Abstract:
Probes, liquid chips and method for detecting BRAF exon 15 mutations are disclosed. The liquid chip for detecting BRAF exon 15 mutations comprises: microspheres coupled with amino-substituted wild-type probes specific for exon 15, and microspheres coupled with amino-substituted mutant-type probes specific for exon 15; primers for amplifying target sequences enriched for mutant alleles of BRAF exons 15 and biotin-labeled at the terminal. The method of this invention is rapid and accurate in detection, and easy in operation, whereby the detection efficiency is greatly improved.

Description:
FIELD OF THE INVENTION 
       [0001]    The present invention relates to the field of molecular biology, and in particular to probes, liquid chips and methods for detecting BRAF gene mutations. 
       BACKGROUND OF THE INVENTION 
       [0002]    The full name of the BRAF gene is v-raf murine sarcoma viral oncogene homolog B1. The BRAF gene is located at chromosome 7q34, and its functional coding region consists of 2510 base pairs. The BRAF gene codes for the serine/threonine kinase in the MAPK pathway, and the serine/threonine kinase transduces signals from RAS to MEK1/2, thereby regulates various cellular processes, such as cell growth, cell proliferation and cell apoptosis. It is generally agreed today that the T1799A mutation in BRAF exon 15 leads to a valine-to-glutamate substitution at residue 600 (V600E) of the BRAF protein, and further activates BRAF kinase and leads to MAPK pathway activation and unlimited cell proliferation and division. BRAF gene mutations in other sites do not occur frequently. It is reported that the BRAF mutation rate is about 15%, and over 90% of mutations are V600E mutation in exon 15. 
         [0003]    At present, BRAF gene analysis in many laboratories is low in detection sensitivity and specificity. The existing methods for detecting BRAF gene mutations mainly include a PCR sequencing method and a Real-time PCR method. The PCR sequencing method has an advantage that the mutation scope and mutation type can be determined, and it is the most widely used detection method, but the sensitivity of the sequencing method is only 20%-25%. This is far from meeting the demand of practical use, and in particular, for somatic mutations of heterogeneity in tumor cells, the low sensitivity leads to missing detection of mutations. Meanwhile, the sequencing method is poor in timeliness and complicated in operation. Thus, for clinic detection with high timeliness and high sensitivity requirement, the shortcoming of the sequencing method is already highlighted. The sensitivity of the Real-time PCR method can reach to 1%-2%, thus it has high detection efficiency and high timeliness. However, there is a high rate of false positive in practice. Luminex Corporation in USA develops the technique of suspension liquid chip with microspheres as carrier. This technique utilizes polystyrene microspheres as reaction carrier, and a fluorescence detector as a detection platform to detect the multiple analytes of high throughput of biological macromolecules such as nucleic acid and protein. During the preparation process of microspheres, different proportions of red and infrared fluorophores are internally dyed to obtain 100 kinds of microspheres with different color code. Each bead set can be coated with different protein or nucleic acid molecules specific to a particular analyte. Report molecule is biotin-labeled and dyed with high sensitive fluorophores. These microspheres, samples, report molecules, and fluorescent markers form a complete microsphere detection system to be read by the Luminex system. 
         [0004]    The Luminex system stimulates the red laser and the green laser respectively for the detection of microsphere system. The red laser detects the intensity of red fluorescence on the microsphere surface, classified and numbered according to different colors of the microspheres so as to determine the type of reaction. The fluorescence intensity of the fluorescent markers in the samples are detected by the green laser, the types of the microspheres and the quantities of the fluorescent markers detected are automatically analyzed by Luminex and computer, thereby the concentration of each target of the samples is determined. Therefore, the liquid chip is qualified for the requirement of high throughput detection, and has the advantages of quick and accurate detection, high sensitivity, good specificity and reproducible results. 
       SUMMARY OF THE INVENTION 
       [0005]    It is a first object of the present invention to provide probes for detecting BRAF exon 15 mutations. 
         [0006]    The probes for detecting BRAF exon 15 mutations comprise: 
