CN114763571A - Ferrochelatase gene genetic variation diagnostic kit - Google Patents

Ferrochelatase gene genetic variation diagnostic kit Download PDF

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CN114763571A
CN114763571A CN202110038334.8A CN202110038334A CN114763571A CN 114763571 A CN114763571 A CN 114763571A CN 202110038334 A CN202110038334 A CN 202110038334A CN 114763571 A CN114763571 A CN 114763571A
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gene
dna
fech
ferrochelatase
diagnostic kit
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韩悦
张欣欣
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Ruinjin Hospital Affiliated to Shanghai Jiaotong University School of Medicine Co Ltd
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Abstract

The invention provides a diagnostic kit for genetic variation of a ferrochelatase gene, which contains a primer designed autonomously, overcomes the problem that partial exons in an FECH gene are difficult to amplify, can successfully amplify to obtain an exon DNA gene sequence of a coding region of a FECH mature protein and an inclusion region containing important known shearing sites at the upstream and the downstream of the exon DNA gene sequence, can detect full-length cDNA of the FECH, and achieves the aim of comprehensively detecting potential pathogenic regions of the FECH gene.

Description

Ferrochelatase gene genetic variation diagnostic kit
Technical Field
The invention relates to the field of genetic metabolism molecular biology, in particular to a ferrochelatase gene genetic variation diagnostic kit.
Background
Erythropoiesis protoporphyrinosis (EPP) caused by mutations in the Ferrochelatase gene (FECH) is a rare genetic disease, and an effective treatment means is not yet available, and the first drug named "afealanotide (16 mg) approved by FDA in 2019 is used for treating erythropoiesis protoporphyrinosis, but the effect is limited. Early diagnosis, however, can block the disease from continuing to develop and prevent serious complications, thereby significantly reducing the fatality rate. However, the conventional detection means are also extremely limited, and the early diagnosis rate of erythropoietic protoporphyrinemia is not high, and the effect of reducing the mortality of erythropoietic protoporphyrinemia by early intervention therapy has not yet been achieved.
The presence of EPP is usually determined by detecting FECH gene mutation, but EPP patients have a very low ferrochelatase gene mutation carrying rate, resulting in a lower actual detection rate. Moreover, the genetic pathogenesis of the gene is special, the pathogenic molecule is based on Trans-co-inheritance (Trans-co-inheritance), T to C variation (IVS3-48T/C) of IVS3-48 positions needs to be detected from the FECH gene, and an effective kit technology for detecting FECH pathogenic intron regions and whole exons is not available up to now.
Disclosure of Invention
In order to solve the problems, the invention provides a ferrochelatase gene genetic variation diagnostic kit. It comprises primers for amplifying the following genes: all exons of the ferrous chelate enzyme gene and intron regions of 50-150bp near the upstream and downstream sides of the exons, and the primer sequences are shown in the following table:
Figure BDA0002894251010000011
Figure BDA0002894251010000021
preferably, the diagnostic kit provided by the present invention further comprises primers for amplifying the full-length cDNA of the ferrochelatase gene, the primer sequences are shown in the following table:
Figure BDA0002894251010000022
compared with the prior art, the invention has the advantages that:
the invention solves the technical problems of the prior art that the early diagnosis and the prevention blocking of diseases caused by ferrochelatase gene (FECH) are lacked. The ferrochelase gene genetic variation diagnostic kit contains the autonomously designed primer, overcomes the problem that partial exons in the FECH gene are difficult to amplify, can successfully amplify to obtain the exon DNA gene sequence of the FECH mature protein coding region and the intron regions containing important known shearing sites at the upstream and downstream, can detect the transcript of the FECH, achieves the aim of comprehensively detecting the potential pathogenic region of the FECH gene, can be used as a confirmation kit for identifying and diagnosing erythrocyte generating protoporphyrinemia suspected patients with similar symptoms of systems such as photosensitivity, nerves, blood, digestion and the like or home screening, and has wide application prospect.
Drawings
FIG. 1 is an electrophoretogram of an amplicon obtained after amplification by the primers of the present invention;
FIG. 2 is a graph comparing the sequence of an amplification product of a sample with the internationally recognized reference sequence NG 008175;
FIG. 3 is a map of an intron fragment containing a pathogenic cleavage site and an exon-internal mutant fragment of sample 1;
FIG. 4 is a map of an intron fragment containing a pathogenic cleavage site and an exon-internal mutant fragment of sample 2;
FIG. 5 is a map of intron fragments and cDNA fragments containing pathogenic cleavage sites of sample 3;
FIG. 6 is a map of intron fragments and cDNA fragments containing pathogenic cleavage sites of sample 3.
Detailed Description
The advantages of the invention are explained in detail below with reference to the drawings and the embodiments.
The invention adopts Polymerase Chain Reaction (PCR) and utilizes self-developed primers to amplify a whole blood sample so as to obtain an exon of an FECH gene, an intron of about 50-150bp at the upstream and the downstream of the FECH gene and full-length cDNA thereof, and judges according to the exon, the intron and the cDNA genes so as to determine whether ferrochelatase gene mutation exists in the sample. The reagents and instruments used in the specific embodiments of the invention are as follows:
