JP7419068B2 - 悪性腫瘍を特定するためのキット及びその使用 - Google Patents
悪性腫瘍を特定するためのキット及びその使用 Download PDFInfo
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- JP7419068B2 JP7419068B2 JP2019533333A JP2019533333A JP7419068B2 JP 7419068 B2 JP7419068 B2 JP 7419068B2 JP 2019533333 A JP2019533333 A JP 2019533333A JP 2019533333 A JP2019533333 A JP 2019533333A JP 7419068 B2 JP7419068 B2 JP 7419068B2
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- alkyl
- ptprk
- rspo3
- fusion
- amplification
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- PSZYNBSKGUBXEH-UHFFFAOYSA-N naphthalene-1-sulfonic acid Chemical compound C1=CC=C2C(S(=O)(=O)O)=CC=CC2=C1 PSZYNBSKGUBXEH-UHFFFAOYSA-N 0.000 description 1
- AAXKMXAEFVWFDC-UHFFFAOYSA-N naphthalene;prop-2-enoic acid Chemical compound OC(=O)C=C.C1=CC=CC2=CC=CC=C21 AAXKMXAEFVWFDC-UHFFFAOYSA-N 0.000 description 1
- 150000002790 naphthalenes Chemical class 0.000 description 1
- 125000001624 naphthyl group Chemical group 0.000 description 1
- 230000008693 nausea Effects 0.000 description 1
- VOFUROIFQGPCGE-UHFFFAOYSA-N nile red Chemical compound C1=CC=C2C3=NC4=CC=C(N(CC)CC)C=C4OC3=CC(=O)C2=C1 VOFUROIFQGPCGE-UHFFFAOYSA-N 0.000 description 1
- 229910017604 nitric acid Inorganic materials 0.000 description 1
- 125000000449 nitro group Chemical group [O-][N+](*)=O 0.000 description 1
- 208000002154 non-small cell lung carcinoma Diseases 0.000 description 1
- 239000002736 nonionic surfactant Substances 0.000 description 1
- 231100000956 nontoxicity Toxicity 0.000 description 1
- 125000003261 o-tolyl group Chemical group [H]C1=C([H])C(*)=C(C([H])=C1[H])C([H])([H])[H] 0.000 description 1
- 125000002347 octyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- ZQPPMHVWECSIRJ-KTKRTIGZSA-N oleic acid Chemical compound CCCCCCCC\C=C/CCCCCCCC(O)=O ZQPPMHVWECSIRJ-KTKRTIGZSA-N 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 150000007524 organic acids Chemical class 0.000 description 1
- 150000007530 organic bases Chemical class 0.000 description 1
- 239000003960 organic solvent Substances 0.000 description 1
- 201000008968 osteosarcoma Diseases 0.000 description 1
- WCPAKWJPBJAGKN-UHFFFAOYSA-N oxadiazole Chemical compound C1=CON=N1 WCPAKWJPBJAGKN-UHFFFAOYSA-N 0.000 description 1
- 150000004866 oxadiazoles Chemical class 0.000 description 1
- 235000006408 oxalic acid Nutrition 0.000 description 1
- KHPXUQMNIQBQEV-UHFFFAOYSA-N oxaloacetic acid Chemical compound OC(=O)CC(=O)C(O)=O KHPXUQMNIQBQEV-UHFFFAOYSA-N 0.000 description 1
- GHTWDWCFRFTBRB-UHFFFAOYSA-M oxazine-170 Chemical compound [O-]Cl(=O)(=O)=O.N1=C2C3=CC=CC=C3C(NCC)=CC2=[O+]C2=C1C=C(C)C(N(C)CC)=C2 GHTWDWCFRFTBRB-UHFFFAOYSA-M 0.000 description 1
- 150000004893 oxazines Chemical class 0.000 description 1
- 125000004287 oxazol-2-yl group Chemical group [H]C1=C([H])N=C(*)O1 0.000 description 1
- 125000004304 oxazol-5-yl group Chemical group O1C=NC=C1* 0.000 description 1
- AFDXODALSZRGIH-UHFFFAOYSA-N p-coumaric acid methyl ether Natural products COC1=CC=C(C=CC(O)=O)C=C1 AFDXODALSZRGIH-UHFFFAOYSA-N 0.000 description 1
- 125000001037 p-tolyl group Chemical group [H]C1=C([H])C(=C([H])C([H])=C1*)C([H])([H])[H] 0.000 description 1
- 125000001312 palmitoyl group Chemical group O=C([*])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- WLJNZVDCPSBLRP-UHFFFAOYSA-N pamoic acid Chemical compound C1=CC=C2C(CC=3C4=CC=CC=C4C=C(C=3O)C(=O)O)=C(O)C(C(O)=O)=CC2=C1 WLJNZVDCPSBLRP-UHFFFAOYSA-N 0.000 description 1
- 201000002528 pancreatic cancer Diseases 0.000 description 1
- 208000008443 pancreatic carcinoma Diseases 0.000 description 1
