TWI496891B - Novel epigenetic biomarkers for bladder cancer detection and method thereof - Google Patents

Novel epigenetic biomarkers for bladder cancer detection and method thereof Download PDF

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TWI496891B
TWI496891B TW102136274A TW102136274A TWI496891B TW I496891 B TWI496891 B TW I496891B TW 102136274 A TW102136274 A TW 102136274A TW 102136274 A TW102136274 A TW 102136274A TW I496891 B TWI496891 B TW I496891B
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seq
primer pair
target gene
bladder cancer
methylation
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TW201514308A (en
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Wing Yan Chan
Pi Che Chen
Cheng Da Hsu
Chia Ming Yeh
Hung Cheng Lai
De Ching Chang
Cheng Huang Shen
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Nat Univ Chung Cheng
Ditmanson Medical Foundation Chia Yi Christian Hospital
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偵測膀胱癌之新穎表基因生物標記及其方法Novel epigenetic biomarker for detecting bladder cancer and method thereof

本發明係關於一種偵測膀胱癌之新穎表基因生物標記及其方法,特別是指一種以甲基化DNA作為生物標記的膀胱癌症篩檢的方法。The invention relates to a novel epigenetic biomarker for detecting bladder cancer and a method thereof, in particular to a method for screening bladder cancer with methylated DNA as a biomarker.

膀胱癌是世界第六大常見癌症,並在台灣西南部的發病率特別高。約90%的膀胱癌是泌尿道上皮癌(urothelial carcinoma,UC),又稱移行細胞癌(transitional cell carcinoma,TCC),另外約8%的膀胱癌是鱗狀細胞癌,約2%是腺癌。雖然膀胱癌患者的死亡率低,然而由於膀胱癌屬於高復發腫瘤性質,因此長期追蹤以及反覆的膀胱鏡檢查是必要的。對於詳細的膀胱檢查,檢測膀胱是否有異狀,須利用膀胱鏡直接經由患者的尿道,大多數患者須遭受這些侵入性的檢查。Bladder cancer is the sixth most common cancer in the world and has a particularly high incidence in southwestern Taiwan. About 90% of bladder cancers are urothelial carcinoma (UC), also known as transitional cell carcinoma (TCC). Another 8% of bladder cancers are squamous cell carcinomas, and about 2% are adenocarcinomas. . Although bladder cancer patients have a low mortality rate, long-term follow-up and repeated cystoscopy are necessary because bladder cancer is a highly recurrent tumor. For detailed bladder examinations, detecting bladder abnormalities must be performed directly through the patient's urethra using a cystoscope, and most patients are subject to these invasive tests.

基因的缺失(genomic deletions)被認為是腫瘤形成的重要因素,長久以來,我們都習慣了基因組中的編碼是仰賴ATCG四個鹼基排列的觀念,Knudson早在1975年即提出雙重受創理論(two-hit theory),指出一些同源腫瘤抑制基因伴隨的突變或缺失可能造成或易造成癌症的發生;然而,其他影響表現型(phenotype)的訊息可能存於被修飾過的鹼基5-甲基胞嘧啶(5-methylcytosine)中,5-甲基胞嘧啶被發現存在於哺乳類動物細胞內的迴文序列5’-CpG-3’中,在哺乳類動物細胞內除了一些被稱為“CpG島”(CpG islands,CGIs)的區域之外,大多數的CpG雙核苷酸對都被甲基化,CpG島是指在大約1000個鹼基對(1Kb)的區域內含有大量的GC-以及CpG-,通常位於基因的附近,且在廣泛表現的基因之啟動子附近被發現。胞嘧啶的甲基化發生在DNA合成後,自一甲基捐贈者s-腺核苷甲硫胺酸 (S-adenosylmethionine,SAM)將一甲基經酵素轉移到胞嘧啶第5個碳的位置上,該酵素反應係由DNA甲基轉移酶(DNA methyltransferase,DNMTs)執行,DNMT1是哺乳類動物主要的甲基轉移酶,係負責將半甲基化位置複製後修復(post-replicative restoration)為全甲基化,被稱為維持甲基化(maintenance methylation);反之,DNMT3A及DNMT3B則被認為主要負責甲基化新的位置,進行一種稱為重新甲基化(de novo methylation)的步驟。Genomic deletions are considered to be important factors in tumor formation. For a long time, we have been accustomed to the idea that the coding in the genome depends on the four bases of ATCG. Knudson proposed the double-invasive theory as early as 1975. Two-hit theory), indicating that mutations or deletions accompanying some homologous tumor suppressor genes may cause or cause cancer; however, other information that affects phenotype may exist in the modified base 5-A In 5-methylcytosine, 5-methylcytosine was found in the palindromic sequence 5'-CpG-3' in mammalian cells, except for some called "CpG islands" in mammalian cells. Outside the region of (CpG islands, CGIs), most CpG dinucleotide pairs are methylated, and CpG islands refer to a large number of GC- and CpG in a region of approximately 1000 base pairs (1 Kb). -, usually located near the gene, and found near the promoter of a widely expressed gene. Methylation of cytosine occurs after DNA synthesis, from monomethyl donor s-adenosine methionine (S-adenosylmethionine, SAM) transfers monomethyl groups to the 5th carbon position of cytosine, which is carried out by DNA methyltransferase (DNMTs), the main arm of mammals. The basal transferase, which is responsible for post-replicative restoration to permethylation, is called maintenance methylation; otherwise, DNMT3A and DNMT3B are considered to be primarily responsible for A. To base the new position, perform a step called de novo methylation.

CpG雙核苷酸對甲基化的遺失(loss of methylation),意即一般的低度甲基化,是癌細胞內的第一個表基因異常(epigenetic abnormality);然而,在過去幾年內的研究卻顯示,特定位置(例如:一些腫瘤抑制基因)的高度甲基化(site-specific hypermethylation)與其功能的喪失有關,這可能會在癌症生成時提供選擇優勢(selective advantages);在啟動子區域上CpG島的高度甲基化,可以藉由組蛋白修飾(histone modification)伴隨接續而來的基因默化現象(gene silencing),來引起染色質改造(chromatin remodeling);除了染色體缺失及基因突變之外,經由啟動子的高度甲基化所造成腫瘤抑制基因的表基因默化現象(epigenetic silencing)也常見於人類癌症中。Loss of methylation of CpG dinucleotide, meaning general low methylation, is the first epigenetic abnormality in cancer cells; however, in the past few years Studies have shown that site-specific hypermethylation at specific locations (eg, some tumor suppressor genes) is associated with loss of function, which may provide selective advantages in cancer production; in promoter regions High methylation of the upper CpG island can cause chromatin remodeling by histone modification followed by successive gene silencing; in addition to chromosomal deletions and gene mutations In addition, epigenetic silencing of tumor suppressor genes caused by hypermethylation of promoters is also common in human cancers.

