WO2021213261A1 - Kit et méthode de détection permettant de détecter des mutations du gène pd-l1 dans des cellules tumorales circulantes du sang périphérique d'un patient atteint d'un cancer gastrique - Google Patents

Kit et méthode de détection permettant de détecter des mutations du gène pd-l1 dans des cellules tumorales circulantes du sang périphérique d'un patient atteint d'un cancer gastrique Download PDF

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WO2021213261A1
WO2021213261A1 PCT/CN2021/087719 CN2021087719W WO2021213261A1 WO 2021213261 A1 WO2021213261 A1 WO 2021213261A1 CN 2021087719 W CN2021087719 W CN 2021087719W WO 2021213261 A1 WO2021213261 A1 WO 2021213261A1
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peripheral blood
add
gastric cancer
ctc
solution
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PCT/CN2021/087719
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Chinese (zh)
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夏梅
高德海
李胜
李�浩
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山东第一医科大学(山东省医学科学院)
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/574Immunoassay; Biospecific binding assay; Materials therefor for cancer
    • G01N33/57484Immunoassay; Biospecific binding assay; Materials therefor for cancer involving compounds serving as markers for tumor, cancer, neoplasia, e.g. cellular determinants, receptors, heat shock/stress proteins, A-protein, oligosaccharides, metabolites
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12NMICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N5/00Undifferentiated human, animal or plant cells, e.g. cell lines; Tissues; Cultivation or maintenance thereof; Culture media therefor
    • C12N5/06Animal cells or tissues; Human cells or tissues
    • C12N5/0602Vertebrate cells
    • C12N5/0693Tumour cells; Cancer cells
    • C12N5/0694Cells of blood, e.g. leukemia cells, myeloma cells
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/574Immunoassay; Biospecific binding assay; Materials therefor for cancer
    • G01N33/57407Specifically defined cancers
    • G01N33/57446Specifically defined cancers of stomach or intestine
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12NMICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N2509/00Methods for the dissociation of cells, e.g. specific use of enzymes
    • C12N2509/10Mechanical dissociation
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2333/00Assays involving biological materials from specific organisms or of a specific nature
    • G01N2333/435Assays involving biological materials from specific organisms or of a specific nature from animals; from humans
    • G01N2333/705Assays involving receptors, cell surface antigens or cell surface determinants
    • G01N2333/70503Immunoglobulin superfamily, e.g. VCAMs, PECAM, LFA-3
    • G01N2333/70532B7 molecules, e.g. CD80, CD86

