CN117757945A - Reagent and kit for detecting methylation of SOX1-SEPTIN9-ZIC1 gene of cervical cancer - Google Patents
Reagent and kit for detecting methylation of SOX1-SEPTIN9-ZIC1 gene of cervical cancer Download PDFInfo
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Abstract
The invention relates to the technical field of gene diagnosis, in particular to a detection reagent and a kit for methylation of cervical cancer SOX1-SEPTIN9-ZIC1 genes; the detection primer, the probe, the detection reagent and the kit for detecting methylation of the SOX1 gene, the SEPTIN9 gene and the ZIC1 gene of cervical cancer are designed, so that the detection primer, the probe, the detection reagent and the kit are used for detecting methylation degree of the SOX1 gene, the SEPTIN9 gene and the ZIC1 gene, have high sensitivity and strong specificity, and are suitable for large-scale crowd screening and conventional molecular diagnosis; the sensitivity of detection by adopting the detection reagent and the kit designed by the application is higher than that of the cervical cancer marker reported in the prior art, the sensitivity is greatly improved, and the kit has great application value for diagnosis of cervical cancer.
Description
Technical Field
The invention relates to the technical field of gene diagnosis, in particular to a detection reagent and a kit for methylation of cervical cancer SOX1-SEPTIN9-ZIC1 genes.
Background
Cervical cancer is a characteristic malignancy in women, the incidence of which in women is inferior to breast cancer, and it is counted that about 20 or more tens of thousands of women die annually. Cervical cancer is classified into 3 kinds of cervical squamous cell carcinoma, cervical adenocarcinoma and cervical squamous cell carcinoma according to pathological classification, wherein cervical squamous cell carcinoma is the most common, cervical cancer patients commonly have irregular vaginal bleeding, contact bleeding, abnormal leucorrhea, lower abdominal pain and other symptoms (early insignificant), and most patients also combine with ureteral obstruction, hydronephrosis, uremia and other complications along with the extension of the course of the disease. Cervical intraepithelial lesions are the most representative manifestations of precancerous lesions, and have symptoms similar to those of early cervical cancer, and the difficulty in identifying the two is relatively high.
The methylation tumor marker is taken as an innovative detection technology and is an ideal marker for early screening of cancers. Although some methylated tumor markers have been found in the prior art, they are limited by detection reagents or detection means of methylated tumor markers, resulting in insufficient sensitivity and specificity of tumor markers.
Therefore, how to improve the sensitivity and specificity of tumor marker detection is a urgent problem to be solved.
Disclosure of Invention
Aiming at the defects existing in the prior art, the invention aims to provide a reagent and a kit for detecting methylation of SOX1-SEPTIN9-ZIC1 genes of cervical cancer.
The invention discovers that the SOX1-SEPTIN9-ZIC1 gene is subjected to methylation joint detection for the first time, and can realize detection of cervical cancer and precancerous lesions thereof with high specificity and high sensitivity.
In a first aspect, the present application provides a primer, which adopts the following technical scheme:
a primer selected from the group consisting of SEQ ID NOs: 1. SEQ ID NO: 2. SEQ ID NO: 4. SEQ ID NO: 5. SEQ ID NO: 7. SEQ ID NO: 8. SEQ ID NO: 22. SEQ ID NO: 23. SEQ ID NO: 25. SEQ ID NO: 26. SEQ ID NO: 28. SEQ ID NO: 29. SEQ ID NO: 31. SEQ ID NO: 32. SEQ ID NO: 43. SEQ ID NO: 44. SEQ ID NO: 46. SEQ ID NO: 47. SEQ ID NO: 49. SEQ ID NO:50, or an amino acid sequence having at least 80% or more homology thereto.
Preferably, the primer is selected from the group consisting of SEQ ID NO: 1. SEQ ID NO: 2. SEQ ID NO: 4. SEQ ID NO: 5. SEQ ID NO: 7. SEQ ID NO: 8. SEQ ID NO: 22. SEQ ID NO: 23. SEQ ID NO: 25. SEQ ID NO: 26. SEQ ID NO: 28. SEQ ID NO: 29. SEQ ID NO: 31. SEQ ID NO: 32. SEQ ID NO: 43. SEQ ID NO: 44. SEQ ID NO: 46. SEQ ID NO: 47. SEQ ID NO: 49. SEQ ID NO:50 or a complement thereof.
