CN116949181B - Molecular marker MAGEB4 for predicting prognosis survival of osteosarcoma patient and application thereof - Google Patents
Molecular marker MAGEB4 for predicting prognosis survival of osteosarcoma patient and application thereof Download PDFInfo
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Abstract
The invention discloses a molecular marker MAGEB4 for predicting prognosis survival of osteosarcoma patients and application thereof. The invention also discloses application of a substance for detecting MAGEB4 expression in exosomes in predicting or assisting in predicting prognosis survival, overall survival rate and death risk of osteosarcoma patients. According to the invention, the molecular marker MAGEB4 capable of being used for predicting the prognosis survival condition of the osteosarcoma patient is obtained through experimental screening, the long-term survival condition of the osteosarcoma patient can be effectively predicted before systematic treatment is carried out on the patient through detecting the expression quantity of the molecular marker in the exosome, and good reference is provided for evaluating the comprehensive treatment long-term curative effect and prognosis of the osteosarcoma patient in clinical work, and the molecular marker MAGEB4 is expected to be applied to clinical practical work in future.
Description
Technical Field
The invention relates to the technical field of biology, in particular to a molecular marker MAGEB4 for predicting the prognosis survival condition of osteosarcoma patients and application thereof.
Background
Osteosarcoma is the most common primary malignancy of bone, with most patients occurring between 10 and 30 years old, well at the distal femur, proximal tibia and proximal humerus. Patients with osteosarcoma have short disease course and rapid progression, and can have local jumping lesions and invade adjacent soft tissues. Osteosarcoma tends to migrate through the blood to the lungs and to other bones at the end of the disease. At present, the osteosarcoma adopts a comprehensive treatment strategy of preoperative chemotherapy, operation and postoperative chemotherapy, and the limb-protecting operation rate of patients with the osteosarcoma can be improved to 90-95% by normal operation excision and new auxiliary chemotherapy, and the survival rate of the patients with the osteosarcoma can reach 60-80% in 5 years. Although standardized treatment of osteosarcoma achieves favorable results, the incidence of postoperative pulmonary metastasis can be up to about 30%, especially in patients insensitive to preoperative chemotherapy, with higher recurrence and metastasis rates. For patients receiving standardized osteosarcoma treatment, how to predict the long-term survival condition of the patients in the treatment process is always plagued by a large number of doctors. If a series of tumor markers can be found, early warning can be conveniently carried out on the long-term survival condition of the osteosarcoma patient, and the determination of the postoperative comprehensive treatment scheme and the comprehensive monitoring of the disease progress can be better guided.
After patients with osteosarcoma receive standardized treatment, lung CT and whole-body bone scanning inspection are required to be carried out periodically to monitor the recurrence and metastasis of tumors. However, the above-mentioned examination is not frequently performed and can be found only when recurrence and metastasis occur, so that it is difficult to effectively evaluate the risk of long-term death at the time of patient's visit. Most of the current studies are mainly focused on the relevant study of prognosis prediction of patients after systemic treatment, and more results have been published. Ambroszkiewicz et al show that bone turnover index osteocalcin, type I collagen, C-terminal peptide and alkaline phosphatase levels have a certain predictive effect on prognosis after surgical treatment. Bacci et al consider that disease-free survival and overall survival are related to alkaline phosphatase levels 5 years after osteosarcoma normalization treatment, and that patient prognosis can be predicted by this index. The tumor necrosis rate after the new auxiliary chemotherapy is more than 90 percent, which often indicates that the prognosis of the patient is better, and the research shows that the p16 protein expression condition of the tumor tissue before the chemotherapy, the osteosarcoma histology type and other factors are related to the tumor necrosis rate after the chemotherapy. Although the indexes can reflect the posttreatment of the osteosarcoma patient in a standardized way to different degrees, certain problems still exist. First, most predictors are for prediction of efficacy responsiveness after systemic treatment or whether systemic progression of lung metastasis occurs after treatment, with less prediction of patient survival by tumor markers prior to systemic treatment. Second, although the osteogenic properties of osteosarcoma itself may be reflected in the bone turnover index (osteocalcin, type I collagen, C-terminal peptide, and alkaline phosphatase levels), the bone turnover index does not uniquely reflect the properties of osteosarcoma itself due to the increased post-osteoclastic compensatory bone synthesis by osteosarcoma. Third, tumor necrosis rate is an important clinical indicator for judging susceptibility of osteosarcoma to chemotherapy, and to some extent, it also reflects prognosis of patients, but it cannot be used to monitor recurrence and metastasis of patients after surgery in real time. The acquisition of protein or micro-RNA in tumor tissue is completed by puncture biopsy, biopsy or post-operation specimen, so that the effect of the novel auxiliary chemotherapy is inconvenient to rapidly and conveniently predict, and the detection specimen cannot be obtained again for disease prognosis prediction after tumor resection. Even though studies have shown that the prognosis of a patient can be judged by the level of micro-RNA expressed in serum, micro-RNA does not fully represent the biological properties of osteosarcoma itself. Therefore, it is imperative to find an early warning method which is rapid, sensitive, real-time and dynamic, and can reflect the long-term survival condition of osteosarcoma patients before systematic treatment.
