CN115820654A - LOXHD1 gene mutant and application thereof - Google Patents
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Abstract
Description
技术领域technical field
本发明涉及生物领域,具体涉及基因突变体及其应用,更具体地涉及基因突变、核酸、多肽、生物模型、用于治疗非综合征型耳聋的药物、用于检测患非综合征型耳聋的试剂盒、构建体及重组细胞。The present invention relates to the field of biology, in particular to gene mutants and applications thereof, more specifically to gene mutations, nucleic acids, polypeptides, biological models, drugs for treating non-syndromic deafness, and drugs for detecting non-syndromic deafness. Kits, constructs and recombinant cells.
背景技术Background technique
耳聋(hearing loss,HL)是最常见的感官功能障碍类疾病,相当一部分的耳聋患者的发病与遗传因素有关。通过基因检测手段确定耳聋发病的分子机制,从而进一步采取产前基因诊断和干预措施,是降低耳聋发生率的有效手段,也是耳聋防治的根本途径之一。根据是否有并发的其他临床表型,遗传性耳聋可分为综合征型耳聋(syndromic hearingloss,SHL)和非综合征型耳聋(non-syndromic hearing loss,NSHL)。Deafness (hearing loss, HL) is the most common sensory dysfunction disease, and a considerable number of deafness patients are related to genetic factors. Determining the molecular mechanism of deafness through genetic testing, and then taking further prenatal genetic diagnosis and intervention measures, is an effective means to reduce the incidence of deafness, and it is also one of the fundamental ways to prevent and treat deafness. According to whether there are other concurrent clinical phenotypes, hereditary deafness can be divided into syndromic hearing loss (SHL) and non-syndromic hearing loss (NSHL).
非综合征型耳聋是指耳聋为发病个体唯一的症状,无其他遗传损害性器官功能障碍,非综合征型耳聋在先天性遗传性耳聋中占70%左右,其中又有75%-80%为常染色体隐性遗传(autosomal recessive,AR)。迄今为止,已有超过100个基因座(loci)与常染色体隐性耳聋相关联,这些基因座被命名为DFNB+数字的形式。由不同致病基因导致的非综合征型耳聋在发病年龄、听力损失程度、进行性等方面存在明显差异。确定耳聋发病的致病基因有助于为患者选取合适的听力干预手段,更好地提高耳聋患者的生活质量。Non-syndromic deafness means that deafness is the only symptom of the individual with no other genetic damage or organ dysfunction. Non-syndromic deafness accounts for about 70% of congenital hereditary deafness, of which 75%-80% are normal. Chromosomal recessive inheritance (autosomal recessive, AR). To date, more than 100 loci (loci) have been associated with autosomal recessive deafness, and these loci have been named in the form of DFNB+number. Non-syndromic deafness caused by different pathogenic genes has obvious differences in age of onset, degree of hearing loss, and progressiveness. Determining the causative gene of deafness will help to select appropriate hearing interventions for patients and better improve the quality of life of deaf patients.
随着测序技术的发展,越来越多的遗传性耳聋相关基因得到鉴定,为遗传性耳聋的分子学诊断提供了基础,使得更多的遗传性耳聋得到诊断与治疗。然而,由于遗传性耳聋具有很强的遗传异质性,目前仍有大量的致病基因未被鉴定,所以这方面的研究还有很大的空间,仍需要加强基因鉴定方面的研究。With the development of sequencing technology, more and more genes related to hereditary deafness have been identified, which provides a basis for the molecular diagnosis of hereditary deafness and enables more hereditary deafness to be diagnosed and treated. However, due to the strong genetic heterogeneity of hereditary deafness, there are still a large number of pathogenic genes that have not been identified, so there is still a lot of room for research in this area, and research on gene identification still needs to be strengthened.
发明内容Contents of the invention
本发明旨在至少在一定程度上解决相关技术中的技术问题之一。为此,本发明的一个目的在于提出一种LOXHD1基因突变体及其应用。The present invention aims to solve one of the technical problems in the related art at least to a certain extent. Therefore, an object of the present invention is to provide a LOXHD1 gene mutant and its application.
LOXHD1是DFNB77基因座对应的耳聋致病基因,该基因编码的脂氧化酶同源结构域1蛋白(lipoxygenase homology domain 1)主要在耳蜗的毛细胞中表达,对维持正常的细胞功能起重要作用。既往的动物模型功能试验显示,携带纯合有害突变的小鼠个体会出现早期发病的极重度耳聋表型。LOXHD1 is the deafness-causing gene corresponding to the DFNB77 locus. The
由LOXHD1基因致病突变导致的耳聋案例极为罕见,在世界范围内,迄今为止仅有三十余例家系报道。不同报道中的患者存在多方面的表型差异,提示可能存在环境因素或遗传调节机制的影响;已报道的案例中也有部分突变的致病性尚不甚明确。因此,针对LOXHD1基因相关常染色体隐性非综合征型耳聋的研究仍有待深入,新突变体的发现将有助于对相应致病机制和临床特征的进一步研究。Cases of deafness caused by pathogenic mutations in the LOXHD1 gene are extremely rare. So far, there have been only more than 30 family reports in the world. There are many phenotypic differences in patients in different reports, suggesting that there may be environmental factors or genetic regulatory mechanisms; in the reported cases, the pathogenicity of some mutations is not yet clear. Therefore, the research on autosomal recessive non-syndromic deafness related to the LOXHD1 gene still needs to be in-depth, and the discovery of new mutants will help further research on the corresponding pathogenic mechanism and clinical characteristics.
发明人针对自行收集的一例常染色体隐性非综合征型耳聋Trio家系(父母+先证者),通过多基因捕获测序Panel检测、家系分析联合Sanger测序验证的方法进行致病突变检测和验证;同时,通过qPCR方法验证样本DNA中出现的拷贝数变异。进而,发明人发现了常染色体隐性非综合型耳聋致病基因LOXHD1的一个新的致病位点,该突变位点可以用于早期筛查常染色体隐性非综合型耳聋致病突变携带者,进而在携带者发病之前进行早期干预治疗;也可用于常染色体隐性非综合型耳聋患者的分子诊断及与相关疾病的鉴别诊断,并且快速、准确、高效、简便、早期诊断率高,检测结果可以为常染色体隐性非综合型耳聋的早期诊断、鉴别诊断及开发常染色体隐性非综合型耳聋治疗药物提供科学依据。The inventor conducted a self-collected case of autosomal recessive non-syndromic deafness Trio pedigree (parents + proband), through the method of multi-gene capture sequencing Panel detection, family analysis combined with Sanger sequencing verification to detect and verify the pathogenic mutation; At the same time, the copy number variation that appears in the sample DNA is verified by qPCR method. Furthermore, the inventors discovered a new pathogenic site of the autosomal recessive non-synthetic deafness gene LOXHD1, which can be used for early screening of autosomal recessive non-synthetic deafness mutation carriers , and then carry out early intervention and treatment before the onset of the carrier; it can also be used for the molecular diagnosis of patients with autosomal recessive non-synthetic deafness and the differential diagnosis of related diseases, and it is fast, accurate, efficient, simple, and has a high early diagnosis rate. The results can provide a scientific basis for the early diagnosis and differential diagnosis of autosomal recessive non-synthetic deafness and the development of drugs for the treatment of autosomal recessive non-synthetic deafness.
在本发明的第一方面,本发明提供了一种基因突变,该基因突变与野生型LOXHD1基因相比,具有c.5331+1G>C突变和/或c.1973_2437+2del突变。发明人首次发现LOXHD1基因的c.5331+1G>C突变和/或c.1973_2437+2del突变与非综合征型耳聋的发病密切相关,从而可以通过检测上述基因突变在生物样品中是否发生,可以有效地检测生物样品是否患非综合征型耳聋。In the first aspect of the present invention, the present invention provides a gene mutation, which has c.5331+1G>C mutation and/or c.1973_2437+2del mutation compared with the wild-type LOXHD1 gene. The inventors discovered for the first time that the c.5331+1G>C mutation and/or c.1973_2437+2del mutation of the LOXHD1 gene are closely related to the onset of non-syndromic deafness, so that by detecting whether the above gene mutation occurs in biological samples, it can be Efficient detection of non-syndromic deafness in biological samples.
在本发明的第二方面,本发明提供了一种核酸,与野生型LOXHD1基因相比,所述核酸具有c.5331+1G>C突变和/或c.1973_2437+2del突变。发明人首次发现LOXHD1基因的c.5331+1G>C突变和/或c.1973_2437+2del突变与非综合征型耳聋的发病密切相关,从而可以通过检测该核酸在生物样品中是否存在,可以有效地检测生物样品是否患非综合征型耳聋。In a second aspect of the present invention, the present invention provides a nucleic acid having a c.5331+1G>C mutation and/or a c.1973_2437+2del mutation compared to the wild-type LOXHD1 gene. The inventors discovered for the first time that the c.5331+1G>C mutation and/or c.1973_2437+2del mutation of the LOXHD1 gene are closely related to the onset of non-syndromic deafness, so that by detecting whether the nucleic acid exists in biological samples, it can be effectively To detect whether biological samples suffer from non-syndromic deafness.
在本发明的第三方面,本发明提供了一种多肽,所述多肽由本发明第二方面所述的核酸表达而成。通过研究发现,LOXHD1基因上发生c.5331+1G>C突变,使得产生的mRNA不稳定或者容易降解,从而导致合成的蛋白质与野生型LOXHD1基因所表达的蛋白质或者多肽不同或者导致不会表达蛋白质或者多肽。该多肽与非综合征型耳聋的发病密切相关,从而可以通过检测该多肽在生物样品中是否存在,可以有效地检测生物样品是否患非综合征型耳聋。In the third aspect of the present invention, the present invention provides a polypeptide expressed from the nucleic acid described in the second aspect of the present invention. Through research, it is found that the c.5331+1G>C mutation occurs on the LOXHD1 gene, which makes the produced mRNA unstable or easy to degrade, resulting in the synthesis of proteins that are different from the proteins or polypeptides expressed by the wild-type LOXHD1 gene or cause no protein expression or peptides. The polypeptide is closely related to the onset of non-syndromic deafness, so whether the polypeptide exists in the biological sample can be detected effectively to detect whether the biological sample suffers from non-syndromic deafness.
在本发明的第四方面,本发明提供了一种检测基因突变或核酸或多肽的试剂在制备试剂盒或者设备中的用途,所述试剂盒或者设备用于诊断非综合征型耳聋,所述基因突变为本发明第一方面所述的基因突变,所述核酸为本发明第二方面所述的核酸,所述多肽为本发明第三方面所述的多肽。如前所述,上述所述的基因突变、核酸、多肽与非综合征型耳聋的发病密切相关,进而能够检测上述所述的基因突变、核酸或者多肽的试剂能够用于制备试剂盒或设备,所得到的试剂盒或者设备能有效筛选出患非综合征型耳聋,尤其是常染色体隐性非综合征型耳聋的生物样品。In the fourth aspect of the present invention, the present invention provides a use of a reagent for detecting gene mutations or nucleic acids or polypeptides in the preparation of kits or equipment for diagnosing non-syndromic deafness, said The gene mutation is the gene mutation described in the first aspect of the present invention, the nucleic acid is the nucleic acid described in the second aspect of the present invention, and the polypeptide is the polypeptide described in the third aspect of the present invention. As mentioned above, the above-mentioned gene mutations, nucleic acids, and polypeptides are closely related to the onset of non-syndromic deafness, and reagents capable of detecting the above-mentioned gene mutations, nucleic acids, or polypeptides can be used to prepare kits or equipment, The obtained kit or device can effectively screen biological samples suffering from non-syndromic deafness, especially autosomal recessive non-syndromic deafness.