Preferably, the primer is selected from the group consisting of SEQ ID NO:1 and SEQ ID NO: 2. SEQ ID NO:4 and SEQ ID NO: 5. SEQ ID NO:7 and SEQ ID NO: 8. SEQ ID NO:22 and SEQ ID NO: 23. SEQ ID NO:25 and SEQ ID NO: 26. SEQ ID NO:28 and SEQ ID NO: 29. SEQ ID NO:31 and SEQ ID NO: 32. SEQ ID NO:43 and SEQ ID NO: 44. SEQ ID NO:46 and SEQ ID NO: 47. SEQ ID NO:49 and SEQ ID NO:50, and at least one primer pair shown in FIG.
More preferably, the primer is selected from the group consisting of SEQ ID NO:1 and SEQ ID NO: 2. SEQ ID NO:22 and SEQ ID NO: 23. SEQ ID NO:43 and SEQ ID NO: 44.
In a second aspect, the present application provides a probe, which adopts the following technical scheme:
a probe comprising a probe for detecting SOX1 gene, SEPTIN9 gene, ZIC1 gene;
the probe is selected from SEQ ID NO:3. SEQ ID NO: 6. SEQ ID NO:9. SEQ ID NO:24. SEQ ID NO: 27. SEQ ID NO: 30. SEQ ID NO:33. SEQ ID NO:45. SEQ ID NO: 48. SEQ ID NO:51 or a complement thereof.
Preferably, the probe is selected from the group consisting of SEQ ID NOs: 3. SEQ ID NO:24. SEQ ID NO:45.
Preferably, a fluorescence quenching group is attached to the 3 '-end of the probe, and a fluorescence reporting group is attached to the 5' -end.
Preferably, the fluorescence quenching group is BHQ, BHQ1, BHQ2, TAMRA or MGB, and the fluorescence reporting group is FAM, CY3, CY5, HEX, ROX or TET.
More preferably, the fluorescence quenching group is BHQ1 and the fluorescence reporting group is FAM.
In a third aspect, the application provides an application of the primer and/or the probe in preparing a cervical cancer detection reagent or a kit, and the application adopts the following technical scheme:
the primer and the probe are applied to the preparation of cervical cancer detection reagents or kits.
Preferably, the detection reagent or the kit is used for detecting the sequence of the SOX1-SEPTIN9-ZIC1 gene modified by the conversion reagent.
Preferably, the conversion reagent is one or more of bisulfite, hydrazine salt or bisulphite. The conversion reagent includes a hydrazine salt, bisulfite (e.g., sodium bisulfite, etc.), bisulfite (e.g., sodium metabisulfite, potassium bisulfite, cesium bisulfite, ammonium bisulfite, etc.), or a reagent that can produce one or more of a hydrazine salt, bisulfite compound under appropriate reaction conditions.
More preferably, the conversion reagent is a bisulfite.
In a fourth aspect, the present application provides a cervical cancer detection reagent, which adopts the following technical scheme:
a reagent for detecting cervical cancer comprises the primer and the probe.
Preferably, the detection reagent further comprises one or more of dNTPs, DNA polymerase, buffer solution and nuclease-free water.
Preferably, the detection reagent further comprises a detection reagent for a reference gene.
Preferably, the internal reference is beta-actin or COL2A1; furthermore, other methylation-detected reference genes of the prior art can be used as reference genes.
Preferably, the reference gene is beta-actin.
Preferably, the reference gene beta-actin detection reagent contains a primer pair and a probe for detecting the reference gene.
Preferably, the primer pair of the reference gene beta-actin detection reagent is SEQ ID NO:58 and SEQ ID NO:59, the probe is SEQ ID NO:60.
preferably, the detection region of the detection reagent is a SOX1 gene genome or a promoter region thereof, a SEPTIN9 gene genome or a promoter region thereof, a ZIC1 gene genome or a promoter region thereof, specifically comprising the following steps:
the detection region of the detection reagent aiming at the SOX1 gene is SEQ ID NO:61 or SEQ ID NO: 62; more preferably, the detection region of the detection reagent against SOX1 gene is SEQ ID NO: 61.