因此,一個敏感的和非侵入性的檢測法,對於膀胱癌患者是迫切需要的,而DNA甲基化是一種用於癌症檢測理想的生物標誌物。由於遺傳與環境交互作用的特性,腫瘤抑制基因甲基化程度因不同的基因及不同的族群而異,不同的疾病也會有不同的甲基化表現型(methylator phenotypes);然而,膀胱癌中有何特定的基因會被甲基化,以及需要多少基因方可達到臨床應用的需求,這些問題仍是未來需要被確認的議題。Therefore, a sensitive and non-invasive assay is urgently needed for patients with bladder cancer, and DNA methylation is an ideal biomarker for cancer detection. Due to the nature of the interaction between genetics and the environment, the degree of methylation of tumor suppressor genes varies with different genes and different ethnic groups. Different diseases may have different methylator phenotypes; however, in bladder cancer What specific genes are methylated and how many genes are needed to meet the needs of clinical applications are still issues that need to be identified in the future.

上述習用膀胱癌篩檢方法仍有諸多缺失,實非一良善之設計者,而亟待加以改良。There are still many shortcomings in the above-mentioned conventional bladder cancer screening methods, which is not a good designer, and needs to be improved.

本發明之目的即在於提供一種偵測膀胱癌之新穎表基因生物標記的方法,該方法包含:提供一受測檢體;檢測該受測檢體之基因組DNA中至少一個目標基因的CpG序列甲基化狀態,該目標基因係選自由ZNF671、PTPRR、SOX1、PAX1、ZNF582、AJAP1、SOX17、EDN3、ST6GAL2、ZNF614、PTGDR、SYT9、SOX8、HS3ST2、POU4F3、ADRA1D、 MAGI2、EPO、NEFH、POU4F2、STC2以及THRB所組成的群組至少一個;以及根據該目標基因甲基化狀態的有無,判斷該檢體是否具有癌症或癌前病變,或作為治療預後的指標。The object of the present invention is to provide a method for detecting a novel epigenetic biomarker of bladder cancer, the method comprising: providing a test subject; detecting a CpG sequence of at least one target gene in the genomic DNA of the test subject In the assimilation state, the target gene is selected from the group consisting of ZNF671, PTPRR, SOX1, PAX1, ZNF582, AJAP1, SOX17, EDN3, ST6GAL2, ZNF614, PTGDR, SYT9, SOX8, HS3ST2, POU4F3, ADRA1D, At least one of a group consisting of MAGI2, EPO, NEFH, POU4F2, STC2, and THRB; and determining whether the specimen has cancer or precancerous lesions according to the presence or absence of the methylation status of the target gene, or as an indicator of prognosis.

為達成前述發明目的,其中該目標基因為ZNF671與另一目標基因係選自由PTPRR、SOX1、PAX1、ZNF582、AJAP1、SOX17、EDN3、ST6GAL2、ZNF614、PTGDR、SYT9、SOX8、HS3ST2、POU4F3、ADRA1D、MAGI2、EPO、NEFH、POU4F2、STC2以及TIRB所組成的群組至少一個。To achieve the foregoing object, wherein the target gene is ZNF671 and another target gene is selected from the group consisting of PTPRR, SOX1, PAX1, ZNF582, AJAP1, SOX17, EDN3, ST6GAL2, ZNF614, PTGDR, SYT9, SOX8, HS3ST2, POU4F3, ADRA1D, At least one of a group consisting of MAGI2, EPO, NEFH, POU4F2, STC2, and TIRB.

為達成前述發明目的,其中該受測檢體包含尿液、糞便、血液、腹水、痰、口腔黏膜細胞、胃液、膽汁、或手術後之膀胱癌組織離體樣本。To achieve the foregoing object, the test sample comprises urine, feces, blood, ascites, sputum, oral mucosal cells, gastric juice, bile, or an ex vivo sample of bladder cancer tissue after surgery.

為達成前述發明目的,其中該目標基因的CpG序列甲基化狀態檢測方法包含甲基化特異性聚合酶連鎖反應(methylation-specific PCR,MSP)、定量甲基化特異性聚合酶連鎖反應(quantitative methylation-specific PCR,QMSP)、亞硫酸鹽定序(bisulfite sequencing,BS)、微陣列(microarrays)、質譜儀分析(mass spectrometer)、變性高效液相色譜(denaturing high-performance liquid chromatography,DHPLC)、及焦磷酸定序(pyrosequencing)至少一者。In order to achieve the above object, the CpG sequence methylation state detection method of the target gene comprises methylation-specific polymerase chain reaction (MSP), quantitative methylation-specific polymerase chain reaction (quantitative) Methylation-specific PCR (QMSP), bisulfite sequencing (BS), microarrays, mass spectrometer, denaturing high-performance liquid chromatography (DHPLC), And at least one of pyrosequencing.

為達成前述發明目的,其中該目標基因甲基化的狀態係由引子對序列所偵測,各個目標基因之引子對分別為:ZNF671引子對為SEQ ID No:1-2、PTPRR引子對為SEQ ID No:3-4、SOX1引子對為SEQ ID No:5-6、PAX1引子對為SEQ ID No:7-8、ZNF582引子對為SEQ ID No:9-10、AJAP1引子對為SEQ ID No:11-12、SOX17引子對為SEQ ID No:13-14、EDN3引子對為SEQ ID No:15-16、ST6GAL2引子對為SEQ ID No:17-18、ZNF614引子對為SEQ ID No:19-20、PTGDR引子對為SEQ ID No:21-22、SYT9引子對為SEQ ID No:23-24、SOX8引子對為SEQ ID No:25-26、HS3ST2引子對為SEQ ID No:27-28、POU4F3引子對為SEQ ID No:29-30、ADRA1D引子對為SEQ ID No:31-32、MAGI2引子對為SEQ ID No:33-34、EPO引子對為SEQ ID No:35-36、NEFH引子對為SEQ ID No:37-38、 POU4F2引子對為SEQ ID No:39-40、STC2引子對為SEQ ID No:41-42、THRB引子對為SEQ ID No:43-44;其中該引子包含至少有50%的序列同一性、互補性或至少連續十個核苷酸相同之序列。In order to achieve the above object, the state of methylation of the target gene is detected by the primer pair sequence, and the primer pair of each target gene is: ZNF671 primer pair is SEQ ID No: 1-2, PTPRR primer pair is SEQ ID No: 3-4, the SOX1 primer pair is SEQ ID No: 5-6, the PAX1 primer pair is SEQ ID No: 7-8, the ZNF582 primer pair is SEQ ID No: 9-10, and the AJAP1 primer pair is SEQ ID No. :11-12, SOX17 primer pair is SEQ ID No: 13-14, EDN3 primer pair is SEQ ID No: 15-16, ST6GAL2 primer pair is SEQ ID No: 17-18, ZNF614 primer pair is SEQ ID No: 19 -20, the PTGDR primer pair is SEQ ID No: 21-22, the SYT9 primer pair is SEQ ID No: 23-24, the SOX8 primer pair is SEQ ID No: 25-26, and the HS3ST2 primer pair is SEQ ID No: 27-28. The POU4F3 primer pair is SEQ ID No: 29-30, the ADRA1D primer pair is SEQ ID No: 31-32, the MAGI2 primer pair is SEQ ID No: 33-34, and the EPO primer pair is SEQ ID No: 35-36, NEFH The pair of primers is SEQ ID No: 37-38, The POU4F2 primer pair is SEQ ID No: 39-40, the STC2 primer pair is SEQ ID No: 41-42, and the THRB primer pair is SEQ ID No: 43-44; wherein the primer comprises at least 50% sequence identity, complementary Sex or at least ten consecutive nucleotides identical in sequence.

