KR102692742B1 - miRNA biomarker for diagnosis of pseudoexfoliation glaucoma and uses thereof - Google Patents
miRNA biomarker for diagnosis of pseudoexfoliation glaucoma and uses thereof Download PDFInfo
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Abstract
본 발명은 거짓비늘 녹내장 진단용 miRNA 바이오마커 및 이의 용도에 관한 것으로, 정상군에 대비하여 거짓비늘 녹내장 군에서, 본 발명의 12종 miRNA 발현량이 2배 이상 상향 또는 하향 조절되므로, 이를 거짓비늘 녹내장 진단에서 효과적으로 활용할 수 있다.The present invention relates to a miRNA biomarker for diagnosing pseudoscale glaucoma and its use. In the pseudoscale glaucoma group compared to the normal group, the expression level of 12 types of miRNAs of the present invention is up-regulated or downregulated by more than 2-fold, so it can be used to diagnose pseudoscale glaucoma. It can be used effectively.
Description
본 발명은 거짓비늘 녹내장 진단용 miRNA 바이오마커 및 이의 용도에 관한 것이다.The present invention relates to a miRNA biomarker for diagnosing pseudoscale glaucoma and its use.
녹내장은 전세계적으로 3대 실명 질환 중 하나이며, 비가역적인 시신경 손상을 유발한다. 거짓비늘 증후군은 녹내장과 밀접한 관련이 있으며, 연령 관련 질환으로 세포외기질에 병변이 있다. 작고 하얀 특징적인 fibrillar material이 다양한 안구내 조직뿐 아니라 안구외 조직에도 침착되며, 진행할 수 있다. 거짓비늘 증후군은 이차성 녹내장 중에서 가장 흔한 관찰 가능한 원인이며, 녹내장이 발생할 경우 거짓비늘녹내장이라고 한다. 거짓비늘녹내장은 안압이 높은 편이며, 약물에 대한 반응이 원발개방각녹내장 보다 적으며, 진행이 더 빠르고, 치료하기도 더 어렵다. 거짓비늘 증후군의 병인과 발생 기전에 대해서는 아직까지 잘 알려져 있지 않다. 개인에 따른 유전적 요인의 차이가 녹내장과 거짓비늘 증후군에 관한 표현형의 다양성과 전세계적인 거짓비늘 증후군의 유병률 차이에 어느 정도 영향을 주는 것으로 설명할 수 있다.Glaucoma is one of the top three blindness diseases worldwide and causes irreversible optic nerve damage. False scale syndrome is closely related to glaucoma, and is an age-related disease with lesions in the extracellular matrix. Small, white, characteristic fibrillar material is deposited in various intraocular as well as extraocular tissues and can progress. Pseudoscale syndrome is the most common observable cause of secondary glaucoma, and when glaucoma occurs, it is called pseudoscale glaucoma. Pseudoscaly glaucoma has higher intraocular pressure, is less responsive to drugs than primary open-angle glaucoma, progresses faster, and is more difficult to treat. The etiology and development mechanism of false scale syndrome are still not well known. It can be explained that individual differences in genetic factors have some influence on the phenotypic diversity of glaucoma and pseudoscale syndrome and the differences in the prevalence of pseudoscale syndrome worldwide.
Lysyl oxidase-like 1(LOXL1) 유전자는 거짓비늘 증후군과의 관련성에 대해서 여러 인종에서 연구가 많이 되어 왔으며, 여러 single nucleotide poly-morphisms (SNPs)에 대해서도 다양한 인종 군에서 연구가 되어 왔다. 하지만, 질환과 관련된 LOXL1 allele의 대조군에서 질환 관련 변이의 빈도가 너무 높으며, 모든 인종에서 공통적인 질환 관련 변이가 뚜렷하지 않다.The Lysyl oxidase-like 1 (LOXL1) gene has been studied extensively in various ethnic groups for its association with false scale syndrome, and several single nucleotide poly-morphisms (SNPs) have also been studied in various ethnic groups. However, the frequency of disease-related mutations in the control group of the disease-related LOXL1 allele is too high, and common disease-related mutations in all races are not evident.
또한, LOXL1 질환 관련 SNP의 빈도가 거짓비늘징후군의 유병률과 일치하지 않는다. 따라서 LOXL1 유전자만으로는 거짓비늘 증후군의 발생 및 병인 기전을 설명하기에는 부족한 점이 많다. Additionally, the frequency of LOXL1 disease-related SNPs does not correspond to the prevalence of pseudoscaly syndrome. Therefore, the LOXL1 gene alone is insufficient to explain the occurrence and pathogenesis of false scale syndrome.
MicroRNA는 21~23개 뉴클레오티드 정도의 작은 비발현 RNA 분자로, 유전자 발현을 조절하는 것으로 알려져 있다. 대부분의 mRNA의 하향조절은 목표 mRNA의 파괴에 의하며, 일부는 단백질로의 번역(translation)의 단계에서 하향조절이 일어난다. 세포 분화, 증식, 세포사멸, 개별 분화, 신진대사 등과 같은 다양한 생물학적 작용에 관여하며, 종양이나 비만과 같은 여러 질환의 병리학적 과정에서 연구되었고 여러 질환의 진단에 비침습적 바이오마커로 이용할 수 있다고 한다. 하나의 microRNA는 수백 가지의 다른 표적 mRNA를 조절하고, 하나의 표적은 다수의 microRNA에 의해 조절 된다. 사람의 단백질 코딩 유전자의 약 60%가 miRNA에 의해 조절된다.MicroRNA is a small non-expressing RNA molecule of about 21 to 23 nucleotides and is known to regulate gene expression. Most downregulation of mRNA is caused by destruction of the target mRNA, and some downregulation occurs during translation into protein. It is involved in various biological functions such as cell differentiation, proliferation, apoptosis, individual differentiation, and metabolism, and has been studied in the pathological process of various diseases such as tumors and obesity, and can be used as a non-invasive biomarker for the diagnosis of various diseases. . A single microRNA regulates hundreds of different target mRNAs, and a single target is regulated by multiple microRNAs. Approximately 60% of human protein-coding genes are regulated by miRNAs.