Compared with traditional tumor tissue biopsy, the liquid biopsy for extracting blood does not need complex operation, so that the cost is greatly reduced; the invasiveness is low, the convenience in use is greatly improved, and the popularization and application of the technology in clinical practice are facilitated. Exosome detection techniques are the latest method of "liquid biopsy" for tumor gene mutation, by detecting RNA and protein in exosomes to discover ectopic, abnormal amplification and protein-specific expression of tumor genes. Exosomes (exosomes) are a membranous vesicle structure secreted by living cells, of endocytic origin, secreted by normal and diseased cells and act as mediators of intercellular biological information transmission to influence the cellular microenvironment. Exosomes are released outside the cell by fusion of the polypore endosomes (multivesicular bodies, MVBs) with the cell membrane, typically 30-100-nm in diameter, and typically are cup-shaped under electron microscopy and can be deposited under 100000g centrifugal force.
The exosomes secreted by the tumor cells can carry various biological information of the "parent" tumor cells and can be used as the reduction of the biological characteristics of the "parent" tumor cells. The surface membrane proteins of the tumor cells can form primary small bodies through endocytosis, then the small body envelopes further sink into a plurality of cavity vesicle small bodies, and the intracellular small bodies comprise a plurality of vesicle small bodies, namely tumor-derived exosomes, and the proteins, nucleic acids and lipids carried by the tumor cell surface membrane proteins represent the biological characteristics of the tumor parent cells to a certain extent. The tumor exosome can regulate and control the gene expression of adjacent normal cells and remote organ cells by carrying proteins, lipids and nucleic acids with biological activity, and the tumor exosome is fully prepared for the colonization of the remote organ by the circulating tumor cells like a pioneer troop tumor metastasis. The tumor cell source exosome realizes the purpose of promoting tumor proliferation, invasion and metastasis by changing the tumor microenvironment.
Therefore, the development of the circulating exosome blood marker which can be used for predicting the prognosis survival condition of the osteosarcoma patient when the patient is in a doctor has important clinical significance and practical value.
Disclosure of Invention
It is an object of the present invention to provide a novel use of a substance for detecting the expression level of MAGEB4.
The present invention provides an application of a substance for detecting the expression level of MAGEB4 in any one of the following (a 1) to (a 5):
(a1) Preparing a product for predicting or assisting in predicting the prognosis survival of a osteosarcoma patient;
(a2) Preparing a product for predicting or assisting in predicting the risk of prognosis death of a osteosarcoma patient;
(a3) Preparing a product for assessing or aiding in assessing the overall survival of a patient with osteosarcoma in prognosis;
(a4) Preparing a product for screening or assisting in screening patients with osteosarcoma with poor prognosis or patients with osteosarcoma with good prognosis;
(a5) Products are prepared for distinguishing or aiding in distinguishing between patients with osteosarcoma that have a poor prognosis and patients with osteosarcoma that have a good prognosis.
