Identification of cut off value and lower limit of detection for K-ras mutation by PNA-PCR clamping method
10.3760/cma.j.issn.1674-1935.2015.01.008
- VernacularTitle:肽核酸钳制-PCR检测K-ras突变法的阳性判断阈值及检测下限的研究
- Author:
Jiayin DING
;
Jun GAO
;
Quanjiang LI
;
Jing JIN
;
Hongyu WU
;
Xiaohua MAN
;
Zhaoshen LI
- Publication Type:Journal Article
- Keywords:
K-ras gene;
Mutation;
Peptide nucleic acids;
Polymerase chain reaction
- From:
Chinese Journal of Pancreatology
2015;15(1):29-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the lower limit of detection (LLOD) and cut off values of K-ras mutation detection by peptide nucleic acid (PNA) clamping-PCR.Methods The genomic DNA of pancreatic cancer cell lines (PANC1 and SW1990) with codonl2,13 mutation and the genomic DNA of placenta with K-ras wild type were mixed and diluted serially into samples with different mutation rate (0,0.1%,0.2%,0.4%,0.8%,1.6%,3.1%,6.25%,12.5%,25%,50%),PANC1 cells with 1% mutation rate and SW1990 cells with 30% mutation rate and 4 samples with the quantity of DNA was 50,20,5,1 ng and 50,10,5,1 ng was prepared.Codon 12,13 mutation of K-ras was determined by PNA-PCR,and the mutation Ct values,overall Ct values were collected,and the △Ct values (mutation Ct values-overall Ct values) were calculated,and the tests were repeated for 10 times.ROC curve was used to analyze the △Ct values and determine the best cut off values for K-ras mutation,and the positive diagnostic rate,LLOD was evaluated.Results The mutation Ct,△Ct values of codon 12 mutation of PANC1 and codon 13 mutation of SW1990 of all the different mutation rates were statistically significantly different (P < 0.05) when compared with negative control group,but the overall Ct values were not statistically significantly different from that of negative control group.For detection of K-ras codon 12 mutation by ROC curve,the relevant area of ROC curve (AUC) was 0.926,the optimum cut off value of △CT was 11,the sensitivity and specificity were 84% and 100%,respectively,and the LLOD was 0.4 ng.For detection of K-ras codon 13 mutation by ROC curve,the relevant AUC was 0.906,the optimum cut off value of △CT was 9.5,the sensitivity and specificity were 71% and 100%,respectively,and the LLOD was 1.5 ng.The mutation detection results of fixed rate further confirmed the LLOD.Conclusions This study successfully defines LLOD and cut off value of PNA clamping-PCR/K-ras method in detection of K-ras 12 and 13 codon mutations.This method meets the requirement of clinical application.