阅读说明：本技术 Sp8基因作为诊治青光眼的生物标志物的用途 (Application of SP8 gene as biomarker for diagnosing and treating glaucoma ) 是由 李成芳 于 2020-05-08 设计创作，主要内容包括：本发明公开了SP8基因作为诊治青光眼的生物标志物的用途。本发明证明青光眼患者SP8基因表达显著下调,根据SP8基因表达差异区分青光眼与正常人。体外实验证明,过表达SP8基因可逆转视网膜神经节细胞损伤状态,因此SP8基因可作为靶点用于开发临床治疗青光眼的药物。(The invention discloses an application of SP8 gene as a biomarker for diagnosing and treating glaucoma. The invention proves that the expression of the SP8 gene of a glaucoma patient is obviously reduced, and the glaucoma is distinguished from a normal person according to the expression difference of the SP8 gene. In vitro experiments prove that the retinal ganglion cell damage state can be reversed by over-expressing the SP8 gene, so that the SP8 gene can be used as a target point for developing a medicament for clinically treating glaucoma.)

1. The product for detecting SP8 gene or SP8 protein is applied to the preparation of glaucoma diagnostic tools.

2. The use of claim 1, wherein the product for detecting the SP8 gene or SP8 protein comprises a product for detecting the expression level of the SP8 gene or SP8 protein.

3. The use as claimed in claim 2, wherein the product is used to detect the expression level of SP8 gene or SP8 protein in a subject sample, and the expression level of SP8 gene or SP8 protein in the subject sample is decreased compared to normal humans, thereby diagnosing the subject as a glaucoma patient or diagnosing the subject as having high risk of glaucoma.

4. Use according to any one of claims 1 to 3, wherein the product comprises a nucleic acid capable of binding to the SP8 gene or a substance capable of binding to the SP8 protein; the nucleic acid can detect the expression level of SP8 gene; the substance is capable of detecting the expression level of SP8 protein.

5. The use according to claim 4, wherein the nucleic acid is a primer for specific amplification of the SP8 gene used in real-time quantitative PCR as shown in SEQ ID No.1 and SEQ ID No. 2.

6. A means for diagnosing glaucoma comprising means capable of detecting the expression level of SP8 gene or SP8 protein in a sample from a subject.

7. The tool of claim 6, wherein the tool comprises a nucleic acid capable of binding to the SP8 gene or a substance capable of binding to the SP8 protein; the nucleic acid can detect the expression level of SP8 gene; the substance is capable of detecting the expression level of SP8 protein.

8. The kit of claim 8, wherein the nucleic acid is a primer for specific amplification of the SP8 gene used in real-time quantitative PCR as shown in SEQ ID No.1 and SEQ ID No. 2.

9. A medicament for treating glaucoma, which comprises a substance that promotes the expression of SP8 gene; preferably, the substance comprises an SP8 gene overexpression vector.

Use of the SP8 gene or SP8 protein in the manufacture of a medicament for the treatment of glaucoma.

Technical Field

The present invention relates to the field of glaucoma diagnosis and treatment, and more specifically, to the use of the SP8 gene as a biomarker for the diagnosis and treatment of glaucoma.

Background

The eyes are very important sensory organs of the human body, and can receive external light stimulation and transmit light impulses to the brain center to induce vision. Da vinci says: "eyes are the window of soul, through eyes, people can embrace and appreciate the infinite beauty in the world, and the soul can be settled in the body". In the information age, about 90% of information obtained from the outside by humans through sense organs is completed by eyes. The world health organization's data show that ophthalmic diseases have become the third harm following tumors, cardiovascular diseases and diseases affecting people's quality of life. Among all ophthalmic diseases, glaucoma is the first irreversible blinding eye disease, and the cause of the blinding eye disease affecting the visual quality is blindness by threatening and damaging the optic nerve and its pathway, thereby seriously threatening the visual health of human beings and causing immeasurable loss to individuals, families and society.

The main harm caused by glaucoma is to influence visual function, even in developed countries, only about 50% of glaucoma patients can be diagnosed and treated in time, and the pathogenesis and genetic rule of glaucoma are unknown, so the occurrence and development rule of glaucoma are scientifically mastered, and early diagnosis and early treatment are carried out to avoid blindness of glaucoma patients. At present, the diagnosis of glaucoma depends mainly on examinations in the medical history, morphology and functionality, such as tonometry, sonobiomicroscopy, fundus photography, optical coherence tomography and visual field examination. Although these tests can diagnose glaucoma, studies have shown that glaucoma, diagnosed by morphological and functional means, has impaired visual function by more than 50% in patients. The biochemical examination, serological screening and detection standards related to glaucoma are still in a relative blank state, so that the search for a marker with high sensitivity and high specificity is particularly important for diagnosing and monitoring glaucoma.