- 238000007911 parenteral administration Methods 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 239000013610 patient sample Substances 0.000 description 1
- JZRYQZJSTWVBBD-UHFFFAOYSA-N pentaporphyrin i Chemical compound N1C(C=C2NC(=CC3=NC(=C4)C=C3)C=C2)=CC=C1C=C1C=CC4=N1 JZRYQZJSTWVBBD-UHFFFAOYSA-N 0.000 description 1
- 125000004115 pentoxy group Chemical group [*]OC([H])([H])C([H])([H])C([H])([H])C(C([H])([H])[H])([H])[H] 0.000 description 1
- 235000019477 peppermint oil Nutrition 0.000 description 1
- 229940066842 petrolatum Drugs 0.000 description 1
- 235000019271 petrolatum Nutrition 0.000 description 1
- 239000008177 pharmaceutical agent Substances 0.000 description 1
- 229940124531 pharmaceutical excipient Drugs 0.000 description 1
- 239000002953 phosphate buffered saline Substances 0.000 description 1
- 150000008105 phosphatidylcholines Chemical class 0.000 description 1
- 235000011007 phosphoric acid Nutrition 0.000 description 1
- IEQIEDJGQAUEQZ-UHFFFAOYSA-N phthalocyanine Chemical compound N1C(N=C2C3=CC=CC=C3C(N=C3C4=CC=CC=C4C(=N4)N3)=N2)=C(C=CC=C2)C2=C1N=C1C2=CC=CC=C2C4=N1 IEQIEDJGQAUEQZ-UHFFFAOYSA-N 0.000 description 1
- 125000004482 piperidin-4-yl group Chemical group N1CCC(CC1)* 0.000 description 1
- 210000002381 plasma Anatomy 0.000 description 1
- 229910052697 platinum Inorganic materials 0.000 description 1
- 210000004910 pleural fluid Anatomy 0.000 description 1
- 239000005015 poly(hydroxybutyrate) Substances 0.000 description 1
- 229920000747 poly(lactic acid) Polymers 0.000 description 1
- 229920001515 polyalkylene glycol Polymers 0.000 description 1
- 229920001610 polycaprolactone Polymers 0.000 description 1
- 229920002721 polycyanoacrylate Polymers 0.000 description 1
- 229920000728 polyester Polymers 0.000 description 1
- 229920000573 polyethylene Polymers 0.000 description 1
- 239000004626 polylactic acid Substances 0.000 description 1
- 229920000656 polylysine Polymers 0.000 description 1
- 229920006324 polyoxymethylene Polymers 0.000 description 1
- 229920001451 polypropylene glycol Polymers 0.000 description 1
- 159000000001 potassium salts Chemical class 0.000 description 1
- 239000000843 powder Substances 0.000 description 1
- 238000004237 preparative chromatography Methods 0.000 description 1
- 229960000286 proflavine Drugs 0.000 description 1
- 230000002062 proliferating effect Effects 0.000 description 1
- BDERNNFJNOPAEC-UHFFFAOYSA-N propan-1-ol Chemical compound CCCO BDERNNFJNOPAEC-UHFFFAOYSA-N 0.000 description 1
- 125000004368 propenyl group Chemical group C(=CC)* 0.000 description 1
- 235000019260 propionic acid Nutrition 0.000 description 1
- 239000004405 propyl p-hydroxybenzoate Substances 0.000 description 1
- 235000010232 propyl p-hydroxybenzoate Nutrition 0.000 description 1
- 235000013772 propylene glycol Nutrition 0.000 description 1
- 229960003415 propylparaben Drugs 0.000 description 1
- 125000002568 propynyl group Chemical group [*]C#CC([H])([H])[H] 0.000 description 1
- 235000018102 proteins Nutrition 0.000 description 1
- 102000004169 proteins and genes Human genes 0.000 description 1
- 125000004353 pyrazol-1-yl group Chemical group [H]C1=NN(*)C([H])=C1[H] 0.000 description 1
- 150000003220 pyrenes Chemical class 0.000 description 1
- 125000004940 pyridazin-4-yl group Chemical group N1=NC=C(C=C1)* 0.000 description 1
- UMJSCPRVCHMLSP-UHFFFAOYSA-N pyridine Natural products COC1=CC=CN=C1 UMJSCPRVCHMLSP-UHFFFAOYSA-N 0.000 description 1
- 125000004528 pyrimidin-5-yl group Chemical group N1=CN=CC(=C1)* 0.000 description 1
