KR20180130060A - Genetic diagnostic method using 30 genes associated with Alzheimer's disease - Google Patents
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Abstract
Description
본 발명은 알츠하이머병의 유전적 진단방법 관한 것이다. 보다 상세하게는, 본 발명은 알츠하이머 환자에서 나타나는 30개 유전자의 돌연변이를 검사하여 치매를 진단할 수 있는 유전자 분석 진단방법에 관한 것이다. The present invention relates to a method for genetic diagnosis of Alzheimer's disease. More particularly, the present invention relates to a gene analysis diagnostic method capable of diagnosing dementia by examining mutations of 30 genes in Alzheimer's patients.
알츠하이머병 (AD), 전두측두엽성 치매 (FTD), 근위축성측삭경화증 (ALS), 프리온 질환 (CJD) 및 파킨슨병 (PD)을 비롯한 많은 신경 퇴행성 질환 (neurodegenerative diseases, ND)은 여러 임상적, 병리적 및 분자적 특징이 공통적으로 나타나는 것으로 보고되었다(Bertram L, et al. The genetic epidemiology of neurodegenerative disease. J Clin Invest 2005;115(6):1449-1457). 신경 퇴행성 질환은 신경 세포의 선택적 손실 및 임상 증상으로 기능적 장애를 갖는 질환으로 정의된다. 의료기술이 발달하면서 평균 수명이 길어짐에 따라 질환은 세계에서 주요 건강 문제가 되고 있다. 이러한 문제를 해결하기 위해 전 임상 단계에서 성공적인 치료를 위한 새로운 진단 방법이 필요하다.Many neurodegenerative diseases (ND), including Alzheimer's disease (AD), frontotemporal dementia (FTD), amyotrophic lateral sclerosis (ALS), prion disease (CJD) and Parkinson's disease (PD) (Bertram L, et al., Genetic epidemiology of neurodegenerative disease. J Clin Invest 2005; 115 (6): 1449-1457). Neurodegenerative disease is defined as a disease that has functional impairment due to selective loss of nerve cells and clinical symptoms. Diseases are becoming a major health problem in the world as the average life expectancy increases as medical technology develops. To solve these problems, new diagnostic methods for successful treatment at the preclinical stage are needed.
Next generation sequencing (NGS)은 인 비트로(in vitro) 및 인 비보(in vivo) 상에서 쉽게 유전적 서열을 확인할 수 있는 기술로서, 최근 몇 년 동안 유전학 연구는 sequencing 기술의 출현으로 인해 상당한 진보를 보였다. NGS 기술을 통하여 점점 더 많은 수의 유전자를 조사할 수 있게 되었고, 이러한 기술의 발달로 질병 진단과 치료를 위해 유전적 돌연변이 발견이 용이해졌다. 최근 확인된 치매와 연관된 대다수의 유전자는 Aβ42 생성 및 제거에 영향을 주거나 ND 병인에 있어서 중요한 경로에 영향을 주는 것으로 알려졌다(Karch CM, et al. Alzheimer's disease risk genes and mechanisms of disease pathogenesis. Biological psychiatry. 2015;77(1):43-51; Lambert JC, et al. Meta-analysis of 74,046 individuals identifies 11 new susceptibility loci for Alzheimer's disease. Nat Genet. 2013; Zhang B, et al. Integrated systems approach identifies genetic nodes and networks in late-onset Alzheimer's disease. Cell. 2013;153:707-720). 하지만 어떠한 돌연변이 유전자가 어떤 질병과 연관성이 있는지 규명되지 않은 부분이 상당히 많다. 특히 다양한 퇴행성 뇌질환의 경우 복잡한 상호연관성을 가지고 있기 때문에(Bertram L, et al. The genetic epidemiology of neurodegenerative disease. J Clin Invest 2005;115(6):1449-1457) 한 가지 유전자로 해당 질병을 진단하거나 치료에 적용하기에 문제점이 있다. Next generation sequencing (NGS) is a technology that can easily identify genetic sequences in vitro and in vivo . In recent years, genetic research has made considerable progress due to the emergence of sequencing technology. NGS technology enables more and more genes to be investigated, and the development of these technologies has made it easier to detect genetic mutations for disease diagnosis and treatment. Most recently identified genes associated with dementia have been shown to affect the production and elimination of A? 42 or affect important pathways in ND pathogenesis (Karch CM, et al. Alzheimer's disease risk genes and mechanisms of disease pathogenesis. Biological psychiatry. Lambert JC, et al. Meta-analysis of 74,046 individuals identifies 11 new susceptibility loci for Alzheimer's disease, 2013; Zhang B, et al. networks in late-onset Alzheimer ' s disease. Cell. 2013; 153: 707-720). However, there are a number of areas where no mutation gene is associated with any disease. In particular, a variety of degenerative brain diseases have complex interrelationships (Bertram L, et al., Genetic epidemiology of neurodegenerative disease. J Clin Invest 2005; 115 (6): 1449-1457) Or to apply it to treatment.
본 명세서 전체에 걸쳐 다수의 논문 및 특허문헌이 참조되고 그 인용이 표시되어 있다. 인용된 논문 및 특허문헌의 개시 내용은 그 전체로서 본 명세서에 참조로 삽입되어 본 발명이 속하는 기술 분야의 수준 및 본 발명의 내용이 보다 명확하게 설명된다.Numerous papers and patent documents are referenced and cited throughout this specification. The disclosures of the cited papers and patent documents are incorporated herein by reference in their entirety to better understand the state of the art to which the present invention pertains and the content of the present invention.
본 발명자들은 치매 중 가장 높은 비중을 차지하고 하고 있는 알츠하이머를 진단할 수 있는 방법을 찾고자 예의 연구 노력하였다. 그 결과 본 발명자들은 알츠하이머 환자에게서 발견된 알츠하이머 관련 돌연변이 유전자30개를 선별하여 이에 대한 NGS 분석용 프라이머를 디자인 하였고, 이 프라이머를 이용하여 뇌질환 의심 환자들의 대한 돌연변이를 분석함으로써 알츠하이머를 진단할 수 있음을 확인하였다.The present inventors have sought to find a method for diagnosing Alzheimer's disease, which occupies the highest proportion of dementia. As a result, the present inventors selected 30 mutant genes for Alzheimer's disease found in Alzheimer's patients and designed a NGS analysis primer for them. By using this primer, mutations of patients with suspected brain diseases can be analyzed to diagnose Alzheimer's disease Respectively.
따라서, 본 발명의 목적은 알츠하이머 진단을 위한 정보제공방법을 제공하는데 있다.Accordingly, it is an object of the present invention to provide a method for providing information for diagnosing Alzheimer's disease.
본 발명의 다른 목적은 알츠하이머 진단 또는 예후 분석용 키트를 제공하는데 있다.Another object of the present invention is to provide a kit for the diagnosis or prognosis of Alzheimer's disease.
본 발명의 또 목적은 퇴행성 뇌질환 진단을 위한 정보제공방법을 제공하는데 있다.It is another object of the present invention to provide a method for providing information for diagnosing degenerative brain disease.
본 발명의 또 목적은 퇴행성 뇌질환 진단 또는 예후 분석용 키트를 제공하는데 있다.It is another object of the present invention to provide a kit for diagnosing or prognosing a degenerative brain disease.
본 발명의 다른 목적 및 이점은 하기의 발명의 상세한 설명, 청구범위 및 도면에 의해 보다 명확하게 된다.Other objects and advantages of the present invention will become more apparent from the following detailed description of the invention, claims and drawings.