在本发明的第五方面,本发明提供了一种生物模型在筛选药物中的用途,所述生物模型携带下列至少之一:(1)前面所述的基因突变;(2)前面所述的核酸;(3)表达前面所述的多肽。需要说明的是,“生物模型携带本发明第一方面所述的基因突变”表示,本发明的生物模型所携带的LOXHD1基因与野生型LOXHD1基因相比,具有c.5331+1G>C突变和/或c.1973_2437+2del突变;“生物模型携带前面所述的核酸”表示,本发明的生物模型携带与LOXHD1基因相比具有c.5331+1G>C突变和/或c.1973_2437+2del突变的核酸序列;“生物模型携带前面所述的多肽”表示,本发明的生物模型携带与野生型LOXHD1基因相比,具有LOXHD1基因c.5331+1G>C突变和/或c.1973_2437+2del突变所表达的多肽。由此所提供的生物模型能有效地用作非综合征型耳聋,尤其是常染色体隐性非综合征型耳聋的相关研究的模型。In a fifth aspect of the present invention, the present invention provides a use of a biological model in drug screening, said biological model carrying at least one of the following: (1) the aforementioned gene mutation; (2) the aforementioned Nucleic acid; (3) expression of the aforementioned polypeptide. It should be noted that "the biological model carries the gene mutation described in the first aspect of the present invention" means that the LOXHD1 gene carried by the biological model of the present invention has c.5331+1G>C mutation and / or c.1973_2437+2del mutation; "the biological model carries the aforementioned nucleic acid" means that the biological model of the present invention carries the c.5331+1G>C mutation and/or the c.1973_2437+2del mutation compared with the LOXHD1 gene Nucleic acid sequence; "Biological model carrying the aforementioned polypeptide" means that the biological model of the present invention carries the c.5331+1G>C mutation and/or c.1973_2437+2del mutation of the LOXHD1 gene compared with the wild-type LOXHD1 gene the expressed polypeptide. The biological model thus provided can be effectively used as a model for the related research of non-syndromic deafness, especially autosomal recessive non-syndromic deafness.
在本发明的第六方面,本发明提供了特异性改变基因突变或者核酸的试剂在制备药物中的用途,所述药物用于治疗非综合征型耳聋,所述基因突变为本发明第一方面所述的基因突变,所述核酸为本发明第二方面所述的核酸。需要说明的是,这里的特异性改变是指能使得突变的核酸或者基因突变的位点恢复到原来的野生状态或者其他不具有致病性的状态,而对于个体基因组的其他序列不产生实质影响。如前所述,前面所述的核酸或者前面所述的基因突变与非综合征型耳聋,尤其是常染色体隐性非综合征型耳聋的发病密切相关,由此,特异性改变前面所述的核酸或者前面所述的基因突变的试剂制备的药物能有效用于治疗非综合征型耳聋,尤其是常染色体隐性非综合征型耳聋。In the sixth aspect of the present invention, the present invention provides the use of reagents for specifically changing gene mutations or nucleic acids in the preparation of medicines for the treatment of non-syndromic deafness, and the gene mutations are the first aspect of the present invention For the gene mutation, the nucleic acid is the nucleic acid described in the second aspect of the present invention. It should be noted that the specific change here refers to the ability to restore the mutated nucleic acid or gene mutation site to the original wild state or other non-pathogenic state without substantially affecting other sequences of the individual genome . As mentioned above, the above-mentioned nucleic acid or the above-mentioned gene mutation is closely related to the onset of non-syndromic deafness, especially autosomal recessive non-syndromic deafness, thus, specifically changing the above-mentioned The medicine prepared by the nucleic acid or the aforementioned gene mutation reagent can be effectively used to treat non-syndromic deafness, especially autosomal recessive non-syndromic deafness.
在本发明的第七方面,本发明提供了一种用于治疗非综合型耳聋的药物,所述药物含有:特异性改变本发明第一方面所述的基因突变或者本发明第二方面所述的核酸的试剂。需要说明的是,这里的特异性改变是指能使得突变的核酸或者基因突变的位点恢复到原来的野生状态或者其他不具有致病性的状态,而对于个体基因组的其他序列不产生实质影响。如前所述,前面所述的核酸或者前面所述的基因突变与非综合征型耳聋的发病密切相关,由此,包含特异性改变前面所述的核酸或者前面所述的基因突变的试剂的药物能有效用于治疗非综合征型耳聋。In the seventh aspect of the present invention, the present invention provides a medicine for the treatment of non-combined deafness, the medicine contains: specifically changing the gene mutation described in the first aspect of the present invention or the gene mutation described in the second aspect of the present invention nucleic acid reagents. It should be noted that the specific change here refers to the ability to restore the mutated nucleic acid or gene mutation site to the original wild state or other non-pathogenic state without substantially affecting other sequences of the individual genome . As mentioned above, the aforementioned nucleic acid or the aforementioned gene mutation is closely related to the onset of non-syndromic deafness. Drugs are effective in the treatment of non-syndromic deafness.
在本发明的第八方面,本发明提供了一种构建体,包含本发明第一方面所述的基因突变或本发明第二方面所述的核酸。需要说明的是,“构建体包含本发明第一方面所述的基因突变”表示,本发明的构建体与野生型LOXHD1基因相比具有c.5331+1G>C突变和/或c.1973_2437+2del突变;“构建体包含本发明第二方面所述的核酸”表示,本发明的构建体与野生型LOXHD1基因相比,其所包含的核酸c.5331+1G>C突变和/或c.1973_2437+2del突变。由此,根据本发明实施例的构建体转化受体细胞获得的重组细胞,能够有效地用作非综合征型耳聋,尤其是常染色体隐性非综合征型耳聋的相关研究的模型。In the eighth aspect of the present invention, the present invention provides a construct comprising the gene mutation described in the first aspect of the present invention or the nucleic acid described in the second aspect of the present invention. It should be noted that "the construct comprises the gene mutation described in the first aspect of the present invention" means that the construct of the present invention has c.5331+1G>C mutation and/or c.1973_2437+compared with the wild-type LOXHD1 gene 2del mutation; "the construct comprises the nucleic acid described in the second aspect of the present invention" means that, compared with the wild-type LOXHD1 gene, the construct of the present invention contains the nucleic acid c.5331+1G>C mutation and/or c. 1973_2437+2del mutation. Thus, the recombinant cells obtained by transforming recipient cells with the constructs according to the embodiments of the present invention can be effectively used as models for related studies of non-syndromic deafness, especially autosomal recessive non-syndromic deafness.
在本发明的第九方面,本发明提供了一种重组细胞,所述重组细胞是通过本发明第八方面所述的构建体转化受体细胞或者表达本发明第三方面所述的多肽而获得的。本发明的重组细胞,能够有效地用作非综合征型耳聋,尤其是常染色体隐性非综合征型耳聋的相关研究的模型。In the ninth aspect of the present invention, the present invention provides a recombinant cell obtained by transforming a recipient cell with the construct described in the eighth aspect of the present invention or expressing the polypeptide described in the third aspect of the present invention of. The recombinant cell of the present invention can be effectively used as a model for related research on non-syndromic deafness, especially autosomal recessive non-syndromic deafness.
在本发明的第十方面,本发明提供了一种检测非综合征型耳聋的试剂盒,所述试剂盒中包括检测本发明第一方面所述的基因突变的试剂,和/或检测本发明第二方面所述的核酸的试剂,和/或检测本发明第三方面所述的多肽的试剂。前面所述的基因突变、核酸、多肽与非综合征型耳聋的发病密切相关,进而能用于包含能有效地检测前面所述的核酸或前面所述的基因突变或前面所述的多肽的试剂的试剂盒能有效筛选出患非综合征型耳聋,尤其是常染色体隐性非综合征型耳聋的生物样品。In the tenth aspect of the present invention, the present invention provides a kit for detecting non-syndromic deafness, which includes reagents for detecting the gene mutation described in the first aspect of the present invention, and/or detects the A reagent for the nucleic acid of the second aspect, and/or a reagent for detecting the polypeptide of the third aspect of the present invention. The aforementioned gene mutations, nucleic acids, and polypeptides are closely related to the onset of non-syndromic deafness, and can be used to contain reagents that can effectively detect the aforementioned nucleic acids or the aforementioned gene mutations or the aforementioned polypeptides The kit can effectively screen out biological samples suffering from non-syndromic deafness, especially autosomal recessive non-syndromic deafness.
本发明的附加方面和优点将在下面的描述中部分给出,部分将从下面的描述中变得明显,或通过本发明的实践了解到。Additional aspects and advantages of the invention will be set forth in the description which follows, and in part will be obvious from the description, or may be learned by practice of the invention.
附图说明Description of drawings
本发明的上述和/或附加的方面和优点从结合下面附图对实施例的描述中将变得明显和容易理解,其中:The above and/or additional aspects and advantages of the present invention will become apparent and comprehensible from the description of the embodiments in conjunction with the following drawings, wherein:
图1显示了根据本发明的一个实施例提供的隐性遗传非综合型耳聋Trio家系图。Fig. 1 shows a Trio pedigree diagram of recessive genetic non-synthetic deafness provided according to an embodiment of the present invention.
图2显示了根据本发明的一个实施例提供的图1所示患者家系中患者的纯音测听结果图。Fig. 2 shows a graph of pure tone audiometry results of patients in the patient family shown in Fig. 1 according to an embodiment of the present invention.
图3显示了根据本发明的一个实施例提供的图1所示患者家系中所有家系成员的LOXHD1基因c.5331+1G>C突变位点的代表性Sanger测序验证峰图。Fig. 3 shows a representative Sanger sequencing verification peak map of the c.5331+1G>C mutation site of the LOXHD1 gene of all family members in the patient family shown in Fig. 1 provided according to an embodiment of the present invention.
图4显示了根据本发明的一个实施例提供的图1所示患者家系中所有家系成员的LOXHD1基因拷贝数变异的qPCR验证结果图。Fig. 4 shows the results of qPCR verification of the LOXHD1 gene copy number variation of all family members in the patient family shown in Fig. 1 according to an embodiment of the present invention.
具体实施方式Detailed ways
下面通过参考附图描述的实施例是示例性的,旨在用于解释本发明,而不能理解为对本发明的限制。The embodiments described below by referring to the figures are exemplary and are intended to explain the present invention and should not be construed as limiting the present invention.