Definitions

  • the invention provides a kit and a detection method for detecting the PD-L1 gene mutation of a patient through peripheral blood circulating tumor cells and gastric cancer, and belongs to the technical field of molecular biology.
  • Gastric cancer is a highly fatal malignant tumor with the fourth highest incidence in the world (950,000 new cases per year) and the third highest among cancer-related deaths in 2012.
  • the 5-year survival rate of gastric cancer patients is less than 30%, and about 50% of gastric cancer patients suffer tumor recurrence or metastasis after curative resection. Tumor recurrence and metastasis are the main causes of death in patients with gastric cancer.
  • Circulating tumor cells are tumor cells that fall off from solid tumors and enter the peripheral blood circulation. Since they were discovered in 1989, there have been a variety of methods for detecting circulating tumor cells in the peripheral blood. Recent studies have shown that its detection has important clinical significance for evaluating the prognosis of cancer patients, especially advanced cancer patients, and selecting appropriate individualized treatments. Because CTC detection has the characteristics of minimally invasive and real-time detection, it is called "liquid biopsy" of tumors.
  • the immunotherapy with PD-1/PD-L1 as an immune target has brought a new light to the treatment of gastric cancer.
  • immune suppression is closely related to immune escape and the overexpression of PD-L1 in tumor cells.
  • Tumor cells can bind to PD-1 on the surface of immune cells and T cells through PD-L1 on their surface, and conduct inhibitory signals to make T cells
  • the inability to recognize tumor cells and send out attack signals to tumor cells leads to immune escape of tumor cells.
  • CTC circulating tumor cells
  • the efficacy of PD-1 or PD-L1 immune preparations is mostly related to the immunohistochemical expression level of PD-L1 in tumor tissues, suggesting that the expression level of PD-L1 may be a biomarker for predicting the efficacy of PD-1 immunotherapy; there are also studies It shows that the high expression of PD-L1 in gastric cancer tissue is positively correlated with tumor aggressiveness.
  • CTC circulating tumor cell
  • Shandong First Medical University, Shandong Pharmaceutical Research Institute and Shandong Qixin Biotechnology Co., Ltd., Shandong Yuxiao Biotechnology Co., Ltd., Jinan Xingen Biotechnology Co., Ltd., Shandong Discovery Biotechnology Co., Ltd. and other units have Research on the industrialization of key technologies for tumor cell detection and identification.
  • This project is a major scientific and technological innovation project in Shandong Province. This project will take the Shandong Provincial Pharmaceutical Research Institute on the Jinan Campus of Shandong First Medical University as the core and implement the registrant system.
  • Circulating tumor cell detection and identification of core diagnostic technology, and further registration and identification of diagnostic kits to include PD1, PD-L1, ER, PR, Her-2, GPC-3, VEGF, P53, Vimentin, TKI-EGFR, RAS, CK, ALK-D5F3, CD20, ALK/EML4, Beta-catenin, E-Cadherin, EP-CAM, HPV, IDH-1, PSA, PSMA, VEGF, GFAP, cytokeratin, AE1/AE3, estrogen receptor, pregnancy Hormone receptors, BCA-225, CA125, CEA, EMA, ERCC1, HPV, Ki-67, P53, TOP2A, etc.
  • the identification and diagnosis kits are industrialized and promoted through cooperation with Shandong Qixin Biotechnology Co., Ltd., Shandong Yuxiao Biotechnology Co., Ltd., Jinan Xingen Biotechnology Co., Ltd., and Shandong Discovery Biotechnology Co., Ltd., which are registered in Jinan.
  • the present invention provides a method for detecting PD-L1 gene mutations in peripheral blood circulating tumor cells of gastric cancer patients for non-diagnostic purposes : Use a membrane filtration device to separate and obtain CTCs in the peripheral blood of patients with advanced or recurrent gastric cancer who cannot obtain tissue specimens, and further use immunohistochemistry to detect the expression of CTC's PD-L1.
  • a kit for detecting PD-L1 gene mutations in circulating tumor cells in the peripheral blood of patients with gastric cancer including diluent 45mL, decolorizing solution 1mL, staining solution A 0.5mL, staining solution B 1mL, PD-L1 (human) primary antibody 100 ⁇ L, goat antibody 100 ⁇ L of human IgG/HRP, 100 ⁇ L of 0.1% Triton X-100, 100 ⁇ L of 0.3% H 2 O 2 , 0.5 mL of reagent A, 60 mL of 6 ⁇ PBS buffer.
  • the composition of the diluent is: 1 mmol/L EDTA+0.1% BSA+0.1% trehalose+0.2% tyrosine+PBS buffer 150 mmol/L, wherein the percentage is a volume ratio.
  • the decolorizing liquid is composed of 95% alcohol and 100% xylene in a volume ratio of 1:1.
  • the staining solution A is a DAB staining solution
  • the staining solution B is a hematoxylin staining solution.
  • the reagent A is xylene.
  • the method for detecting PD-L1 gene mutations in peripheral blood circulating tumor cells of patients with gastric cancer for non-diagnostic purposes of the kit described above includes the following steps:
  • the specific method for detecting the expression of PD-L1 of CTC is as follows:
  • the membrane filtration device for separating tumor cells used in the present invention includes a filter, a blood sample container, a waste liquid cylinder, and an iron stand.
  • the iron stand is provided with a base, a stand and a bracket.
  • the blood sample container is set on the upper part of the iron stand through the bracket.
  • a filter which is connected to the waste liquid tank through the infusion set, and the waste liquid tank is arranged on the base.
  • the filter includes a filter upper port, a filter membrane, a filter membrane platform and a filter lower port.
  • the filter membrane is placed on the filter membrane platform; the upper port of the filter is connected to the blood sample container, and the lower port of the filter is connected to the waste liquid tank through the infusion device.
  • the filter membrane is made of a hydrophobic material, and the filter holes with a diameter of 8 micrometers are evenly spread on it.
  • the detection method provided by the present invention can detect PD-L1 expression in patients with advanced or recurrent gastric cancer without puncture biopsy to obtain tissue samples. This technology is minimally invasive and can be detected in real time.
  • the method provided by the present invention can avoid false positive results caused by edge effects that may occur during the staining process, has good stability, reduces cell loss, and improves detection accuracy.
  • Figure 1 is a schematic diagram of the structure of the membrane filtration device of the present invention.
  • FIG. 2 is a schematic cross-sectional view of the structure of the filter of the membrane filtration device of the present invention
  • FIG. 3 is a schematic diagram of the structure of the filter membrane of the membrane filtration device of the present invention.
  • Figure 4 is an image of circulating tumor cells obtained from the peripheral blood of a patient with gastric cancer
  • Figure 5 is a stained image of circulating tumor cells in the peripheral blood of a patient with advanced gastric cancer.
  • Component content 6 ⁇ PBS buffer 60mL Diluent 45mL Decolorizing liquid 1mL Staining solution A 0.5mL Staining Solution B 1mL PD-L1 (human) primary antibody (commercially available) 100 ⁇ L Goat anti-human IgG/HRP (commercially available) 100 ⁇ L 0.1% Triton X-100 100 ⁇ L 0.3% H 2 O 2 100 ⁇ L Reagent A 0.5mL
  • the membrane filtration device is composed of a filter 3, a filter membrane 7, a blood sample container 2, a waste liquid tank 5, and an iron stand 1;
  • the diameter of tumor cells is generally greater than 15 microns, and the diameter of blood cells (including red blood cells and white blood cells) is generally less than 8 microns. Therefore, after the peripheral blood containing CTC is filtered, the blood cells can be filtered because the diameter is smaller than the filter hole 10, and the CTC is larger than the diameter. The filter hole 10 is trapped on the filter membrane 7.
  • Figure 4 is an image of circulating tumor cells isolated from the peripheral blood of a gastric cancer patient.
  • the nucleus is large and the nucleus is irregular in shape; it has a high nucleus to cytoplasmic ratio.
  • nuclear atypia nuclear-to-plasma ratio greater than 0.8
  • cell diameter (long end) greater than 15um
  • hyperchromatic nuclei due to the increased chromatin of cancer cells, the particles become thicker and the nuclei are hyperchromatic).
  • Figure 5 is a stained image of circulating tumor cells in the peripheral blood of a patient with gastric cancer.
  • the detected circulating tumor cells were confirmed by immunohistochemistry for the expression of PD-L1 and compared with the results of PD-L1 in gross specimens of gastric cancer to observe the differences. It is mainly for patients with negative expression of PD-L1 in gross specimens and positive expression of circulating tumor cells.
  • Targeted therapy of gastric cancer provides new ideas for targeted therapy of gastric cancer.