Preferably, the detection region of the detection reagent against the SEPTIN9 gene is SEQ ID NO:63 or SEQ ID NO:64, a sequence shown in seq id no; more preferably, the detection region of the detection reagent against the SEPTIN9 gene is SEQ ID NO: 63.
Preferably, the detection region of the detection reagent against the ZIC1 gene is SEQ ID NO:65 or SEQ ID NO:66, a sequence shown in seq id no; more preferably, the detection region of the detection reagent against the ZIC1 gene is SEQ ID NO: 65.
In a specific embodiment, the application provides a cervical cancer detection reagent, which comprises a primer probe combination and adopts the following technical scheme:
a reagent for detecting cervical cancer comprises a primer pair and a probe for detecting SOX1 gene, SEPTIN9 gene and ZIC1 gene;
the sequences of the primer pair and probe for SOX1 gene detection are shown in any one of the following groups:
group one:
the primer pair is SEQ ID NO:1 and SEQ ID NO:2, the probe is SEQ ID NO:3, a step of;
group II:
the primer pair is SEQ ID NO:4 and SEQ ID NO:5, the probe is SEQ ID NO:6, preparing a base material;
group III:
the primer pair is SEQ ID NO:7 and SEQ ID NO:8, the probe is SEQ ID NO:9.
preferably, the primer pair and probe for SOX1 gene detection are:
group one: the primer pair is SEQ ID NO:1 and SEQ ID NO:2, the probe is SEQ ID NO:3.
the sequences of the primer pair and the probe for SEPTIN9 gene detection are shown in any one of the following groups:
group four:
the primer pair is SEQ ID NO:22 and SEQ ID NO:23, the probe is SEQ ID NO:24, a step of detecting the position of the base;
group five:
the primer pair is SEQ ID NO:25 and SEQ ID NO:26, the probe is SEQ ID NO:27;
group six:
the primer pair is SEQ ID NO:28 and SEQ ID NO:29, the probe is SEQ ID NO:30;
group seven:
the primer pair is SEQ ID NO:31 and SEQ ID NO:32, the probe is SEQ ID NO:33.
preferably, the primer pair and probe for detecting SEPTIN9 gene detection:
group four: the primer pair is SEQ ID NO:22 and SEQ ID NO:23, the probe is SEQ ID NO:24.
the sequences of the primer pair and the probe for ZIC1 gene detection are shown in any one of the following groups:
group eight:
the primer pair is SEQ ID NO:43 and SEQ ID NO:44, the probe is SEQ ID NO:45;
group nine:
the primer pair is SEQ ID NO:46 and SEQ ID NO:47, the probe is SEQ ID NO:48;
group ten:
the primer pair is SEQ ID NO:49 and SEQ ID NO:50, the probe is SEQ ID NO:51.
preferably, the primer pair and probe for ZIC1 gene detection:
group eight: the primer pair is SEQ ID NO:43 and SEQ ID NO:44, the probe is SEQ ID NO:45.
in a fifth aspect, the present application provides a kit for detecting cervical cancer, which adopts the following technical scheme:
a kit for detecting cervical cancer, comprising the above primer or the above probe or the above detection reagent.
In a sixth aspect, the present application provides a method for detecting methylation of a SOX1-SEPTIN9-ZIC1 gene, which adopts the following technical scheme:
a method for detecting methylation of SOX1-SEPTIN9-ZIC1 gene, which comprises detection using the above-described primer, the above-described probe, or the above-described detection reagent or the above-described kit, which is not used for disease diagnosis and treatment purposes.
Preferably, a method for detecting methylation of SOX1-SEPTIN9-ZIC1 gene comprises the following steps:
s1, extracting DNA from a sample to be detected, and then treating the sample with a conversion reagent to obtain a modified sample to be detected;
s2, detecting methylation of the SOX1-SEPTIN9-ZIC1 of the sample to be detected after modification of the conversion reagent by using the primer, the probe or the detection reagent or the kit.
Preferably, the detected Δct value obtained in step S2 is compared with a threshold value, and if the Δct value is less than the threshold value, the sample is positive, which indicates that the collected sample to be tested contains at least one of methylated SOX1 gene, SEPTIN9 gene, and ZIC1 gene.