本發明之另一目的係在於提供一種偵測膀胱癌之新穎表基因的生物標記,其中該生物標記係包含一目標基因之CpG位點且該位點被甲基化;其中該目標基因之CpG位點序列係選自由ZNF671(SEQ ID No:1-2)、PTPRR(SEQ ID No:3-4)、SOX1(SEQ ID No:5-6)、PAX1(SEQ ID No:7-8)、ZNF582(SEQ ID No:9-10)、AJAP1(SEQ ID No:11-12)、SOX17(SEQ ID No:13-14)、EDN3(SEQ ID No:15-16)、ST6GAL2(SEQ ID No:17-18)、ZNF614(SEQ ID No:19-20)、PTGDR(SEQ ID No:21-22)、SYT9(SEQ ID No:23-24)、SOX8(SEQ ID No:25-26)、HS3ST2(SEQ ID No:27-28)、POU4F3(SEQ ID No:29-30)、ADRA1D(SEQ ID No:31-32)、MAGI2(SEQ ID No:33-34)、EPO(SEQ ID No:35-36)、NEFH(SEQ ID No:37-38)、POU4F2(SEQ ID No:39-40)、STC2(SEQ ID No:41-42)以及THRB(SEQ ID No:43-44)所組成的群組至少一個。Another object of the present invention is to provide a biomarker for detecting a novel epigenetic gene of bladder cancer, wherein the biomarker comprises a CpG site of a target gene and the site is methylated; wherein the target gene is CpG The site sequence is selected from the group consisting of ZNF671 (SEQ ID No: 1-2), PPTRR (SEQ ID No: 3-4), SOX1 (SEQ ID No: 5-6), PAX1 (SEQ ID No: 7-8), ZNF582 (SEQ ID No: 9-10), AJAP1 (SEQ ID No: 11-12), SOX17 (SEQ ID No: 13-14), EDN3 (SEQ ID No: 15-16), ST6GAL2 (SEQ ID No: 17-18), ZNF614 (SEQ ID No: 19-20), PTGDR (SEQ ID No: 21-22), SYT9 (SEQ ID No: 23-24), SOX8 (SEQ ID No: 25-26), HS3ST2 (SEQ ID No: 27-28), POU4F3 (SEQ ID No: 29-30), ADRA1D (SEQ ID No: 31-32), MAGI2 (SEQ ID No: 33-34), EPO (SEQ ID No: 35) -36), consisting of NEFH (SEQ ID No: 37-38), POU4F2 (SEQ ID No: 39-40), STC2 (SEQ ID No: 41-42), and THRB (SEQ ID No: 43-44) At least one group.

為達成前述發明目的,其中該目標基因之CpG位點序列為ZNF671(SEQ ID No:1-2)與另一目標基因之CpG位點序列係選自由PTPRR(SEQ ID No:3-4)、SOX1(SEQ ID No:5-6)、PAX1(SEQ ID No:7-8)、ZNF582(SEQ ID No:9-10)、AJAP1(SEQ ID No:11-12)、SOX17(SEQ ID No:13-14)、EDN3(SEQ ID No:15-16)、ST6GAL2(SEQ ID No:17-18)、ZNF614(SEQ ID No:19-20)、PTGDR(SEQ ID No:21-22)、SYT9(SEQ ID No:23-24)、SOX8(SEQ ID No:25-26)、HS3ST2(SEQ ID No:27-28)、POU4F3(SEQ ID No:29-30)、ADRA1D(SEQ ID No:31-32)、MAGI2(SEQ ID No:33-34)、EPO(SEQ ID No:35-36)、NEFH(SEQ ID No:37-38)、POU4F2(SEQ ID No:39-40)、STC2(SEQ ID No:41-42)以及THRB(SEQ ID No:43-44)所組成的群組至少一個。In order to achieve the above object, wherein the CpG site sequence of the target gene is ZNF671 (SEQ ID No: 1-2) and the CpG site sequence of another target gene is selected from PTPRR (SEQ ID No: 3-4), SOX1 (SEQ ID No: 5-6), PAX1 (SEQ ID No: 7-8), ZNF582 (SEQ ID No: 9-10), AJAP1 (SEQ ID No: 11-12), SOX17 (SEQ ID No: 13-14), EDN3 (SEQ ID No: 15-16), ST6GAL2 (SEQ ID No: 17-18), ZNF614 (SEQ ID No: 19-20), PTGDR (SEQ ID No: 21-22), SYT9 (SEQ ID No: 23-24), SOX8 (SEQ ID No: 25-26), HS3ST2 (SEQ ID No: 27-28), POU4F3 (SEQ ID No: 29-30), ADRA1D (SEQ ID No: 31) -32), MAGI2 (SEQ ID No: 33-34), EPO (SEQ ID No: 35-36), NEFH (SEQ ID No: 37-38), POU4F2 (SEQ ID No: 39-40), STC2 ( At least one of the groups consisting of SEQ ID Nos: 41-42) and THRB (SEQ ID No: 43-44).

本發明之另一目的係在於提供一種目標基因在製備用於膀胱癌症篩檢試劑中的用途,其為受測檢體內目標基因組中DNA中CpG序列甲基化的狀態,其中該目標基因係選自由ZNF671、PTPRR、SOX1、 PAX1、ZNF582、AJAP1、SOX17、EDN3、ST6GAL2、ZNF614、PTGDR、SYT9、SOX8、HS3ST2、POU4F3、ADRA1D、MAGI2、EPO、NEFH、POU4F2、STC2以及THRB所組成的群組至少一個。Another object of the present invention is to provide a use of a target gene for preparing a vaccine for bladder cancer screening, which is a state in which a CpG sequence in a target genome of a subject is methylated, wherein the target gene is selected. Free ZNF671, PTPRR, SOX1 At least one of a group consisting of PAX1, ZNF582, AJAP1, SOX17, EDN3, ST6GAL2, ZNF614, PTGDR, SYT9, SOX8, HS3ST2, POU4F3, ADRA1D, MAGI2, EPO, NEFH, POU4F2, STC2, and THRB.

