專利名稱::前列腺癌鑒定的制作方法前列鵬鑒定駄鄉本發明涉i^與其它診斷^^及供這些^^m的^!fcicffi—致的甲^fc基因,査。背景絲在高等細胞中,dna僅在cpc二^m中e^f于鳥嚷冷的5'胞咪淀處甲M:。這"^iW^0^U:具^^atJWra^,^SiJ是當^S^及位于基因啟動子區域的富含CpG的區域(CpG島)時。正常的非甲mCpG島的異常甲^k勤1c生ikmjWi轉化的細胞中的常見^,并與特定J!WW^謹因或其他與特定人^S^F^有關的基因的^失^U^。谷胱甘肽S"^^(GSTs)Ji^l性的蛋白質,其中^&們的基因的甲靴汰態鄉列j8^sw^^^和診^Ht。ms白ma鵬有化^^的親電^H^H諷谷胱甘肽結^itt^胞內,^,包括^電的,物質失活(CB.Picket^etaL,AnmiRev.扱ocbera,58:743,1989;B.Cole^etaL,CRCCritRev.Bk)ch咖MoLBioL,25:47,1990;T,ILRushmore^etaL,J.戰oLChem,268:11475,l外3)。由在不TO因座的幾個不同基因鵬的AI^GSTs已被分為四個不同的家族,稱作a、p、ji和9(B.Mannervik^etaL,Biochem.J,,282:305,1992)。由外遺傳^導致的GSTP1^的斷氐常^!^lJJK0與肝癌有關。用于確^fr列自患者的31^的常用體系是GkasonW^H^系。Gteason評分體^^于病理學家解釋來自患者前列腺的皿織檢査樣本時^msww瘤S0^。Katton及其mA也B^f發了諾模圖(Nomograms),其中,鵬包括G!eason^HI和i^其它因子。當前列腺的活組織檢査樣品中存在前列M時進行Gleason分值評定。Gleason:5Ht基于正常J^^^1(即,微、大小和J^^Hfc^)的^S度,正如最早由Dr,DonaldGleasonIffi^糊發的。參見GteasonDP、MeffingerGT和VeteransAdrainistratimiCoorperativeUrologicalResearchGroup:Predicti冊ofprogn(Kisforprostaticadenocardnomabycombinedhistologicgradingandclinicalstaging.JUrol111:58^64,1974。經典的Gleason評分圖顯示了S種稱作鵬"級"^^本mm默。該由離弓胞的正常JS^結:^^的主觀附#^險測,理論上由數值范圍從1至5的級標,S是可能的m^級。Glea卿,(GS)和Gleason,娜是一回事。然而,"Gleason和"Gleason分值"(娜為Gleason總種是不同的。Gteason^Ht^"^(primaiygrade)(代表腫瘤的多數)和1(^J3^的少數)之和,_@^值范圍從2到10。在目前的JCT中,廣泛認為Gteason^HIM高,J!喊的SI^可lg^強,患者的^,o盡管有用,但Gteason^Hl與癌^^并非:ffi^相關。首先,Gteason分働7鞭大,品^^質i^^組,且辦質性可能頓艦性亂對顯示出的Gleason^HI^7^IE大的^e再i^fi^^"h^M,因為Ji^患者的治療的頓由此決定。關于,及活組織檢査樣品的診斷和皿,?0^周知的是1^!|,異,原("PSA")是前列鵬的標準"硫"。^ifl的鵬有助雅斷鵬但不是^性的,且該^iB作為TO的用謝艮小。用于改善諸如PSA等^^^ia的艦的新駄也絲益的。本發明滿足了i^m要。
發明內容在本發明的一個方面中,麟一種用于在謇者中表征前列鵬的施,所i^T^a拾測定患者的Gleasoii^Hi,并且在患者的Gteason^HI為7gg^吋,其外遺傳3feS(epigeneticchange),如基因的甲皿。如彩卜遺傳^的皿^Cft^l了預定iiJi!摘癥表征為^M(aggressive),&^瞎溫和型(indoleirt)患者的治^^^鋪列鵬為^M^M和型的那些患者相一致。在本發明的一個方面中,檢測來自下列組的一種或多種基因的甲基化GSTP1、APC、RASSF1A、1MXM和CDH1。tti^fe,GSTP1啟動子的甲基化汰態^L液、血鵬分、尿、鵬w^、ffi^wa辦品中進fi^).最優,^f^^品Ji^R樣品。在本發明的另一個方面中,獲得前列腺癌患者的Gleason分直。如果患者被評定為具有的Gkason^Hlt^7^S大,則由該患者采集另"H^生,品,或)W出Gleason^1^}#品進,~#的分析。^^^甲^fc目標^^J的,樣品由^h^^fUF^1^,品獲得,該樣品用可以啟動(prime)核酸耙的一部分的^RI鵬,核酸耙鵬動,棘自樣品的BT增耙的甲M^S與已知的正S^品的甲^fcffl^由已知的正常樣品得到的^^值相H^。^:發明的又—個方面中,不大可能被甲靴的序尹Ji&W增并糊,以與擴增了的被甲靴的糊相比較。在本發明的另一個方面中,甲S(fc狀態由實時定量PCR確定。在本發明的又一個方面中,鄉一種表征前列J^^況a^m,0f^r^繊用諸如標準PSA分條篩査分析首艦患鋭糊試的步驟。對那些縱濃度不^可能為癌性的狀況但是高于正常水平的患者要進行前列J^S^ifi例如GSTP1、APC、RASSF1A、1f^LO-l、或CDm的甲Sifc鵬。那些甲靴水平^ii職水平的患者要進fim織檢查。在本方法的一^Mfc^方面中,對PSAXK平高于或等于15ng/hi1的患^^行甲^fc分析。作;5^^,甲^tti分析也可用于PSA為2-4的患者。在又一個方面中,本發明^于mg甲^核酸的i5^p搶。^Mi5^J盒包^^個或^hw;第^hwis^有用^w未甲^fc的胞"^的^u,第二個^^有用于啟齢cpG的^^t的試劑,其中,^^i^y能區^H^的甲^ifc^酸和未甲皿的Mm。^^i^ni^^s指導對患^ia行^^析的說明書,所述患者WT列腺樣品被評定為,的Gleason^Mt為7^fe。在另"^Nd^式中,所述說明書規定臓分析對辦品被評定為具有的Gteason4Ht為7或更大的患糊行。確定由切除:^§^織檢査(biopsy)辭!l,列J8^^樣品的Gleason分值。通常分析兩個異常^R^C品并將^&自的4Mt相加。用于取樣和^S3Gleason她6tJ^4S^是么騙,^PJ廣S^。在本發明的一些旅中,確鄉列鵬患者、正在治列鵬的患者、或可能患,列自的,的Gteason^Ht。如果Gleason5HSI^7^H大,則對患^行測試以確定核酸的甲^^t態,B^M核酸與其甲^bt態^T列J^S的侵襲魑弼淡灄相關的基因相列應。在席發明的試劑盒中,提唾蚴明書以便確定指明其Gle~son分值為7或更大的患者的甲基化狀態。在本發明的其他試劑盒中,提制a明書以便確定指明其Gleason分值高于7的患者的甲基化狀態。當某基因的甲基化狀態提供關于前列腺癌的信息時,核酸對應于其甲基化狀態與前列腺癌的相關的該基因,所述序列是該基因的編碼段或其{}卜體、該基因的典型段或其補體該基因的啟動子或調控序列或其補體、表示該基因存在的序列或其補體、或該基因的全長序列或其補體。這樣的核酸在本說明書中稱為Markers。Marker·相應下列基因GSTPl(seq.mNo..S9)、RASSFIAliSeq.II)No.69、APC(啟動子=Seq.Ⅲ№張基因=Seq.m№65>、15-1脅l陽.II)No.5研口CDHI(Seq.II)No.57)。其它所關注的序列包括可用作分析對照的組威型基因,例如§.朋勵蛋白liSeq.II)No.60和61);陽PTGS2餌動子=Seq.mNo.砸基因=Seq.mNo.67)。檢測超甲基化的試驗包掘拿諸如MSP和兩捕!}眭內切核酸酶分析魯拳技術。啟動區域是用于檢測這樣的超甲基化分析的J嬲慍著的目標。GSTPI的啟動子區域的序列分析顯示將近72%的核苷酸是CG,約10%是CpG雙核苷酸。本發明包括測定受試者的組織或其他生物學樣品中的Markers的特定區域的甲基化狀態,其中,與前列腺癌相關的DNA被放大和檢測。因為Marker相關(即,較少被轉錄)基因的蛋白編碼的水平縮減通常是由于特定區域如啟動子的超甲基化所致,所以希望判斷所述區域是否被超甲基化。這在GSTPl基因的情況中是最有可能被論證的。超甲基化區域是與正常組鑼湘比在疾病組織的樣品中被甲基化到統計學非常顯著程度的區域。對于本發明來說,對特定Marker·區具有特異性的核酸探針或報道試劑用于檢{奧!向生生物硫體或包括前列腺組織的組織、尿、尿道講咤9l;c物、血液、血.酒凋i分如,列。因此^^制序列可以包括與啟動子、增強子、^^止子、繊密碼刊即ATG)、內含子的剪^t號、,正確的許可mRNA恰當翻譯的讀碼框和終止鵬子有關的序列。GSTPl啟動子是有用的Mariter6^例^i^!1^^。它是,引導基因綠以生成谷胱甘肽-硫-轉移酶蛋白質的聚核苷^^!j'啟動子區域位于上游,或相對于結離因的5'端。它可以^S艦的構鵬素(el咖ent),其致鵬動^ISl的基因^i^于細鵬稱性、組織嚇腿可控的,或可鵬夕,號^|^憤導;辦的構^^素可位于聚W^^I的S'或3'區。^:發明的"^方^Si^^^Marker的TOI,與^m^W試布皿。ff^卿鵬誠例如DNA或RNA等核酸。m^Rmr以包^tl"和引物,例如PCR或MSP引物,^體以請^8!1目標^^的肝。例如,所述試劑可以包括化合或鍵合至其自身的報道基因部分的啟動序列,例如在Whitcombe等的美國專利6326,145和6^70W7中撤丞的,稱為Scorpion試布域Scoipi加^ilS因的那些啟動糊c&fe3i^:引用的誠而鄉引入)。盡們并不相同,但術語"引物"和"啟動序列"在本說明書中可用于指啟^,列的擴增的肝^H"段。翻ll甲Sifc樣品的一個靈敏的方總括齢飾甲Sit鵬的^0^^^SJS(PCR)。在^酶消化DNA后,只有當DNA^m甲Simji:Bt^ilil限制性酶切^(側翼的引^^行PCR擴增。針對其m本發明的PCR引物的示例性耙區域包鰂嫩于^g^因隨號M2鄉(Geobank)距GSTPl^啟動位點約-71~+59bp之間的區域的引物。^fflCpG特異的*^引W^i樣品中包含CpG的核酸;以及檢測甲靴的繊。雌的飾艦非甲靴的胞啼淀轉^^"^h蹄,從而將湖,啶而不是甲aifc胞嘧啶的試劑。最tt^3ES^llfi(NaHSQ3)修飾,于與胞哦啶的S,&雙^生m但與甲SttJ3fi嘧啶的S^M。胞嘧啶與亞S^Lfe離子磁以形艦脫tCSf^用鄉的磺化胞嘧啶鵬中間體,從而產生磺4fc^啶。a^fe(酯)基團可以在^14^#除去,結皿^1啶。^^il3lTaq聚合酶被識別為胸腺嘧啶,因此進行行PCR時,最終產品僅初始模板出現5"甲基胞嘧錠的ftg5bM含胞嘧啶。Scorpion^因^^1以及其!^!!)皿按照這^^^UW^^,粘^^,本區^le,繼)后,,明確區^NW的DNA、甲靴的DNA和非甲靴的DNA。在甲^tt^異的PCR(MSPCR)中,用于非甲靴DNA的弓!^動^^^在3'CG對;S^T,從而將^甲^fc的DNA中保留的C相KjglJ,設計為反義弓l物。用于非甲皿DNA的MSP引^^動序列(primingsequence)通S^列中包^W少的Cs或Gs,因為Cs將^iE^弓嫩中敝,而Gs在反義弓l物中敝(C被飾為U(鵬^),^&擴增^中^T增為T(胸鵬淀OT"))。本發明的引物是具有足夠長度和適當序列的S^酸,從而H^^H4位點(polymorphictocus〉的對于:fea核mW特異的聚合啟動。當暴露于適當的微^gi!S因時,縱增的序列標出甲^1汰吝,由jlfcM^ISf信息。