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WO2025164902A1 - Single nucleotide polymorphism marker associated with reduction in rey complex figure copy score for predicting risk of developing alzheimer's disease and use thereof - Google Patents

Single nucleotide polymorphism marker associated with reduction in rey complex figure copy score for predicting risk of developing alzheimer's disease and use thereof

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Publication number
WO2025164902A1
WO2025164902A1 PCT/KR2024/018860 KR2024018860W WO2025164902A1 WO 2025164902 A1 WO2025164902 A1 WO 2025164902A1 KR 2024018860 W KR2024018860 W KR 2024018860W WO 2025164902 A1 WO2025164902 A1 WO 2025164902A1
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Prior art keywords
disease
risk
polynucleotide
developing alzheimer
predicting
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PCT/KR2024/018860
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French (fr)
Korean (ko)
Inventor
원성호
이건호
박준영
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SNU R&DB Foundation
Chosun University Industry Academic Cooperation Foundation
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Seoul National University R&DB Foundation
Chosun University Industry Academic Cooperation Foundation
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Publication of WO2025164902A1 publication Critical patent/WO2025164902A1/en
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    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12QMEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
    • C12Q1/00Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/68Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving nucleic acids
    • C12Q1/6876Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes
    • C12Q1/6883Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes for diseases caused by alterations of genetic material
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12QMEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
    • C12Q1/00Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/68Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving nucleic acids
    • C12Q1/6813Hybridisation assays
    • C12Q1/6834Enzymatic or biochemical coupling of nucleic acids to a solid phase
    • C12Q1/6837Enzymatic or biochemical coupling of nucleic acids to a solid phase using probe arrays or probe chips
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12QMEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
    • C12Q2600/00Oligonucleotides characterized by their use
    • C12Q2600/156Polymorphic or mutational markers