為達成前述發明目的,其中該目標基因為ZNF671與另一目標基因係選自由ZNF671、PTPRR、SOX1、PAX1、ZNF582、AJAP1、SOX17、EDN3、ST6GAL2、ZNF614、PTGDR、SYT9、SOX8、HS3ST2、POU4F3、ADRA1D、MAGI2、EPO、NEFH、POU4F2、STC2以及THRB所組成的群組至少一個。To achieve the above object, wherein the target gene is ZNF671 and another target gene is selected from the group consisting of ZNF671, PTPRR, SOX1, PAX1, ZNF582, AJAP1, SOX17, EDN3, ST6GAL2, ZNF614, PTGDR, SYT9, SOX8, HS3ST2, POU4F3, At least one of a group consisting of ADRA1D, MAGI2, EPO, NEFH, POU4F2, STC2, and THRB.

圖1為利用qMSP分析膀胱癌與正常人尿液樣本ZNF671基因甲基化程度。Figure 1 shows the degree of methylation of ZNF671 gene in bladder cancer and normal human urine samples by qMSP.

圖2為利用qMSP分析膀胱癌與正常人尿液樣本PTPRRR、SOX1、PAX1與ZNF582基因甲基化程度。Figure 2 shows the degree of methylation of PTPRRR, SOX1, PAX1 and ZNF582 genes in bladder cancer and normal human urine samples by qMSP.

圖3為利用qMSP分析膀胱癌與正常人尿液樣本AJAP1、SOX17、EDN3與ST6GAL2基因甲基化程度。Figure 3 is a graph showing the degree of methylation of AJAP1, SOX17, EDN3 and ST6GAL2 genes in bladder cancer and normal human urine samples by qMSP.

圖4為利用qMSP分析膀胱癌與正常人尿液樣本ZNF614、PTGDR、SYT9與SOX8基因甲基化程度。Figure 4 is a graph showing the degree of methylation of ZNF614, PTGDR, SYT9 and SOX8 genes in bladder cancer and normal human urine samples by qMSP.

圖5為利用qMSP分析膀胱癌與正常人尿液樣本HS3ST2、POU4F3、ADRA1D與MAGI2基因甲基化程度。Figure 5 is a graph showing the degree of methylation of HS3ST2, POU4F3, ADRA1D and MAGI2 genes in bladder cancer and normal human urine samples by qMSP.

圖6為利用qMSP分析膀胱癌與正常人尿液樣本EPO、NEFH與POU4F2基因甲基化程度。Figure 6 shows the degree of methylation of EPO, NEFH and POU4F2 genes in bladder cancer and normal human urine samples by qMSP.

圖7為利用qMSP分析膀胱癌與正常人尿液樣本STC2與THRB基因甲基化程度。Figure 7 is a graph showing the degree of methylation of STC2 and THRB genes in bladder cancer and normal human urine samples by qMSP.

圖8為利用qMSP分析膀胱癌與正常人尿液樣本HOXB3基因甲基化程度。Figure 8 is a graph showing the degree of methylation of the HOXB3 gene in bladder cancer and normal human urine samples by qMSP.

本發明為一種偵測膀胱癌之新穎表基因生物標記的方法,該方法包含:提供一受測檢體;檢測該受測檢體之基因組DNA中至少一個目 標基因的CpG序列甲基化狀態,該目標基因係選自由ZNF671、PTPRR、SOX1、PAX1、ZNF582、AJAP1、SOX17、EDN3、ST6GAL2、ZNF614、PTGDR、SYT9、SOX8、HS3ST2、POU4F3、ADRA1D、MAGI2、EPO、NEFH、POU4F2、STC2以及THRB所組成的群組至少一個;以及根據該目標基因甲基化狀態的有無,判斷該檢體是否具有癌症或癌前病變,或作為治療預後的指標。The present invention relates to a method for detecting a novel epigenetic biomarker of bladder cancer, the method comprising: providing a test subject; detecting at least one of the genomic DNA of the test subject The methylation status of the CpG sequence of the target gene selected from ZNF671, PTPRR, SOX1, PAX1, ZNF582, AJAP1, SOX17, EDN3, ST6GAL2, ZNF614, PTGDR, SYT9, SOX8, HS3ST2, POU4F3, ADRA1D, MAGI2 At least one of a group consisting of EPO, NEFH, POU4F2, STC2, and THRB; and determining whether the sample has cancer or precancerous lesions according to the presence or absence of the methylation status of the target gene, or as an indicator of prognosis.

本發明亦揭示一種偵測膀胱癌之新穎表基因的生物標記,其中該生物標記係包含一目標基因之CpG位點且該位點被甲基化。The invention also discloses a biomarker for detecting a novel epigenetic gene of bladder cancer, wherein the biomarker comprises a CpG site of a target gene and the site is methylated.

本說明書中所述之所有技術性及科學術語,除非另外有所定義,皆為該所屬領域具有通常技藝者可共同瞭解的意義。All of the technical and scientific terms described in this specification, unless otherwise defined, are intended to be common to those of ordinary skill in the art.

術語「偵測」、「篩檢」並非確定性診斷方法,根據現有技術中的醫學知識和本專利申請公開的通過檢測目標基因在各類檢體CpG序列甲基化的狀態所獲得的資訊本身,並不能夠直接得出診斷結果或健康狀況,即是否患有癌症的診斷結果,而只是屬於“對已經脫離人體或動物體的組織、體液或排泄物進行處理或檢測以獲取作為中間結果的資訊的方法,或處理該資訊的方法”,為“不屬於診斷方法的發明”。依本領域具通常知識者(例如:醫生、醫學研究人員)皆了解,要診斷是否罹癌一定要進行病理切片 檢查。易言之,本發明乃係作為一種膀胱癌偵測、篩檢的方法,而非確定性診斷方法。因此本發明並非法定不予專利之診斷方法。The terms "detection" and "screening" are not definitive diagnostic methods, according to the medical knowledge in the prior art and the information obtained by detecting the state of methylation of target genes in various types of CpG sequences disclosed in the present patent application. It is not possible to directly derive the diagnosis or health status, that is, whether or not there is a diagnosis of cancer, but only to "process or detect tissue, body fluids or excretions that have been removed from the human or animal body to obtain an intermediate result. The method of information, or the method of processing the information, is "an invention that is not a diagnostic method." According to those who have common knowledge in the field (for example, doctors, medical researchers), it is necessary to perform pathological biopsy to diagnose cancer. In other words, the present invention is a method for detecting and screening bladder cancer, rather than a definitive diagnosis method. Therefore, the present invention is not a legally unpatented diagnostic method.