본 발명의 일 양태에 따르면, 본 발명은 진단하고자 하는 개체로부터 분리된 생물학적 시료의 유전자 돌연변이를 분석하는 단계를 포함하며, 상기 유전자 돌연변이는 APP (amyloid precursor protein), PSEN1 (presenilin), PSEN2 (presenilin 2), CR1 (complement receptor 1), BIN1 (Bridging integrator 1), TREM2 (triggering receptor expressed on myeloid cells 2), CLU (clusterin), CTNNA3 (Cadherin-associated protein alpha 3), DNMBP (Dynamin binding protein), SORL1 (sortilin-related receptor 1), BACE1 (Beta-secretase 1), PICALM (Phosphatidylinositol binding clathrin assembly protein), LPR6 (low-density lipoprotein receptor-related protein 6), ADAM10 (Disintegrin and metalloproteinase domain-containing protein 10), ABCA7 (ATP-binding cassette transporter A7), CD33 (sialic acid binding Ig-like lectin 3), TDP43 (TAR-DNA binding protein-43), SIGMAR1 (sigma non-opioid intracellular receptor 1), FUS (Fused-in-Sarcoma), GRN(PGRN) (progranulin), MAPT (microtubule associated Tau protein), ALS2 (amyotrophic lateral sclerosis), PINK1 (PTEN-induced putative kinase 1), PARK7 (Colony Stimulating Factor 1 Receptor), PARK9 (ATPase 13A2 or PTEN Induced Putative Kinase 1), SNCA (Alpha synuclein), LRRK2 (Leucine-rich repeat kinase 2), CSF1R (colony stimulating factor 1 receptor), NOCTH3 (Neurogenic locus notch homolog protein 3), PRNP (prion protein gene) 및 이의 조합으로 구성된 군에서 선택되는 유전자의 엑손(exon) 부위 돌연변이인, 알츠하이머 진단을 위한 정보제공방법을 제공한다. According to one aspect of the present invention, the present invention comprises a method for analyzing a genetic mutation of a biological sample separated from an individual to be diagnosed, wherein the gene mutation is selected from the group consisting of APP (amyloid precursor protein), PSEN1 (presenilin), PSEN2 2), CR1 (complement receptor 1), BIN1 (Bridging integrator 1), TREM2 (triggering receptor expressed on myeloid cells 2), CLU (clusterin), Cadherin-associated protein alpha 3, DNMBP (Dynamin binding protein) (Low-density lipoprotein receptor-related protein 6), ADAM10 (Disintegrin and metalloproteinase domain-containing protein 10), SORL1 (sortilin-related receptor 1), BACE1 (beta-secretase 1), PICALM (phosphatidylinositol binding clathrin assembly protein) , ABCA7 (ATP-binding cassette transporter A7), CD33 (sialic acid binding Ig-like lectin 3), TDP43 (TAR-DNA binding protein-43), SIGMAR1 (sigma non-opioid intracellular receptor 1), FUS -Sarcoma), GRN (PGRN) (progranulin), MAP TEN (microtubule associated Tau protein), ALS2 (amyotrophic lateral sclerosis), PINK1 (PTEN-induced putative kinase 1), PARK7 (Colony Stimulating Factor 1 Receptor), PARK9 (ATPase 13A2 or PTEN Induced Putative Kinase 1) , Exon of a gene selected from the group consisting of LRRK2 (Leucine-rich repeat kinase 2), CSF1R (colony stimulating factor 1 receptor), NOCTH3 (Neurogenic locus notch homolog protein 3), PRNP exon) site mutation, which provides information for diagnosing Alzheimer's disease.
본 발명자들은 치매 중 가장 높은 비중을 차지하고 하고 있는 알츠하이머를 진단할 수 있는 방법을 찾고자 예의 연구 노력한 결과, 알츠하이머 환자에게서 발견된 알츠하이머 관련 돌연변이 유전자 30개를 선별하여 이에 대한 NGS 분석용 프라이머를 디자인 하였고, 이 프라이머를 이용하여 여러 뇌질환 의심 환자들의 대한 돌연변이를 분석함으로써 알츠하이머를 진단할 수 있음을 확인하였다. The inventors of the present invention searched for a method for diagnosing Alzheimer's disease that occupies the highest proportion of dementia. As a result, 30 mutant genes of Alzheimer's disease found in Alzheimer's patients were selected and a primer for NGS analysis was designed. Using this primer, we could confirm the diagnosis of Alzheimer 's by analyzing the mutation of suspected patients with various brain diseases.
본 발명에서는 EOAD 환자에서 APP, PSEN1, PSEN2, CR1, BIN1, CLU, CTNNA3, DNMBP, SORL1, BACE1, PICALM, LPR6, ADAM10, ABCA7, CD33, SIGMAR1, FUS, GRN, MAPT, ALS2, PINK1, PARK7, PARK9, SNCA, LRRK2, CSF1R, NOTCH3 및 PRNP 유전자의 돌연변이를 발견하였으며, 특히, PSEN1, CLU, CTNNA3, SORL1, LRP6, ABCA7, PINK1, ATP13A2 (PARK9), LRRK2, FUS, GRN (PGRN), ALS2, CSF1R, NOTCH3 및 PRNP 유전자에서 신규한(novel) 돌연변이가 발견되었다.In the present invention, APP, PSEN1, PSEN2, CR1, BIN1, CLU, CTNNA3, DNMBP, SORL1, BACE1, PICALM, LPR6, ADAM10, ABCA7, CD33, SIGMAR1, FUS, GRN, MAPT, ALS2, PINK1, PARK7, (PGRN), ALS2, LRRK2, FISH, GRN (PGRN), PARK9, SNCA, LRRK2, CSF1R, NOTCH3 and PRNP genes. Novel mutations were found in the CSF1R, NOTCH3 and PRNP genes.
또한, LOAD 환자에서도 APP, CR1, BIN1, CLU, CTNNA3, DNMBP, SORL1, BACE1, PICALM, LPR6, ADAM10, ABCA7, CD33, SIGMAR1, MAPT, ALS2, PINK1, PARK9, LRRK2, CSF1R, NOTCH3 및 PRNP 유전자의 돌연변이를 발견하였고, 특히 APP, CLU, ADAM10, ATP13A2 (PARK9), LRRK 및 NOTCH3 유전자의 신규한 돌연변이를 발견하였다.In addition, in LOAD patients, APP, CR1, BIN1, CLU, CTNNA3, DNMBP, SORL1, BACE1, PICALM, LPR6, ADAM10, ABCA7, CD33, SIGMAR1, MAPT, ALS2, PINK1, PARK9, LRRK2, CSF1R, NOTCH3 and PRNP Found mutations, particularly novel mutations in APP, CLU, ADAM10, ATP13A2 (PARK9), LRRK and NOTCH3 genes.
본 발명의 일 구현예에 따르면, 상기 유전자는 APP, PSEN1, PSEN2, CR1, BIN1, CLU, CTNNA3, DNMBP, SORL1, BACE1, PICALM, LPR6, ADAM10, ABCA7, CD33, SIGMAR1, FUS, GRN, MAPT, ALS2, PINK1, PARK7, PARK9, SNCA, LRRK2, CSF1R, NOTCH3 및 PRNP 및 이의 조합으로 구성된 군에서 선택될 수 있다. 본 발명의 다른 구현예에 따르면, 상기 유전자는 APP, CR1, BIN1, CLU, CTNNA3, DNMBP, SORL1, BACE1, PICALM, LPR6, ADAM10, ABCA7, CD33, SIGMAR1, MAPT, ALS2, PINK1, PARK9, LRRK2, CSF1R, NOTCH3 및 PRNP 및 이의 조합으로 구성된 군에서 선택될 수 있다.According to an embodiment of the present invention, These genes include APP, PSEN1, PSEN2, CR1, BIN1, CLU, CTNNA3, DNMBP, SORL1, BACE1, PICALM, LPR6, ADAM10, ABCA7, CD33, SIGMAR1, FUS, GRN, MAPT, ALS2, PINK1, PARK7, , LRRK2, CSF1R, NOTCH3 and PRNP, and combinations thereof. According to another embodiment of the present invention, the gene is selected from the group consisting of APP, CR1, BIN1, CLU, CTNNA3, DNMBP, SORL1, BACE1, PICALM, LPR6, ADAM10, ABCA7, CD33, SIGMAR1, MAPT, ALS2, PINK1, PARK9, LRRK2, CSF1R, NOTCH3, and PRNP, and combinations thereof.
본 발명의 특정 구현예에 따르면, 알츠하이머의 진단에 있어서 상기 30개의 유전자의 돌연변이를 분석하되, 각 유전자에서 1 이상의 돌연변이를 검출할 수 있고, 각 유전자의 돌연변이 검출에 있어서는 1개 이상의 프라이머 세트를 사용할 수 있다. 상기 돌연변이는 하기 실시예의 표 2 및 표 3에 기재되어 있다.According to a specific embodiment of the present invention, in the diagnosis of Alzheimer's disease, the mutation of the above 30 genes is analyzed, at least one mutation can be detected in each gene, and at least one primer set can be used for mutation detection of each gene . These mutations are shown in Tables 2 and 3 of the following examples.