针对遗传性耳聋分子诊断主流方法,已从传统的单基因逐个测序转变为多基因捕获测序Panel。在美国国家生物技术信息中心(NCBI)数据库中有超过200个注册在案的遗传性耳聋多基因捕获测序Panel,相应的检测范围包含数十个乃至上百个耳聋相关基因。与单基因测序相比,通过多基因捕获测序Panel方法检测范围广,单位成本低,能够一次性全面排查大范围的目标区域。同时,该方法还能够检测外显子水平的大片段缺失/重复,即拷贝数变异(copy number variant,CNV),从而涵盖更多可能的致病机制。The mainstream method for the molecular diagnosis of hereditary deafness has changed from traditional single-gene sequencing to multi-gene capture sequencing Panel. There are more than 200 registered hereditary deafness multi-gene capture sequencing panels in the National Center for Biotechnology Information (NCBI) database, and the corresponding detection range includes dozens or even hundreds of deafness-related genes. Compared with single-gene sequencing, the multi-gene capture sequencing Panel method has a wide detection range and low unit cost, and can comprehensively screen a wide range of target regions at one time. At the same time, this method can also detect large deletions/duplications at the exon level, that is, copy number variants (CNVs), thereby covering more possible pathogenic mechanisms.
发明人针对自行收集的一例常染色体隐性非综合征型耳聋Trio家系(父母+先证者),通过多基因捕获测序Panel检测、家系分析联合Sanger测序验证的方法进行致病突变检测和验证;同时,通过qPCR方法验证样本DNA中出现的拷贝数变异。进而,发明人发现了常染色体隐性非综合型耳聋致病基因LOXHD1的新的致病位点——LOXHD1基因的c.5331+1G>C突变。该突变位于经典剪切位置,在多个公共数据库中均无记录,属于烈性低频突变;且该突变与患者另一条染色体上同一个基因的15号至17号外显子缺失拷贝数变异构成复合杂合(in trans),两位点均发生突变,会导致常染色体隐性非综合征型耳聋的发生。另外,由于这两个位点均为隐性突变,当任一位点本身发生纯合突变时,会导致非综合征型耳聋的发生。The inventor conducted a self-collected case of autosomal recessive non-syndromic deafness Trio pedigree (parents + proband), through the method of multi-gene capture sequencing Panel detection, family analysis combined with Sanger sequencing verification to detect and verify the pathogenic mutation; At the same time, the copy number variation that appears in the sample DNA is verified by qPCR method. Furthermore, the inventors discovered a new pathogenic site of the autosomal recessive non-synthetic deafness gene LOXHD1—the c.5331+1G>C mutation of the LOXHD1 gene. The mutation is located at the classic splicing position and has no records in multiple public databases. It is a strong low-frequency mutation; and the mutation forms a compound complex with the copy number variation of exon 15 to 17 deletion of the same gene on another chromosome of the patient. Combined (in trans), mutations occur at both sites, which will lead to the occurrence of autosomal recessive non-syndromic deafness. In addition, since these two sites are recessive mutations, when any site itself has a homozygous mutation, it will lead to the occurrence of non-syndromic deafness.
本文中,术语“非综合征型耳聋”在本领域也常被称为“非综合征型遗传性耳聋”,其是指耳聋为个体发病的唯一症状,不伴随着其他遗传性损害性器官功能障碍。In this paper, the term "non-syndromic deafness" is also often referred to as "non-syndromic hereditary deafness" in the field, which means that deafness is the only symptom of an individual, not accompanied by other genetic damage and organ dysfunction .
术语“常染色体隐性非综合征型耳聋”在本领域也通常为称为“常染色体隐性非综合征型遗传性耳聋”或者被称为“非综合征型常染色体隐性耳聋”或者“非综合征型常染色体隐性遗传性耳聋”,是指遗传性耳聋是发生在常染色体上的隐性等位基因所控制的,即需要两个等位基因均表现为隐性,该患者才表现为患病。The term "autosomal recessive non-syndromic deafness" is also commonly referred to as "autosomal recessive non-syndromic hereditary deafness" or "non-syndromic autosomal recessive deafness" or " "Non-syndromic autosomal recessive deafness" means that hereditary deafness is controlled by recessive alleles that occur on autosomes, that is, both alleles must be recessive for the patient to be Manifested as sick.
而且,需要说明的是,本文中所提供的LOXHD1基因上的突变位点,可以用来作为非综合征型耳聋,更具体地说是常染色体隐性非综合征型耳聋的标示;或者这些突变位点的出现用来说明生物样品患有非综合征型耳聋,更具体地说是患有常染色体隐性非综合征型耳聋。这并不意味着“非综合征型耳聋”、“常染色体隐性非综合征型耳聋”是作为LOXHD1基因上该突变位点的一种限制。也就是说,如果要对LOXHD1基因上的该突变位点所表征的疾病进行详细地指示或者说明时,可以知悉其可以说明该生物样品是患有非综合征型耳聋,更具体地说是常染色体隐性非综合征型耳聋;但是也完全可以根据具体目的或者针对对象不同,被直接告知患有遗传性耳聋,更或者说是患有耳聋。Moreover, it should be noted that the mutation site on the LOXHD1 gene provided herein can be used as a marker for non-syndromic deafness, more specifically autosomal recessive non-syndromic deafness; or these mutations The presence of a locus is used to indicate that the biological sample has non-syndromic deafness, more specifically autosomal recessive non-syndromic deafness. This does not mean that "non-syndromic deafness" and "autosomal recessive non-syndromic deafness" are a limitation of the mutation site on the LOXHD1 gene. That is to say, if the disease characterized by the mutation site on the LOXHD1 gene is to be indicated or explained in detail, it can be known that it can indicate that the biological sample is suffering from non-syndromic deafness, more specifically, normal deafness. Chromosomal recessive non-syndromic deafness; but it is also possible to be directly informed of hereditary deafness, or deafness, according to specific purposes or different targets.
本文中,野生型LOXHD1基因的DNA序列(例如包括内含子序列、外显子序列等)、RNA序列、所编码的蛋白信息等有关该野生型LOXHD1基因的信息均在NCBI数据库中有收录,可以参考下述网址获得:https://www.ncbi.nlm.nih.gov/gene/125336。本文中所示出的c.5331+1G>C突变、c.1973_2437+2del突变是以NCBI数据库中野生型LOXHD1基因的序列为参考而确定的。In this paper, information about the wild-type LOXHD1 gene such as the DNA sequence (for example, including intron sequence, exon sequence, etc.), RNA sequence, and encoded protein information of the wild-type LOXHD1 gene is included in the NCBI database. It can be obtained by referring to the following URL: https://www.ncbi.nlm.nih.gov/gene/125336. The c.5331+1G>C mutation and c.1973_2437+2del mutation shown in this article were determined based on the sequence of the wild-type LOXHD1 gene in the NCBI database as a reference.
本文中,所示出的c.5331+1G>C突变是指发生在野生型LOXHD1基因的34号内含子的第1位碱基G突变为C。Herein, the shown c.5331+1G>C mutation refers to the mutation of the first base G to C in intron 34 of the wild-type LOXHD1 gene.
同时为了方便查看,将该野生型LOXHD1基因的部分核酸序列提供如下,c.5331+1G>C突变对应该部分野生型LOXHD1基因序列(SEQ ID NO:1)的第507位置碱基G突变为C,即下文SEQ ID NO:1中的加粗加框的碱基G会突变为碱基C:At the same time, for the convenience of viewing, the partial nucleic acid sequence of the wild-type LOXHD1 gene is provided as follows, the c.5331+1G>C mutation corresponds to the 507th base G mutation of the part of the wild-type LOXHD1 gene sequence (SEQ ID NO: 1) as C, that is, the bolded and boxed base G in SEQ ID NO: 1 below will be mutated into base C:
该部分野生型LOXHD1基因的编码DNA(对应NCBI数据库编号为NCBI ReferenceSequence:NG_016646.2)从151831至151230具有如下所示的核苷酸序列(SEQ ID NO:1),其中SEQ ID NO:1中下划线加粗碱基即为引物SEQ ID NO:7和SEQ ID NO:8所匹配的位置:The coding DNA of this part of the wild-type LOXHD1 gene (corresponding to the NCBI database number is NCBI ReferenceSequence: NG_016646.2) has the following nucleotide sequence (SEQ ID NO: 1) from 151831 to 151230, wherein in SEQ ID NO: 1 Underlined bold bases are the matching positions of primers SEQ ID NO:7 and SEQ ID NO:8:
发明人发现的LOXHD1基因突变体,与野生型LOXHD1基因相比,具有c.5331+1G>C突变,即相对于野生型LOXHD1基因,该LOXHD1突变体34号内含子的第1位碱基G突变为C,对应上述参考序列(SEQ ID NO:1)的第507位碱基G突变为C。由此,其编码的产物与野生型相比,34号内含子上经典剪切位置的供体位点(donor site)遭到破坏,从而影响正常剪切。Compared with the wild-type LOXHD1 gene, the LOXHD1 gene mutant discovered by the inventor has a c.5331+1G>C mutation, that is, compared with the wild-type LOXHD1 gene, the first base of intron 34 of the LOXHD1 mutant G is mutated to C, corresponding to the 507th base G in the above reference sequence (SEQ ID NO: 1) is mutated to C. Therefore, compared with the wild-type product, the donor site (donor site) of the classical splicing position on intron 34 is destroyed, thereby affecting normal splicing.
上述c.5331+1G>C突变与另一条染色体上同一个基因的15号至17号外显子缺失(NG_016646.2(LOXHD1_v001):c.1973_2437+2del)拷贝数变异构成复合杂合(in trans),导致了常染色体隐性非综合征型耳聋的发生。这里的“15号至17号外显子缺失拷贝数变异”是指:15号至17号外显子这段序列缺失,拷贝数减少导致拷贝数变异,表示为c.1973_2437+2del突变。The above c.5331+1G>C mutation and the deletion of exons 15 to 17 of the same gene on another chromosome (NG_016646.2(LOXHD1_v001):c.1973_2437+2del) copy number variation constitute compound heterozygous (in trans ), leading to the occurrence of autosomal recessive non-syndromic deafness. The "copy number variation due to deletion of exon 15 to 17" here refers to the deletion of the sequence from exon 15 to 17, resulting in copy number variation due to copy number reduction, expressed as c.1973_2437+2del mutation.
同时为了方便查看,将该c.1973_2437+2del突变对应的部分野生型LOXHD1基因序列提供如下,c.1973_2437+2del突变对应该部分野生型LOXHD1基因序列(SEQ ID NO:2)的15号至17号外显子这段序列缺失,即下文SEQ ID NO:2中的加下划线的序列缺失:At the same time, for the convenience of viewing, the part of the wild-type LOXHD1 gene sequence corresponding to the c.1973_2437+2del mutation is provided as follows. The c.1973_2437+2del mutation corresponds to the part of the wild-type LOXHD1 gene sequence (SEQ ID NO: 2) No. This sequence of exon No. is deleted, that is, the underlined sequence in the following SEQ ID NO:2 is deleted:
该部分野生型LOXHD1基因的核酸序列(对应NCBI数据库编号:NG_016646.2)从89601至95900具有如下所示的核苷酸序列(SEQ ID NO:2),加粗碱基即为引物SEQ ID NO:3~引物SEQ ID NO:6匹配位置:The nucleic acid sequence of this part of the wild-type LOXHD1 gene (corresponding to NCBI database number: NG_016646.2) has the following nucleotide sequence (SEQ ID NO: 2) from 89601 to 95900, and the bold base is the primer SEQ ID NO :3~primer SEQ ID NO:6 matching position:
需要说明的是,上述给出的突变位点以及序列等,均是以收录于NCBI数据库中的内容作为参考,本领域技术人员应该理解的是,由于数据库的更新或者数据库的不同,所示出的突变位点以及序列可能会稍有不同或者变化,这些不同或者变化均可以给出的该数据库中的内容为标准找到,这些不同或者变化也均包含在本发明的保护范围之内。It should be noted that the mutation sites and sequences given above are all based on the contents recorded in the NCBI database as a reference. Those skilled in the art should understand that due to the update of the database or the difference in the database, the The mutation site and sequence may be slightly different or changed, and these differences or changes can be found in the given database as a standard, and these differences or changes are also included in the protection scope of the present invention.