Definitions

  • the present invention relates to a method for predicting the risk of developing Alzheimer's disease by identifying a specific single nucleotide polymorphism (SNP) that has a significant correlation with the risk of developing Alzheimer's disease, a composition for predicting the risk of developing Alzheimer's disease comprising a polynucleotide, polypeptide, antibody or cDNA capable of identifying the SNP, and a microarray and kit comprising the same.
  • SNP single nucleotide polymorphism
  • Alzheimer's disease is a progressive disorder that causes cognitive impairment and memory loss.
  • Major risk factors for Alzheimer's disease include age, family history, and lifestyle.
  • Alzheimer's disease involves a chronic, progressive process leading to neurodegeneration, including axonal damage, cell death, and gliosis.
  • the pathogenesis and pathophysiology of neurodegenerative diseases are complex and only a small part of the underlying cause is understood.
  • a mutation at a frequency of about 1 per 1,000 bases which is called a single nucleotide polymorphism (SNP).
  • SNP single nucleotide polymorphism
  • a 5% polymorphism is called a common polymorphism
  • a 1 to 5% polymorphism is called a rare polymorphism.
  • GWAS genome-wide association study
  • GWAS genome-wide association study
  • RCFT Rey Complex Figure Test assesses visual memory/visual-spatial abilities. It can measure imitation time, imitation score, immediate recall, delayed recall, true positives, false positives, positive positives, recognition index, and nonspecific recognition errors.
  • the inventors of the present invention identified a variant of SNP that indicates the risk of developing Alzheimer's disease, confirmed that the decline in the Rayleigh complex shape test was greater in the presence of such a variant, and developed a method for providing information that can evaluate the possibility of developing Alzheimer's dementia in an individual, thereby completing the present invention.
  • the purpose of the present invention is to provide a method for predicting the risk of developing Alzheimer's disease by identifying specific SNPs that have a significant correlation with the risk of Alzheimer's disease in a genetic sample obtained from a patient.
  • Another object of the present invention is to provide a method for providing information for predicting the risk of developing Alzheimer's disease by identifying specific SNPs that have a significant correlation with the risk of Alzheimer's disease in a genetic sample obtained from a patient.
  • Another object of the present invention is to provide a microarray for predicting the risk of developing Alzheimer's disease, comprising a polynucleotide, a polypeptide, an antibody therefor, or a cDNA thereof capable of identifying a specific SNP marker.
  • Another object of the present invention is to provide a kit for predicting the risk of developing Alzheimer's disease, comprising a polynucleotide, polypeptide, antibody therefor, or cDNA thereof capable of identifying a specific SNP marker.
  • the inventors of the present invention have made extensive research efforts to develop a technology that can more effectively predict the onset of Alzheimer's dementia.
  • the inventors of the present invention confirmed that the decrease in the copy score of the Rey Complex Figure Test was greater when a single nucleotide polymorphism (SNP) that specifically appears in the onset of Alzheimer's disease was expressed, utilizing the genome-wide association study (GWAS) methodology, and completed the present invention.
  • SNP single nucleotide polymorphism
  • One aspect of the present invention relates to a genetic sample obtained from a patient
  • a method for providing information for predicting the risk of developing Alzheimer's disease comprising the step of identifying a single nucleotide polymorphism (SNP) represented by rs150908390.
  • SNP single nucleotide polymorphism
  • the above genetic sample refers to DNA or RNA that can be isolated from any cell of the subject (patient), including blood, skin cells, mucosal cells, and hair.
  • the method for extracting DNA or RNA from the cells is not particularly limited, and any technique known in the art or a commercially available DNA or RNA extraction kit can be used.
  • the subject (patient) above may include a subject diagnosed with or suspected of having Alzheimer's disease.
  • the subject may be a vertebrate, mammal, amphibian, reptile, bird, etc., and may specifically be a mammal.
  • the subject may be a human (Homo sapiens).
  • the term “gene” may be used interchangeably with the terms “polynucleotide” and “nucleic acid.”
  • the term “gene” refers to a DNA segment involved in the production of a polypeptide chain, and may include regions preceding and following a coding region, such as a promoter and a 3'-untranslated region, as well as intervening sequences (introns) between individual coding segments (exons).
  • genetic polymorphism refers to a case where two or more alleles exist at a single genetic locus, and a case where a genetic variation appears at a frequency of at least 1% or more in a population. Genetic polymorphism is distinguished from mutation, and genetic polymorphism refers to a case where a genetic variation appears at a frequency of at least 1% or more in a population, and a genetic variation found at a frequency lower than 1% is collectively called a mutation.
  • An insertion, deletion, or substitution of a single nucleotide in DNA is called a single nucleotide polymorphism (SNP).
  • single nucleotide polymorphism refers to a variation in DNA sequence that occurs when a single base (A, T, C, or G) in the genome differs between members of a species or between pairs of chromosomes of an individual. For example, in a certain region of the DNA chain, some people have adenine (A), while others have cytosine (C). These slight differences (SNPs) can alter the function of each gene, and these interact to create different individuals and differences in susceptibility to different diseases. In general, almost all SNPs have two alleles. Within a population, a SNP can be assigned a minor allele frequency (MAF; the lowest allele frequency at a locus found in a particular population). A single nucleotide can be changed (substituted), removed (deleted), or added (inserted) to a polynucleotide sequence. SNPs can cause a change in the translation frame.
  • a single base A, T, C, or G
  • C cytosine
  • [base letter/base letter] means that the base letter written on the left is replaced with the base letter written on the right .
  • polynucleotide or “nucleic acid” refers to deoxyribonucleotides (DNA) or ribonucleotides (RNA) in single- or double-stranded form. Unless otherwise specified, known analogs of naturally occurring nucleotides that hybridize to nucleic acids in a manner similar to naturally occurring nucleotides are also included.
  • DNA is generally composed of four bases: adenine (A), guanine (G), cytosine (C), and thymine (T), while RNA has uracil (U) instead of thymine.
  • 'polynucleotide means a polynucleotide having a contiguous base sequence of 8 to 100 nucleotides including the SNP of the present invention in the genomic region where the SNP is located.
  • genomic DNA means DNA that contains almost complete genetic information, which is the total base sequence of the genes of an individual.
  • risk of onset or “likelihood of onset” may mean the relative risk of onset of Alzheimer’s disease, and specifically may mean the likelihood of progressing to Alzheimer’s disease.
  • prediction may mean not only determining the possibility of developing Alzheimer’s disease by confirming the presence or characteristics of a pathological condition, but also determining whether there is drug responsiveness, resistance, etc. after Alzheimer’s disease treatment.
  • the above information providing method can be usefully utilized to predict the risk of developing Alzheimer's disease in Koreans.
  • the fact that the single nucleotide polymorphism marker can be used to predict the risk of developing Alzheimer's disease is based on the fact that the genetic analysis results of a group that developed Alzheimer's disease showed a high probability of the presence of a specific base at a single nucleotide polymorphism site.
  • compositions for predicting the risk of developing Alzheimer's disease comprising a polynucleotide consisting of 10 or more consecutive bases including a single nucleotide polymorphism (SNP) represented by rs150908390 or a polynucleotide that specifically hybridizes with its complementary polynucleotide.
  • SNP single nucleotide polymorphism
  • the polynucleotide composed of 10 or more consecutive bases according to the present invention or its complementary polynucleotide may include a polynucleotide composed of 10 or more consecutive bases, preferably 10 to 100, more preferably 20 to 80, and even more preferably 40 to 60, or a polynucleotide that specifically hybridizes with the polynucleotide or its complementary polynucleotide, but is not limited thereto.
  • the polynucleotide that specifically hybridizes with the polynucleotide described above may be a probe or a primer.
  • primer refers to an oligonucleotide, which can act as an initiation point for synthesis under conditions that induce the synthesis of a primer extension product complementary to a nucleic acid chain (template), i.e., the presence of nucleotides and a polymerization agent such as DNA polymerase, and conditions of suitable temperature and pH.
  • template i.e., the presence of nucleotides and a polymerization agent such as DNA polymerase, and conditions of suitable temperature and pH.
  • the primer is a deoxyribonucleotide and may be single-stranded.
  • the primer used in the present invention may include naturally occurring dNMPs (i.e., dAMP, dGMP, dCMP, and dTMP), modified nucleotides, or non-natural nucleotides.
  • the primer may also include ribonucleotides.
  • probe means a linear oligomer having a natural or modified monomer or linkage comprising deoxyribonucleotides and ribonucleotides capable of hybridizing to a specific nucleotide sequence.
  • the probe may be single-stranded for maximum efficiency in hybridization.
  • the probe may be a deoxyribonucleotide.
  • a sequence perfectly complementary to the sequence including the SNP may be used, but a substantially complementary sequence may also be used as long as it does not interfere with specific hybridization.
  • a probe not used in the present invention includes a sequence capable of hybridizing to a sequence including 10 to 30 consecutive nucleotide residues including the SNP of the present invention. More preferably, the 3' end or 5' end of the probe may have a base complementary to the SNP base.
  • the present invention provides a composition for predicting the risk of developing Alzheimer's disease, comprising a polypeptide encoded by the polynucleotide or an antibody specific therefor.
  • the process may begin with a step of amplifying or hybridizing a polymorphic site corresponding to the sequence represented by rs150908390 with a probe.
  • Any method known in the art can be used for the step of amplifying or hybridizing the polymorphic site with a probe.
  • the method may be a method of amplifying a target nucleic acid via PCR and purifying it.
  • the above method may be used, such as ligase chain reaction (LCR) (Wu and Wallace, Genomics 4, 560 (1989), Landegren et al., Science 241, 1077 (1988)), transcription amplication (Kwoh et al., Proc. Natl. Acad. Sci. USA 86, 1173 (1989)), self-sustaining sequence replication (Guatelli et al., Proc. Natl. Acad. Sci. USA 87, 1874 (1990)), or nucleic acid-based sequence amplification (NASBA).
  • LCR ligase chain reaction
  • LCR
  • the step of confirming the presence or absence of the mutation includes, but is not limited to, sequence analysis, hybridization by microarray, allele specific PCR, dynamic allele specific hybridization (DASH), PCR extension analysis, SSCP, PCR-RFLP analysis or TaqMan technique, SNPlex platform (Applied Biosystems), mass spectrometry (e.g., Sequenom's MassARRAY system), mini-sequencing method, Bio-Plex system (BioRad), CEQ and SNPstream system (Beckman), Molecular Inversion Probe array technology (e.g., Affymetrix GeneChip), and BreadArray technology (e.g., Illumina GoldenGate and Infinium assays).
  • sequence analysis hybridization by microarray, allele specific PCR, dynamic allele specific hybridization (DASH), PCR extension analysis, SSCP, PCR-RFLP analysis or TaqMan technique
  • SNPlex platform Applied Biosystems
  • mass spectrometry e.g., Sequenom's Mass
  • One or more alleles of a polymorphic marker can be identified using the above methods or other methods available to those skilled in the art to which the present invention pertains. Determining the base pairs of such polymorphic sites can preferably be performed using a SNP chip.
  • sequence analysis can be performed using any method known in the art.
  • the sequence analysis can be performed using an automatic sequencer, or can be performed using at least one method selected from known methods such as pyrosequencing, PCR-RELP (restriction fragment length polymorphism), PCR-SSCP (single strand conformation polymorphism), PCR-SSO (specific sequence oligonucleotide), ASO (allele specific oligonucleotide) hybridization combining PCR-SSO and dot hybridization, TaqMan-PCR, MALDI-TOF/MS, RCA (rolling circle amplification), HRM (high resolution melting), primer extension, Southern blot hybridization, or dot hybridization.
  • Another aspect of the present invention is a microarray for predicting the risk of developing Alzheimer's disease, comprising: a polynucleotide consisting of 10 or more consecutive bases including a single nucleotide polymorphism (SNP) represented by rs150908390 or a complementary polynucleotide thereof; a polynucleotide hybridizing therewith; a polypeptide encoded thereby; an antibody specific therefor; or cDNA of the polypeptide.
  • SNP single nucleotide polymorphism
  • the present invention provides a microarray for predicting the risk of developing Alzheimer's disease, comprising the polynucleotide, a polynucleotide hybridizing therewith, a polypeptide encoded thereby, an antibody specific therefor, or cDNA of the polypeptide.
  • the microarray according to the present invention may comprise DNA or RNA polynucleotides.
  • the microarray may be a conventional microarray, except that the probe polynucleotide comprises the polynucleotide of the present invention.
  • Methods for manufacturing a microarray by immobilizing the probe polynucleotide on a substrate are well known in the art.
  • the probe polynucleotide refers to a hybridizable polynucleotide, and refers to an oligonucleotide capable of sequence-specific binding to complementary strands of nucleic acids.
  • the probe of the present invention is an allele-specific probe, which means that a polymorphic site exists in nucleic acid fragments derived from two members of the same species, such that it hybridizes to a DNA fragment derived from one member but not to a fragment derived from the other member.
  • the hybridization conditions must be sufficiently stringent to ensure that the probe exhibits a significant difference in hybridization intensity between alleles and hybridizes to only one of the alleles. This can induce a favorable hybridization difference between different allelic forms.
  • the above diagnostic methods include detection methods based on nucleic acid hybridization, such as Southern blot, and in methods using DNA chips, the detection method may be provided in a form pre-bound to the DNA chip substrate.
  • the above hybridization can usually be performed under stringent conditions, such as a salt concentration of 1 M or less and a temperature of 25°C or higher.
  • the term "antibody” refers to a specific protein molecule directed against an antigenic site, a term well known in the art.
  • the antibody refers to an antibody that specifically binds to a polypeptide comprising the SNP marker of the present invention.
  • Such antibodies can be produced by conventional methods, such as cloning each gene into an expression vector to obtain a protein encoded by the marker gene, and producing the obtained protein using conventional methods.
  • This also includes partial peptides that can be produced from the protein, and the partial peptides of the present invention include at least 7 amino acids, preferably 9 amino acids, and more preferably 12 or more amino acids.
  • the form of the antibody of the present invention is not particularly limited, and polyclonal antibodies, monoclonal antibodies, or any antibody having antigen binding properties, as well as portions thereof, can be included in the antibody of the present invention, and all immunoglobulin antibodies can be included. Furthermore, the antibody of the present invention can also include specialized antibodies, such as humanized antibodies.
  • the antibody used for detecting the marker for predicting the risk of developing Alzheimer's disease of the present invention may include a complete form having two full-length light chains and two full-length heavy chains, as well as a functional fragment of the antibody molecule.
  • a functional fragment of an antibody molecule means a fragment that possesses at least an antigen-binding function, and may be Fab, F(ab'), F(ab') 2 , or Fv.
  • kits for predicting the risk of developing Alzheimer's disease comprising: a polynucleotide consisting of 10 or more consecutive bases including a single nucleotide polymorphism (SNP) represented by rs150908390 or a complementary polynucleotide thereof; a polynucleotide hybridizing therewith; a polypeptide encoded thereby; an antibody specific therefor; or cDNA of the polypeptide.
  • SNP single nucleotide polymorphism
  • the present invention provides a kit for predicting the risk of developing Alzheimer's disease, comprising the polynucleotide, a polynucleotide hybridizing therewith, a polypeptide encoded thereby, an antibody specific therefor, or cDNA of the polypeptide.
  • the kit may be a DNA chip, an RT-PCR kit, or a protein chip kit, but is not limited thereto.
  • the above kit can predict the risk of developing Alzheimer's disease by confirming through amplification of a SNP polymorphism marker, which is a marker for predicting the risk of developing Alzheimer's disease, or by confirming the expression level of the SNP polymorphism marker at the level of DNA or mRNA.
  • the kit for measuring the mRNA expression level of the marker for predicting the risk of developing Alzheimer's disease may be a kit including essential elements required for performing RT-PCR.
  • the RT-PCR kit may include a test tube or other appropriate container, a reaction buffer (with various pH and magnesium concentrations), deoxynucleotides (dNTPs), an enzyme such as Taq polymerase and reverse transcriptase, DNase, RNase inhibitor, DEPC water, sterile water, etc.
  • dNTPs deoxynucleotides
  • the kit according to the present invention may be a kit for predicting the risk of developing Alzheimer's disease, which includes the essential elements necessary for performing a DNA chip.
  • a DNA chip kit is a tool in which nucleic acid species are attached in a gridded array to a flat solid support, typically a glass surface no larger than a microscope slide, so that the nucleic acids are uniformly arranged on the chip surface, thereby allowing multiple hybridization reactions to occur between the nucleic acids on the DNA chip and complementary nucleic acids contained in a solution treated on the chip surface, thereby enabling massive parallel analysis.
  • the kit according to the present invention may be a protein chip kit.
  • the protein chip kit can measure the expression level of a protein composed of a mutated amino acid sequence.
  • the protein chip kit may include a substrate for immunological detection of an antibody, an appropriate buffer solution, a secondary antibody labeled with a chromogenic enzyme or fluorescent substance, a chromogenic substrate, etc.
  • the chromogenic enzyme may be peroxidase, alkaline phosphatase, etc. Additionally, FITC, RITC, etc. can be used as fluorescent materials, and AVTS (2,2'-azino-bis-(3-ethylbenzothiazoline-6-sulfonic acid)), OPD (o-phenylenediamine), TMB (tetramethyl benzidine), etc. can be used as chromogenic substrates.
  • the kit of the present invention manufactured as described above, is very economical compared to conventional general genetic mutation detection methods, as it saves time and money.
  • conventional genetic mutation detection methods such as SSCP (Single Strand Conformational Polymorphism), PTT (Protein Truncation Test), cloning, and direct sequencing
  • SSCP Single Strand Conformational Polymorphism
  • PTT Protein Truncation Test
  • cloning and direct sequencing
  • NGS next generation sequencing
  • RFLP Restriction Fragment Length Polymorphism
  • kits of the present invention if sample DNA is prepared, results can be obtained in about 10 to 11 hours, and since a set of primers capable of detecting mutations is integrated into a single chip, not only time but also cost can be saved compared to conventional methods. Since the average reagent cost per experiment is less than half that of conventional methods, even greater cost savings can be expected when considering the researcher's labor costs.
  • the present invention relates to a set of SNP genes, a composition, a method for providing information, and a kit capable of predicting the risk of developing Alzheimer's disease.
  • SNP variations associated with the risk of developing Alzheimer's disease were identified through genome-wide association analysis (GWAS), and the SNP variations can be utilized to diagnose or predict the onset of Alzheimer's disease in Koreans.
  • GWAS genome-wide association analysis
  • Figure 1 is a graph showing the Manhattan plot results for SNPs associated with Alzheimer's disease.
  • Figure 2 is a graph showing the regional plot of rs150908390, which is located on chromosome 11 and between the DDX10 gene and C110rf87.
  • Figure 3 is a mean profile plot graph showing the copy score measured over time for rs150908390.
  • Figure 4 is a survival curve analyzing the effect of the rs150908390 mutation and the onset of Alzheimer's disease over time.
  • the study sample included 1,325 subjects enrolled in cohorts at Chosun University and Chonnam National University who had completed the Rey Complex Figure Test at least twice.
  • Clinical diagnosis of Alzheimer's disease (AD) status was made according to the NINCDS-ADRDA (National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer Disease and Research Disorders Association) criteria.
  • Cognitively normal (CN) subjects had no evidence of neurological disease or impairment in cognitive function or activities of daily living. Subjects with a history of brain MRI, head trauma, or a history of psychiatric disorders that could affect mental function were excluded. At baseline, there were 50 cognitively normal (CN) subjects, 432 subjects with mild cognitive impairment (MCI), and 43 subjects with Alzheimer's disease (AD). The final sample included 775 controls.
  • LMM linear mixed model
  • Manhattan plots are used to identify and display statistically significant SNPs in GWAS.
  • the x-axis of the Manhattan plot is a visual diagram that displays the statistical value, i.e., the p-value , of each SNP as a scatter plot according to the SNP's location in the genome. If this shows an association with a phenotype, SNPs that show significance above or near the threshold at the corresponding locus may appear in groups.
  • SNPs with a p-value of 5x10-8 or less above the red line, p-value ⁇ 5x10-8 ) were identified, and these SNPs can be interpreted as having statistical significance (Figure 1).
  • age_i Age of the i-th subject
  • the verified SNP was rs150908390, and the regional plot showed that it was located on chromosome 11, between the DDX10 gene and C110rf87, and the location was 109121231 based on GRCh37.p13 (109250504 based on GRCh38.p14) (Fig. 2).
  • the x-axis represents the time (years) from one measurement to the next, and the y-axis represents the copy score.
  • the decline in RCFT copy score was significantly greater in subjects with the rs150908390 variant (Carrier, red on the graph) than in subjects without the variant (Non-Carrier, light blue on the graph) (Fig. 3).
  • rs150908390 analyzed using the NIH reference panel (GRCh37.p13) was confirmed to have the A genotype as the majority allele and the G genotype as the minor allele, and the frequency of the minor allele (maf) was 0.027.