         [0007]    a wild-type probe of any one selected from SEQ ID NO.1-SEQ ID NO.2 specific for exon 15; and a mutant-type probe of any one selected from SEQ ID NO.3-SEQ ID NO.4 specific for exon 15. 
         [0008]    It is a second object of the present invention to provide a liquid chip for detecting BRAF exon 15 mutations. 
         [0009]    To achieve the above object, the technical solution is as follows: 
         [0010]    A liquid chip for detecting BRAF gene mutations comprises: 
         [0011]    (A) microspheres coupled with amino-substituted wild-type probes of any one selected from SEQ ID NO.1-SEQ ID NO.2 specific for exon 15, and microspheres coupled with amino-substituted mutant-type probes of any one selected from SEQ ID NO.3-SEQ ID NO.4 specific for exon 15; wherein a spacer is connected between the nucleotide sequence of each kind of the above-mentioned probes and the amino group, and microspheres coupled with different probes have different color codes; and 
         [0012]    (B) primers for amplifying target sequences enriched for mutant alleles of BRAF exons 15, wherein the primers have restriction site, and the target sequence is biotin-labeled at the terminal. 
         [0013]    The spacer above-mentioned is the sequence used for separating the specific probe from the microsphere surface or placing the specific probe into the hydrophilic environment. By providing an appropriate length of spacer sequence between the probe and the amino group, the steric hindrance is reduced, and the efficiency of hybridization and the specificity of hybridization are improved. The familiar spacer sequences include poly (dT), oligomer polyethylene glycol and (CH2)n spacer (n&gt;3), such as (CH2)12, (CH2)18, etc. In addition, if the disturbing of poly (Da) exists, it can also use the poly (TTG) to be the spacer. Preferably, the spacer is an oligonucleotide consisting of 5 to 30 deoxythymidylates. 
         [0014]    Preferably, the primers for amplifying target sequences enriched for mutant alleles of BRAF exons 15 comprise the first PCR primers with restriction site and the second PCR primers, and at least one of the primers is biotin-labeled at the terminal. More preferably, the first PCR primers are SEQ ID NO.5 and SEQ ID NO.6, the second PCR primers are SEQ ID NO.5 and SEQ ID NO.7, and at least one of the primers is biotin-labeled at the terminal. 
         [0015]    It is a further object of the present invention to provide a method for detecting BRAF exon 15 mutations, which is rapid and accurate in detection, and easy in operation. 
         [0016]    A method for detecting BRAF exon 15 mutations, using the above-mentioned liquid chip for detecting BRAF exon 15 mutations, comprises the following steps: 
         [0017]    (1) performing a first PCR amplification for DNA samples by using PCR primers with restriction site; 
         [0018]    (2) performing restriction digestion to products obtained from the first PCR amplification of the step (1); 
         [0019]    (3) performing a second PCR amplification for the mutant-type BRAF gene by using products obtained after the restriction digestion as template such that second PCR amplification products with mutant alleles of exon 15 are obtained, and the second PCR amplification products being biotin-labeled at the terminal; 
         [0020]    (4) hybridizing the second PCR amplification products to the corresponding probes coupled to the microspheres; 
         [0021]    (5) performing reaction by adding streptavidin-phycoerythrin after the hybridization reaction of the step (4), and then performing signal detection. 
         [0022]    The advantages of the invention are as follows: 
         [0023]    (1) By using the liquid chip for detecting BRAF exon 15 mutations, the detection results are more specific, sensitive, and with more than 99% accuracy. 
         [0024]    (2) The detection method of the present invention is simplified in operation, which avoids uncertainty factors during the complicated operation process, and hence the accuracy of detection is highly improved. This method can be used for analyzing DNA in tissue samples and DNA in body fluid. 
         [0025]    (3) The time required in the detection method of the present invention is much less than that of normal sequencing technique. 
         [0026]    (4) The present invention uses the method of introducing restriction site and then enriching by restriction digestion so as to amplify the target mutant-type sequence and then to be used in detection, which prevents the large amount of wild-type sequences in the products from disturbing the detection results. 
     