방수는 섬모체 및 섬유주와 구조적으로 가까이 있기도 하며, 특히 방수내 extracellular miRNAs(예를들면, hsa-let-7b-3p)의 변화를 모니터링 함으로서 새로운 귀중한 biomarker를 발견할 수 있는 가능성이 있다고 한다.The aqueous humor is structurally close to the ciliary body and the trabecular meshwork, and there is a possibility of discovering new valuable biomarkers by monitoring changes in extracellular miRNAs (e.g., hsa-let-7b-3p) in the aqueous humor.
이전 연구에서 사람의 방수에서도 microRNA가 검출 되었으며, 최근에는 방수에서 정상인과 원발개방각녹내장 환자에서 microRNA를 검출하여, 그 차이점을 보고 하였다. 또한, 거짓비늘녹내장 환자에서도 방수에서 microRNA를 검출하여, 그 결과를 개방각녹내장 환자와 정상인의 방수 microRNA와 비교한 최근 연구도 있다. 하지만 이 연구는 단일 인종에서 이루어진 것이 아니며, 백인과 흑인의 혼합된 군에서 시행되었다. 다른 연구에 의하면, 정상인의 안조직인 섬모체, 각막, 그리고 섬유주에서도 microRNA가 검출 되었다. microRNA는 mRNA와 대조적으로 생체액 (biofluid)에서 현저한 안정성(stability)을 가진다. 방수에는 유전자 뿐 아니라 다양한 생체 조절 인자 및 biomarker를 포함하고 있으며, TNF-a, IL-6, IL-10 등의 cytokine 및 VEGF 같은 growth factor도 방수에서 검출이 되며, 여러 연구가 시행된 바 있다.In a previous study, microRNA was also detected in human aqueous humor, and recently, microRNA was detected in the aqueous humor of normal people and patients with primary open-angle glaucoma, and the differences were reported. In addition, there is a recent study that detected microRNA in the aqueous humor of patients with pseudoscaly glaucoma and compared the results with the microRNA of the aqueous humor of patients with open-angle glaucoma and normal people. However, this study was not conducted on a single race, but rather on a mixed group of whites and blacks. According to another study, microRNA was detected in the eye tissues of normal people, such as the ciliary body, cornea, and trabecular meshwork. In contrast to mRNA, microRNA has remarkable stability in biofluids. Aqueous humor contains not only genes but also various bioregulatory factors and biomarkers, and cytokines such as TNF-a, IL-6, and IL-10 and growth factors such as VEGF are also detected in the aqueous humor, and several studies have been conducted.
또한 방수는 전안부 질환 뿐 아니라 안구 후면부인 유리체, 망막질환 및 녹내장, 시신경 질환에서도 널리 이용하는 검체이다. 최근 연구에 따르면 녹내장의 pathogenesis 중에 miRNA가 다르게 조절된다고 한다. 예를 들면, miR-93-5p는 PTEN을 표적으로 하며, 망막신경절세포의 NMDA-induced autophagy를 조절한다고 한다.In addition, aqueous humor is a widely used specimen not only for diseases of the anterior segment of the eye, but also for diseases of the posterior part of the eye, such as the vitreous body, retinal diseases, glaucoma, and optic nerve diseases. Recent studies have shown that miRNAs are differentially regulated during the pathogenesis of glaucoma. For example, miR-93-5p targets PTEN and is said to regulate NMDA-induced autophagy in retinal ganglion cells.
한국등록특허 제1585794호에 miRNA를 이용한 안과 질환의 예방 또는 치료에 대한 기술이 개시되어 있고, 비늘녹내장(exfoliation glaucoma) 또는 원발성 개방각 녹내장(primary open-angle glaucoma) 환자의 방수에서 발현되는 microRNA에 대하여 Human Molecular Genetics(2018, Vol. 27, No. 7 p1263-1275)에 개시되어 있으나, 아직까지 본 발명의 거짓비늘 녹내장 진단용 miRNA 바이오마커 및 이의 용도에 대해 개시된 바 없다.Korean Patent No. 1585794 discloses a technology for the prevention or treatment of eye diseases using miRNA, and it is disclosed in microRNA expressed in the aqueous humor of patients with exfoliation glaucoma or primary open-angle glaucoma. Although this is disclosed in Human Molecular Genetics (2018, Vol. 27, No. 7 p1263-1275), the present invention's miRNA biomarker for diagnosing pseudoscale glaucoma and its use have not yet been disclosed.
본 발명은 상기와 같은 요구에 의해 도출된 것으로서, 본 발명은 거짓비늘 녹내장 진단용 miRNA 바이오마커 및 이의 용도를 제공하고, 정상군에 대비하여 거짓비늘 녹내장군에서, 본 발명의 miRNA 발현량이 2배 이상 상향 또는 하향 조절된 것을 확인함으로써, 본 발명을 완성하였다.The present invention was developed in response to the above-mentioned needs, and the present invention provides a miRNA biomarker for diagnosing pseudoscale glaucoma and its use, and the expression level of the miRNA of the present invention is more than twice that in the pseudoscale glaucoma group compared to the normal group. By confirming whether it was up- or down-regulated, the present invention was completed.