Disclosure of Invention

The purpose of the present invention is to provide a method for diagnosing glaucoma by detecting differences in the expression of SP8 gene or protein.

In order to achieve the purpose, the invention adopts the following technical scheme:

the invention provides an application of a product for detecting SP8 gene or SP8 protein in preparing a glaucoma diagnostic tool.

Further, the product for detecting the SP8 gene or the SP8 protein comprises a product for detecting the expression level of the SP8 gene or the SP8 protein. The product comprises a nucleic acid capable of binding to the SP8 gene or a substance (e.g. an antibody) capable of binding to the SP8 protein. The nucleic acid can detect the expression level of SP8 gene; the substance is capable of detecting the expression level of SP8 protein.

The product for detecting the SP8 gene of the present invention can exert its function based on a known method using a nucleic acid molecule: such as PCR, e.g., Southern hybridization, Northern hybridization, dot hybridization, Fluorescence In Situ Hybridization (FISH), DNA microarray, ASO methods, high throughput sequencing platforms, etc. The product can be used to conduct the assay qualitatively, quantitatively, or semi-quantitatively.

The nucleic acid contained in the above-mentioned products can be obtained by chemical synthesis, or by preparing a gene containing a desired nucleic acid from a biological material and then amplifying it using a primer designed to amplify the desired nucleic acid.

Further, the PCR method is a known method, for example, ARMS (Amplification Refractorymutation System) method, RT-PCR (reverse transcriptase-PCR) method, nested PCR method, or the like. The amplified nucleic acid can be detected by using a dot blot hybridization method, a surface plasmon resonance method (SPR method), a PCR-RFLP method, an in situ RT-PCR method, a PCR-SSO (sequence specific oligonucleotide) method, a PCR-SSP method, an AMPFLP (amplifiable fragment length polymorphism) method, an MVR-PCR method, and a PCR-SSCP (single strand conformation polymorphism) method.

The above-mentioned nucleic acids include primers for amplifying the SP8 gene, and the primers included in the product can be prepared by chemical synthesis, appropriately designed by referring to known information using methods known to those skilled in the art, and prepared by chemical synthesis.

In a particular embodiment of the invention, the nucleic acid is an amplification primer used in QPCR experiments, the sequence of the primer is shown as SEQ ID NO.1 (forward sequence) and SEQ ID NO.2 (reverse sequence).

The above-mentioned nucleic acids may further include a probe which can be prepared by chemical synthesis, appropriately designed by referring to known information using a method known to those skilled in the art, and prepared by chemical synthesis, or can be prepared by preparing a gene containing a desired nucleic acid sequence from a biological material and amplifying it using a primer designed for amplifying the desired nucleic acid sequence.

The product for detecting SP8 protein of the present invention can exert its function based on a known method using antibodies: for example, ELISA, radioimmunoassay, immunohistochemistry, Western blotting, etc. may be included.

Hair brushProducts for detecting the SP8 protein include antibodies or fragments thereof that specifically bind to the SP8 protein. An antibody or fragment thereof of any structure, size, immunoglobulin class, origin, etc., may be used so long as it binds to the target protein. The antibodies or fragments thereof included in the assay products of the invention may be monoclonal or polyclonal. An antibody fragment refers to a portion of an antibody (partial fragment) or a peptide containing a portion of an antibody that retains the binding activity of the antibody to an antigen. Antibody fragments may include F (ab')₂Fab', Fab, single chain fv (scfv), disulfide-bonded fv (dsfv) or polymers thereof, dimerized V regions (diabodies), or CDR-containing peptides. The product for detecting the SP8 protein of the present invention may include an isolated nucleic acid encoding the amino acid sequence of an antibody or encoding a fragment of an antibody, a vector containing the nucleic acid, and a cell carrying the vector.

Antibodies can be obtained by methods well known to those skilled in the art. For example, mammalian cell expression vectors that retain all or part of the target protein or incorporate polynucleotides encoding them are prepared as antigens. After immunizing an animal with an antigen, immune cells are obtained from the immunized animal and myeloma cells are fused to obtain hybridomas. The antibody is then collected from the hybridoma culture. Finally, a monoclonal antibody against the SP8 protein can be obtained by subjecting the obtained antibody to antigen-specific purification using the SP8 protein or a part thereof used as an antigen. Polyclonal antibodies can be prepared as follows: an animal is immunized with the same antigen as above, a blood sample is collected from the immunized animal, serum is separated from the blood, and then antigen-specific purification is performed on the serum using the above antigen. The antibody fragment can be obtained by treating the obtained antibody with an enzyme or by using sequence information of the obtained antibody.