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         [0027]      FIG. 1  is a schematic diagram showing the wild-type BRAF gene exon 15 enriched by restriction digestion of TspRI; 
           [0028]      FIG. 2  is a schematic diagram showing the mutant-type BRAF gene exon 15 enriched by restriction digestion of TspRI. 
       
    
    
     DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT 
       [0029]    BRAF gene mutation is a kind of somatic mutation, the detection of which is disturbed by a large number of wild-type genes. Therefore, in addition to design probes for detecting BRAF gene mutations, it is a further key problem on how to detect a very small number of BRAF gene mutations that are disturbed by a large number of wild-type genes. Two pairs of PCR primers are designed, wherein the first PCR primers have restriction sites. In order to enable the final PCR products to be biotin-labeled, the primers may be biotin-labeled at the terminal or the biotinylated dCTP can be used in incorporating during the second PCR reaction. In the embodiments of the present invention, primers with the terminal biotin-labeled are preferred. The present invention uses the method of mutant-enriched, wherein a first PCR amplification is used to amplify the wild-type sequences and the mutant-type sequences simultaneously, then a large number of wild-type genes are removed through restriction digestion, and a second PCR amplification is used to amplify the mutant-type genes so as to enrich the mutant-type sequences, and finally the BRAF gene exon 15 mutations are detected by using the liquid chip technique. 
         [0030]    The main materials required for the assay 
         [0031]    Solution Formulation Coupling buffer (pH4.5): 0.1 mol/L MES (Sigma M-2933) 
         [0032]    Washing buffer: 0.2 ml/L Tween-20 (Sigma P-9416), 1 g/L SDS (Sigma L-4390) 
         [0033]    TE buffer (pH8.0) (Storage solution): 10 mmol/L Tris (Sigma 337501), 1 mmol/L EDTA (Sigma E-5134) 
         [0034]    2×Tm hybridization buffer 
         [0000]    
       
         
               
               
               
               
             
           
               
                   
               
               
                   
                   
                   
                 Serving size 
               
               
                 Reagent 
                 Source 
                 Final concentration 
                 per 250 ml 
               
               
                   
               
             
             
               
                 1MTris-HCl, pH8.0 
                 SigmaT3038 
                 0.2M 
                 50 ml 
               
               
                 5M NaCl 
                 Sigma S5150 
                 0.4M 
                 20 ml 
               
               
                 Triton X-100 
                 Sigma T8787 
                 0.16% 
                 0.4 ml  
               
               
                   
               
             
          
         
       
     
         [0035]    Filtered and stored at 4° C. 
       Embodiment 1 
       [0036]    Preparation of Liquid Chip for Detecting BRAF Exon 15 Mutations 
         [0037]    1. The Probes and Microsphere Coupling 
         [0038]    Specific oligonucleotide probes were designed for detection of the wild-type and mutant-type of BRAF exon 15. A spacer with 15 to 30 deoxythymidylates (normally 10 deoxythymidylates, and the effect is identical to that of 5 to 30 deoxythymidylates) is added during the synthesis of oligonucleotide probes. The coupling of each kind of the microspheres comprises the following steps: 
         [0039]    (1) suspend the stock uncoupled microspheres (purchased from Luminex Corporation) by vortex; 
         [0040]    (2) transfer 8 μl of the stock microspheres, which contains a total of 0.8×10 5  to 1.2×10 5  microspheres, to a 0.5 ml microcentrifuge tube; 
         [0041]    (3) pellet the microspheres by microcentrifugation at 10,000 rpm for 3 min, and remove the supernatant; 
         [0042]    (4) add 10 μl of coupling solution (pH 4.5), and mix evenly by vortex; 
         [0043]    (5) add 41 of 2 μmol/ul probe working solution; 
         [0044]    (6) add 2.5 μl of 5 mg/ml EDC (1-(3-Dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride) working solution, and incubate at 25° C. for 30 min; and repeat this step once; 
         [0045]    (7) add 0.2 ml of washing buffer, mix evenly by vortex and then pellet by microcentrifugation at 12,000 g for 3 min, and remove the supernatant; repeat this step once; 
         [0046]    (8) add 500 μl of TE buffer, and mix evenly by vortex; 
         [0047]    (9) pellet by microcentrifugation at 12,000 g for 3 min, and remove the supernatant; 
         [0048]    (10) add 20 μl of TE buffer, and stored at 2-8° C. 
         [0049]    The prepared liquid chips for detecting BRAF exon 15 mutations include: two kinds of microspheres coupled with wild-type probes and two kinds of microspheres coupled with mutant-type probes, wherein a liquid chip with a pair of microspheres coupled with wild-type probes and mutant-type probes is used for the detection. 
         [0050]    A. for the microspheres coupled with probes, the nucleotide sequence for each probe is as follows: 
         [0000]    
       