雌的引物由八個或八個以上,弓l發引物延伸^(合成的ffi^職^g^W蹄^a^,欺質上艦錢性位點的補充。有助矜成的環境條^^g三g!^^^im合用ti^!j,例如dna聚^si的^e,以^is當ems和pH。折求引物的啟動部分^a動胸iKm是:W最:Wt效率的單鏈,不過也可以^x鏈的。如果為雙鏈,抑BM引wffli^m延伸^OTr先i^b理以分引物的繊做取決^*、緩柳J^M^等因素。S^m引物靴選包含約1220個核苷,盡能們可以包含更多頓少的^m^^照魏的設計方針鄉則。引物經設計以充分補充將W增的基因座的^^,并包^Lhm的適當的G或C,i^^0M引物,充分互補從而^fci^^聚合用i5^J的餅下與賂自的^f交。換言之,臓引物應當充分補充S'和3',稱!j(s),鵬行雜交和容條因敏增。欲增鵬中艦弓嫩。也就是說,相對于鵬步驟的數目來i^S(優選9^腿)產生非常戰的鵬因座。^^^^^Bfi^w^m^m^娜律產^S的鵬因座.^S^的鵬鄉PCR鵬。通常,一個引辦卜充基因座的負(-辯,而另"H"補^JE(+)鏈。核^1ijg使引物退火然后^酵(例如DNAI(Kfenmv)的^段和,〉進W增,結^5§^成的包含+!^稱鏈的^S因J^歹U。l!^SJ^的^是不自的^R鏈體,其^相當于娜的特異引物的鄉。,引物可以皿^,適當的方法帶恪,例如^S自^fc^的常規的^i^Hg^lIi^二g^。在"^N^的自動化的^m^;中,二2^亞《^單體用作鵷材料,并可以卿Beaucage^S^的;5^^TetrahedronLetters,22:18594862,1981)。美國專利號《4沐066中自了用于:^E^H^eO^體上合成自核,本(以純^非純化的形式)均可用作本發明的^&核酸,只要其包含,自想其包含^BrW^因座(例如CpG)的特定^^mm列。因此,^M^i可以^ffl例如,DNA或RNA,包皿使RNA。0ftEDNA或RNA可以是單鏈的,也可以S^鏈的。在RNA用fm^的亊件中,可以,^^録為DNA的最佳的BI^減餅。另外,可以娜包含其中各自的"^的DNA-RNA雜交體。M以^ffl核酸的混,,自也可以^ffii!5i^調相同或不同的引t^文中前述6ir增g中^核酸。^W增6I^定的^^列,即鵬因座,可麟大^f^1分,磁開始時顯船不麟的好從而麟用來^9甲皿的CpG的含有核酸,本可以^R(尤其是前列fl^R禱E^R)、血^iL離分、淋巴、尿、鵬^MJfetl、精^Sm敝辦品,并且可Mii各^^,如Maniatis^S^的(^T克隆鄉手冊,冷泉港,N,Y"pp28(U81,1982)fe^i取。如^l取的樣品,,則它可以在擴增之前,一^sa^:布斑行^M,^^^0Ig^fctfeJT開樣品的細胞、液體、m^^[細鵬,并1^#柳減分離核酸的鏈。用于暴露將離鏈的該溶,核I^^,允W增更容易鵬行。樣品的耙核,列包含兩"t^時,其用fm^:前,分離核酸^1。鏈分m以作為,的步i^S,也可以與引物延伸^^J^成同時進行。^的鏈分^r^iiii鄉各種適當的5^H^,包繊理的、化學的娜W^^。一種分離核,的物理:^^括加熱核mmM其變性。典型的熱變性包括在約80"ci05t:emK范圍內加鮮好10辦。鏈的分離也可UW^自!Q^被稱作解賺酶的酶屬的SWlRecA誘導,^HRecA賄解賺酶雜,并在絲riboATP時已知倉l^纖鄉。適^m柳解螺旋齡離核麟的a^^(牛由KuhnHoffmara^Beriing皿(CSH-Quantitative說otogy,43:63,1978)。在C.Raddfing中對ffifflRecA的^b^^行了W^(AnaRev.Genetic^16:405-437,1982)。il^^:的細15m在也^i^f周知的。當核酸的互分離時,不管核酸原來是單^Ji^鏈,分離的皿可以用^^^^他^^的m。該合鵬允許引^^^JiW的M下進行。合鵬常姓:&K體贈液中,ifc^pH鋤7—9,最iftJ^J8。具有多余摩爾量(對于基因核酸,通常為引物微約1伊:1)的兩種S^酸引^tt^麟加到包含分離6tr^^鏈的緩沖液中。如果本發明的^m用^j^S應用,仰但,條的量可以不知道,因此艦于互孝傻的量的弓嫩的量不一定能W&a定。然而,當^w增的^抱含在餘的^^^m^的混鎖中時,引物的實繊M1S常與互機(微)的^Sffittafi(摩爾量)。雌鵬縫夠的摩爾量以改善艦旅的效率。將足夠量的脫W6l蹄三8^fcdATP、dCTP、dGTP和dTTPlMaife或與引物一起添加至^^^混^tl,^#^!熱資汰約9TC100"C不少于10衡,雌1到4餅。在鄉熱階鵬,使溶瓶糊至室溫,艦于引物雜交^ft^的。向,的混^l中加入用于產生引物延伸^的iSg試劑("聚合用試劑"),^ffi^在本領域么騙餅下姓。聚合用鄉他可以與鄉鄉一同加入,只要聚合用試劑具^^l定性即可eM成(#增〉MJS可以^,齡用試布廂起作用ema下進行。聚合用試布訶以是頓腳于完成引物延伸1的合成的化^^統,^ffcm'用TO目的的^的im括,例如,E.coilDNA聚合酶l、E.coflDNA聚^SI16^IJ諾片段、T4DNA聚^SI、其他的可利用的DNA聚,、聚合麟變體、反^8S、和其鵬,包括繊定的酶(例如,經受充絲高鼓導致^amSBa行引物延伸的那,)。tft^^Rl是Taq聚合酶。飽的酶將M^當的放iE^蹄的齢,從而形^^絲因座^^S補的引物延伸產物。通常,合鵬在各引物的3'端開始,并沿^^g5'方向進行,m^j合成魏,以得對壞同長度的肝。然而,也可以娜辦的聚合用試劑利用與上i&,相同的^,^^^5'端Jf始,并沿另"^^方向^tf。最^ife,擴it^r法利用PCR。也可以自^^性^T:lt^,只15^ffl本發明的引物、艦PCR擴增的甲Stt^l非甲靴腿因座^^iiH^^靴性手段被糊^Tit即可。擴增1艦產鵬異性&t^^iS因被fm翻為甲^#甲基化,如舒Muffis等的美國^ij4,683,1950fm的,]lfcAhiiit引用而頓引入。用于,多^i^W^"^i基因的領域^^為本皿^^人員所l^。可選地,核酸的甲Sifc模式可以通過其M^確認,例如限制性內切酶酶解和DNA印跡分析。可用于,5'CpG甲S(fc的甲^fc敏敦的限帶勝核酸內切酶的例^&括Smal、SacH、Eagl、Mspl、HpaII、BstUI和BssHII。^發明的另1方面中,使用甲皿率,通過確5^l到的Marker■大的甲^#類的錢與放大的#^8^的非甲靴Marker區域的mS之間的比例可以得到甲S^率。當FCR是實時^1:PCR時其H^多信息。比率SH確定的或職的臨攤(cutoffvahie)或閾W^認為魏甲靴的,并標縣增殖失調如離(在G,的情況中為前列鵬)。臨M^照已知的方袪確定,其中^^r^于^兩組樣品M已^J^l狀況的樣品和具有已知的正靴況,品。本發明的辨Markere頓以用作內lH^制o^^參考Marker^^i在樣品細胞中以^^!敏的基因,如BetoActino已確定的或職的數值(臨##^閾值)也可以在不娜比率的本發明的,中被確定^ffl。ffi^m況下,臨^t由m于^^i(it,例如正^#品或臨床疏義的JH"0樣品(已知不會魏為臨^a應9trt^^^非^s的)中的甲S^的ifct^m度的甲mWlfcft^^^:。,傷^i^照^i的;^t^,正如其鯽于基于甲靴率旅中的情況一樣。本發明fi^法^:劑盒可^S用于多路Mffi(multiplexing)的步g^fiii^PJotfe^l說,一個以上的Marker可以同^1S測定。由于與Marker有關,因^K平的斷氐常常是聚^W^y^^控帶脾列(例如,啟動子^^U)e^元,甲Sit的結果,因此帶恪匹K^序列的引物-因而,發明JWK3t^mMarker的^§^動子區內的特殊區域的甲^^M^診,自殖性失調的^.用于^a^區域的甲基化^#可用^#的診斷或,^,用于,MariffiB的ttii^f如下所示。Marker基因6^W連同娜嫩測織的鄉寫顯示在蹄中,SX僅指引物6^向,^fe引物經指定而相關于與其^"的,的另一成員的啟動^^。不必相對于基因DNA^。Seq.EDNo.l(GSTPl蝎)CCCCGAACGTCGACCGCTCGGGG-BHQ-HEG-CGATTTCCKKiavnTTAGGGCGTSeq.IDNo.2(GSTP1蝎^C弓l鄉AAAATCCCOCGAACTCCCGCCSeq.lDNo.3(GSTPl蝎)CCCGAACGTCGACCGCTTTCGGG-BHQ-HEG-CGATTTCGGGGATTTTAGGGCGTSeq.IDNo.4(GSTP1蝎紅弓卿AA入ATCCCGd:GAACTCCCGCCSeq.IDNo.5(GSTPl蜴)CGGCGGGAGTTCGCGGGCGCC&BHQ-HEG-ACTAAATCACGACGCCGACCGCSeq.IDNo.6(GSTP1蝎狄弓l物CGGTTAGTTGCGCGGCGATTTCSeq.IDNo,7(GSTPl蝎)CGGGAGTTCGCGGGTCCCG-BHQ-冊G-ACTAAATCACGACGCCGACCGCSeq.IDNo.8(GSTP1蝎狄弓l物CGGTT八GTTGCGCGGCGATTTCSeq,IDNo,9(GSrrPl斷GTGGTTGATGTTTGGGGTATCAACCAC-BHQHEG—AATCCCACAAACTCCCACCAACCSeq.IDNo.IO(GSTPI蝎反義引物GTGGTGMTTTGGGGATnT八GGGTGTSeq.EDNo.11(GSTP1斷ACCCCAGTGGTTGATGTTTGGGGT-BHQ-HEG-AATCCCACAAACTCCCACCAA(:CSeq.IDNo.12(GSTP1蝎反義引鄉:GTGGTGATTTTGGGGATnTAGGGTGTSeq.IDNo.,3(GSTPl蝎)CCCCACAGGTTGGTGGGAGnTGTGGGG-BHQ-HEG-CCCAATACTAAATCACAACACCAACCACSeq.DONo.14(GSTP1蝎MX弓l鄉:TGGTTAGTTCTGTCGTGAmTGGGGASeq,IDNo.lS(GSTPl蝎)CCCCGAACGTCGACCGCTCGGGG-BHQ-HEG"CGATTTCGGGGATTTTAGC3GCGTSeq.IDNo.16(GSTP1蝎狄引物:AAAATCCCGCGAACTCCCGCCSeq.IDNo.n(GSTPl蝎)CGCACGCCGAACGTCGACCGCAAACGTGCG"BHQ-HBG-CGATTTCGGGGATnTAGGGCGTSeq.IDNo,18(GSTP1竭M^C引物;AAAATCCCGCGAACTCCCGCCSeq.IDNo.19(GSTP1竭)CGCACGGCGAACTCCCGCCGACGTGCG8HQ-HEG-TGTAGCGGTCGTCGGGOTTGSeq.IDNo,20(GSTP1蝎MX弓l物GCCCCAATACTAAATCACGACGSeq.H)No.21(GSTPl竭)CCGACGCACAAAAAAACACCCTAAAA丁CCGTCGG-BHQ-HEG-GGTTAGTrGTGTGGTGATTTTSeq,IDNo.22(GSTP1蝎反義弓l物CAC八ACACCAACCACTCTTCSeq.IDNo.23(GSTP1TAQMAN弓l物:CGTGATTTAGTATTGGGGCGGAGCGGGGCSeq.IDNo.24(GSTP1TAQMAN弓l物ATCCCCGAAAAACGAACCGCGCOTASeq.IDNo.25(GSTP1TAQMAN微)TCGGAOGTCGCGAGGTnTCGTTGGASeq.H)NtK26(GSTPl蝎)CGGCCCTAAAACCGCTACGAGGGCCG-BHQ-HEG-