상기 목적을 달성하기 위하여, 본 발명은 hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR-6728-5p, hsa-miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p 및 hsa-miR-548e-3p 중에서 선택된 하나 이상의 microRNA를 유효성분으로 포함하는 거짓비늘 녹내장 진단용 바이오마커 조성물을 제공한다.In order to achieve the above object, the present invention provides hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR- 6728-5p, hsa-miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p and hsa-miR-548e- Provided is a biomarker composition for diagnosing pseudoscale glaucoma containing one or more microRNAs selected from 3p as an active ingredient.
또한, 본 발명은 hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR-6728-5p, hsa-miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p 및 hsa-miR-548e-3p 중에서 선택된 하나 이상의 microRNA를 검출할 수 있는 제제를 포함하는 거짓비늘 녹내장 진단용 조성물을 제공한다.In addition, the present invention relates to hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR-6728-5p, hsa -one or more selected from -miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p and hsa-miR-548e-3p A composition for diagnosing pseudoscale glaucoma comprising an agent capable of detecting microRNA is provided.
또한, 본 발명은 상기 조성물을 포함하는 거짓비늘 녹내장 진단용 키트를 제공한다.Additionally, the present invention provides a kit for diagnosing pseudoscale glaucoma comprising the composition.
또한, 본 발명은 전혈 또는 혈청에서, hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR-6728-5p, hsa-miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p 및 hsa-miR-548e-3p 중에서 선택된 하나 이상의 microRNA의 발현수준을 측정하는 단계; 및In addition, the present invention provides hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR- 6728-5p, hsa-miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p and hsa-miR-548e- Measuring the expression level of one or more microRNAs selected from 3p; and
상기 miRNA 발현 수준을 정상 대조군 시료의 해당 miRNA 발현 수준과 비교하는 단계;를 포함하는 거짓비늘 녹내장의 진단을 위한 정보를 제공하는 방법을 제공한다.It provides a method of providing information for the diagnosis of pseudoscale glaucoma, including the step of comparing the expression level of the miRNA with the expression level of the corresponding miRNA in a normal control sample.
본 발명은 거짓비늘 녹내장 진단용 miRNA 바이오마커 및 이의 용도에 관한 것으로, 정상군에 대비하여 거짓비늘 녹내장군에서, 본 발명의 12종 miRNA 발현량이 2배 이상 상향 또는 하향 조절되므로, 이를 거짓비늘 녹내장 진단에서 효과적으로 활용할 수 있다.The present invention relates to a miRNA biomarker for diagnosing pseudoscale glaucoma and its use. In the pseudoscale glaucoma group compared to the normal group, the expression level of 12 types of miRNA of the present invention is up- or down-regulated by more than 2 times, so it can be used to diagnose pseudoscale glaucoma. It can be used effectively.
도 1은 방수에 존재하는 miRNA 중에서 거짓비늘 녹내장 환자군에서 발현량 변화가 큰 12종의 miRNA를 선별하기 위한 miRNA 발현량을 스크리닝한 결과이다.Figure 1 shows the results of screening miRNA expression levels to select 12 types of miRNAs with large expression level changes in the pseudoscale glaucoma patient group among the miRNAs present in the aqueous humor.
본 발명은 hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR-6728-5p, hsa-miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p 및 hsa-miR-548e-3p 중에서 선택된 하나 이상의 microRNA를 유효성분으로 포함하는 거짓비늘 녹내장 진단용 바이오마커 조성물에 관한 것이다.The present invention relates to a biomarker composition for diagnosing pseudoexfoliative glaucoma, comprising as an active ingredient at least one microRNA selected from hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR-6728-5p, hsa-miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p and hsa-miR-548e-3p.
상기 hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR-6728-5p, hsa-miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p 및 hsa-miR-548e-3p는 각각 서열번호 1 내지 12의 염기서열로 이루어진 것이 바람직하지만 이에 한정하는 것은 아니다. The hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR-6728-5p, hsa-miR-6777 -5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p and hsa-miR-548e-3p are each of SEQ ID NOs: 1 to 12 It is preferable that it consists of a base sequence, but it is not limited to this.
본 발명에서, 마이크로 RNA(miRNA)는 표적 RNA의 분해(degradation)를 촉진시키거나 또는 그들의 번역을 억제시킴으로써 유전자 발현을 전사 후에 조절하는 21~23개의 비코딩 RNA를 말한다. 특정 염기서열로 나타내는 miRNA뿐만 아니라 상기 miRNA의 전구체(pre-miRNA, pri-miRNA), 이들과 생물학적 기능이 동등한 miRNA, 예를 들면 동족체(즉, 호몰로그 또는 오솔로그), 유전자다형 등의 변이체, 및 유도체도 포함한다. In the present invention, micro RNA (miRNA) refers to 21 to 23 non-coding RNAs that post-transcriptionally regulate gene expression by promoting degradation of target RNA or inhibiting their translation. Not only miRNAs represented by specific base sequences, but also precursors (pre-miRNAs, pri-miRNAs) of the above-mentioned miRNAs, miRNAs with equivalent biological functions, such as homologs (i.e. homologs or orthologs), variants such as genetic polymorphisms, and derivatives.