- 229940107700 pyruvic acid Drugs 0.000 description 1
- 238000007859 qualitative PCR Methods 0.000 description 1
- 238000011002 quantification Methods 0.000 description 1
- JWVCLYRUEFBMGU-UHFFFAOYSA-N quinazoline Chemical compound N1=CN=CC2=CC=CC=C21 JWVCLYRUEFBMGU-UHFFFAOYSA-N 0.000 description 1
- IUVKMZGDUIUOCP-BTNSXGMBSA-N quinbolone Chemical compound O([C@H]1CC[C@H]2[C@H]3[C@@H]([C@]4(C=CC(=O)C=C4CC3)C)CC[C@@]21C)C1=CCCC1 IUVKMZGDUIUOCP-BTNSXGMBSA-N 0.000 description 1
- 239000011541 reaction mixture Substances 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000008929 regeneration Effects 0.000 description 1
- 238000011069 regeneration method Methods 0.000 description 1
- PYWVYCXTNDRMGF-UHFFFAOYSA-N rhodamine B Chemical compound [Cl-].C=12C=CC(=[N+](CC)CC)C=C2OC2=CC(N(CC)CC)=CC=C2C=1C1=CC=CC=C1C(O)=O PYWVYCXTNDRMGF-UHFFFAOYSA-N 0.000 description 1
- CVHZOJJKTDOEJC-UHFFFAOYSA-N saccharin Chemical compound C1=CC=C2C(=O)NS(=O)(=O)C2=C1 CVHZOJJKTDOEJC-UHFFFAOYSA-N 0.000 description 1
- 235000019204 saccharin Nutrition 0.000 description 1
- 229940081974 saccharin Drugs 0.000 description 1
- 239000000901 saccharin and its Na,K and Ca salt Substances 0.000 description 1
- 210000003296 saliva Anatomy 0.000 description 1
- 238000013341 scale-up Methods 0.000 description 1
- 238000012216 screening Methods 0.000 description 1
- 230000009919 sequestration Effects 0.000 description 1
- 210000002966 serum Anatomy 0.000 description 1
- 239000004208 shellac Substances 0.000 description 1
- 229940113147 shellac Drugs 0.000 description 1
- ZLGIYFNHBLSMPS-ATJNOEHPSA-N shellac Chemical compound OCCCCCC(O)C(O)CCCCCCCC(O)=O.C1C23[C@H](C(O)=O)CCC2[C@](C)(CO)[C@@H]1C(C(O)=O)=C[C@@H]3O ZLGIYFNHBLSMPS-ATJNOEHPSA-N 0.000 description 1
- 235000013874 shellac Nutrition 0.000 description 1
- 230000019491 signal transduction Effects 0.000 description 1
- 229920002545 silicone oil Polymers 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 235000015424 sodium Nutrition 0.000 description 1
- 229940083542 sodium Drugs 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- 239000001632 sodium acetate Substances 0.000 description 1
- 235000017281 sodium acetate Nutrition 0.000 description 1
- 229960003885 sodium benzoate Drugs 0.000 description 1
- 229940001607 sodium bisulfite Drugs 0.000 description 1
- 235000010267 sodium hydrogen sulphite Nutrition 0.000 description 1
- RYYKJJJTJZKILX-UHFFFAOYSA-M sodium octadecanoate Chemical compound [Na+].CCCCCCCCCCCCCCCCCC([O-])=O RYYKJJJTJZKILX-UHFFFAOYSA-M 0.000 description 1
- 241000894007 species Species 0.000 description 1
- 210000003802 sputum Anatomy 0.000 description 1
- 208000024794 sputum Diseases 0.000 description 1
- 229940032094 squalane Drugs 0.000 description 1
- 239000003381 stabilizer Substances 0.000 description 1
- 238000010561 standard procedure Methods 0.000 description 1
- 238000007619 statistical method Methods 0.000 description 1
- 201000011549 stomach cancer Diseases 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 238000010254 subcutaneous injection Methods 0.000 description 1
- 239000000758 substrate Substances 0.000 description 1
- 229950000244 sulfanilic acid Drugs 0.000 description 1
- 239000002600 sunflower oil Substances 0.000 description 1
- 239000004094 surface-active agent Substances 0.000 description 1
- 230000004083 survival effect Effects 0.000 description 1
- 238000003786 synthesis reaction Methods 0.000 description 1
- 239000000454 talc Substances 0.000 description 1
- 229910052623 talc Inorganic materials 0.000 description 1