而且,本领域技术人员能够理解的是,本文中所使用的野生型LOXHD1基因序列位置是以人类基因组中野生型LOXHD1基因的序列为准,但当该野生型LOXHD1基因存在于其他物种时,该序列可能会有所差异,可以将该物种的野生型LOXHD1基因与人类基因组中野生型LOXHD1基因进行比对,获得该物种的野生型LOXHD1基因中所对应的位置。Moreover, those skilled in the art can understand that the sequence position of the wild-type LOXHD1 gene used herein is based on the sequence of the wild-type LOXHD1 gene in the human genome, but when the wild-type LOXHD1 gene exists in other species, the The sequence may be different, and the wild-type LOXHD1 gene of the species can be compared with the wild-type LOXHD1 gene in the human genome to obtain the corresponding position in the wild-type LOXHD1 gene of the species.
基因突变Gene mutation
在本发明的一个方面,本发明提出了一种基因突变。根据本发明的实施例,与野生型LOXHD1基因相比,具有c.5331+1G>C突变和/或c.1973_2437+2del突变。发明人发现LOXHD1基因的c.5331+1G>C突变和/或c.1973_2437+2del突变与非综合征型耳聋(如常染色体隐性非综合征型耳聋)的发病密切相关,从而通过检测上述基因突变在生物样品中是否发生,可以有效地检测生物样品是否患非综合征型耳聋。In one aspect of the invention, the invention proposes a genetic mutation. According to an embodiment of the present invention, compared with the wild-type LOXHD1 gene, it has a c.5331+1G>C mutation and/or a c.1973_2437+2del mutation. The inventors found that the c.5331+1G>C mutation and/or the c.1973_2437+2del mutation of the LOXHD1 gene are closely related to the onset of non-syndromic deafness (such as autosomal recessive non-syndromic deafness), so that by detecting the above-mentioned genes Whether the mutation occurs in the biological sample can effectively detect whether the biological sample suffers from non-syndromic deafness.
基因突变通常指基因在结构上发生碱基对组成或者排列顺序的改变。本文中,基因突变是指发生在LOXHD1基因上的突变。该基因突变是可以被检测的或者说是可以被辨别的,其可以作为LOXHD1基因上的一个突变位点被检测或者辨别,也可以被作为LOXHD1基因的部分核酸或者LOXHD1基因的全部核酸被检测或者辨别。当然也可以称该基因突变是可以被甄选的。可以采用本领域常用的抗体、探针、引物以及质谱检测试剂等,对上述基因突变进行检测。Gene mutation usually refers to the change of base pair composition or sequence in gene structure. Herein, the gene mutation refers to a mutation occurring in the LOXHD1 gene. The gene mutation can be detected or identified. It can be detected or identified as a mutation site on the LOXHD1 gene, or it can be detected or identified as a part of the nucleic acid of the LOXHD1 gene or the entire nucleic acid of the LOXHD1 gene. distinguish. Of course, it can also be said that the gene mutation can be selected. Antibodies, probes, primers, and mass spectrometry detection reagents commonly used in the art can be used to detect the above gene mutations.
核酸nucleic acid
在本发明的又一方面,本发明提出了一种核酸。根据本发明的实施例,与野生型LOXHD1基因相比,所述核酸具有下列的突变:c.5331+1G>C突变和/或c.1973_2437+2del突变。发明人发现LOXHD1基因的c.5331+1G>C突变和/或c.1973_2437+2del突变与非综合征型耳聋的发病密切相关,从而通过检测上述核酸在生物样品中是否存在,可以有效地检测生物样品是否患非综合征型耳聋。In yet another aspect of the present invention, the present invention provides a nucleic acid. According to an embodiment of the present invention, compared with the wild-type LOXHD1 gene, the nucleic acid has the following mutations: c.5331+1G>C mutation and/or c.1973_2437+2del mutation. The inventors found that the c.5331+1G>C mutation and/or the c.1973_2437+2del mutation of the LOXHD1 gene are closely related to the onset of non-syndromic deafness, so by detecting whether the above nucleic acid exists in biological samples, it can effectively detect Whether the biological sample suffers from non-syndromic deafness.
对于本发明说明书和权利要求书中,提及核酸,本领域技术人员应当理解,实际包括互补双链的任意一条,或者两条。为了方便,在本说明书和权利要求书中,虽然多数情况下只给出了一条链,但实际上也公开了与之互补的另一条链。例如,提及LOXHD1基因的序列,实际包括其互补序列。本领域技术人员还可以理解,利用一条链可以检测另一条链,反之亦然。As for nucleic acid mentioned in the specification and claims of the present invention, those skilled in the art should understand that it actually includes any one or both of the complementary double strands. For convenience, in this specification and claims, although only one chain is given in most cases, another chain complementary to it is actually disclosed. For example, reference to the sequence of the LOXHD1 gene actually includes its complement. It will also be understood by those skilled in the art that one strand can be used to detect the other, and vice versa.
需要说明的是,野生型LOXHD1基因的编码序列可以从如下网址获得:https://www.ncbi.nlm.nih.gov/gene/125336。It should be noted that the coding sequence of the wild-type LOXHD1 gene can be obtained from the following website: https://www.ncbi.nlm.nih.gov/gene/125336.
本文中所提到的c.5331+1G>C突变和/或c.1973_2437+2del突变是以上述网址所对应的编码序列进行定位的。The c.5331+1G>C mutation and/or c.1973_2437+2del mutation mentioned in this article are located in the coding sequence corresponding to the above website.
多肽polypeptide
在本发明另一方面,本发明提出了一种多肽。根据本发明的实施例,所述多肽由上述核酸表达而成。如前所述,LOXHD1基因的c.5331+1G>C突变和/或c.1973_2437+2del突变与非综合征型耳聋的发病密切相关,该突变基因所表达的蛋白与非综合征型耳聋的发病密切相关,进而通过检测上述多肽在生物样品中是否存在,可以有效地检测生物样品是否患非综合征型耳聋。In another aspect of the present invention, the present invention provides a polypeptide. According to an embodiment of the present invention, the polypeptide is expressed from the above nucleic acid. As mentioned above, the c.5331+1G>C mutation and/or c.1973_2437+2del mutation of the LOXHD1 gene is closely related to the onset of non-syndromic deafness, and the protein expressed by the mutant gene is similar to that of non-syndromic deafness. The pathogenesis is closely related, and by detecting whether the above polypeptide exists in the biological sample, it can effectively detect whether the biological sample suffers from non-syndromic deafness.
检测前面所述的核酸、基因突变、多肽的试剂在制备试剂盒或设备中的用途Use of reagents for detecting nucleic acids, gene mutations, and polypeptides described above in the preparation of kits or equipment
在本发明的又一方面,本发明提出了前面所述的基因突变或前面所述的核酸或前面所述的多肽的试剂在制备试剂盒或者设备中的用途。根据本发明的实施例,所述试剂盒或者设备用于诊断非综合征型耳聋。如前所述,前面所述的核酸、基因突变、多肽与非综合征型耳聋的发病密切相关,进而检测前面所述的核酸或前面所述的基因突变或前面所述的多肽的试剂用于制备试剂盒或者设备,所得到的试剂盒或者设备能有效筛选出患非综合征型耳聋,尤其是常染色体隐性非综合征型耳聋的生物样品。In yet another aspect of the present invention, the present invention proposes the use of the above-mentioned gene mutation or the above-mentioned nucleic acid or the above-mentioned polypeptide reagent in the preparation of kits or equipment. According to an embodiment of the present invention, the kit or device is used for diagnosing non-syndromic deafness. As mentioned above, the aforementioned nucleic acid, gene mutation, and polypeptide are closely related to the onset of non-syndromic deafness, and then the reagents for detecting the aforementioned nucleic acid or the aforementioned gene mutation or the aforementioned polypeptide are used for A kit or device is prepared, and the obtained kit or device can effectively screen biological samples suffering from non-syndromic deafness, especially autosomal recessive non-syndromic deafness.
根据本发明的实施例,所述非综合征型耳聋为常染色体隐性非综合征型耳聋。According to an embodiment of the present invention, the non-syndromic deafness is autosomal recessive non-syndromic deafness.
根据本发明的实施例,所述试剂包括特异性针对所述核酸、所述基因突变和所述多肽的至少之一的抗体、探针、引物以及质谱检测试剂的至少之一。例如,发明人可通过特异性识别所述多肽的抗体与所述多肽的特异性结合来检测待测样品中是否存在上述突变,即通过特异性抗体与抗原的相互作用来检测上述多肽是否存在;发明人还可以通过预先设计特异性识别所述核酸或基因突变的探针,通过探针与上述核酸或基因突变位点所在的核酸片段发生互补配对,来鉴别上述核酸或基因突变的存在;发明人还可以设计用于扩增上述基因突变所在外显子的特异性引物,进而通过基因扩增以及测序,确定上述基因突变是否存在;发明人还可以通过质谱来检测多肽的m/z来判断,上述发生c.5331+1G>C突变和/或c.1973_2437+2del突变所表达的多肽是否存在。根据本发明的具体实施例的抗体、探针、引物以及质谱检测试剂的至少之一能特异性、高灵敏性地筛选出前面所述的核酸或者前面所述的基因突变或者前面所述的多肽,进而特异性、高灵敏性地筛选出患非综合征型耳聋,尤其是患常染色体隐性非综合征型耳聋的生物样品,进而能有效用于制备筛选患非综合征型耳聋,尤其是患常染色体隐性非综合征型耳聋的生物样品的试剂盒或者设备。According to an embodiment of the present invention, the reagent includes at least one of an antibody, a probe, a primer and a mass spectrometry detection reagent specific for at least one of the nucleic acid, the gene mutation and the polypeptide. For example, the inventor can detect whether the above-mentioned mutation exists in the sample to be tested through the specific binding of the antibody that specifically recognizes the polypeptide and the polypeptide, that is, detect the presence of the above-mentioned polypeptide through the interaction between the specific antibody and the antigen; The inventor can also identify the presence of the above-mentioned nucleic acid or gene mutation by pre-designing a probe that specifically recognizes the nucleic acid or gene mutation, and through complementary pairing between the probe and the nucleic acid fragment where the above-mentioned nucleic acid or gene mutation site is located; People can also design specific primers for amplifying the exon where the above-mentioned gene mutation is located, and then determine whether the above-mentioned gene mutation exists through gene amplification and sequencing; the inventor can also use mass spectrometry to detect the m/z of the polypeptide to judge , Whether the polypeptide expressed by the c.5331+1G>C mutation and/or c.1973_2437+2del mutation exists. At least one of the antibodies, probes, primers and mass spectrometry detection reagents according to specific embodiments of the present invention can specifically and highly sensitively screen out the aforementioned nucleic acid or the aforementioned gene mutation or the aforementioned polypeptide , and then specifically and highly sensitively screen out biological samples suffering from non-syndromic deafness, especially those suffering from autosomal recessive non-syndromic deafness, which can be effectively used to prepare and screen for non-syndromic deafness, especially Kit or device for biological samples of autosomal recessive non-syndromic deafness.
