1.1)西安交通大学生命科学与技术学院,生物信息工程教育部重点实验室,西安 710049;2.2)西安交通大学仿生工程与生物力学中心,西安 710049;3.3)西安交通大学理学院化学系,西安 710049;4.4)苏州缔因安生物科技有限公司,苏州 215000
国家自然科学基金(21775117,11120101002),中国博士后科学基金 (2016M592773),高层次留学回国人员资助项目([2018]642)和中央高校基本科研业务费(xjh012019044)资助.
1.1)The Key Laboratory of Biomedical Information Engineering of Ministry of Education, Xi’an Jiaotong University School of Life Science and Technology, Xi’an 710049, China;2.2)Bioinspired Engineering and Biomechanics Center, Xi’an Jiaotong University, Xi’an 710049, China;3.3)Department of Chemistry, School of Science, Xi’an Jiaotong University, Xi’an 710049, China;4.4)Suzhou DiYinAn Biotechnology Co., Ltd., Suzhou 215000, China
This work was supported by grants from The National Natural Science Foundation of China (21775117, 11120101002), The China Postdoctoral Science Foundation (2016M592773), the High Level Returned Overseas Students Foundation ([2018]642) and the Fundamental Research Funds for the Central Universities (xjh012019044).
癌症的早期诊断可提高患者生存率. 微创采集人体体液的液体活检方法可避免传统肿瘤组织活检方法侵入性和异质性的问题,逐渐成为癌症诊断的新方式. 另外,DNA甲基化作为预测癌症发生发展的标志物,引起了越来越多研究者的关注. 但传统DNA甲基化的检测方法灵敏度不高,且容易出现假阳性. 近年来,数字PCR技术因其超高的检测灵敏度和精确度、无需标准曲线即可进行核酸绝对定量检测的优势,被用于DNA甲基化的定量检测中. 本文首先介绍了DNA甲基化与癌症发生发展的关系,总结了传统DNA甲基化检测方法及其在癌症临床诊断中的应用,阐述了基于不同核酸样本分散方法的数字PCR技术及其在微量DNA甲基化检测中的优势,总结了采用数字PCR技术检测癌症患者体液中DNA甲基化的具体步骤,列举了数字PCR技术在癌症DNA甲基化检测中的研究成果及应用进展,最后提出了数字PCR技术检测癌症DNA甲基化未来可能面临的挑战,并对数字PCR技术在癌症液体活检方面的应用前景进行了展望.
Early diagnosis of cancer can increase the survival rate of patients. Minimally invasive liquid biopsy can avoid the problems of invasion and heterogeneity of traditional tumor biopsy methods, also is becoming a new approach for cancer diagnosis. In addition, DNA methylation as a marker to predict the occurrence and development of cancer has aroused more and more researchers" interest. But the traditional DNA methylation detection methods usually possess poor sensitivity and false positive. In recent years, digital PCR technology has been used for quantitative detection of DNA methylation because of its super sensitivity, better accuracy and the advantage of absolute quantification of nucleic acids without standard curve. Firstly, this review introduced the relationship between DNA methylation and carcinogenesis, then summarized the traditional detection methods of DNA methylation and their applications in clinical cancer early diagnosis. Secondly, the digital PCR based on different methods of nucleic acid sample dispersion and its advantages in the detection of DNA methylation are elaborated. Also, this review summarized the specific steps of using digital PCR to detect DNA methylation in body fluids for cancer diagnosis. Finally, we reviewed the research results and application progress of digital PCR in cancer DNA methylation detection. The possible challenges in the future of digital PCR in cancer DNA methylation detection are put forward and the opportunity of digital PCR in cancer liquid biopsy are prospected.
曹雷,郭利娟,郭晓锦,巩燕,李菲.癌症液体活检新思路:数字PCR检测DNA甲基化[J].生物化学与生物物理进展,2019,46(11):1085-1100
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