Preferably, the conversion reagent is one or more of bisulfite, hydrazine salt or bisulphite. The conversion reagent includes a hydrazine salt, bisulfite (e.g., sodium bisulfite, etc.), bisulfite (e.g., sodium metabisulfite, potassium bisulfite, cesium bisulfite, ammonium bisulfite, etc.), or a reagent that can produce one or more of a hydrazine salt, bisulfite compound under appropriate reaction conditions.
More preferably, the conversion reagent is a bisulfite.
In a seventh aspect, the present application provides a diagnostic system for cervical cancer, which adopts the following technical scheme:
a diagnostic system for cervical cancer, the diagnostic system comprising:
a. a detection member: a detection means for quantitatively detecting the degree of DNA methylation of the SOX1-SEPTIN9-ZIC1 gene;
b. and a result judgment means.
Preferably, the detection means is used for quantitatively detecting the DNA methylation degree result of the SOX1-SEPTIN9-ZIC1 gene, and outputting the possibility or risk value of cervical cancer.
Preferably, the detection component for quantitatively detecting the DNA methylation degree of the SOX1-SEPTIN9-ZIC1 gene comprises the primer, the probe or the detection reagent or the kit.
Preferably, the risk of illness is that methylation results of the sample to be detected and the normal sample are compared according to the passing results, and when methylation of the sample to be detected and the normal sample has a significant difference or extremely significant difference, the result judges that the risk of illness of the sample to be detected is high.
The inventor has conducted intensive researches and for the first time revealed a reagent and a kit for detecting methylation of SOX1-SEPTIN9-ZIC1 genes of cervical cancer, wherein the methylated DNA is located in a human SOX1 gene and a promoter region thereof, a SEPTIN9 gene and a promoter region thereof, and a ZIC1 gene and a promoter region thereof. The inventor not only verifies the detection rate of SOX1, SEPTIN9 and ZIC1 genes in a tissue sample, but also verifies that SOX1, SEPTIN9 and ZIC1 genes have the same high specificity and sensitivity in a TCT sample, and can obviously improve the detection rate of cervical cancer through combination of SOX1, SEPTIN9 and ZIC1 genes. The inventor further improves the detection performance by optimizing the primer detection of SOX1, SEPTIN9 and ZIC1 genes. The present invention has been completed on the basis of this finding.
The inventor searches and refers to a large number of documents and analyzes data of a The Cancer Genome Atlas (TCGA) platform, and based on Reduced Representation Bisulfite Sequencing (RRBS) high-throughput second-generation sequencing methylation DNA detection technology, cervical paraffin samples are detected and deeply analyzed to obtain markers with clinical diagnosis significance for cervical cancer and precancerous lesions, and meanwhile, qPCR (quantitative polymerase chain reaction) is adopted to sequentially pass through the cervical paraffin samples and TCT cervical exfoliated cell samples for verification, and finally, 3 genes, namely SOX1 genes, SEPTIN9 genes and ZIC1 genes, are detected in a combined mode, so that cervical cancer and precancerous lesion patients are identified with high specificity and high sensitivity.
In summary, the present application includes at least one of the following beneficial technical effects:
the application discloses a reagent and a kit for detecting methylation of SOX1-SEPTIN9-ZIC1 genes of cervical cancer, which not only verify detection rates of SOX1 genes, SEPTIN9 genes and ZIC1 genes in tissue samples, but also verify that the SOX1 genes, SEPTIN9 genes and ZIC1 genes have the same high specificity and sensitivity in TCT samples, and can obviously improve the detection rate of cervical cancer by combining the SOX1 genes, SEPTIN9 genes and ZIC1 genes; particularly, the high sensitivity detection of squamous intraepithelial lesions (HSIL) is of great significance for early diagnosis and early discovery of cervical cancer.
Detailed Description
The technical scheme of the invention is further described by the following specific examples, which do not represent limitations on the scope of the invention; some insubstantial modifications and adaptations of the invention based on the inventive concept by others remain within the scope of the invention.
