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  • 8/9/2019 Research Final PPT

    1/19

    Abalos KS, Abarquez PD, Achero IP, Agdamag AC, Aguro MD,

    Alacapa JV, Alfabeto AB, Aligam KG, Almanon CM, Almeda TC,

    Alonte JD, Angeles RB, Araneta KS, Arce BP, Asunto PQ, Avila CS

    INVESTIGATORS

    Francisco S. Chung Jr., PhD

    ADVISER

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    LIMITED

    CAPACITY

    FOREARLY

    DIAGNOSIS

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    0

    20

    40

    60

    80

    100

    STAGE 4

    5-YEAR SURVIVAL RATE

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    0

    20

    40

    60

    80

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    STAGE 1

    5-YEAR SURVIVAL RATE

    50%

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    0

    20

    40

    60

    80

    100

    STAGE 4

    5-YEAR SURVIVAL RATE

    2%

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    POOR

    SURVIVAL

    RATES

    THE PROBLEM OF LUNG CANCER

    NEE FORNEE FOREARLEARL

    IAGNOSISIAGNOSIS

    UNAVAILABILITUNAVAILABILIT

    OF APPROVEOF APPROVE

    SENSITIVESENSITIVE

    IAGNOSTICIAGNOSTIC

    TOOLSTOOLS

    A SENSITIVE AN EFFICIENT

    SOLUTION IN EVELOPMENT

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    cancercellsexpress

    markersspecific to the

    tissue oforigin

    E ELLS

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    studies exploring the use of

    l gca cer biomarkersin

    the Philippines are lacki g

    Nomarkersfor lung cancer

    yet for Fi l i i o patients

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    MAIN OBJECTIVE

    To develop the o timizedco ditio s

    for SYBR Green I-based one-step qRT-

    PCR for the simultaneousdetection of PLUNC, CEACAM5

    and KRT-19 biomarkers in

    paraffi ized lung parenchyma tissueof Filipino patients

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    SPECIFIC

    OBJECTIVESTo determineTo determine

    1.1. if ifRNARNA can be extracted fromcan be extracted from

    paraffinizedparaffinized lung parenchyma tissuelung parenchyma tissue2. the optim mco ditio s for SYBR

    Green I-based one-step qRT-PCR for

    detection of selected biomarkers3. determine which among previously

    studied biomarkers have a pote tial

    use in the Philippines

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    pre-experime talstudy

    intending to provide

    baseline knowledge toassist further biomarker

    research

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    pre-experime tal

    (+) NSCLC samples obtained from the UP-PGHDepartment of Laboratories

    Co v e ie cesampli g strict release of samples byhospital

    samples - randomly subjected to qRT-PCR and/ortroubleshooting methods in different group combinations

    Primers chosen based on study by Cheng et al. (showprimers) and several other supporting studies best biomarker candidates in the literature

    use ofACTB as a housekeeping gene housekeeping gene is present in all tissue types

    provides a reference value against which the amplification of

    each biomarker can be compared to

    STUDY

    DESIGN

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    RESULTS AND

    discussion

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    OLIGONUCLEOTIDE DESIGN

    R

    E

    S

    U

    L

    TS

    BLAST ANALYSIS

    primers could anneal to sequences

    other than what it is designed for

    - producing nonspecific products

    primers may amplify a certain double-

    stranded product- not necessarily the desired amplicon

    Necessary to visualize PCR

    products through gelelectrophoresis to determine if

    the amplified products have the

    desired amplicon size.

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    OLIGONUCLEOTIDE DESIGN

    R

    ES

    U

    L

    T

    S

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    OLIGONUCLEOTIDE DESIGN

    R

    ES

    U

    L

    T

    S

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    acceptable or near-optimal quantitation curves for qRT-

    PCR for ACTB and KRT19.

    ACTB sequence - housekeeping gene in future

    biomarker studies KRT19 - also suggested as valid biomarker for lung

    cancer detection

    PLUNC and CEACAM5 may not be applicable for use

    with Filipino patients; may have a faulty design. RNA can be extracted from paraffinized lung tissue

    better amplification results from a positive control

    suggest the possibility of loss of mRNA integrity

    CONCLUSION

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    replicate study using:

    1. betterprimerswith more ideal designs

    2. templates or samples that have moreguaranteed mRNA integrity

    fresh samples may be opted but difficult to obtain

    more recently paraffanized tissues have less

    likelihood of RNA degradation

    Paraffinized blocks 6 mos. old or less may be

    more ideal to use

    RECOMMENDATION

    S