CN117587131A - Detection method for dynamically monitoring ctDNA and application thereof - Google Patents
Detection method for dynamically monitoring ctDNA and application thereof Download PDFInfo
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- C12Q1/00—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
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Abstract
The invention relates to the field of ctDNA detection, and provides a detection method for dynamically monitoring ctDNA and application thereof, comprising the following steps: DNA sample, amplification reaction, adding an amplification reaction adapter and an NGS library, performing mBDA after sampling DNA, performing a purification column, forming an amplification reaction, performing a secondary purification column after adding the adapter for PCR, adding the adapter for the amplification reaction, adding an index for PCR, selecting the size of ampoule beads, and finally entering the NGS library; the invention solves the problems of high difficulty, high cost and the like of the MRD detection of solid tumors by using an amplification reaction and a purification column mBDA.
Description
Technical Field
The invention relates to the field of ctDNA detection, in particular to a detection method for ctDNA and application thereof.
Background
The circulating tumor gene, namely ctDNA, refers to tumor cell somatic DNA which is released into the circulatory system after shedding or apoptosis, is a characteristic tumor biomarker, tumor trails in blood can be detected through ctDNA detection, the sum of free DNA in blood plasma is called cfDNA, the cfDNA exists in various body fluids of a human body and changes in concentration along with tissue injury, cancer, inflammatory reaction and the like, and the cfDNA released into the circulatory system by tumor patient cells comprises ctDNA.
Most of the existing detection uses imaging detection and MRD detection, namely human imaging is carried out through various imaging devices, so that basis is provided for disease diagnosis, including X-ray detection, CT detection, MRI, ultrasonic detection and the like, and ctDNA detection can prompt tumor recurrence earlier than imaging detection, wherein the median advance time is 88 days, but the difficulty of solid tumor MRD detection is high, and the reasons are tumor heterogeneity, low early ctDNA content and lower ctDNA relative to tissue abundance, and a detection method with extremely high sensitivity is more needed.
In summary, the present invention thus provides a detection method for ctDNA and application thereof to solve the above problems.
Disclosure of Invention
In order to solve the technical problems, the invention provides a detection method for dynamically monitoring ctDNA and application thereof, so as to solve the problems of high difficulty in detecting the MRD of the solid tumor in the prior art.
In order to achieve the above purpose, the technical scheme of the invention is as follows:
detection methods for dynamic monitoring of ctDNA and applications thereof, comprising:
s1, DNA sampling, (1) cell lysis and cell lysis buffer solution are firstly used for cell membrane lysis, and then lipid is decomposed by a detergent and a surfactant;
(2) Digesting the protein by adding protease, digesting the RNA by adding RNase, and then separating the cell debris, digested protein, lipid and RNA by adding concentrated salt and then centrifuging;
(3) Finally, precipitating DNA with ice-cold ethanol or isopropanol ethanol, wherein the ionic strength of sodium acetate can be used for improving precipitation, and the precipitated DNA is linear in a final solution;
s2, an amplification reaction, namely an amplification reaction of a specific template catalyzed by enzyme under the guidance of a primer, simulates an in-vivo DNA replication process, and the problem that ctDNA is difficult to detect in a small amount of DNA is solved, and the amplification reaction needs to be revealed through other processes from the replication and amplification process;
s3, adding an amplification reaction adapter, wherein the two amplification reaction devices are connected with the NGS library device by adding the adapter and are matched with the two amplification reaction devices in current, so that the amplification reaction device and the NGS library device can cooperatively operate; the additional PCR amplification reaction equipment is connected with equipment in the NGS library workstation, so that data generated by the amplification reaction can be rapidly input into the NGS library, and rapid transmission of the data is realized.
S4, inputting the DNA subjected to the amplification reaction into an NGS library, wherein the DNA is generally divided into four steps, namely cutting DNA or RNA fragments, repairing and connecting ends, amplifying and purifying a library and controlling the quality of the library, and then monitoring ctDNA and tumor treatment processes.
