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一种用于检测越南急性淋巴细胞白血病患者基因变异的简单、快速且经济高效的聚合酶链反应方法。

A Simple, Rapid, and Cost-Effective PCR Procedure for Detection of Gene Variants in Vietnamese Patients with Acute Lymphoblastic Leukemia.

作者信息

Tram Duong Bich, Chuong Ho Quoc, Phuong Huynh Anh, Phung Nguyen The Nguyen, Nguyen Mai-Lan, Vu Hoang Anh

机构信息

Center for Molecular Biomedicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.

Pediatric Department, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.

出版信息

J Lab Physicians. 2023 Jun 13;15(4):567-572. doi: 10.1055/s-0043-1768948. eCollection 2023 Dec.

DOI:10.1055/s-0043-1768948
PMID:37780869
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10539051/
Abstract

The variants impact thiopurine dose selection in acute lymphoblastic leukemia patients. The ability to rapidly detect variants is important in clinical practice. This study aims to develop a simple polymerase chain reaction (PCR) procedure for detecting variants in Vietnamese patients.  Sanger sequencing was used to determine variants from 200 patients. We designed primers and optimized the PCR procedure for detection of wild-type and variant alleles and compared with Sanger sequencing results.  The inserted variant c.55_56insGAGTCG was detected by differences in size through conventional PCR. The tetra-primer amplification refractory mutation system PCR was successful in detecting two variations, c.52G > A and c.415C > T. The sensitivity and specificity of PCR procedure achieved 100% when compared to 200 Sanger sequencing results.  Our PCR procedure is suitable for replacing Sanger sequencing to detect the variants in clinical setting.

摘要

这些变体影响急性淋巴细胞白血病患者硫嘌呤剂量的选择。在临床实践中,快速检测变体的能力很重要。本研究旨在开发一种简单的聚合酶链反应(PCR)程序,用于检测越南患者的变体。

采用桑格测序法确定200例患者的变体。我们设计了引物并优化了用于检测野生型和变异等位基因的PCR程序,并与桑格测序结果进行比较。

通过常规PCR检测到插入变体c.55_56insGAGTCG的大小差异。四引物扩增阻滞突变系统PCR成功检测到两个变异,即c.52G>A和c.415C>T。与200份桑格测序结果相比,PCR程序的敏感性和特异性均达到100%。

我们的PCR程序适用于替代桑格测序法在临床环境中检测变体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b7d/10539051/cdec18d95413/10-1055-s-0043-1768948-i2321640-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b7d/10539051/b7ab7618b577/10-1055-s-0043-1768948-i2321640-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b7d/10539051/885fdea3ec84/10-1055-s-0043-1768948-i2321640-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b7d/10539051/cdec18d95413/10-1055-s-0043-1768948-i2321640-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b7d/10539051/b7ab7618b577/10-1055-s-0043-1768948-i2321640-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b7d/10539051/885fdea3ec84/10-1055-s-0043-1768948-i2321640-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b7d/10539051/cdec18d95413/10-1055-s-0043-1768948-i2321640-3.jpg

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本文引用的文献

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TPMT and NUDT15 polymorphisms in thiopurine induced leucopenia in inflammatory bowel disease: a prospective study from India.
TPMT 和 NUDT15 多态性与炎症性肠病硫嘌呤诱导的白细胞减少:来自印度的前瞻性研究。
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Clinical Pharmacogenetics Implementation Consortium Guideline for Thiopurine Dosing Based on TPMT and NUDT15 Genotypes: 2018 Update.基于 TPMT 和 NUDT15 基因型的硫嘌呤药物剂量调整:临床药物遗传学实施联盟指南 2018 年更新版。
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Predictive role of NUDT15 variants on thiopurine-induced myelotoxicity in Asian inflammatory bowel disease patients.NUDT15基因变异对亚洲炎症性肠病患者硫嘌呤诱导的骨髓毒性的预测作用。
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Novel Tetra-Primer ARMS-PCR Assays for Thiopurine Intolerance Susceptibility Mutations NUDT15 c.415C>T and TPMT c.719A>G (TPMT*3C) in East Asians.东亚人群中用于检测硫嘌呤不耐受易感突变NUDT15 c.415C>T和TPMT c.719A>G(TPMT*3C)的新型四引物ARMS-PCR检测方法
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