Example 1: design of primer probe combination
Various research data show that methylation state and distribution of the same gene are not uniform, so that methylation primers and probe detection systems designed by different regions are selected for the same gene, diagnostic detection efficacy of the same tumor is different for the same sample, even if the selected regions are unsuitable, so that the diagnostic effect on the tumor is completely absent, and the inventor selects SOX1, SEPT9 and ZIC1 preferable regions after repeated research and comparison as follows:
the preferred regions of SOX1, SEPTIN9, ZIC1 genes are as follows: the detection region of the SOX1 gene is SEQ ID NO:61, a sequence shown in seq id no; the detection region of the SEPTIN9 gene is SEQ ID NO: 63; the detection region of the ZIC1 gene is SEQ ID NO: 65.
In order to complete the invention, the inventor screens a large number of genes, finally confirms SOX1, SEPTIN9 and ZIC1 genes as preferable genes to be detected, takes beta-actin genes as reference genes, researches the distribution condition of methylation sites of the genes, and designs detection primer probes for detection.
The detection primer probes of each gene are as follows:
TABLE 1 primer pairs and probe combinations
Example 2: detection of SOX1, SEPTIN9, ZIC1 genes in Paraffin samples
In order to complete the invention, the inventor screens a large number of genes, finally confirms SOX1, SEPTIN9 and ZIC1 genes as preferable genes to be detected, takes beta-actin genes as reference genes, researches the distribution condition of methylation sites of the genes, and designs detection primer probes for detection.
The detection primer probes of each gene in this example are as follows:
the detection primers and probes of SOX1 are:
SOX1-MF2: SEQ ID NO:1, a sequence shown in seq id no;
SOX1-MR2: SEQ ID NO:2, a sequence shown in seq id no;
SOX1-P2: SEQ ID NO:3, a sequence shown in 3;
the detection primers and probes of SEPTIN9 are:
SEPT9-MF1: SEQ ID NO:22, a sequence shown in seq id no;
SEPT9-MR1: SEQ ID NO:23, a sequence shown in seq id no;
SEPT9-P1: SEQ ID NO:24, a sequence shown in seq id no;
the detection primers and probes of ZIC1 are as follows:
ZIC1-MF3: SEQ ID NO: 43.
ZIC1-MR3: SEQ ID NO:44, a sequence shown in seq id no;
ZIC1-P3: SEQ ID NO:45;
the detection primers and probes of the beta-actin are as follows:
ACTB-MF SEQ ID NO:58, and a sequence shown in seq id no;
ACTB-MR SEQ ID NO: 59;
ACTB-P, SEQ ID NO:60.
Sample detection:
sample information: a total of 50 cervical paraffin samples were tested, of which 20 samples were tested in the control group; 30 positive samples (pathology is larger than or equal to CIN2, and is abbreviated as CIN2+) and comprises 10 HSIL samples and 20 squamous carcinoma samples (14 cervical carcinoma samples in stage I/II and 6 cervical carcinoma samples in stage III/IV).
The test process comprises the following steps:
1. extraction of DNA
Specimens of cervical cancer and high-grade squamous intraepithelial lesions (HSIL) patients and paraffin tissue specimens of non-tumor patients were collected, and DNA extraction was performed according to the protocol of Meiy Bio-company kit HiPureFFPE DNA Kit (D3126-03).
2. DNA modification
Bisulfite modification was performed with the instructions of ZYMO rest biological company kit EZ DNA MethylationTM KIT (D5002).
3. Amplification and detection
Preparing a liquid system:
TABLE 2 liquid distribution System
Amplification procedure:
TABLE 3 amplification procedure
4. Detection result
Taking a delta Ct value (delta Ct=marker Ct value-ACTB Ct value) as a sample positive judgment standard, wherein the positive judgment value delta Ct of SOX1 is 7.5, the positive judgment value delta Ct of SEPT9 is 7, the positive judgment value delta Ct of ZIC1 is 7, when the detection result delta Ct value is smaller than the corresponding positive judgment value, the marker is judged to be positive to the sample detection result, otherwise, the marker is negative, and 50 cervical paraffin samples are detected as follows:
TABLE 4 detection results
Note that: and when the amplification curve is not generated, the Ct value is uniformly assigned to 45, and delta Ct value calculation is performed.