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Abstract

The present invention relates to: a method for providing information which can diagnose early and predict groups with the risk of developing Alzheimer's disease by providing SNP markers capable of predicting a high risk of developing Alzheimer's disease in Koreans; a composition for predicting the risk of developing Alzheimer's disease; and a microarray and a kit, each comprising same.

Description

알츠하이머병 발병 위험도 예측을 위한 레이 복잡도 복사 점수 저하와 관련이 있는 단일염기다형성 마커 및 이의 용도Single nucleotide polymorphism markers associated with reduced Ley complexity copy score for predicting risk of developing Alzheimer's disease and their use

본 발명은 알츠하이머병 발병 위험도와 유의적 상관관계를 가지는 특정 단일염기다형성 (SNP; single nucleotide polymorphism)를 확인하여 알츠하이머병의 발병 위험도를 예측하는 방법, 상기 SNP를 확인할 수 있는 폴리뉴클레오타이드, 폴리펩타이드, 항체 또는 cDNA를 포함하는 알츠하이머병 발병 위험도 예측용 조성물, 그리고 이를 포함하는 마이크로어레이 및 키트에 관한 것이다. The present invention relates to a method for predicting the risk of developing Alzheimer's disease by identifying a specific single nucleotide polymorphism (SNP) that has a significant correlation with the risk of developing Alzheimer's disease, a composition for predicting the risk of developing Alzheimer's disease comprising a polynucleotide, polypeptide, antibody or cDNA capable of identifying the SNP, and a microarray and kit comprising the same.

우리나라는 65세 이상 인구의 약 10 %가 치매환자로 추정되며, 고령화 사회에 접어들면서 치매에 대한 개인적, 사회적 부담이 가중되고 있다.  65세가 지나면 치매 유병률은 5년마다 두 배씩 증가하는 추세를 보이며, 앞으로 우리나라는 세계에서 치매 환자가 가장 빨리 늘어나는 국가가 될 것으로 전망되고 있다. 국내외 치매환자의 약 60 내지 70 %는 알츠하이머병 (Alzheimer's disease)으로 인한 것으로, 아직까지 근본적인 원인 및 이에 따른 치료 약물이 없다.In Korea, it is estimated that about 10% of the population aged 65 and over suffers from dementia, and as the country enters an aging society, the personal and social burden of dementia is increasing. The prevalence of dementia doubles every five years after the age of 65, and it is projected that Korea will become the country with the fastest increasing number of dementia patients in the world. Approximately 60 to 70% of dementia patients in Korea and abroad are due to Alzheimer's disease, and there is still no fundamental cause or treatment for it.

알츠하이머병은 인지기능 장애 및 기억상실을 유발하는 진행성 장애이다. 알츠하이머병의 주요 위험 요인에는 나이, 가족력 및 생활 방식이 포함된다. 알츠하이머병은 신경축색 손상, 세포사멸 및 신경교증 (gliosis)를 포함하는, 신경퇴행으로 이어지는 만성적 진행 과정을 포함한다. 신경퇴행성 질병의 발병 및 병태생리는 매우 복잡하여 일부분만이 알려져 있다.Alzheimer's disease is a progressive disorder that causes cognitive impairment and memory loss. Major risk factors for Alzheimer's disease include age, family history, and lifestyle. Alzheimer's disease involves a chronic, progressive process leading to neurodegeneration, including axonal damage, cell death, and gliosis. The pathogenesis and pathophysiology of neurodegenerative diseases are complex and only a small part of the underlying cause is understood.

인간의 경우 약 1000 염기 당 1회 빈도로 변이가 있는데, 이것을 SNP (single nucleotide polymorphism)라고하며, 5 % 다형을 common polymorphism, 1 내지 5 % 다형을 rare polymorphism이라고 한다. 현재 인간의 전체 염기서열을 분석하기 위해 많은 실험 기법 등이 발달하였고, 그 중 전장 유전체 연구 (Genome-wide association study; GWAS)는 현재까지 많은 질환의 연구에 사용되고 있다. 알츠하이머병과 관련하여, 전장 유전체 상관연구 (GWAS)는 30개가 넘는 독립적인 유전자좌를 발견했으나, 표현형 변화의 절반 이상이 여전히 설명되지 않은 채 남아있다.In humans, there is a mutation at a frequency of about 1 per 1,000 bases, which is called a single nucleotide polymorphism (SNP). A 5% polymorphism is called a common polymorphism, and a 1 to 5% polymorphism is called a rare polymorphism. Currently, many experimental techniques have been developed to analyze the entire base sequence of a human, and among them, genome-wide association study (GWAS) is currently being used to study many diseases. In relation to Alzheimer's disease, genome-wide association study (GWAS) has discovered more than 30 independent genetic loci, but more than half of the phenotypic variation still remains unexplained.

한편, 레이복합도형검사 (Rey Complex Figure Test, RCFT)는 시각 기억/시공간 능력을 평가하는 것이다. 레이복합도형검사는 모사시간, 모사점수, 즉시회상, 지연회상, 정긍정, 오긍정, 정부정, 재인지표 및 비특이적 재인오류 등을 검사할 수 있다. Meanwhile, the Rey Complex Figure Test (RCFT) assesses visual memory/visual-spatial abilities. It can measure imitation time, imitation score, immediate recall, delayed recall, true positives, false positives, positive positives, recognition index, and nonspecific recognition errors.

이러한 배경하에서, 본 발명자들은 알츠하이머성 치매의 발병을 보다 효과적으로 예측할 수 있는 기술을 개발하고자 예의 연구 노력하였다.Against this backdrop, the inventors of the present invention have made extensive research efforts to develop a technique that can more effectively predict the onset of Alzheimer's dementia.

그 결과, 본 발명자들은 알츠하이머병의 발병 위험도가 나타나는 SNP의 변이체를 확인하고, 이러한 변이체가 있는 경우 레이복합도형검사의 하락폭이 더 큰 것을 확인하였으며, 개체로부터 알츠하이머성 치매가 발병될 가능성을 평가할 수 있는 정보를 제공하는 방법을 개발하여 본 발명을 완성하였다.As a result, the inventors of the present invention identified a variant of SNP that indicates the risk of developing Alzheimer's disease, confirmed that the decline in the Rayleigh complex shape test was greater in the presence of such a variant, and developed a method for providing information that can evaluate the possibility of developing Alzheimer's dementia in an individual, thereby completing the present invention.

본 발명의 목적은 환자로부터 얻은 유전자 시료에 대하여 알츠하이머병의 위험도와 유의적 상관관계를 갖는 특정 SNP를 확인함으로써, 알츠하이머병 발병 위험도를 예측하는 방법을 제공하는 것이다.The purpose of the present invention is to provide a method for predicting the risk of developing Alzheimer's disease by identifying specific SNPs that have a significant correlation with the risk of Alzheimer's disease in a genetic sample obtained from a patient.

본 발명의 다른 목적은 환자로부터 얻은 유전자 시료에 대하여 알츠하이머병의 위험도와 유의적 상관관계를 갖는 특정 SNP를 확인함으로써, 알츠하이머병 발병 위험도를 예측하기 위한 정보 제공 방법을 제공하는 것이다.Another object of the present invention is to provide a method for providing information for predicting the risk of developing Alzheimer's disease by identifying specific SNPs that have a significant correlation with the risk of Alzheimer's disease in a genetic sample obtained from a patient.

본 발명의 다른 목적은 특정 SNP 마커를 확인할 수 있는 폴리뉴클레오타이드, 폴리펩타이드, 이에 대한 항체 또는 이의 cDNA를 포함하는, 알츠하이머병 발병 위험도 예측용 마이크로어레이를 제공하는 것이다.Another object of the present invention is to provide a microarray for predicting the risk of developing Alzheimer's disease, comprising a polynucleotide, a polypeptide, an antibody therefor, or a cDNA thereof capable of identifying a specific SNP marker.

본 발명의 또 다른 목적은 특정 SNP 마커를 확인할 수 있는 폴리뉴클레오타이드, 폴리펩타이드, 이에 대한 항체 또는 이의 cDNA를 포함하는, 알츠하이머병 발병 위험도 예측용 키트를 제공하는 것이다.Another object of the present invention is to provide a kit for predicting the risk of developing Alzheimer's disease, comprising a polynucleotide, polypeptide, antibody therefor, or cDNA thereof capable of identifying a specific SNP marker.

이러한 배경하에서, 본 발명자들은 알츠하이머성 치매의 발병을 보다 효과적으로 예측할 수 있는 기술을 개발하고자 예의 연구 노력하였다. Against this backdrop, the inventors of the present invention have made extensive research efforts to develop a technology that can more effectively predict the onset of Alzheimer's dementia.

그 결과, 본 발명자들은 전장유전자 상관연구(GWAS) 방법론을 활용하여 알츠하이머병의 발병에 특이적으로 나타나는 단일염기다형성(SNP)의 발현시 레이복합도형검사 (Rey Complex Figure Test)의 카피 점수 (copy score)의 하락폭이 더 큼을 확인하고 본 발명을 완성하게 되었다.As a result, the inventors of the present invention confirmed that the decrease in the copy score of the Rey Complex Figure Test was greater when a single nucleotide polymorphism (SNP) that specifically appears in the onset of Alzheimer's disease was expressed, utilizing the genome-wide association study (GWAS) methodology, and completed the present invention.

이하, 본 발명의 구성을 상세히 설명한다. Hereinafter, the configuration of the present invention will be described in detail.

본 발명의 일 양태는 환자로부터 얻은 유전자 시료에 대하여, One aspect of the present invention relates to a genetic sample obtained from a patient,

rs150908390으로 표시되는 단일염기다형성 (single nucleotide polymorphism, SNP)을 확인하는 단계를 포함하는, 알츠하이머병 발병 위험도를 예측하기 위한 정보 제공 방법을 제공한다. A method for providing information for predicting the risk of developing Alzheimer's disease is provided, comprising the step of identifying a single nucleotide polymorphism (SNP) represented by rs150908390.

상기 유전자 시료는 대상(환자)의 혈액, 피부세포, 점막세포 및 모발 등 모든 세포로부터 분리될 수 있는 DNA 또는 RNA를 의미한다. 해당세포로부터 DNA 또는 RNA를 추출하는 방법은 특별히 제한되지 않으며, 당업계에 공지된 기술 또는 시판되고 있는 DNA 또는 RNA 추출용 키트를 사용할 수 있다.The above genetic sample refers to DNA or RNA that can be isolated from any cell of the subject (patient), including blood, skin cells, mucosal cells, and hair. The method for extracting DNA or RNA from the cells is not particularly limited, and any technique known in the art or a commercially available DNA or RNA extraction kit can be used.