본 발명의 '진단'은 특정 질병 또는 질환에 대한 한 객체 즉 검사 대상자의 감수성(susceptibility)을 판정하는 것, 한 객체가 특정 질병 또는 질환을 현재 가지고 있는지 여부를 판정하는 것, 특정 질병 또는 질환에 걸린 한 객체의 예후(prognosis)를 판정하는 것 또는 테라메트릭스(therametrics)(예컨대, 치료 효능에 대한 정보를 제공하기 위하여 객체의 상태를 모니터링하는 것)을 포함하는 개념이다.'Diagnosis' in the present invention refers to determining the susceptibility of an object, that is, a test subject, to a specific disease or condition, determining whether an object currently has a specific disease or condition, and determining whether an object currently has a specific disease or condition. A concept that includes determining the prognosis of an affected subject or therametrics (e.g., monitoring the condition of the subject to provide information about treatment efficacy).
또한, 본 발명은 hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR-6728-5p, hsa-miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p 및 hsa-miR-548e-3p 중에서 선택된 하나 이상의 microRNA를 검출할 수 있는 제제를 포함하는 거짓비늘 녹내장 진단용 조성물에 관한 것이다.In addition, the present invention relates to hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR-6728-5p, hsa -one or more selected from -miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p and hsa-miR-548e-3p It relates to a composition for diagnosing pseudoscale glaucoma comprising an agent capable of detecting microRNA.
상기 hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR-6728-5p, hsa-miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p 및 hsa-miR-548e-3p는 각각 서열번호 1 내지 12의 염기서열로 이루어진 것이 바람직하지만 이에 한정하는 것은 아니다. The hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR-6728-5p, hsa-miR-6777 -5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p and hsa-miR-548e-3p are each of SEQ ID NOs: 1 to 12 It is preferable that it consists of a base sequence, but it is not limited to this.
상기 제제는 상기 microRNA에 상보적으로 결합하여 인식할 수 있거나, 상기 microRNA를 증폭시킬수 있는 제제로서, 구체적인 일례로는 miRNA를 특이적으로 검출할 수 있는 안티센스 올리고뉴클레오티드, 프라이머, 또는 프로브인 것이 바람직하지만 이에 한정하는 것은 아니다.The agent is an agent that can recognize the microRNA by binding complementary to it or amplify the microRNA, and specific examples include antisense oligonucleotides, primers, or probes that can specifically detect the miRNA. It is not limited to this.
상기 제제는 상기 microRNA의 발현 수준 측정을 위해 직접 또는 간접적으로 표지될 수 있다. 구체적으로, 상기 표지에는 리간드, 비드(bead), 방사성 핵종, 효소, 기질, 보조인자, 억제제, 형광물질, 화학발광물질, 자성입자, 합텐 및 염료 등이 이용될 수 있으나, 이에 제한되지 않는다. 이에 제한되지 않는다. 구체적인 예로, 상기 리간드에는 바이오틴, 아비딘 및 스트렙토아비딘 등이 포함되고, 상기 효소에는 루시퍼라아제, 퍼옥시다아제 및 베타 갈락토시다아제 등이 포함되며, 상기 형광물질에는 플루오레세인, 쿠마린, 로다민, 피코에리트린 및 설포로다민산 클로라이드(텍사스 레드: Texas red) 등이 포함되나, 이에 제한되지 않는다. 이러한 검출 가능한 표지물로 공지의 표지물 대부분이 사용될 수 있고, 당업자라면 발명의 목적에 맞게 적절한 표지물을 선택할 수 있을 것이다. The preparation may be directly or indirectly labeled to measure the expression level of the microRNA. Specifically, the label may include, but is not limited to, ligands, beads, radionuclides, enzymes, substrates, cofactors, inhibitors, fluorescent substances, chemiluminescent substances, magnetic particles, haptens, and dyes. It is not limited to this. As specific examples, the ligands include biotin, avidin, and streptoavidin, the enzymes include luciferase, peroxidase, and beta galactosidase, and the fluorescent substances include fluorescein, coumarin, rhodamine, Includes, but is not limited to, phycoerythrin and sulforodamic acid chloride (Texas red). Most of the known labels can be used as these detectable labels, and a person skilled in the art will be able to select an appropriate label to suit the purpose of the invention.
본 발명에서 사용되는 용어 "마커 또는 진단 마커(diagnosis marker)"란 거짓비늘 녹내장을 가진 개체를 정상 세포 또는 정상 개체와 구분하여 진단할 수 있는 물질로, 정상 세포에 비하여 거짓비늘 녹내장이 진행 또는 발병된 세포 또는 개체에서 증가 또는 감소를 보이는 폴리펩티드, 단백질 또는 핵산(예: mRNA 등), 지질, 당지질, 당단백질 또는 당(단당류, 이당류, 올리고당류 등) 등과 같은 유기 생체 분자들을 포함한다. 본 발명의 목적상, 본 발명의 거짓비늘 녹내장 진단 마커는 정상 세포 또는 조직의 세포에 비하여, 거짓비늘 녹내장군의 세포에서 특이적으로 발현 수준의 차이를 보이는 miRNA 또는 해당 miRNA의 단편이다.The term "marker or diagnosis marker" as used in the present invention refers to a substance that can diagnose an individual with pseudoscale glaucoma by distinguishing it from normal cells or a normal individual, and pseudoscale glaucoma progresses or develops compared to normal cells. It includes organic biomolecules such as polypeptides, proteins, or nucleic acids (e.g., mRNA, etc.), lipids, glycolipids, glycoproteins, or sugars (monosaccharides, disaccharides, oligosaccharides, etc.) that show an increase or decrease in cells or organisms. For the purpose of the present invention, the diagnostic marker for pseudoscale glaucoma of the present invention is a miRNA or a fragment of the corresponding miRNA that specifically shows a difference in expression level in cells of the pseudoscale glaucoma group compared to normal cells or tissue cells.