본 발명에서 상기 생물학적 시료는 혈액, 정액, 질 세포, 모발, 타액, 소변, 구강세포, 태반세포 또는 태아세포를 포함하는 양수 및 이의 혼합물로 구성된 군에서 선택되는 시료로부터 분리된 DNA 시료이다. 본 발명의 일 구현예에 따르면, 상기 생물학적 시료는 혈액으로부터 분리된 DNA 시료이다.In the present invention, the biological sample is a DNA sample separated from a sample selected from the group consisting of blood, semen, vaginal cells, hair, saliva, urine, oral cells, placental cells or amniotic fluid including fetal cells, and mixtures thereof. According to one embodiment of the present invention, the biological sample is a DNA sample separated from blood.
상기 DNA 시료는 당업계에 공지된 통상적인 방법을 통해 수득할 수 있다. 예컨대, 상기 조직에 DNA 용해 완충액(예컨대, tris-HCl, EDTA, EGTA, SDS, 디옥시콜레이트(deoxycholate), 및 트리톤X (tritonX) 및/또는 NP-40을 포함)을 처리하여 DNA를 분리한다.The DNA sample can be obtained through a conventional method known in the art. For example, DNA is isolated by treating the tissue with a DNA lysis buffer (e.g., tris-HCl, EDTA, EGTA, SDS, deoxycholate, and Triton X and / or NP-40) .
본 발명의 일 구현예에 따르면, DNA 시료는 DNA를 포함하는 생물학적 시료(biological sample)이다. According to one embodiment of the present invention, the DNA sample is a biological sample containing DNA.
본 명세서에 기술된 용어 “증폭”은 핵산 분자를 증폭하는 반응을 의미한다. 다양한 증폭 반응들이 당업계에 보고 되어 있으며, 이는 중합효소 연쇄반응(이하 PCR이라 한다)(미국 특허 제4,683,195, 4,683,202, 및 4,800,159호), 역전사-중합효소 연쇄반응(이하 RT-PCR로 표기한다)(Sambrook 등, Molecular Cloning. A Laboratory Manual, 3rd ed. Cold Spring Harbor Press(2001)), Miller, H. I.(WO 89/06700) 및 Davey, C. 등(EP 329,822)의 방법, 리가아제 연쇄 반응(ligase chain reaction; LCR)(17, 18), Gap-LCR(WO 90/01069), 복구 연쇄 반응(repair chain reaction; EP 439,182), 전사-중재 증폭(transcription-mediated amplification; TMA)(19) (WO 88/10315), 자가 유지 염기서열 복제(self sustained sequence replication)(20)(WO 90/06995), 타깃 폴리뉴클레오티드 염기서열의 선택적 증폭(selective amplification of target polynucleotide sequences)(미국 특허 제6,410,276호), 컨센서스 서열 프라이밍 중합효소 연쇄 반응(consensus sequence primed polymerase chain reaction; CP-PCR)(미국 특허 제4,437,975호), 임의적 프라이밍 중합효소 연쇄 반응(arbitrarily primed polymerase chain reaction; AP-PCR)(미국 특허 제5,413,909호 및 제5,861,245호), 핵산 염기서열 기반 증폭(nucleic acid sequence based amplification; NASBA)(미국 특허 제5,130,238호, 제5,409,818호, 제5,554,517호, 및 제6,063,603호), 가닥 치환 증폭(strand displacement amplification) 및 고리-중재 항온성 증폭(loop-mediated isothermal amplification; LAMP)을 포함하나, 이에 한정되지는 않는다. 사용 가능한 다른 증폭 방법들은 미국특허 제5,242,794, 5,494,810, 4,988,617호 및 미국 특허 제09/854,317호에 기술되어 있다.The term " amplification " as described herein refers to a reaction that amplifies a nucleic acid molecule. A variety of amplification reactions have been reported in the art, including polymerase chain reaction (PCR) (US Pat. Nos. 4,683,195, 4,683,202, and 4,800,159), reverse transcription-polymerase chain reaction (RT- , The method of Miller, HI (WO 89/06700) and Davey, C. et al (EP 329,822), the method of ligase chain reaction (Sambrook et al., Molecular Cloning, A Laboratory Manual, 3rd ed. Cold Spring Harbor Press ligase chain reaction (LCR) (17, 18), Gap-LCR (WO 90/01069), repair chain reaction (EP 439,182), transcription-mediated amplification (TMA) WO 88/10315), self sustained sequence replication (20) (WO 90/06995), selective amplification of target polynucleotide sequences (US Patent No. 6,410,276) , Consensus sequence primed polymerase chain reaction (C P-PCR (US Patent No. 4,437,975), arbitrarily primed polymerase chain reaction (AP-PCR) (U.S. Patent Nos. 5,413,909 and 5,861,245), nucleic acid sequence based amplification (NASBA) (US Pat. Nos. 5,130,238, 5,409,818, 5,554,517 and 6,063,603), strand displacement amplification and loop-mediated isothermal amplification. LAMP), but is not limited thereto. Other amplification methods that may be used are described in U.S. Patent Nos. 5,242,794, 5,494,810, 4,988,617 and U.S. Patent No. 09 / 854,317.
PCR은 가장 잘 알려진 핵산 증폭 방법으로, 그의 많은 변형과 응용들이 개발되어 있다. 예를 들어, PCR의 특이성 또는 민감성을 증진시키기 위해 전통적인 PCR 절차를 변형시켜 터치다운(touchdown) PCR, 핫 스타트(hot start) PCR, 네스티드(nested) PCR 및 부스터(booster) PCR이 개발되었다. 또한, Emulsion PCR, Polony PCR, 멀티플렉스(multiplex) PCR, 실시간(real-time) PCR, 분별 디스플레이 PCR(differential display PCR, D-PCR), cDNA 말단의 신속 증폭(rapid amplification of cDNA ends, RACE), 인버스 PCR (inverse polymerase chain reaction: IPCR), 벡토레트(vectorette) PCR, 및 TAIL-PCR(thermal asymmetric interlaced PCR)이 특정한 응용을 위해 개발되었다. PCR에 대한 자세한 내용은 McPherson, M.J., 및 Moller, S.G. PCR. BIOS Scientific Publishers, Springer-Verlag New York Berlin Heidelberg, N.Y. (2000)에 기재되어 있으며, 그의 교시사항은 본 명세서에 참조로 삽입된다.PCR is the most well-known nucleic acid amplification method, and many variations and applications thereof have been developed. For example, touchdown PCR, hot start PCR, nested PCR and booster PCR have been developed by modifying traditional PCR procedures to enhance the specificity or sensitivity of PCR. In addition, PCR amplification using Polymerase Chain Reaction (PCR), Polony PCR, multiplex PCR, real-time PCR, differential display PCR (D-PCR), rapid amplification of cDNA ends Inverse polymerase chain reaction (IPCR), vectorette PCR, and TAIL-PCR (thermal asymmetric interlaced PCR) have been developed for specific applications. For more information on PCR see McPherson, M.J., and Moller, S.G. PCR. BIOS Scientific Publishers, Springer-Verlag New York Berlin Heidelberg, N.Y. (2000), the teachings of which are incorporated herein by reference.
본 발명에서 상기 돌연변이 분석은 상기 유전자에 상보적으로 결합하는 각각의 프라이머를 이용하여 유전자를 증폭하고, 상기 증폭산물의 시퀀싱(sequencing) 데이터를 이용하여 유전자 돌연변이를 분석함으로써 실시할 수 있다. 또는 상기 돌연변이 분석은 RFLP (Restriction frangment length polymorphism) 또는 Allele specific PCR 의 방법을 이용하여 분석할 수도 있다. In the present invention, the mutation analysis can be performed by amplifying a gene using each primer complementarily binding to the gene, and analyzing gene mutation using sequencing data of the amplification product. Alternatively, the mutation analysis may be performed using restriction fragment length polymorphism (RFLP) or Allele specific PCR.
본 발명의 일 구현예에 따르면, 상기 시퀀싱은 NGS (next generation sequencing) 방법을 이용하여 실시할 수 있다. 본 발명에서 NGS 데이터세트는 Torrent Suite Software v.4.4.3 (Life Technologies)으로 분석하였으며, 돌연변이 분석은 Integrative Genome Viewer (IGV) software (software.broadinstitute.org/igv/)로 진행하였다.According to an embodiment of the present invention, the sequencing may be performed using a next generation sequencing (NGS) method. In the present invention, the NGS data set was analyzed with Torrent Suite Software v.4.4.3 (Life Technologies), and the mutation analysis was conducted with the Integrative Genome Viewer (IGV) software (software.broadinstitute.org/igv/).