Binding of the label to the antibody or fragment thereof can be carried out by methods generally known in the art. For example, proteins or peptides may be fluorescently labeled as follows: the protein or peptide is washed with phosphate buffer, a dye prepared with DMSO, a buffer, or the like is added, and the solution is mixed and left at room temperature for 10 minutes. In addition, labeling may be carried out using commercially available labeling kits, such as biotin labeling kit, e.g., biotin labeling kit-NH 2, biotin labeling kit-SH (Dojindo laboratories); alkaline phosphatase labeling kits such as alkaline phosphatase labeling kit-NH 2, alkaline phosphatase labeling kit-sh (dojindo laboratories); peroxidase labeling kits such as peroxidase labeling kit-NH 2, peroxidase labeling kit-NH 2(Dojindo Laboratories); phycobiliprotein labeling kits such as phycobiliprotein labeling kit-NH 2, phycobiliprotein labeling kit-SH, B-phycoerythrin labeling kit-NH 2, B-phycoerythrin labeling kit-SH, R-phycoerythrin labeling kit-NH 2, R-phycoerythrin labeling kit SH (dojindo laboratories); fluorescent labeling kits such as fluorescein labeling kit-NH 2, HiLyte Fluor (TM)555 labeling kit-NH 2, HiLyte Fluor (TM)647 labeling kit-NH 2(Dojindo Laboratories); and DyLight 547 and DyLight647(Techno Chemical Corp.), Zenon (TM), Alexa Fluor (TM) antibody labeling kit, Qdot (TM) antibody labeling kit (Invitrogen Corporation), and EZ-marker protein labeling kit (Funakoshi Corporation). For proper labeling, a suitable instrument can be used to detect the labeled antibody or fragment thereof.

Further, the product for detecting the SP8 gene or SP8 protein may be a reagent for detecting the SP8 gene or SP8 protein, a kit, a chip, a strip or the like containing the reagent, or a high-throughput sequencing platform using the reagent.

When the expression level of the SP8 gene or SP8 protein in a sample of a subject is measured using the aforementioned test product, if the expression level of the SP8 gene or SP8 protein in the sample of the subject is decreased as compared with that of a normal person, the subject is diagnosed as a glaucoma patient or the risk of diagnosing glaucoma in the subject is high.

As a sample of the test product according to the invention, a tissue sample or fluid obtained, for example, from a biopsy subject may be used. The sample is not particularly limited as long as it is suitable for the assay of the present invention; for example, it may comprise tissue, blood, plasma, serum, lymph, urine, serosal cavity fluid, spinal fluid, synovial fluid, aqueous humor, tears, saliva, or fractions or treated materials thereof.

In a particular embodiment of the invention, the sample is from a tissue of a subject, in particular, the tissue is disk tissue.

The present invention also provides a tool for diagnosing glaucoma, which is capable of detecting the expression level of SP8 gene or SP8 protein in a sample of a subject. The means comprise a nucleic acid capable of binding the SP8 gene or a substance (e.g. an antibody) capable of binding the SP8 protein. The nucleic acid can detect the expression level of SP8 gene; the substance is capable of detecting the expression level of SP8 protein.

Further, the properties of the nucleic acid and the substance are the same as those described above.

Further, the means for diagnosing glaucoma include, but are not limited to, a chip, a kit, a strip, or a high throughput sequencing platform; the high-throughput sequencing platform is a special tool for diagnosing glaucoma, and with the development of high-throughput sequencing technology, the construction of a gene expression profile of a person becomes very convenient work. By comparing the gene expression profiles of patients with diseases and normal people, the abnormality of which gene is related to the disease can be easily analyzed. Therefore, the finding that the abnormality of the SP8 gene is associated with glaucoma in high-throughput sequencing is also included in the application of the SP8 gene and is also within the protection scope of the present invention.

The number of amino acids recognized by the anti-SP 8 antibody or a fragment thereof used in the detection product, the diagnostic tool of the present invention is not particularly limited as long as the antibody can bind to SP 8. When the antibody is used as a therapeutic drug, it is preferable that it recognize as many amino acids as possible as long as it inhibits the SP8 function. The number of amino acids recognized by the antibody or fragment thereof is at least one, more preferably at least three. The immunoglobulin class of the antibody is not limited and may be IgG, IgM, IgA, IgE, IgD or IgY.