         
               
               
               
               
             
           
               
                   
               
               
                 Microspheres 
                 Probes 
                   
                 SEQ. 
               
               
                 No. 
                 Names 
                 Probe nucleotide sequences 
                 ID NO. 
               
               
                   
               
             
             
               
                 38 
                 B15W1 
                 5′NH2-TTTTTTTTTT 
                 1 
               
               
                   
                 (Wild-type) 
                 TCTAGCTACAGTGAAATCTCGAT 3′ 
                   
               
               
                   
               
               
                 63 
                 B15W2 
                 5′NH2-TTTTTTTTTT 
                 2 
               
               
                   
                 (Wild-type) 
                 CTAGCTACAGTGAAATCTCGATG 3′ 
                   
               
               
                   
               
               
                 14 
                 B15M1 
                 5′NH2-TTTTTTTTTT 
                 3 
               
               
                   
                 (Mutant-type) 
                 TCTAGCTACAGAGAAATCTCGAT 3′ 
                   
               
               
                   
               
               
                 25 
                 B15M2 
                 5′NH2-TTTTTTTTTT 
                 4 
               
               
                   
                 (Mutant-type) 
                 CTAGCTACAGAGAAATCTCGATG 3′ 
               
               
                   
               
             
          
         
       
     
         [0051]    B: Primers: the primers for amplifying the target sequences enriched for mutant alleles of the BRAF exon 15 to be tested, and the amplified target sequence can be biotin-labeled at the terminal, the nucleotide sequence of each primer is as follows: 
         [0000]    
       
         
               
               
               
               
             
           
               
                   
               
               
                 Primers 
                   
                 First or Second 
                 SEQ. 
               
               
                 Name 
                 nucleotide sequences 
                 round PCR 
                 ID NO. 
               
               
                   
               
             
             
               
                 B15F 
                 5′ TCATAATGCTTGCTCTGATAGGA 3′ 
                 First round and 
                 5 
               
               
                   
                   
                 Second round 
                   
               
               
                   
               
               
                 B15R1 
                 5′ TAGCCTCAATTCTTACCATCCAC 3′ 
                 First round 
                 6 
               
               
                   
               
               
                 B15R2-bio 
                 5′biotin-ACAACTGTTCAAACTGATGGGAC 3′ 
                 Second round 
                 7 
               
               
                   
               
             
          
         
       
     
       Embodiment 2 
       [0052]    Clinic samples are detected by using the liquid chip for detecting BRAF gene mutations 
         [0053]    1. Preparation of the Samples to be Detected 
         [0054]    Nucleic acid is extracted according to AxyPrep extraction kit instructions to obtain 10 cases of DNA samples to be detected. 
         [0055]    2. PCR Amplification and Mutant-Enriched of the Samples to be Detected 
         [0056]    1). The First PCR Amplification 
         [0057]    PCR Reaction System 
         [0000]    
       
         
               
               
               
             
               
               
               
             
           
               
                   
                   
               
               
                   