生物模型biological model
在本发明的另一方面,本发明提出了生物模型在筛选药物中的用途。根据本发明的实施例,所述生物模型携带下列至少之一:(1)前面所述的核酸;(2)前面所述的基因突变;(3)表达前面所述的多肽。需要说明的是,“生物模型携带前面所述的核酸”表示,本发明的生物模型携带与野生型LOXHD1基因相比具有c.5331+1G>C突变和/或c.1973_2437+2del突变的LOXHD1基因突变体的核酸序列;“生物模型携带前面所述的基因突变”表示,本发明的生物模型携带的LOXHD1基因与野生型LOXHD1基因相比具有c.5331+1G>C突变和/或c.1973_2437+2del突变。“生物模型携带前面所述的多肽”表示,本发明的生物模型携带与野生型LOXHD1基因相比具有c.5331+1G>C突变和/或c.1973_2437+2del突变所表达的多肽。根据本发明的实施例的生物模型能有效地用作非综合征型耳聋,尤其是常染色体隐性非综合征型耳聋的相关研究的模型。这些生物模型可以是细胞模型也可以是动物模型。In another aspect of the present invention, the present invention proposes the use of biological models in screening drugs. According to an embodiment of the present invention, the biological model carries at least one of the following: (1) the aforementioned nucleic acid; (2) the aforementioned gene mutation; (3) expressing the aforementioned polypeptide. It should be noted that "the biological model carries the aforementioned nucleic acid" means that the biological model of the present invention carries the LOXHD1 with c.5331+1G>C mutation and/or c.1973_2437+2del mutation compared with the wild-type LOXHD1 gene The nucleic acid sequence of the gene mutant; "the biological model carries the aforementioned gene mutation" means that the LOXHD1 gene carried by the biological model of the present invention has c.5331+1G>C mutation and/or c. 1973_2437+2del mutation. "The biological model carries the aforementioned polypeptide" means that the biological model of the present invention carries the polypeptide expressed by the c.5331+1G>C mutation and/or the c.1973_2437+2del mutation compared with the wild-type LOXHD1 gene. The biological model according to the embodiment of the present invention can be effectively used as a model for related studies of non-syndromic deafness, especially autosomal recessive non-syndromic deafness. These biological models can be cell models or animal models.
试剂在制备药物中的用途The use of reagents in the preparation of medicines
在本发明的又一方面,本发明提出了特异性改变前面所述的核酸或者前面所述的基因突变的试剂在制备药物中的用途,所述药物用于治疗非综合征型耳聋。需要说明的是,这里的特异性改变是指能使得突变的核酸或者基因突变的位点恢复到原来的野生状态或者其他不具有致病性的状态,而对于个体基因组的其他序列不产生实质影响。如前所述,前面所述的核酸或者前面所述的基因突变与非综合征型耳聋的发病密切相关,由此,由这些能够特异性改变前面所述的核酸或者前面所述的基因突变的试剂所制备的药物能有效用于治疗非综合征型耳聋。In yet another aspect of the present invention, the present invention proposes the use of reagents for specifically changing the above-mentioned nucleic acid or the above-mentioned gene mutation in the preparation of medicines for the treatment of non-syndromic deafness. It should be noted that the specific change here refers to the ability to restore the mutated nucleic acid or gene mutation site to the original wild state or other non-pathogenic state without substantially affecting other sequences of the individual genome . As mentioned above, the above-mentioned nucleic acid or the above-mentioned gene mutation is closely related to the onset of non-syndromic deafness. The medicine prepared by the reagent can be effectively used for treating non-syndromic deafness.
根据本发明的实施例,所述试剂为基于shRNA、反义核酸、核酶、显性负突变、CRISPR-Cas9、CRISPR-Cpf1和锌指核酸酶至少之一的试剂。例如,CRISPRs技术是一种由RNA指导Cas蛋白对靶向基因进行修饰的技术,CRISPR-Cas9主要通过基因敲除、特种变异的引入和定点转基因三种途径来实现基因组改造,基于CRISPR-Cas9的方法,发明人可以设计出sgRNA并合成该序列的gRNA,然后将gRNA与d Cas9在细胞中共表达,通过gRNA介导d Cas9蛋白与目标DNA区域结合,进而实现特定位点的修复或改变。According to an embodiment of the present invention, the reagent is a reagent based on at least one of shRNA, antisense nucleic acid, ribozyme, dominant negative mutation, CRISPR-Cas9, CRISPR-Cpf1 and zinc finger nuclease. For example, CRISPRs technology is a technology that guides Cas proteins to modify targeted genes by RNA. CRISPR-Cas9 mainly realizes genome modification through gene knockout, introduction of special mutations and site-specific transgenesis. CRISPR-Cas9-based Method, the inventor can design sgRNA and synthesize the gRNA of this sequence, and then co-express the gRNA and dCas9 in the cell, and use the gRNA to mediate the binding of the dCas9 protein to the target DNA region, thereby realizing the repair or change of a specific site.
治疗非综合征型耳聋的药物Drugs for the treatment of nonsyndromic deafness
在本发明的另一个方面,本发明提出了一种用于治疗非综合征型耳聋的药物。根据本发明的实施例,所述药物含有:特异性改变前面所述的核酸或者前面所述的基因突变的试剂。需要说明的是,这里的特异性改变是指能使得突变的核酸或者基因突变的位点恢复到原来的野生状态或者其他不具有致病性的状态,而对于个体基因组的其他序列不产生实质影响。如前所述,前面所述的核酸或者前面所述的基因突变与非综合征型耳聋,尤其是常染色体隐性非综合征型耳聋的发病密切相关,由此,包含特异性改变前面所述的核酸或者前面所述的基因突变的试剂的药物能有效用于治疗非综合征型耳聋。In another aspect of the present invention, the present invention proposes a medicine for treating non-syndromic deafness. According to an embodiment of the present invention, the medicine contains: a reagent for specifically changing the aforementioned nucleic acid or the aforementioned gene mutation. It should be noted that the specific change here refers to the ability to restore the mutated nucleic acid or gene mutation site to the original wild state or other non-pathogenic state without substantially affecting other sequences of the individual genome . As mentioned above, the above-mentioned nucleic acid or the above-mentioned gene mutation is closely related to the onset of non-syndromic deafness, especially the onset of autosomal recessive non-syndromic deafness, thus, including the specific changes mentioned above The nucleic acid or the drug of the aforementioned gene mutation agent can be effectively used for the treatment of non-syndromic deafness.
根据本发明的实施例,所述试剂为基于shRNA、反义核酸、核酶、显性负突变、CRISPR-Cas9、CRISPR-Cpf1和锌指核酸酶至少之一的试剂。例如,CRISPRs技术是一种由RNA指导Cas蛋白对靶向基因进行修饰的技术,CRISPR-Cas9主要通过基因敲除、特种变异的引入和定点转基因三种途径来实现基因组改造,基于CRISPR-Cas9的方法,发明人可以设计出sgRNA并合成该序列的gRNA,然后将gRNA与dCas9在细胞中共表达,通过gRNA介导dCas9蛋白与目标DNA区域结合,进而实现特定位点的修复或改变。According to an embodiment of the present invention, the reagent is a reagent based on at least one of shRNA, antisense nucleic acid, ribozyme, dominant negative mutation, CRISPR-Cas9, CRISPR-Cpf1 and zinc finger nuclease. For example, CRISPRs technology is a technology that guides Cas proteins to modify targeted genes by RNA. CRISPR-Cas9 mainly realizes genome modification through gene knockout, introduction of special mutations and site-specific transgenesis. CRISPR-Cas9-based Method, the inventor can design sgRNA and synthesize the gRNA of this sequence, and then co-express the gRNA and dCas9 in the cell, and use the gRNA to mediate the binding of the dCas9 protein to the target DNA region, thereby realizing the repair or change of a specific site.
构建体及重组细胞Constructs and Recombinant Cells
在本发明的又一个方面,本发明提出了一种构建体。根据本发明的实施例,所述构建体包含前面所述的核酸或前面所述的基因突变。需要说明的是,“构建体包含前面所述的核酸”表示,本发明的构建体包含与野生型LOXHD1基因相比,具有c.5331+1G>C突变和/或c.1973_2437+2del突变的核酸。“构建体包含前面所述的基因突变”表示,本发明的构建体与野生型LOXHD1基因相比具有c.5331+1G>C突变和/或c.1973_2437+2del突变。由此,根据本发明实施例的构建体转化受体细胞获得的重组细胞,能够有效地用作非综合征型耳聋,尤其是常染色体隐性非综合征型耳聋的相关研究的模型。其中,所述受体细胞的种类不受特别限制,例如可以为大肠杆菌细胞、哺乳动物细胞,优选该受体细胞来源于哺乳动物。In yet another aspect of the invention, the invention proposes a construct. According to an embodiment of the present invention, the construct comprises the aforementioned nucleic acid or the aforementioned gene mutation. It should be noted that "the construct comprises the aforementioned nucleic acid" means that the construct of the present invention comprises, compared with the wild-type LOXHD1 gene, a gene with c.5331+1G>C mutation and/or c.1973_2437+2del mutation nucleic acid. "The construct comprises the aforementioned gene mutation" means that the construct of the present invention has c.5331+1G>C mutation and/or c.1973_2437+2del mutation compared with the wild-type LOXHD1 gene. Thus, the recombinant cells obtained by transforming recipient cells with the constructs according to the embodiments of the present invention can be effectively used as models for related studies of non-syndromic deafness, especially autosomal recessive non-syndromic deafness. Wherein, the type of the recipient cells is not particularly limited, for example, Escherichia coli cells, mammalian cells, preferably the recipient cells are derived from mammals.
在本发明中所使用的术语“构建体”是指这样的一种遗传载体,其包含特定核酸序列,并且能够将目的核酸序列转入宿主细胞中,以获得重组细胞。根据本发明的实施例,构建体的形式不受特别限制。根据本发明的实施例,其可以为质粒、噬菌体、人工染色体、粘粒(Cosmid)、病毒的至少一种,优选质粒。质粒作为遗传载体,具有操作简单,可以携带较大片段的性质,便于操作和处理。质粒的形式也不受特别限制,既可以是环形质粒,也可以是线性质粒,即可以是单链的,也可以是双链的。本领域技术人员可以根据需要进行选择。在本发明中所使用的术语“核酸”可以是任何包含脱氧核糖核苷酸或者核糖核苷酸的聚合物,包括但不限于经过修饰的或者未经修饰的DNA、RNA,其长度不受任何特别限制。对于用于构建重组细胞的构建体,优选所述核酸为DNA,因为DNA相对于RNA而言,其更稳定,并且易于操作。The term "construct" used in the present invention refers to a genetic carrier that contains a specific nucleic acid sequence and is capable of transferring the target nucleic acid sequence into a host cell to obtain a recombinant cell. According to the embodiments of the present invention, the form of the construct is not particularly limited. According to an embodiment of the present invention, it may be at least one of a plasmid, a phage, an artificial chromosome, a cosmid (Cosmid), and a virus, preferably a plasmid. As a genetic carrier, plasmids are easy to operate and can carry large fragments, which is convenient for operation and processing. The form of the plasmid is also not particularly limited, and it can be either a circular plasmid or a linear plasmid, that is, it can be single-stranded or double-stranded. Those skilled in the art can make selections as needed. The term "nucleic acid" used in the present invention can be any polymer comprising deoxyribonucleotides or ribonucleotides, including but not limited to modified or unmodified DNA, RNA, its length is not subject to any Special restrictions. For constructs for constructing recombinant cells, the nucleic acid is preferably DNA, because DNA is more stable and easier to handle than RNA.
