| Literature DB >> 29304017 |
Maria Guarnaccia1, Rosario Iemmolo2, Floriana San Biagio3, Enrico Alessi4, Sebastiano Cavallaro5.
Abstract
The KRAS oncogene is involved in the pathogenesis of several types of cancer, particularly colorectal cancer (CRC). The most frequent mutations in this gene are associated with poor survival, increased tumor aggressiveness and resistance to therapy with anti-epidermal growth factor receptor (EGFR) antibodies. For this reason, KRAS mutation testing has become increasingly common in clinical practice for personalized cancer treatments of CRC patients. Detection methods for KRAS mutations are currently expensive, laborious, time-consuming and often lack of diagnostic sensitivity and specificity. In this study, we describe the development of a Lab-on-Chip assay for genotyping of KRAS mutational status. This assay, based on the In-Check platform, integrates microfluidic handling, a multiplex polymerase chain reaction (PCR) and a low-density microarray. This integrated sample-to-result system enables the detection of KRAS point mutations, including those occurring in codons 12 and 13 of exon 2, 59 and 61 of exon 3, 117 and 146 of exon 4. Thanks to its miniaturization, automation, rapid analysis, minimal risk of sample contamination, increased accuracy and reproducibility of results, this Lab-on-Chip platform may offer immediate opportunities to simplify KRAS genotyping into clinical routine.Entities:
Keywords: KRAS; Lab-on-Chip; Microarray; PCR; diagnostic; nucleic acids analysis
Mesh:
Substances:
Year: 2018 PMID: 29304017 PMCID: PMC5795341 DOI: 10.3390/s18010131
Source DB: PubMed Journal: Sensors (Basel) ISSN: 1424-8220 Impact factor: 3.576
KRAS point mutations panel detected by array-based platform.
| Exon 2 | |
| 10570G>T/G>C/G>A-->Gly12Cys/GLY12ARG/Gly12Ser | |
| LUNG CANCER, SQUAMOUS CELL, SOMATIC | |
| BLADDER CANCER, SOMATIC, INCLUDED | |
| 10571G>C/G>T/G>A--> Gly12Ala/GLY12Val/Gly12Asp | |
| LUNG CANCER, SQUAMOUS CELL, SOMATIC | |
| BLADDER CANCER, SOMATIC, INCLUDED | |
| 10573G>T/G>C/G>A --> Gly13Cys/Gly13Arg/Gly13Ser | |
| BREAST ADENOCARCINOMA, SOMATIC | |
| 10574G>A/G>C/G>T --> Gly13Ala/Gly13Asp/Gly13Val | |
| BREAST ADENOCARCINOMA, SOMATIC | |
| Exon 3 | |
| 28572G>A/Ala59Thr | |
| BLADDER CANCER, TRANSITIONAL CELL, SOMATIC | |
| 28578C>A-->Gln61Lys | |
| COLORECTAL CANCER | |
| 28579A>T/A>G-->Gln61Leu/Gln>Arg | |
| NON-SMALL CELL LUNG CANCER | |
| 28580A>C/A>T-->Gln61His | |
| COLORECTAL CANCER | |
| Exon 4 | |
| 30208A>C/A>T-->Lys117Asp) | |
| COLORECTAL CANCER | |
| 30293G>C/G>A-->Ala146Pro/Ala146Thr | |
| COLORECTAL CANCER | |
| 30294C>T-->Ala146Val | |
| COLORECTAL CANCER |
Figure 1Probes set designed to identify the SNP of interest (A) and the protocol for the competitive hybridization step on the chip array (B); on the chip array surface was also spotted the capture probes used for hybridization, negative and positive control.
Figure 2Genotyping assay process to identify KRAS point mutations by analyzing probe-gene mapping.
Figure 3Analysis performed by 2100-Bioanalyzer system of amplicons generated after PCR amplification onto Lab-on chip. The products obtained show an appropriate size difference to allow the discrimination and a good differentiation between the exons 2, 3, and 4.
Figure 4Result of a fully integrated experiment; the panel (A) shows the layout of capture probes spotted on the chip array. The overlapping of the virtual grid allows to select each probe cell and the identification of probe spotted. Panel (B): Genotyping assay of wild type KRAS clinical sample; Panel (C): Genotyping assay of G12D mutated KRAS clinical sample.
Figure 5Panel (A): Limit of Blank (LoB) detection by measurement of blank sample. The fluorescent signal is related to control probes. Panel (B): Limit of Detection (LoD) detection related to mutagenized G12V. The In-check platform is able to measure an analytical signal in a sample containing 1010 copies of the target. Hybridization controls probes are marked with red squares.
Figure 6Scatterplots and linear regression analysis for inter and intra-assay variability of allele capture probes fluorescence intensities (F.I.) in two randomly selected replicates. Representative scatterplots of 1010 copies of KRAS-G12V Side-Directed Mutant product were generated to graphically display the linearity of pairwise relationships between technical replicates in inter-assay variability (R2 = 0.9813; p < 0.0001; panel A) and between median fluorescence intensities of identical capture probe in intra-assay variability (R2 = 0.9965; p < 0.0001; panel B). Representative scatterplots of the KRAS-G12D clinical sample were generated to graphically display the linearity of pairwise relationships between technical replicates in inter-assay variability (R2 = 0.7611; p < 0.0001; panel C) and between median fluorescence intensities of identical capture probe in intra-assay variability (R2 = 0.9303; p < 0.0001; panel D). Best fits in solid lines. 95% confidence intervals in dashed lines. Red squares display the position of allele specific capture probes on the best fit lines.
| Name | Primer F | Primer R | Product Size | Basic Tm |
|---|---|---|---|---|
| KRAS exon 2 | ACTGGTGGAGTATTTGATAGTGTAT | AGAATGGTCCTGCACCAGTAA | 249 | 52 °C |
| KRAS exon 3 | AGGTGCACTGTAATAATCCAGACT | AACCCACCTATAATGGTGAATATCT | 228 | 53 °C |
| KRAS exon 4 | AAGGACTCTGAAGATGTACCTATG | AGAAGCAATGCCCTCTCAAG | 293 | 53 °C |
| Reagents | Volume (µL) | Final Concentration |
|---|---|---|
| Forward Primer 10 µM | 0.5 | 0.2 µM |
| Reverse Primer 10 µM | 0.5 | 0.2 µM |
| HotStart Taq plus DNA Polymerase | 0.4 | 2.5 U |
| Cl2Mg 25 mM | 0.2 | 0.5 mM |
| dNTPs Solution Mix 10 mM each | 0.5 | 4 mM each |
| Buffer 10X | 2.5 | |
| Genomic DNA | 5 | 20 ng/µL |
| DNase Free Water | 1 | / |
| Total Volume | 12.5 | |
| Cycle Steps | Temp. | Time | Number of Cycles |
|---|---|---|---|
| Initial Denaturation | 95° | 900 s | 1 |
| Denaturation | 94° | 60 s | 35 |
| Annealing | 61° | 60 s | |
| Extension | 72° | 60 s | |
| Final Extension | 72° | 600 s | 1 |