- 238000002626 targeted therapy Methods 0.000 description 1
- 239000011975 tartaric acid Substances 0.000 description 1
- 235000002906 tartaric acid Nutrition 0.000 description 1
- 229960001367 tartaric acid Drugs 0.000 description 1
- 238000012956 testing procedure Methods 0.000 description 1
- 150000003536 tetrazoles Chemical class 0.000 description 1
- 125000004496 thiazol-5-yl group Chemical group S1C=NC=C1* 0.000 description 1
- 239000002562 thickening agent Substances 0.000 description 1
- 125000004568 thiomorpholinyl group Chemical group 0.000 description 1
- 229930192474 thiophene Natural products 0.000 description 1
- 201000002510 thyroid cancer Diseases 0.000 description 1
- 229960000984 tocofersolan Drugs 0.000 description 1
- AOBORMOPSGHCAX-DGHZZKTQSA-N tocofersolan Chemical compound OCCOC(=O)CCC(=O)OC1=C(C)C(C)=C2O[C@](CCC[C@H](C)CCC[C@H](C)CCCC(C)C)(C)CCC2=C1C AOBORMOPSGHCAX-DGHZZKTQSA-N 0.000 description 1
- 230000000699 topical effect Effects 0.000 description 1
- 235000010487 tragacanth Nutrition 0.000 description 1
- 239000000196 tragacanth Substances 0.000 description 1
- 229940116362 tragacanth Drugs 0.000 description 1
- WBYWAXJHAXSJNI-VOTSOKGWSA-N trans-cinnamic acid Chemical compound OC(=O)\C=C\C1=CC=CC=C1 WBYWAXJHAXSJNI-VOTSOKGWSA-N 0.000 description 1
- 230000005026 transcription initiation Effects 0.000 description 1
- 230000005030 transcription termination Effects 0.000 description 1
- 230000009466 transformation Effects 0.000 description 1
- 206010044412 transitional cell carcinoma Diseases 0.000 description 1
- 230000014621 translational initiation Effects 0.000 description 1
- 230000005945 translocation Effects 0.000 description 1
- 150000003626 triacylglycerols Chemical class 0.000 description 1
- 125000004950 trifluoroalkyl group Chemical group 0.000 description 1
- 125000000876 trifluoromethoxy group Chemical group FC(F)(F)O* 0.000 description 1
- 208000029729 tumor suppressor gene on chromosome 11 Diseases 0.000 description 1
- 230000003827 upregulation Effects 0.000 description 1
- 201000005112 urinary bladder cancer Diseases 0.000 description 1
- 230000002485 urinary effect Effects 0.000 description 1
- 210000002700 urine Anatomy 0.000 description 1
- 235000013311 vegetables Nutrition 0.000 description 1
- 235000019165 vitamin E Nutrition 0.000 description 1
- 229940046009 vitamin E Drugs 0.000 description 1
- 239000011709 vitamin E Substances 0.000 description 1
- 230000008673 vomiting Effects 0.000 description 1
- 239000001993 wax Substances 0.000 description 1
- 150000003732 xanthenes Chemical class 0.000 description 1
- 239000005019 zein Substances 0.000 description 1
- 229940093612 zein Drugs 0.000 description 1
- UHVMMEOXYDMDKI-JKYCWFKZSA-L zinc;1-(5-cyanopyridin-2-yl)-3-[(1s,2s)-2-(6-fluoro-2-hydroxy-3-propanoylphenyl)cyclopropyl]urea;diacetate Chemical compound [Zn+2].CC([O-])=O.CC([O-])=O.CCC(=O)C1=CC=C(F)C([C@H]2[C@H](C2)NC(=O)NC=2N=CC(=CC=2)C#N)=C1O UHVMMEOXYDMDKI-JKYCWFKZSA-L 0.000 description 1
- 239000002076 α-tocopherol Substances 0.000 description 1
- 235000004835 α-tocopherol Nutrition 0.000 description 1
- 229930195724 β-lactose Natural products 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
- C12Q1/00—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
- C12Q1/68—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving nucleic acids
- C12Q1/6876—Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes
- C12Q1/6883—Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes for diseases caused by alterations of genetic material
