采用 LNA/DNA 嵌合体作为野生型等位基因 PCR 扩增阻断物对 KRAS 基因进行高灵敏度突变分析。

High sensitive mutation analysis on KRAS gene using LNA/DNA chimeras as PCR amplification blockers of wild-type alleles.

机构信息

Department of Laboratory Medicine, Southwest Hospital, Third Military Medical University, Chongqing 400038, PR China.

出版信息

Mol Cell Probes. 2010 Dec;24(6):376-80. doi: 10.1016/j.mcp.2010.07.010. Epub 2010 Aug 21.

Abstract

The missense mutations at codons 12 and 13 of KRAS gene have been confirmed as a predictor of nonresponse to EGFR-targeted therapy with monoclonal antibodies cetuximab and panitumumab in patients with metastatic colorectal carcinoma (mCRC). Because of the intra-tumor heterogeneity at genetic levels, it is important to develop sensitive and selective assays to detect above KRAS mutation of rare mutated cells in the presence of large excess of wild-type cells. In the present study, wild-type blocking PCR (WTB-PCR) was developed to detect the aforementioned KRAS mutations, in which a chimera composed of locked nucleic acid (LNA) and DNA was used to inhibit with high sensitivity the amplification of wild-type KRAS alleles whereas it allowed the highly selective amplification of mutated KRAS alleles. Using mutated KRAS from HCT-116 as spiking DNA, the results showed that WTB-PCR could detect mutated alleles in a ratio of 1:10,000 (i.e., 0.01%) wild-type alleles and at a single copy level. For its further applications to detect aforementioned KRAS mutations in 20 cases of mCRC patients, the results showed that the detected mutation percentage of WTB-PCR (60%, 12/20) was higher than that of traditional PCR (45%, 9/20). Moreover, two patients respectively having synonymous mutated codons 13 (i.e., c.39C > T) and missense mutated codons 14 (i.e., c.40G > A) could be also only detected by WTB-PCR. In conclusion, the current WTB-PCR was a rapid, simple, and low-cost method to detect a trace amount of mutated KRAS gene.

摘要

KRAS 基因密码子 12 和 13 的错义突变已被证实可作为转移性结直肠癌(mCRC)患者对 EGFR 靶向治疗的单克隆抗体西妥昔单抗和帕尼单抗无反应的预测因子。由于遗传水平上的肿瘤内异质性,开发敏感和选择性的检测方法来检测大量野生型细胞中稀有突变细胞的上述 KRAS 突变非常重要。在本研究中,开发了野生型阻断 PCR(WTB-PCR)来检测上述 KRAS 突变,其中使用由锁核酸(LNA)和 DNA 组成的嵌合体来高度敏感地抑制野生型 KRAS 等位基因的扩增,同时允许高度选择性地扩增突变的 KRAS 等位基因。使用 HCT-116 中的突变 KRAS 作为加标 DNA,结果表明 WTB-PCR 可以以 1:10,000(即 0.01%)野生型等位基因的比例检测到突变等位基因,并且可以检测到单个拷贝水平的突变等位基因。为了进一步将其应用于检测 20 例 mCRC 患者的上述 KRAS 突变,结果表明 WTB-PCR 检测到的突变百分比(60%,12/20)高于传统 PCR(45%,9/20)。此外,还可以分别通过 WTB-PCR 检测到具有同义突变密码子 13(即 c.39C>T)和错义突变密码子 14(即 c.40G>A)的两个患者。总之,目前的 WTB-PCR 是一种快速、简单、低成本的方法,可以检测痕量的突变 KRAS 基因。

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