본 발명에서는 각 유전자에 대한 프라이머를 이용하여 돌연변이 분석을 실시할 수 있으며, 각 유전자별로 한 쌍(pair) 이상의 프라이머 세트를 이용할 수 있다. 본 발명에서 이용한 프라이머는 표 4 내지 표 33에 개시되어 있다. In the present invention, mutation analysis can be performed using primers for each gene, and more than one pair of primers can be used for each gene. The primers used in the present invention are shown in Tables 4 to 33.
본 발명의 특정 구현예에 따르면, 본 발명의 방법에서 APP 유전자의 엑손(exon)에 상보적으로 결합하는 프라이머 세트를 1세트 내지 18세트 사용할 수 있고; 상기 PSEN1 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 12세트 사용할 수 있고; 상기 PSEN2 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 13세트 사용할 수 있고; 상기 CR1 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 52세트 사용할 수 있고; 상기 BIN1 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 16세트 사용할 수 있고; 상기 TREM2 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 4세트 사용할 수 있고; 상기 CLU 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 10세트 사용할 수 있고; 상기 CTNNA3 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 19세트 사용할 수 있고; 상기 DNMBP 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 23세트 사용할 수 있고; 상기 SORL1 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 48세트 사용할 수 있고; 상기 BACE1 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 9세트 사용할 수 있고, 상기 PICALM 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 19세트 사용할 수 있고; 상기 LPR6 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 25세트 사용할 수 있고; 상기 ADAM10 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 16세트 사용할 수 있고; 상기 ABCA7 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 47세트 사용할 수 있고; 상기 CD33 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 8세트 사용할 수 있고; 상기 TDP43 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 11세트 사용할 수 있고; 상기 SIGMAR1 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 6세트 사용할 수 있고; 상기 FUS 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 15세트 사용할 수 있고; 상기 GRN 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 13세트 사용할 수 있고; 상기 MAPT 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 15세트 사용할 수 있고; 상기 ALS2 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 39세트 사용할 수 있고; 상기 PINK1 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 9세트 사용할 수 있고; 상기 PARK7 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 7세트 사용할 수 있고; 상기 PARK9 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 28세트 사용할 수 있고; 상기 SNCA 유전자에 상보적으로 프라이머 세트를 1세트 내지 6세트 사용할 수 있고; 상기 LRRK2 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 54세트 사용할 수 있고; 상기 CSF1R 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 22세트 사용할 수 있고; 상기 NOTCH3 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 35세트 사용할 수 있고; 상기 PRNP 유전자에 상보적으로 결합하는 프라이머 세트를 1세트 내지 4세트 사용할 수 있다. According to a specific embodiment of the present invention, one to eight sets of primer sets complementary to the exon of the APP gene can be used in the method of the present invention; One to twelve sets of primer sets complementarily binding to the PSEN1 gene can be used; One to thirteen sets of primer sets complementarily binding to the PSEN2 gene can be used; One set to 52 sets of primer sets complementary to the CR1 gene can be used; One to 16 sets of primer sets complementary to the BIN1 gene can be used; One to four primer sets complementary to the TREM2 gene may be used; One to ten sets of primer sets complementary to the CLU gene may be used; One to 19 sets of primer sets complementary to the CTNNA3 gene can be used; One to 23 sets of primer sets complementary to the DNMBP gene can be used; One to 48 sets of primer sets complementary to the SORL1 gene can be used; One to nine primer sets complementary to the BACE1 gene may be used, and one to 19 sets of primer pairs complementary to the PICALM gene may be used; One to 25 sets of primer sets complementary to the LPR6 gene can be used; One to 16 sets of primer sets complementary to the ADAM10 gene can be used; One set to 47 sets of primer sets complementary to the ABCA7 gene can be used; One to eight sets of primer sets complementary to the CD33 gene can be used; One to eleven sets of primer sets complementary to the TDP43 gene can be used; One to six sets of primer sets complementary to the SIGMAR1 gene can be used; One to 15 sets of primer sets complementary to the FUS gene can be used; One to thirteen sets of primer sets complementary to the GRN gene can be used; One to 15 sets of primer sets complementary to the MAPT gene can be used; One to 39 sets of primer sets complementary to the ALS2 gene can be used; One to nine sets of primer sets complementary to the PINK1 gene can be used; One set to seven sets of primer sets complementary to the PARK7 gene can be used; One to 28 sets of primer sets complementary to the PARK9 gene can be used; One to six primer sets complementary to the SNCA gene can be used; One to 54 sets of primer sets complementary to the LRRK2 gene can be used; One set to 22 sets of primer sets complementary to the CSF1R gene can be used; One to 35 sets of primer sets complementary to the NOTCH3 gene can be used; One set to four sets of primers that complementarily bind to the PRNP gene can be used.
본 발명에서는 유전자 당 1 세트 이상의 프라이머를 사용하여 돌연변이를 검출하는데 사용할 수 있다.In the present invention, one or more primers per gene may be used to detect mutations.
본 발명의 일 구현예에 따르면, 상기 프라이머를 이용한 유전자 증폭을 위하여, 멀티플렉스 PCR(Polymerase Chain Reaction) 증폭방법을 사용할 수 있다. 본 발명의 다른 구현예에 따르면, 상기 멀티플렉스 증폭은 에멀젼(emulsion) 멀티플렉스 PCR 증폭이다.According to an embodiment of the present invention, a multiplex PCR (Polymerase Chain Reaction) amplification method can be used for gene amplification using the primer. According to another embodiment of the present invention, the epitaxial amplification is an emulsion multiplex PCR amplification.
본 발명의 또 다른 구현예에 따르면, 상기 프라이머를 이용한 유전자 증폭을 위하여, Emulsion PCR, Polony PCR 또는 Bridge PCR 방법을 사용할 수 있다. According to another embodiment of the present invention, Emulsion PCR, Polony PCR or Bridge PCR method can be used for gene amplification using the primer.
본 발명의 다른 양태에 따르면, 본 발명은 APP (amyloid precursor protein), PSEN1 (presenilin), PSEN2 (presenilin 2), CR1 (complement receptor 1), BIN1 (Bridging integrator 1), TREM2 (triggering receptor expressed on myeloid cells 2), CLU (clusterin), CTNNA3 (Cadherin-associated protein alpha 3), DNMBP (Dynamin binding protein), SORL1 (sortilin-related receptor 1), BACE1 (Beta-secretase 1), PICALM (Phosphatidylinositol binding clathrin assembly protein), LPR6 (low-density lipoprotein receptor-related protein 6), ADAM10 (Disintegrin and metalloproteinase domain-containing protein 10), ABCA7 (ATP-binding cassette transporter A7), CD33 (sialic acid binding Ig-like lectin 3), TDP43 (TAR-DNA binding protein-43), SIGMAR1 (sigma non-opioid intracellular receptor 1), FUS (Fused-in-Sarcoma), GRN(PGRN) (progranulin), MAPT (microtubule associated Tau protein), ALS2 (amyotrophic lateral sclerosis), PINK1 (PTEN-induced putative kinase 1), PARK7 (Colony Stimulating Factor 1 Receptor), PARK9 (ATPase 13A2 or PTEN Induced Putative Kinase 1), SNCA (Alpha synuclein), LRRK2 (Leucine-rich repeat kinase 2), CSF1R (colony stimulating factor 1 receptor), NOCTH3 (Neurogenic locus notch homolog protein 3), PRNP (prion protein gene) 및 이의 조합으로 구성된 군에서 선택되는 유전자의 엑손(exon) 부위에 상보적으로 결합하는 각각의 프라이머를 이용하여 유전자 돌연변이를 분석하는 알츠하이머 진단 또는 예후 분석 키트를 제공한다.According to another aspect of the present invention, the present invention provides a method for the treatment of amyloid precursor protein (APP), presenilin, PSEN2, complement receptor 1 (CR1), bridging integrator 1 (BIN1), triggering receptor expressed on myeloid cells 2), CLU (clusterin), Cadherin-associated protein alpha 3, DNMBP (Dynamin binding protein), SORL1 (sortilin-related receptor 1), BACE1 (Beta-secretase 1), PICALM (Phosphatidylinositol binding clathrin assembly protein ), LPR6 (low-density lipoprotein receptor-related protein 6), ADAM10 (Disintegrin and metalloproteinase domain-containing protein 10), ABCA7 (ATP-binding cassette transporter A7), CD33 (sialic acid binding Ig- (TAR-DNA binding protein-43), sigma non-opioid intracellular receptor 1, FUS (fused-in-Sarcoma), GRN (PGRN) (progranulin), MAPT (microtubule associated Tau protein), ALS2 sclerosis, PTEN-induced putative kinase 1, PARK7 (Colony Stimulating Factor 1 Receptor), P ARK9 (ATPase 13A2 or PTEN Induced Putative Kinase 1), SNCA (Alpha synuclein), LRRK2 (Leucine-rich repeat kinase 2), CSF1R (colony stimulating factor 1 receptor), NOCTH3 (Neurogenic locus notch homolog protein 3), PRNP protein gene, and a combination thereof. The present invention provides an Alzheimer's disease diagnosis or prognosis assay kit for analyzing a gene mutation using each primer complementarily binding to an exon region of a gene selected from the group consisting of:
본 발명의 알츠하이머 진단 또는 예후 분석 키트는 상술한 “알츠하이머 진단을 위한 정보제공방법”을 이용하기 때문에, 공통된 사항은 본 명세서의 과도한 중복성을 피하기 위해 그 기재를 생략한다.Since the Alzheimer's disease diagnosis or prognosis assay kit of the present invention uses the above-described " information providing method for Alzheimer's disease diagnosis ", the description thereof is omitted in order to avoid excessive redundancy of the present specification.