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Abstract

L'invention concerne un kit et une méthode de détection permettant de détecter des mutations du gène PD-L1 dans des cellules tumorales circulantes du sang périphérique d'un patient atteint d'un cancer gastrique. Un dispositif de filtre membranaire est utilisé pour séparer et obtenir des CTC dans le sang périphérique d'un patient atteint d'un cancer gastrique avancé ou récurrent auprès duquel un échantillon tissulaire ne peut être obtenu, et une technologie d'immunohistochimie est en outre appliquée pour détecter l'expression PD-L1 des CTC. La méthode de détection selon la présente invention peut détecter l'expression de PD-L1 de patients atteints d'un cancer gastrique avancé ou récurrent sans biopsie par aspiration pour obtenir des échantillons tissulaires. La technologie est minimalement invasive et peut être utilisée pour une détection en temps réel. La méthode selon la présente invention peut éviter d'empêcher des résultats positifs provoqués par un effet de bord qui peut être généré au cours d'un processus de coloration, présente une bonne stabilité, réduit la perte de cellules et améliore la précision de détection.
PCT/CN2021/087719 2020-04-20 2021-04-16 Kit et méthode de détection permettant de détecter des mutations du gène pd-l1 dans des cellules tumorales circulantes du sang périphérique d'un patient atteint d'un cancer gastrique WO2021213261A1 (fr)

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CN202010311970.9A CN111562376A (zh) 2020-04-20 2020-04-20 一种检测胃癌患者外周血循环肿瘤细胞pd-l1基因突变的试剂盒及检测方法

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CN111562376A (zh) * 2020-04-20 2020-08-21 山东第一医科大学(山东省医学科学院) 一种检测胃癌患者外周血循环肿瘤细胞pd-l1基因突变的试剂盒及检测方法

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