본 발명의 용어, "프라이머"는 짧은 자유 3' 말단 수산화기(free 3' hydroxyl group)를 가지는 염기서열로서, 상보적인 템플레이트(template)와 염기쌍(base pair)을 형성할 수 있고 주형 가닥 복사를 위한 시작 지점으로 기능을 하는 짧은 서열을 의미한다. 본 발명에서, 상기 유전자의 mRNA 증폭에 사용되는 프라이머는, 적절한 버퍼 중의 적절한 조건(예를 들면, 4개의 다른 뉴클레오티드 트리포스페이트 및 DNA, RNA 폴리머라제 또는 역전사 효소와 같은 중합제) 및 적당한 온도 조건에서 주형-지시 DNA 합성의 시작점으로서 작용할 수 있는 단일가닥 올리고뉴클레오티드가 될 수 있는데, 상기 프라이머의 적절한 길이는 사용 목적에 따라 달라질 수 있다. 상기 프라이머 서열은 상기 miRNA의 폴리뉴클레오티드 또는 이의 상보적인 폴리뉴클레오티드와 완전하게 상보적일 필요는 없으며, 혼성화할 정도로 충분히 상보적이면 사용가능하다.As the term of the present invention, "primer" is a base sequence with a short free 3' terminal hydroxyl group, it can form a base pair with a complementary template and is used for copying the template strand. A short sequence that serves as a starting point. In the present invention, the primers used for amplifying the mRNA of the gene are used in an appropriate buffer under appropriate conditions (e.g., four different nucleotide triphosphates and a polymerization agent such as DNA, RNA polymerase or reverse transcriptase) and appropriate temperature conditions. It can be a single-stranded oligonucleotide that can act as a starting point for template-directed DNA synthesis, and the appropriate length of the primer may vary depending on the purpose of use. The primer sequence does not need to be completely complementary to the polynucleotide of the miRNA or its complementary polynucleotide, but can be used as long as it is sufficiently complementary to hybridize.
본 발명에서 사용되는 용어 "프로브"란, 유전자 또는 mRNA와 특이적 결합을 이룰 수 있는 짧게는 수 염기 내지 길게는 수백 염기에 해당하는 RNA 또는 DNA 등의 핵산 단편을 의미하는데, 올리고뉴클레오티드(oligonucleotide) 프로브, 단일가닥 DNA(single stranded DNA) 프로브, 이중가닥 DNA(double stranded DNA) 프로브, RNA 프로브 등의 형태로 제작될 수 있고, 보다 용이하게 검출하기 위하여 라벨링될 수 있다. 본 발명의 프라이머 또는 프로브는 포스포르아미다이트 고체 지지체 방법, 또는 기타 널리 공지된 방법을 사용하여 화학적으로 합성할 수 있다. 이러한 핵산서열은 당해 분야에 공지된 많은 수단을 이용하여 변형시킬 수 있다. 이러한 변형의 비-제한적인 예로는 메틸화, 캡화, 천연 뉴클레오타이드 하나 이상의 동족체로의 치환 및 뉴클레오타이드 간의 변형, 예를 들면, 하전되지 않은 연결체 (예: 메틸 포스포네이트, 포스소트리에스테르, 포스포로아미데이트, 카바메이트 등) 또는 하전된 연결체(예: 포스포로티오에이트, 포스포로디티오에이트 등)로의 변형이 있다.The term "probe" as used in the present invention refers to a nucleic acid fragment such as RNA or DNA that is as short as a few bases or as long as several hundreds of bases and can form a specific binding to a gene or mRNA, and is called an oligonucleotide. It can be manufactured in the form of a probe, single stranded DNA probe, double stranded DNA probe, RNA probe, etc., and can be labeled for easier detection. Primers or probes of the present invention can be chemically synthesized using the phosphoramidite solid support method or other well-known methods. These nucleic acid sequences can be modified using many means known in the art. Non-limiting examples of such modifications include methylation, capping, substitution of a native nucleotide with one or more homologues, and modifications between nucleotides, such as uncharged linkages (e.g., methyl phosphonate, phosphotriester, phosphoronucleotide). amidates, carbamates, etc.) or charged linkages (e.g. phosphorothioate, phosphorodithioate, etc.).
본 발명에서 이용되는 염기서열은 생물학적으로 균등 활성을 갖는 변이를 고려한다면, 서열목록에 기재된 서열과 실질적인 동일성(substantial identity)을 나타내는 서열도 포함하는 것으로 해석된다. 상기 용어, '실질적인 동일성'은 본 발명의 서열과 임의의 다른 서열을 최대한 대응되도록 얼라인(align)하고, 당업계에서 통상적으로 이용되는 알고리즘을 이용하여 얼라인된 서열을 분석한 경우에, 최소 60%의 상동성, 더욱 구체적으로 70%의 상동성, 더더욱 구체적으로 80%의 상동성, 가장 구체적으로 90%의 상동성을 나타내는 서열을 의미한다. 따라서, 상기 서열번호 1 내지 12로 표시되는 염기서열과 높은 상동성을 갖는 염기서열, 예를 들면 그 상동성이 70% 이상, 구체적으로 80% 이상, 더욱 구체적으로 90% 이상의 높은 상동성을 갖는 염기서열도 본 발명의 범위에 포함되는 것으로 해석되어야 한다.Considering mutations with biologically equivalent activity, the base sequence used in the present invention is interpreted to include sequences showing substantial identity with the sequences listed in the sequence list. The term 'substantial identity' means that when the sequence of the present invention and any other sequence are aligned to the maximum extent possible and the aligned sequence is analyzed using an algorithm commonly used in the art, the minimum It refers to a sequence that exhibits 60% homology, more specifically 70% homology, even more specifically 80% homology, and most specifically 90% homology. Therefore, a base sequence having high homology to the base sequences represented by SEQ ID NOs: 1 to 12, for example, having a homology of 70% or more, specifically 80% or more, and more specifically 90% or more. Base sequences should also be interpreted as being included within the scope of the present invention.