Analyzing the detection result, wherein the analysis result is as follows:
TABLE 5 analysis results
From the above results, it can be seen that the cervical paraffin samples have high sensitivity in the case of 100% specificity, regardless of whether CIN2+ is analyzed as a whole or according to HSIL and cervical cancer groups, respectively. Especially for HSIL group, the single gene detection sensitivity is up to more than 80%, and the combined detection of 3 genes can be detected by 90%, because the development course of cervical cancer is from squamous intraepithelial lesions (HSIL) to cervical cancer, the high sensitivity detection of HSIL has important significance for early diagnosis and early discovery of cervical cancer.
Example 3: detection of SOX1, SEPTIN9, ZIC1 genes in cervical exfoliated cell samples
By performing methylation detection in a cervical paraffin sample, the SOX1, SEPTIN9 and ZIC1 genes are confirmed to have high specificity and sensitivity no matter single detection or combined detection, and in order to verify the detection performance of the 3 genes in an actual clinical sample, namely a cervical exfoliated cell sample (hereinafter referred to as TCT sample), the inventor collects 200 TCT samples containing pathological information of different disease types, takes beta-actin genes as reference genes, and researches the detection conditions of the SOX1, SEPTIN9 and ZIC1 genes in the TCT samples.
The detection primer probes of each gene in this example are as follows:
the detection primers and probes of SOX1 are:
SOX1-MF2: SEQ ID NO:1, a sequence shown in seq id no;
SOX1-MR2: SEQ ID NO:2, a sequence shown in seq id no;
SOX1-P2: SEQ ID NO:3, a sequence shown in 3;
the detection primers and probes of SEPTIN9 are:
SEPT9-MF1: SEQ ID NO:22, a sequence shown in seq id no;
SEPT9-MR1: SEQ ID NO:23, a sequence shown in seq id no;
SEPT9-P1: SEQ ID NO:24, a sequence shown in seq id no;
the detection primers and probes of ZIC1 are as follows:
ZIC1-MF3: SEQ ID NO: 43.
ZIC1-MR3: SEQ ID NO:44, a sequence shown in seq id no;
ZIC1-P3: SEQ ID NO:45;
the detection primers and probes of the beta-actin are as follows:
ACTB-MF SEQ ID NO:58, and a sequence shown in seq id no;
ACTB-MR SEQ ID NO: 59;
ACTB-P, SEQ ID NO:60.
Sample detection:
sample information: 200 TCT samples containing pathological information of different disease types are tested, wherein the TCT samples comprise 99 negative control samples (less than or equal to CIN 1) and 101 positive control samples (less than or equal to CIN 2), and the negative control samples comprise 59 samples of cervical diseases other than cervical cancer and precancerous lesions thereof and 40 samples of low-grade squamous intraepithelial lesions (LSIL); the positive control samples included 59 high grade squamous intraepithelial lesions (HSIL), 42 cervical cancer samples, with the cervical cancer samples including 34 squamous cell carcinomas, 4 adenocarcinomas, 2 adenosquamous carcinomas, 1 small cell carcinoma, 1 cervical cancer sample of undefined type.
The test process comprises the following steps:
1. extraction of DNA
A quantity of TCT clinical samples were taken and the cells were centrifuged to obtain a pellet, which was subjected to DNA extraction according to the protocol of Meiyaku Bio-company kit HiPureFFPE DNA Kit (D3126-03).
2. DNA modification
EZ DNA Methylation with ZYMO RESEARCH Bio-Inc. kit TM KIT (D5002) instructions for bisulfite modification.
3. Amplification and detection
Preparing a liquid system:
TABLE 6 liquid distribution System
Amplification procedure:
TABLE 7 amplification procedure
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4. Detection result
Taking a delta Ct value (delta Ct=marker Ct value-ACTB Ct value) as a sample positive judgment standard, wherein the positive judgment value delta Ct of SOX1 is 4, the positive judgment value delta Ct of SEPT9 is 10, the positive judgment value delta Ct of ZIC1 is 5.5, and when the detection result delta Ct value is smaller than the corresponding positive judgment value, the marker is judged to be positive to the sample detection result, otherwise, the marker is negative, and 200 TCT sample detection results are as follows:
table 8 200 TCT sample test results
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Note that: when no amplification curve exists, the Ct value is uniformly assigned to 45, and delta Ct value calculation is performed; NA indicates that the corresponding type is not detected.
