nucleotide sequence shown in SEQ ID No. 2.
In the present invention, SEQ ID No.1: CTTTGGGCTGCTCGCTATGA;
SEQ ID No.2:GCATGTTGATTTAACAAGCTGCT。
preferably, the upstream primer for specifically amplifying the PGR13 gene in the kit comprises a nucleotide sequence shown in SEQ ID No.3, and the downstream primer for specifically amplifying the PGR13 gene comprises a nucleotide sequence shown in SEQ ID No. 4.
In the present invention, SEQ ID No.3: TAGTGACACCCCACTTAATCAGC;
SEQ ID No.4:AGGTAGGTCAAGCGAAATGGC。
preferably, the kit further comprises a PCR buffer, an enzyme cocktail, and a fluorescent dye.
Preferably, the kit further comprises a primer pair for specifically amplifying the reference gene.
In the invention, the upstream primer of the specific amplification reference gene in the kit comprises a nucleotide sequence shown as SEQ ID No.5, and the downstream primer of the specific amplification reference gene comprises a nucleotide sequence shown as SEQ ID No. 6.
In the present invention, SEQ ID No.5: CTCACCGGATGCACCAATGTT;
SEQ ID No.6:CGCGTTGCTCACAATGTTCAT。
in the invention, through RT-qPCR verification, the alpha fetoprotein gene and the PGR13 gene are obviously and highly expressed in liver cancer tissues and are positively correlated, and the alpha fetoprotein gene and the PGR13 gene can be used as marker combinations for diagnosing liver cancer to assist clinical diagnosis and treatment. The alpha fetoprotein gene and the PGR13 gene combined diagnosis has higher specificity and sensitivity, and provides basis for clinical diagnosis and treatment.
In a second aspect, the present invention provides a method for using the kit for detecting the expression levels of alpha fetoprotein gene and PGR13 gene according to the first aspect for the purpose of non-disease diagnosis and/or treatment, the method comprising:
and carrying out RT-qPCR detection on the tissue to be detected and the tissue beside the cancer by using the primers for respectively and specifically amplifying the alpha fetoprotein gene and the PGR13 gene, calculating the relative expression amounts of the alpha fetoprotein gene and the PGR13 gene in the tissue to be detected and the tissue beside the cancer, and carrying out calculation and analysis.
Preferably, the use method comprises the following steps:
(1) Template preparation: extracting total RNA in the tissue of the cancer to be detected and the tissue beside the cancer and synthesizing cDNA by reverse transcription;
(2) And (3) detection: detecting the obtained cDNA by RT-qPCR by using the primer pair for respectively and specifically amplifying the alpha fetoprotein gene and the PGR13 gene, and calculating the relative expression quantity of the alpha fetoprotein gene and the PGR13 gene according to a Ct value by using the GAPDH gene as an internal reference gene;
(3) Analysis: and calculating the difference multiple of the relative expression amounts of the alpha fetoprotein gene and the PGR13 gene in the cancer tissue and the tissues beside the cancer according to the relative expression amounts of the alpha fetoprotein gene and the PGR13 gene, and judging.
In the invention, the difference times of the alpha fetoprotein gene and the PGR13 gene in liver cancer tissues and paracancerous tissues are calculated through the relative expression of the alpha fetoprotein gene and the PGR13 gene, and the risk of suffering from liver cancer and/or whether the liver cancer is suffered from are judged according to the difference times. Compared with the single use of alpha fetoprotein gene or the single use of PGR13 gene as a judgment standard, the combined use of the alpha fetoprotein gene and the PGR13 gene for judgment has higher specificity and sensitivity, and the diagnosis time is obviously shortened.
In a third aspect, the present invention provides a system for identifying liver cancer, the system for identifying liver cancer comprising:
and (3) a template preparation module: extracting total RNA in a sample and synthesizing cDNA by reverse transcription;
and a detection module: using the obtained cDNA as a template, carrying out RT-qPCR detection, and calculating the relative expression quantity;
and an analysis module: and judging according to the difference multiple of the relative expression quantity.