在本发明的再一个方面,本发明提出了一种重组细胞。根据本发明的实施例,所述重组细胞是通过前面所述的构建体转化受体细胞或者表达前面所述的多肽而获得的。根据本发明的一些实施例,本发明的重组细胞,能够有效地用作非综合征型耳聋,尤其是常染色体隐性非综合征型耳聋的相关研究的模型。In yet another aspect of the present invention, the present invention provides a recombinant cell. According to an embodiment of the present invention, the recombinant cell is obtained by transforming the recipient cell with the aforementioned construct or expressing the aforementioned polypeptide. According to some embodiments of the present invention, the recombinant cells of the present invention can be effectively used as a model for related studies on non-syndromic deafness, especially autosomal recessive non-syndromic deafness.
根据本发明的实施例,受体细胞的种类不受特别限制,例如可以为大肠杆菌细胞、哺乳动物细胞,优选所述受体细胞来源于非人哺乳动物。According to the embodiment of the present invention, the type of recipient cells is not particularly limited, for example, it can be Escherichia coli cells, mammalian cells, preferably the recipient cells are derived from non-human mammals.
检测非综合征型耳聋的试剂盒Kit for detecting non-syndromic deafness
在本发明的另一个方面,本发明提出了一种检测非综合征型耳聋的试剂盒。根据本发明的实施例,所述试剂盒中包括检测前面所述的核酸的试剂,和/或检测前面所述的基因突变的试剂,和/或检测前面所述的多肽的试剂。如前所述,前面所述的核酸、基因突变、多肽与非综合征型耳聋的发病密切相关,进而能用于包含能有效地检测前面所述的核酸或前面所述的基因突变或前面所述多肽的试剂的试剂盒能有效筛选出患非综合征型耳聋,尤其是常染色体隐性非综合征型耳聋的生物样品。In another aspect of the present invention, the present invention provides a kit for detecting non-syndromic deafness. According to an embodiment of the present invention, the kit includes a reagent for detecting the aforementioned nucleic acid, and/or a reagent for detecting the aforementioned gene mutation, and/or a reagent for detecting the aforementioned polypeptide. As mentioned above, the aforementioned nucleic acid, gene mutation, and polypeptide are closely related to the onset of non-syndromic deafness, and can be used to effectively detect the aforementioned nucleic acid or the aforementioned gene mutation or the aforementioned The reagent kit of the polypeptide can effectively screen out biological samples suffering from non-syndromic deafness, especially autosomal recessive non-syndromic deafness.
筛选患非综合征型耳聋的生物样品的方法Method for screening biological samples suffering from non-syndromic deafness
除了上述内容之外,本发明还提出了一种筛选患非综合征型耳聋的生物样品的方法。根据本发明的实施例,所述方法包括以下步骤:In addition to the above, the present invention also proposes a method for screening biological samples suffering from non-syndromic deafness. According to an embodiment of the present invention, the method includes the following steps:
从生物样品提取核酸样本;extraction of nucleic acid samples from biological samples;
基于所述核酸样本,确定所述核酸样本的核酸序列;determining the nucleic acid sequence of the nucleic acid sample based on the nucleic acid sample;
基于所述核酸样本的核酸序列或其互补序列,与野生型LOXHD1基因相比是否具有c.5331+1G>C突变和/或c.1973_2437+2del突变,判断所述生物样品是否患非综合征型耳聋,其中,所述核酸样本的核酸序列或其互补序列,与野生型LOXHD1基因相比有c.5331+1G>C突变和/或c.1973_2437+2del突变,是所述生物样品患有非综合征型耳聋的指示。通过根据本发明实施例的筛选患非综合征型耳聋的生物样品的方法,可以有效地筛选患非综合征型耳聋,尤其是常染色体隐性非综合征型耳聋的生物样品。Based on the nucleic acid sequence of the nucleic acid sample or its complementary sequence, compared with the wild-type LOXHD1 gene, whether it has c.5331+1G>C mutation and/or c.1973_2437+2del mutation, to determine whether the biological sample is suffering from non-syndromic Type deafness, wherein, the nucleic acid sequence of the nucleic acid sample or its complementary sequence has c.5331+1G>C mutation and/or c.1973_2437+2del mutation compared with the wild-type LOXHD1 gene, which means that the biological sample suffers from Indication of non-syndromic deafness. Through the method for screening biological samples suffering from non-syndromic deafness according to the embodiments of the present invention, biological samples suffering from non-syndromic deafness, especially autosomal recessive non-syndromic deafness, can be effectively screened.
首先,从生物样品提取核酸样本。根据本发明的实施例,生物样品的类型并不受特别限制,只要从该生物样品中能够提取到反映生物样品LOXHD1基因是否存在突变的核酸样本即可。根据本发明的实施例,生物样品可以为选自人体血液、皮肤、皮下组织的至少一种。由此,可以方便地进行取样和检测,从而能够进一步提高筛选患非综合征型耳聋的生物样品的效率。根据本发明的实施例,这里所使用的术语“核酸样本”应做广义理解,其可以是任何能够反映生物样品中LOXHD1基因是否存在突变的样本,例如可以是从生物样品中直接提取的全基因组DNA,也可以是该全基因组中包含LOXHD1基因编码序列的一部分,可以是从生物样品中提取的总RNA,也可以是从生物样品中提取的mRNA。根据本发明的一个实施例,所述核酸样本为全基因组DNA。由此,可以扩大生物样品的来源范围,并且可以同时对生物样品的多种信息进行确定,从而能够提高筛选患非综合征型耳聋的生物样品的效率。另外,根据本发明的实施例,针对采用RNA作为核酸样本,从生物样品提取核酸样本可以进一步包括:从生物样品提取RNA样本,优选RNA样本为mRNA;以及基于所得到的RNA样本,通过反转录反应,获得cDNA样本,所得到的cDNA样本构成核酸样本。由此,可以进一步提高利用RNA作为核酸样本筛选患非综合征型耳聋的生物样品的效率。First, a nucleic acid sample is extracted from a biological sample. According to the embodiments of the present invention, the type of biological sample is not particularly limited, as long as a nucleic acid sample reflecting whether there is a mutation in the LOXHD1 gene of the biological sample can be extracted from the biological sample. According to an embodiment of the present invention, the biological sample may be at least one selected from human blood, skin, and subcutaneous tissue. Thus, sampling and detection can be conveniently performed, thereby further improving the efficiency of screening biological samples suffering from non-syndromic deafness. According to an embodiment of the present invention, the term "nucleic acid sample" used here should be understood in a broad sense, and it can be any sample that can reflect whether there is a mutation in the LOXHD1 gene in a biological sample, for example, it can be a whole genome directly extracted from a biological sample The DNA may also be a part of the whole genome containing the coding sequence of the LOXHD1 gene, or it may be the total RNA extracted from the biological sample, or it may be the mRNA extracted from the biological sample. According to an embodiment of the present invention, the nucleic acid sample is whole genome DNA. Thus, the range of sources of biological samples can be expanded, and multiple information of biological samples can be determined simultaneously, thereby improving the efficiency of screening biological samples suffering from non-syndromic deafness. In addition, according to an embodiment of the present invention, for using RNA as a nucleic acid sample, extracting a nucleic acid sample from a biological sample may further include: extracting an RNA sample from a biological sample, preferably the RNA sample is mRNA; and based on the obtained RNA sample, by inversion The reaction is recorded to obtain a cDNA sample, and the obtained cDNA sample constitutes a nucleic acid sample. Thus, the efficiency of using RNA as a nucleic acid sample to screen biological samples suffering from non-syndromic deafness can be further improved.
接下来,在得到核酸样本之后,可以对核酸样本进行分析,从而能够确定所得到核酸样本的核酸序列。根据本发明的实施例,确定所得到核酸样本的核酸序列的方法和设备并不受特别限制。根据本发明的具体实施例,可以通过测序方法,确定核酸样本的核酸序列。根据本发明的实施例,可以用于进行测序的方法和设备并不受特别限制。根据本发明的实施例,可以采用第二代测序技术,也可以采用第三代以及第四代或者更先进的测序技术。Next, after the nucleic acid sample is obtained, the nucleic acid sample can be analyzed, so that the nucleic acid sequence of the obtained nucleic acid sample can be determined. According to the embodiments of the present invention, the method and device for determining the nucleic acid sequence of the obtained nucleic acid sample are not particularly limited. According to a specific embodiment of the present invention, the nucleic acid sequence of the nucleic acid sample can be determined by a sequencing method. According to the embodiments of the present invention, the methods and devices that can be used for sequencing are not particularly limited. According to the embodiment of the present invention, the second-generation sequencing technology may be used, and the third-generation and fourth-generation or more advanced sequencing technologies may also be used.
