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    • 5. 发明公开
    • MUTATIONS IN PANCREATIC NEOPLASMS
    • PANKREAS-NEOPLASMEN中的突变体
    • EP2723896A2
    • 2014-04-30
    • EP12802288.6
    • 2012-06-22
    • The Johns Hopkins University
    • VOGELSTEIN, BertKINZLER, Kenneth W.WU, JianDIAZ, LuisPAPADOPOULOS, NickolasMATTHAEI, HannoHRUBAN, RalphMAITRA, Anirban
    • C12Q1/68C12N15/11
    • C12Q1/6886C12Q2600/112C12Q2600/156
    • To help reveal the pathogenesis of these lesions, we purified the DNA from Intraductal Papillary Mucinous Neoplasm (IPMN) cyst fluids from 19 patients and searched for mutations in 169 genes commonly altered in human cancers. We identified recurrent mutations at codon 201 of GNAS. We found that GNAS mutations were present in 66% of IPMNs and that either KRAS or GNAS mutations could be identified in 96%. In eight cases, we could investigate invasive adenocarcinomas that developed in association with IPMNs containing GNAS mutations. In seven of these eight cases, the GNAS mutations present in the IPMNs were also found in the invasive lesion. GNAS mutations were not found in other types of cystic neoplasms of the pancreas or in invasive adenocarcinomas not associated with IPMNs. These data suggest that GNAS mutations can inform the diagnosis and management of patients with cystic pancreatic lesions.
    • 为了揭示这些病变的发病机制,我们从19名患者的导管内乳头状粘液性肿瘤(IPMN)囊肿液中纯化了DNA,并在人类癌症中通常改变的169种基因中进行了突变检测。 我们在GNAS的201号密码子处鉴定了复发性突变。 我们发现GNAS突变存在于66%的IPMNs中,KRAS或GNAS突变可以在96%中鉴定。 在8例中,我们可以研究与含有GNAS突变的IPMN相关的侵袭性腺癌。 在这8例中有7例中,存在于IPMNs中的GNAS突变也在侵袭性损伤中发现。 在其他类型的胰腺囊性肿瘤或与IPMN无关的侵袭性腺癌中未发现GNAS突变。 这些数据表明,GNAS突变可以为囊性胰腺病变患者的诊断和治疗提供依据。
    • 10. 发明申请
    • SAFE SEQUENCING SYSTEM
    • 安全排序系统
    • WO2012142213A2
    • 2012-10-18
    • PCT/US2012/033207
    • 2012-04-12
    • THE JOHNS HOPKINS UNIVERSITYVOGELSTEIN, BertKINZLER, Kenneth W.PAPADOPOULOS, NickolasKINDE, Isaac
    • VOGELSTEIN, BertKINZLER, Kenneth W.PAPADOPOULOS, NickolasKINDE, Isaac
    • C12Q1/68C12N15/11
    • C12Q1/6874C12Q1/6806C12Q1/6869C12Q1/6876C12Q2563/179C12Q2600/158C12Q2535/122C12Q2565/514
    • The identification of mutations that are present in a small fraction of DNA templates is essential for progress in several areas of biomedical research. Though massively parallel sequencing instruments are in principle well-suited to this task, the error rates in such instruments are generally too high to allow confident identification of rare variants. We here describe an approach that can substantially increase the sensitivity of massively parallel sequencing instruments for this purpose. One example of this approach, called "Safe-SeqS" for (Safe-Sequencing System) includes (i) assignment of a unique identifier (UID) to each template molecule; (ii) amplification of each uniquely tagged template molecule to create UID-families; and (iii) redundant sequencing of the amplification products. PCR fragments with the same UID are truly mutant ("super-mutants") if ≥95% of them contain the identical mutation. We illustrate the utility of this approach for determining the fidelity of a polymerase, the accuracy of oligonucleotides synthesized in vitro , and the prevalence of mutations in the nuclear and mitochondrial genomes of normal cells.
    • 存在于DNA模板的一小部分中的突变的鉴定对于在几个生物医学研究领域的进展是必不可少的。 尽管大规模并行测序仪器原则上非常适合于此任务,但是这些仪器中的错误率通常太高,无法确定罕见的变体。 我们在这里描述了一种可以显着增加大规模并行测序仪器对此目的的灵敏度的方法。 这种方法的一个例子是(Safe-Sequencing System),称为“Safe-SeqS”,包括(i)将唯一标识符(UID)分配给每个模板分子; (ii)每个唯一标记的模板分子的扩增以产生UID家族; 和(iii)扩增产物的冗余测序。 具有相同UID的PCR片段是真正的突变体(“超突变体”),如果其中95%含有相同的突变。 我们说明了这种方法用于确定聚合酶的保真度,体外合成的寡核苷酸的准确性以及正常细胞的核和线粒体基因组中突变的流行率的效用。