Preferably, the sample comprises cancer tissue and paracancerous tissue.
Preferably, the genes detected by the detection module include alpha fetoprotein gene and PGR13 gene.
Preferably, the step of judging according to the multiple of difference of the relative expression amounts includes: calculating the difference times of the relative expression amounts of alpha fetoprotein gene and PGR13 gene in cancer tissue and paracancer tissue, and carrying out positive judgment on liver cancer according to the difference times.
In the system for identifying liver cancer, the judgment standard of positive liver cancer is as follows:
the multiple difference of the relative expression quantity of alpha fetoprotein genes in cancer tissues and paracancerous tissues is more than 2.65, namely positive liver cancer or high risk of suffering from liver cancer;
the multiple difference of the relative expression quantity of PGR13 genes in cancer tissues and paracancer tissues is larger than 3.241, namely positive liver cancer or high risk of suffering from liver cancer.
In the present invention, the fold difference in the relative expression amounts of alpha fetoprotein genes in the cancer tissue and the paracancerous tissue=the relative expression amount of alpha fetoprotein genes in the cancer tissue/the relative expression amount of alpha fetoprotein genes in the paracancerous tissue. Fold difference in the relative expression amount of PGR13 gene in the cancer tissue and the paracancerous tissue=the relative expression amount of PGR13 gene in the cancer tissue/the relative expression amount of PGR13 gene in the paracancerous tissue.
The detection method used in the invention has the advantages of convenient sampling, simple operation, mature technology, capability of meeting the real-time detection of a large number and accurate detection result. The combined expression quantity of the liver cancer marker alpha fetoprotein gene and the PGR13 gene is used as a detection index, has high specificity and accuracy, and can be used for early clinical detection of liver cancer.
In a fourth aspect, the invention provides an application of the kit for detecting the expression levels of alpha fetoprotein gene and PGR13 gene in the first aspect and/or the system for identifying liver cancer in the third aspect in preparing products for treating and/or diagnosing liver cancer.
In a fifth aspect, the present invention provides a medicament for treating liver cancer, wherein the medicament for treating liver cancer uses alpha fetoprotein gene and PGR13 gene as targets.
It is to be noted that scientific and technical terms used in the present invention and abbreviations thereof have meanings commonly understood by those skilled in the art.
Compared with the prior art, the invention has the following beneficial effects:
(1) In the invention, the mRNA gene chip is used for analyzing the genes differentially expressed in liver cancer tissues and cancer tissues beside, the relative expression amount of the PGR13 gene in the liver cancer tissues is higher than that of the cancer tissues beside, the RT-qPCR detection result shows that the alpha fetoprotein gene and the PGR13 gene are obviously and highly expressed in the liver cancer tissues and are positively correlated, and the effect of diagnosing liver cancer by utilizing the alpha fetoprotein gene and the PGR13 gene in a combined way is better than that of diagnosing the alpha fetoprotein gene and the PGR13 gene respectively and singly, so that the diagnosis time can be obviously shortened.
(2) The detection method used in the invention has the advantages of convenient sampling, simple operation, mature technology, capability of realizing real-time and large-scale detection and accurate detection result. The ROC curve analysis result shows that when the single alpha fetoprotein gene is used as an index to distinguish liver cancer tissues from non-liver cancer tissues, the sensitivity is 90% and the specificity is 84%; when the single PGR13 gene is used as an index to distinguish liver cancer tissues from non-liver cancer tissues, the sensitivity is 95%, and the specificity is 85%; when the alpha fetoprotein gene and the PGR13 gene are combined to distinguish liver cancer tissues from non-liver cancer tissues, the sensitivity is 94% and the specificity is 98%. The liver cancer marker alpha fetoprotein gene and PGR13 gene are used for combined diagnosis and detection of liver cancer, and the kit has high specificity and sensitivity and important use value in early clinical detection of liver cancer.
Drawings
FIG. 1 shows the expression of 8 pairs of differential genes in liver cancer and tissues beside the cancer in example 1.
FIG. 2 shows the detection of AFP expression in tissues beside and in liver cancer by RT-qPCR method 100 in example 3.