Analyzing the detection result, wherein the analysis result is as follows:
table 9 analysis results
From the results, in the TCT sample, under the condition that the specificity is more than or equal to 97%, the sensitivity of each gene in cervical cancer is more than 80%; however, in the HSIL group, the expression of each gene was greatly different from that of paraffin sample detection results (sensitivity was 54-73%), resulting in a decrease in the overall performance of each gene. Under the condition of maintaining 96% of high specificity, the combined detection of 3 genes has the overall sensitivity reaching 88.1%, and the sensitivity reaching 79.7% for the HSIL group, so that the cervical cancer group can be detected by 100%. Since the development course of cervical cancer is from squamous intraepithelial lesions (HSIL) to cervical cancer, the high-sensitivity detection of HSIL has important significance for early diagnosis and early discovery of cervical cancer.
Example 4: primer design and optimization for SOX1, SEPT9 and ZIC1
The primers and the probes have great influence on the detection effect of tumor markers, and in the research process, the inventor designs a plurality of pairs of primers and corresponding probes so as to find the probes and the primers which can improve the detection sensitivity and the specificity as much as possible, so that the detection reagent can be practically applied to clinical detection.
Table 10 primer probe combinations
Screening and detecting the above probes in 50 cervical paraffin samples, wherein the number of the samples in a control group is 20; 30 positive samples (pathology is larger than or equal to CIN2, and is abbreviated as CIN2+) and comprises 10 HSIL samples and 20 squamous carcinoma samples (14 cervical carcinoma samples in stage I/II and 6 cervical carcinoma samples in stage III/IV).
The procedure and amplification procedure were the same as in example 2.
The detection results are as follows:
TABLE 11 SOX1 different primer-probe pairs detection results
In the detection results of the SOX1 multiple pairs of primer probes, the results show that the detection performance (specificity and sensitivity) of the combination 2 is optimal, the combination 1 and the combination 6 times, and the performance of the combination 3, the combination 4, the combination 5 and the combination 7 is poor.
TABLE 12 detection results for SEPT9 different primer pairs
In the detection results of the SEPT9 multiple pairs of primer probes, the results show that the detection performance (specificity and sensitivity) of the combination 1 is optimal, the performance of the combination 2, the combination 3 and the combination 4 times is poorer, and the performance of the combination 5, the combination 6 and the combination 7 is poorer.
TABLE 13 detection results for ZIC1 different primer pairs
In the detection results of ZIC1 multiple pairs of primer probes, the results show that the detection performance (specificity and sensitivity) of the combination 3 is optimal, the combination 4 and the combination 5 times, and the performance of the combination 1 and the combination 2 is poor.
It is clear from Table 11, table 12 and Table 13 that the detection results are affected by the different primer pairs for the same region.
Claims (10)
1. A primer, characterized in that: the primer is selected from SEQ ID NO: 1. SEQ ID NO: 2. SEQ ID NO: 4. SEQ ID NO: 5. SEQ ID NO: 7. SEQ ID NO: 8. SEQ ID NO: 22. SEQ ID NO: 23. SEQ ID NO: 25. SEQ ID NO: 26. SEQ ID NO: 28. SEQ ID NO: 29. SEQ ID NO: 31. SEQ ID NO: 32. SEQ ID NO: 43. SEQ ID NO: 44. SEQ ID NO: 46. SEQ ID NO: 47. SEQ ID NO: 49. SEQ ID NO:50, or an amino acid sequence having at least 80% or more homology thereto.