                 Reaction system 
                 Per reaction (μl) 
               
               
                   
                   
               
             
             
               
                   
               
             
          
           
               
                   
                 Sterile ddH 2 O 
                 28.8 
               
               
                   
                 5×Buffer 
                 10 
               
               
                   
                 2.5 mM dNTP Mixture 
                 2 
               
               
                   
                 MgCl 2  25 mM 
                 5 
               
               
                   
                 Primer F: B15F(10 uM) 
                 1 
               
               
                   
                 Primer R: B15R1 (10 uM) 
                 1 
               
               
                   
                 Taq polymerase (5 U/ul) 
                 0.2 
               
               
                   
                 DNA Templates 
                 2 
               
               
                   
                 Total volume 
                 50 
               
               
                   
                   
               
             
          
         
       
     
         [0058]    PCR Reaction Condition: 
         [0000]    
       
         
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                   
                   
               
               
                   
                 Steps 
                 Temperature 
                 Time 
                 cycle numbers 
               
               
                   
                   
               
             
             
               
                   
               
             
          
           
               
                   
                 Initial 
                 94° C. 
                  3 min 
                 1 
               
               
                   
                 denaturation 
               
               
                   
                 Denaturation 
                 94° C. 
                 20 sec 
                 25 
               
               
                   
                 Anneal 
                 58° C. 
                 30 sec 
               
               
                   
                 Extension 
                 72° C. 
                 20 sec 
               
               
                   
                 Final extension 
                 72° C. 
                 10 min 
                 1 
               
               
                   
                 Preservation 
                  4° C. 
                 ∞ 
                 1 
               
               
                   
                   
               
             
          
         
       
     
         [0059]    2). TspRI Restriction Digestion of PCR Products: 
         [0060]    Reaction system is as follow: 
         [0000]    
       
         
               
               
               
             
               
               
               
             
           
               
                   
                   
               
               
                   
                 Sample system (Incubated at 
                 Per reaction 
               
               
                   
                 60° C. for 2 hr) 
                 (μl) 
               
               
                   
                   
               
             
             
               
                   
               
             
          
           
               
                   
                 10×Buffer C 
                 5 
               
               
                   
                 TspRI endonuclease (10 U/ul) 
                 0.5 
               
               
                   
                 BSA 
                 0.5 
               
               
                   
                 PCR products 
                 10 
               
               
                   
                 Sterile ddH 2 O 
                 34 
               
               
                   
                 Total volume 
                 50 
               
               
                   
                   
               
             
          
         
       
     
         [0061]    3). The Second PCR Amplification 
         [0062]    PCR Reaction System: 
         [0000]    
       
         
               
               
               
             
               
               
               
             
           
               
                   
                   
               
               
                   
                 Reaction system 
                 Per reaction (ul) 
               
               
                   
                   
               
             
             
               
                   
               
             
          
           
               
                   
                 Sterile ddH2O 
                 28.8 
               
               
                   
                 5×Buffer 
                 10 
               
               
                   
                 2.5 mM dNTP Mixture 
                 2 
               
               
                   
                 MgCl 2  25 mM 
                 5 
               
               
                   
                 Primer F: B15F(10 uM) 
                 1 
               
               
                   
                 Primer R: B15R2-bio(10 uM) 
                 1 
               
               
                   
                 Taq polymerase (5 U/ul) 
                 0.2 
               
               
                   
                 DNA Templates 
                 2 
               
               
                   
                 Total volume 
                 50 
               
               
                   
                   
               
             
          
         
       
     
         [0063]    PCR Reaction Condition: 
         [0000]    
       
         
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                   
                   
               
               
                   
                   
                   
                   
                 cycle 
               
               
                   
                 Steps 
                 Temperature 
                 Time 
                 numbers 
               
               
                   
                   
               
             
             
               
                   
               
             
          
           
               
                   
                 Initial denaturation 
                 94° C. 
                  3 min 
                 1 
               
               
                   