본 발명의 또 다른 양태에 따르면, 본 발명은 진단하고자 하는 개체로부터 분리된 생물학적 시료의 유전자 돌연변이를 분석하는 단계를 포함하며, 상기 유전자 돌연변이는 APP (amyloid precursor protein), PSEN1 (presenilin), PSEN2 (presenilin 2), CR1 (complement receptor 1), BIN1 (Bridging integrator 1), TREM2 (triggering receptor expressed on myeloid cells 2), CLU (clusterin), CTNNA3 (Cadherin-associated protein alpha 3), DNMBP (Dynamin binding protein), SORL1 (sortilin-related receptor 1), BACE1 (Beta-secretase 1), PICALM (Phosphatidylinositol binding clathrin assembly protein), LPR6 (low-density lipoprotein receptor-related protein 6), ADAM10 (Disintegrin and metalloproteinase domain-containing protein 10), ABCA7 (ATP-binding cassette transporter A7), CD33 (sialic acid binding Ig-like lectin 3), TDP43 (TAR-DNA binding protein-43), SIGMAR1 (sigma non-opioid intracellular receptor 1), FUS (Fused-in-Sarcoma), GRN(PGRN) (progranulin), MAPT (microtubule associated Tau protein), ALS2 (amyotrophic lateral sclerosis), PINK1 (PTEN-induced putative kinase 1), PARK7 (Colony Stimulating Factor 1 Receptor), PARK9 (ATPase 13A2 or PTEN Induced Putative Kinase 1), SNCA (Alpha synuclein), LRRK2 (Leucine-rich repeat kinase 2), CSF1R (colony stimulating factor 1 receptor), NOCTH3 (Neurogenic locus notch homolog protein 3), PRNP (prion protein gene) 및 이의 조합으로 구성된 군에서 선택되는 유전자의 엑손(exon) 부위 돌연변이인, 신경 퇴행성 질환(neurodegenerative disease) 진단을 위한 정보제공방법을 제공한다.According to another aspect of the present invention, there is provided a method for detecting a mutation in a biological sample, the method comprising analyzing a genetic mutation of a biological sample isolated from an individual to be diagnosed, wherein the gene mutation is selected from the group consisting of amyloid precursor protein (APP), PSEN1 Presenilin 2), CR1 (complement receptor 1), BIN1 (Bridging integrator 1), TREM2 (triggering receptor expressed on myeloid cells 2), CLU (clusterin), CTNNA3 (Cadherin-associated protein alpha 3), DNMBP (Dynamin binding protein) , SORL1 (sortilin-related receptor 1), BACE1 (beta-secretase 1), PICALM (phosphatidylinositol binding clathrin assembly protein), LPR6 (low-density lipoprotein receptor-related protein 6), ADAM10 (Disintegrin and metalloproteinase domain- ), ABCA7 (ATP-binding cassette transporter A7), CD33 (sialic acid binding Ig-like lectin 3), TDP43 (TAR-DNA binding protein-43), SIGMAR1 (sigma non-opioid intracellular receptor 1) in-Sarcoma), GRN (PGRN) (progranuli ), MAPK (microtubule associated Tau protein), ALS2 (amyotrophic lateral sclerosis), PINK1 (PTEN-induced putative kinase 1), PARK7 (Colony Stimulating Factor 1 Receptor), PARK9 (ATPase 13A2 or PTEN Induced Putative Kinase 1) A gene selected from the group consisting of Alpha synuclein, LRRK2 (Leucine-rich repeat kinase 2), CSF1R (colony stimulating factor 1 receptor), NOCTH3 (Neurogenic locus notch homolog protein 3), PRNP (prion protein gene) The present invention provides a method for providing information for diagnosing a neurodegenerative disease, which is a mutation in an exon region of a neurodegenerative disease.
본 발명의 또 다른 양태에 따르면, 본 발명은 APP (amyloid precursor protein), PSEN1 (presenilin), PSEN2 (presenilin 2), CR1 (complement receptor 1), BIN1 (Bridging integrator 1), TREM2 (triggering receptor expressed on myeloid cells 2), CLU (clusterin), CTNNA3 (Cadherin-associated protein alpha 3), DNMBP (Dynamin binding protein), SORL1 (sortilin-related receptor 1), BACE1 (Beta-secretase 1), PICALM (Phosphatidylinositol binding clathrin assembly protein), LPR6 (low-density lipoprotein receptor-related protein 6), ADAM10 (Disintegrin and metalloproteinase domain-containing protein 10), ABCA7 (ATP-binding cassette transporter A7), CD33 (sialic acid binding Ig-like lectin 3), TDP43 (TAR-DNA binding protein-43), SIGMAR1 (sigma non-opioid intracellular receptor 1), FUS (Fused-in-Sarcoma), GRN(PGRN) (progranulin), MAPT (microtubule associated Tau protein), ALS2 (amyotrophic lateral sclerosis), PINK1 (PTEN-induced putative kinase 1), PARK7 (Colony Stimulating Factor 1 Receptor), PARK9 (ATPase 13A2 or PTEN Induced Putative Kinase 1), SNCA (Alpha synuclein), LRRK2 (Leucine-rich repeat kinase 2), CSF1R (colony stimulating factor 1 receptor), NOCTH3 (Neurogenic locus notch homolog protein 3), PRNP (prion protein gene) 및 이의 조합으로 구성된 군에서 선택되는 유전자의 엑손(exon) 부위에 상보적으로 결합하는 각각의 프라이머를 이용하여 유전자 돌연변이를 분석하는 신경 퇴행성 질환(neurodegenerative disease) 진단 또는 예후 분석 키트를 제공한다.According to yet another aspect of the present invention, the present invention provides a pharmaceutical composition comprising amyloid precursor protein (APP), presenilin (PSEN1), presenilin 2 (PSEN2), complement receptor 1 (CR1), bridging integrator 1 myeloid cells 2), CLU (clusterin), cadherin-associated protein alpha 3, DNMBP (Dynamin binding protein), SORL1 (sortilin-related receptor 1), BACE1 (Beta-secretase 1), PICALM (Phosphatidylinositol binding clathrin assembly protein), LPR6 (low-density lipoprotein receptor-related protein 6), ADAM10 (disintegrin and metalloproteinase domain-containing protein 10), ABCA7 (ATP-binding cassette transporter A7), CD33 (sialic acid binding Ig- TGR43, SIGMAR1, Sigma non-opioid intracellular receptor 1, FUS, GRN (PGRN) (progranulin), MAPT (microtubule associated Tau protein), ALS2 (amyotrophic lateral sclerosis, PTEN-induced putative kinase 1, PARK7 (Colony Stimulating Factor 1 Receptor ), PARK9 (ATPase 13A2 or PTEN Induced Putative Kinase 1), SNCA (Alpha synuclein), LRRK2 (Leucine-rich repeat kinase 2), CSF1R (colony stimulating factor 1 receptor), NOCTH3 (Neurogenic locus notch homolog protein 3) a neurodegenerative disease diagnosis or prognosis analysis kit for analyzing gene mutations using respective primers complementarily binding to an exon region of a gene selected from the group consisting of a prion protein gene and a combination thereof, Lt; / RTI >
본 발명에서 신경 퇴행성 질환은 알츠하이머병(Alzheimer's disease), 루게릭병(Amyotrophic Lateral Sclerosis), 전두측두엽성 치매(Frontotemporal dementia), 루이소체 치매(Dementia with Lewy Bodies), 크루츠펠트 야콥병 (Creutzfeldt Jakob Disease), 파킨슨병(Parkinson’s disease), 뇌졸중(stroke), 근위축성측색경화증(amyotrophic lateral sclerosis), 빈스완거병(Binswanger’s disease), 헌팅톤 무도병(Huntington’s chorea), 다발성 경화증(multiple sclerosis), 중증 근무력증(myasthenia gravis) 및 피크병(Pick’s disease)을 포함하며 이에 한정되는 것은 아니다.In the present invention, neurodegenerative diseases include Alzheimer ' s disease, Amyotrophic Lateral Sclerosis, Frontotemporal dementia, Dementia with Lewy Bodies, Creutzfeldt Jakob Disease, Parkinson ' s disease, stroke, amyotrophic lateral sclerosis, Binswanger's disease, Huntington's chorea, multiple sclerosis, myasthenia gravis, and Pick's disease.