상기 대상(환자)은 알츠하이머병으로 판정되거나, 의심되는 대상을 포함할 수 있다. 상기 대상은 척추동물일 수 있고, 포유류, 양서류, 파충류, 조류 등일 수 있고, 구체적으로 포유동물일 수 있다. 예를 들어, 상기 대상은 인간 (Homo sapiens)일 수 있다.The subject (patient) above may include a subject diagnosed with or suspected of having Alzheimer's disease. The subject may be a vertebrate, mammal, amphibian, reptile, bird, etc., and may specifically be a mammal. For example, the subject may be a human (Homo sapiens).

본 발명에서, “유전자”는 용어 “폴리뉴클레오타이드”, “핵산”과 상호교환적으로 사용될 수 있다. 상기 유전자는 폴리펩타이드 사슬 생성에 관여하는 DNA 조각을 포함하며, 이는 코딩 부위 이전 및 이후의 부위, 예를 들면 프로모터 및 3'-미번역 부위를 각각 포함할 뿐만 아니라, 개별적인 코딩 단편 (엑손) 사이의 개입서열 (인트론)을 포함하는 것을 의미할 수 있다.In the present invention, the term "gene" may be used interchangeably with the terms "polynucleotide" and "nucleic acid." The term "gene" refers to a DNA segment involved in the production of a polypeptide chain, and may include regions preceding and following a coding region, such as a promoter and a 3'-untranslated region, as well as intervening sequences (introns) between individual coding segments (exons).

본 명세서 상 용어 "유전적 다형성 (genetic polymorphism)"은 하나의 유전자 좌위 (locus)에 두가지 이상의 대립 유전자 (allele)가 존재하는 경우를 말하며, 인구집단에서 적어도 1% 이상의 빈도로 유전자 변이가 나타나는 경우를 말한다. 유전적 다형성 (polymorphism)과 돌연변이 (mutation)는 구별되며, 유전적 다형성은 유전자 변이가 인구집단에서 적어도 1 % 이상의 빈도를 보일 경우를 지칭하며, 1 %보다 더 낮은 빈도로 발견되는 유전자 변이는 돌연변이로 통칭된다. DNA에서 한 개의 뉴클레오타이드의 삽입, 소실, 또는 치환이 일어나는 것을 단일염기다형성 (single nucleotide polymorphism, SNP) 이라고 한다.The term "genetic polymorphism" used herein refers to a case where two or more alleles exist at a single genetic locus, and a case where a genetic variation appears at a frequency of at least 1% or more in a population. Genetic polymorphism is distinguished from mutation, and genetic polymorphism refers to a case where a genetic variation appears at a frequency of at least 1% or more in a population, and a genetic variation found at a frequency lower than 1% is collectively called a mutation. An insertion, deletion, or substitution of a single nucleotide in DNA is called a single nucleotide polymorphism (SNP).

본 명세서에서 "단일염기다형성(single nucleotide polymorphism, SNP)"은 게놈에서 단일염기 (A, T, C 또는 G)가 종의 멤버들 간 또는 한 개체(individual)의 쌍 염색체 간에 다른 경우에 발생하는 DNA 서열의 다양성을 의미한다. 예를 들어, DNA 사슬의 특정부위에 어떤 사람은 아데닌 (adenine, A)를 가지고 있는 반면, 어떤 사람은 시토신 (cytosine, C)을 가지고 있는 것이다. 이러한 미세한 차이 (SNP)에 의해 각 유전자의 기능이 달라질 수 있고 이런 것들이 상호 작용하여 서로 다른 개체를 만들고, 서로 다른 질병에 대한 감수성의 차이를 만들어낸다. 일반적으로 거의 모든 SNPs는 두 개의 대립 유전자를 가진다. 한 집단 (population)내에서, SNP는 소수 대립인자 빈도 (minor allele frequency, MAF; 특정 집단에서 발견되는 유전자위치 (locus)에서 가장 낮은 대립인자 빈도)로 할당될 수 있다. 단일염기는 폴리뉴클레오타이드 서열에 변화(대체), 제거(결실) 또는 첨가(삽입)될 수 있다. SNP는 번역 프레임의 변화를 유발할 수 있다.In this specification, "single nucleotide polymorphism (SNP)" refers to a variation in DNA sequence that occurs when a single base (A, T, C, or G) in the genome differs between members of a species or between pairs of chromosomes of an individual. For example, in a certain region of the DNA chain, some people have adenine (A), while others have cytosine (C). These slight differences (SNPs) can alter the function of each gene, and these interact to create different individuals and differences in susceptibility to different diseases. In general, almost all SNPs have two alleles. Within a population, a SNP can be assigned a minor allele frequency (MAF; the lowest allele frequency at a locus found in a particular population). A single nucleotide can be changed (substituted), removed (deleted), or added (inserted) to a polynucleotide sequence. SNPs can cause a change in the translation frame.

한편 본 명세서에서 유전자의 변이를 표기할 때 [염기일문자/염기일문자]는 좌측에 쓰인 염기일문자가 우측에 쓰인 염기일문자로 치환되는 것을 의미한다. Meanwhile, when indicating a mutation of a gene in this specification, [base letter/base letter] means that the base letter written on the left is replaced with the base letter written on the right .

본 명세서 상 “폴리뉴클레오티드 (polynucleotide)”또는 “핵산”은 단일-또는 이중-가닥의 형태로 된 데옥시리보뉴클레오티드 (DNA) 또는 리보뉴클레오티드 (RNA)를 말한다. 다른 제한이 없는한, 자연적으로 생성되는 뉴클레오티드와 비슷한 방법으로 핵산에 혼성화되는 자연적 뉴클레오티드의 공지된 아날로그도 포함된다. 일반적으로 DNA는 아데닌 (adenine, A), 구아닌 (guanine, G), 사이토신 (cytosine, C), 티민 (thymine, T) 등 네 가지 염기로 구성되어 있으며, RNA는 티민 대신 우라실 (Uracil, U)을 가지고 있다. 핵산 이중 가닥에서 A는 T 또는 U, C는 G 염기와 수소결합을 이루는데, 이러한 염기의 관계를 '상보적(complementary)'이라고 한다. 한편, 본 명세서에서 '폴리뉴클레오티드'는 다른 언급이 없으면 본 발명의 SNP가 위치하는 유전체 영역에서 상기 SNP를 포함하는 8 내지 100 개의 연속된 염기서열을 갖는 폴리뉴클레오티드를 의미한다.As used herein, “polynucleotide” or “nucleic acid” refers to deoxyribonucleotides (DNA) or ribonucleotides (RNA) in single- or double-stranded form. Unless otherwise specified, known analogs of naturally occurring nucleotides that hybridize to nucleic acids in a manner similar to naturally occurring nucleotides are also included. DNA is generally composed of four bases: adenine (A), guanine (G), cytosine (C), and thymine (T), while RNA has uracil (U) instead of thymine. In a nucleic acid double strand, A forms hydrogen bonds with T or U, and C forms hydrogen bonds with G, and this relationship between bases is called “complementary.” Meanwhile, in this specification, unless otherwise stated, 'polynucleotide' means a polynucleotide having a contiguous base sequence of 8 to 100 nucleotides including the SNP of the present invention in the genomic region where the SNP is located.

본 발명에서, rs150908390로 표시되는 염기의 치환이 발생된 경우, 염기서열이 G인 경우, A인 경우보다 알츠하이머병 발병 위험도가 높다고 예측하는 것일 수 있다.In the present invention, when a substitution of the base represented by rs150908390 occurs, it can be predicted that the risk of developing Alzheimer's disease is higher when the base sequence is G than when it is A.

본 명세서 상 “게놈 DNA (genomic DNA, gDNA)”는 한 개체의 유전자의 총 염기서열로서, 거의 완전한 유전정보를 포함하고 있는 DNA를 의미한다.In this specification, “genomic DNA (gDNA)” means DNA that contains almost complete genetic information, which is the total base sequence of the genes of an individual.

본 발명에서, “발병 위험도” 또는 “발병 가능성”은 알츠하이머병의 발병의 상대적 위험을 의미할 수 있으며, 구체적으로 알츠하이머병으로 진행될 가능성을 의미하는 것일 수 있다.In the present invention, “risk of onset” or “likelihood of onset” may mean the relative risk of onset of Alzheimer’s disease, and specifically may mean the likelihood of progressing to Alzheimer’s disease.

본 발명에서, “예측”은 병리 상태의 존재 또는 특징의 확인을 통해, 알츠하이머병의 발병 가능성을 판단하는 것뿐만 아니라, 알츠하이머병 치료 후, 약물 반응성, 내성 등과 같은 여부를 판단하는 것을 의미하는 것일 수 있다. In the present invention, “prediction” may mean not only determining the possibility of developing Alzheimer’s disease by confirming the presence or characteristics of a pathological condition, but also determining whether there is drug responsiveness, resistance, etc. after Alzheimer’s disease treatment.

본 발명에서, 상기 정보 제공 방법은 한국인에서의 알츠하이머병 발병 위험도를 예측하는데 유용하게 활용될 수 있다.In the present invention, the above information providing method can be usefully utilized to predict the risk of developing Alzheimer's disease in Koreans.

본 발명에서, 상기 단일염기다형성 마커가 알츠하이머병 발병 위험도 예측에 이용될 수 있다는 것은, 알츠하이머병이 발병된 군의 유전자 분석 결과 단일염기다형성 부위에서 특정 염기가 존재할 확률이 높다는 것에 근거한 것이다.In the present invention, the fact that the single nucleotide polymorphism marker can be used to predict the risk of developing Alzheimer's disease is based on the fact that the genetic analysis results of a group that developed Alzheimer's disease showed a high probability of the presence of a specific base at a single nucleotide polymorphism site.

본 발명의 다른 일 양태는 rs150908390으로 표시되는 단일염기다형성 (single nucleotide polymorphism, SNP)을 포함하는 10개 이상의 연속 염기로 구성되는 폴리뉴클레오타이드 또는 그의 상보적 폴리뉴클레오타이드와 특이적으로 혼성화하는 폴리뉴클레오타이드를 포함하는, 알츠하이머병 발병 위험도 예측용 조성물이다.Another aspect of the present invention is a composition for predicting the risk of developing Alzheimer's disease, comprising a polynucleotide consisting of 10 or more consecutive bases including a single nucleotide polymorphism (SNP) represented by rs150908390 or a polynucleotide that specifically hybridizes with its complementary polynucleotide.

본 발명에 따른 10개 이상의 연속 염기로 구성되는 폴리뉴클레오타이드 또는 그의 상보적 폴리뉴클레오타이드는 10개 이상, 바람직하게는 10 내지 100개, 보다 바람직하게는 20 내지 80개, 보다 더 바람직하게는 40 내지 60개의 연속 염기로 구성되는 폴리뉴클레오타이드 또는 그의 상보적 폴리뉴클레오타이드와 특이적으로 혼성화하는 폴리뉴클레오타이드를 포함하는 것일 수 있으나, 이에 한정되는 것은 아니다.The polynucleotide composed of 10 or more consecutive bases according to the present invention or its complementary polynucleotide may include a polynucleotide composed of 10 or more consecutive bases, preferably 10 to 100, more preferably 20 to 80, and even more preferably 40 to 60, or a polynucleotide that specifically hybridizes with the polynucleotide or its complementary polynucleotide, but is not limited thereto.

상기 조성물에 있어서, 앞서 기술한 폴리뉴클레오타이드와 특이적으로 혼성화하는 폴리뉴클레오타이드는 프로브 또는 프라이머일 수 있다.In the above composition, the polynucleotide that specifically hybridizes with the polynucleotide described above may be a probe or a primer.