GAAGCGGGTGTGTAAGTTTCGGSeq,IDNft27(GSTPl蝎反義引鄉ACGAAATATACGCAACGAACTAACGCSeq.IDNo,28(GSTTPl蝎)CCOGTCGCGAGGTTTrCGACCGG-BHQ-HEG-CCGAAAAACGAACCGCGCOTASeq.IDNo.29(GSTP1竭紋弓l物GGGCGGGATTATTrTTATAAGGTTCGGSeq.IDN仏30(RASSF1A竭)GCCGCGGTTTCGTTCGGTTC(3CGGC-BHQ>HEG-CCCGTACTTCGCTAACTTTAAACGSeq.IDNa31(RASSP1A蝎反義弓l物GCGTTGAAGTCGGGGTTCSeq.IDNo.32(RARB2竭)CGGCGCCCGACGATACCCAAAGCGCCG-BHQ-HE&AACGCGAGCGATTCGAGTAGSeq.IDNo.33(RARB2竭SJIC引物CTTACAAAAAACCTTCCGAATACGSeq.IDNo.34(APC竭)GCCGGCGGGmTCGACGGGCCGGC-BHQ-冊G-CGAACCAAAACGCTCCCCASeq.IDNo.35(APC蝎反義弓卿GTCGGTTACGTGCGTTTATATTrAGSeq.IDNo.36(鵬蛋白竭)GCGCCCAACCGCACAAGGGCGC-BHQ-HEG-GGCTATATTTTCGAGGGGTACGSeq,IDNo.37,蛋白蝎反義弓l物CGACCCGCACTCCGCAATSeq.lDNo.38(f^蛋白蝎)CCGCGCATCACCACCCCACACGCGCGG-BHQ-HEG-GGAG丁ATATAGGTTGGGCAAGTTTGSeq.IDNo.39(^J蛋白蝎反義引物)AACACACAATAACAAACACAAATTCACSeq.IDNo.40(鵬蛋白蝎)CCCGGCTAAACCCACCATCCAGCCGGG-BHQ-朋O-GGGAGGGTAGTTTAGTTGTGGTTSeq.IDNo.41(自蛋白蝎^引物CAAAACAAAAAAACTAAATCTACACAACCSeq.IDNo.42(自蛋白峋CCGCGGAACATTCAATTCAACCGCGG-BHQ-HEG-GGAGGAGGAAGGTAGGTnTTSeq.IDNo.43(自蛋白蝎SX引物.-ACATACAACAATCAATAACATAAAACCACSeq.IDNo.44(PTGS2/COX2蝎)CACGCCGCCGTATCTAGGCGTG-BHQ-HEG-GTTTGTnrCGACGTGATTTnTCGASeq.IDNo.45(PTGS2/COX2狄弓卿GCAAAAAATCCCCTCTCCCGCSeq.IDNo.46(PTGS2COX2蝎)GCCGCGCACAAATTTCCGCGGC-BHQ-HEG-GAATTGCiTTTTCGGAAGCGTTCGSeq.IDNo.47(PTGS2/COX2狄弓卿CCCGAATTCCACCGCC<formula>formulaseeoriginaldocumentpage18</formula>乙錠。引^&1M^生高濃度的量。^E^搶中的^fe^料可^:^的g管鄉、隔離成分,通常為麟(麗bead),可選的包繊必需的緩沖液和^ff洳dNTP;對照核酸^gft^r用于MSPg的另外的緩J4^J、化,、輔因子、離子組分、蛋白質和酶、聚^J等。可選地,所述^P搶包括核^I取試布鵬料-在本發明最雌的試劑盒中,麟說明書,從而指導對Mr列麟品被評定為具有的Gleason4Ht為7^H^的患^^行的分析。^c發明的另^M5^a盒中,說明書用于指導,品被評定為具有的Gleason^HIX于7的患者進行的分析。^發明的另^^P搶中,JI^說明書用于指導對具有的PSA水平大于2.5ng/ml的患^a行的分析,而在另一^MsS^搶中,,說明書用于指導對具有的PSA水平在2n^nl4ng/ml的患,行的分析。,說明15ife可^明應當對甲M:陽性結^a^m^檢査。例鄉例l-甲靴測柳Gleason她前列腺樣品從具有已知臨床結果的患者獲得。鵬魏的方法確定樣品的Glejison,。根lg^些樣品可知,52個樣品的Gleason^Ht小于7,36個樣品的Gteason4Ht^7,12個樣品的Gleason^H6^于7。鄉GSTP1(Seq.IDNo.19,20)和APC(Seq.IDNoJ4,35)對各艦行甲皿分析。甲靴分析如下進行。娜商售0OSM95m^轉化W逾(ZymoResearch,Orange,CA,USA〉^S因組DNA。該^S^非甲皿DNA中的所有,啶轉化為,淀,而在甲M的DNA中僅W^鳥W^前面的胞嘧啶被轉化為尿嘧啶。所^鳥嘌呤前面的胞嘧啶(在CpG雙^^酸中)^JiJ8S嘧啶。£3£@1^因組DNA(100ngl鄰ng)在25w1fl^含以下成分的鵬液中擴增67mMTrispH&8、16.6mM(NH^SCV6.7mMMgQt、10mMP-麟乙醇;dATP、dCTP、dGTP、dTTP各125mM、1U鵬動TaqDNA聚^SI、250nM2S0nM反X^IEX引物(^gll設計〉、62SnM中修比染料。樣品然后在CepheidSmartCyclerPCR設備上以實時^SPCR分tfS行澳賦。所艦的PCR斜牛是95T:持續60秒;然后為951C持續30秒、S91C持續30秒的40個循環,最后在721C延伸S條對T^h循職59W^^^。對于GSTP1確定其甲皿率(Marker鵬貝熟勞瓜自蛋白鵬貝辦〉Xl歸l的臨^i^1,對于APC確定其甲^t率的臨^^10。^臨^i^于ijsma關的m^度^^異^ii求。結^S^在下歹據中。表1.GSTP1<table>tableseeoriginaldocumentpage20</column></row><table>表2^APC<table>tableseeoriginaldocumentpage20</column></row><table>這些結果顯示甲基化分析,了^具有的Gteason4Ht髙于7的患者的前列鵬優態的W^息。:^結合^fe診斷或mB信息時,對于縣的Qeason^Ht^7的患者i^l了的有用的糊對麟的信息。在Gleason為6和7的人群中目IK^E很大的兩S^異(dichotomy)。大約一半的患#^體而半數1^良好。迄今為止憾沒W^;確定鵬人將得益于更為繊的治,J5S^人將不會由此魏。在Gleasoo^HI"的驗中,甲皿分析^i自高,?^的^^M常^:,因而^^,^T的甲^it分^果高于臨1^|[的患者由于為^而具^的。±^甲^據W!lGleason為7的患者中的66M69X將具^M6^0且應當進mR極的治療(aggressivetreatment),而剩下的三分之一可以鄉觀^^。因此,在Gleason^H£>7的人群(TO差的人群)中甲^fb分析的強烈的正相^M^出預后及診斷價值。鄉例2:血清分析血清樣品從具有已知Mr列自結果的患者和由其m了m^檢查樣品并引證Gleason^HI的患者獲得。S^^樣品之中,55個樣品來自未患癌癥的患者,36個樣品來自Gleason^HI為5~6的患者,21個樣品來自Qeason:5MI為7~8的患者。甲m優^^照^fi例1的^^行確定。GSTP1Marker,J3I^I^自Gleason^Ht^78的患者的26%的樣品中的甲基化,且沒^!倒Gteason^m為5~6的患者^0^的患者中的甲S^。APCMarker,iai^S^自Gleason^Mt^78的患者的26X的樣品中的甲S^,M多9^H!l子中它也l^!!l出Gleason^HI為56的患者^患癥癥的患者中的甲基化。Markersfltm^f異性為84%,對于Gleason:JHiL^時的靈^L^J18%,對于Gkason^HS^J7~8時為38%■然后將第3和第4種Markers,RASSFla和RARh2加Affi于^!d甲^fc的Markere組中,j^而得到82%的特異性,以M于Gleason^Mt為5"時的靈,82%,對于Gteason^HI為78時為58%.因而,添加其他的或不同的甲Sfb^iB可用于提髙需要進行的血^!!tefc的靈StS,并l^同H^i高靈^S和特異艘求。附加Marker測^&^在頂顯示^5^。棘58個樣品,包括34個鵬鵬J^g(CaP辨品、24個前列腺良,eg)樣品、6個HG"PDSf(Neg辨品、2^NW堪辦品、4個肖瞋型(Neg辦品和2個i^(Neg樣品)。3個樣品麟^im檢査檢査報告且l個樣品鵬規(無朋動蛋白hskg的Ct值)。娜GSTP1、RASSF1、RARB2、APC、CDH1和15JLCM的Marfcers。^ffli^Markeisi^用于msPCR分析65^劑,各試布JM^^3中。表3<table>tableseeoriginaldocumentpage22</column></row><table>表5顯示了具有6械因特異^i^P—種hkg的Ct值,且包括58個樣品的Gleason5Ht和PAS的可用信息。表5<table>tableseeoriginaldocumentpage23</column></row><table>空格—在QMSP的55個循環后^t測Ct。靈^fcg和特異性由表6中顯示的Ctd接測定。表6<table>tableseeoriginaldocumentpage24</column></row><table>鄉例3:尿分析尿樣由具有已知的前列腺癌結果的患者和由其采集了m織檢査樣品并引證Gleason^Mi^患者獲得。^^樣品之中,42個樣品來自Gteason^HI^46的患者,10個樣品來自Gkasoii^Ht為7~9的患者。甲M^^^5fi例1的^iSfflC鄰heid的SmartCyclerPCR設備進行確定。兩個Markers,GSTP1和RARb2的組^t異1W于SJSlS后尿樣為89%,對于離織檢查后離品為91%。在Gleas冊^HI低于7離品中,^t^^后樣品的甲靴分析的靈^1^40%,而在分值高于7的那些樣品中為78%。因此,非ftAtt^樣可與本發明的其^面協同^ffl。鄉例4:血清分析與PSA結果(彌D血清樣品由^W已知,列自結果的患者獲得。PSA^gl&標準ll&^方法確定。在這些樣品中,55個樣品來自沒有癌癥的具有的PSA水平為1ng/ml2ng/ml的患者,36個樣品來自具有的PSA水平為2ng/ml4ng/ml的患者,21個樣品來自絲的PSA水平高于4的患者。患者的PSA水平高于4表明需要^lga^t^的ilfi^措導方Mfi^^&m檢查檢査。psa水^H氐于4的患者的甲M:狀^^照^M例i的^M定。GSTP1Marker^自PSA水平為24的患者的20%的樣品中檢測到甲。鵬患^am織檢査檢査發鵬有的Gteason^HI^7鞭大。,會統明,患者需要進一步治療。在,來自PSA水平小于2的患者的樣品中未發鵬甲基化。APC、RASSF1A、lS"L(M和CDHlMarkeis用^^患者的分離的甲^fc分析,有15%的樣品^1為超甲基化。i^患^^g^R檢査檢查發5S^的Gleason^Ht^7s^c。,!^明^患者需要進~^治療。在PSA水^H氐于4的患者中兩種Markere的組^#異性為95%,靈敏度為然%。目甲m分析的結m具有的PSA^Ht不能確定是否需要進行,織檢查檢査的患者條。通常縱治療的觀^t階wrai鵬中糊洧用。利用諸如PSASH^^^織檢査檢査分析對患魏行周期tt^,并且當顯琉組織檢查檢查的結果^^M^^I以解釋WS!H^r列腺Markere的DNA甲皿狀態。