                 Denaturation 
                 94° C. 
                 20 sec 
                 30 
               
               
                   
                 Anneal 
                 60° C. 
                 30 sec 
               
               
                   
                 Extension 
                 72° C. 
                 20 sec 
               
               
                   
                 Final extension 
                 72° C. 
                 10 min 
                 1 
               
               
                   
                 Preservation 
                  4° C. 
                 ∞ 
                 1 
               
               
                   
                   
               
             
          
         
       
     
         [0064]    3. Hybridization and Luminex Detection 
         [0065]    (1) preparation of microspheres working solution: take the microspheres (in Embodiment 1) coupled with amino-substituted wild-type probes of SEQ ID NO.1 and SEQ ID NO.2 specific for exon 15, and the microspheres (in Embodiment 1) coupled with amino-substituted mutant-type probes of SEQ ID NO.3 and SEQ ID NO.4 specific for exon 15, wherein the amino-substituted wild-type probes and the amino-substituted mutant-type probes form different probe set arrays; these microspheres are evenly mixed by vortex, then the desired microspheres are added into the sterilized microfuge tube (0.5 ul per reaction, and 2000 microspheres per ul for each kind of microsphere), then add 1.5× hybridization buffer (32.5 ul per reaction) and TE buffer (14 ul per reaction), and this is the microspheres working solution; 
         [0066]    (2) according to the sample condition, the marker pen is used to mark the 96 well plate (hybridization plate) (negative control wells marked as “N”), and then add 47 ul of microspheres working solution into each well; 
         [0067]    (3) add 3 ul of corresponding hybridization sample (the second PCR products) to the sample wells; add 3 ul of TE buffer to the “N” well; 
         [0068]    (4) put the hybridization plate into the PCR instrument, proceed with denaturation for 3 min at 95° C.; and then hybridization at 55° C.-60° C. for 15 min; 
         [0069]    (5) add the SA-PE working solution (10 ug/ml) into the hybridization plate after hybridization, 25 ul for each well; 
         [0070]    (6) put the hybridization plate into the PCR instrument for reaction for 5 min at 60° C.; 
         [0071]    (7) set instrument parameters according to Luminex instrument (read 100 microspheres for each sample, the reading time is 25 seconds). The hybridization plate is placed in the tray of Luminex instrument, and the sample MFI values are detected. 
         [0072]    4. Detection Results and Data Analysis 
         [0073]    The reaction products are detected by the Luminex analyzer. Its detection results are indicated in Table 1. The cut-off value is Mean Fluorescence Intensity (MFI) value 100. While the MFI value of mutant-type probes is beyond 100, it is judged that the sample has V600E mutations of exon 15, or else the sample is judged as the wild-type of exon 15. According to the above criteria, there are exon 15 mutations in two samples (samples No. 3 and No. 5) among ten samples detected in this embodiment. 
         [0074]    The test results reveal that the analysis result of the detection of liquid chip is identical to that of the detection of direct sequencing, that is, there are two V600E point mutations of exon 15 (Samples No. 3 and No. 5). This shows that the method for detecting BRAF gene mutations by using free nucleic acid is feasible, and also shows that the liquid chip and detection method provided by the invention is stable and reliable. 
         [0075]    As shown in Table 1 and Table 2, the detection results and analysis results of different probe set arrays are identical, that is, there are two V600E point mutations of exon 15 (Samples No. 3 and No. 5). This shows that the two probe set arrays provided in this invention (SEQ ID NO. 1 and SEQ ID NO.3; SEQ ID NO. 2 and SEQ ID NO. 4) for the method for detecting BRAF gene mutations are feasible, and also shows that the probes provided are stable and reliable. 
         [0000]    
       
         
               
             
               
               
               
               
               
               
             
               
               
               
               
               
               
             
           
               
                 TABLE 1 
               
             
             
               
                   
               
               
                 Detection results of the sample 
               
             
          
           
               
                   
                   
                   
                   
                   
                 Exon 15 
               
               
                   
