Biomarker panel and methods for detecting microsatellite instability in cancers
The present invention generally relates to the field of cancer, in particular to cancers having microsatellite instability (MSI) and/or mismatch repair (MMR-) deficiency. Examples of such cancers include many colorectal, gastric, and endometrial tumors. Accordingly, the present invention provides a novel diagnostic marker panel for analyzing MSI loci, together with methods and kits of using said panel in the detection of cancers having microsatellite instability (MSI) and/or mismatch repair (MMR-) deficiency.
1 . A kit for analyzing microsatellite instability (MSI) status of a colorectal, endometrial, ovarian or gastric cancer sample, the kit comprising fluorophore-labeled molecular beacon probes that are designed to specifically hybridize to target nucleic acid regions as mapped to GRCh38/hg38 human reference genome, wherein the target nucleic acid regions comprise:
(i) human DIDO1 gene starting at position chr20:62,905,340 and encompassing a DIDO1 homopolymeric repeat region, the homopolymeric repeat region comprising 11 consecutive adenines in the reference genome;
(ii) human MRE11 gene starting at position chr11:94,479,765, and encompassing a MRE11 homopolymeric repeat region, the homopolymeric repeat region comprising 11 consecutive adenines in the reference genome;
(iii) human SULF2 gene starting at position chr20:47,657,577 and encompassing a SULF2 homopolymeric repeat region, the homopolymeric repeat region comprising 10 consecutive adenines in the reference genome; and
(iv) human ACVR2A gene starting at position chr2:147,926,117 and encompassing an ACVR2A homopolymeric repeat region, the homopolymeric repeat region comprising 8 consecutive adenines in the reference genome,
wherein each fluorophore-labeled molecular beacon probe comprises a different number of consecutive adenines than the target nucleic acid region for which it is designed.
2 . The kit of claim 1 , wherein the target nucleic acid regions further comprise:
(v) human SEC31A gene starting at position chr4:82,864,412 and encompassing a SEC31A homopolymeric repeat region, the homopolymeric repeat region comprising 9 consecutive thymines in the reference genome;
(vi) human BTBD7 gene starting at position chr14:93,241,685 and encompassing a BTBD7 homopolymeric repeat region, the homopolymeric repeat region comprising 10 consecutive adenines in the reference genome; and
(vii) human RYR3 gene starting at position chr15:33,865,341 and encompassing a RYR3 homopolymeric repeat region, the homopolymeric repeat region comprising 10 consecutive adenines in the reference genome.
3 . The kit of claim 2 , wherein the fluorophore-labeled molecular beacon probes comprise SEQ ID NOs: 17, 20, and 21.
4 . The kit of claim 2 , further comprising a positive control sample that comprises nucleic acid comprising one or more of the target nucleic acid regions of claim 2 .
5 . The kit of claim 4 , wherein at least one of the target nucleic acid regions of the positive control sample comprises an indel.
6 . The kit of claim 5 , wherein the positive control sample is derived from cell line HTC116cl.110268743.
7 . The kit of claim 1 , wherein the fluorophore-labeled molecular beacon probes comprise SEQ ID NOs: 15, 16, 18 and 19.
8 . The kit of claim 1 , further comprising a cartridge.
9 . The kit according to claim 8 , wherein the fluorophore-labeled molecular beacon probes are provided inside of the cartridge.
10 . An automated system comprising the kit of claim 1 .
11 . The automated system of claim 10 , wherein the system is adapted to perform PCR.
12 . A biomarker panel for analyzing microsatellite instability (MSI) status in a biological sample, the panel comprising components for detecting each of the following target nucleic acid regions as mapped to GRCh38/hg38 human reference genome, wherein the target nucleic acid regions comprise:
(i) human DIDO1 gene starting at position chr20:62,905,340 and encompassing a DIDO1 homopolymeric repeat region, the homopolymeric repeat region comprising 11 consecutive adenines in the reference genome;
(ii) human MRE11 gene starting at position chr11:94,479,765, and encompassing a MRE11 homopolymeric repeat region, the homopolymeric repeat region comprising 11 consecutive adenines in the reference genome;
(iii) human SULF2 gene starting at position chr20:47,657,577 and encompassing a SULF2 homopolymeric repeat region, the homopolymeric repeat region comprising 10 consecutive adenines in the reference genome; and
(iv) human ACVR2A gene starting at position chr2:147,926,117 and encompassing an ACVR2A homopolymeric repeat region, the homopolymeric repeat region comprising 8 consecutive adenines in the reference genome,
wherein the components are fluorophore-labeled molecular beacon probes, and
wherein each fluorophore-labeled molecular beacon probe comprises a different number of consecutive adenines than the target nucleic acid region for which it is designed.
13 . The panel of claim 12 , wherein the target nucleic acid regions further comprise:
(v) human SEC31A gene starting at position chr4:82,864,412 and encompassing a SEC31A homopolymeric repeat region, the homopolymeric repeat region comprising 9 consecutive thymines in the reference genome;
(vi) human BTBD7 gene starting at position chr14:93,241,685 and encompassing a BTBD7 homopolymeric repeat region, the homopolymeric repeat region comprising 10 consecutive adenines in the reference genome; and
(vii) human RYR3 gene starting at position chr15:33,865,341 and encompassing a RYR3 homopolymeric repeat region, the homopolymeric repeat region comprising 10 consecutive adenines in the reference genome.