- C12Q1/6886—Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes for diseases caused by alterations of genetic material for cancer
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
- A61K31/52—Purines, e.g. adenine
- A61K31/522—Purines, e.g. adenine having oxo groups directly attached to the heterocyclic ring, e.g. hypoxanthine, guanine, acyclovir
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
-
- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
- C12Q2600/00—Oligonucleotides characterized by their use
- C12Q2600/106—Pharmacogenomics, i.e. genetic variability in individual responses to drugs and drug metabolism
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- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
- C12Q2600/00—Oligonucleotides characterized by their use
- C12Q2600/156—Polymorphic or mutational markers
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- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
- C12Q2600/00—Oligonucleotides characterized by their use
- C12Q2600/16—Primer sets for multiplex assays
Landscapes
- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Organic Chemistry (AREA)
- Proteomics, Peptides & Aminoacids (AREA)
- Pharmacology & Pharmacy (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Medicinal Chemistry (AREA)
- Immunology (AREA)
- Analytical Chemistry (AREA)
- Pathology (AREA)
- Engineering & Computer Science (AREA)
- Genetics & Genomics (AREA)
- Epidemiology (AREA)
- Wood Science & Technology (AREA)
- Zoology (AREA)
- Microbiology (AREA)
- Biotechnology (AREA)
- General Engineering & Computer Science (AREA)
- Biochemistry (AREA)
- Oncology (AREA)
- Hospice & Palliative Care (AREA)
- Molecular Biology (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Biophysics (AREA)
- Physics & Mathematics (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Measuring Or Testing Involving Enzymes Or Micro-Organisms (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Nitrogen Condensed Heterocyclic Rings (AREA)
Description
本出願は、2016年12月21日出願のシンガポール仮出願第10201610735P号及び2017年5月19日出願のシンガポール仮出願第10201704134V号の優先権の利益を主張し、両出願の内容は、すべての目的でその全体が参照により本明細書に組み込まれる。
R1、R2、R3、R4及びR5は各々独立して、H又はアルキル基であってもよく;
Dは、H、ハロゲン、アルキル、シクロアルキル、アリール及びジアルキルアミノからなる群から選択してもよく、各々(H及びハロゲン以外)は、任意選択で置換され;
Arは、各々任意選択で置換されているアリール又はヘテロアリール基であってもよく;
Cyは、少なくとも1つのヘテロ原子を含有するアリール、ヘテロアリール又は飽和環であってもよく、各々は、任意選択で置換され;
nは、1~3の整数であってもよい}
を有するWnt阻害剤を提供する。
R1は、アルキルを表し得る;
各R2は独立して、H;アルキル;任意選択で、C1~6アルキル、C1~6アルコキシ、C1~6ハロアルコキシ及びハロから各々独立して選択される1つ若しくは複数の置換基によって置換されていてもよいカルボシクリル;-NHアルキル;-N(アルキル)2;アミノ;ヒドロキシル;アルコキシ;又はハロを表し得る;
nは、0、1又は2を表し得る;
R4は、H又はアルキルを表し得る;
R5は、H又はアルキルを表し得る;
W及びXは各々独立して、C=O又はC=Sを表し得る(一部の例においては、W及びXは、両方ともC=Oである);
Yは、アリール;ヘテロアリール;任意選択で、C1~6アルキル、C1~6アルコキシ、C1~6ハロアルキル、C1~6ハロアルコキシ及びハロから各々独立して選択される1つ若しくは複数の置換基によって置換されているカルボシクリル;又は任意選択で、C1~6アルキル、-C(O)OC1~6アルキル、-C(O)C1~6アルキル及び-C(O)NHC1~6アルキルから各々独立して選択される1つ若しくは複数の置換基によって置換されているヘテロシクリルを表し得る;
Zは、アルキル;アリール;ヘテロアリール;任意選択で、C1~6アルキル、C1~6アルコキシ、C1~6ハロアルコキシ(例えばフルオロメトキシ)、C1~6ハロアルコキシ及びハロから各々独立して選択される1つ若しくは複数の置換基によって置換されているカルボシクリル;任意選択で、C1~6アルキル、-C(O)OC1~6アルキル、-C(O)C1~6アルキル及び-C(O)NHC1~6アルキルから各々独立して選択される1つ若しくは複数の置換基によって置換されているヘテロシクリル;カルボシクリルが、任意選択で、C1~6アルキル、C1~6アルコキシ、C1~6ハロアルコキシ及びハロから各々独立して選択される1つ若しくは複数の置換基によって置換されている-アリールカルボシクリル;又はヘテロシクリルが、任意選択で、C1~6アルキル、-C(O)OC1~6アルキル、-C(O)C1~6アルキル及び-C(O)NHC1~6アルキルから各々独立して選択される1つ若しくは複数の置換基によって置換されている-アリールヘテロシクリルを表し得る。
単一化PTPRK(e1)+RSPO3(e2)融合物陽性コントロール検証のためのPCRプロトコル
SuperScript III Platinum一段階定量的RT-PCRシステム(100反応用のカタログ番号11732-020、500反応用のカタログ番号11732-088、Invitrogen社)
PCR反応用のマスターミックスは、Table 1(表2)に記載したように調製される(反応量=25μl)。