FIG. 3 shows the detection of PGR13 expression in tissues beside and on liver cancer by RT-qPCR method of example 3.
FIG. 4 shows the results of the analysis of the correlation of the expression of AFP and PGR13 in liver cancer and other tissues in example 3.
FIG. 5 is a ROC curve of diagnosing liver cancer by the alpha fetoprotein gene and PGR13 gene alone in example 4.
FIG. 6 is a ROC curve of the combination of alpha fetoprotein gene and PGR13 gene for diagnosing liver cancer in example 4.
Detailed Description
The technical scheme of the invention is further described by the following specific embodiments. It will be apparent to those skilled in the art that the examples are merely to aid in understanding the invention and are not to be construed as a specific limitation thereof.
The specific techniques or conditions are not identified in the examples and are described in the literature in this field or are carried out in accordance with the product specifications. The reagents or apparatus used were conventional products commercially available through regular channels, with no manufacturer noted.
Materials and instruments:
agilent expression profile chip kit: low input rapid amplification labelling kit, monochrome (Low Input Quick Amp Labeling Kit, one-Color), cat#5190-2305,Agilent technologies,Santa Clara,CA,US.
cRNA purification kit: RNeasy mini kit, cat#74106, QIAGEN, gmBH, germany.
Gene expression hybridization kit: gene Expression Hybridization Kit, cat#5188-5242,Agilent technologies,Santa Clara,CA,US.
Washing buffer kit for gene expression: gene Expression Wash Buffer Kit, cat#5188-5327,Agilent technologies,Santa Clara,CA,US.
Trizol was purchased from Norwegian corporation.
Reverse transcriptase was purchased from TAKARA corporation.
Real-time fluorescent quantitative PCR kits were purchased from ABI corporation.
Rolling hybridization furnace: hybridization Oven Cat #G2545A, agilent technologies Santa Clara, calif., US.
Washing a jar: starting dishes, cat#121,Thermo Shandon,Waltham,MA,US.
Microarray chip scanner platform: cat#G2565CA, agilent technologies, santa Clara, calif., US.
Example 1
The embodiment provides a screening method of liver cancer markers. And (3) screening genes which are differentially expressed in liver cancer tissues and tissues beside the cancer by mRNA gene chip analysis to obtain the gene serving as a liver cancer marker. The mRNA gene chip is prepared by 8 pairs of paired liver cancer tissues and paracancerous tissues. The mRNA gene chip analysis steps are as follows:
(1) Amplification and labelling of sample RNA
Extracting total RNA in tissues, amplifying and marking mRNA in the total RNA of the samples by adopting an Agilent expression profiling chip matched kit and a standard operation flow, and purifying the marked cRNA by using a cRNA purification kit.
(2) Chip hybridization
According to the hybridization standard flow and the kit and the gene expression hybridization kit provided by the Agilent expression profiling chip, the hybridization is carried out in a rolling hybridization furnace at 65 ℃ and 10rpm for 17 hours, the loading amount of hybridized cRNA is 600ng, and the film is washed in a washing tank, and the film is washed by using a washing buffer kit for gene expression.
(3) Chip scanning
The hybridized chip is scanned by a micro array chip scanner platform, and Dye channel is set by software: green, scan resolution=3 μm,20 bits. Data were read with Feature Extraction software 10.7.7 (Agilent technologies, santa Clara, calif., US) and normalized with Gene Spring Software 11.0.0 (Agilent technologies, santa Clara, calif., US) using the algorithm Quantile.
(4) Detection and analysis of chip signals
Statistical analysis uses classifier PAM and classifier WEKA to select subsets and construct classification models. The expression of 8 differential genes in liver cancer and tissues beside the cancer is shown in figure 1, wherein the PGR13 differential multiple is most obvious.
Example 2
The embodiment provides a kit for detecting the expression levels of alpha fetoprotein genes and PGR13 genes, wherein the kit comprises primer pairs for respectively and specifically amplifying the alpha fetoprotein genes and the PGR13 genes.
