Wu Cun-Zao, Ni Xiao-Jie, Zheng Shao-Ling, Yang Yi-Rong, Xia Peng, Zeng Yan-Jun, Chen Bi-Cheng
Transplantation Center, First Affiliate Hospital of Wenzhou Medical College, Wenzhou, China.
Tumori. 2009 May-Jun;95(3):338-42. doi: 10.1177/030089160909500311.
P-glycoprotein, the product of the ATP-binding cassette subfamily B member 1 (ABCB1) gene (or the so-called multidrug resistance 1 gene), is an ATP-driven efflux pump contributing to the pharmacokinetics as well as the pharmacokinetics of drugs that are P-glycoprotein substrates, such as tacrolimus. This paper describes the development of a new method for detection of the 3435C/T and 2677G/T/A single nucleotide polymorphisms of the ABCB1 gene. The method is a simple sequence-specific primer polymerase chain reaction (SSP-PCR).
158 Chinese health checkup examinees and 214 transplant recipients were included in the study. Genomic DNA was extracted from peripheral blood and amplified with SSP-PCR to detect the 3435C/T and 2677G/T/A mutations in ABCB1. The SSP-PCR condition was optimized, and the PCR results were compared with those of DNA sequencing.
In the optimized condition, the two polymorphisms could be clearly distinguished after one-step PCR and electrophoresis. The ABCB1 3435C/T and 2677G/T/A genotypes of the subjects were scanned, and allele-specific bands were successfully amplified by SSP-PCR, which were in full accordance with the results of sequencing.
As a fast, simple and inexpensive genotyping tool, the method would be practicable in large clinical studies on interindividual pharmacokinetics.
P-糖蛋白是ATP结合盒亚家族B成员1(ABCB1)基因(即所谓的多药耐药1基因)的产物,是一种由ATP驱动的外排泵,它对P-糖蛋白底物药物(如他克莫司)的药代动力学及药物代谢动力学均有影响。本文描述了一种检测ABCB1基因3435C/T和2677G/T/A单核苷酸多态性的新方法的开发。该方法是一种简单的序列特异性引物聚合酶链反应(SSP-PCR)。
本研究纳入了158名中国健康体检者和214名移植受者。从外周血中提取基因组DNA,并用SSP-PCR进行扩增,以检测ABCB1基因中的3435C/T和2677G/T/A突变。对SSP-PCR条件进行了优化,并将PCR结果与DNA测序结果进行比较。
在优化条件下,一步PCR和电泳后可清晰区分这两种多态性。对受试者的ABCB1 3435C/T和2677G/T/A基因型进行了扫描,通过SSP-PCR成功扩增出等位基因特异性条带,与测序结果完全一致。
作为一种快速、简单且廉价的基因分型工具,该方法在个体间药代动力学的大型临床研究中具有可行性。