또한, 본 발명은 본 발명의 조성물을 포함하는 거짓비늘 녹내장 진단용 키트에 관한 것이다. Additionally, the present invention relates to a kit for diagnosing pseudoscale glaucoma containing the composition of the present invention.
본 발명의 키트는 상기 거짓비늘 녹내장 진단용 조성물을 이용하여 상기 hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR-6728-5p, hsa-miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p 및 hsa-miR-548e-3p 중에서 선택된 하나 이상의 microRNA의 발현수준을 측정함으로써 거짓비늘 녹내장을 진단할 수 있다. 구체적으로, 상기 키트는 RT-PCR 키트일 수 있으나, 이에 제한되는 것은 아니다. 구체적인 예로, 상기 키트는 RT-PCR을 수행하기 위해 필요한 필수 요소를 포함하는 키트일 수 있다. 예를 들어, RT-PCR 키트는, 상기 hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR-6728-5p, hsa-miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p 및 hsa-miR-548e-3p 중에서 선택된 하나 이상의 microRNA에 대한 특이적인 각각의 프라이머 외에도 테스트 튜브 또는 다른 적절한 컨테이너, 반응 완충액(pH 및 마그네슘 농도는 다양), 디옥시뉴클레오티드(dNTPs), 디디옥시뉴클레오티드(ddNTPs), Taq-폴리머라아제 및 역전사효소와 같은 효소, DNase, RNAse 억제제, DEPC-수(DEPC-water), 멸균수 등을 포함할 수 있으며, 정량 대조군으로 사용되는 DNA, RNA 또는 miRNA에 특이적인 프라이머 쌍을 포함할 수 있다.The kit of the present invention uses the composition for diagnosing pseudoscale glaucoma as hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, and hsa-miR-6717-5p. , hsa-miR-6728-5p, hsa-miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p and hsa Pseudoscale glaucoma can be diagnosed by measuring the expression level of one or more microRNAs selected from -miR-548e-3p. Specifically, the kit may be an RT-PCR kit, but is not limited thereto. As a specific example, the kit may be a kit containing essential elements required to perform RT-PCR. For example, the RT-PCR kit includes the hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR -6728-5p, hsa-miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p and hsa-miR-548e In addition to each primer specific for one or more microRNAs selected from -3p, a test tube or other suitable container, reaction buffer (pH and magnesium concentration are varied), deoxynucleotides (dNTPs), dideoxynucleotides (ddNTPs), Taq-polymer. It may contain enzymes such as enzymes such as enzymes and reverse transcriptases, DNase, RNAse inhibitors, DEPC-water, sterilized water, etc., and may contain primer pairs specific for DNA, RNA or miRNA used as quantitative controls. You can.
또한, 본 발명은 전혈 또는 혈청에서, hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR-6728-5p, hsa-miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p 및 hsa-miR-548e-3p 중에서 선택된 하나 이상의 microRNA의 발현수준을 측정하는 단계; 및In addition, the present invention provides hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR- 6728-5p, hsa-miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p and hsa-miR-548e- Measuring the expression level of one or more microRNAs selected from 3p; and
상기 miRNA 발현 수준을 정상 대조군 시료의 해당 miRNA 발현 수준과 비교하는 단계;를 포함하는 거짓비늘 녹내장의 진단을 위한 정보를 제공하는 방법에 관한 것이다.It relates to a method of providing information for the diagnosis of pseudoscale glaucoma, comprising comparing the expression level of the miRNA with the expression level of the corresponding miRNA in a normal control sample.
상기 발현수준은 차세대 염기서열 분석(Next generation sequencing; NGS), 중합효소연쇄반응(PCR), 역전사 중합효소연쇄반응(RT-PCR), 실시간 중합효소연쇄반응(Real-time PCR), RNase 보호 분석법(RNase protection assay; RPA), 마이크로어레이(microarray), 및 노던 블롯팅(northern blotting) 중에서 선택되는 1종 이상의 방법으로 측정되는 것이 바람직하지만 이에 한정하는 것은 아니다.The expression level was determined by next generation sequencing (NGS), polymerase chain reaction (PCR), reverse transcription polymerase chain reaction (RT-PCR), real-time polymerase chain reaction (Real-time PCR), and RNase protection assay. It is preferable to measure using one or more methods selected from (RNase protection assay; RPA), microarray, and northern blotting, but is not limited thereto.
이하, 실시예를 이용하여 본 발명을 더욱 상세하게 설명하고자 한다. 이들 실시예는 오로지 본 발명을 보다 구체적으로 설명하기 위한 것으로 본 발명의 범위가 이들에 의해 제한되지 않는다는 것은 당해 기술분야에서 통상의 지식을 가진 자에게 있어 자명한 것이다. Hereinafter, the present invention will be described in more detail using examples. These examples are only for illustrating the present invention in more detail, and it is obvious to those skilled in the art that the scope of the present invention is not limited thereto.
1. 환자 및 방수 시료의 채택1. Adoption of patient and aqueous humor samples
본 발명에서 사용한 방수 시료는 사전 동의를 얻은 후 백내장 수술을 시행한 환자 중에서 문제가 없었던 환자로부터 채취하였다. The aqueous humor sample used in the present invention was collected from patients who had undergone cataract surgery and had no problems after obtaining prior consent.
