Peng Jia, Wei Kun, Zhao Xiang, Yang Ke, Wang Huan, Zhang Yang, Guo Mei, He Jing, Wu Haiyan, Li Yongchuan, Zhao Na, Huang Qing, Fu Weiling
Department of Laboratory Medicine, Southwest Hospital, The Third Military Medical University, Chongqing 400038, P.R. China.
Mol Med Rep. 2017 Sep;16(3):2726-2732. doi: 10.3892/mmr.2017.6883. Epub 2017 Jun 29.
Mutant KRAS proto‑oncogene GTPase (KRAS) serves an important role in predicting the development, diagnosis, treatment and efficacy of targeted drug therapies for colorectal cancer. To improve the detection efficacy of trace amount of mutant KRAS, the locked nucleic acid‑based method was modified in the present study. Internal competitive amplification fragments were used to improve the inhibition of wild‑type KRAS with a wild‑type blocking (WTB) probe and specifically amplify the trace amounts of mutant KRAS. The modified method, quantitative clamp‑based polymerase chain reaction technology using WTB coupled with internal competitive reference to enhance the amplification specificity, named WIRE‑PCR, completely blocked the amplification of wild‑type KRAS in 50‑150 ng DNA templates. The added internal competitive amplified fragments were amplified together with the target gene, which were used to reduce base mismatch due to the high number of cycles in PCR and quantify the total amount of DNA. The results demonstrated that WIRE‑PCR facilitated the detection of mutated alleles at a single molecular level. In the colorectal biopsies from 50 patients with suspected colorectal cancer, 18 cases (36%) contained mutant KRAS, and the amount of mutant DNA accounted for 18.6‑64.2% of the total DNA. WIRE‑PCR is a simple, rapid and low‑cost quantitative analysis method for the detection of trace amounts of the mutant KRAS.
突变型KRAS原癌基因GTP酶(KRAS)在预测结直肠癌的发展、诊断、治疗及靶向药物治疗疗效方面发挥着重要作用。为提高痕量突变型KRAS的检测效率,本研究对基于锁核酸的方法进行了改进。使用内部竞争性扩增片段,通过野生型阻断(WTB)探针增强对野生型KRAS的抑制作用,并特异性扩增痕量的突变型KRAS。这种改进后的方法,即采用WTB结合内部竞争性参照以增强扩增特异性的基于定量钳夹的聚合酶链反应技术,命名为WIRE-PCR,在50-150 ng DNA模板中可完全阻断野生型KRAS的扩增。添加的内部竞争性扩增片段与靶基因一起扩增,用于减少因PCR循环次数过多导致的碱基错配,并对DNA总量进行定量。结果表明,WIRE-PCR有助于在单分子水平检测突变等位基因。在50例疑似结直肠癌患者的结直肠活检样本中,18例(36%)含有突变型KRAS,突变DNA量占总DNA的18.6%-64.2%。WIRE-PCR是一种用于检测痕量突变型KRAS的简单、快速且低成本的定量分析方法。