申请人:Exact Sciences Development Company, LLC
公开号:US10808286B2
公开(公告)日:2020-10-20
A method of detecting a predisposition to, or the incidence of, cancer in a sample comprises detecting an epigenetic change in at least one gene selected from an NDRG4/NDRG2 subfamily gene, GATA4, OSMR, GATA5, SFRP1, ADAM23, JPH3, SFRP2, APC, MGMT, TFPI2, BNIP3, FOXE1, SYNE1, SOX17, PHACTR3 and JAM3, wherein detection of the epigenetic change is indicative of a predisposition to, or the incidence of, cancer. Also described are pharmacogenetic methods for determining suitable treatment regimens for cancer and methods for treating cancer patients, based around selection of the patients according to the methods of the invention. The present invention is also concerned with improved methods of collecting, processing and analyzing samples, in particular body fluid samples. These methods may be useful in diagnosing, staging or otherwise characterizing various diseases. The invention also relates to methods for identifying, diagnosing, staging or otherwise characterizing cancers, in particular gastrointestinal cancers such as colorectal cancers, gastric cancers and oesophageal cancers. The methods of the invention relate, inter alia, to isolating and analyzing the human DNA component from faecal samples and blood-based samples.
一种检测样本中癌症易感性或发病率的方法包括检测至少一种基因的表观遗传变化,这些基因选自 NDRG4/NDRG2 亚家族基因、GATA4、OSMR、GATA5、SFRP1、ADAM23、JPH3、SFRP2、APC、MGMT、TFPI2、BNIP3、FOXE1、SYNE1、SOX17、PHACTR3 和 JAM3 中的至少一个基因的表观遗传变化,其中检测到的表观遗传变化表明癌症的易感性或发病率。本发明还描述了用于确定合适的癌症治疗方案的药物遗传学方法,以及根据本发明方法选择患者治疗癌症患者的方法。本发明还涉及收集、处理和分析样本,特别是体液样本的改进方法。这些方法可用于诊断、分期或以其他方式表征各种疾病。本发明还涉及对癌症,特别是胃肠道癌症(如结肠直肠癌、胃癌和食道癌)进行鉴定、诊断、分期或表征的方法。本发明的方法主要涉及从粪便样本和血液样本中分离和分析人类 DNA 成分。