본 발명에서, “프라이머 (primer)”는 올리고뉴클레오타이드를 의미하는 것으로, 핵산쇄(주형)에 상보적인 프라이머 연장 산물의 합성이 유도되는 조건, 즉, 뉴클레오타이드와 DNA 중합효소와 같은 중합제의 존재, 그리고 적합한 온도와 pH의 조건에서 합성의 개시점으로 작용할 수 있다. 바람직하게는, 상기 프라이머는 디옥시리보뉴클레오타이드이며, 단일쇄일 수 있다. 본 발명에서 이용되는 프라이머는 자연 (naturally occurring) dNMP (즉, dAMP, dGMP, dCMP 및 dTMP), 변형 뉴클레오타이드 또는 비-자연 뉴클레오타이드를 포함할 수 있다. 또한, 상기 프라이머는 리보뉴클레오타이드도 포함할 수 있다.In the present invention, “primer” refers to an oligonucleotide, which can act as an initiation point for synthesis under conditions that induce the synthesis of a primer extension product complementary to a nucleic acid chain (template), i.e., the presence of nucleotides and a polymerization agent such as DNA polymerase, and conditions of suitable temperature and pH. Preferably, the primer is a deoxyribonucleotide and may be single-stranded. The primer used in the present invention may include naturally occurring dNMPs (i.e., dAMP, dGMP, dCMP, and dTMP), modified nucleotides, or non-natural nucleotides. In addition, the primer may also include ribonucleotides.

본 발명에서, “프로브 (probe)”는 특정 뉴클레오타이드 서열에 혼성화될 수 있는 디옥시리보뉴클레오타이드 및 리보뉴클레오타이드를 포함하는 자연 또는 변형되는 모노머 또는 결합을 갖는 선형의 올리고머를 의미한다. 바람직하게는, 상기 프로브는 혼성화에서의 최대 효율을 위해 단일 가닥일 수 있다. 상기 프로브는 바람직하게는 디옥시리보뉴클레오타이드일 수 있다. In the present invention, “probe” means a linear oligomer having a natural or modified monomer or linkage comprising deoxyribonucleotides and ribonucleotides capable of hybridizing to a specific nucleotide sequence. Preferably, the probe may be single-stranded for maximum efficiency in hybridization. Preferably, the probe may be a deoxyribonucleotide.

본 발명에 이용되는 프로브로서, 상기 SNP를 포함하는 서열에 완전하게 (perfectly) 상보적인 서열이 이용될 수 있으나, 특이적 혼성화를 방해하지 않는 범위 내에서 실질적으로 (substantially) 상보적인 서열이 이용될 수도 있다. 바람직하게는, 본 발명에 이용되지 않는 프로브는 본 발명의 SNP를 포함하는 10 내지 30개의 연속 뉴클레오타이드 잔기를 포함하는 서열에 혼성화될 수 있는 서열을 포함한다. 보다 바람직하게는, 상기 프로브의 3' 말단 또는 5' 말단은 상기 SNP 염기에 상보적인 염기를 가질 수 있다. 일반적으로, 혼성화에 의해 형성되는 듀플레스 (duplex)의 안정성은 말단의 서열의 일치에 의해 결정되는 경향이 있기 때문에, 3' 말단 또는 5' 말단에 SNP 염기에 상보적인 염기를 갖는 프로브에서 말단 부분이 혼성화되지 않으면, 이러한 듀플렉스는 엄격한 조건에서 해체될 수 있다.As a probe used in the present invention, a sequence perfectly complementary to the sequence including the SNP may be used, but a substantially complementary sequence may also be used as long as it does not interfere with specific hybridization. Preferably, a probe not used in the present invention includes a sequence capable of hybridizing to a sequence including 10 to 30 consecutive nucleotide residues including the SNP of the present invention. More preferably, the 3' end or 5' end of the probe may have a base complementary to the SNP base. In general, since the stability of a duplex formed by hybridization tends to be determined by the identity of the terminal sequence, if the terminal portion of a probe having a base complementary to the SNP base at the 3' end or 5' end does not hybridize, such a duplex may be disassembled under stringent conditions.

또한, 본 발명은 상기 폴리뉴클레오타이드에 의해 코딩되는 폴리펩타이드 또는 이에 특이적인 항체를 포함하는 알츠하이머병 발병 위험도 예측용 조성물을 제공한다.In addition, the present invention provides a composition for predicting the risk of developing Alzheimer's disease, comprising a polypeptide encoded by the polynucleotide or an antibody specific therefor.

본 발명에서, rs150908390로 표시되는 서열에 해당하는 다형성 부위를 증폭하거나 프로브와 혼성화하는 단계로부터 수행될 수 있다. 상기 다형성 부위를 증폭하거나 프로브와 혼성화하는 단계는 당업계에 알려진 모든 방법을 사용할 수 있다. 예를 들면, 상기 방법은 PCR을 통해 표적 핵산을 증폭하고, 이를 정제하여 얻는 방법일 수 있다. 그 외, 상기 방법은 리가아제 연쇄 반응(LCR) (Wu 및 Wallace, Genomics 4, 560(1989), Landegren 등, Science 241, 1077(1988)), 전사증폭(transcription amplication) (Kwoh 등, Proc. Natl. Acad. Sci. USA 86, 1173(1989)), 자가유지 서열 복제 (Guatelli 등, Proc. Natl. Acad. Sci. USA 87, 1874(1990)) 또는 핵산에 근거한 서열 증폭 (NASBA) 등이 사용될 수 있다.In the present invention, the process may begin with a step of amplifying or hybridizing a polymorphic site corresponding to the sequence represented by rs150908390 with a probe. Any method known in the art can be used for the step of amplifying or hybridizing the polymorphic site with a probe. For example, the method may be a method of amplifying a target nucleic acid via PCR and purifying it. In addition, the above method may be used, such as ligase chain reaction (LCR) (Wu and Wallace, Genomics 4, 560 (1989), Landegren et al., Science 241, 1077 (1988)), transcription amplication (Kwoh et al., Proc. Natl. Acad. Sci. USA 86, 1173 (1989)), self-sustaining sequence replication (Guatelli et al., Proc. Natl. Acad. Sci. USA 87, 1874 (1990)), or nucleic acid-based sequence amplification (NASBA).

또한, 상기 변이 여부를 확인하는 단계는, 서열분석, 마이크로어레이 (microarray)에 의한 혼성화, 대립유전자 특이적인 PCR (allele specific PCR), 다이나믹 대립유전자 혼성화 기법 (dynamic allele specific hybridization, DASH), PCR 연장 분석, SSCP, PCR-RFLP 분석 또는 TaqMan 기법, SNPlex 플랫폼 (Applied Biosystems), 질량 분석법 (예를 들어, Sequenom의 MassARRAY 시스템), 미니-시퀀싱 (mini-sequencing) 방법, Bio-Plex 시스템 (BioRad), CEQ and SNPstream 시스템(Beckman), 분자 도치 프로브 (Molecular Inversion Probe) 어레이 기술 (예를 들어, Affymetrix GeneChip), 및 BreadArray 기술 (예를 들어, Illumina GoldenGate 및 Infinium 분석법)을 포함하나, 이에 한정되는 것은 아니다. 상기 방법들 또는 본 발명이 속하는 기술분야의 당업자에게 이용가능한 다른 방법에 의해, 마이크로새틀라이트, SNP 또는 다른 종류의 다형성 마커를 포함한, 다형성 마커에서 하나 이상의 대립유전자가 확인될 수 있다. 이와 같은 다형성 부위의 염기를 결정하는 것은 바람직하게는 SNP 칩을 통해 수행될 수 있다.In addition, the step of confirming the presence or absence of the mutation includes, but is not limited to, sequence analysis, hybridization by microarray, allele specific PCR, dynamic allele specific hybridization (DASH), PCR extension analysis, SSCP, PCR-RFLP analysis or TaqMan technique, SNPlex platform (Applied Biosystems), mass spectrometry (e.g., Sequenom's MassARRAY system), mini-sequencing method, Bio-Plex system (BioRad), CEQ and SNPstream system (Beckman), Molecular Inversion Probe array technology (e.g., Affymetrix GeneChip), and BreadArray technology (e.g., Illumina GoldenGate and Infinium assays). One or more alleles of a polymorphic marker, including a microsatellite, SNP, or other type of polymorphic marker, can be identified using the above methods or other methods available to those skilled in the art to which the present invention pertains. Determining the base pairs of such polymorphic sites can preferably be performed using a SNP chip.

또한, 유전자형을 확인하는 단계에서는 유전자 서열 분석이 수행될 수 있다. 상기 서열 분석은 당업계에 공지된 모든 방법을 이용할 수 있다. 예를 들어, 상기 서열 분석은 자동염기서열분석기를 통해 수행되거나, 파이로시퀀싱(pyrosequencing), PCR-RELP법(restriction fragment length polymorphism), PCR-SSCP법(single strand conformation polymorphism), PCR-SSO법(specific sequence oligonucleotide), PCR-SSO법과 도트 하이브리드화법을 조합한 ASO(allele specific oligonucleotide) 하이브리드화법, TaqMan-PCR법, MALDI-TOF/MS법, RCA법 (rolling circle amplification), HRM (high resolution melting)법, 프라이머 신장법, 서던 블롯 하이브리드화법 또는 도트 하이브리드화법 등 공지의 방법 중 선택된 어느 하나 이상의 방법으로 수행될 수 있다. In addition, in the step of confirming the genotype, gene sequence analysis can be performed. The sequence analysis can be performed using any method known in the art. For example, the sequence analysis can be performed using an automatic sequencer, or can be performed using at least one method selected from known methods such as pyrosequencing, PCR-RELP (restriction fragment length polymorphism), PCR-SSCP (single strand conformation polymorphism), PCR-SSO (specific sequence oligonucleotide), ASO (allele specific oligonucleotide) hybridization combining PCR-SSO and dot hybridization, TaqMan-PCR, MALDI-TOF/MS, RCA (rolling circle amplification), HRM (high resolution melting), primer extension, Southern blot hybridization, or dot hybridization.

본 발명의 또 다른 일 양태는 rs150908390으로 표시되는 단일염기다형성 (single nucleotide polymorphism, SNP)을 포함하는 10개 이상의 연속 염기로 구성되는 폴리뉴클레오타이드 또는 그의 상보적 폴리뉴클레오타이드; 이와 혼성화하는 폴리뉴클레오타이드; 이에 의해 코딩되는 폴리펩타이드; 이에 특이적인 항체; 또는 상기 폴리펩타이드의 cDNA를 포함하는 알츠하이머병 발병 위험도 예측용 마이크로어레이다.Another aspect of the present invention is a microarray for predicting the risk of developing Alzheimer's disease, comprising: a polynucleotide consisting of 10 or more consecutive bases including a single nucleotide polymorphism (SNP) represented by rs150908390 or a complementary polynucleotide thereof; a polynucleotide hybridizing therewith; a polypeptide encoded thereby; an antibody specific therefor; or cDNA of the polypeptide.