상기 신경 퇴행성 질환과 관련된 유전자는 하기 실시예 표 1에 개시되어 있다.The genes associated with the neurodegenerative diseases are shown in Table 1 below.
본 발명의 특징 및 이점을 요약하면 다음과 같다:The features and advantages of the present invention are summarized as follows:
(a) 본 발명은 알츠하이머 진단을 위한 정보제공방법 및 이를 이용한 진단키트에 관한 것이다.(a) The present invention relates to a method for providing information for Alzheimer's diagnosis and a diagnostic kit using the same.
(b) 본 발명의 방법을 이용한 유전자 돌연변이 분석결과에 따라 알츠하이머병 환자에게 개인적 맞춤 진단 및 치료가 가능할 것으로 기대된다.(b) According to the result of gene mutation analysis using the method of the present invention, it is expected that personalized diagnosis and treatment of Alzheimer's disease patients will be possible.
(c) 본 발명의 방법을 이용하여 알츠하이머와 연관된 30개의 유전자를 스크리닝하여 환자가 가지고 있는 유전적 문제점을 확인 후 개별 맞춤 치료를 적용할 수 있다. 국내에서 알츠하이머 환자에게 다양한 유전자 검사를 적용하여 치료에 활용하는 경우는 없으므로 본 발병은 알츠하이머 진단에 있어 충분한 경쟁력이 있을 것으로 예상된다.(c) Screening the 30 genes associated with Alzheimer's using the method of the present invention, and then identifying the genetic problems that the patient has and then applying individualized treatment. In Korea, there is no case where a variety of genetic tests are applied to patients with Alzheimer's disease. Therefore, it is expected that this disease will be competitively enough to diagnose Alzheimer's disease.
도 1은 염색체 상의 30개 후보 유전자 위치를 나타낸다.
도 2는 PCR 매개 유전자 스플라이싱 전략을 나타내는 모식도이다.Figure 1 shows the location of 30 candidate genes on chromosomes.
2 is a schematic diagram showing a PCR mediator gene splicing strategy.
이하, 실시예를 통하여 본 발명을 더욱 상세히 설명하고자 한다. 이들 실시예는 오로지 본 발명을 보다 구체적으로 설명하기 위한 것으로, 본 발명의 요지에 따라 본 발명의 범위가 이들 실시예에 의해 제한되지 않는다는 것은 당업계에서 통상의 지식을 가진 자에 있어서 자명할 것이다.Hereinafter, the present invention will be described in more detail with reference to Examples. It is to be understood by those skilled in the art that these embodiments are only for describing the present invention in more detail and that the scope of the present invention is not limited by these embodiments in accordance with the gist of the present invention .
실시예Example
실험 방법Experimental Method
1. 프라이머 디자인1. Primer design
Primer3Plus (www.primer3plus.com) 소프트웨어를 활용하여 해당 유전자에 가장 적합한 프라이머를 디자인하였다(하기 표 4 내지 표 33 참조). 유전자의 full-length를 전부 PCR로 증폭하여 샘플을 준비하는 과정이 어렵기 때문에 각 엑손(exon)마다 프라이머를 만들어 진행하였다. 그리고 겹치는 부분이 있기 때문에 최종적으로 full-length DNA를 만들 수 있다(도 2 참조). 도 3은 실험의 전반적인 흐름을 도식화하여 나타낸 것이다.Primer3Plus (www.primer3plus.com) software was used to design primers suitable for the gene (see Tables 4 to 33 below). Since it is difficult to prepare the sample by amplifying the full-length of the entire PCR by PCR, a primer was prepared for each exon. Finally, full-length DNA can be made because there is overlap (see FIG. 2). Figure 3 is a schematic representation of the overall flow of the experiment.
2. 차세대 염기서열분석 (next generation sequencing, NGS)2. Next generation sequencing (NGS)
Ion Torrent PGM system을 이용하여 NGS를 실행하였다. 20 ng DNA를 이용하여 멀티플렉스 PCR 을 수행하였다(Ion AmpliSeq Customized Panel, Life Technologies, Grand Island, NY, USA). 단편 라이브러리는 DNA 단편화, 바코드 및 어댑터 결합 및 Ion DNA Barcoding 키트 (Life Technologies, Grand Island, NY, USA)를 이용한 라이브러리 증폭에 의해 구축되었다. DNA 단편의 크기 분포를 High Sensitivity Kit (Agilent, Santa Clara, CA, USA)를 사용하여 Agilent Bioanalyzer로 분석하였다. 주형 제작, 에멀젼(emulsion) PCR 및 이온 구형 입자 (ISP) 농축은 제조사의 지침에 따라 Ion Xpress Template kit (Life Technologies, Grand Island, NY, USA)를 사용하여 수행하였다. ISP를 P1 칩에 로딩하고 이온 P1 시퀀싱 200 키트 (Life Technologies, Grand Island, NY, USA)를 사용하여 시퀀싱하였다. NGS에서 나온 결과는 Torrent Suite Software v.4.4.3 (Life Technologies)으로 분석하였으며, 돌연변이 분석은 Integrative Genome Viewer (IGV) software (software.broadinstitute.org/igv/)로 진행하였다.NGS was implemented using the Ion Torrent PGM system. Multiplex PCR was performed using 20 ng of DNA (Ion AmpliSeq Customized Panel, Life Technologies, Grand Island, NY, USA). The fragment library was constructed by DNA fragmentation, barcode and adapter binding and library amplification using an Ion DNA Barcoding kit (Life Technologies, Grand Island, NY, USA). The size distribution of the DNA fragments was analyzed with an Agilent Bioanalyzer using the High Sensitivity Kit (Agilent, Santa Clara, Calif., USA). Template making, emulsion PCR and ion globule particle (ISP) enrichment were performed using the Ion Xpress Template kit (Life Technologies, Grand Island, NY, USA) according to the manufacturer's instructions. The ISP was loaded onto the P1 chip and sequenced using the ion P1 sequencing 200 kit (Life Technologies, Grand Island, NY, USA). Results from NGS were analyzed with Torrent Suite Software v.4.4.3 (Life Technologies), and mutation analysis was conducted with Integrative Genome Viewer (IGV) software (software.broadinstitute.org/igv/).
선행 연구결과나 다른 논문에서 보고된 결과, 또는 Alzforum에 있는 정보를 토대로 30개 유전자를 선정하였다(하기 표 1 참조). 선정된 30개의 유전자에 대해 디자인된 프라이머를 사용하여 NGS 데이터를 얻었다. 선정된 30개의 유전자는 퇴행성 뇌질환을 분석 및 치료 목적으로 활용하였다. 표 2 및 표 3은 디자인된 프라이머로 66명의 EOAD (Early Onset Alzheimer's Disease) 환자와 26명의 LOAD (Late Onset Alzheimer's Disease) 포함 치매환자에게서 30개 유전자에 대한 돌연변이를 분석한 결과이다. 이와 같이 본 발명의 프라이머를 이용하여 여러 뇌질환 의심 환자들의 대한 돌연변이를 분석할 수 있다. 본 발명의 방법에 의한 돌연변이 분석 결과를 다른 진단 기술과 접목하여 진단의 정확도를 높일 수 있으며, 해당 돌연변이에 의한 생물학적 문제가 생길 것으로 예측하여, 이와 관련된 치료에 접근할 수 있다.Thirty genes were selected based on the results of previous studies or reported in other papers, or on information in Alzforum (see Table 1, below). NGS data were obtained using primers designed for selected 30 genes. The selected 30 genes used degenerative brain disease for analysis and treatment. Table 2 and Table 3 show the results of analysis of mutations of 30 genes in designed primers in 66 patients with EOAD (Early Onset Alzheimer's Disease) and 26 patients with dementia including LOAD (Late Onset Alzheimer's Disease). As described above, mutations of suspect patients with various brain diseases can be analyzed using the primers of the present invention. The results of the mutation analysis by the method of the present invention can be combined with other diagnostic techniques to increase the accuracy of diagnosis and anticipate biological problems caused by the mutation and to approach therapies related therewith.