根据本发明的具体实施例,可以利用选BGISEQ-500、BGISEQ-500RS、HISEQ2000、SOLiD、454和单分子测序装置的至少一种对核酸序列进行测序。由此,结合最新的测序技术,针对单个位点可以达到较高的测序深度,检测灵敏度和准确性大大提高,因而能够利用这些测序装置的高通量、深度测序的特点,进一步提高对核酸样本进行检测分析的效率。从而,能够提高后续对测序数据进行分析时的精确性和准确度。由此,根据本发明的实施例,确定核酸样本的核酸序列可以进一步包括:首先,针对所得到的核酸样本,构建核酸测序文库;以及对所得到的核酸测序文库进行测序,以便获得由多个测序数据构成的测序结果。根据本发明的一些实施例,可以采用选自BGISEQ-500、BGISEQ-500RS、HISEQ2000、SOLiD、454和单分子测序装置的至少一种对所得到的核酸测序文库进行测序。另外,根据本发明的实施例,可以对核酸样本进行筛选,富集LOXHD1基因外显子,该筛选富集可以在构建测序文库之前,构建测序文库过程中,或者构建测序文库之后进行。可以采用外显子靶向序列富集系统如:华大自主外显子捕获芯片,Aglient SureSelect,Nimblegen等其他外显子或目标区域捕获平台,对目标片段进行富集。根据本发明的一个实施例,针对核酸样本,构建核酸测序文库进一步包括:利用选自LOXHD1基因特异性引物的至少一种,对核酸样本进行PCR扩增;以及针对所得到的扩增产物,构建核酸测序文库。由此,可以通过PCR扩增,富集LOXHD1基因外显子,从而能够进一步提高筛选患非综合征型耳聋的生物样品的效率。根据本发明的实施例,LOXHD1基因特异性引物的序列不受特别限制,例如可以参考人类基因组序列数据库GRCh37.1/hg19,采用Primer3.0在线设计获得,例如可以参考UCSC(http://genome.ucsc.edu/),应用Primer3(version 0.4.0,http://primer3.ut.ee/)设计候选基因的引物并合成(生工生物工程公司合成),并利用Primer-BLAST(http://www.ncbi.nlm.nih.gov/tools/primer-blast/)验证引物特异性。According to a specific embodiment of the present invention, the nucleic acid sequence can be sequenced by using at least one of BGISEQ-500, BGISEQ-500RS, HISEQ2000, SOLiD, 454 and single-molecule sequencing devices. Therefore, combined with the latest sequencing technology, a higher sequencing depth can be achieved for a single site, and the detection sensitivity and accuracy are greatly improved. Therefore, the high-throughput and deep sequencing characteristics of these sequencing devices can be used to further improve the detection of nucleic acid samples. Efficiency in conducting assays. Therefore, the precision and accuracy of the subsequent analysis of the sequencing data can be improved. Thus, according to an embodiment of the present invention, determining the nucleic acid sequence of the nucleic acid sample may further include: first, constructing a nucleic acid sequencing library for the obtained nucleic acid sample; and sequencing the obtained nucleic acid sequencing library, so as to obtain multiple Sequencing results composed of sequencing data. According to some embodiments of the present invention, at least one selected from BGISEQ-500, BGISEQ-500RS, HISEQ2000, SOLiD, 454, and single-molecule sequencing devices can be used to sequence the obtained nucleic acid sequencing library. In addition, according to the embodiments of the present invention, the nucleic acid samples can be screened to enrich the exons of the LOXHD1 gene, and the screening and enrichment can be performed before, during, or after the construction of the sequencing library. Exon-targeted sequence enrichment systems such as BGI's own exon capture chip, Aglient SureSelect, Nimblegen and other exon or target region capture platforms can be used to enrich target fragments. According to an embodiment of the present invention, for nucleic acid samples, constructing a nucleic acid sequencing library further includes: using at least one selected from the LOXHD1 gene-specific primers, performing PCR amplification on the nucleic acid samples; and for the obtained amplification products, constructing Nucleic acid sequencing library. Thus, the exons of the LOXHD1 gene can be enriched by PCR amplification, thereby further improving the efficiency of screening biological samples suffering from non-syndromic deafness. According to an embodiment of the present invention, the sequence of the LOXHD1 gene-specific primer is not particularly limited. For example, it can be obtained by referring to the human genome sequence database GRCh37.1/hg19 and using Primer3.0 online design. .ucsc.edu/), using Primer3 (version 0.4.0, http://primer3.ut.ee/) to design and synthesize primers for candidate genes (synthesized by Sangon Bioengineering Company), and using Primer-BLAST (http: http://www.ncbi.nlm.nih.gov/tools/primer-blast/) to verify primer specificity.
关于针对核酸样本,构建测序文库的方法和流程,本领域技术人员可以根据不同的测序技术进行适当选择,关于流程的细节,可以参见测序仪器的厂商例如Illumina公司所提供的规程,例如参见Illumina公司Multiplexing Sample Preparation Guide(Part#1005361;Feb2010)或Paired-End SamplePrep Guide(Part#1005063;Feb 2010),通过参照将其并入本文。根据本发明的实施例,从生物样品提取核酸样本的方法和设备,也不受特别限制,可以采用商品化的核酸提取试剂盒进行。Regarding the method and process for constructing a sequencing library for nucleic acid samples, those skilled in the art can make appropriate choices according to different sequencing technologies. For details on the process, refer to the procedures provided by manufacturers of sequencing instruments such as Illumina, for example, see Illumina Multiplexing Sample Preparation Guide (Part#1005361; Feb 2010) or Paired-End SamplePrep Guide (Part#1005063; Feb 2010), which are incorporated herein by reference. According to the embodiments of the present invention, the method and equipment for extracting nucleic acid samples from biological samples are not particularly limited, and commercial nucleic acid extraction kits can be used.
需要说明的是,在这里所使用的术语“核酸序列”应作广义理解,其可以是在对核酸样本进行测序得到的测序数据进行组装后,得到的完整的核酸序列信息,也可以是直接采用通过对核酸样本进行测序所得到的测序数据(reads)作为核酸序列,只要这些核酸序列中含有对应LOXHD1基因的编码序列即可。It should be noted that the term "nucleic acid sequence" used here should be understood in a broad sense. It can be the complete nucleic acid sequence information obtained after the sequencing data obtained by sequencing nucleic acid samples are assembled, or it can be obtained directly. The sequencing data (reads) obtained by sequencing the nucleic acid samples are used as the nucleic acid sequences, as long as the nucleic acid sequences contain the coding sequence corresponding to the LOXHD1 gene.
最后,在确定核酸样本的核酸序列之后,将所得到的核酸样本的核酸序列相应的参考序列进行比对,当所得到的核酸序列中具有前述的突变时,即指示生物样品患非综合征型耳聋。由此,通过根据本发明实施例的筛选患非综合征型耳聋的生物样品的方法,可以有效地筛选患非综合征型耳聋的生物样品。根据本发明的实施例,对核酸序列与相应野生型基因序列进行比对的方法和设备并不受特别限制,可以采用任意常规的软件进行操作,根据本发明的具体实例,可以采用SOAPALIGNER/SOAP2进行比对。Finally, after determining the nucleic acid sequence of the nucleic acid sample, compare the corresponding reference sequence of the obtained nucleic acid sample nucleic acid sequence, when the obtained nucleic acid sequence has the aforementioned mutation, it indicates that the biological sample suffers from non-syndromic deafness . Thus, biological samples suffering from non-syndromic deafness can be effectively screened through the method for screening biological samples suffering from non-syndromic deafness according to an embodiment of the present invention. According to the embodiments of the present invention, the method and equipment for comparing the nucleic acid sequence with the corresponding wild-type gene sequence are not particularly limited, and any conventional software can be used for operation. According to specific examples of the present invention, SOAPALIGNER/SOAP2 can be used Compare.
需要说明的是,根据本发明实施例的“筛选患非综合征型耳聋的生物样品的方法”的用途不受特别限制,例如可以用作非诊断目的的筛选方法,例如用作科研或者其他应用。It should be noted that the use of the "method for screening biological samples suffering from non-syndromic deafness" according to the embodiment of the present invention is not particularly limited, for example, it can be used as a screening method for non-diagnostic purposes, such as for scientific research or other applications .
下面将结合实施例对本发明的方案进行解释。本领域技术人员将会理解,下面的实施例仅用于说明本发明,而不应视为限定本发明的范围。实施例中未注明具体技术或条件的,按照本领域内的文献所描述的技术或条件或者按照产品说明书进行。所用试剂或仪器未注明生产厂商者,均为可以通过市购获得的常规产品。The solutions of the present invention will be explained below in conjunction with examples. Those skilled in the art will understand that the following examples are only for illustrating the present invention and should not be considered as limiting the scope of the present invention. If no specific technique or condition is indicated in the examples, it shall be carried out according to the technique or condition described in the literature in this field or according to the product specification. The reagents or instruments used were not indicated by the manufacturer, and they were all commercially available conventional products.
实施例1确定常染色体隐性非综合征型耳聋致病突变Example 1 Determining the causative mutation of autosomal recessive non-syndromic deafness
1、样本搜集1. Sample collection
发明人搜集到一个中国汉族常染色体隐性非综合征型耳聋患者Trio家系(父母+先证者),其家系图见图1。其中,○表示正常女性,□表示正常男性,●表示女性患者,箭头所指为先证者。The inventor collected a Trio family (parents + proband) of a Chinese Han patient with autosomal recessive non-syndromic deafness. The pedigree is shown in FIG. 1 . Among them, ○ indicates a normal female, □ indicates a normal male, ● indicates a female patient, and the arrow points to the proband.
如图1所示,该家系包含3名成员,父母均为正常人(即家系图中的I-1、I-2),女儿为耳聋患者(即家系图中的II-1),符合常染色体隐性遗传模式。As shown in Figure 1, the family includes 3 members, the parents are normal (i.e., I-1 and I-2 in the pedigree diagram), and the daughter is a deaf patient (i.e., II-1 in the pedigree diagram). Chromosomal recessive inheritance pattern.
该家系中患者的纯音测听结果见图2。在图2中,横坐标表示纯音的频率,纵坐标表示听力级别,如果听力正常,阈值曲线应该是在0附近浮动的,曲线往下走表示听力下降。如图2所示,纯音测听结果显示患者II-1左耳中-重度耳聋,右耳中度耳聋,听力曲线呈高频陡峭降型。The pure tone audiometry results of the patients in this family are shown in Figure 2. In Figure 2, the abscissa indicates the frequency of the pure tone, and the ordinate indicates the hearing level. If the hearing is normal, the threshold curve should be floating around 0, and the curve going down indicates hearing loss. As shown in Figure 2, the results of pure tone audiometry showed that patient II-1 had moderate to severe deafness in the left ear and moderate deafness in the right ear, and the hearing curve showed a steep drop-off type at high frequencies.
发明人收集该家系内所有成员的外周血样,加入EDTA抗凝,-80摄氏度保存。所有血样均签属知情同意书。The inventor collected peripheral blood samples of all members of the family, added EDTA for anticoagulation, and stored them at -80°C. All blood samples were signed informed consent.
2、DNA提取2. DNA extraction
取上述家系所有成员的外周血,分别利用QIAmp Bloodkit(Qiagen,Hilden,Germany)抽提外周血白细胞的基因组DNA,并利用QubitFluorometer和琼脂糖凝胶电泳测量DNA的浓度及纯度,所得的每个标本基因组DNA OD260/OD280均位于1.7-2.0之间,浓度不少于50纳克/微升,总量不少于3微克。The peripheral blood of all members of the above-mentioned families was taken, and the genomic DNA of peripheral blood leukocytes was extracted by QIAmp Bloodkit (Qiagen, Hilden, Germany), and the concentration and purity of the DNA were measured by QubitFluorometer and agarose gel electrophoresis. Each sample obtained Genomic DNA OD260/OD280 are both between 1.7-2.0, the concentration is not less than 50 ng/μl, and the total amount is not less than 3 μg.
3、捕获测序3. Capture sequencing
利用芯片捕获技术,结合Illumina Hiseq 2500的高通量测序技术,对所有家系成员的样本进行测序。相应定制捕获芯片(Agilent,Santa Clara,CA,USA)的捕获范围包括127个已知的耳聋相关基因共计2268个外显子及相邻区域,捕获区域总长为619Kb。主要步骤包括超声打断、文库制备和上机测序。Using chip capture technology combined with Illumina Hiseq 2500 high-throughput sequencing technology, the samples of all family members were sequenced. The capture range of the corresponding custom capture chip (Agilent, Santa Clara, CA, USA) includes 127 known deafness-related genes, a total of 2268 exons and adjacent regions, and the total length of the capture region is 619Kb. The main steps include ultrasonic fragmentation, library preparation and on-machine sequencing.
测序数据下机后,使用内部定制流程进行变异检测、注释以及数据库比对,根据人群频率、软件预测结果、家系分析等手段,确定候选致病位点。同时对于测序深度偏离正常范围的区域进行人工检视,对疑似存在的拷贝数变异采取qPCR方法验证。After the sequencing data is off the machine, the internal customized process is used for variation detection, annotation, and database comparison, and candidate pathogenic loci are determined based on population frequency, software prediction results, and family analysis. At the same time, manually check the regions where the sequencing depth deviates from the normal range, and use qPCR to verify the suspected copy number variation.