It is another object of the invention to provide a kit; the function of the kit is any one of the following (b 1) - (b 5):
(b1) Predicting or assisting in predicting the prognosis survival of a osteosarcoma patient;
(b2) Predicting or assisting in predicting the risk of prognosis death of a osteosarcoma patient;
(b3) Assessing or aiding in assessing the overall survival of a patient with osteosarcoma in a prognosis;
(b4) Screening or aiding in screening for patients with osteosarcoma that have a poor prognosis or patients with osteosarcoma that have a good prognosis;
(b5) Distinguishing or aiding in distinguishing between patients with osteosarcoma that have a poor prognosis and patients with osteosarcoma that have a good prognosis.
The kit provided by the invention comprises a substance for detecting the MAGEB4 expression level.
It is yet another object of the present invention to provide a product; the function of the product is any one of the following (b 1) - (b 5):
(b1) Predicting or assisting in predicting the prognosis survival of a osteosarcoma patient;
(b2) Predicting or assisting in predicting the risk of prognosis death of a osteosarcoma patient;
(b3) Assessing or aiding in assessing the overall survival of a patient with osteosarcoma in a prognosis;
(b4) Screening or aiding in screening for patients with osteosarcoma that have a poor prognosis or patients with osteosarcoma that have a good prognosis;
(b5) Distinguishing or aiding in distinguishing between patients with osteosarcoma that have a poor prognosis and patients with osteosarcoma that have a good prognosis.
The product provided by the invention comprises a data processing device and a substance for detecting the MAGEB4 expression quantity;
the data processing device consists of a data input module, a data recording module, a data comparison module and a conclusion output module;
the data input module is configured to input MAGEB4 expression quantity values of patients with osteosarcoma to be detected;
the data recording module is configured to store MAGEB4 expression quantity values and judgment thresholds of patients with osteosarcoma to be detected;
the data comparison module is configured to receive the MAGEB4 expression value of the patient with the osteosarcoma to be detected sent by the data input module, and call the judgment threshold value from the data recording module to compare with the MAGEB4 expression value of the patient with the osteosarcoma to be detected;
the conclusion output module is configured to receive the comparison result sent by the data comparison module and determine the comparison result according to a predetermined determination condition.
Further, the predetermined determination condition is as follows: poor prognosis in patients with osteosarcoma with high MAGEB4 expression, and mortality risk in patients with osteosarcoma with high MAGEB4 expression is higher than that in patients with osteosarcoma with low MAGEB4 expression, and overall survival rate in patients with osteosarcoma with high MAGEB4 expression is lower than that in patients with osteosarcoma with low MAGEB4 expression.
Furthermore, the osteosarcoma patient with high MAGEB4 expression level is the osteosarcoma patient with MAGEB4 expression level higher than the judging threshold value.
The osteosarcoma patient with low MAGEB4 expression level is osteosarcoma patient with MAGEB4 expression level equal to or lower than the judgment threshold value.
The judging threshold value can be obtained by referring to a method known in the technical field, for example, a coxph function of a "survivinMisc" of an R packet can be used for analyzing MAGEB4 expression quantity of each sample, and then a MAGEB4 expression quantity value corresponding to a minimum p value is selected from analysis results as the judging threshold value; the MAGEB4 expression level of each sample may be arranged in the order from low to high by the median method, and then the MAGEB4 expression level value in which the position is centered and the MAGEB4 expression level is divided into two halves may be used as the determination threshold.
In any of the above applications or kits or products, the substance for detecting the expression level of MAGEB4 may be a reagent and/or an instrument for detecting the relative expression level of MAGEB4 in the exosomes.
Further, the reagent for detecting the relative expression level of MAGEB4 in the exosome may be a reagent for detecting the relative expression level of MAGEB4 mRNA in the exosome.
The reagent for detecting the relative expression level of MAGEB4 mRNA in the exosomes comprises MAGEB4 amplification primers.
The instrument for detecting the relative expression level of MAGEB4 mRNA in the exosomes comprises a real-time quantitative fluorescent PCR instrument.
The exosomes may be extracted from the isolated serum of a blood sample.