単一化PTPRK(e1/e2)野生型陽性プラスミドコントロール検証のためのPCRプロトコル及びヒト全RNA中におけるPTPRK(e1/e2)野生型の単一化検出
PCR反応用のマスターミックスは、Table 4(表5)に記載したように調製される(反応量=25μl)。
単一化RSPO3(e1/e2)野生型陽性プラスミドコントロール検証のためのPCRプロトコル及びヒト全RNA中におけるRSPO3(e1/e2)野生型の単一化検出
PCR反応用のマスターミックスは、Table 6(表7)に記載したように調製される(反応量=25μl)。
多重化PTPRK(e1)+RSPO3(e2)融合物陽性コントロール検証のためのPCRプロトコル及び単一化プロトコルとの比較
PCR反応用のマスターミックスは、Table 8(表9)に記載したように調製される(反応量=25μl)。
多重化PTPRK(e1/e2)野生型陽性プラスミドコントロール検証のためのPCRプロトコル及び単一化プロトコルとの比較
PCR反応用のマスターミックスは、Table 10(表11)に記載したように調製される(反応量=25μl)。
多重化RSPO3(e1/e2)野生型陽性プラスミドコントロール検証のためのPCRプロトコル及び単一化プロトコルとの比較
PCR反応用のマスターミックスは、Table 12(表13)に記載したように調製される(反応量=25μl)。
ヒト全RNA中のPTPRK(e1)+RSPO3(e2)融合物、PTPRK(e1/e2)野生型及びRSPO3(e1/e2)野生型の多重化検出のためのPCRプロトコル並びに単一化プロトコルとの比較
PCR反応用のマスターミックスは、Table 14(表15)に記載したように調製される(反応量=25μl)。
CR3150腫瘍RNA中のPTPRK(e1)+RSPO3(e2)融合物、PTPRK(e1/e2)野生型及びRSPO3(e1/e2)野生型の多重化検出のためのPCRプロトコル並びに単一化プロトコルとの比較
PCR反応用のマスターミックスは、Table 16(表17)に記載したように調製される(反応量=25μl)。
多重化PTPRK(e7)+RSPO3(e2)融合物陽性コントロール検証のためのPCRプロトコル及び単一化プロトコルとの比較
PCR反応用のマスターミックスは、Table 18(表19)に記載したように調製される(反応量=25μl)。
多重化PTPRK(e7/e8)野生型陽性プラスミドコントロール検証のためのPCRプロトコル及び単一化プロトコルとの比較
PCR反応用のマスターミックスは、Table 20(表21)に記載したように調製される(反応量=25μl)。
多重化RSPO3(e1/e2)野生型陽性プラスミドコントロール検証のためのPCRプロトコル及び単一化プロトコルとの比較
PCR反応用のマスターミックスは、Table 22(表23)に記載したように調製される(反応量=25μl)。
ヒト全RNA中のPTPRK(e7)+RSPO3(e2)融合物、PTPRK(e7/e8)野生型及びRSPO3(e1/e2)野生型の多重化検出のためのPCRプロトコル並びに単一化プロトコルとの比較
PCR反応用のマスターミックスは、Table 24(表25)に記載したように調製される(反応量=25μl)。
多重化PTPRK(e13)+RSPO3(e2)融合物陽性コントロール検証のためのPCRプロトコル及び単一化プロトコルとの比較
PCR反応用のマスターミックスは、Table 26(表27)に記載したように調製される(反応量=25μl)。
多重化PTPRK(e12-e14)野生型陽性プラスミドコントロール検証のためのPCRプロトコル及び単一化プロトコルとの比較
PCR反応用のマスターミックスは、Table 28(表29)に記載したように調製される(反応量=25μl)。
ヒト全RNA中のPTPRK(e13)+RSPO3(e2)融合物及びPTPRK(e12-e14)野生型の多重化検出のためのPCRプロトコル並びに単一化プロトコルとの比較
PCR反応用のマスターミックスは、Table 30(表31)に記載したように調製される(反応量=25μl)。
CR2506腫瘍RNA中のPTPRK(e13)+RSPO3(e2)融合物及びPTPRK(e12-e14)野生型の多重化検出のためのPCRプロトコル並びに単一化プロトコルとの比較
PCR反応用のマスターミックスは、Table 32(表33)に記載したように調製される(反応量=25μl)。
単一化EIF3E(e1)+RSPO2(e2)融合物陽性コントロール検証のためのPCRプロトコル
PCR反応用のマスターミックスは、Table 34(表35)に記載したように調製される(反応量=25μl)。
単一化EIF3E(e1/e2)野生型陽性プラスミドコントロール検証のためのPCRプロトコル
PCR反応用のマスターミックスは、Table 36(表37)に記載したように調製される(反応量=25μl)。
単一化RSPO2(e1/e2)野生型陽性プラスミドコントロール検証のためのPCRプロトコル
PCR反応用のマスターミックスは、Table 38(表39)に記載したように調製される(反応量=25μl)。
ヒト全RNA中のEIF3E(e1)+RSPO2(e2)融合物、EIF3E(e1/e2)野生型及びRSPO2(e1/e2)野生型の多重化検出のためのPCRプロトコル
PCR反応用のマスターミックスは、Table 40(表41)に記載したように調製される(反応量=25μl)。
操作コントロール許容基準
FAM、TxRd及びCy5反応において、各NTC反応が増幅無し(すなわち、Ct>42)を示すことを確実にする(増幅があれば汚染を意味する)。任意のNTCアッセイがFAM、TxRd及び/又はCy5チャネルにおいて増幅を示す場合、すなわち、Ct値が42未満か、42と等しい場合、実施例25に進む。
この反応は融合物/WTアッセイ反応より劣っていることがあるので、PCウェルのIC(HEX)増幅は評価しないものとする。各NTC反応が範囲内であるHEXチャネル(IC)のCt値を示すことを確実にする。任意のNTC反応が許容範囲外のHEX値を有する場合、操作は操作コントロール許容基準を満たさず、操作者は実施例25に進めなければならない。操作コントロールがすべて許容範囲内の場合、実施例26に進む。
操作コントロール再試験基準
操作コントロールが実施例24で規定した基準を満たさなかった場合、使用者は以下に記載したように進めなければならない。再試験の詳細を実行し、必要ならば、調査及び判断理由の詳細を試験報告書に付録として添えるものとする。必要ならば、偏差を記録する。
FAM、TxRd及びCy5Ct値が任意の反応の規定から外れる場合、全操作は無効で、反復しなければならない。無効な操作を記録し、失敗が体系的と思われる場合(偶発的な場合とは対照的に)、失敗の原因を調査して記録する。調査はまた、研究は反復すべきか、又は問題が露見した点から継続することができるかも考慮する。
任意のNTC反応で、増幅がFAM、TxRd及び/又はCy5チャネルでCt42の前に(又はCt42で)検出される場合、全操作は無効と考えられる。無効な操作を記録し、失敗が体系的と思われる場合(偶発的な場合とは対照的に)、失敗の原因を調査して記録する。調査はまた、研究は反復すべきか、又は問題が露見した点から継続することができるかも考慮する。
NTCにおいてIC(HEX)Ct値が規定を外れている場合、反応は無効である。この反応によるデータは使用することができず、全操作は無効と考えられる。無効な操作を記録し、失敗が体系的と思われる場合(偶発的な場合とは対照的に)、失敗の原因を調査して記録する。調査はまた、研究は反復すべきか、又は問題が露見した点から継続することができるかも考慮する。
試料許容基準
試料を含有する反応が有効であることを確認するために、以下に記載したように調べるべきである。
各試料のPTPRK WT反応TxRd Ct値が範囲内であることを確認し、アッセイに過剰に添加されておらず、使用されたDNAが不十分ではないことを検証する。Ct値が範囲内である場合、試料PTPRK WT反応許容基準は満たされており、試料融合反応は評価することができる。操作者は以下の項目「試料:融合アッセイ許容基準」に進むべきである。Ct値が許容範囲を外れる場合、その試料を使用する反応はすべて無効であり、データは使用することはできない。操作者は実施例27の再試験基準に進むべきである。