또한, 본 발명은 상기 폴리뉴클레오타이드, 이와 혼성화하는 폴리뉴클레오타이드, 이에 의해 코딩되는 폴리펩타이드, 이에 특이적인 항체 또는 상기 폴리펩타이드의 cDNA를 포함하는 알츠하이머병 발병 위험도 예측용 마이크로어레이를 제공한다.In addition, the present invention provides a microarray for predicting the risk of developing Alzheimer's disease, comprising the polynucleotide, a polynucleotide hybridizing therewith, a polypeptide encoded thereby, an antibody specific therefor, or cDNA of the polypeptide.

본 발명에 따른 마이크로어레이는 DNA 또는 RNA 폴리뉴클레오타이드를 포함하는 것일 수 있다. 상기 마이크로어레이는 프로브 폴리뉴클레오타이드에 본 발명의 폴리뉴클레오타이드를 포함하는 것을 제외하고는 통상적인 마이크로어레이로 이루어질 수 있다. 프로브 폴리뉴클레오타이드를 기판 상에 고정화하여 마이크로어레이를 제조하는 방법은 당업계에 잘 알려져 있다. 상기 프로브 폴리뉴클레오타이드는 혼성화할 수 있는 폴리뉴클레오타이드를 의미하는 것으로, 핵산의 상보성 가닥에 서열 특이적으로 결합할 수 있는 올리고뉴클레오타이드를 의미한다. 본 발명의 프로브는 대립유전자 특이적 프로브로서, 같은 종의 두 구성원으로부터 유래한 핵산 단편 중에 다형성 부위가 존재하여, 한 구성원으로부터 유래한 DNA 단편에는 혼성화하나, 다른 구성원으로부터 유래한 단편에는 혼성화하지 않는다. 이 경우 혼성화 조건은 대립유전자 간의 혼성화 강도에 있어서 유의한 차이를 보여, 대립유전자 중 하나에만 혼성화하도록 충분히 엄격해야 한다. 이렇게 함으로써 다른 대립유전자 형태 간에 좋은 혼성화 차이를 유발할 수 있다. 상기 진단 방법에는 서던 블롯 등과 같은 핵산의 혼성화에 근거한 검출 방법들이 포함되며, DNA 칩을 이용한 방법에서 DNA 칩의 기판에 미리 결합된 형태로 제공될 수도 있다. 상기 혼성화란 엄격한 조건, 예를 들면 1 M 이하의 염 농도 및 25℃ 이상의 온도 하에서 보통 수행될 수 있다.The microarray according to the present invention may comprise DNA or RNA polynucleotides. The microarray may be a conventional microarray, except that the probe polynucleotide comprises the polynucleotide of the present invention. Methods for manufacturing a microarray by immobilizing the probe polynucleotide on a substrate are well known in the art. The probe polynucleotide refers to a hybridizable polynucleotide, and refers to an oligonucleotide capable of sequence-specific binding to complementary strands of nucleic acids. The probe of the present invention is an allele-specific probe, which means that a polymorphic site exists in nucleic acid fragments derived from two members of the same species, such that it hybridizes to a DNA fragment derived from one member but not to a fragment derived from the other member. In this case, the hybridization conditions must be sufficiently stringent to ensure that the probe exhibits a significant difference in hybridization intensity between alleles and hybridizes to only one of the alleles. This can induce a favorable hybridization difference between different allelic forms. The above diagnostic methods include detection methods based on nucleic acid hybridization, such as Southern blot, and in methods using DNA chips, the detection method may be provided in a form pre-bound to the DNA chip substrate. The above hybridization can usually be performed under stringent conditions, such as a salt concentration of 1 M or less and a temperature of 25°C or higher.

본 발명에서, 항체란, 당해 분야에서 공지된 용어로서 항원성 부위에 대해서 지시되는 특이적인 단백질 분자를 의미한다. 본 발명의 목적상, 항체는 본 발명의 SNP 마커를 포함하는 폴리펩타이드에 대해 특이적으로 결합하는 항체를 의미한다. 이러한 항체는 각 유전자를 통상적인 방법에 따라 발현 벡터를 클로닝하여 상기 마커 유전자에 의해 코딩되는 단백질을 얻고, 얻어진 단백질로부터 통상적인 방법에 의해 제조될 수 있다. 여기에는 상기 단백질에서 만들어질 수 있는 부분 펩타이드도 포함되며, 본 발명의 부분 펩타이드로는, 최소한 7개의 아미노산, 바람직하게는 9개의 아미노산, 더욱 바람직하게는 12개 이상의 아미노산을 포함한다. 본 발명의 항체의 형태는 특별히 제한되지 않으며, 폴리클로날 항체, 모노클로날 항체, 또는 항원 결합성을 갖는 것이면 그것의 일부도 본 발명의 항체에 포함되고 모든 면역 글로불린 항체가 포함될 수 있다. 나아가, 본 발명의 항체에는 인간화 항체와 같은 특수 항체도 포함될 수 있다. 본 발명의 알츠하이머병의 발병 위험도 예측용 마커의 검출에 사용되는 항체는 2개의 전체 길이의 경쇄 및 2개의 전체 길이의 중쇄를 가지는 완전한 형태뿐만 아니라 항체 분자의 기능적인 단편을 포함할 수 있다. 항체 분자의 기능적인 단편이란 적어도 항원 결합 기능을 보유하고 있는 단편을 뜻하며, Fab, F(ab'), F(ab')2 및 Fv 등일 수 있다.In the present invention, the term "antibody" refers to a specific protein molecule directed against an antigenic site, a term well known in the art. For the purposes of the present invention, the antibody refers to an antibody that specifically binds to a polypeptide comprising the SNP marker of the present invention. Such antibodies can be produced by conventional methods, such as cloning each gene into an expression vector to obtain a protein encoded by the marker gene, and producing the obtained protein using conventional methods. This also includes partial peptides that can be produced from the protein, and the partial peptides of the present invention include at least 7 amino acids, preferably 9 amino acids, and more preferably 12 or more amino acids. The form of the antibody of the present invention is not particularly limited, and polyclonal antibodies, monoclonal antibodies, or any antibody having antigen binding properties, as well as portions thereof, can be included in the antibody of the present invention, and all immunoglobulin antibodies can be included. Furthermore, the antibody of the present invention can also include specialized antibodies, such as humanized antibodies. The antibody used for detecting the marker for predicting the risk of developing Alzheimer's disease of the present invention may include a complete form having two full-length light chains and two full-length heavy chains, as well as a functional fragment of the antibody molecule. A functional fragment of an antibody molecule means a fragment that possesses at least an antigen-binding function, and may be Fab, F(ab'), F(ab') 2 , or Fv.

본 발명의 또 다른 일 양태는 rs150908390으로 표시되는 단일염기다형성 (single nucleotide polymorphism, SNP)을 포함하는 10개 이상의 연속 염기로 구성되는 폴리뉴클레오타이드 또는 그의 상보적 폴리뉴클레오타이드; 이와 혼성화하는 폴리뉴클레오타이드; 이에 의해 코딩되는 폴리펩타이드; 이에 특이적인 항체; 또는 상기 폴리펩타이드의 cDNA를 포함하는 알츠하이머병 발병 위험도 예측용 키트이다.Another aspect of the present invention is a kit for predicting the risk of developing Alzheimer's disease, comprising: a polynucleotide consisting of 10 or more consecutive bases including a single nucleotide polymorphism (SNP) represented by rs150908390 or a complementary polynucleotide thereof; a polynucleotide hybridizing therewith; a polypeptide encoded thereby; an antibody specific therefor; or cDNA of the polypeptide.

또한, 본 발명은 상기 폴리뉴클레오타이드, 이와 혼성화하는 폴리뉴클레오타이드, 이에 의해 코딩되는 폴리펩타이드, 이에 특이적인 항체 또는 상기 폴리펩타이드의 cDNA를 포함하는 알츠하이머병 발병 위험도 예측용 키트를 제공한다.In addition, the present invention provides a kit for predicting the risk of developing Alzheimer's disease, comprising the polynucleotide, a polynucleotide hybridizing therewith, a polypeptide encoded thereby, an antibody specific therefor, or cDNA of the polypeptide.

본 발명에 있어서 상기 키트는 DNA 칩, RT-PCR 키트 또는 단백질 칩 키트일 수 있으나, 이에 제한되는 것은 아니다. In the present invention, the kit may be a DNA chip, an RT-PCR kit, or a protein chip kit, but is not limited thereto.

상기 키트는 알츠하이머병의 발병 위험도 예측용 마커인 SNP 다형성 마커의 증폭을 통해 확인하거나, SNP 다형성 마커의 발현 수준을 DNA 또는 mRNA의 수준으로 확인함으로써 알츠하이머병의 발병 위험도를 예측할 수 있다. 예컨대, 본 발명에 있어서 상기 알츠하이머병 발병 위험도 예측용 마커의 mRNA 발현 수준을 측정하기 위한 키트는 RT-PCR을 수행하기 위해 필요한 필수 요소를 포함하는 키트일 수 있다. RT-PCR 키트는, 알츠하이머병 발병 위험도 예측용 마커의 유전자에 대해 특이적인 각각의 프라이머 쌍 외에도 테스트 튜브, 또는 다른 적절한 컨테이너, 반응 완충액 (pH 및 마그네슘 농도는 다양), 데옥시뉴클레오타이드 (dNTPs), Taq-폴리머라아제 및 역전사효소와 같은 효소, DNase, RNase 억제제, DEPC-수 (DEPC water), 멸균수 등을 포함할 수 있다. 또한, 정량 대조군으로 사용되는 유전자에 특이적인 프라이머 쌍을 포함할 수 있다. 또한, 바람직하게는, 본 발명에 따른 키트는 DNA 칩을 수행하기 위해 필요한 필수 요소를 포함하는 알츠하이머병의 발병 위험도 예측용 키트일 수 있다. DNA 칩 키트는, 일반적으로 편평한 고체 지지판, 전형적으로는 현미경용 슬라이드보다 크지 않은 유리 표면에 핵산 종을 격자형 배열 (gridded array)로 부착한 것으로, 칩 표면에 핵산이 일정하게 배열되어, DNA 칩 상의 핵산과 칩 표면에 처리된 용액 내에 포함된 상보적인 핵산 간에 다중 혼성화 (hybridization) 반응이 일어나 대량 병렬 분석이 가능하도록 하는 도구이다. 또한, 본 발명에 따른 키트는 단백질 칩 키트일 수 있다. 상기 단백질 칩 키트는 돌연변이된 아미노산 서열로 이루어진 단백질의 발현 수준을 측정할 수 있다. 단백질 칩 키트는 항체의 면역학적 검출을 위해 기재, 적당한 완충 용액, 발색 효소 또는 형광 물질로 표지된 2차 항체, 발색 기질 등을 포함할 수 있다. 발색 효소로는 퍼옥시다아제 (peroxidase), 알카라인 포스파타아제 (alkaline phosphatase) 등이 사용될 수 있다. 또한, 형광 물질로는 FITC, RITC 등이 사용될 수 있고, 발색 기질로는 AVTS (2,2'-아지노-비스-(3-에틸벤조티아졸린-6-설폰산)), OPD(o-페닐렌디아민), TMB(테트라메틸 벤지딘) 등이 사용될 수 있다.The above kit can predict the risk of developing Alzheimer's disease by confirming through amplification of a SNP polymorphism marker, which is a marker for predicting the risk of developing Alzheimer's disease, or by confirming the expression level of the SNP polymorphism marker at the level of DNA or mRNA. For example, in the present invention, the kit for measuring the mRNA expression level of the marker for predicting the risk of developing Alzheimer's disease may be a kit including essential elements required for performing RT-PCR. In addition to each primer pair specific for the gene of the marker for predicting the risk of developing Alzheimer's disease, the RT-PCR kit may include a test tube or other appropriate container, a reaction buffer (with various pH and magnesium concentrations), deoxynucleotides (dNTPs), an enzyme such as Taq polymerase and reverse transcriptase, DNase, RNase inhibitor, DEPC water, sterile water, etc. In addition, it may include a primer pair specific for a gene used as a quantitative control. In addition, preferably, the kit according to the present invention may be a kit for predicting the risk of developing Alzheimer's disease, which includes the essential elements necessary for performing a DNA chip. A DNA chip kit is a tool in which nucleic acid species are attached in a gridded array to a flat solid support, typically a glass surface no larger than a microscope slide, so that the nucleic acids are uniformly arranged on the chip surface, thereby allowing multiple hybridization reactions to occur between the nucleic acids on the DNA chip and complementary nucleic acids contained in a solution treated on the chip surface, thereby enabling massive parallel analysis. In addition, the kit according to the present invention may be a protein chip kit. The protein chip kit can measure the expression level of a protein composed of a mutated amino acid sequence. The protein chip kit may include a substrate for immunological detection of an antibody, an appropriate buffer solution, a secondary antibody labeled with a chromogenic enzyme or fluorescent substance, a chromogenic substrate, etc. The chromogenic enzyme may be peroxidase, alkaline phosphatase, etc. Additionally, FITC, RITC, etc. can be used as fluorescent materials, and AVTS (2,2'-azino-bis-(3-ethylbenzothiazoline-6-sulfonic acid)), OPD (o-phenylenediamine), TMB (tetramethyl benzidine), etc. can be used as chromogenic substrates.