The upstream primer for specifically amplifying the alpha fetoprotein gene in the kit comprises a nucleotide sequence shown as SEQ ID No.1, and the downstream primer for specifically amplifying the alpha fetoprotein gene comprises a nucleotide sequence shown as SEQ ID No. 2.
The upstream primer for specifically amplifying the PGR13 gene in the kit comprises a nucleotide sequence shown as SEQ ID No.3, and the downstream primer for specifically amplifying the PGR13 gene comprises a nucleotide sequence shown as SEQ ID No. 4.
The kit also comprises a PCR buffer solution, an enzyme mixed solution and a fluorescent dye, and further comprises a primer pair for specifically amplifying the reference gene GAPDH.
In the invention, the upstream primer for specifically amplifying the reference gene GAPDH in the kit comprises a nucleotide sequence shown in SEQ ID No.5, and the downstream primer for specifically amplifying the reference gene GAPDH comprises a nucleotide sequence shown in SEQ ID No. 6.
Example 3
In this example, the kit for detecting the expression levels of alpha fetoprotein gene and PGR13 gene prepared in example 2 was used to detect the expression levels of alpha fetoprotein gene and PGR13 gene in tissues, and the RT-qPCR method was used to detect the expression levels of AFP gene and PGR13 gene in tissues.
(1) Extraction of Total RNA
Cutting soybean grains of 100 liver cancer tissues and paired cancer tissues, placing into an EP tube, adding 1ml of Trizol (total RNA extraction reagent), grinding in a grinder, sucking out Trizol after grinding the tissue, adding 200 μl of chloroform into each tube, shaking vigorously, mixing for 30s, and centrifuging at 4deg.C for 20min at 12000g after the chloroform is fully emulsified. The supernatant was transferred to a fresh EP tube (note not to be aspirated into the intermediate protein layer), an equal volume of pre-chilled isopropanol was added to the aspirated supernatant, the EP tube was inverted upside down, mixed well, and left to stand at-20℃for 20min, and centrifuged at 12000g for 10min to pellet RNA. The supernatant was aspirated, and a 70% cold ethanol solution prepared by adding 250. Mu.L of DEPC water (ultra pure water treated with diethyl pyrocarbonate, DEPC, diethyl pyrocarbonate and sterilized at high temperature) was added, and after mixing, centrifugation was performed at 4℃and 12000g for 10min, ethanol was removed, and the precipitate was air-dried at room temperature, and 50. Mu.L of DEPC water was added to dissolve RNA, and after spectrophotometry to determine the concentration of RNA and the A260/280 value, the RNA was stored at-80 ℃.
(2) cDNA synthesis by reverse transcription
The PCR system for reverse transcription synthesis is shown in Table 1.
TABLE 1
Reagent(s) Dosage of
Mixtures of reverse transcriptase, dNTPs and buffer 2μL
Genomic DNA 100ng
Water and its preparation method Make up to 20 mu L
The PCR conditions for reverse transcription are shown in Table 2.
TABLE 2
Temperature (temperature) Time
25℃ 10min
42℃ 30min
85℃ 5min
The cDNA is synthesized by reverse transcription in a PCR instrument, and the cDNA is subpackaged and stored at-20 ℃ to be used as a cDNA template to be detected.
(3)RT-qPCR
The real-time fluorescent quantitative PCR kit is used for preparing a PCR system of RT-qPCR reaction according to instructions, the reaction system is shown in table 3, 3 compound wells are arranged in each reaction, and no template control is arranged at the same time. The mixture of enzyme cocktail, fluorescent dye and PCR buffer was 2X SYBR Green qPCR Mix, and 50X ROX dye II was added for correction of errors between wells due to sample addition and the like.
TABLE 3 Table 3
Reagent(s) Dosage (mu L)
Enzyme cocktail, mixture of fluorescent dye and PCR buffer 10
Forward primer (10. Mu.M) 1
Reverse primer (10. Mu.M) 1
cDNA template 2
50×ROX DyeII 0.4
Water and its preparation method Complement to 20
The primer sequences are shown in Table 4.