1. Reagent
QIAamp Blood Mini kit from QIAGEN, germany, cat No.: 51106 and preserving at room temperature for 250 persons/box;
protease K, 1 bottle, and storing at 4 ℃;
Buffer
AllPrep DNA/RNA Mini kit from QIAGEN, cat #: 80204, 50 persons/box, storing at room temperature;
from Promega
Figure BDA0002894251010000031
Polymerase, 100U/piece, preservation at-20 ℃;
dNTP mix of TAKARA 2.5mM each, 1.28 ml/piece, stored at-20 ℃;
PrimeScript of TAKARATMII 1stStrand cDNA synthesis kit, preservation at-20 ℃;
100 g of agarose from Shanghai workers per bottle, and storing at room temperature;
the DL2000 DNA Marker kit from TAKARA, stored at-20 deg.C;
primer sequences were designed autonomously (see table 1).
TABLE 1 PCR primers and cDNA sequences, amplification conditions and amplicon lengths
Figure BDA0002894251010000032
Figure BDA0002894251010000041
2. Instrument for measuring the position of a moving object
Eppendorf 5415D centrifuge from Eppendorf corporation;
nanodrop 2000 spectrophotometer by Thermo scientific;
ProFlex of ABITMA 3X 32-well PCR system thermocycler;
Bio-Rad electrophoreser from Bio-Rad;
tanon 3500 gel imaging system from Tanon corporation.
3. Detection conditions and procedures
Extraction of DNA
Respectively taking 200 mul of EDTA (ethylene diamine tetraacetic acid) anticoagulation whole blood sample to be detected, 20 mul of proteinase K and 200 mul of Buffer AL, mixing and oscillating for 15 seconds, fully and uniformly mixing, and placing in a 56 ℃ water bath for 30 minutes; adding 200 mul of absolute ethyl alcohol (96-100%), oscillating for 15 seconds, and centrifuging for 1 minute in a centrifugal machine at the frequency of 10000 rpm; transferring the mixture into QIAamp Spin Column, and centrifuging at 10000 rpm for 1 min; replacing the collecting pipe; adding Buffer AW 1500. mu.l, centrifuging at 10000 rpm for 1 min; replacing the collecting pipe; adding Buffer AW 2500 μ l, centrifuging at 12000 rpm for 3 min, and replacing with 1.5ml centrifuge tube; adding 200 μ l of Buffer AE, standing at room temperature for 5 min, centrifuging at 8000 rpm for 3 min to obtain genome DNA, and storing at 4 deg.C; the concentration of the extracted genomic DNA was quantified using a spectrophotometer.
Extraction of RNA
The procedure was carried out according to the instruction manual of AllPrep DNA/RNA Mini kit (cat. No. 80204) from QIAGEN.
Synthesis of cDNA
Using PrimeScriptTMII 1st Strand cDNA Synthesis kit (Takara, Japan) the following reaction mixture was prepared in a 0.6ml centrifuge tube: oligo dT Primer (50. mu.M), dNTP mix (10mM each) 1. mu.l, template RNA Total RNA of 5. mu.g or less, and an appropriate amount of RNase free dH2O were added to the Mixture in a Total amount of 10. mu.l, and the Mixture was incubated at 65 ℃ for 5 minutes, followed by rapid cooling on ice to denature the template RNA. 4. mu.l of 5 XPrimeScript II buffer, 0.5. mu.l (20U) of RNase Inhibitor (40U/. mu.l), 1. mu.l (200U) of PrimeScript II RTase (200U/. mu.l) and an appropriate amount of RNase free dH2O were added to the tube to a total amount of 20. mu.l, the mixture was mixed slowly and mixed, left at 42 ℃ for 60 minutes, then at 95 ℃ for 5 minutes to inactivate the reverse transcriptase, and then the mixture was rapidly cooled on ice.
PCR reaction
Table 2: PCR reaction system
DNA templateOr cDNA template 3μl
5×Buffer 5μl
dNTP Mixture 1μl
GoTaq DNA polymerase 0.25μl
Upstream primer 0.5μl
Downstream primer 0.5μl
Double-steaming water supplement The total volume is 25 mu l
And (3) PCR reaction conditions:
95℃2min
95 ℃ for 30s (35 cycles)
55 ℃ for 30s (35 cycles)
72℃35s
72℃6min
Quality control
Controlling the ratio of A260/A280 of the DNA sample to be between 1.6 and 2.0 according to the quantitative requirement;
An experimental room for preparing a PCR reaction system and identifying PCR reaction products is strictly separated from a working room of a PCR instrument;
negative controls without DNA template were performed under the same conditions for each primer pair tested for each batch.
Primer validity detection
5 mul of PCR reaction product is taken to be observed in 1% agarose gel electrophoresis, wherein no band appears in negative control, and a band with a corresponding size appears in a detection sample, so that the experiment is judged to be effective. The results of electrophoresis experiments on the amplicons obtained after amplification of the primers of the invention are shown in FIG. 1: from left to right in the figure, the first lane DL2000 is a nucleic acid molecular weight standard (bands from top to bottom correspond to 1500bp,1000bp,750bp,500bp,250bp and 100bp, respectively), followed by a negative control, the corresponding amplicon (from 1 to 10-11-1), respectively. As can be seen from the electrophoretic graphical representation of FIG. 1, the amplicons of the present invention all showed the corresponding molecular weights, thus preliminarily verifying that the primers were effective.
A known ferrochelatase gene sample without mutation is amplified by the primer according to the amplification experimental conditions and the method, the sequence of the obtained amplification product is compared with an internationally recognized reference sequence NG 008175, and the result is shown in figure 2. As can be seen from FIG. 2, the primers of the present invention amplified to obtain the corresponding positions of each exon + intron corresponding to the standard Sequence of the internationally recognized ferrochelatase gene (Reference Sequence: NG-008175.1), further confirming the successful design of the primers.
Determination of mutations
And (4) sending the PCR amplification positive product to a sequencing company for sequencing, and taking a primer related to the tested project as a sequencing primer.