Still further, the MAGEB4 amplification primer consists of a single-stranded DNA molecule shown in a sequence 2 in a sequence table and a single-stranded DNA molecule shown in a sequence 3 in the sequence table.
Furthermore, the method for calculating the relative expression level of MAGEB4 mRNA in the exosome comprises the following steps: after extracting mRNA in exosomes, carrying out qPCR quantitative detection by adopting the MAGEB4 amplification primer, defining a numerical value obtained by qPCR detection as an absolute quantitative value, and calculating the relative expression quantity of MAGEB4 mRNA according to the following formula: MAGEB4 mRNA relative expression = absolute quantitative value/average, where average is the average of absolute quantitative values for several surviving osteosarcoma patients. In a specific embodiment of the invention, the average is the average of absolute quantitative values of 10 surviving osteosarcoma patients.
In any of the above uses or kits or products, the prognostic survival includes prognostic mortality and prognostic survival.
The bad prognosis refers to bad survival conditions within 5 years, specifically to death prognosis.
The good prognosis means that the survival condition is good within 5 years, in particular the survival of prognosis.
In any of the above applications or kits or products, the osteosarcoma patient may be a juvenile osteosarcoma patient, and specifically may be an osteosarcoma patient within the age range of 7-34 years (or 10-18 years).
In any of the above applications, kits or products, the nucleotide sequence of MAGEB4 is shown as sequence 1 in the sequence table.
The invention has the following advantages:
1. because the exosomes are derived from 'parent' cells, mRNA carried by the exosomes can well reflect the biological process of the 'parent' cells to a certain extent, the circulating exosomes of the osteosarcoma patient are taken as carriers of detection markers, and pathological states of the osteosarcoma patient tumor and the tumor microenvironment where the osteosarcoma patient is located can be well displayed.
2. The invention mainly adopts MAGEB4 mRNA carried by circulating exosome in blood of osteosarcoma patients before systemic treatment to predict the risk of long-term death of osteosarcoma patients, and can be used for efficiently predicting the long-term survival condition of osteosarcoma patients before systemic treatment.
3. The invention has longer follow-up observation time for patients in the research process, and the detection object is a circulating exosome when the patients are not treated by any system, and the found molecular marker MAGEB4 can well predict the long-term survival state of the osteosarcoma patients.
4. The immune mechanism plays an important role in the development of osteosarcoma diseases, and MAGEB4 in the circulating exosomes of patients with osteosarcoma, which are provided by the invention, participates in the occurrence process of the osteosarcoma immune mechanism, and is a molecular marker reflecting the ideal tumor microenvironment.
Drawings
FIG. 1 is a characterization of serum exosomes in osteosarcoma patients. A is the morphological characteristics of the extracted exosomes. B is the grain size of the extracted exosomes. C is the Western blot detection result of positive protein markers (Alix, tsg101, CD 63) and negative markers (Calnexin) of the extracted exosomes.
FIG. 2 is a MAGEB4 survival analysis.
FIG. 3 shows that circulating exosome MAGEB4 mRNA relative quantification was significantly higher in the deaths compared to the surviving patients in the present invention verification experiments.
FIG. 4 is an evaluation of MAGEB4 predicted efficacy.
Detailed Description
The following detailed description of the invention is provided in connection with the accompanying drawings that are presented to illustrate the invention and not to limit the scope thereof. The examples provided below are intended as guidelines for further modifications by one of ordinary skill in the art and are not to be construed as limiting the invention in any way.
The experimental methods in the following examples, unless otherwise specified, are conventional methods, and are carried out according to techniques or conditions described in the literature in the field or according to the product specifications. Materials, reagents and the like used in the examples described below are commercially available unless otherwise specified.