Preferably, the DNA is sampled and subjected to an mBDA, and the mBDA is subjected to a purification column and then to an amplification reaction. Wherein mBDA is a multiplex inhibition probe displacement amplification technique that detects low frequency genetic variation of VAF as low as 0.019% with only 250X sequencing depth. Unlike other mutant allele enrichment techniques, mBDA can be well extended to multiple Panel (Panel of 80-fold amplicon can achieve a median fold enrichment of 300 fold). The VAF of the low-frequency variation allele in the sample is amplified by the library enriched by the mBDA technology and far exceeds the NGS system error, so that the low-frequency variation can be detected only by relatively low sequencing depth without additional error correction, and the detection specificity is greatly improved; the enrichment efficiency of mBDA is extremely stable between different samples, different libraries, and initial sample variation of 2-fold difference can be accurately quantified with 95% accuracy.
Preferably, an adapter is added to the PCR after the amplification reaction, and the purification column is performed once again after the addition of the PCR adapter is completed.
Preferably, the amplification reaction is adapted to be added and then the PCR is performed with the primers added, the size of the ampoule beads is selected after the PCR is performed with the primers added, and then the detection data is input into the NGS library.
Preferably, after the data are input into the NGS library, the qubit and the biological analyzer are analyzed, and then the data in other libraries are combined to finally form the NGS. The mBDA-NGS technology greatly reduces the sequencing data volume (100 times can be reduced), and can enable various medium-low flux sequencers to realize the detection of low-frequency gene variation with lower sequencing cost.
Preferably, the method should be in an mBDA detection ctDNA kit.
Compared with the prior art, the invention has the following beneficial effects:
1. the invention detects the mixed cell line by using the mBDA-NGS method, the initial sample size is 300ng genome DNA, and the lowest LoD can reach 0.019%; in terms of variant sequence proportion (VRF), compared with 0.2% of the NGS sequencing method of a standard multiplex amplicon library, the mBDA method can reach 30%, and the enrichment efficiency is more than 150 times (median 300 times); on the premise that the mid-target rate is basically the same (mBDA 81.4% vs. 89.6% of standard amplicon method), the mBDA method greatly reduces the amount of sequencing data required for detection, thereby reducing the sequencing cost; compared with a probe capture method, the mBDA can shorten the library construction time from 24 hours to 6 hours, and solves the problems of high difficulty, high cost and the like of solid tumor MRD detection;
drawings
FIG. 1 is a flow chart of a ctDNA detection method of the present invention;
FIG. 2 is a graph showing experimental flow and low frequency mutation detection performance of the mbDA-NGS method of the invention;
FIG. 3 is a graph showing the variation trend of the equivalent level of ctDNA of the present invention;
FIG. 4 is a graph of VM value level change trend for the present invention;
FIG. 5 shows the absolute number of ctDNA molecules of the test samples of the present invention;
FIG. 6 is a risk assessment of a past sample of a subject of the present invention;
FIG. 7 is a graph showing the tendency of ctDNA change relative to initial detection according to the present invention.
Detailed Description
Embodiments of the present invention are described in further detail below with reference to the accompanying drawings and examples. The following examples are illustrative of the invention but are not intended to limit the scope of the invention.
The invention provides a detection method for dynamically monitoring ctDNA and application thereof, comprising the following steps:
s1, DNA sampling:
s1, DNA sampling, (1) cell lysis and cell lysis buffer solution are firstly used for cell membrane lysis, and then lipid is decomposed by a detergent and a surfactant;
(2) Digesting the protein by adding protease, digesting the RNA by adding RNase, and then separating the cell debris, digested protein, lipid and RNA by adding concentrated salt and then centrifuging;
(3) Finally, precipitating DNA with ice-cold ethanol or isopropanol ethanol, wherein the ionic strength of sodium acetate can be used for improving precipitation, and the precipitated DNA is linear in a final solution;
s2, an amplification reaction, namely an amplification reaction of a specific template catalyzed by enzyme under the guidance of a primer, simulates an in-vivo DNA replication process, and the problem that ctDNA is difficult to detect in a small amount of DNA is solved, and the amplification reaction needs to be revealed through other processes from the replication and amplification process;
s3, adding an amplification reaction adapter, wherein the two amplification reaction devices are connected with the NGS library device by adding the adapter and are matched with the two amplification reaction devices in current, so that the amplification reaction device and the NGS library device can cooperatively operate;
s4, inputting the DNA subjected to the amplification reaction into an NGS library, wherein the steps of DNA or RNA fragment shearing, end repair and connection, library amplification and purification and library quality control are generally divided into four steps, and then ctDNA and tumor treatment processes are monitored; preferably, the DNA is sampled and subjected to an mBDA, and the mBDA is subjected to a purification column and then to an amplification reaction.
