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    • 5. 发明授权
    • Method, reagent and kit for evaluating susceptibility to premature
atherosclerosis
    • 用于评估早产动脉粥样硬化易感性的方法,试剂和试剂盒
    • US5658729A
    • 1997-08-19
    • US320604
    • 1994-10-11
    • Michael R. HaydenYuanhong MaSuzanne LewisGuoquing Liu
    • Michael R. HaydenYuanhong MaSuzanne LewisGuoquing Liu
    • A61K38/46A61K48/00C12N9/20C12N15/55C12Q1/68C07H21/04C12P19/34
    • C12Q1/6883C12N9/20C12Y301/01003A61K38/00A61K48/00C12N2799/022C12N2799/027C12Q1/683C12Q2600/156Y10S435/81
    • A single point mutation in the human lipoprotein lipase gene which results in an A.fwdarw.G nucleotide change at codon 291 (nucleotide 1127) of the lipoprotein lipase gene, and a substitution of serine for the normal asparagine in the lipoprotein lipase gene product is seen with increased frequency in patients with coronary artery disease, and is associated with an increased susceptibility to coronary artery disease, including in particular premature atherosclerosis. This is expressed as a diminished catalytic activity of lipoprotein lipase, lower HDL-cholesterol levels and higher triglyceride levels. Thus, susceptibility of a human individual to premature atherosclerosis and other forms of coronary artery disease can be evaluated byevaluating the sample of DNA for the presence of nucleotides encoding a serine residue as amino acid 291 of the lipoprotein lipase gene product. The presence of a serine residue is indicative of increased susceptibility in the patient. This method may be performed using a kit which contains a pair of primers selected to amplify a region of a human lipoprotein lipase gene spanning amino acid 291 of human lipoprotein lipase.
    • 人脂蛋白脂肪酶基因中的单点突变导致脂蛋白脂肪酶基因的291密码子(核苷酸1127)的A→G核苷酸变化,以及脂蛋白脂肪酶基因产物中正常天冬酰胺的丝氨酸取代 冠状动脉疾病患者的频率增加,并且与冠状动脉疾病的易感性增加相关,特别是早产动脉粥样硬化。 这表达为脂蛋白脂肪酶的催化活性降低,HDL-胆固醇水平降低,甘油三酯水平升高。 因此,可以通过评估DNA样品中编码丝氨酸残基的核苷酸的存在作为脂蛋白脂肪酶基因产物的氨基酸291来评估人类对过早的动脉粥样硬化和其他形式的冠状动脉疾病的易感性。 丝氨酸残基的存在表明患者易感性增加。 该方法可以使用包含选择用于扩增跨越人类脂蛋白脂肪酶的氨基酸291的人类脂蛋白脂肪酶基因的区域的一对引物的试剂盒来进行。
    • 6. 发明授权
    • Gene therapy method for reducing risk of atherosclerosis
    • 降低动脉粥样硬化风险的基因治疗方法
    • US06784162B1
    • 2004-08-31
    • US08817192
    • 1997-07-10
    • Michael R. HaydenYuanhong MaSuzanne LewisGuoquing Liu
    • Michael R. HaydenYuanhong MaSuzanne LewisGuoquing Liu
    • A61K4800
    • C12Q1/6883A61K38/00A61K48/00C12N9/20C12N2799/022C12N2799/027C12Q1/683C12Q2600/156C12Y301/01003Y10S435/81
    • A single point mutation in the human lipoprotein lipase gene which results in an A→G nucleotide change at codon 291 (nucleotide 1127) of the lipoprotein lipase gene, and a substitution of serine for the normal asparagine in the lipoprotein lipase gene product is seen with increased frequency in patients with coronary artery disease, and is associated with an increased susceptibility to coronary artery disease, including in particular premature atherosclerosis. This is expressed as a diminished catalytic activity of lipoprotein lipase, lower HDL-cholesterol levels and higher triglyceride levels. Thus, susceptibility of a human individual to premature atherosclerosis can be evaluated by: (a) obtaining a sample of DNA from the individual; and (b) evaluating the sample of DNA for the presence of nucleotides encoding a serine residue as amino acid 291 of the lipoprotein lipase gene product. The presence of a serine residue is indicative of increased susceptibility in the patient. This method may be performed using a kit which contains a pair of primers selected to amplify a region of a human lipoprotein lipase gene spanning amino acid 291 of human lipoprotein lipase. Appropriate additional reagents may also be included in the kit such as polymerase enzymes, nucleoside stock solutions and the like. Patients found to be suffering from or likely to suffer from premature atherosclerosis and other forms of coronary artery disease as a result of a lipoprotein lipase deficiency can be treated using gene therapy. This may be accomplished using adenovirus-mediated or retrovirus-mediated gene therapy, and can be performed using either an in vivo or an ex vivo approach.
    • 人脂蛋白脂肪酶基因中的单点突变导致脂蛋白脂肪酶基因的291密码子(核苷酸1127)的A→G核苷酸变化,以及脂蛋白脂肪酶基因产物中丝氨酸取代正常的天冬酰胺。 冠状动脉疾病患者的频率增加,并且与冠状动脉疾病的易感性增加相关,特别是早产动脉粥样硬化。 这表达为脂蛋白脂肪酶的催化活性降低,HDL-胆固醇水平降低,甘油三酯水平升高。 因此,人类对早产动脉粥样硬化的易感性可以通过以下方式来评估:(a)从个体获得DNA样品; 和(b)评估DNA样品中编码丝氨酸残基的核苷酸的存在,作为脂蛋白脂肪酶基因产物的氨基酸291。 丝氨酸残基的存在表明患者易感性增加。 该方法可以使用包含选择用于扩增跨越人类脂蛋白脂肪酶的氨基酸291的人类脂蛋白脂肪酶基因的区域的一对引物的试剂盒来进行。 试剂盒中还可以包括合适的另外的试剂,例如聚合酶,核苷储备溶液等。 发现由于脂蛋白脂肪酶缺乏而发现患有或可能患有过早动脉粥样硬化和其他形式的冠状动脉疾病的患者可以使用基因治疗来治疗。 这可以使用腺病毒介导的或逆转录病毒介导的基因治疗来实现,并且可以使用体内或离体方法进行。