Example 1 discovery of the molecular marker MAGEB4 for prognosis of survival in osteosarcoma patients
10mL of blood samples of 20 cases of osteosarcoma patients which are not subjected to systematic treatment are extracted, and a circulating exosome Exosomes is obtained by adopting an ultracentrifugation mode; the characteristics of exosomes are characterized by adopting Nanosight, WB and a scanning electron microscope; and (3) extracting total RNA after the extracted exosomes are cracked, obtaining an RNA sample, performing quality control on the RNA sample, confirming that the RNA sample loading quantity meets the quality requirement of the on-line detection of NGS, and obtaining mRNA information carried by the exosomes by adopting Illumina sequencing. Average follow-up of 20 patients with osteosarcoma in the study is carried out for 3.9 years, survival information of the patients is obtained in the last follow-up, the 20 patients are divided into two groups of Group Alive and Group read, NGS data are analyzed, group Alive vs Group Dead differential mRNA is obtained, and GO and KEGG enrichment analysis is carried out; and carrying out survival analysis on the obtained DEmRNA, and screening out molecular markers related to an immune mechanism by combining the molecular functions of genes. The specific method comprises the following steps:
1. experimental materials and groupings
1. Experimental materials and groupings
Is prepared from 20 primary-diagnosis osteosarcoma patients in bone oncology department of Beijing university people's hospital, and 10mL of blood sample is left for extracting exosomes before preoperative chemotherapy after puncturing to define pathology. The average follow-up time of 20 osteosarcoma patients is 3.9+/-1.5 years (median 4.8 years, range 1.2-5.2 years), and the systemic metastasis (bone metastasis, lung metastasis and/or other viscera metastasis) of the patients is recorded at the last follow-up time. Of the 20 osteosarcoma patients, 12 men and 8 women had an average age of 16.8.+ -. 7.9 years (median 15 years, range 7-34 years).
2. Grouping situation
Patients were divided into two groups according to the follow-up period:
group Alive: patients with osteosarcoma who survived during the follow-up period, 12 patients with osteosarcoma survived the last follow-up.
Group read: patients with osteosarcoma who died during follow-up, 8 patients with mortality were last followed.
2. Experimental methods and results
1. Exosome extraction
Serum was isolated from 10mL blood samples for exosome extraction. The method comprises the following specific steps:
1) The serum samples were centrifuged at 300g at 4℃for 10min, the pellet was discarded and the supernatant was taken.
2) After completion of step 1), the supernatant was centrifuged at 800g at 4℃for 30min, the precipitate was discarded, and the supernatant was taken.
3) After completion of step 2), the supernatant was centrifuged at 10,000g at 4℃for 30min, the precipitate was discarded and the supernatant was taken.
4) After completion of step 3), the supernatant was diluted with 10mL of PBS and filtered through a 0.22 μm sieve; and the filtrate was centrifuged at 150,000g at 4℃for 2h, the supernatant was discarded and the precipitate was collected.
5) After completion of step 4), the pellet was resuspended in 5mL PBS, then centrifuged at 150,000 at 4℃for 2h, the supernatant discarded, and the pellet was collected as the isolated serogenic exosomes. The exosomes were stored at-80 ℃ for RNA extraction.
2. Exosome characterization
1) The scanning electron microscope is used for identifying the exosome shape, and comprises the following specific steps: and adding 10 mu L of suspension of the exosome sample onto a copper mesh of an electron microscope detection device, dyeing for 5min by 20 mu L of 2% uranyl acetate, placing under a lamp for 10-15 min after dyeing, and observing and photographing the exosome by a scanning electron microscope. The morphological characteristics of the extracted exosomes are shown in fig. 1A.
2) The nanoparticle tracking analysis characterizes the diameter distribution range of the extracted exosomes, and the principle is that the diameter size of the particles is determined according to the speed of the particles in Brownian motion, and the size of each particle is calculated according to the average value of the squares of the distances of the particles moving in a specific time. The method comprises the following specific steps: taking 0.25mL of a suspension of an exosome sample, injecting the suspension into an observation chamber, opening a laser beam, illuminating the exosome suspension outside the observation chamber, collecting light scattering signals, analyzing the movement process of particles by NTA software, and calculating the radius of the measured particles by means of Stokes-Einstein equation. The results are shown in FIG. 1B, which shows that: the grain size of the extracted exosomes is mainly distributed between 100-150 nm, and the grain size characteristics of the exosomes are met.
3) Western blot detection is carried out to separate the expression levels of specific proteins Alix, tsg101, CD63 and negative protein Calnexin in exosomes. The detection result is shown in FIG. 1C.