거짓비늘 녹내장(PEX) 환자 6명은 국소 약물만 사용하여 안정적으로 관리하였고, 본 발명에 참여하기로 동의한 7명의 연령대가 일치하는 대조군 피험자를 채택하였다. Six patients with pseudoextraglaucoma (PEX) were managed stably using only topical medications, and seven age-matched control subjects who agreed to participate in the present invention were adopted.
백내장 수술 전에 30 게이지 바늘을 사용하여 약 80~120㎕의 방수를 획득하였다. 방수를 획득하는 과정에서 모든 피험자들은 외상없이 수행하여 세포의 잔존물 또는 혈액에 대한 오염의 가능성을 배제시켰다. 수집한 모든 시료(방수)는 즉시 액체질소에 옮겨 급냉상태로 보관하였다.Before cataract surgery, approximately 80 to 120 μl of aqueous humor was obtained using a 30-gauge needle. The process of acquiring aqueous humor was performed in all subjects without trauma, thus ruling out the possibility of contamination with cell remnants or blood. All collected samples (aqueous humor) were immediately transferred to liquid nitrogen and stored in a rapidly frozen state.
임상 데이터는 전자의료 기록에서 확인한 것으로 완벽하게 익명화된 방식으로 수집하였다. 수집된 임상 데이터는 연력, 성별, 눈의 좌우방향성, 기준 IOP, 사용된 국소 안약 및 안구 동반질환을 포함하였다(표 1).Clinical data were retrieved from electronic medical records and collected in a completely anonymized manner. Clinical data collected included age, gender, eye orientation, baseline IOP, topical eye drops used, and ocular comorbidities (Table 1).
본 발명에서 실시한 임상실험은 헬싱키 선언의 원칙에 따라 수행되었으며, 경상대학교 창원병원 의과대학(GNUCH-2019-06-001-002) 기관심의위원회의 승인을 받았고, 본 발명에 등록된 모든 피실험자로부터 사전 동의서를 받았다. 모든 방법은 관련 지침과 규정에 따라 수행되었다.The clinical trial conducted in the present invention was conducted in accordance with the principles of the Declaration of Helsinki, was approved by the institutional review board of Gyeongsang National University Changwon Hospital College of Medicine (GNUCH-2019-06-001-002), and received prior approval from all subjects registered in the present invention. A consent form was received. All methods were performed in accordance with relevant guidelines and regulations.
mmHgBaseline IOP,
mmHg
IOP; 안압, NTG; 정상 안압 녹내장(Normal tension glaucoma), PEX; 거짓비늘 녹내장(Pseudoexfoliation), Phaco+PCL; 수정체유화술(acoemulsification) 및 후안렌즈삽입(posterior intraocularlens insertion), Trab; 섬유주절제술(trabeculectomy)IOP; Intraocular pressure, NTG; Normal tension glaucoma, PEX; Pseudoexfoliation, Phaco+PCL; phacoemulsification and posterior intraocular lens insertion, Trab; trabeculectomy
2. RNA 분리2. RNA isolation
총 RNA는 제조사의 지시에 따라 트라이졸(Trizol) LS 시약(인비트로젠, 미국)을 사용하여 추출하였다. RNA의 품질은 RNA 6000 Pico Chip(애질런트 테크놀로지스, 네덜란드)을 사용하여 Agilent 2100 생물 분석기로 평가하였고, RNA의 정량화는 NanoDrop 2000 분광광도계 시스템(써모 피셔과학, 미국)을 사용하여 실시하였다. Total RNA was extracted using Trizol LS reagent (Invitrogen, USA) according to the manufacturer's instructions. The quality of RNA was assessed with an Agilent 2100 bioanalyzer using an RNA 6000 Pico Chip (Agilent Technologies, Netherlands), and quantification of RNA was performed using a NanoDrop 2000 spectrophotometer system (Thermo Fisher Scientific, USA).
3. 라이브러리 준비 및 RNA 시퀀싱3. Library preparation and RNA sequencing
대조군 및 환자군의 RNA를 제조사의 지침에 따라 NEBNext 다중 소형 라이브러리 준비 키트(NEBNext Multiplex Small RNA Library Prep kit)(New England BioLabs, Inc., Ipswich, MA, USA)를 이용하여 라이브러리를 준비하였다. Libraries were prepared from RNA from the control and patient groups using the NEBNext Multiplex Small RNA Library Prep kit (New England BioLabs, Inc., Ipswich, MA, USA) according to the manufacturer's instructions.
각 시료의 총 RNA 180pg을 어댑터 1㎍에 라이게이션하기 위하여 사용하였고, 이후 어댑터별 특이적 프라이머 및 역전사 효소를 이용하여 cDNA를 합성하였다.라이브러리 증폭을 위해, 거짓비늘 녹내장 환자군 및 대조군에서 채취한 방수에서 microRNA를 NGS(Next Generation Sequencing)기법인 RNA sequencing을 사용하여 발현양상을 분석하였다.180 pg of total RNA from each sample was used to ligate 1 μg of adapters, and then cDNA was synthesized using adapter-specific primers and reverse transcriptase. For library amplification, aqueous humor collected from pseudoscale glaucoma patient group and control group. The expression pattern of microRNA was analyzed using RNA sequencing, a NGS (Next Generation Sequencing) technique.