실험결과Experiment result
디자인된 프라이머를 사용하여 초기 발병 알츠하이머 환자 (EOAD, Early onset Alzheimer’s disease)와 후발성 알츠하이머 환자 (LOAD, late onset Alzheimer’s disease)의 혈액에서 DNA를 추출하여 돌연변이를 분석하였다. 66명의 EOAD 환자와 26명의 LOAD포함 치매환자에게서 30개 유전자에 대한 돌연변이를 분석한 결과를 정리하여 표 2에 나타내었다. 도 1은 선별된 유전자들이 위치한 염색체를 보여주며, 선별된 유전자와 유전자들이 연관된 질병을 표 1에 나타내었다. 표 1에 기대된 30개의 유전자는 기존 선행연구와 다른 선행문헌을 통해 선별된 유전자이다.Using the designed primers, DNA was extracted from early onset Alzheimer's disease (EOAD) and late onset Alzheimer's disease (LOAD) patients and mutations were analyzed. Table 2 summarizes the mutation analysis of 30 genes in 66 EOAD patients and 26 LOAD-containing demented patients. Figure 1 shows the chromosomes where the selected genes are located, and Table 1 shows the diseases associated with the selected genes and genes. The 30 genes expected in Table 1 are genes selected through previous studies and other prior literature.
& FTD (Frontotemporal dementia)ALS (Amyotrophic Lateral Sclerosis)
& FTD (Frontotemporal dementia)
HumDivHumDiv
PSEN1PSEN1
(Exon 5)c.356C> T
(Exon 5)
(D)0.9
(D)
(T)0.06
(T)
(Exon 7)c.626G> C
(Exon 7)
(D)One
(D)
(D)0
(D)
(Exon 7)c.695T> C
(Exon 7)
(D)One
(D)
(D)0
(D)
(Exon 12)c.1250G> C
(Exon 12)
(D)0.99
(D)
(D)0
(D)
(Exon 6)c.505C> A
(Exon 6)
(D)0.925
(D)
(D)0.04
(D)
CR1CR1
(B)0.07
(B)
(T)0.345
(T)
(D)0.98
(D)
(T)0.89
(T)
(D)0.995
(D)
(D)0.019
(D)
(D)0.95
(D)
(D)0.019
(D)
(B)0.005
(B)
(T)One
(T)
(D)0.85
(D)
(T)0.19
(T)
(B)0.032
(B)
(T)0.44
(T)
(B)0.001
(B)
(T)0.98
(T)
(D)0.99
(D)
(T)0.07
(T)
(D)0.56
(D)
(D)0.003
(D)
CTNNA3CTNNA3
(B)0.001
(B)
(T)One
(T)
(D)0.928
(D)
(D)0.001
(D)
(D)0.99
(D)
(D)0.001
(D)
DNMBPDNMBP
(D)0.67
(D)
(D)0.035
(D)
(D)One
(D)
(D)0.001
(D)
(D)0.99
(D)
(T)0.006
(T)
(B)0.094
(B)
(T)0.18
(T)
SORL1SORL1
(B)0.173
(B)
(D)0.01
(D)
(D)0.99
(D)
(D)0
(D)
(D)0.59
(D)
(T)0.3
(T)
(B)0.178
(B)
(D)0.05
(D)
(B)0
(B)
(T)0.16
(T)
(D)0.62
(D)
(T)0.45
(T)
(D)0.002
(D)
(T)0.3
(T)
(D)0.99
(D)
(D)0.005
(D)
(B)0.003
(B)
(T)One
(T)
(D)0.9
(D)
(T)0.16
(T)
(B)0
(B)
(T)0.4
(T)
LRP6LRP6
(B)0.001
(B)
(T)0.8
(T)
(D)0.93
(D)
(T)0.13
(T)
(D)0.99
(D)
(D)0.001
(D)
(B)0
(B)
(T)One
(T)
(B0.004
(B
(T)0.88
(T)
ABCA7ABCA7
(B)0.06
(B)
(T)0.67
(T)
(B)0.142
(B)
(T)0.446
(T)
(B0.02
(B
(T)One
(T)
(B)0.08
(B)
(T)0.086
(T)
(D)0.8
(D)
(T)0.25
(T)
(D)0.58
(D)
(T)0.24
(T)
(D)0.97
(D)
(D)0.004
(D)
(D)One
(D)
(D)0
(D)
(B)0.006
(B)
(T)One
(T)
(B)0.004
(B)
(T)0.54
(T)
(B)0.03
(B)
(D)0.002
(D)
(B)0
(B)
(T)0.87
(T)
(B)0.004
(B)
(T)0.23
(T)
(D)0.911
(D)
(T)0.001
(T)
(D)0.9
(D)
(T)0.08
(T)
(D)0.98
(D)
(D)0.002
(D)
(D)One
(D)
(D)0
(D)
(B)0.051
(B)
(T)0.96
(T)
(B)0.5
(B)
(T)0.46
(T)
CD33CD33
(B)0.023
(B)
(T)0.08
(T)
(B)0.009
(B)
(T)0.33
(T)
(B)0.105
(B)
(T)0.006
(T)
(B)0.001
(B)
(T)0.16
(T)
PINK1PINK1
(D)0.605
(D)
(D)0.05
(D)
(B)0.001
(B)
(T)One
(T)
(B)0.005
(B)
(T)0.24
(T)
(B)0. 001
(B)
(T)0.56
(T)
ATP13A2ATP13A2
(PARK9) (PARK9)
(B)0.008
(B)
(T) 0.47
(T)
(D)0.93
(D)
(D)0.025
(D)
(D)0.74
(D)
(D)0.005
(D)
(D)0.77
(D)
(T)0.16
(T)
(B)0.03
(B)
(T)0.31
(T)
(D)0.99
(D)
(D)0
(D)
(B)0
(B)
(T)0.37
(T)
(B)0
(B)
(T)One
(T)
(B)0.004
(B)
(T)0.3
(T)
(D)0.49
(D)
(D)0.03
(D)
(T)0.5
(T)
(D)0.004
(D)
(D)0.005
(D)
(D)0.972
(D)
(B)0.001
(B)
(T)0.68
(T)
(D)0.58
(D)
(T)0.1
(T)
(D)One
(D)
(T)0.008
(T)
(B)0
(B)
(T)0.95
(T)
(B)0
(B)
(T)0.466
(T)
(B)0
(B)
(T)0.343
(T)
(D)0.94
(D)
(D)0.01
(D)
(D)0.57
(D)
(T)0.29
(T)
(B)0.007
(B)
(D)0.03
(D)
(D)0.75
(D)
(D)0.015
(D)
(D)0.87
(D)
(D)0.04
(D)
(D)0.846
(D)
(D)0.04
(D)
(B)0
(B)
(T)0.97
(T)
ALS2ALS2
(B)0.156
(B)
(T)0.15
(T)
(B)0.009
(B)
(T)0.191
(T)
(D)0.99
(D)
(T)0.14
(T)
(D)0.0953
(D)
(D)0.005
(D)
(D)0.8
(D)
(D)0.003
(D)
(D)0.003
(D)
(T)0.18
(T)
CSF1RCSF1R
(D)0.782
(D)
(D)0.01
(D)
(D)0.2
(D)
(T)0.14
(T)
(D)0.93
(D)
(D)0.001
(D)
(B)0.19
(B)
(T)0.11
(T)
(B)0.15
(B)
(T)0.06
(T)
(D)0.78
(D)
(D)0.01
(D)
(B)0.25
(B)
(D)0.001
(D)
(D)0.99
(D)
(T)0.004
(T)
(D)One
(D)
(D)0.001
(D)
(D)0.91
(D)
(D)0.004
(D)
(D)0.99
(D)
(D)0.002
(D)
(D)0.61
(D)
(T)0.11
(T)
(B)0.003
(B)
(T)0.14
(T)
PRNPPRNP
(B)0.012
(B)
(D)0.024
(D)
(B)0.003
(B)
(D)0.035
(D)
(D)0.98
(D)
(D)0.001
(D)
(D)0.707
(D)
(D)0.001
(D)
HumDivHumDiv
CR1CR1
DNMBPDNMBP
SORL1SORL1
LRP6LRP6
ABCA7ABCA7
CD33CD33
(B)0.2
(B)
(T)0.3
(T)
CSF1RCSF1R
이상으로 본 발명의 특정한 부분을 상세히 기술하였는바, 당업계의 통상의 지식을 가진 자에게 있어서 이러한 구체적인 기술은 단지 바람직한 구현 예일 뿐이며, 이에 본 발명의 범위가 제한되는 것이 아닌 점은 명백하다. 따라서, 본 발명의 실질적인 범위는 첨부된 청구항과 그의 등가물에 의하여 정의된다고 할 것이다.While the present invention has been particularly shown and described with reference to exemplary embodiments thereof, it is to be understood that the same is by way of illustration and example only and is not to be construed as limiting the scope of the present invention. Accordingly, the actual scope of the present invention will be defined by the appended claims and their equivalents.