Sequencing results were analyzed using Vector NTI suite 11.0(Invitrogen), Chromas and CodonCode Aligner software, the relevant test items were aligned using the respective genomic DNA and reading frame DNA sequences as reference sequences, the disease mutation databases were referenced to databases such as HGMD (http:// www.hgmd.cf.ac.uk/ac/index. php), OMIM (http:// www.ncbi.nlm.nih.gov/OMIM), dSNP, and the new mutations were predicted for pathogenicity using tools such as Mutatentaster (http:// www.mutationtaster.org /), Polypen-2(http:// genetics. bw. harvah. u/pph2/index. shtml), SIFT, and the like.
Clinical experiments
Example 1
Taking a family sample 1 with known genetic variation of the ferrochelatase gene, and carrying out PCR amplification by using the diagnostic kit according to the detection conditions and the method to obtain the exon from 1 to 10-11-1 of the ferrochelatase gene of the family sample 1 and the intron region of 50-150bp upstream or downstream of the exon. As can be seen from FIG. 3, the presence of pathogenic cleavage sites IVS3-48T/C in the intron region of the ferrochelatase gene of the amplified family sample 1 indicates that the sample 1 is a pathogenic patient of genetic variation of the ferrochelatase gene; and the serious insertion deletion mutation also exists on the coding region segment of the sample 1, and further proves that the ferrochelatase gene mutation exists in the sample 1, and the diagnosis result of the diagnosis kit of the invention is consistent with the actual condition of the sample.
Example 2
Taking an unknown sample 2, and carrying out PCR amplification by using the diagnostic kit of the invention according to the detection conditions and the method to obtain exons of the ferrochelatase gene of the unknown sample 2 from 1 to 10-11-1 and intron regions of the upstream or downstream thereof from 50-150 bp. As can be seen from FIG. 4, the pathogenic cleavage sites IVS3-48T/C were present in the amplified intron region of the ferrochelatase gene of the unknown sample 2. The same amplification and sequencing are respectively carried out on the DNA of the parents of the unknown sample 2, and the experimental result of figure 4 shows that the pathogenic shearing sites IVS3-48T/C exist in the intron region of the ferrous chelate gene of the unknown sample 2, the phenomenon is the same as that of the parent, the pathogenic gene of the unknown sample 2 comes from the parent, the coding region of the unknown sample 2 has serious insertion deletion mutation, and the deletion mutation can be found to be new mutation through database retrieval. Therefore, the gene detection result of the unknown sample 2 is consistent with the actual condition of clinical families.
Example 3
Taking an unknown sample 3, and carrying out PCR amplification by using the diagnostic kit according to the detection conditions and the method to obtain the exon from 1 to 10-11-1 of the ferrous chelate enzyme gene of the unknown sample 3 and the intron region of 50-150bp upstream or downstream of the exon; meanwhile, RNA is extracted from an unknown sample 3, a cDNA fragment of the ferrochelatase gene is obtained through reverse transcription, and the full-length cDNA of the ferrochelatase gene is obtained through amplification by the primer which is independently developed. As can be seen from FIG. 5, the pathogenicity cleavage sites IVS3-48T/C and the single site mutation of the coding region exist in the amplified intron region of the ferrochelatase gene of the unknown sample 3, and the single site mutation of the coding region is known to be a novel pathogenicity mutation by database search. However, comparison of cDNA sequencing with standard sequences revealed that the transcripts were intact, demonstrating that changes in the level of DNA did not affect transcript integrity. Therefore, the unknown sample 3 can be judged to be a mild patient, and the early detection of the invention can realize the control of the disease condition, which is consistent with the actual clinical condition.
Example 4
Taking an unknown sample 4, and carrying out PCR amplification by using the diagnostic kit according to the detection conditions and the method to obtain the exon from 1 to 10-11-1 of the ferrous chelate enzyme gene of the unknown sample 4 and the intron region of 50-150bp upstream or downstream of the exon; meanwhile, RNA is extracted from an unknown sample 4, a cDNA fragment of the ferrochelatase gene is obtained through reverse transcription, and the full-length cDNA of the ferrochelatase gene is obtained through amplification by the autonomously developed primer. As can be seen from FIG. 6, the cleavage sites IVS3-48 exist in the intron region of the ferrochelatase gene of the unknown sample 4 obtained by amplification, the signal is T, no nested peak exists, the T/T homozygous wild type mutation can be judged, and meanwhile, the known pathogenic mutation or other unknown mutation does not exist in the exon region. comparison of the cDNA sequencing with the standard sequence revealed that the transcript was intact. The possibility that the unknown sample 4 is a patient sample can therefore be excluded, consistent with clinical practice.
The embodiments of the present invention have been described in detail, but the embodiments are merely examples, and the present invention is not limited to the embodiments described above. Any equivalent modifications and substitutions to those skilled in the art are also within the scope of the present invention. Accordingly, equivalent changes and modifications made without departing from the spirit and scope of the present invention should be covered by the present invention.
Sequence listing
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Claims (2)