術語「受測檢體」係指離體之受測樣本,該樣本包括前述之腹水、血液、尿液、糞便、痰、口腔黏膜細胞、胃液、膽汁、或手術後之癌症組織等離體之檢體樣本。本發明之癌症篩檢方法係用於檢測該些離體樣本中目標基因甲基化的狀態,以作為各類癌症的篩檢指標。本發明所提供之癌症篩檢方法及其篩檢指標,可供檢測研究人員於實驗室中進行檢測。The term "test subject" refers to a test sample that is isolated from the body, and includes the aforementioned ascites, blood, urine, feces, sputum, oral mucosal cells, gastric juice, bile, or post-operative cancer tissue. Sample sample. The cancer screening method of the present invention is for detecting the state of methylation of a target gene in the isolated samples as a screening index for various types of cancer. The cancer screening method and the screening index provided by the invention can be tested by the testing researchers in the laboratory.

術語「治療」、「治療中」及其類術語係指延緩、改善、減少或逆轉目前正折磨著患者之該病症或該病症相關之任何症狀的方法以及預防該病症或其任何正出現之症狀的方法。The terms "treatment," "in treatment," and the like, mean a method of delaying, ameliorating, reducing, or reversing a condition that is currently afflicting a patient or any condition associated with the condition and preventing the condition or any symptoms that are present. Methods.

本發明係以下面的實施例予以示範闡明,但本發明不受下述實施例所限制。本發明所用之藥物、生物材料皆市售易於取得,下列僅為 示例可取得之管道。The present invention is exemplified by the following examples, but the present invention is not limited by the following examples. The drugs and biological materials used in the present invention are commercially available and easy to obtain, the following are only An example of a pipeline that can be obtained.

本發明係以下面的實施例予以示範闡明,但本發明不受下述實施例所限制。The present invention is exemplified by the following examples, but the present invention is not limited by the following examples.

細胞株的資訊Cell line information

人類膀胱泌尿道上皮細胞(Human urothelial cell,HUC)培養在尿路上皮細胞培養液(UCM)中。Human bladder urinary epithelial cells (HUC) are cultured in urothelial cell culture fluid (UCM).

病人檢體Patient sample

從台灣嘉義基督教醫院膀胱癌患者,收集100位膀胱癌(UC)樣本(表一)與9位相鄰正常區域樣本。收集27位膀胱癌患者的尿液樣本,與19位非癌症個體的尿液樣本作為對照組。From bladder cancer patients in Chiayi Christian Hospital, Taiwan, 100 bladder cancer (UC) samples (Table 1) and 9 adjacent normal regions were collected. Urine samples from 27 bladder cancer patients were collected and urine samples from 19 non-cancer individuals were used as a control group.

目標基因Target gene

本案發明人發現,於全基因體DNA中存在22個與膀胱癌高度相關之CpG位點,可做為檢測膀胱癌之生物指標。該22個CpG為點分別來自22個目標基因,其相關資訊如下表二所述:表二、目標基因資訊 The inventors of the present invention found that there are 22 CpG sites highly correlated with bladder cancer in the whole genome DNA, which can be used as a biological indicator for detecting bladder cancer. The 22 CpG points are from 22 target genes, and the relevant information is as follows: Table 2: Target gene information

即時定量甲基化特異性聚合酶連鎖反應(QMSP)Immediate quantitative methylation-specific polymerase chain reaction (QMSP)

為偵測尿液樣本中基因啟動子甲基化的有無,因此使用更敏感的定量即時甲基化特異性聚合酶連鎖反應(qMSP)。我們利用即時PCR系統進行qMSP,總體積為20μl含有10μl 2X的SYBR Green即時螢光定量PCR預混(Toyobo,日本大阪),每個引子為0.25μM與4μl的重亞硫酸鹽轉化的DNA在95℃下10分鐘,95℃ 15秒40個循環,60℃ 30秒,與72℃下進行30秒。qMSP引子(表三)為專一性針對各個目標基因。qMSP中以β-肌動蛋白(ACTB)作為標準統一輸入DNA的含量。甲基化程度,是由閾值週期數(Ct),對每個樣品相對於IVD-MSP片段所產生的標準曲線來確定 的。甲基化百分比的計算,是以量化後的目標基因對ACTB比,除以相同量的IVD再乘以100。To detect the presence or absence of gene promoter methylation in urine samples, a more sensitive quantitative methylation-specific polymerase chain reaction (qMSP) was used. We used real-time PCR system for qMSP, total volume of 20μl containing 10μl 2X SYBR Green real-time fluorescent quantitative PCR premix (Toyobo, Osaka, Japan), each primer was 0.25μM and 4μl of bisulfite-transformed DNA at 95 10 minutes at ° C, 40 cycles at 95 ° C for 15 seconds, 30 seconds at 60 ° C, and 30 seconds at 72 ° C. The qMSP primer (Table 3) is specific for each target gene. In qMSP, β-actin (ACTB) was used as a standard to input the content of DNA. The degree of methylation is determined by the number of threshold cycles (Ct), which is determined by the standard curve generated for each sample relative to the IVD-MSP fragment. of. The percentage of methylation is calculated by dividing the quantified target gene to ACTB ratio by dividing the same amount of IVD and multiplying by 100.

甲基化微陣列(Methylation Microarray)Methylation Microarray

甲基化微陣列是一種高通量的篩查工具。本發明利用illumina infinium 27K甲基化陣列執行甲基化的分析,7人膀胱癌組織被用來作為測試組,正常膀胱泌尿道上皮細胞(HUC)作為對照組。Methylated microarrays are a high-throughput screening tool. The present invention performs methylation analysis using an illumina infinium 27K methylation array, 7 human bladder cancer tissues were used as a test group, and normal bladder urinary tract epithelial cells (HUC) were used as a control group.

統計分析Statistical Analysis

非參數變量的比較評估,為利用Mann-Whitney方法檢驗。所有的統計分析,包括ROC曲線是由SPSS軟體(18.0版本)進行。P值小於0.05被認為是具顯著差異。A comparative evaluation of nonparametric variables was performed using the Mann-Whitney method. All statistical analyses, including the ROC curve, were performed by SPSS software (version 18.0). A P value of less than 0.05 is considered to be a significant difference.