TABLE 4 Table 4
The reaction conditions for the optimized RT-qPCR are shown in Table 5.
TABLE 5
Fluorescence signals are collected during the extension phase, and the Quant Studio software analyzes to obtain the cycle threshold (CT value) of each gene in the sample. After the RT-qPCR reaction is finished, melting curve detection is carried out, and the reaction is carried out for 1 cycle. Each sample experiment was repeated 3 times. The reaction conditions for the melting curve detection are shown in Table 6.
TABLE 6
Reaction temperature Time
95℃ 15s
60℃ 60s
95℃ 15s
Calculating the relative expression quantity of the AFP gene and the PGR13 gene according to the Ct value, wherein the relative expression quantity adopts a delta Ct method, namely delta Ctgene=delta Ctgene-delta Ctref; wherein gene is the target gene, ref is GAPDH gene, and GAPDH gene is the reference gene. All data are analyzed and output by SPSS 21.0 statistical software, metering data are expressed by mean ± standard deviation, t test is adopted, variance analysis is adopted for the differences among groups, and P <0.05 is the difference with statistical significance.
The detection results are shown in FIG. 2 and FIG. 3, wherein the ordinate is 2 of the target gene -ΔΔCt Values, abscissa are different types of tissue. Detecting the expression of AFP gene and PGR13 gene in 100 liver cancer tissues and paired paracancerous tissues, and finding that the AFP and PGR13 are remarkably and highly expressed in the liver cancer tissues; from FIG. 4, it can be seen that the relative expression amounts of the AFP gene and the PGR13 gene are positively correlated.
Example 4
The present example provides ROC curve verification of the marker AFP gene and PGR13 gene of the present invention. ROC curve: the receiver operating characteristic (receiver operating characteristic curve, ROC for short) is also called the sensitivity curve (sensitivity curve).
ROC curves were plotted by analyzing ROC curves of test and control groups based on the relative expression amounts of AFP gene and PGR13 gene (GAPDH as internal reference) in 100 liver cancer tissues and paired paracarcinoma tissues, with sensitivity (representing true positive rate) as ordinate and 1-specificity (representing false positive rate) as abscissa.
AUC (Area Under Curve) is the area enclosed by the ROC curve and the coordinate axis, and the area is smaller than 1. The AUC is between 0.5 and 1.0, and in the case that the AUC is greater than 0.5, the closer to 1 the AUC is, the higher the authenticity of the detection result is, which means that the better the diagnosis effect is. When the AUC is between 0.5 and 0.7, the diagnosis result has lower accuracy; when the AUC is between 0.7 and 0.9, the diagnosis result has certain accuracy; higher accuracy when AUC is greater than 0.9 or more; when auc=0.5, the detection result is the lowest in authenticity, which indicates that the diagnostic method is close to random guessing and has no application value.
The liver cancer was diagnosed by using the relative expression amounts of the AFP gene alone and the PGR13 gene alone, and the specificity and accuracy of the diagnosis of liver cancer were shown in FIG. 5.
FIG. 5 shows the diagnostic effects of AFP gene alone and PGR13 gene alone on liver cancer diagnosis. When the alpha fetoprotein gene is used as an index to distinguish liver cancer tissues from non-liver cancer tissues, the sensitivity is 90%, the specificity is 84%, the cut off value (critical value) is 2.65, and the AUC is 0.937; when PGR13 gene is used as an index to distinguish liver cancer tissue from non-liver cancer tissue, the sensitivity is 95%, the specificity is 85%, the cut off value (critical value) is 3.241, and the AUC is 0.959.
The liver cancer is diagnosed by adopting the combined expression quantity of the AFP gene and the PGR13 gene, the specificity and the accuracy of the diagnosis of the liver cancer are shown in the figure 6.
FIG. 6 shows the diagnostic effect of diagnosing liver cancer using the combined expression levels of AFP gene and PGR13 gene. When the alpha fetoprotein gene and the PGR13 gene are combined to distinguish liver cancer from non-liver cancer, the sensitivity is 94%, the specificity is 98%, the cut off value (critical value) is 0.655, and the AUC is 0.989.