그 결과, 도 1 및 표 2에 개시한 바와 같이, 방수에 존재하는 miRNA 중에서 대조군 대비 거짓비늘 녹내장 환자군에서의 발현량 변화가 큰 12종의 miRNA를 선별하였고, 선별된 12종의 miRNA 발현 수준이 하기 표 2에 개시한 바와 같이 대조군 대비 거짓비늘 녹내장 환자군에서 발현량이 2배 이상 증가 또는 감소하였다는 것을 최종 확인하였다.As a result, as shown in Figure 1 and Table 2, among the miRNAs present in the aqueous humor, 12 types of miRNAs with a large change in expression level in the pseudoscale glaucoma patient group compared to the control group were selected, and the expression levels of the 12 selected types of miRNAs were As shown in Table 2 below, it was finally confirmed that the expression level increased or decreased by more than twofold in the pseudoscale glaucoma patient group compared to the control group.
번호order
number
변화manifestation
change
<110> INDUSTRY-ACADEMIC COOPERATION FOUNDATION GYEONGSANG NATIONAL UNIVERSITY <120> miRNA biomarker for diagnosis of pseudoexfoliation glaucoma and uses thereof <130> PN21322 <160> 12 <170> KoPatentIn 3.0 <210> 1 <211> 22 <212> RNA <213> Homo sapiens <400> 1 uguaaacauc cccgacugga ag 22 <210> 2 <211> 72 <212> RNA <213> Homo sapiens <400> 2 cuccccuccg ccuucucuuc ccgguucuuc ccggagucgg gaaaagcugg guugagaggg 60 cgaaaaagga ug 72 <210> 3 <211> 22 <212> RNA <213> Homo sapiens <400> 3 aaagaucugg aagugggaga ca 22 <210> 4 <211> 75 <212> RNA <213> Homo sapiens <400> 4 gagcgcacag agguaggugu ggaagaaagu gaaacacuau uuuagguuuu aguuacacuc 60 ugcuguggug ugcug 75 <210> 5 <211> 22 <212> RNA <213> Homo sapiens <400> 5 aggcgaugug gggauguaga ga 22 <210> 6 <211> 25 <212> RNA <213> Homo sapiens <400> 6 uugggauggu aggaccagag gggsa 25 <210> 7 <211> 23 <212> RNA <213> Homo sapiens <400> 7 acggggaguc aggcaguggu gga 23 <210> 8 <211> 21 <212> RNA <213> Homo sapiens <400> 8 gugagggacu gggauuugug g 21 <210> 9 <211> 24 <212> RNA <213> Homo sapiens <400> 9 uugaagggac aagucagaua ugcc 24 <210> 10 <211> 22 <212> RNA <213> Homo sapiens <400> 10 cagggcaggg aaggugggag ag 22 <210> 11 <211> 21 <212> RNA <213> Homo sapiens <400> 11 uccucuucuc ccuccuccca g 21 <210> 12 <211> 22 <212> RNA <213> Homo sapiens <400> 12 aaaaacugag acuacuuuug ca 22 <110> INDUSTRY-ACADEMIC COOPERATION FOUNDATION GYEONGSANG NATIONAL UNIVERSITY <120> miRNA biomarker for diagnosis of pseudoexfoliation glaucoma and uses it <130> PN21322 <160> 12 <170> KoPatentIn 3.0 <210> 1 <211> 22 <212> RNA <213> Homo sapiens <400> 1 uguaaacauc cccgacugga ag 22 <210> 2 <211> 72 <212> RNA <213> Homo sapiens <400> 2 cuccccuccg ccuucucuuc ccgguucuuc ccggagucgg gaaaagcugg guugagaggg 60 cgaaaaagga ug 72 <210> 3 <211> 22 <212> RNA <213> Homo sapiens <400> 3 aaagaucugg aagugggaga ca 22 <210> 4 <211> 75 <212> RNA <213> Homo sapiens <400> 4 gagcgcacag agguaggugu ggaagaaagu gaaacacuau uuuagguuuu aguuacacuc 60 ugcugggug ugcug 75 <210> 5 <211> 22 <212> RNA <213> Homo sapiens <400> 5 aggcgaugug gggauguaga ga 22 <210> 6 <211> 25 <212> RNA <213> Homo sapiens <400> 6 uugggauggu aggaccagag gggsa 25 <210> 7 <211> 23 <212> RNA <213> Homo sapiens <400> 7 acggggaguc aggcagguggu gga 23 <210> 8 <211> 21 <212> RNA <213> Homo sapiens <400> 8 ggagggacu gggauuugug g 21 <210> 9 <211> 24 <212> RNA <213> Homo sapiens <400> 9 uugaagggac aagucagaua ugcc 24 <210> 10 <211> 22 <212> RNA <213> Homo sapiens <400> 10 cagggcaggg aaggugggag ag 22 <210> 11 <211> 21 <212> RNA <213> Homo sapiens <400> 11 uccucuucuc ccuccuccca g 21 <210> 12 <211> 22 <212> RNA <213> Homo sapiens <400> 12 aaaaacugag acuacuuuug ca 22
Claims (9)
상기 miRNA 발현 수준을 정상 대조군 시료의 해당 miRNA 발현 수준과 비교하는 단계;를 포함하는 거짓비늘 녹내장의 진단을 위한 정보를 제공하는 방법.In whole blood or serum, hsa-miR-30d-5p, hsa-miR-320a, hsa-miR-3156-5p, hsa-miR-4458, hsa-miR-6717-5p, hsa-miR-6728-5p, hsa -miR-6777-5p, hsa-miR-6834-5p, hsa-miR-6864-5p, hsa-miR-6879-5p, hsa-miR-877-3p and hsa-miR-548e-3p of microRNA Measuring the expression level; and
A method of providing information for the diagnosis of pseudoscale glaucoma, comprising: comparing the expression level of the miRNA with the expression level of the corresponding miRNA in a normal control sample.
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