상기와 같이 제작된 본 발명의 키트의 경우, 기존의 일반적인 유전자의 돌연변이 검색 방법에 비해 시간과 비용이 절감되어 매우 경제적이다. SSCP(Single Strand Conformational Polymorphism), PTT(Protein Truncation Test), 클로닝(Cloning), 직접 염기서열 분석(Direct sequencing) 등과 같은 기존의 유전자 돌연변이 검색 방법을 이용하여 한 유전자를 모두 검사하려면 평균적으로 수일 내지 수개월이 소요된다. 또한, 차세대 염기서열 분석법(next generation sequencing; NGS)을 통해서도 빠르고 간단하게 유전자 돌연변이를 정밀하게 검사할 수 있다. 돌연변이를 SSCP, 클로닝, 직접 염기 서열 분석, RFLP(Restriction Fragment Length Polymorphism) 등의 기존 분석 방법에 의해 검사하는 경우, 검사 완료까지 약 한달가량 소요되는 반면, 본 발명의 키트를 이용하면 시료 DNA가 준비되어 있을 경우, 약 10시간 내지 11시간 내에 결과를 얻을 수 있고, 칩 하나에 돌연변이를 검출할 수 있는 프라이머 세트가 함께 집적되어 있기 때문에 기존의 방법에 비해 시간뿐만 아니라 비용까지 절감할 수 있다. 기존의 방법에 비해 매 실험당 평균 절반 이하의 시약비가 소모되므로, 연구자의 인건비까지 감안했을 때 더욱 큰 비용의 절감 효과를 기대할 수 있게 된다.The kit of the present invention, manufactured as described above, is very economical compared to conventional general genetic mutation detection methods, as it saves time and money. Using conventional genetic mutation detection methods such as SSCP (Single Strand Conformational Polymorphism), PTT (Protein Truncation Test), cloning, and direct sequencing, it takes several days to several months on average to test all genes. In addition, next generation sequencing (NGS) can also be used to precisely test genetic mutations quickly and simply. When testing for mutations using conventional analysis methods such as SSCP, cloning, direct sequencing, and RFLP (Restriction Fragment Length Polymorphism), it takes about a month to complete the test. On the other hand, using the kit of the present invention, if sample DNA is prepared, results can be obtained in about 10 to 11 hours, and since a set of primers capable of detecting mutations is integrated into a single chip, not only time but also cost can be saved compared to conventional methods. Since the average reagent cost per experiment is less than half that of conventional methods, even greater cost savings can be expected when considering the researcher's labor costs.

본 발명의 이점 및 특징, 그리고 그것들을 달성하는 방법은 상세하게 후술되어 있는 실시예들을 참조하면 명확해질 것이다. 그러나 본 발명은 이하에서 개시되는 실시예들에 한정되는 것이 아니라 서로 다른 다양한 형태로 구현될 것이며, 단지 본 실시예들은 본 발명의 개시가 완전하도록 하고, 본 발명이 속하는 기술 분야에서 통상의 지식을 가진 자에게 발명의 범주를 완전하게 알려주기 위해 제공되는 것이며, 본 발명은 청구항의 범주에 의해 정의될 뿐이다.The advantages and features of the present invention, and the methods for achieving them, will become clearer with reference to the embodiments described in detail below. However, the present invention is not limited to the embodiments disclosed below, but may be implemented in various different forms. These embodiments are provided solely to ensure that the disclosure of the present invention is complete and to fully inform those skilled in the art of the scope of the invention. The present invention is defined solely by the scope of the claims.

본 발명은 알츠하이머병 발병 위험도를 예측할 수 있는 SNP 유전자 세트, 조성물, 정보 제공 방법, 및 키트에 관한 것으로, 전장 유전체 연관성 분석 (GWAS)을 통해 알츠하이머병 발병 위험도와 연관된 SNP 변이를 확인하였는바, 상기 SNP 변이를 통해 한국인에서의 알츠하이머병 진단 또는 발병 예측에 활용할 수 있다.The present invention relates to a set of SNP genes, a composition, a method for providing information, and a kit capable of predicting the risk of developing Alzheimer's disease. SNP variations associated with the risk of developing Alzheimer's disease were identified through genome-wide association analysis (GWAS), and the SNP variations can be utilized to diagnose or predict the onset of Alzheimer's disease in Koreans.

도 1은 알츠하이머 질환 관련 SNP에 대한 맨하튼 플롯 결과를 나타낸 그래프이다.Figure 1 is a graph showing the Manhattan plot results for SNPs associated with Alzheimer's disease.

도 2는 크로모좀 11번에 위치하고, DDX10 유전자와 C110rf87 사이에 있는 rs150908390의 지역도(regional plot)을 보여주는 그래프이다. Figure 2 is a graph showing the regional plot of rs150908390, which is located on chromosome 11 and between the DDX10 gene and C110rf87.

도 3은 rs150908390의 시간에 따라 측정된 복사 점수 (copy score)를 보여주는 평균 프로파일 플롯(mean profile plot) 그래프이다. Figure 3 is a mean profile plot graph showing the copy score measured over time for rs150908390.

도 4는 rs150908390의 변이와 알츠하이머 발병간의 영향을 시간에 따라 분석한 생존곡선이다.Figure 4 is a survival curve analyzing the effect of the rs150908390 mutation and the onset of Alzheimer's disease over time.

본 발명의 이점 및 특징, 그리고 그것들을 달성하는 방법은 첨부되는 도면과 함께 상세하게 후술되어 있는 실시예들을 참조하면 명확해질 것이다. 그러나, 본 발명은 이하에서 개시되는 실시예들에 한정되는 것이 아니라 서로 다른 다양한 형태로 구현될 것이며, 단지 본 실시예들은 본 발명의 개시가 완전하도록 하며, 본 발명이 속하는 기술분야에서 통상의 지식을 가진 자에게 발명의 범주를 완전하게 알려주기 위해 제공되는 것이며, 본 발명은 청구항의 범주에 의해 정의될 뿐이다.The advantages and features of the present invention, and the methods for achieving them, will become clearer with reference to the embodiments described in detail below together with the accompanying drawings. However, the present invention is not limited to the embodiments disclosed below, but may be implemented in various different forms. These embodiments are provided solely to ensure that the disclosure of the present invention is complete and to fully inform those skilled in the art of the scope of the invention, and the present invention is defined solely by the scope of the claims.

실시예 1. 전장 유전체 상관분석 연구  Example 1. Whole-genome correlation analysis study

연구 샘플에는 조선 대학교 및 전남 대학교의 코호트에 등록된 적어도 2번 이상 레이복합도형검사 (Rey Complex Figure Test)검사를 실시한 총 1,325명의 피실험자를 평가하였다. 알츠하이머병 상태의 임상 진단은 NINCDS-ADRDA(National Instititute of Neurological and Communicative Disorders and Stroke-Alzheimer Disease and Research Disorders Association) 기준에 따라 이루어졌다. 인지기능 정상(cognitively normal; CN) 피험자는 일상 생활의 인지 기능 또는 활동에서 신경 질환이나 손상의 증거가 없었다. 뇌 MRI, 두부 외상 병력 또는 정신 기능에 영향을 미칠 수 있는 정신 장애의 병력이 발견된 대상은 제외하였다. 기준선에는 50명의 인지기능 정상(CN), 432명의 경도 인지 장애 (mild cognitive impairment; MCI) 및 43명의 알츠하이머병(Alzheimer's disease; AD) 피험자가 있었다. 그리고 775명의 대조군을 포함하는 최종 샘플을 만들었다.The study sample included 1,325 subjects enrolled in cohorts at Chosun University and Chonnam National University who had completed the Rey Complex Figure Test at least twice. Clinical diagnosis of Alzheimer's disease (AD) status was made according to the NINCDS-ADRDA (National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer Disease and Research Disorders Association) criteria. Cognitively normal (CN) subjects had no evidence of neurological disease or impairment in cognitive function or activities of daily living. Subjects with a history of brain MRI, head trauma, or a history of psychiatric disorders that could affect mental function were excluded. At baseline, there were 50 cognitively normal (CN) subjects, 432 subjects with mild cognitive impairment (MCI), and 43 subjects with Alzheimer's disease (AD). The final sample included 775 controls.

연구 프로토콜은 조선대학교 심의위원회(CHOSUN 2013-12-018-068)와 전남대학교 심의위원회(CNUH?2019?279)의 승인을 받았다. 인지 장애인을 위한 모든 자원봉사자 또는 승인된 보호자는 참여 전에 서면 동의를 받았다. The research protocol was approved by the Chosun University Review Board (CHOSUN 2013-12-018-068) and the Chonnam National University Review Board (CNUH?2019?279). All volunteers or authorized guardians of individuals with cognitive impairment provided written consent prior to participation.

그리고 어떤 유전자가 인지기능 하락에 영향을 미치는지 확인하기 위해 선형혼합모델(LMM)을 활용하였다.And to determine which genes influence cognitive decline, a linear mixed model (LMM) was used.