As an embodiment of the present invention: and (3) performing the mBDA after the DNA is sampled, performing a purification column after the mBDA project is performed, and performing an amplification reaction, wherein the low-frequency gene variation of the VAF as low as 0.019% can be detected by the mBDA technology only by using a sequencing depth of 250X. Unlike other mutant allele enrichment techniques, mBDA can be well extended to multiple Panel (Panel of 80-fold amplicon can achieve a median fold enrichment of 300 fold). The VAF of the low-frequency variation allele in the sample is amplified by the library enriched by the mBDA technology and far exceeds the NGS system error, so that the low-frequency variation can be detected only by relatively low sequencing depth without additional error correction, and the detection specificity is greatly improved;
as an embodiment of the present invention: the method comprises the steps of adding an adapter to PCR after amplification reaction, and carrying out a purification column again after the addition of the PCR adapter, wherein the purification column is a common separation and purification technology, and the working principle is that a target substance in a mixture is selectively adsorbed by using an adsorbent filled in the column, so that the separation and purification of the target substance are realized;
as an embodiment of the present invention: the amplification reaction is adaptively added and then carries out PCR adding primers, the size of ampoule beads is selected after the PCR adding primers, then detection data is input into an NGS library, the PCR adding primers can be selectively paired with two ends of a DNA sequence to be amplified, so that the PCR amplification reaction can be started, and the establishment of the NGS library is mainly used for converting a DNA or RNA sample into a library which can be read by a sequencer;
as an embodiment of the present invention: the method generally comprises four steps of cutting DNA or RNA fragments, end repairing and connecting, amplifying and purifying the library and controlling the quality of the library, cutting the DNA or RNA fragments into short fragments, carrying out end repairing and connecting on the DNA or RNA, adding a proper connector to realize the end repairing and connecting, amplifying and purifying the library after the connecting, and finally controlling the quality of the library, wherein the aim of the quality control of the library is to detect the quality and purity of the library so as to ensure that the library can be correctly read by a sequencer.
The specific working principle is as follows:
as shown in fig. 1-2, DNA needs to be sampled first, DNA precipitated after a series of operations is finally in a linear form in a solution, and then an mBDA procedure is performed on the DNA, so that the enrichment efficiency of mBDA is extremely stable between different samples and different libraries, and the variation of an initial sample with a 2-fold difference can be accurately quantified with 95% accuracy. The mBDA-NGS technology greatly reduces the sequencing data volume (100 times can be reduced), and can enable various medium-low flux sequencers to realize the detection of low-frequency gene variation with lower sequencing cost;
as shown in fig. 2, the experimental flow of the mBDA-NGS method and the low-frequency mutation detection performance verification experiment show that, when the mBDA-NGS method is used for detecting the mixed cell line, the initial sample size is 300ng of genome DNA, the LoD can be as low as 0.019%, in terms of variant sequence proportion (variant-read fraction, VRF), compared with the standard multiplex amplicon library NGS sequencing method, the mBDA method can reach 30%, the enrichment efficiency is more than 150 times (median 300 times), and on the premise that the targeting rate is basically the same (mBDA 81.4% vs. standard amplicon method 89.6%), the sequencing data size required by detection is greatly reduced by the mBDA method, so that the sequencing cost is reduced, compared with the probe capturing method, the mBDA can shorten the library construction time from 24 hours to 6 hours, and the problems of high cost, high difficulty and the like of solid tumor MRD detection are solved by the method;
after the end of mBDA, the first purification column is carried out, the purification column is loaded with a sample, the sample enters the purification column through a sample inlet at the top of the column, through an adsorbent filled in the column, a target substance can be selectively adsorbed on the surface of the adsorbent, a non-target substance can be discharged through an outlet at the bottom of the column, and in the process, the flow rate and the concentration of the sample can influence the adsorption effect, so that the sample needs to be adjusted according to practical conditions, such as: in some related experiments, the higher the column effect is for long and thin or the higher the column effect is for short and thick, wherein the two column effects can reach ideal values, but the intermediate value is not taken, so that the process needs to be adjusted according to actual conditions, the elution is performed, after the sample is loaded, some non-target substances remain on the surface of the adsorbent in the column, the non-target substances need to be removed through elution, and the choice of the