3. Library construction quality inspection and on-machine sequencing
1) RNA was extracted from exosomes and subsequently the RNA samples were tightly quality controlled, mainly by accurate detection of RNA integrity by the Agilent 2100 bioanalyzer.
2) Then NEBNExt cube Ultra ™ RNA Library Prep Kit for Illumina cube is adopted for NEB common library construction, and the specific steps are as follows: the first strand of cDNA is synthesized in M-MuLV reverse transcriptase system with fragmented mRNA as template and random oligonucleotide as primer, and then RNA strand is degraded with RNaseH, and the second strand of cDNA is synthesized with dNTPs as material in DNA polymerase I system. The purified double-stranded cDNA is subjected to end repair, A tail addition and sequencing joint connection, about 250-300 bp cDNA is screened by using AMPure XP beads, PCR amplification is carried out, and the PCR product is purified again by using the AMPure XP beads, so that a library is finally obtained.
3) After the library construction was completed, initial quantification was performed using a qubit2.0 Fluorometer, the library was diluted to 1.5 ng/. Mu.L, then the library was examined for insert size using an Agilent 2100 bioanalyzer, and after insert size was expected, qRT-PCR was performed to accurately quantify the effective concentration of the library (library effective concentration was higher than 2 nM) to ensure library quality.
4. Sequencing information analysis procedure
The mRNA sequencing core is the significance analysis of gene expression difference, the statistical method is used for comparing the gene expression difference under two or more conditions, the specific genes related to the conditions are found out from the gene expression difference, then the biological significance of the specific genes is further analyzed, and the analysis process comprises links such as quality control, comparison, quantification, difference significance analysis, functional enrichment and the like. The image data of the sequenced fragments detected by the high-throughput sequencer are converted into sequence data (reads) through CASAVA base recognition, and the file is in fastq format, wherein the file mainly comprises the sequence information of the sequenced fragments and the corresponding sequencing quality information.
The original data obtained by sequencing contains a small amount of reads with sequencing joints or lower sequencing quality, and in order to ensure the quality and reliability of data analysis, the original data needs to be filtered, and the filtering content comprises: (1) removing reads with adapters; (2) Removing reads containing N (N represents indeterminate base information); (3) Low quality reads (reads with number of bases Qphred < = 20 accounting for more than 50% of the total read length) are removed. And filtering raw data, checking a sequencing error rate and GC content distribution, and obtaining clean reads used for subsequent analysis. Sequenced fragments (fragments) are randomly disrupted from the mRNA and in order to determine which genes these fragments are transcribed from, it is necessary to align the quality controlled clean reads to the reference genome. And (3) rapidly and accurately comparing the clear Reads with a reference genome by using HISAT2 software to acquire positioning information of the Reads on the reference genome. The number of reads covered by each gene (including the new predicted gene) from start to stop was counted based on the positional information of the gene alignment on the reference genome. Reads with quality values below 10 were filtered out separately, reads on unpaired alignments, aligned to reads of multiple regions of the genome. The partial analysis uses the featuresource tool in the open software. After the quantitative completion of gene expression, the expression data of the gene are subjected to statistical analysis, the genes with obvious difference of the expression levels of the samples in different states are screened, and the obtained Group Alive vs Group Dead differential mRNA (DE mRNA) is subjected to GO and KEGG enrichment analysis.
The results show that: in 20 osteosarcoma patients, 904 different mrnas were present between the two groups of Group Alive (n=12) and Group read (n=8), 121 up-regulated mrnas and 783 down-regulated mrnas. The 20 th functions before GO function enrichment are protein binding, plasma membrane, integral component of membrane, extracellular region, G protein-coupled receptor signaling pathway, G protein-coupled receptor activity, extracellular space, integral component of plasma membrane, detection of chemical stimulus involved in sensory perception of smell, olfactory receptor activity, molecular function, biological process, keratanization, sensory perception of smell, intermediate filament, odorant binding, neurotransmitter receptor activity, detection of chemical stimulus involved in sensory perception of bitter taste, bitter taste receptor activity, G protein-coupled serotonin receptor signaling pathway. Relevant pathways for the top 20 bits of KEGG pathway enrichment include Olfactory transduction, neuroactive ligand-receptor interaction, cytokine-cytokine receptor interaction, taste transduction, transcriptional misregulation in cancer, jak-STAT signaling pathway, wnt signaling pathway, breast cancer, th17 cell differentiation, protein digestion and absorption, inflammatory Bowel Disease (IBD), rheumatoid arthritis, chemical carcinogenesis, drug meta-cytochrome P450, prolactin signaling pathway, carbohydrate digestion and absorption, autoimmune thyroid disease, tyrosine metabolism, vitamin digestion and absorption, taurine and hypotaurine metabolism.