1-1. 맨하튼 플롯 검증  1-1. Manhattan Plot Verification

맨하튼 플롯은 GWAS에서 통계적으로 유의미한 SNP를 확인하고 표시하기 위해 사용한다. 맨하튼 플롯의 x축은 각 SNP에서의 통계값 즉, p-value를 SNP의 유전체 내 위치에 따라 산점도(Scatter plot)로 표시하여 시각화한 도표이며, 이를 통하여 표현형과 연관성을 보이는 경우, 해당 좌위(locus)에서 역치 이상 또는 역치 근처의 유의성을 보이는 SNP가 무리지어 나타날 수 있다. 전장유전체 분석 결과에서 p-value가 5x10-8 이하(빨간색 선 위, p-value < 5x10-8)인 SNP이 확인 되었으며, 이 SNP은 통계적인 유의성이 있다고 해석이 가능하다 (도 1). Manhattan plots are used to identify and display statistically significant SNPs in GWAS. The x-axis of the Manhattan plot is a visual diagram that displays the statistical value, i.e., the p-value , of each SNP as a scatter plot according to the SNP's location in the genome. If this shows an association with a phenotype, SNPs that show significance above or near the threshold at the corresponding locus may appear in groups. In the results of the genome-wide analysis, SNPs with a p-value of 5x10-8 or less (above the red line, p-value < 5x10-8 ) were identified, and these SNPs can be interpreted as having statistical significance (Figure 1).

1-2. 전장 유전체 상관분석1-2. Whole genome correlation analysis

알츠하이머병과 전장 유전체의 상관분석을 진행하였다. 복사는 시공간 기능 영역을 측정하기 위한 시험이고 시공간 기능 영역은 알츠하이머병과 밀접한 관련이 있다. 이에, 레이복합도형검사(Rey Complex Figure Test) 복사(copy) 점수를 종속 변수로 사용하였다. SNP의 효과와 상호 작용을 하는 항(SNP와 기준점으로부터 시간 간의 상호작용)을 중점으로 두고, 기준점에서의 연령, 성별, 교육, 연수, Principal Component (PC) 1 내지 10, 및 기준점부터의 시간을 고려 변수로 사용하였다. 각 주제 i에 대한 각각의 모델은 다음과 같이 설정하였다:We conducted a correlation analysis between Alzheimer's disease and whole genome sequencing. Copy is a test designed to measure spatiotemporal function, and spatiotemporal function is closely related to Alzheimer's disease. Therefore, the Rey Complex Figure Test (RCT) copy score was used as the dependent variable. We focused on the effects of SNPs and their interaction terms (the interaction between SNPs and time from baseline), and considered age at baseline, sex, education, years, Principal Components (PCs) 1 to 10, and time from baseline as variables. Each model for each subject i was set up as follows:

[계산식 1][Calculation Formula 1]

Y_ij: i번째 피험자의 j번째 복사 점수Y_ij: jth copy score of the ith subject

age_i: i번째 피험자의 나이age_i: Age of the i-th subject

education_i: i번째 피험자의 교육년수education_i: Years of education of the i-th subject

PC_ik: i번째 피험자의 k번째 PC 점수PC_ik: kth PC score of the ith subject

t_ij: i번째 피험자의 j번째 관측 (t_i0=0, t_i1=1 .. )t_ij: jth observation of the ith subject (t_i0=0, t_i1=1 .. )

G_i: I번째 피험자의 SNPG_i: SNP of the Ith subject

e_ij: 오차항e_ij: error term

beta: 고정 효과의 회귀 계수beta: Regression coefficient of fixed effects

b: 변동 효과의 회귀계수b: Regression coefficient of the variance effect

NIH(National Institutes of Health) National Heart, Lung, and Blood Institute(NHLBI)의 지원을 받은 GenomeAsia 100K 프로젝트에서 생성한 관련 참조 패널 (GRCh37.p13)을 적용하였다.We applied the relevant reference panel (GRCh37.p13) generated by the GenomeAsia 100K project supported by the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health (NIH).

종속변수dependent variable 염색체chromosome 위치location MAFMAF 단일염기다형성single nucleotide polymorphism 회귀계수Regression coefficient 오차error 유의확률Significance probability 유전자gene RCFT
복사 점수
RCFT
Copy score
1111 109121231109121231 0.0270.027 rs150908390rs150908390 2.02.0 0.280.28 1.1e-121.1e-12 DDX10, C11orf87DDX10, C11orf87

분석 결과, 검증된 SNP는 rs150908390이며, 지역도(regional plot)는 크로모좀 11번에 위치하고, DDX10 유전자와 C110rf87 사이에 위치하였으며, 위치는 GRCh37.p13 기준으로 109121231(GRCh38.p14 기준으로는 109250504)을 나타내었다 (도 2). As a result of the analysis, the verified SNP was rs150908390, and the regional plot showed that it was located on chromosome 11, between the DDX10 gene and C110rf87, and the location was 109121231 based on GRCh37.p13 (109250504 based on GRCh38.p14) (Fig. 2).

그래프 상에 x축은 측정 이후 다음 측정까지의 시간(년수)를 의미하고, y축은 copy 점수를 의미한다. 그래프 상에 rs150908390의 변이를 가지고 있는 피실험자들(Carrier, 그래프상 빨간색)이 변이를 가지고 있지 않은 피실험자들(Non-Carrier, 그래프상 하늘색) 보다 RCFT 복사 점수의 하락폭이 유의미하게 크게 나타났다 (도 3). 또한, NIH의 참조 패널(GRCh37.p13)을 적용하여 분석한 rs150908390은 A 유전형이 다수 대립유전자(Major allele)이며, G 유전형이 소수 대립 유전자(Minor allele)로 확인되었으며, 소수 대립 유전자의 빈도(maf)는 0.027로 나타났다.On the graph, the x-axis represents the time (years) from one measurement to the next, and the y-axis represents the copy score. The decline in RCFT copy score was significantly greater in subjects with the rs150908390 variant (Carrier, red on the graph) than in subjects without the variant (Non-Carrier, light blue on the graph) (Fig. 3). In addition, rs150908390 analyzed using the NIH reference panel (GRCh37.p13) was confirmed to have the A genotype as the majority allele and the G genotype as the minor allele, and the frequency of the minor allele (maf) was 0.027.

이를 통해, 전장유전체로 확인한 통계적 유의성의 정확도를 검증할 수 있었다. Through this, we were able to verify the accuracy of statistical significance confirmed by whole genome sequencing.

실시예 2. 생존분석 검증  Example 2. Survival Analysis Verification

전장 유전체 상관분석에서 검증된 rs150908390가 변이되었을 때 시간에 따른 알츠하이머 발병 정도를 분석하였다. 분석을 위해 시간-이벤트 데이터의 예측모델인 Cox 회귀 분석과 이벤트가 발생하는 각 시점에서 조건부 확률을 추정하고 그 확률들의 곱 한계값을 구하여 각 시점에서의 생존 비율을 추정하는 Kaplan-Meier 방법을 수행하였다. We analyzed the incidence of Alzheimer's disease over time when rs150908390, a mutation validated in genome-wide correlation analysis, was mutated. For the analysis, we performed Cox regression, a predictive model for time-to-event data, and the Kaplan-Meier method, which estimates conditional probabilities at each time point of an event and calculates the product of these probabilities to estimate survival rates at each time point.

분석 결과, rs150908390의 변이를 가진 집단(빨간색 선)이 그렇지 않은 집단(하늘색 선)에 비해 처음 관측 시점부터 알츠하이머병에 발병하기까지 시간이 유의미하게 짧음을 나타내었다 (도 4). 이는 rs150908390의 변이가 알츠하이머 발병에 유의미한 영향을 미침을 의미한다.The analysis results showed that the group with the rs150908390 mutation (red line) had a significantly shorter time from the first observation to the onset of Alzheimer's disease compared to the group without the mutation (light blue line) (Figure 4). This suggests that the rs150908390 mutation significantly influences the onset of Alzheimer's disease.

Claims (6)

환자로부터 얻은 유전자 시료에 대하여, Regarding genetic samples obtained from patients, rs150908390으로 표시되는 단일염기다형성 (single nucleotide polymorphism, SNP)을 확인하는 단계를 포함하는, 알츠하이머병 발병 위험도를 예측하기 위한 정보 제공 방법. A method for providing information for predicting the risk of developing Alzheimer's disease, comprising the step of identifying a single nucleotide polymorphism (SNP) represented by rs150908390. 제1항에 있어서, In paragraph 1, 상기 rs150908390로 표시되는 염기의 치환이 발생된 경우, 염기서열이 G인 경우, A인 경우보다 알츠하이머병 발병 위험도가 높다고 예측하는 것인, 알츠하이머병 발병 위험도를 예측하기 위한 정보 제공 방법. A method for providing information for predicting the risk of developing Alzheimer's disease, wherein when a substitution of the base indicated by the above rs150908390 occurs, the risk of developing Alzheimer's disease is predicted to be higher when the base sequence is G than when it is A. rs150908390으로 표시되는 단일염기다형성 (single nucleotide polymorphism, SNP)을 포함하는 10개 이상의 연속 염기로 구성되는 폴리뉴클레오타이드 또는 그의 상보적 폴리뉴클레오타이드와 특이적으로 혼성화하는 폴리뉴클레오타이드를 포함하는, 알츠하이머병 발병 위험도 예측용 조성물.A composition for predicting the risk of developing Alzheimer's disease, comprising a polynucleotide consisting of 10 or more consecutive bases including a single nucleotide polymorphism (SNP) represented by rs150908390 or a polynucleotide that specifically hybridizes with its complementary polynucleotide. 제3항에 있어서,In the third paragraph, 상기 특이적으로 혼성화하는 폴리뉴클레오타이드는 프로브 또는 프라이머인, 알츠하이머병 발병 위험도 예측용 조성물.A composition for predicting the risk of developing Alzheimer's disease, wherein the polynucleotide that specifically hybridizes above is a probe or primer. rs150908390으로 표시되는 단일염기다형성 (single nucleotide polymorphism, SNP)을 포함하는 10개 이상의 연속 염기로 구성되는 폴리뉴클레오타이드 또는 그의 상보적 폴리뉴클레오타이드; 이와 혼성화하는 폴리뉴클레오타이드; 이에 의해 코딩되는 폴리펩타이드; 이에 특이적인 항체; 또는 상기 폴리펩타이드의 cDNA를 포함하는 알츠하이머병 발병 위험도 예측용 마이크로어레이.A microarray for predicting the risk of developing Alzheimer's disease, comprising a polynucleotide consisting of 10 or more consecutive bases including a single nucleotide polymorphism (SNP) represented by rs150908390 or a complementary polynucleotide thereof; a polynucleotide hybridizing therewith; a polypeptide encoded thereby; an antibody specific therefor; or cDNA of the polypeptide. rs150908390으로 표시되는 단일염기다형성 (single nucleotide polymorphism, SNP)을 포함하는 10개 이상의 연속 염기로 구성되는 폴리뉴클레오타이드 또는 그의 상보적 폴리뉴클레오타이드; 이와 혼성화하는 폴리뉴클레오타이드; 이에 의해 코딩되는 폴리펩타이드; 이에 특이적인 항체; 또는 상기 폴리펩타이드의 cDNA를 포함하는 알츠하이머병 발병 위험도 예측용 키트.A kit for predicting the risk of developing Alzheimer's disease, comprising: a polynucleotide consisting of 10 or more consecutive bases including a single nucleotide polymorphism (SNP) represented by rs150908390 or a complementary polynucleotide thereof; a polynucleotide hybridizing therewith; a polypeptide encoded thereby; an antibody specific therefor; or cDNA of the polypeptide.
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