In conclusion, the invention provides the liver cancer marker AFP gene and the PGR13 gene, and the liver cancer marker has high specificity and accuracy, can be used for diagnosing early liver cancer and detecting postoperative recurrence of liver cancer, and has important clinical significance.
The applicant declares that the above is only a specific embodiment of the present invention, but the scope of the present invention is not limited thereto, and it should be apparent to those skilled in the art that any changes or substitutions that are easily conceivable within the technical scope of the present invention disclosed by the present invention fall within the scope of the present invention and the disclosure.
Sequence listing
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Claims (6)

1.A kit for detecting the expression levels of alpha fetoprotein genes and PGR13 genes, which is characterized by comprising a primer pair for specifically amplifying the alpha fetoprotein genes and the PGR13 genes respectively;
the upstream primer of the specific amplification alpha-fetoprotein gene in the kit is shown as SEQ ID No.1, and the downstream primer of the specific amplification alpha-fetoprotein gene is shown as SEQ ID No. 2;
the upstream primer for specifically amplifying the PGR13 gene in the kit is shown as SEQ ID No.3, and the downstream primer for specifically amplifying the PGR13 gene is shown as SEQ ID No. 4;
the kit also comprises a PCR buffer solution, an enzyme mixed solution and a fluorescent dye;
the kit also comprises a primer pair for specifically amplifying the reference genes.
2. A method of using the kit for detecting the expression levels of alpha fetoprotein gene and PGR13 gene according to claim 1 for the purpose of non-disease diagnosis, comprising:
and carrying out RT-qPCR detection on the sample to be detected by using the primer pair for respectively specifically amplifying the alpha fetoprotein gene and the PGR13 gene, calculating the relative expression quantity of the alpha fetoprotein gene and the PGR13 gene in the sample to be detected, and carrying out calculation analysis.
3. The method for using a kit for detecting the expression levels of alpha fetoprotein gene and PGR13 gene according to claim 2 for the purpose of non-disease diagnosis, comprising the steps of:
(1) Template preparation: extracting total RNA in a sample to be detected and synthesizing cDNA by reverse transcription;
(2) And (3) detection: detecting the obtained cDNA by RT-qPCR by using the primer pair for respectively and specifically amplifying the alpha fetoprotein gene and the PGR13 gene, and calculating the relative expression quantity of the alpha fetoprotein gene and the PGR13 gene according to a Ct value by using the GAPDH gene as an internal reference gene;
(3) Analysis: calculating the difference multiple of the relative expression amounts of the alpha fetoprotein gene and the PGR13 gene in the sample to be detected according to the relative expression amounts of the alpha fetoprotein gene and the PGR13 gene, and judging.
4. A system for identifying liver cancer, the system comprising:
and (3) a template preparation module: extracting total RNA in a sample and synthesizing cDNA by reverse transcription;
and a detection module: using the obtained cDNA as a template, carrying out RT-qPCR detection, and calculating the relative expression quantity;
and an analysis module: judging according to the difference multiple of the relative expression quantity;
genes detected by the detection module comprise alpha fetoprotein genes and PGR13 genes;
the upstream primer of the specific amplification alpha-fetoprotein gene is shown as SEQ ID No.1, and the downstream primer of the specific amplification alpha-fetoprotein gene is shown as SEQ ID No. 2;
the upstream primer for specifically amplifying the PGR13 gene is shown as SEQ ID No.3, and the downstream primer for specifically amplifying the PGR13 gene is shown as SEQ ID No. 4.
5. The system for identifying liver cancer according to claim 4, wherein the step of judging based on a multiple of the difference in the relative expression amounts comprises: calculating the difference multiple of the relative expression quantity of alpha fetoprotein gene and PGR13 gene in the sample, and carrying out liver cancer positive judgment according to the difference multiple.
6. Use of the kit for detecting expression levels of alpha fetoprotein gene and PGR13 gene according to claim 1 and/or the system for identifying liver cancer according to claim 4 or 5 for preparing a product for diagnosis of liver cancer.
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