5. Differential gene survival analysis
And (3) carrying out survival curve analysis (over-all survivin) on the obtained DEmRNA, respectively carrying out survival analysis on Group Alive vs Group Dead comparative obtained differential gene sets, combining the functions of gene molecules, and screening out molecular markers related to immune mechanisms. The method comprises the following specific steps: and scoring each differential gene by using a curp function in a survivinMisc package, and obtaining the most significant p value and the expression quantity threshold value (the gene expression value corresponding to the minimum p value is selected from the results as the threshold value) associated with the OS of each differential gene in each comparison group. And then the high expression group and the low expression group are distinguished according to the threshold value. If the significant p value cannot be obtained, the median of the differential gene expression level in the comparison group is used as a threshold value, so that the high expression group and the low expression group are distinguished. Finally, the survival curves were plotted using the "surviviner" and "survivinal" packages.
The results show that: the 904 exosome DEmRNAs obtained by comparison of Group Alive and Group read were included in a survival curve analysis, wherein 492 genes related to patient survival were added, and a molecular marker MAGEB4 related to immune mechanism was selected.
As shown in fig. 2, the results of the analysis of the survival curves of the MAGEB4 show that the overall survival rate of the patients with the MAGEB4 high-expression group osteosarcoma (n=4, the osteosarcoma patients with the MAGEB4 gene expression level greater than 0.002961453) is significantly lower than that of the patients with the MAGEB4 low-expression group osteosarcoma (p=0.0021) (n=16, the osteosarcoma patients with the MAGEB4 gene expression level equal to or lower than 0.002961453), which indicates that the high-expression of the MAGEB4 is related to the poor prognosis of the osteosarcoma patients, and indicates that the survival condition is poor for 5 years, and the result is statistically significant.
Example 2 verification experiment of molecular marker MAGEB4 for predicting prognosis survival of osteosarcoma patient
1. Experimental materials and groupings
Another 20 cases were obtained from primary osteosarcoma patients in bone oncology in Beijing university people's hospitals, and after puncture to confirm the pathology, 10mL of blood samples were left before preoperative chemotherapy for exosome extraction. The average follow-up time of 20 osteosarcoma patients is 2.0 years (median 2.2 years, range 0.7-3.6 years), and the last follow-up time records the whole body metastasis (bone metastasis, lung metastasis and/or other organ metastasis) of the patients. Of the 20 osteosarcoma patients, 11 men and 9 women had an average age of 14 years (median 15 years, range 10 to 18 years).
2. Grouping situation
Patients were divided into two groups according to the follow-up period:
survival group: patients with osteosarcoma who survived during the follow-up period, 10 patients with osteosarcoma survived the last follow-up period.
Death group: patients with osteosarcoma who died during follow-up, 10 cases of patients with mortality were followed up last time.