實施例一Embodiment 1

甲基陣列確定了膀胱癌患者樣本中新的甲基化目標基因:我們利用illumina infinium 27K methylation array,選擇較高甲基化比率分數(β 值>0.5為具甲基化),比對正常膀胱泌尿道上皮細胞與七個人類膀胱癌樣本 的CpG島甲基化區域,其中ZNF671目標基因顯示其起動子序列,在膀胱癌樣本中具有高度甲基化,因此被選來做進一步的分析。The methyl array identified new methylation target genes in bladder cancer patients: we used the illumina infinium 27K methylation array to select a higher methylation ratio score ( β value >0.5 for methylation), comparing the normal bladder urinary tract The CpG island methylation region of epithelial cells and seven human bladder cancer samples, in which the ZNF671 target gene shows its promoter sequence, is highly methylated in bladder cancer samples and was therefore selected for further analysis.

實施例二Embodiment 2

尿液中ZNF671基因甲基化可做為檢測的工具:Methylation of ZNF671 gene in urine can be used as a test tool:

為了評估使用DNA甲基化作為一種癌症標誌檢測和復發監測的可行性,從28膀胱癌患者和19個非癌症患者的尿液中,利用更靈敏的定量MSP(QMSP)方法檢測甲基化狀態(圖1)。ZNF671在正常樣本的平均數為1.69,癌症樣本平均數為19.24,相較於非癌症對照組,ZNF671基因在癌症的樣本中有較高的甲基化程度(P<0.001)。ZNF671基因於癌症的檢測,其敏感度和特異性分別為42.3%和100%。To assess the feasibility of using DNA methylation as a marker for cancer detection and recurrence, methylation status was detected using a more sensitive quantitative MSP (QMSP) method from the urine of 28 bladder cancer patients and 19 non-cancer patients. (figure 1). The mean number of ZNF671 in the normal sample was 1.69, and the average number of cancer samples was 19.24. Compared with the non-cancer control group, the ZNF671 gene had a higher degree of methylation in the cancer samples (P < 0.001). The sensitivity and specificity of the ZNF671 gene in cancer detection were 42.3% and 100%, respectively.

實施例三Embodiment 3

尿液中其他目標基因甲基化可做為檢測的工具:Methylation of other target genes in urine can be used as a test tool:

我們同時也以膀胱癌患者的尿液,利用qMSP評估目標基因的甲基化狀態。其中該目標基因分別為:PTPRR、SOX1、PAX1、ZNF582(圖2);AJAP1、SOX17、EDN3、ST6GAL2(圖3);ZNF614、PTGDR、SYT9、SOX8(圖4);HS3ST2、POU4F3、ADRA1D、MAGI2(圖5);EPO、NEFH、POU4F2(圖6);STC2、THRB(圖7)。表四為各組目標基因正常與膀胱癌樣本之平均數。結果顯示相較於正常非癌症尿液檢體,這些目標基因在膀胱癌患者的尿液檢體中,皆具有較高度甲基化程度。We also used qMSP to assess the methylation status of the target gene in the urine of patients with bladder cancer. The target genes are: PPTRR, SOX1, PAX1, ZNF582 (Fig. 2); AJAP1, SOX17, EDN3, ST6GAL2 (Fig. 3); ZNF614, PTGDR, SYT9, SOX8 (Fig. 4); HS3ST2, POU4F3, ADRA1D, MAGI2 (Fig. 5); EPO, NEFH, POU4F2 (Fig. 6); STC2, THRB (Fig. 7). Table 4 shows the average number of target gene normal and bladder cancer samples in each group. The results showed that these target genes have a higher degree of methylation in the urine samples of bladder cancer patients compared to normal non-cancer urine samples.

實施例四Embodiment 4

本發明係以一至多個位點之組合方式,將22個基因以排列組合,並用於篩檢膀胱癌,可提升檢測的敏感度。此部分數據是將20位膀胱癌尿液樣本分成四組,每五個樣本合併一起。此次僅以ZNF671搭配其餘21個目標基因作為實例,組合後之目標基因其敏感度更為精確(表五)。The invention combines 22 genes in a combination of one or more sites, and is used for screening bladder cancer, which can improve the sensitivity of detection. This part of the data is divided into 20 groups of 20 bladder cancer urine samples, each of which is combined. This time, only ZNF671 is used with the other 21 target genes as an example, and the combined target genes are more sensitive (Table 5).

實施例五Embodiment 5

圖8為利用qMSP分析膀胱癌與正常人尿液樣本HOXB3基因甲基化程度,統計結果發現正常與罹癌樣本HOXB3皆有高度甲基化,彼此間並統計上無顯著差異,因此無法做為篩檢膀胱癌目標基因。顯示並非基因有高度甲基化的發生,都與膀胱癌有關連。Figure 8 shows the degree of methylation of HOXB3 gene in bladder cancer and normal human urine samples by qMSP. The results show that both normal and cancer samples HOXB3 are highly methylated, and there is no statistically significant difference between them. Screen for bladder cancer target genes. It is not that the genes are highly methylated, and they are all associated with bladder cancer.

本發明所提供之癌症篩檢的方法,與前述習用技術相互比較時,更具有下列之優點:The method for screening cancer screening provided by the present invention has the following advantages when compared with the conventional techniques described above:

1.相較於傳統為一侵入式的檢測方法,本發明為一個敏感性的和非侵入性的檢測法,對於膀胱癌患者是一大福音,而DNA甲基化是一種用於癌症檢測理想的生物標誌物。我們已經確定了新目標基因ZNF671在膀胱癌中,其表基因沉默是由於DNA甲基化所造成。1. Compared to the traditional method of invasive detection, the present invention is a sensitive and non-invasive detection method, which is a great boon for bladder cancer patients, and DNA methylation is an ideal for cancer detection. Biomarker. We have identified a novel target gene, ZNF671, in bladder cancer, whose surface gene silencing is due to DNA methylation.

2.甲基化分析證實了在膀胱癌患者樣本中,其甲基化程度與癌症組織學分級與無復發的存活率表現出了高度顯著關聯。2. Methylation analysis confirmed that the degree of methylation in bladder cancer patients showed a highly significant association with cancer histological grade and recurrence-free survival.

3.可利用尿液分析其中的目標基因ZNF671、PTPRR、SOX1、PAX1、ZNF582、AJAP1、SOX17、EDN3、ST6GAL2、ZNF614、PTGDR、SYT9、SOX8、HS3ST2、POU4F3、ADRA1D、MAGI2、EPO、NEFH、POU4F2、STC2以及THRB甲基化程度,作為檢測膀胱癌的工具。3. Urine analysis of target genes ZNF671, PPRRR, SOX1, PAX1, ZNF582, AJAP1, SOX17, EDN3, ST6GAL2, ZNF614, PTGDR, SYT9, SOX8, HS3ST2, POU4F3, ADRA1D, MAGI2, EPO, NEFH, POU4F2 The degree of methylation of STC2 and THRB serves as a tool for detecting bladder cancer.