Other properties of the anti-SP 8 antibody used in the test product and the diagnostic kit of the present invention are the same as those described above.

Further, the subject sample may use a tissue sample or fluid obtained, for example, from a biopsy subject. The sample is not particularly limited as long as it is suitable for the assay of the present invention; for example, it may comprise tissue, blood, plasma, serum, lymph, urine, serosal cavity fluid, spinal fluid, synovial fluid, aqueous humor, tears, saliva, or fractions or treated materials thereof. In a particular embodiment of the invention, the sample is from a tissue of a subject, in particular, the tissue is disk tissue.

The present invention also provides a method of diagnosing glaucoma, the method comprising the steps of:

(1) obtaining a sample from a glaucoma subject;

(2) detecting the expression level of SP8 gene or protein in a sample from the subject;

(3) correlating the measured expression level of the SP8 gene or protein with the presence or absence of disease in the subject.

(4) A decrease in the expression level of the SP8 gene or protein as compared to a normal control, the subject is diagnosed with glaucoma, or the subject is diagnosed with a high risk of future glaucoma.

In the context of the present invention, "diagnosing glaucoma" includes both determining whether a subject has suffered from glaucoma and determining whether a subject is at risk of suffering from glaucoma.

The information on NCBI of the "SP 8 gene" of the invention is as follows: chromosome 7, NC _000007.14(20782279..20786886, completion).

The invention also provides a medicament containing the substance for promoting the expression of the SP8 gene.

The invention also provides application of the SP8 gene in preparing a medicament for treating glaucoma.

The invention also provides application of the SP8 gene expression product in preparing a medicament for treating glaucoma.

The invention also provides application of the substance for promoting SP8 gene expression in preparing a medicament for treating glaucoma.

The substance promoting the expression of the SP8 gene of the present invention is not limited as long as it is a drug that can promote the expression or activity of the SP8 gene or a factor involved in the upstream or downstream pathway of the SP8 gene and is effective for the treatment of glaucoma.

In a specific embodiment of the present invention, the substance promoting the expression of the SP8 gene comprises an SP8 gene overexpression vector.

The medicament of the present invention may be administered alone or together with other medicaments as a medicine. The other drug that can be administered together with the drug of the present invention is not limited as long as it does not impair the effect of the therapeutic or prophylactic drug of the present invention.

The medicine of the present invention may be prepared into various preparation forms. Including, but not limited to, tablets, solutions, granules, patches, ointments, capsules, aerosols or suppositories for transdermal, mucosal, nasal, buccal, sublingual or oral use.

The route of administration of the drug of the present invention is not limited as long as it exerts the desired therapeutic or prophylactic effect, and includes, but is not limited to, intravenous, intraperitoneal, intraocular, intraarterial, intrapulmonary, oral, intravesicular, intramuscular, intratracheal, subcutaneous, transdermal, transpleural, topical, inhalation, mucosal, cutaneous, gastrointestinal, intraarticular, intraventricular, rectal, vaginal, intracranial, intraurethral, intrahepatic. In some cases, the administration may be systemic. In some cases topical administration.

The dose of the drug of the present invention is not limited as long as the desired therapeutic effect or prophylactic effect is obtained, and can be appropriately determined depending on the symptoms, sex, age, and the like. The dose of the therapeutic agent or prophylactic agent of the present invention can be determined using, for example, the therapeutic effect or prophylactic effect on a disease as an index.

The present invention also provides a method of treating glaucoma, the method comprising promoting SP8 gene expression.

The invention has the advantages and beneficial effects that:

the invention discloses a molecular marker for diagnosing glaucoma, which can be used for judging the early stage of the occurrence of the glaucoma and provides the survival rate of patients.

The substance comprising the gene promoting SP8 can be used as a novel therapeutic drug for glaucoma, and provides a novel therapeutic method for the clinical treatment of glaucoma.

Drawings

FIG. 1 shows a statistical graph of the difference in expression of the SP8 gene in glaucoma patients and normal control populations using QPCR;

FIG. 2 is a statistical chart showing the case of detecting SP8 gene expression by QPCR;

FIG. 3 shows a statistical plot of the detection of apoptosis using TUNEL.

Detailed Description

The present invention will be described in further detail with reference to the accompanying drawings and examples. The following examples are intended to illustrate the invention only and are not intended to limit the scope of the invention. Experimental procedures without specific conditions noted in the examples, generally following conventional conditions, such as Sambrook et al, molecular cloning: the conditions described in the laboratory Manual (New York: Cold Spring harbor laboratory Press,1989), or according to the manufacturer's recommendations.