2. Experimental methods and results
Comparing the difference in MAGEB4 mRNA expression level in circulating exosomes at the visit of 10 surviving and 10 dying groups of osteosarcoma patients, thereby verifying the predictive effect of circulating exosome MAGEB4 mRNA level on the prognosis of osteosarcoma patients. The specific method comprises the following steps:
exosomes in blood samples of 20 osteosarcoma patients were extracted according to the method of example 1, mRNA was extracted, qPCR quantitative detection was performed, and two groups of MAGEB4 mRNA level differences were compared. The method comprises the steps of defining a numerical value directly obtained by qPCR detection as an absolute quantitative value, and firstly calculating the average of absolute quantitative values of 10 patients in a survival group to obtain an average value a; the relative quantitative value c for each patient in the survival group was then calculated according to the following formula: relative quantitative value c = absolute quantitative value b/average a, the relative quantitative value cc for each patient of the death group was calculated according to the following formula: relative quantitative value cc=absolute quantitative value bb/average a; and finally, calculating the average number of relative quantitative values of 10 patients in the survival group to obtain the relative quantitative values of circulating exosome MAGEB4 mRNA of 10 patients in the survival group, and calculating the average number of relative quantitative values of 10 patients in the death group to obtain the relative quantitative values of circulating exosome MAGEB4 mRNA of 10 patients in the death group so as to compare the difference of the two groups of MAGEB4 mRNA levels. The primer sequences used for qPCR detection were as follows:
F:ACGAAGATGTTAGTGCAGTTCC;
R:GTGCGCTGAGAGACTTTCC。
the results are shown in tables 1, 2 and 3, and the results show that: the relative quantitative value of the circulating exosome MAGEB4 mRNA of 10 patients in the death group is 1.969, the relative quantitative value of the circulating exosome MAGEB4 mRNA of 10 patients in the survival group is 1.000, the relative quantitative value of the circulating exosome MAGEB4 mRNA of 10 patients in the death group is obviously higher than the relative quantitative value of the circulating exosome MAGEB4 mRNA of 10 patients in the survival group, and the statistical difference is present (P= 1.0211243209127285 ×10) -5 ). From this, MAGEB4 in serum circulating exosomes prior to systemic treatment can be used as a marker to predict long-term survival in osteosarcoma patients.
Table 1 relative quantitative values of circulating exosome MAGEB4 mRNA for each patient in the surviving group
Table 2 relative quantitative values of circulating exosome MAGEB4 mRNA for each patient in the death group
EXAMPLE 3 evaluation of MAGEB4 predictive Performance
ROC curve analysis was performed to evaluate the predictive efficacy of MAGEB4 using 10 surviving and 10 dying groups as subjects in example 2 (table 3).
Table 3 shows MAGEB4 relative quantification values and mortality for 10 surviving and 10 dying samples
Note that: 1 indicates death, and 0 indicates survival.
The results are shown in FIG. 4. The ROC curve shows that the sensitivity of the exosome-derived MAGEB4 to death event prediction is 100%, the specificity is 90%, and the prediction efficiency is higher.
Claims (3)
1. Use of an agent for detecting the expression level of MAGEB4 in any one of the following (a 1) to (a 5):
(a1) Preparing a kit for predicting or assisting in predicting the prognosis survival of a osteosarcoma patient;
(a2) Preparing a kit for predicting or assisting in predicting the prognosis death risk of a osteosarcoma patient;
(a3) Preparing a kit for evaluating or assisting in evaluating the overall survival rate of the prognosis of the osteosarcoma patient;
(a4) Preparing a kit for screening or assisting in screening patients with osteosarcoma with poor prognosis or patients with osteosarcoma with good prognosis;
(a5) Preparing a kit for distinguishing or assisting in distinguishing between patients with osteosarcoma with poor prognosis and patients with osteosarcoma with good prognosis;
the nucleotide sequence of MAGEB4 is shown as SEQ ID No. 1.
2. The use according to claim 1, characterized in that: the reagent for detecting the MAGEB4 expression level is a MAGEB4 amplification primer for detecting the relative expression level of MAGEB4 in exosomes.
3. The use according to claim 2, characterized in that: the MAGEB4 amplification primer consists of a single-stranded DNA molecule shown as SEQ ID No.2 and a single-stranded DNA molecule shown as SEQ ID No. 3.
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CN112063720A (en) * | 2020-09-22 | 2020-12-11 | 上海市第一人民医院 | Osteosarcoma prognosis marker and prognosis evaluation model |
CN113549691A (en) * | 2021-06-15 | 2021-10-26 | 上海长征医院 | Gene for osteosarcoma typing and osteosarcoma prognosis evaluation and application thereof |
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