甲Stt^果大,定的臨界值表明必^^am^檢査檢査,Gleason分戯7鞭大輛t^該^H檢査檢査的M^hm果B序列表<110>VENER,TatianaMEHR0TRA,JyotiVA艦,ShobhaMAZUMDER'AbhijitWang,HaiyingChowdary,Dondapati<120〉前列腺癌鑒定<130〉VDX5039USPSP<140〉99/999999<141〉2006-10-31<160〉69<170〉Pateiitlnversion3.3<210〉1<211〉46<212〉DNA<213〉人工<220〉<223〉GSTP1蝎子<220><221〉modified—base<222〉咖..咖<223>-,-HEG-<220〉<221〉modified—base<222>咖..(23)<223〉-BHQ(BlackHoleQuencher)-HEG(六乙基二醇)-<400〉1c(:ccgaacgt.cgaccgct.cggggcgatttcggggattttagggcgt46<210〉2<2U〉21<212>DNA<213〉人工<220〉<223〉GSTP1蝎子反義引物<400〉2aaaatcccgcgaactcccgcc21<210〉3<2U>46<212>DNA<213〉人工<220〉<223〉GSTP1蝎子<220〉<221〉modified—base<222〉(23)..(23)<223〉-BHQ-HEG-<400〉3cccgaacgtcgaccgctttcgggcgat.Ucggggattttagggcgt46<210>4<211〉21<2J2〉DM<213>人工<220><223>GSTP1蝎子反義引物<400〉4aaantcccgcgaactcccgcc21<210〉5<211〉44<212〉DNA<213〉人工<220〉<223>GSTP1蝎子<220><22,1〉邁odified一base<222〉(22)..(22)<223〉-BHQ-HEG-<400>5cggcgggagttcgcgggcgccgactaaatcacgacgccgaccgc44<210〉6<21〉22<212〉隨<213〉人工<220〉<223〉GSTP1蝎子反義引物〈400〉6cggttagttgcgcggcgattt,c22〈210〉7<211〉41<212〉DNA<213>人工〈220〉<223〉GSTP1蝎子<220〉<221〉modified_base<222>(19)..(19)<223〉-BHQ-HEG-<220><221〉uiodified一base<222〉(25)..(25)<223〉-朋Q-HEG-<400>7c'gggagtt,cgcgggtcccgactaaat.cacgacgccgaccgc41<210〉8<211>22<212〉鵬<213〉人工<220><223>GSTP1蝎子反義引物<400〉8cggttagttgcgcggcgatttc22<210〉9<211〉50<212〉DNA<213>人工<220〉<223>GSTP1蝎子<220〉<221>modified—base<222>(27),.(27)<223〉-BHQ-HEG-<400〉9gtggttgat.gl.ttggggtatcaaccacaatcccacaaactcccaccaacc50<210〉10<211>27<212>■<213>人工<220><223>GSTP1蝎子反義引物<400〉10gtggtgatttt.ggggattttagggtgt27<210〉11<211〉47<212〉腿<213>人工<220><223〉GSTP1蝎子<220><221〉邁odified—base<222>(24)..<24)<223>-BHQ-HEG-<柳>11accccagtggttgatgtttggggtaatcccacaaactcccaccaacc47<210〉12<211>27<212>隨<213>人工<220〉<223>GSTP1蝎子<400>12gtggtgattttgggga"ttagggtgt27<210>13<21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ctcgctctatgccggttccaac60aaccaggtgcagctgtggctggt.cggccagcacggggaggcggcgctcgggaagcgactg120tggcccgcacggggcaaggagacagaactcaaggtggaagtaccggagtatctggggccg180ctgctgtttgtgaaactgcgcaaacggcacctccttaaggacgacgcctggttctgcaac240tggatctctgtgcagggccccggagccggggacgaggtcaggUcccttgUaccgctgg300gtggagggcaacggcgtcctgagcctgcctgaaggcaccggccgcactgtgggcgaggac360cctcagggcct,gttccagaaacaccgggaagaagagctggaagagagaaggaagttgtac420cggtggggaaactggaagga.cgggttaatt,otgaatatggctggggccaaactatatgac480ctccctgtggatgagcgatttctggaagacaagagagttgactttgaggtttcgctggcc540aaggggctggccgacctcgctetcaaagactctctaaatgttctgacttgctggaaggat600ctagat.gacttcaac(:ggattttctggtgtggtcagagcaagctggctgagcgcgtgcgg660gactcctggaaggaagatgccttatttgggtaccagtttcttaatggcgccaaccccgtg720gtgctgaggcgctctgctcacctt.cctgctcgcctagtgttccctccaggcatggaggaa780ctgcaggcccagct.ggagaaggagctggagggaggcacact,gttcg肌gctgacttct-cc840ctgctggatgggatcaaggccaacgtcattct.ctgtagccagcagcacctggctgcccct900ctagtcatgctgaaattgcagcctgatgggaaactcttgeccatggtcatccagctccag960ctgccccgc:acaggatccccaccacctccccttttcttgcctacggatcccccaatggcc1020tggcttctggccaaatgctgggtgcgcagctctgacttccagctccatgagctgcagtct1080catcttctgaggggacacttgatggctgaggtcattgttgtggccaccatgaggtgcctg1140ccgtcgataca,c:ctatcttcaagcttataattccccacctgcgatacaccctggaaatt1200aacgtccgggccaggact.gggctggtctctgacatgggaattttcgaccagataatgagc1260fictggtgggggaggccaf:gfgcagctgctcaagcaagctggagcctt.cctaacctacagc1320tccttctgt:ccccctgatgacttggccgaccgggggctcctgggagtgaagtcttccttc1380tatgcccaagatgcgctgcggctctgggaaatcatctatcggtatgtggaaggaatcgtg1440agtct.ccactataagacagacgtggctgtgaaagacgacccagagct,gcagacctggtgt1500cgagagatcactgaaatxgggctgcaaggggcccaggaccgagggtttcctgtctcttta1560caggctcgggaccagg"tgccact;ttgtGaccatgt'gtatcttcacctgcaccggccaa1620cacgcctctgtgcacctgggccagctggactggtactctt:gggtgcct,aatgcaccctgc1680acgatgcggctgcccccgccaaccaccaaggatgcaacgctggagacagtgatggcgaca1740ctgcccaacttccaccaggcttctctccagatgtccatcacttggcagctgggcagacgc1800cagcccgttatggtggctgtgggccagcatgaggaggagtatttttcgggcc(:tgagcct1860aaggctgtgctgaagaagttcagggaggagctggctgccctggataaggaaattgagatc1920cggaatgcaaagctggacatgccctacgagtacctgcggoccagcgtggtggaaaacagt1980gtggccatctaagcgtcgccaccctttggttatttcagcccccatcacccaagccacaag2040ctgaccccttcgtggttatagccctgccctcccaagt,cccaccctcttcccatgtcccac2100cctccctagaggggcacctt,ttcatggtct:ctgcacccagtgaacacatttt,actctaga2160ggcatcacctgggaccttactcctctttccttccttcctcctttcctatcttccttcctc2220tctctcttcctctttcttcattcagatctatatggcaaata.gccacaattatataaatca2280tttcaagactagaatagggggatataatacatattactccacaccttttatgaatcaaat2340atgatut,tttgttgttgttaagacagagtct.cactttgacacccaggctggagtgcagt2400ggtgccatcaccacggctcact.gcagcctcagcgtcctgggctcaaatgatcctcccacc2460tcagcctcct.gagtagctgggactacaggctcatgccatcatgcccagctaatatttttt2520tat,tt.tcgtggagacggggcct(、,actatgttgcctaggctggaaataggattttgaaccc2580aaatr,gagtttaacaataataaaaagtt,gttttacgctaaagatggaaaagaactaggac2640tgaactattttaaataaaatattggcaaaag2671<210〉57〈211〉1193<212〉DNA<213〉人類<220〉<221〉raise—feature〈223〉CDH1>gi|509604|gb|L34545.IHUMECADN人上皮細胞銬粘蛋白基因,啟動子區域和5'端<400〉57tctagaaaaattttttaaaaaatt.aggccgetcgagegagagtgcagtggctcacgcctg60taatccaacacttcaggaggctgaagagggtggatcacctgaggtcaggagttccagacc120agcctggccaacatggtgaaaccccgtcttgtactaaaaatacaaaattagccggtgtgg180t.ggcacacgct:tgtagtcccagctactcaataggct.gagacaggagagtctcttgaaccc240ggcaggcggaggttgcagt.gagecgagategtgccactgcactccagcctgggcaagaca300gagegagactccgtctcaaaaaatacaaacaaaaca幼caaacaaaaaattaggctgeta360gctcagtggctcatggct,cacacctgaaatcctagcactttgggaggecaaggcaggagg420ategcttcagcccaggagttcgagaccaggctgggcaatacagggagacacagcgccccc480actgcccct.gtccgccccgacttgtctct.ctacaaaaaggcaaaagaaaaaaaaaattag540cctggcgtggtggtgtgcacctgtact.cccagctactagagaggctggggccagaggacc600gcttgagcccaggagttcgaggctgcagtgagctgtgatcgcaccactgcactccagctt660gggtgaaagagtgagcicccatctccaaaacgaacaaacaaaaaatcccaaaaaacaaaag720aact,cagccaagtgtaaaagccctt,tctgatcccaggtcttagtgagecaccggcggggc780tgggattcgaacccagtggaat.cagaaccgtgcaggtcccaf.aac:ccacctagacc:ctag840caact.ccaggctagagggtcaccgcgtctatgcgaggccgggtgggcgggccgtcagctc900cgccctggggaggggtccgcgctgctgattggctgtggccggcaggtgaaccctcagcca960atcagcggtacggggggcggtgctccggggctcacctggctgcagccacgcaccccctct1020cagtggcgtcggaactgcaaagcacctgtgagcttgcggaagtcagttcagactccagcc1080cgctccagcccggcccgacccgaccgcacccggcgcctgccctcgctcggcgtccccggc1140cagccatgggcccttggagccgcagcct.ctcggcgctgctgctgctgctgcagU93<210〉58<211〉2635<212〉腿<213〉人類<220〉<221>raise—feature<223〉染色體5上的Hin-1區域(另一名稱SCGB3A1)<220〉<22i〉瓜isc—feature<223〉這個基因可以在染色體5的179,949,712-179,951,146位置找到。所述基因的開始位置在重疊群AC122714.2.1.190024.〉染色體NCBI35:5:179949112:179951746:-1<400〉58atctgtcataettctgeaggtgacagacgagtgaggacatttagagaaactcaggaacaa60accaggcccatccactggcgtcgaggctagtt,tcgaagacagaaaaaegecccacttctg120"tgcactgtggctgccitgt.ggcccggccggggaggeggeegggagtgaggectgategt180ccctggcgcctticacctccccaggegcagaaggcgcccacgaggacccccagtgcccgac240gttgecaeggtctgggatcagaggcagggaccagggagccaggaactgegccgcccccgc300ccct.gccctggcgcgagggaagct.cccctcacccgggcccagccctgcaggggggcgcgt360ggggtcagacegcaaagegaaggtgegggecggggtgggcetcgeggagacaaaggcegg420gcct.gcctgctctcagagggccccagcgcctgecaagaggaagt.cctcgaggcccgggca480gggaagggggcacgggcttcccagggcccgccggccgcagcagg肌gUggccagggcac540ggccgtgagcggagcgggcagggct.Uctcaggagcgcgggcgaggccggcgctggaggg600gcgaggaccgggl二ataagaagcctcgtggccttgcccgggcagccgcaggttccccgcgc660gccccgagcccccgcgccatgaagctcgccgccctcctggggctctgcgtggccctgtcc720tgcagctccggtgagcgccccgggctcctggcgcgcacggt.ggggcctgaggcctcggcg780ccegctgcgcccccgccgctgcctgcgccgatcgtggatcccaggtccttccagcctcgc840ccggcgcccagagggctccgccaccccggggccccgcgcctgcagcccgcggcctecccc900t,ctcagggctgtctccagcctcgtgccgggatggaggccgcccctggcctggggacaccc960gtctgccccccgtctggagaccggctcctcat,cctgcaaggcgcagcgcgagtgtcccct1020cccttgggggcctgtcccggaccctgcacagagttcaccggtccttccgcceiocctcagg1080ccactccggtgaccctgcagcgtctcctggcggggccgcctccccagacccgcctgtgtc1140ccgggggctcgcacctggcaggcctcggcgcaggagggaggggcggtcggggagccgggc1200agggcgcgacggttcctgggcgcctcccgcgggggcgcgtcctggacctgccttctgggg1260accccggcgcgcaggcggtgacccctccctgttcgcttgcagctgctgctttcttagtgg1320gctcggc(:aagcctgtggcccagcctgtcgctgcgctggagtcggcggcggaggccgggg1380ccgggaccctggccaaccccct.cggcaccctcaacccgctgaagctcctgctgagcagcc1440tgggcatccccgtgaaccacctcatagagggctcccagaagtgtgtggctgagctgggtc1500cccaggccgtgggggccgtgaaggccctgaaggccctgctggtaaagtgggcaccccggg1560tgcccttcctgcgcgggcatcccttcccggccagcctcaaaactgcaccagaggtgt;ccc1620ggccctacgtcagggctgtttcccgtcctgcccct.ccaagccctgtccctgggagaagcc1680cgggt.cfccgggtgggaactgggtggggcgcatccgagcf.gcaggggcggggaaggcgga1740gatggccccgcgcgggtgcgcgtcccccggagacgccagcggaaccg(',cccgct.cccg(:t1800ccccacagagccggccgctgccgcgcccccactcaagct(:ggcttctgctttccaggggggagcat,ctacacct,gaggac.aagacgc:tgcgggaggaCGgtccatccccttcccccggccgagcctggtattttctcatccaaatgctgacagattttgtgaggggtgctgcgtgagagaggcatagagccagcagtgcaaggtgacagattggaaacaaaactggcaggtctttcttccaaaaattatctactccttgaagactggcgataaaatttgaaagtttttat.tttttccctcggaggaatgagggcttcaggaaatccgctggttttgtccaaataacctagtgactttgattgtcaactgatctagtgttggtgggaaggttcaggggaagcctcccagttgacttccttg<210>59<21〗>4260<212〉DNA<2]3〉人類gcctgagttcttggtggcagggctgggggc1860ccctgacagtgtttggctgagccgagactg1920ccacccgcgagggctgaaaaccccgccgcg1980cctctcaataaacgtggttaagagcagctc2040tccctgtgggggaccgagagtgccaagtcc2100gggagagagaggccgcgagagtctgcaggt2160gatggggccagtatcagaggtaaaccggat2220tgttgtgctctgtaactgtttatgaagcat2280gaatgcaaacgcaccaaagccatttgt,tgc2340tatacttgtagatttcttcctcggaatggg2400ttgggcttgttttccctgcagtttctgctg2460tccttctactctagcggagagaccaccttt2520gcccagggaacccagacatcggtgtccctt2580ctgggatgaataactctgcctcagg2635<220><221〉misc一feature<223〉>gi|341173|gb|M24485.llHUMGSTPIG人類(克隆pHGST-pi)谷光苷肽S-轉移酶pi(GSTP1)基因,全序列<400>59aacaagagatcaatatctagaataaatggagatctgcaaatcaacagaaagtaggcagca60aagccaaagaaaatagcctaaggcacagccactaaaaggaacgtgatcatgtcctttgca120gggacatgggtggagctggaagccigttagcctcagcaaactcacacaggaacagaaaacc180agcgagaccgcatggtctcacttat.aagtgggagctgaacaatgagaacacatggtcaca240tggcggcgat,caacacacactggtgcctgttgagcggggtgctggggagggagagtacca300ggaagaatagctaagggatactgggcttaatacctgggtgatgggatgatctgtacagea360aaccatcatggcgcacacacctatgtaacaaacctgcacatcctgcacatgtaccccaga420acttcaaataaaagttggacggccaggcgtggtggctcacgcctgtaatcccagcacttt480gggaagccgaggcgtgcagatcacctaaggtcaggagttcgagaccagcccggccaacat540ggtgaaaccccgtctctactaaaaatacaaaaatcagccagatgtggcacgcacctataa600t.tccacctactcgggaggctgaagcagaattgctt,gaacccgagaggcggaggttgcagt660gagccgccgagatcgcgccactgcactccagcct,gggccacagcgtgagactacgtcata720aaataaaataaaataacacaaaataaaataaaataaaataaaataaaataaaataataaa780af,aaaataaa.ataaaat.aaaataaaa,:aaaataaagcaatttcctttcctctaagcggcc840tccacccct.ctcccctgccctgtgaagcgggtgtgcaagctccgggatcgcagcggtctt900agggaatU-ccccccgcgatgtcccggcgcgccagttcgctgcgcacacttcgctgcggt960cctcttcct.gctgtctgtttactccctaggcccegct.ggggacctgggaaagagggaaag1020gcf,tccccggccagctgcgcggcgactccggggactccagggcgcccctctgcggccgac1080gcccggggtgcagcggccgccggggctggggccggcgggagtcogcgggaccctccagaa1140gagcggccggcgccgtgacf,cag(:actggggcggagcggggcgggaccacccttataagg1200ctcggaggccgcgaggccttcgct.ggagtttcgccgccgcagt,cttcgccaccagtgagt1260acgcgcggcccgctccccggggatggggctcagagctcccagcatggggccaacccgcag1320(:aU:aggccx:gggct,cccggcagggctc;ctcgcccacctcgagacccgggacgggggcct.1380aggggacccaggacgtccc'cagtgccgttagcggot,Ucagggggcccggagcgcotcgg1440ggagggatgggaccccgggggcggggagggggggcaggctgcgctcaccgcgccttggca1500tcctcccccgggctccagcaaacttttctttgt,tcgctgcagtgccgccctacaccgtgg1560tcUtttcccagttcgaggtaggagcatgtgtctggcagggaagggaggcaggggctggg1620gctgcagcccacagcccctcgcccacccggagagatccgaacccccttatccctccgtcg1680f'gtggcttttaccccgggcctccttcctgttccccgcctctcccgccatgcctgctcccc1740gccccagtgttgtgtgaaatctt(:ggaggaacctgtttacctgttccctccctgcactcc〗800tgacccctccccgggttgctgcgaggcggagtcggcccggtccccacatctcgtacttctI860ccctccccgcaggccgctgcgcggccctgcgcatgctgctggcagatcagggccagagct1920ggaaggaggaggtggtgaccgtggagacgtggcaggagggctcactcaaagcctcctgcg1980taagtgaccatgcccgggcaaggggagggggtgctgggcct.tagggggctgtgactagga2040tcgggggacgcccaagctcagtgcccctccctgagccatgcctcccccaacagctatacg2100ggcagctccccaagttccaggacggagacctcaccctgtaccagtccaataccatcctgc2160gtcacctgggccgcacccttggtgagtcttgaacctccaagtccagggcaggcatgggca2220agcctctgcccccggagcccttttgtttaaatcagctgccccgcagccctctggagtgga2280ggaaactgagacccactgaggttacgtagtttgcccaaggtcaagcctgggtgcctgcaa2340t,ccttgccctgtgccaggctgcct.cccaggtgtcaggtgagctctgagcacctgctgtgt2400ggcagtct,ctcatccttccacgcacatcctcttcccct.cctcccaggctggggctcacag2460acagccccctggttggcccatccccagtgactgtgtgttgatcaggcgcccagtcacgcg2520gcctgctcccctccacccaaccccagggctctatgggaaggaccagcaggaggcagccct2580ggtggacatggtgaatgacggcgtggaggacct.ccgctgcaaatacatctccctcatcta2640caccaactatgtgagcatctgc:ac〔:agggttgggcactgggggctgaa(:aaeigaaagggg2700cttcttgtgccctcaccccccttacccctcagggtgcaggggctgggtcagctctgggcccc:tgcaccctt.attgcctgggacatcaaccaaggacagagacctccagcaactggtggttggagtagccagaggtggaggaggatttgtcttagctgaggaaaatatgcagacacagagcaggcagcgtgt.gtgcgcgtgcgtgtgcgtgtgtgtcgggtgggtaaggagat鄰agatggtgaacccactggtttggagtctcct幼ggggctgtgtctgaatgtgaggtctagaaggatcaatcatct,ggtgagagaacccagcaaggaggcagctgaagtggacaggattt.ggtactatctgggactctggtgtctggcctggggcagagagtaggatgatacatggtggtgtctggccaetgcccgggcaactgaagccttttgagaccttcattgtgggagaccaggtgagcatctct,gcttccagatggacacaggtgtgagccagatgggcttaggcc"ctgcccccaattcogcccccct.gccctgcagatctccttcgctgat.gaggtcctagcccctggctgcct,ggatggcctcagtg(:ccggcccaagctcaaggcc,tccatcaafggcaacgggaaacagtgagggtaggtggcUgggctgaccccttcttgggtc2760aggggcccaggggcctgggacaagacacaa2820agccaagtaacgggtcatgggggcgagtgc2咖tctgatctcctggggtggcgagggcttcct2940gccagttt.ctggatggaggtgctggcactt3000acatttggggacctgggaccagttcagcag3060tgtgtgcgtgtgtgtgtgtacgcttgcatt3120gcgggcagtaggcccaggtcccgaaggcct3180caatgggggccattgagaagtctgaacagg3240cctccagagaagccagctctaaagcttt,tg3300tggacaggcagaatggaatagagatgagtt3360gcctggttgtggggagcaagcagaggagaa3420acgggggtgtctcaggggctgggagggatg3480aggaggcgggcaaggatgactatgtgaagg3540ccctgctgtcccagaaccagggaggcaaga3600ggccccatgctgttccttcctcgccaccct.3660tttgtttagcaaagcagagcagacctaggg3720tccagcctgct,cccgctggctgagtcccta3780act.acaacctgctggacttgctgctgatcc3840cgttccccctgctctcagcatatgtggggc3900tcctggcctcccctgagtacgtgaacctcc3960tggggggact.ctgagcgggaggcagagttt4020<formula>formulaseeoriginaldocumentpage55</formula>accacctxc:aaggagggggacctctgtggt,Gccacgccacgattcccggagcagaacggaccaaggcaagaaagggtgacccgccccgcccccaatcctccct:ccagat:ggt.ct:gggaggcggtgggcccagacccaggccccactaacgccccaggcctgct(:cagggtaaaaggtgccggtaggttt.gt.agcctt,cattgtcctggggagtgtggtccccacactctacctctcaagcgctgagccccacagccagaggcaagggggagtgactgccttacagaacccagggccctggt,gcccaagagatgtxcacaccaggccgggggcaggcctgggggggccacggcgcgcgcccaactctccctcct.cctctt.cggggagagggggtaaaaaaagccaalcgcgtgcgccgttc:(:f:tataaaacccagcggcgcggag柳gaaggcaggUcctctaggctgagccgaatgcc780tgatcgctgcatgcccaccacctgggtacacacagtctgt840ccr'tgcccacccggtcttgtgtgctactcagtggacagac900aaggacagggtcttcccaggctggctttgagttcctagca960tgtggcacatggagtcttggtccccagagtcccccagcgg〗020g(:agttcagctgt,ggct,gcgcatagcagacatacaacgga1080tgtgtagacccagcccccccgccccgcagtgcctaggtca1140ggtcttggctgggcgtgactgttaccctcaaaagcaggca1200ctgccctgtagagcccacttccttcccagggctgcggctg1260cacgggccacct.ccagccactggaccgctggcccctgccc1320tgcgactctaatggccgcaagccacctgactcccccaaca1380Gcaggt.ctctccctagtgacccacccagcacatttagcta440gtcctcaggccctgctttcagggcagttgctctgaagtcg1500ggccactccatgccctccaagagctccttctgcaggagcg1560caeccgtgcagaccctggcccaccccacctgggcgctcag1620ctaggatgtcccgcggtgggtggggggcccgagagacggg1680ccatgcggggccgaaccgggcactgcccagcgtggggcgc1740ccagcccccgggcccagcaccccaaggcggccaacgccaa1800ct,caatctcgctctcgctctttttttttttcgcaaaagga1860t.gctgcact.gtcggcgaagccggtgagtgagcggcgcggg1920cgaaagttgcctutatggctcgagcggccgcggcggcgc:1980gacgcgccacc201i<210〉61<211〉〗792<212〉DNA〈213〉人類<220〉〈221〉raise—feature<223〉>gi150160881ret、|NM—001101.2|人類actin,beta(ACTB),旭RNA〈400〉61cgcgtccgccccgcgagcacagagcctcgcetttgecgatccgccgcccgtccacacccg60ccgccagctcaccatggatgatgatategecgcgctcgtcgtcgacaacggctccggcat120gtgcaaggc(:ggcttcgegggcgacgatgccccccgggccgtcttcccctccatcgtggg180gcgccccaggcaccagggcgtgatggtgggcatgggtcagaaggattcctatgtgggcga240cgaggcccagagcaagagaggcatcctcaccctgaagtaccccatcgagcaeggcategt300caccaactgggacgacatggagaaaatctggcaccacaccttctacaatgagctgcgtgt360ggctcccgaggagcaccccgtgetgetgaecgaggcccccctgaaccccaaggccaaccg420cgagaagat,gacccagatcatgt.ttgagacct.tcaacaccccagccatgtaegttgetat480ccaggctgtgctatccetgtacgcctctggccgtaccactggcatcgtgatggact,ccgg540tgacggggtcacccacactgtgcccatctacgaggggtatgccctcccccatgccatcct600gcgtctggacctggctggccgggacctgactgactacctcatgaagatcctcaccgagcg660cggctacagcttcaccaccacggccgagcgggaaal:cgtgcgtgacattaaggagaagct720gtgctacgtcgccctggacttcgagcaagagatggccacggctgcttccagctcctccct780ggagaagagctacgagctgcctgacggccaggtcatcaccattggcaatgagcggttccg840ctgcc()tgaggcactcU.ccagccttc(:t,t(:(:tggg(:atggagtcctgtggcatccacga900aactaccttcaactccatcatgaagtgtgacgtggacatccgcaaagacctgtacg(:caa960cacagtgctgt:ctggcggcaccaccatgtagatcactgcectggcacccagcacaat.gaagtactccgtgtggatcggcggct.ccatcctgatcagcaagcaggagtatgacgagtccggggcggactatgacttagttgcgttacacccacaagatgagatt.ggcatggct仁t.at-ttgttttttggcttgactcaggatttaaaaactggcgagcatcccccaaagttcacaatgtggcttaatagtcattccaaatatgagat,gcatt.ccaccccacttctctctaaggagaat,ggcctgatagcattgctttcgtgtaaatt.atgtaacttttttat.tttgtt.ttattttgaatgatgtcccccaacttgagatgtatgaaggctttagggcttacctgtacactgacttgagacca<210>62<211〉2762<212〉DNA<213>人類ccctggcatt.gccgacaggatgcagaagga1020gatcaagatcattgctc(:tcctgagcgcaa1080ggectcgctgtccacct,tccagcagatgtg1140cccctccatcgtccaccgcaaatgcttcta1200tttcttgacaaaacctaacttgcgcagaaa1260mtmguttgttttggtt'ummt1320gaacggtgaaggtgacagcagtcggttgga1380cgaggactttgattgcacattgtt,gtt.ttt1440gttacaggaagtcccttgccatc(:taaaag1500cagtcctctccc肪gtccacacaggggagg1560atgcaaaatttttttaatcttcgccttaat1620gagccttcgtgcccccccttcccccttttt1680tggtctccctgggagtgggtggaggcagcc1740gt,tgaataaaagtgcacacctt1792<220〉<221〉出iscfeature<223〉,B2>gi|l4916495|n、f|NM—.016152.2|人類維甲酸受體,beta歸B),轉錄變體2,mRNA<400〉62gtgacagaagtagtaggaagtgagctgt'ca^aggcaggagggtctattct.ttg(:caaag60gggggaccagaattcGccatgcgagctgtttgaggactgggatgccgagaacgcgagcga120〖,ccgagcagggt.ttgtctgggcaccgtcggggtaggatccggaacgcattcggaaggctt180tttgcaagcatttacttggaaggagaact,t.gggatctttctgggaaccccccgccccggc240tggat,tggccgagcaagcctggaaaatgcaattgaaacacagagcaccagctctgaggaa300ctcgtcccaagcccGccal'ctccacttcctccccctcgagtgtacaaaccctgcttcgtc360tgccaggac汪aatcatcagggtaccactatggggtcagcgcctgtgagggatgtaagggc420tttttccgcagaagtattcagaagaatatgatttacacttgtcaccgagataagaactgt480gttattaataaagtcaocaggaatcgatgccaatactgtcgactccagaagtgctttgaa540gtgggaatgtccaaagaat.ctgtcaggaatgacaggaacaagaaaaagaaggagacttcg600aagcaagaatgcacagagagctatgaaatgacagct.gagttggacgatctcacagagaag660atccgaaaagctcaccaggaaactttcccttcactctgccagctgggtaaatacaccacg720aattccagtgctgaccatcgagtccgact'ggacctgggcctctgggacaaattcagtgaa780ctggccaccaagtgcattattaagatcgtggagt.ttgctaaacgtctgcctggtttcact840ggcttgaccatcgcagaccaaattaccctgctgaaggccgcctgcctggacatcctgatt900cttagaaU.t.gcaccaggtataccccagaacaagacaccatgactttctcagacggcctt960accctaaatcgaactcagatgcacaatgctggat.t.tggtcctctgactgaccttgtgttc1020acctttgccaaccagctcctgcctttggaaatggatgacacagaaacaggccttctcagt〗080gccat,ct.gcttaat,ctgtggagaccgccaggaccU:gaggaaccgacaaaagtag汰taag1140ctacaagaaccattgctggaagcactaaaaatt.tatatcagaaaaagacgacccagcaag1200cctcacatgtttccaaagatcttaatgaaaatcacagat,ctccgtagcatcagtgctaaa1260ggtgcagagcgtgt.aattaccttgaaaat.ggaaattc:ctggatcaatgccacctctcaU1320caagaaatgctggagaattctgaaggacatgaaeccttgaccccaagttcaagt:gggaac1380acagcagagctcacicactcgtccaggatttgatattaaaactgtgtaactgacccagtcaatggctctgt:ataaccatgagttcagttaatatt,acttgtaUaggg肌agtgtccttccggctaattat.aatcactatgtcttagftcr.acagtcctagtgcaataagactcaagaaggtacctagaaeitagttaaaagtctttctatacaccaaggttttgctttcattgtacagtattttgctctttacaaattccctcaaatgtcattaatgacataggcagaaactttcatgggatgattcatgcattacatccccatttaagcaactggctctgcatctcaccccattttctagaccaagaagttacaaaat'ttcttctattttcccctggttactgtatgttt.atgaaatagagg肌tagtcagac肌gataactgatgctcttgcactagcatttgtt,caataactacacagacttttcagttaattagcagctgatattggaaagaaacagaaagctgtggctactggaattttgtacattagctcagtggctactt.caaatttcatatgttccaattttacctctttgaaagtttctgaaggtgctt't,ccctactgtacaagacatcaagggctgaagatcaaact.gcatgaagagaatttgttaatgtcttagttaaaagt/taagttttgctggtctacgatttttttcgcatagaatctagagtggtttt.Uttttttgagattgtuaaaacagtggcattccccagcttagtttttatcaatatataaaaatcagccactcaagatgactttgtacttttgtcttgcgtctacctagtaaggaaacattctactttcttttatttcctgtatcagtacttteiaattaaaatttttttgtttscttgcactggaccacagccctt,cttgcctcc"t.aacagatacagat.at:attaggtttaacaatggtcagtcag1440taccttcagt1500ggactgaaaa1560atactcctca1620catttcatgc1680gcatggcaaa1740atacagaagt1800catactcaaa1860ggttcaaaaa1920aggactattg1980agttagtatg2040atgttgccca2100gtaactgcca2160aaaagtggtt2220tacagtaatg2280ttcacaagcc2340tgtaactcta2400tgatgccaag2460gaccttgttc2520agtgtcagU2580(:aagt(:tgtg2640gct,ttct.atg2700ttcatatact.gtttacctttttccatggactctcctggcaaagaataaaat.atattt.att2760tt2762<210>63<2U〉5487<212〉DNA<213>人類<220〉<221〉misc—feature〈223>TIMP3>gi|2153643liref|NM—000362.3|人類金屬蛋白酶3的組織抑制劑(Sorsby眼底營養不良,假性炎癥)(TIMP3),ibKNA<400〉63tctgtcgacttgccccagagctgatccttgtctt;tgt;ct:acttctcagcgaggatggcac60ttcagggagccc"cccttactatcgcagagagagcaggccctccccagtcatgtccaac120ccagaactctgttttgttttcttcatagccctagcatcacagaaaatcaccctgtgcatt180catggatgt.ccacgggggcaagggctttgtgttgcttaacccagcatcctgaaccgtgtt240tgttgaatgaatacagaaccccgtttgctctgggagagcacagaaaacagtct.tctatca300tatatcatagccagctgcaaacagcagatggcttcccatatcccagagagtaagaaccag360agagagagagaaagagagagagtttgggtctttctcctxtgtgcctgctctctc;cagaga420aactggaggggtagcagttagcattcccccgctggl:tccaccaagcacagt,caaggt,ctc480taggacatggccacccctcacctgtggaagcggtcctgctggggtgggtgggtgttagtt540ggUctgg"tgggtcagagacacccagtggcccaggtgggcgtggggccagggcgcaga600cgagaaggggcacgagggctccgctccgaggacccagcggcaagcaccggtcccgggcgc660gccccagcccacccactcgcgtgcccacggcggcatt.at,tccctataaggatctgaacga720tccgggggcggccccgccccgttaccccttgc:ccct:ggccccgccccctttttggagggc780cgatgaggt.aatgcggctctgccattggtct柳ggggcgggccccaacagcccgaggcg840gggtccccgggggcccagcgctatatcactagcaggcaggcggcgggcgctcagacggctgctccttcgccgggaggccgcccgccgagtgccccatcccgtcccgccgggcactcggagcacggcccggcgggcgagcgagctcgggctactttggagaggcgagcagcagccccggcactcgggctcatcgtgctcctgggcagctggacat;gctcgcccagccacccccaggacgccaaggtggtggggaagaagctggtaaaggagaagcagatgaagat:gtaccgaggcUcaccgaagcttccgagagtctctgt;ggcctt,aagacaggtcgcgtctatgatggcaagatgtacgaccagctcaccctctcccagcgcaaggggtgcaagatxaagtcctgctactacctgccttggaccgacatgctctccaatttcggttacat:ccggcagaagggcggctactgcagctggatcatcaatgccacagacccctgagcgccaccgctgagct:tcccttggacactaact.cttt.tttcttgcaaatttagcacttggaacattt.tatt.gggaactatcctcct.ggcc,ccacr'catttccacct.gggaatttctggt.gccatgcct,tcgtgataatataatctctattt11ttacggccgcccaggcagcggcgcagagcgggc900tctcctcctcctcttgctcctccagctc(:t960cctgcgccagcgccgaggcagcctcg(:tgc1020ggcagc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gtgagtgi:.gacagggccagtggggcct.gtggaatgagtgtgcatggaggcc1260ctcctgtgctgggggaatgagcccagagaacagcgaagtagcttgctccctgtgtccacc1320tgtgggt,gtagccaggtatggctctgcacccctctgccctcattactgggccttagtggg1380ccagggctgccctgagaagctgctccaggcctgcagcaggagtggtgcagacagaagtct.1440cctcaatttt,tgtctcagaagtgaaaatcttggagaccctgcaaacagaacagggtcatg1500tttgcaggggtgacggccctcatctatgaggaaaggtttt.ggat,cttgaatgtggtctca1560ggatatccttatcagagctaagggtgggtgctcagaataaggcaggcattgaggaagagt1620cttggtttctctctacagtgccaactcctcacacaccctgaggtcagggagtgctggctc1680acagtacagcatgtgccttaatgcttcatatgaggaggatgtccctgggccagggtctgt〗740gtgaatgtgggcactggcccaggttcataccttatttgctaatcaaagccagggtctctc1800cctcaggtgttttttatgaagtgcgtgaatgtatgtaatgtgtggtggcctcagctgaat1860gcctcctgtggggaaaggggttggggtgacagt,cal.catcagggcct,ggggcctgagaga1920attggctcaataaagatttcaagatcctcaaaaaaaaaaaaaaaaaaa1968權利要求1、一種預測前列腺癌的復發或侵襲性的方法,所述方法包括a)測定前列腺樣品的Gleason分值,和b)確定具有的Gleason分值為7或更大的那些患者的生物樣品中的Marker的甲基化狀態;其中,超過預定值的甲基化表示侵襲型癌癥或復發型癌癥,而未超過該預定值的甲基化表示溫和型癌癥。2、棚權利要求l的施,還包繊定參考Marker的紘3、^g^權禾傻求2肺法,其中,臓參照Marker選自由e-M^蛋白和PTGS2誠的組。4、權承_@求1的旅,其中,頓Markere的組合。5、權承傻求4fi^*,其中,鵬Markere的組^^含用于GSTP1的Marker和用于APC、RASSF1A、或CDH1的Marfcer。6、權利要求l的方法,其中,由其確定甲^fc^態的樣品是鵬lJW^7、fe^J要求1的方法,其中,由糊定甲Sifc^,品敏、^t鵬物、血液、血艦分、精鵬循環細胞。8、權利要求7的施,其中,0^樣品&fil清^lfiL漿。9、一ft^P搶,艦試布鵬預行分析以M^列鵬的病職^tt,該試布傖繊^^"增^^!H^!J,和指導^^K^艦引證的Gteason5Mit為7g^的患者中的應用的說明書。10、權利要求9的試布搶,其中,臓說明糊導J^&試布J^^弓I證的Gleason,大于7的患者中的應用。11、權利要求9的試布逾,其中,^5^!}^由8^.10~0.26和27組成的組的戯。12、權利要求9的^;布搶,其中,PCR啟^H^!ia^:由Seq.IDNo,26和27構成。13、權利要求9的試劑盒,其中,所述i^P泡括由Seq.IDNo.28和29組成的組的^。14、權利要求9的試布搶,其中,臓PCR啟^H^l辭由Seq.IDNo.28和29構成。15、權利要求9的試布搶,其中,所述^PJfe括由Seq.EDNo.32和33組成的組的^M。16、權利要求9的試布攮,其中,鵬?<^啟^^|^由81.10]>[0,32和33構成。17、權利要求9的試布傖,其中,^^5^i^括由Seq.IDNaS2和53艦的組的成員。18、權利要求9fi^i搶,其中,臓PCR啟動i5^fy^由Seq.IDNo.52和53構成。19、權利要求9^^布傖,其中,^^W"泡括由Seq,IDN仏54和55^^的組的成員。20、權利要求9fi^;布傖,其中,鵬PCR啟^^JS^:由Seq.IDNa54和S5構成。21、權利要求9的攮,其中,M^Wy^^自由GSTP1、APC、RASSF1A、1MXM和CDH1艦的組的基因的itS甲皿。22、權利要求9的傖,臓砌鵬包括用于rwj^m^駄基因的^的^RI。23、^U要求1的,,i^括確定甲^fc率并判^f^甲^t率^S過臨跳24、權鞭求1的旅,用于治療監測。25、一種用于判定患者是否應當經受前列腺s^m檢查皿e^,皿a)測定患者樣品中的PSA水平,和b)確定PSA水平為大于2n^ml且小于或等于4n^ral的那些患者的生,品中的Mariar的甲^4fc^;其中,甲W:i[^m值的患者m^于離織檢翻賦。26、^tSl利要求25的,,^^方^^§啶參考Markerfi^。27、根據權利要求26的方法'其中,所述參考Marker選自由P-鵬蛋白和PTGS2鵬的組。28、權利要求25肺法,其中,鵬Mariters的組合。29、;K^i要求286t1^,其中,臓Markers的組^&含用于GSTP1的Marker和用于APC、RASSF1A、15-LCM或CDH1的Marker。30、權利要求25的方法,其中,由糊定甲Stt^態,品艦、鵬沖糊、血液、血鰣分^K循環細胞。31、權禾傻求30的施,其中,^^樣品ML清^U^32、一鵬劑盒,鵬試布鵬雅行分析以判定歸頓應當經受前列腺mm檢査澳賦,該試布傖包括核歉增^i!K^1,鵬導縱試布縱m^PSA水平為2ng/ml4ng/ml的患者中的應用的說明書。全文摘要本發明涉及前列腺癌鑒定。本發明一方面提供了一種預測前列腺癌的復發或侵襲性的方法,所述方法包括a)測定前列腺樣品的Gleason分值,和b)確定具有的Gleason分值為7或更大的那些患者的生物樣品中的Marker的甲基化狀態;其中,超過預定值的甲基化表示侵襲型癌癥或復發型癌癥,而未超過該預定值的甲基化表示溫和型癌癥。本發明另一方面提供了一種試劑盒,所述試劑盒用于進行分析以預測前列腺癌的病程或侵襲性,該試劑盒包括核酸擴增和檢測試劑,和指導所述試劑在所引證的Gleason分值為7或更大的患者中的應用的說明書。文檔編號C12Q1/68GK101220392SQ20071030617公開日2008年7月16日申請日期2007年10月31日優先權日2006年10月31日發明者A·馬祖姆達,D·喬達里,H·王,J·梅羅特拉,S·瓦德,T·維納申請人:維里德克斯有限責任公司