                 Probe set array 
                   
                 Negative 
                 Exon 15 
                 mutant- 
               
               
                   
                 type 
                 NO. 
                 Control 
                 wild-type 
                 type 
               
               
                   
                   
               
             
          
           
               
                   
                 Wild-type: 
                 1 
                 18 
                 1486 
                 76 
               
               
                   
                 SEQ ID NO. 1; 
                 2 
                 14 
                 1319 
                 79 
               
               
                   
                 Mutant-type: 
                 3 
                 26 
                 470 
                 823 
               
               
                   
                 SEQ ID NO. 3 
                 4 
                 21 
                 1342 
                 49 
               
               
                   
                   
                 5 
                 19 
                 446 
                 955 
               
               
                   
                   
                 6 
                 17 
                 1387 
                 65 
               
               
                   
                   
                 7 
                 24 
                 1280 
                 71 
               
               
                   
                   
                 8 
                 15 
                 1367 
                 78 
               
               
                   
                   
                 9 
                 18 
                 1471 
                 69 
               
               
                   
                   
                 10 
                 25 
                 1404 
                 53 
               
               
                   
                 Wild-type: 
                 1 
                 20 
                 1328 
                 72 
               
               
                   
                 SEQ ID NO. 2; 
                 2 
                 19 
                 1395 
                 60 
               
               
                   
                 Mutant-type: 
                 3 
                 14 
                 450 
                 886 
               
               
                   
                 SEQ ID NO. 4 
                 4 
                 13 
                 1321 
                 38 
               
               
                   
                   
                 5 
                 18 
                 516 
                 864 
               
               
                   
                   
                 6 
                 14 
                 1378 
                 64 
               
               
                   
                   
                 7 
                 24 
                 1402 
                 84 
               
               
                   
                   
                 8 
                 15 
                 1327 
                 47 
               
               
                   
                   
                 9 
                 22 
                 1396 
                 52 
               
               
                   
                   
                 10 
                 18 
                 1424 
                 69 
               
               
                   
                 Wild-type: 
                 1 
                 25 
                 758 
                 55 
               
               
                   
                 SEQ ID NO. 1; 
                 2 
                 13 
                 1025 
                 67 
               
               
                   
                 Mutant-type: 
                 3 
                 26 
                 324 
                 785 
               
               
                   
                 SEQ ID NO. 4 
                 4 
                 33 
                 362 
                 54 
               
               
                   
                   
                 5 
                 14 
                 424 
                 904 
               
               
                   
                   
                 6 
                 19 
                 387 
                 56 
               
               
                   
                   
                 7 
                 31 
                 457 
                 64 
               
               
                   
                   
                 8 
                 25 
                 667 
                 59 
               
               
                   
                   
                 9 
                 25 
                 561 
                 68 
               
               
                   
                   
                 10 
                 18 
                 511 
                 70 
               
               
                   
                 Wild-type: 
                 1 
                 30 
                 458 
                 49 
               
               
                   
                 SEQ ID NO. 2; 
                 2 
                 19 
                 495 
                 88 
               
               
                   
                 Mutant-type: 
                 3 
                 34 
                 335 
                 907 
               
               
                   
                 SEQ ID NO. 3 
                 4 
                 23 
                 451 
                 58 
               
               
                   
                   
                 5 
                 17 
                 321 
                 851 
               
               
                   
                   
                 6 
                 25 
                 1058 
                 55 
               
               
                   
                   
                 7 
                 21 
                 902 
                 71 
               
               
                   
                   
                 8 
                 29 
                 657 
                 54 
               
               
                   
                   
                 9 
                 32 
                 916 
                 45 
               
               
                   
                   
                 10 
                 19 
                 1241 
                 59 
               
               
                   
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
             
               
               
               
               
             
           
               
                 TABLE 2 
               
             
             
               
                   
               
               
                 Analysis results of BRAF gene exon 15 mutations in samples 
               
             
          
           
               
                   
                   