上列詳細說明係針對本發明之一可行實施例之具體說明,惟該實施例並非用以限制本發明之專利範圍,凡未脫離本發明技藝精神所為之等效實施或變更,例如:受測者檢體中各目標基因甲基化程度的判斷方式等變化之等效性實施例,均應包含於本案之專利範圍中。The detailed description above is a detailed description of a possible embodiment of the present invention, but is not intended to limit the scope of the invention, and the equivalents or modifications, such as: Equivalent embodiments of the manner in which the degree of methylation of each target gene in the sample is determined, etc., should be included in the patent scope of the present application.

上述多項功效,實屬充分符合新穎性及進步性之法定發明專利要件,爰依法提出申請,懇請 貴局核准本件發明專利申請案,以勵發明。The above-mentioned multiple functions are in fact the statutory invention patents that fully meet the novelty and progressiveness. If you apply in accordance with the law, you are requested to approve the application for this invention patent to encourage invention.

<110> 國立中正大學 戴德森醫療財團法人嘉義基督教醫院<110> National Chung Cheng University Dederson Medical Foundation, Chiayi Christian Hospital

<120> 偵測膀胱癌之新穎表基因生物標記及其方法<120> Novel epigenetic biomarkers for detecting bladder cancer and methods thereof

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<213> 人工序列<213> Artificial sequence

<220><220>

<223> 反向引子<223> Reverse primer

<400> 18 <400> 18

<210> 19<210> 19

<211> 24<211> 24

<212> DNA<212> DNA

<213> 人工序列<213> Artificial sequence

<220><220>

<223> 正向引子<223> Forward introduction

<400> 19 <400> 19

<210> 20<210> 20

<211> 24<211> 24

<212> DNA<212> DNA

<213> 人工序列<213> Artificial sequence

<220><220>

<223> 反向引子<223> Reverse primer

<400> 20 <400> 20

<210> 21<210> 21

<211> 25<211> 25

<212> DNA<212> DNA

<213> 人工序列<213> Artificial sequence

<220><220>

<223> 正向引子<223> Forward introduction

<400> 21 <400> 21

<210> 22<210> 22

<211> 25<211> 25

<212> DNA<212> DNA

<213> 人工序列<213> Artificial sequence

<220><220>

<223> 反向引子<223> Reverse primer

<400> 22 <400> 22

<210> 23<210> 23

<211> 25<211> 25

<212> DNA<212> DNA

<213> 人工序列<213> Artificial sequence

<220><220>

<223> 正向引子<223> Forward introduction

<400> 23 <400> 23

<210> 24<210> 24

<211> 18<211> 18

<212> DNA<212> DNA

<213> 人工序列<213> Artificial sequence

<220><220>

<223> 反向引子<223> Reverse primer

<400> 24 <400> 24

<210> 25<210> 25

<211> 21<211> 21

<212> DNA<212> DNA

<213> 人工序列<213> Artificial sequence

<220><220>

<223> 正向引子<223> Forward introduction

<400> 25 <400> 25

<210> 26<210> 26

<211> 23<211> 23

<212> DNA<212> DNA

<213> 人工序列<213> Artificial sequence

<220><220>

<223> 反向引子<223> Reverse primer

<400> 26 <400> 26

<210> 27<210> 27

<211> 25<211> 25

<212> DNA<212> DNA

<213> 人工序列<213> Artificial sequence

<220><220>

<223> 正向引子<223> Forward introduction

<400> 27 <400> 27

<210> 28<210> 28

<211> 23<211> 23

<212> DNA<212> DNA

<213> 人工序列<213> Artificial sequence

<220><220>

<223> 反向引子<223> Reverse primer

<400> 28 <400> 28

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<211> 19<211> 19

<212> DNA<212> DNA

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<223> 正向引子<223> Forward introduction

<400> 29 <400> 29

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<400> 30 <400> 30

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<400> 32 <400> 32

<210> 33<210> 33

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<211> 27<211> 27

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<213> 人工序列<213> Artificial sequence

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<400> 34 <400> 34

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<211> 24<211> 24

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<400> 35 <400> 35

<210> 36<210> 36

<211> 24<211> 24

<212> DNA<212> DNA

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<220><220>

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<400> 36 <400> 36

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<211> 19<211> 19

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<400> 40 <400> 40

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<400> 42 <400> 42

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Claims (10)