eluent needs to be adjusted according to actual conditions, such as: the eluent with larger polarity can cause the poor separation effect in the column chromatography, and the eluent with larger polarity can cause substances in the column chromatography to flow faster along the flow direction of the column chromatography, thereby the poor separation effect of the substances. And (3) expanding: column chromatography is a separation technique that allows the mixture to be separated into individual components, thereby achieving higher purity. The separation effect of the column chromatography depends on the polarity of the eluent, the greater the polarity is, the better the separation effect is, on the contrary, the smaller the polarity is, the worse the separation effect is, so the selection of the eluent and the optimization of the elution condition are critical to the separation effect of the purification column, the recovery is carried out finally, the target substance is desorbed from the surface of the adsorbent after elution and enters the eluent, at this time, the eluent needs to be discharged through the outlet of the column bottom, the target substance needs to be recovered through the outlet of the column top, and the recovered target substance can be further analyzed or applied;
the method comprises the steps of carrying out amplification reaction after the first purification column is finished, wherein the amplification reaction is mainly used for DNA mapping, DNA sequencing and the like, adding an adapter for PCR after the amplification reaction, carrying out a second purification column after the amplification reaction, adding the adapter for the amplification reaction, adding an index for PCR, then selecting ampoule beads with proper size, putting the ampoule beads into an NGS library, carrying out DNA or RNA fragment shearing, end repair and connection, library amplification and purification and library quality control, and finally forming the whole process of NGS by utilizing a biological quantum analyzer, thereby completing detection of patients.
The invention provides the following experimental data for further explaining the application of the mBDA-NGS technology in the actual scene:
ctDNA (circulating tumor DNA ) is a free DNA secreted after tumor cell necrosis and apoptosis. By detecting and analyzing ctDNA in peripheral blood of a patient, the influence of tumor tissue heterogeneity can be overcome, and the tumor load state can be reflected more accurately.
Claims (6)
1. A detection method for dynamically monitoring ctDNA, comprising:
s1, DNA sampling:
(1) Firstly, cell lysis and cell lysis buffer solution are used for cell membrane lysis, and then lipid is decomposed by a detergent and a surfactant;
(2) Digesting the protein by adding protease, digesting the RNA by adding RNase, and then separating the cell debris, digested protein, lipid and RNA by adding concentrated salt and then centrifuging;
(3) Finally, precipitating DNA with ice-cold ethanol or isopropanol ethanol, wherein the ionic strength of sodium acetate can be used for improving precipitation, and the precipitated DNA is linear in a final solution;
s2, an amplification reaction, namely an amplification reaction of a specific template catalyzed by enzyme under the guidance of a primer, simulates an in-vivo DNA replication process, and the problem that ctDNA is difficult to detect in a small amount of DNA is solved, and the amplification reaction needs to be revealed through other processes from the replication and amplification process;
s3, adding an amplification reaction adapter, wherein the two amplification reaction devices are connected with the NGS library device by adding the adapter and are matched with the two amplification reaction devices in current, so that the amplification reaction device and the NGS library device can cooperatively operate;
s4, inputting the DNA subjected to the amplification reaction into an NGS library, wherein the DNA is generally divided into four steps, namely cutting DNA or RNA fragments, repairing and connecting ends, amplifying and purifying a library and controlling the quality of the library, and then monitoring ctDNA and tumor treatment processes.
2. The detection method for dynamically monitoring ctDNA according to claim 1, wherein: the DNA in S1 is sampled and subjected to mBDA, and the mBDA project is subjected to purification column and then amplification reaction.
3. The detection method for dynamically monitoring ctDNA according to claim 1, wherein: and (2) adding an adapter to the PCR after the amplification reaction in the step (S2), and carrying out a purification column again after the addition of the PCR adapter is finished.
4. The detection method for dynamically monitoring ctDNA according to claim 1, wherein: and (3) carrying out PCR (polymerase chain reaction) primer addition after the amplification reaction in the step (S3) is adaptively added, selecting the size of ampoule beads after the primer addition, and inputting detection data into an NGS library.
5. The detection method for dynamically monitoring ctDNA according to claim 1, wherein: and S4, inputting the data into an NGS library, analyzing the data by a qubit and biological analyzer, and finally combining the data in other libraries to form the NGS.
6. Use of the method of any one of claims 1-5 in an mBDA detection ctDNA kit.
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