结果在患者的LOXHD1基因上发现杂合的c.5331+1G>C突变,同时该基因的15号外显子至17号外显子区域深度异常,疑似为杂合缺失的拷贝数变异。家系分析显示,患者的母亲和父亲分别杂合携带c.5331+1G>C突变和相同区域的疑似拷贝数变异。Results A heterozygous c.5331+1G>C mutation was found in the patient's LOXHD1 gene. At the same time, the depth of exon 15 to exon 17 of the gene was abnormal, which was suspected to be a copy number variation of heterozygous deletion. Family analysis showed that the patient's mother and father were heterozygous for the c.5331+1G>C mutation and a suspected copy number variation in the same region, respectively.
根据LOXHD1基因相关耳聋的隐性遗传模式,若拷贝数变异经qPCR验证为真阳性,c.5331+1G>C突变经Sanger验证为真阳性,则上述两个构成复合杂合的变异可以确认为患者的耳聋致病原因。According to the recessive inheritance model of LOXHD1 gene-related deafness, if the copy number variation is verified as true positive by qPCR, and the c. The cause of the patient's deafness.
4、qPCR验证拷贝数变异4. qPCR verification of copy number variation
根据疑似发生杂合缺失区域两端的15号外显子以及17号外显子区域设计合成特异性引物,引物信息如下:Design and synthesize specific primers based on exon 15 and exon 17 at both ends of the suspected heterozygous deletion region. The primer information is as follows:
15号外显子上游引物:TGATTGTCTGCCTGCTCCAC(SEQ ID NO:3)Exon 15 upstream primer: TGATTGTCTGCCTGCTCCAC (SEQ ID NO: 3)
15号外显子下游引物:GCTGTCACTGGGTAGCAACT(SEQ ID NO:4)Downstream primer of exon 15: GCTGTCACTGGGTAGCAACT (SEQ ID NO: 4)
17号外显子上游引物:GTGATTGGGCATGACAGCAC(SEQ ID NO:5)The upstream primer of exon 17: GTGATTGGGCATGACAGCAC (SEQ ID NO:5)
17号外显子下游引物:GTTGGCGGGAAAGGTGTACT(SEQ ID NO:6)Downstream primer of exon 17: GTTGGCGGGAAAGGTGTACT (SEQ ID NO: 6)
采用上述特异性引物进行qPCR验证,使用the Power SYBR Green PCR MasterMix(ABI)连接实时系统对扩增引物的数据量进行量化。如图4所示,定量结果显示与正常对照样本相比,患者及父亲的LOXHD1基因15号至17号外显子区域确认存在杂合缺失的拷贝数变异。实施例2Sanger法测序验证The above-mentioned specific primers were used for qPCR verification, and the Power SYBR Green PCR MasterMix (ABI) was used to connect to the real-time system to quantify the data volume of the amplification primers. As shown in Figure 4, the quantitative results showed that compared with the normal control samples, the copy number variation of heterozygous deletion was confirmed in the exon 15 to 17 region of the LOXHD1 gene of the patient and father. Example 2 Sanger method sequencing verification
分别对实施例1中所述的常染色体隐性非综合型耳聋患者家系中的所有家系成员(包括患者和听力正常的父母)LOXHD1基因进行检测:针对LOXHD1基因的c.5331+1G>C突变设计引物,然后通过PCR扩增、产物纯化和测序的方法获得突变位点有关序列,根据确定序列测定结果属于突变型还是野生型,验证LOXHD1基因的c.5331+1G>C突变是否在样本中检出。All family members (including patients and parents with normal hearing) in the family of patients with autosomal recessive non-synthetic deafness described in Example 1 were detected for the LOXHD1 gene: for the c.5331+1G>C mutation of the LOXHD1 gene Design primers, then obtain the relevant sequence of the mutation site by PCR amplification, product purification and sequencing, and verify whether the c.5331+1G>C mutation of the LOXHD1 gene is in the sample according to whether the sequence determination result is mutant or wild type Check out.
具体步骤如下:Specific steps are as follows:
1、DNA提取1. DNA extraction
按照实施例1所述的DNA提取方法,提取受试者外周静脉血中的基因组DNA备用。According to the DNA extraction method described in Example 1, the genomic DNA in the peripheral venous blood of the subject was extracted for future use.
2、引物设计及PCR反应2. Primer design and PCR reaction
首先,参考人类基因组参考序列GRCh37/hg19,设计得到针对LOXHD1基因的c.5331+1G>C突变的特异性引物,具体序列如下:First, referring to the human genome reference sequence GRCh37/hg19, specific primers for the c.5331+1G>C mutation of the LOXHD1 gene were designed, and the specific sequences were as follows:
上游引物:GGTGGAGAGTTGCTGAGAGC(SEQ ID NO:7)Upstream primer: GGTGGAGAGTTGCTGAGAGC (SEQ ID NO: 7)
下游引物:CTGAAGGAAGCCCACACCAC(SEQ ID NO:8)Downstream primer: CTGAAGGAAGCCCACACCAC (SEQ ID NO: 8)
然后,按照以下配比配制各DNA样本的PCR反应体系以及进行PCR反应:Then, prepare the PCR reaction system of each DNA sample according to the following ratio and perform the PCR reaction:
反应体系(20μl):Reaction system (20μl):
PCR反应条件PCR reaction conditions
由此,获得各受试者基因组DNA样本的PCR扩增产物。Thus, the PCR amplification products of the genomic DNA samples of each subject were obtained.
3、Sanger测序3. Sanger sequencing
将步骤2得到的PCR产物经纯化后,直接进行DNA测序,测序使用ABI3730XL型测序仪进行。After the PCR product obtained in step 2 was purified, it was directly subjected to DNA sequencing, and the sequencing was performed using an ABI3730XL sequencer.
基于测序结果,图3显示了图1所示患者家系中所有家系成员的LOXHD1基因c.5331+1G>C突变位点的代表性Sanger测序验证峰图。如图3所示,在本发明的常染色体隐性非综合征型耳聋患者Trio家系中,患者及听力正常的母亲均为LOXHD1基因c.5331+1G>C突变的杂合携带者,患者父亲为纯合野生型,显示患者的该突变来源自母亲。Based on the sequencing results, Figure 3 shows the representative Sanger sequencing verification peaks of the c.5331+1G>C mutation site in the LOXHD1 gene of all family members in the patient family shown in Figure 1. As shown in Figure 3, in the Trio family of patients with autosomal recessive non-syndromic deafness of the present invention, both the patient and the mother with normal hearing are heterozygous carriers of the c.5331+1G>C mutation of the LOXHD1 gene, and the father of the patient It is homozygous wild type, indicating that the patient's mutation was derived from the mother.
图4显示了图1所示患者家系中所有家系成员的LOXHD1基因拷贝数变异的qPCR验证结果图。图4中纵坐标代表qPCR的相对定量(relative quantification,RQ)结果。如图4所示,患者与听力正常的父亲所对应样本的RQ值为对照样本的一半,表示二人携带LOXHD1115号外显子至17号外显子区域缺失的拷贝数变异,患者母亲对应样本的拷贝数正常,以上结果表明患者的该拷贝数变异来源于听力正常的父亲。Figure 4 shows the results of qPCR verification of the LOXHD1 gene copy number variation of all family members in the patient family shown in Figure 1. The ordinate in Fig. 4 represents the relative quantification (relative quantification, RQ) result of qPCR. As shown in Figure 4, the RQ value of the sample corresponding to the patient and the father with normal hearing is half of that of the control sample, indicating that the two carry the copy number variation of the deletion in the region from exon 1115 to exon 17 of LOXHD, and the copy number of the corresponding sample of the patient’s mother The above results indicate that the copy number variation of the patient originated from the father with normal hearing.
结合以上信息,可以确认LOXHD1 c.5331+1G>C突变与另一个拷贝数变异所构成的复合杂合基因型是这个隐性非综合征耳聋家系中,耳聋患者II-1的致病原因。Combining the above information, it can be confirmed that the compound heterozygous genotype formed by the LOXHD1 c.5331+1G>C mutation and another copy number variation is the cause of deafness patient II-1 in this recessive non-syndromic deafness family.
实施例3检测试剂盒Embodiment 3 detection kit
制备一种检测试剂盒,其包含能够检测LOXHD1基因的c.5331+1G>C突变的引物,用于筛选易患常染色体隐性非综合型耳聋的生物样本。相应引物为LOXHD1基因外显子特异性引物,其序列如实施例2中SEQ ID NO:7以及SEQ ID NO:8所示。A detection kit is prepared, which comprises primers capable of detecting the c.5331+1G>C mutation of the LOXHD1 gene, and is used for screening biological samples susceptible to autosomal recessive non-synthetic deafness. The corresponding primers are LOXHD1 gene exon-specific primers, the sequences of which are shown in SEQ ID NO:7 and SEQ ID NO:8 in Example 2.
利用上述试剂盒筛选易患常染色体隐性非综合型耳聋的生物样品的具体步骤为:The specific steps for screening biological samples susceptible to autosomal recessive non-synthetic deafness using the above kit are as follows:
按照实施例1的步骤2所述的方法提取待测者DNA,以所提取的DNA为模板与上述LOXHD1基因的外显子特异性引物进行PCR反应(PCR反应体系和反应条件参见实施例2,并按照本领域常规方法对PCR产物纯化,将纯化的产物进行测序。According to the method described in step 2 of Example 1, the DNA of the test subject was extracted, and the PCR reaction was carried out with the extracted DNA as a template and the exon-specific primers of the above-mentioned LOXHD1 gene (see Example 2 for the PCR reaction system and reaction conditions, The PCR product was purified according to conventional methods in the art, and the purified product was sequenced.
然后通过观察测序所得到的序列是否具有c.5331+1G>C突变,能够有效地检测本发明的LOXHD1基因突变体在待测者DNA中是否存在,从而能够有效地检测待测者是否易患常染色体隐性非综合型耳聋,进一步,能够从待测者中筛选出易患常染色体隐性非综合型耳聋的生物样品。Then by observing whether the sequence obtained by sequencing has the c.5331+1G>C mutation, it can effectively detect whether the LOXHD1 gene mutant of the present invention exists in the DNA of the test subject, thereby effectively detecting whether the test subject is susceptible to Autosomal recessive non-synthetic deafness, and further, biological samples susceptible to autosomal recessive non-synthetic deafness can be screened out from the test subjects.
进一步地,该试剂盒中还可以SEQ ID NO:3~SEQ ID NO:6引物序列,针对LOXHD1基因的15号外显子以及17号外显子区域进行特异性扩增,用于筛选易患非综合型耳聋的生物样品。Further, the primer sequence of SEQ ID NO: 3 to SEQ ID NO: 6 can also be used in the kit to specifically amplify the regions of exon 15 and exon 17 of the LOXHD1 gene for screening susceptible non-synthetic Biological samples of type deafness.
尽管上面已经示出和描述了本发明的实施例,可以理解的是,上述实施例是示例性的,不能理解为对本发明的限制,本领域的普通技术人员在本发明的范围内可以对上述实施例进行变化、修改、替换和变型。Although the embodiments of the present invention have been shown and described above, it can be understood that the above embodiments are exemplary and should not be construed as limiting the present invention, those skilled in the art can make the above-mentioned The embodiments are subject to changes, modifications, substitutions and variations.
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