2. A primer according to claim 1, wherein: the primer is selected from SEQ ID NO: 1. SEQ ID NO: 2. SEQ ID NO: 4. SEQ ID NO: 5. SEQ ID NO: 7. SEQ ID NO: 8. SEQ ID NO: 22. SEQ ID NO: 23. SEQ ID NO: 25. SEQ ID NO: 26. SEQ ID NO: 28. SEQ ID NO: 29. SEQ ID NO: 31. SEQ ID NO: 32. SEQ ID NO: 43. SEQ ID NO: 44. SEQ ID NO: 46. SEQ ID NO: 47. SEQ ID NO: 49. SEQ ID NO:50 or a complement thereof;
the primer is selected from SEQ ID NO:1 and SEQ ID NO: 2. SEQ ID NO:4 and SEQ ID NO: 5. SEQ ID NO:7 and SEQ ID NO: 8. SEQ ID NO:22 and SEQ ID NO: 23. SEQ ID NO:25 and SEQ ID NO: 26. SEQ ID NO:28 and SEQ ID NO: 29. SEQ ID NO:31 and SEQ ID NO: 32. SEQ ID NO:43 and SEQ ID NO: 44. SEQ ID NO:46 and SEQ ID NO: 47. SEQ ID NO:49 and SEQ ID NO:50, at least one primer pair shown in seq id no;
wherein the primer is selected from SEQ ID NO:1 and SEQ ID NO: 2. SEQ ID NO:22 and SEQ ID NO: 23. SEQ ID NO:43 and SEQ ID NO: 44.
3. A probe, characterized in that: the probe is selected from SEQ ID NO:3. SEQ ID NO: 6. SEQ ID NO:9. SEQ ID NO:24. SEQ ID NO: 27. SEQ ID NO: 30. SEQ ID NO:33. SEQ ID NO:45. SEQ ID NO: 48. SEQ ID NO:51 or a complement thereof;
wherein the probe is selected from the group consisting of SEQ ID NOs: 3. SEQ ID NO:24. SEQ ID NO:45;
the 3 'end of the probe is connected with a fluorescence quenching group, and the 5' end is connected with a fluorescence reporting group;
the fluorescence quenching group is BHQ, BHQ1, BHQ2, TAMRA or MGB, and the fluorescence reporting group is FAM, CY3, CY5, HEX, ROX or TET; wherein the fluorescence quenching group is BHQ1, and the fluorescence reporting group is FAM.
4. Use of the primer according to claim 1 or 2 and the probe according to claim 3 for preparing a cervical cancer detection reagent or kit.
5. A cervical cancer detection reagent, characterized in that: the detection reagent comprises the primer of claim 1 or 2 and the probe of claim 3.
6. The cervical cancer detection reagent according to claim 5, wherein: the detection reagent also comprises one or more of dNTPs, DNA polymerase, buffer solution and nuclease-free water.
7. The cervical cancer detection reagent according to claim 5, wherein: the detection reagent also comprises a detection reagent of an internal reference gene;
the reference gene is beta-actin or COL2A1;
wherein the reference gene is beta-actin;
the reference gene beta-actin detection reagent contains a primer pair and a probe for detecting the reference gene; the primer pair is SEQ ID NO:58 and SEQ ID NO:59, the probe is SEQ ID NO:60.
8. a cervical cancer detection kit, characterized in that: comprising the primer according to claim 1 or 2, or the probe according to claim 3, or the detection reagent according to any one of claims 5 to 7.
9. A method for detecting methylation of SOX1-SEPTIN9-ZIC1 gene for non-disease diagnosis, characterized in that the method comprises the steps of:
s1, extracting DNA from a sample to be detected, and then treating the sample with a conversion reagent to obtain a modified sample to be detected;
s2, detecting methylation of SOX1-SEPTIN9-ZIC1 of a sample to be detected modified by a conversion reagent by using the detection reagent according to any one of claims 5 to 7 or the kit according to claim 8;
comparing and analyzing the detected delta Ct value obtained in the step S2 with a critical value, and determining that the sample to be detected contains at least one of methylated SOX1 gene, SEPTIN9 gene and ZIC1 gene when the delta Ct value is smaller than the critical value and positive;
the conversion reagent is one or more of bisulfite, hydrazine salt or bisulphite.
10. A diagnostic system for cervical cancer, the diagnostic system comprising:
a. a detection member: a detection means for quantitatively detecting the degree of DNA methylation of the SOX1-SEPTIN9-ZIC1 gene;
b. and a result judgment means: the detection component is used for quantitatively detecting the DNA methylation degree result of the SOX1-SEPTIN9-ZIC1 gene and outputting the possibility or risk value of cervical cancer;
wherein the detection member for quantitatively detecting the DNA methylation degree of the SOX1-SEPTIN9-ZIC1 gene comprises the detection reagent according to any one of claims 5 to 7 or the kit according to claim 8.
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