Claims (12)
Wherein said gene mutation is selected from the group consisting of APP (amyloid precursor protein), PSEN1 (presenilin), PSEN2 (presenilin 2), CR1 (complement receptor 1), BIN1 (Bridging integrator 1), TREM2 (triggering receptor expressed on myeloid cells 2), CLU (clusterin), CTHNNA3 (Cadherin-associated protein alpha 3), DNMBP (Dynamin binding protein), SORL1 (sortilin- Beta-secretase 1), PICALM (phosphatidylinositol binding clathrin assembly protein), LPR6 (low-density lipoprotein receptor-related protein 6), ADAM10 (disintegrin and metalloproteinase domain-containing protein 10), ABCA7 (ATP-binding cassette transporter A7) CD33 (sialic acid binding Ig-like lectin 3), TDP43 (TAR-DNA binding protein-43), sigma non-opioid intracellular receptor 1, FUS (fused-in-Sarcoma), GRN (PGRN) , MAPT (microtubule associated Tau protein), ALS2 (amyotro phic lateral sclerosis, PTEN-induced putative kinase 1, PARK7 (Colony Stimulating Factor 1 Receptor), PARK9 (ATPase 13A2 or PTEN Induced Putative Kinase 1), SNCA (Alpha synuclein), LRRK2 (Leucine-rich repeat kinase 2 ), CSF1R (colony stimulating factor 1 receptor), NOCTH3 (Neurogenic locus notch homolog protein 3), PRNP (prion protein gene), and combinations thereof, for the diagnosis of Alzheimer's disease Information delivery method.
The gene of claim 1, wherein the gene is selected from the group consisting of APP, PSEN1, PSEN2, CR1, BIN1, CLU, CTNNA3, DNMBP, SORL1, BACE1, PICALM, LPR6, ADAM10, ABCA7, CD33, SIGMAR1, FUS, GRN, MAPT, ALS2, , PARK7, PARK9, SNCA, LRRK2, CSF1R, NOTCH3, PRNP, and combinations thereof.
The method according to claim 1, wherein the biological sample is a DNA sample separated from a sample selected from the group consisting of blood, semen, vaginal cells, hair, saliva, urine, oral cells, placental cells or fetal cells, The information providing method comprising the steps of:
The method according to claim 1, wherein the mutation analysis is performed by amplifying a gene using each primer complementarily binding to the gene, and analyzing gene mutation using sequencing data of the amplification product Information delivery method.
5. The method of claim 4, wherein the sequencing is a Next Generation Sequencing (NGS) method.
5. The method according to claim 4, wherein the gene amplification uses at least one set of primers for each gene.
5. The method according to claim 4, wherein the gene amplification is Emulsion PCR, Polony PCR, or Bridge PCR amplification.
5. The method of claim 4, wherein the gene amplification is a Polymerase Chain Reaction (PCR) amplification.
(Amyloid precursor protein), PSEN1 (presenilin), PSEN2 (presenilin 2), CR1 (complement receptor 1), BIN1 (Bridging integrator 1), TREM2 (triggering receptor expressed on myeloid cells 2), CLU Related proteins such as Cadherin-associated protein alpha 3, DNMBP, SORL1, BACE1, PICALM, LPR6, protein 6), ADAM10 (Disintegrin and metalloproteinase domain-containing protein 10), ABCA7 (ATP-binding cassette transporter A7), CD33 (sialic acid binding Ig-like lectin 3), TDP- (FUS), GRN (PGRN) (progranulin), MAPT (microtubule associated Tau protein), ALS2 (amyotrophic lateral sclerosis), PINK1 (PTEN-induced putative kinase 1 ), PARK7 (Colony Stimulating Factor 1 Receptor), PARK9 (ATPase 13A2 or PTEN Induced Putative Kinase 1), SN (CA), alpha-synuclein (CA), leucine-rich repeat kinase 2 (LRRK2), colony stimulating factor 1 receptor (CSF1R), neurogenic locus notch homolog protein 3 (NOCTH3), prion protein gene A kit for the diagnosis or prognosis of Alzheimer's disease that analyzes gene mutations using respective primers complementarily binding to the exon region of a gene.
Wherein said gene mutation is selected from the group consisting of APP (amyloid precursor protein), PSEN1 (presenilin), PSEN2 (presenilin 2), CR1 (complement receptor 1), BIN1 (Bridging integrator 1), TREM2 (triggering receptor expressed on myeloid cells 2), CLU (clusterin), CTHNNA3 (Cadherin-associated protein alpha 3), DNMBP (Dynamin binding protein), SORL1 (sortilin- Beta-secretase 1), PICALM (phosphatidylinositol binding clathrin assembly protein), LPR6 (low-density lipoprotein receptor-related protein 6), ADAM10 (disintegrin and metalloproteinase domain-containing protein 10), ABCA7 (ATP-binding cassette transporter A7) CD33 (sialic acid binding Ig-like lectin 3), TDP43 (TAR-DNA binding protein-43), sigma non-opioid intracellular receptor 1, FUS (fused-in-Sarcoma), GRN (PGRN) , MAPT (microtubule associated Tau protein), ALS2 (amyotro phic lateral sclerosis, PTEN-induced putative kinase 1, PARK7 (Colony Stimulating Factor 1 Receptor), PARK9 (ATPase 13A2 or PTEN Induced Putative Kinase 1), SNCA (Alpha synuclein), LRRK2 (Leucine-rich repeat kinase 2 ), CSF1R (colony stimulating factor 1 receptor), NOCTH3 (Neurogenic locus notch homolog protein 3), PRNP (prion protein gene), and combinations thereof. neurodegenerative disease).
11. The method of claim 10, wherein the neurodegenerative disease is selected from the group consisting of Alzheimer ' s disease, Amyotrophic Lateral Sclerosis, Frontotemporal dementia, Dementia with Lewy Bodies, Creutzfeldt Jakob Disease, Parkinson's disease, stroke, amyotrophic lateral sclerosis, Binswanger's disease, Huntington's chorea, multiple sclerosis, Myasthenia gravis, or Pick's disease.
(Amyloid precursor protein), PSEN1 (presenilin), PSEN2 (presenilin 2), CR1 (complement receptor 1), BIN1 (Bridging integrator 1), TREM2 (triggering receptor expressed on myeloid cells 2), CLU Related proteins such as Cadherin-associated protein alpha 3, DNMBP, SORL1, BACE1, PICALM, LPR6, protein 6), ADAM10 (Disintegrin and metalloproteinase domain-containing protein 10), ABCA7 (ATP-binding cassette transporter A7), CD33 (sialic acid binding Ig-like lectin 3), TDP- (FUS), GRN (PGRN) (progranulin), MAPT (microtubule associated Tau protein), ALS2 (amyotrophic lateral sclerosis), PINK1 (PTEN-induced putative kinase 1 ), PARK7 (Colony Stimulating Factor 1 Receptor), PARK9 (ATPase 13A2 or PTEN Induced Putative Kinase 1), SN (CA), alpha-synuclein (CA), leucine-rich repeat kinase 2 (LRRK2), colony stimulating factor 1 receptor (CSF1R), neurogenic locus notch homolog protein 3 (NOCTH3), prion protein gene A kit for the diagnosis or prognosis of a neurodegenerative disease in which gene mutations are analyzed using primers complementarily binding to the exon region of a gene.
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