                   
                 Detection results 
               
               
                 Probe array type 
                 Sample No. 
                 Sequencing results 
                 of the liquid chip 
               
               
                   
               
             
          
           
               
                 Wild-type: 
                 1 
                 Wild-type 
                 Wild-type 
               
               
                 SEQ ID NO. 1; 
                 2 
                 Wild-type 
                 Wild-type 
               
               
                 Mutant-type: 
                 3 
                 V600E point 
                 V600E point 
               
               
                 SEQ ID NO. 3 
                   
                 mutation 
                 mutation 
               
               
                   
                 4 
                 Wild-type 
                 Wild-type 
               
               
                   
                 5 
                 V600E point 
                 V600E point 
               
               
                   
                   
                 mutation 
                 mutation 
               
               
                   
                 6 
                 Wild-type 
                 Wild-type 
               
               
                   
                 7 
                 Wild-type 
                 Wild-type 
               
               
                   
                 8 
                 Wild-type 
                 Wild-type 
               
               
                   
                 9 
                 Wild-type 
                 Wild-type 
               
               
                   
                 10 
                 Wild-type 
                 Wild-type 
               
               
                 Wild-type: 
                 1 
                 Wild-type 
                 Wild-type 
               
               
                 SEQ ID NO. 2; 
                 2 
                 Wild-type 
                 Wild-type 
               
               
                 Mutant-type: 
                 3 
                 V600E point 
                 V600E point 
               
               
                 SEQ ID NO. 4 
                   
                 mutation 
                 mutation 
               
               
                   
                 4 
                 Wild-type 
                 Wild-type 
               
               
                   
                 5 
                 V600E point 
                 V600E point 
               
               
                   
                   
                 mutation 
                 mutation 
               
               
                   
                 6 
                 Wild-type 
                 Wild-type 
               
               
                   
                 7 
                 Wild-type 
                 Wild-type 
               
               
                   
                 8 
                 Wild-type 
                 Wild-type 
               
               
                   
                 9 
                 Wild-type 
                 Wild-type 
               
               
                   
                 10 
                 Wild-type 
                 Wild-type 
               
               
                 Wild-type: 
                 1 
                 Wild-type 
                 Wild-type 
               
               
                 SEQ ID NO. 1; 
                 2 
                 Wild-type 
                 Wild-type 
               
               
                 Mutant-type: 
                 3 
                 V600E point 
                 V600E point 
               
               
                 SEQ ID NO. 4 
                   
                 mutation 
                 mutation 
               
               
                   
                 4 
                 Wild-type 
                 Wild-type 
               
               
                   
                 5 
                 V600E point 
                 V600E point 
               
               
                   
                   
                 mutation 
                 mutation 
               
               
                   
                 6 
                 Wild-type 
                 Wild-type 
               
               
                   
                 7 
                 Wild-type 
                 Wild-type 
               
               
                   
                 8 
                 Wild-type 
                 Wild-type 
               
               
                   
                 9 
                 Wild-type 
                 Wild-type 
               
               
                   
                 10 
                 Wild-type 
                 Wild-type 
               
               
                 Wild-type: 
                 1 
                 Wild-type 
                 Wild-type 
               
               
                 SEQ ID NO. 2; 
                 2 
                 Wild-type 
                 Wild-type 
               
               
                 Mutant-type: 
                 3 
                 V600E point 
                 V600E point 
               
               
                 SEQ ID NO. 3 
                   
                 mutation 
                 mutation 
               
               
                   
                 4 
                 Wild-type 
                 Wild-type 
               
               
                   
                 5 
                 V600E point 
                 V600E point 
               
               
                   
                   
                 mutation 
                 mutation 
               
               
                   
                 6 
                 Wild-type 
                 Wild-type 
               
               
                   
                 7 
                 Wild-type 
                 Wild-type 
               
               
                   
                 8 
                 Wild-type 
                 Wild-type 
               
               
                   
                 9 
                 Wild-type 
                 Wild-type 
               
               
                   
                 10 
                 Wild-type 
                 Wild-type