FAM/TxRd/Cy5反応における陽性増幅の反応について(すなわち、Ct≦42)、FAM/TxRd/Cy5反応よりも劣っている可能性があるので、IC HEX Ctは必ずしも規定範囲内ではない。FAM、TxRd及びCy5増幅がない場合、HEX Ct値は規定範囲内にあるはずであり、そうでなければ反応は失敗と考えられ、以下の実施例27で記載した再試験基準の対象となる。
試料再試験基準
試料:PTPRK WT反応再試験基準
試料が実施例26で規定した基準を満たさなかった場合、使用者は以下に記載したように進めるべきである。再試験の詳細を実施し、必要ならば、調査及び判断理由の詳細を試験報告書に付録として添えるものとする。必要ならば、偏差を記録する。無効な試料はもう1回再試験してもよい。同じTxRd Ctが規定を外れたままの場合、試料は元の希釈していない100%融合物標準を使用して再度製造され、再試験しなければならない。反復操作が異なる理由、例えば、NTC汚染のために失敗した場合、その失敗は本来の失敗理由のために実施され得る反復の数に加算しないものとする。
試料が実施例26で規定した基準を満たさなかった場合、使用者は以下に記載したように進めるべきである。再試験の詳細を実施し、必要ならば、調査及び判断理由の詳細を試験報告書に付録として添えるものとする。必要ならば、偏差を記録する。無効な試料はもう1回再試験してもよい。同じCy5及びTxRd Ct値が規定を外れたままの場合、試料は元の希釈していない100%融合物標準を使用して再度製造され、再試験しなければならない。反復操作が異なる理由、例えば、NTC汚染のために失敗した場合、その失敗は本来の失敗理由のために実施され得る反復の数に加算しないものとする。
試料が実施例26で規定した基準を満たさなかった場合、使用者は以下に記載したように進めるべきである。再試験の詳細を実施し、必要ならば、調査及び判断理由の詳細を試験報告書に付録として添えるものとする。必要ならば、偏差を記録する。無効な試料はもう1回再試験してもよい。同じFAM Ct値が規定を外れたままの場合、試料は元の希釈していない100%融合物標準を使用して再度製造され、再試験しなければならない。反復操作が異なる理由、例えば、NTC汚染のために失敗した場合、その失敗は本来の失敗理由のために実施され得る反復の数に加算しないものとする。
試料が実施例26で規定した基準を満たさなかった場合、使用者は以下に記載したように進めるべきである。再試験の詳細を実施し、必要ならば、調査及び判断理由の詳細を試験報告書に付録として添えるものとする。必要ならば、偏差を記録する。FAM、TxRd及びCy5増幅がなく(すなわち、Ct>42)、IC(HEX)Ct値が範囲外の場合、これらの反応は失敗で、これらの反応のデータは使用することができない。無効な試料はもう1回再試験してもよい。IC (HEX) Ctが規定を外れたままの場合、試料は元の希釈していない100%変異標準を使用して再度製造し、再試験しなければならない。反復操作が異なる理由、例えば、PC失敗のために失敗した場合、その失敗は本来の失敗理由のために実施され得る反復の数に加算しないものとする。
試料融合物状態の割当
操作が一旦許容基準を満たしたら、試料融合物状態は以下に記載したように定義される。
全融合反応について、以下の式を用いてΔCt値を算出する。
ΔCt=Ct融合反応-CtPTPRK WT反応
Claims (26)
- 配列番号6の配列を有するフォワードプライマー、及び配列番号7の配列を有するリバースプライマーを含む、PTPRK(e13)-RSPO3(e2) R-スポンジン遺伝子融合物を増幅することができるプライマー対、
配列番号54もしくは配列番号53の配列を有するプローブ、
野生型PTPRK及び/若しくは野生型RSPO3配列を増幅することができるコントロールプライマー対、並びに/又は
合成オリゴヌクレオチド内部コントロール鋳型配列、及び合成内部コントロール鋳型配列を増幅することができる内部コントロールプライマー対
を含む、Wntシグナリング経路の阻害剤による治療に感受性の悪性腫瘍を患う対象を特定するための多重化増幅反応キット。 - 1つ若しくは複数のR-スポンジン遺伝子融合物を増幅することができるプライマー対であって、R-スポンジン遺伝子融合物が、PTPRK(e1)-RSPO3(e2)融合物、PTPRK(e7)-RSPO3(e2)融合物若しくはEIF3E(e1)-RSPO2(e2)融合物である、プライマー対、
野生型PTPRK、野生型EIF3E、野生型RSPO2及び/若しくは野生型RSPO3配列を増幅することができるコントロールプライマー対、並びに/又は
合成オリゴヌクレオチド内部コントロール鋳型配列、及び1つ若しくは複数の合成内部コントロール鋳型配列を増幅することができる内部コントロールプライマー対
を含む1つ又は複数の追加の多重化増幅反応
を更に含む、請求項1に記載のキット。 - リアルタイム定量ポリメラーゼ連鎖反応を実行するための試薬を更に含む、請求項1に記載のキット。
- Wnt阻害剤が、構造(I):
R1、R2、R3、R4及びR5は各々独立して、H又はアルキル基であり;
Dは、H、ハロゲン、アルキル、シクロアルキル、アリール及びジアルキルアミノからなる群から選択され、各々(H及びハロゲン以外)は、任意選択で置換され;
Arは、任意選択で置換されているアリール又はヘテロアリール基であり;
Cyは、少なくとも1つのヘテロ原子を含有するアリール、ヘテロアリール又は飽和環であり、各々は、任意選択で置換され;
nは、1~3の整数であり、
n=1である場合、R3及びR4のうちの1つはメチルであり、他方はHであり、化合物の立体化学は、部分構造(II):
を有する、請求項1に記載のキット。 - Wnt阻害剤が、構造(III):
R1は、H;任意選択で置換されているアルキル(任意選択の置換基は、C1-6アルコキシ、NH2、-NHC1-3アルキル及び-N(C1-3アルキル)2から各々独立して選択される1つ又は複数の置換基を含む);-C(O)Oアルキル;ハロアルキル;ハロアルコキシ;又は-アルキルアリールを表し;
各R2は独立して、H;任意選択で置換されているアルキル(任意選択の置換基は、C1-6アルコキシ、NH2、-NHC1-3アルキル及び-N(C1-3アルキル)2から各々独立して選択される1つ又は複数の置換基を含む);-アルキルアリール;任意選択で置換されているカルボシクリル(任意選択の置換基は、C1-6アルキル、C1-6アルコキシ、C1-6ハロアルキル、C1-6ハロアルコキシ及びハロから各々独立して選択される1つ又は複数の置換基を含む);任意選択で置換されているヘテロシクリル(任意選択の置換基は、C1-6アルキル、C1-6アルコキシ、-C(O)OC1-6アルキル、-C(O)C1-6アルキル及び-C(O)NHC1-6アルキルから各々独立して選択される1つ又は複数の置換基を含む);-NHアルキル;-N(アルキル)2;アミノ;ヒドロキシル;アルコキシ又はハロを表し;
nは、0、1又は2を表し;
R3は、H又はアルキルを表し;
R4は、H又はアルキルを表し;
R5は、H又はアルキルを表し;
W及びXは各々独立して、C=O;C=S;又はCH2を表し;
Yは、アリール;ヘテロアリール;任意選択で置換されているカルボシクリル(任意選択の置換基は、C1-6アルキル、C1-6アルコキシ、C1-6ハロアルキル、C1-6ハロアルコキシ及びハロから各々独立して選択される1つ又は複数の置換基を含む);又は任意選択で置換されているヘテロシクリル(任意選択の置換基は、C1-6アルキル、C1-6アルコキシ、-C(O)OC1-6アルキル、-C(O)C1-6アルキル及び-C(O)NHC1-6アルキルから各々独立して選択される1つ又は複数の置換基を含む)を表し;
