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一种用于西班牙国家卫生系统药物基因组学组合中包含的 HLA 变体基因分型的经济快速方法。

An Inexpensive and Quick Method for Genotyping of HLA Variants Included in the Spanish Pharmacogenomic Portfolio of National Health System.

机构信息

Servicio de Farmacia, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, 28007 Madrid, Spain.

Histocompatibilidad Centro de Transfusión de Madrid, 28009 Madrid, Spain.

出版信息

Int J Mol Sci. 2024 Oct 18;25(20):11207. doi: 10.3390/ijms252011207.

DOI:10.3390/ijms252011207
PMID:39456988
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11508955/
Abstract

The possibility of using the same genotyping technology (TaqMan) for all the genetic tests included in the new Spanish pharmacogenomics portfolio should enable the application of a multigenotyping platform to obtain a whole pharmacogenomics profile. However, HLA-typing is usually performed with other technologies and needs to be adapted to TaqMan assays. Our aim was to establish a set of TaqMan assays for correct typing of , , , and . Therefore, we searched for and selected SNVs described in different populations as surrogate markers for these HLA alleles, designed TaqMan assays, and tested in a set of samples with known and . was correctly typed with a combination of rs1061235 and rs17179220 (PPV 100%, 95% CI 84.6-100-%; NPV 100%, 95% CI 96.5-100.0%), with rs10484555 (PPV 100%, 95% CI 69.2-100.0%; NPV 100%, 95% CI 96.8-100.0%) and rs144012689 (PPV 100%, 95% CI 69.2-100.0%; NPV 100%, 95% CI 96.8-100.0%), and with rs2395029 (PPV 99.5%, 95% CI 72.9-99.3%; NPV 99.5%, 95% CI 98.3-100.0%). was typed using two allele-specific TaqMan probes mixed with a reference and treated as a genotyping assay (PPV 100.0%, 95% CI 81.5-100.0%; NPV 100%, 95% CI 96.8-100.0%). In conclusion, we demonstrated a clinically useful way to type and alleles included in the Spanish pharmacogenomics portfolio using TaqMan assays.

摘要

我们旨在建立一套 TaqMan 检测方法,用于正确检测 、 、 和 等位基因。因此,我们搜索并选择了不同人群中描述的 SNV 作为这些 HLA 等位基因的替代标记物,设计了 TaqMan 检测方法,并在一组已知 和 的样本中进行了测试。 等位基因可通过 rs1061235 和 rs17179220 的组合进行正确分型(PPV100%,95%CI84.6-100%;NPV100%,95%CI96.5-100.0%), 等位基因可通过 rs10484555(PPV100%,95%CI69.2-100.0%;NPV100%,95%CI96.8-100.0%)和 rs144012689(PPV100%,95%CI69.2-100.0%;NPV100%,95%CI96.8-100.0%)进行正确分型, 等位基因可通过 rs2395029(PPV99.5%,95%CI72.9-99.3%;NPV99.5%,95%CI98.3-100.0%)进行正确分型。 等位基因使用两种等位基因特异性 TaqMan 探针与一个参考探针混合进行检测,被视为一种基因分型检测方法(PPV100.0%,95%CI81.5-100.0%;NPV100%,95%CI96.8-100.0%)。总之,我们证明了一种使用 TaqMan 检测方法对西班牙药物基因组学组合中包含的 和 等位基因进行临床有用的基因分型方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a9e/11508955/cd1bd768f5e5/ijms-25-11207-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a9e/11508955/cd1bd768f5e5/ijms-25-11207-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a9e/11508955/cd1bd768f5e5/ijms-25-11207-g001.jpg

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The allele corresponds to a very large haploblock likely explaining its massive effect for HIV-1 elite control.该等位基因对应一个非常大的单倍型块,可能解释了其对 HIV-1 精英控制的巨大影响。
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