一種偵測膀胱癌之新穎表基因生物標記的方法,該方法包含:提供一受測檢體;檢測該受測檢體之基因組DNA目標基因ZNF671的CpG序列甲基化狀態;以及根據該目標基因甲基化狀態的有無,判斷該檢體是否具有癌症或癌前病變,或作為治療預後的指標。 A method for detecting a novel epigenetic biomarker of bladder cancer, the method comprising: providing a test subject; detecting a methylation state of a CpG sequence of a genomic DNA target gene ZNF671 of the test subject; and according to the target gene The presence or absence of the methylation state, whether the specimen has cancer or precancerous lesions, or as an indicator of prognosis. 如申請專利範圍第1項所述之偵測膀胱癌之新穎表基因生物標記的方法,其中該目標基因為ZNF671與另一目標基因SOX1、PAX1、AJAP1、SOX17、EDN3、ST6GAL2、ZNF614、SYT9、SOX8、HS3ST2、POU4F3、ADRA1D、MAGI2、EPO、NEFH、STC2或THRB之任一所組成。 The method for detecting novel epigenetic biomarkers of bladder cancer according to claim 1, wherein the target gene is ZNF671 and another target genes SOX1, PAX1, AJAP1, SOX17, EDN3, ST6GAL2, ZNF614, SYT9, Any of SOX8, HS3ST2, POU4F3, ADRA1D, MAGI2, EPO, NEFH, STC2 or THRB. 如申請專利範圍第1項所述之偵測膀胱癌之新穎表基因生物標記的方法,其中該受測檢體包含尿液、糞便、血液、腹水、痰、口腔黏膜細胞、胃液、膽汁、或手術後之膀胱癌組織離體樣本。 The method for detecting a novel epigenetic biomarker for bladder cancer according to claim 1, wherein the test sample comprises urine, feces, blood, ascites, sputum, oral mucosal cells, gastric juice, bile, or In vitro samples of bladder cancer tissue after surgery. 如申請專利範圍第1項所述之偵測膀胱癌之新穎表基因生物標記的方法,其中該目標基因的CpG序列甲基化狀態檢測方法包含甲基化特異性聚合酶連鎖反應(methylation-specific PCR,MSP)、定量甲基化特異性聚合酶連鎖反應(quantitative methylation-specific PCR,QMSP)、亞硫酸鹽定序(bisulfite sequencing,BS)、微陣列(microarrays)、質譜儀分析(mass spectrometer)、變性高效液相色譜(denaturing high-performance liquid chromatography,DHPLC)、及焦磷酸定序(pyrosequencing)至少一者。 The method for detecting a novel epigenetic biomarker for bladder cancer according to the first aspect of the invention, wherein the CpG sequence methylation state detection method of the target gene comprises a methylation-specific polymerase chain reaction (methylation-specific) PCR, MSP), quantitative methylation-specific PCR (QMSP), bisulfite sequencing (BS), microarrays, mass spectrometer At least one of denaturing high-performance liquid chromatography (DHPLC) and pyrosequencing. 如申請專利範圍第1項所述之偵測膀胱癌之新穎表基因生物標記的方法,其中該目標基因ZNF671甲基化的狀態係由引子對序列SEQ ID No:1-2 所偵測。 The method for detecting a novel epigenetic biomarker of bladder cancer according to claim 1, wherein the target gene ZNF671 is methylated by a primer pair sequence SEQ ID No: 1-2 Detected. 如申請專利範圍第2項所述之偵測膀胱癌之新穎表基因生物標記的方法,其中該目標基因甲基化的狀態係由引子對序列所偵測,各個目標基因之引子對分別為:ZNF671引子對為SEQ ID No:1-2、SOX1引子對為SEQ ID No:5-6、PAX1引子對為SEQ ID No:7-8、AJAP1引子對為SEQ ID No:11-12、SOX17引子對為SEQ ID No:13-14、EDN3引子對為SEQ ID No:15-16、ST6GAL2引子對為SEQ ID No:17-18、ZNF614引子對為SEQ ID No:19-20、SYT9引子對為SEQ ID No:23-24、SOX8引子對為SEQ ID No:25-26、HS3ST2引子對為SEQ ID No:27-28、POU4F3引子對為SEQ ID No:29-30、ADRA1D引子對為SEQ ID No:31-32、MAGI2引子對為SEQ ID No:33-34、EPO引子對為SEQ ID No:35-36、NEFH引子對為SEQ ID No:37-38、STC2引子對為SEQ ID No:41-42、THRB引子對為SEQ ID No:43-44。 The method for detecting a novel epigenetic biomarker for bladder cancer according to claim 2, wherein the methylation status of the target gene is detected by a primer pair sequence, and the primer pair of each target gene is: ZNF671 primer pair is SEQ ID No: 1-2, SOX1 primer pair is SEQ ID No: 5-6, PAX1 primer pair is SEQ ID No: 7-8, AJAP1 primer pair is SEQ ID No: 11-12, SOX17 primer For the SEQ ID Nos: 13-14, the EDN3 primer pair is SEQ ID No: 15-16, the ST6GAL2 primer pair is SEQ ID No: 17-18, and the ZNF614 primer pair is SEQ ID No: 19-20, and the SYT9 primer pair is SEQ ID No: 23-24, SOX8 primer pair is SEQ ID No: 25-26, HS3ST2 primer pair is SEQ ID No: 27-28, POU4F3 primer pair is SEQ ID No: 29-30, ADRA1D primer pair is SEQ ID No: 31-32, the MAGI2 primer pair is SEQ ID No: 33-34, the EPO primer pair is SEQ ID No: 35-36, the NEFH primer pair is SEQ ID No: 37-38, and the STC2 primer pair is SEQ ID No: 41-42, THRB primer pair is SEQ ID No: 43-44. 一種偵測膀胱癌之新穎表基因的生物標記,其中該生物標記係包含一目標基因之CpG位點且該位點被甲基化;其中該目標基因之CpG位點序列係ZNF671(SEQ ID No:1-2)。 A biomarker for detecting a novel epigenetic gene of bladder cancer, wherein the biomarker comprises a CpG site of a target gene and the site is methylated; wherein the CpG site sequence of the target gene is ZNF671 (SEQ ID No) :1-2). 如申請專利範圍第7項所述之偵測膀胱癌之新穎表基因的生物標記,其中該目標基因之CpG位點序列為ZNF671(SEQ ID No:1-2)與另一目標基因之CpG位點序列SOX1(SEQ ID No:5-6)、PAX1(SEQ ID No:7-8)、AJAP1(SEQ ID No:11-12)、SOX17(SEQ ID No:13-14)、EDN3(SEQ ID No:15-16)、ST6GAL2(SEQ ID No:17-18)、ZNF614(SEQ IDNo:19-20)、SYT9(SEQ ID No:23-24)、SOX8(SEQ ID No:25-26)、HS3ST2(SEQ ID No:27-28)、POU4F3(SEQ ID No:29-30)、ADRA1D(SEQ ID No:31-32)、 MAGI2(SEQ ID No:33-34)、EPO(SEQ ID No:35-36)、NEFH(SEQ ID No:37-38)、STC2(SEQ ID No:41-42)或THRB(SEQ ID No:43-44)之任一所組成。 The biomarker for detecting a novel epigenetic gene of bladder cancer according to claim 7, wherein the CpG site sequence of the target gene is ZNF671 (SEQ ID No: 1-2) and the CpG position of another target gene. Dot sequence SOX1 (SEQ ID No: 5-6), PAX1 (SEQ ID No: 7-8), AJAP1 (SEQ ID No: 11-12), SOX17 (SEQ ID No: 13-14), EDN3 (SEQ ID No: 15-16), ST6GAL2 (SEQ ID No: 17-18), ZNF614 (SEQ ID No: 19-20), SYT9 (SEQ ID No: 23-24), SOX8 (SEQ ID No: 25-26), HS3ST2 (SEQ ID No: 27-28), POU4F3 (SEQ ID No: 29-30), ADRA1D (SEQ ID No: 31-32), MAGI2 (SEQ ID No: 33-34), EPO (SEQ ID No: 35-36), NEFH (SEQ ID No: 37-38), STC2 (SEQ ID No: 41-42) or THRB (SEQ ID No: Any of 43-44). 一種目標基因在製備用於膀胱癌症篩檢試劑中的用途,其為受測檢體內目標基因組中DNA中CpG序列甲基化的狀態,其中該目標基因係ZNF671。 Use of a target gene for the preparation of a reagent for bladder cancer screening, which is a state in which a CpG sequence in a DNA of a target genome in a subject is methylated, wherein the target gene is ZNF671. 如申請專利範圍第9項所述之目標基因在製備用於膀胱癌症篩檢試劑中的用途,其中該目標基因為ZNF671與另一目標基因SOX1、PAX1、AJAP1、SOX17、EDN3、ST6GAL2、ZNF614、SYT9、SOX8、HS3ST2、POU4F3、ADRA1D、MAGI2、EPO、NEFH、STC2或THRB之任一所組成。The use of the target gene according to claim 9 in the preparation of a reagent for bladder cancer screening, wherein the target gene is ZNF671 and another target genes SOX1, PAX1, AJAP1, SOX17, EDN3, ST6GAL2, ZNF614, Any of SYT9, SOX8, HS3ST2, POU4F3, ADRA1D, MAGI2, EPO, NEFH, STC2 or THRB.
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