1. A diagnosis kit for genetic variation of ferrochelatase gene is characterized by comprising primers for amplifying the following genes: all exons of the ferrous chelate enzyme gene and intron regions of 50-150bp near the upstream and downstream sides of the exons, and the primer sequences are shown in the following table:
Figure FDA0002894250000000011
2. the diagnostic kit of claim 1, further comprising primers for amplifying the full-length cDNA of the ferrochelatase gene, the primer sequences being as set forth in the following table:
Figure FDA0002894250000000012
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Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20160122767A1 (en) * 2013-06-13 2016-05-05 Université Paris Diderot - Paris 7 Methods and pharmaceutical compositions for the treatment of erythropoietic protoporphyria

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20160122767A1 (en) * 2013-06-13 2016-05-05 Université Paris Diderot - Paris 7 Methods and pharmaceutical compositions for the treatment of erythropoietic protoporphyria

Non-Patent Citations (6)

* Cited by examiner, † Cited by third party
Title
CATERINA AURIZI等: "Heterogeneity of mutations in the ferrochelatase gene in Italian patients with erythropoietic protoporphyria", MOLECULAR GENETICS AND METABOLISM *
S D WHATLEY等: "Autosomal recessive erythropoietic protoporphyria in the United Kingdom: prevalence and relationship to liver disease", J MED GENET *
TSUYOSHI TAHARA等: "The low expression allele (IVS3-48C) of the ferrochelatase gene leads to low enzyme activity associated with erythropoietic protoporphyria", INT J HEMATOL *
X WANG等: "A novel splicing mutation in the ferrochelatase gene responsible for erythropoietic protoporphyria", BIOCHIM BIOPHYS ACTA . *
XIAO-FEI KONG等: "Identification of a ferrochelatase mutation in a Chinese family with erythropoietic protoporphyria", J HEPATOL. *
许亚丽;胡扬;温辉;任志军;: "中国北方汉族男子FECH基因IVS3-48T/C多态与有氧运动能力表型指标的关联性研究", 中国运动医学杂志 *

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