Zは、任意選択で置換されているアルキル(任意選択の置換基は、C1-6アルコキシ、NH2、-NHC1-3アルキル及び-N(C1-3アルキル)2から各々独立して選択される1つ又は複数の置換基を含む);アリール;ヘテロアリール;-アルキルアリール;-アルキルヘテロアリール;任意選択で置換されているカルボシクリル(任意選択の置換基は、C1-6アルキル、C1-6アルコキシ、C1-6ハロアルキル、C1-6ハロアルコキシ及びハロから各々独立して選択される1つ又は複数の置換基を含む);任意選択で置換されているヘテロシクリル(任意選択の置換基は、C1-6アルキル、C1-6アルコキシ、-C(O)OC1-6アルキル、-C(O)C1-6アルキル及び-C(O)NHC1-6アルキルから各々独立して選択される1つ又は複数の置換基を含む);カルボシクリルが任意選択で置換されている-アルキルカルボシクリル(任意選択の置換基は、C1-6アルキル、C1-6アルコキシ、C1-6ハロアルコキシ及びハロから各々独立して選択される1つ又は複数の置換基を含む);ヘテロシクリルが任意選択で置換されている-アルキルヘテロシクリル(任意選択の置換基は、C1-6アルキル、-C(O)OC1-6アルキル、-C(O)C1-6アルキル及び-C(O)NHC1-6アルキルから各々独立して選択される1つ又は複数の置換基を含む);カルボシクリルが任意選択で置換されている-アリールカルボシクリル(任意選択の置換基は、C1-6アルキル、C1-6アルコキシ、C1-6ハロアルコキシ及びハロから各々独立して選択される1つ又は複数の置換基を含む);又はヘテロシクリルが任意選択で置換されている-アリールヘテロシクリル(任意選択の置換基は、C1-6アルキル、-C(O)OC1-6アルキル、-C(O)C1-6アルキル及び-C(O)NHC1-6アルキルから各々独立して選択される1つ又は複数の置換基を含む)を表す}
を有する、請求項1に記載のキット。 - Wntシグナリング経路の阻害剤が、porcupine阻害剤である、請求項1に記載のキット。
- porcupine阻害剤が、
2-(1,3-ジメチル-2,6-ジオキソ-1,2,3,6-テトラヒドロ-7H-プリン-7-イル)-N-(6-フェニルピリダジン-3-イル)アセトアミド、2-(1,3-ジメチル-2,6-ジオキソ-2,3-ジヒドロ-1H-プリン-7(6H)-イル)-N-(6-フェニルピリダジン-3-イル)アセトアミド、若しくは構造(IV):
4-(2-メチル-6,7-ジヒドロピラゾロール[1,5-a]ピリミジン-4(5H)-イル)-4-オキソ-N-(6-(ピリジン-3-イル)ピラジジン-3-イル)ブタンアミド、若しくは構造(V):
である、請求項6に記載のキット。 - 悪性腫瘍が、上昇したWnt活性レベルによって特徴付けられる、請求項1に記載のキット。
- 上昇したWnt活性レベルが、転写において、又は転写後において上昇している、請求項8に記載のキット。
- 悪性腫瘍が、固形悪性腫瘍である、請求項1に記載のキット。
- 悪性腫瘍が、食道、胆嚢、肝臓、膵臓、胃、小腸、大腸、結腸、直腸又は肛門の消化器がんである、請求項1に記載のキット。
- 悪性腫瘍を患う対象においてPTPRK(e13)-RSPO3(e2) R-スポンジン遺伝子融合物を検出する方法であって、
対象からの試料から核酸を抽出する工程と、
1つ又は複数のプライマー対により核酸を増幅する工程であって、
プライマー対が、PTPRK(e13)-RSPO3(e2) R-スポンジン遺伝子融合物を増幅することができ、配列番号6の配列を有するフォワードプライマー、及び配列番号7の配列を有するリバースプライマーを含む、
工程と、
配列番号54もしくは配列番号53の配列を有するプローブにより、増幅したPTPRK(e13)-RSPO3(e2) R-スポンジン遺伝子融合物を検出する工程と
を含む方法。 - PTPRK(e1)-RSPO3(e2)融合物、PTPRK(e7)-RSPO3(e2)融合物及び/又はEIF3E(e1)-RSPO2(e2)融合物を増幅することができる1つ又は複数のプライマー対により核酸を増幅する工程を更に含む、請求項12に記載の方法。
- 試料が、ホルマリン固定パラフィン包埋(FFPE)固定腫瘍組織又は新鮮凍結腫瘍からの組織である、請求項12に記載の方法。
- 核酸が、RNAである、請求項12に記載の方法。
- 増幅工程が、リアルタイムPCR増幅反応を含む、請求項12に記載の方法。
- 悪性腫瘍が、食道、胆嚢、肝臓、膵臓、胃、小腸、大腸、結腸、直腸又は肛門の消化器がんである、請求項12に記載の方法。
- 1つ又は複数のR-スポンジン遺伝子融合物が検出された場合、Wntシグナリング経路の阻害剤により対象をさらに治療することになる、請求項12に記載の方法。
- Wntシグナリング経路の阻害剤が、porcupine阻害剤である、請求項18に記載の方法。
- porcupine阻害剤が、
2-(1,3-ジメチル-2,6-ジオキソ-1,2,3,6-テトラヒドロ-7H-プリン-7-イル)-N-(6-フェニルピリダジン-3-イル)アセトアミド、2-(1,3-ジメチル-2,6-ジオキソ-2,3-ジヒドロ-1H-プリン-7(6H)-イル)-N-(6-フェニルピリダジン-3-イル)アセトアミド、若しくは構造(IV):
4-(2-メチル-6,7-ジヒドロピラゾロール[1,5-a]ピリミジン-4(5H)-イル)-4-オキソ-N-(6-(ピリジン-3-イル)ピラジジン-3-イル)ブタンアミド、若しくは構造(V):
である、請求項19に記載の方法。 - 悪性腫瘍を患う対象においてWntシグナリングの阻害剤への感受性を特定する方法であって、
対象からの試料から核酸を抽出する工程と、
PTPRK(e13)-RSPO3(e2) R-スポンジン遺伝子融合物を増幅することができるプライマー対により核酸を増幅する工程であって、PTPRK(e13)-RSPO3(e2) R-スポンジン遺伝子融合物を増幅することができるプライマー対が、配列番号6の配列を有するフォワードプライマー、及び配列番号7の配列を有するリバースプライマーを含む工程と、
配列番号54もしくは配列番号53の配列を有するプローブにより、増幅したPTPRK(e13)-RSPO3(e2) R-スポンジン遺伝子融合物を検出する工程と、
PTPRK(e13)-RSPO3(e2) R-スポンジン遺伝子融合物が増幅された場合、Wntシグナリングの阻害剤への感受性を特定する工程と
を含む方法。 - PTPRK(e1)-RSPO3(e2)融合物、PTPRK(e7)-RSPO3(e2)融合物又はEIF3E(e1)-RSPO2(e2)融合物を増幅することができる1つ又は複数の追加のプライマー対により核酸を増幅する工程と、
PTPRK(e1)-RSPO3(e2)融合物、PTPRK(e7)-RSPO3(e2)融合物、PTPRK(e13)-RSPO3(e2)融合物又はEIF3E(e1)-RSPO2(e2)融合物が増幅された場合、Wntシグナリングの阻害剤への感受性を特定する工程と
を更に含む、請求項21に記載の方法。 - 悪性腫瘍が、請求項21に記載の方法に従って特定されている、悪性腫瘍を有する対象を治療するための医薬の製造におけるWntシグナリング経路の阻害剤の使用。
- Wntシグナリング経路の阻害剤が、Wnt-porcupine阻害剤である、請求項23に記載の使用。
- Wnt-porcupine阻害剤が、
2-(1,3-ジメチル-2,6-ジオキソ-1,2,3,6-テトラヒドロ-7H-プリン-7-イル)-N-(6-フェニルピリダジン-3-イル)アセトアミド、2-(1,3-ジメチル-2,6-ジオキソ-2,3-ジヒドロ-1H-プリン-7(6H)-イル)-N-(6-フェニルピリダジン-3-イル)アセトアミド、若しくは構造(IV):
4-(2-メチル-6,7-ジヒドロピラゾロール[1,5-a]ピリミジン-4(5H)-イル)-4-オキソ-N-(6-(ピリジン-3-イル)ピラジジン-3-イル)ブタンアミド、若しくは構造(V):
である、請求項24に記載の使用。 - 悪性腫瘍が、食道、胆嚢、肝臓、膵臓、胃、小腸、大腸、結腸、直腸又は肛門の消化器がんである、請求項21に記載の方法。
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