Short tandem repeats (STRs) have a high degree of polymorphism and genetic stability. As genetic DNA molecular markers, they have been widely used in many fields such as genetic mapping, linkage analysis, parent-child identification, disease gene mapping, and species polymorphism research.
The STR-PCR monitoring method has been used to monitor the status before and after allogeneic hematopoietic stem cell transplantation. Collect blood samples from pre transplant, post transplant recipients, and donors for STR site analysis, and compare the analysis results to visually, reliably, and clearly observe the chimeric state of the patient after transplantation. The formation of chimeras is a dynamic process, and complete donor source states and mixed chimeras can appear at different stages after transplantation, and can transform with the evolution of the disease and time. Therefore, continuous monitoring of chimeras using STR-PCR technology can early identify graft implantation, detect residual small lesions, predict transplant effects, and guide clinical timely adoption of corresponding treatment measures.
The genetic research data of STR population using detection technology shows that there are 15 STR loci (CSF1PO, D13S317, D16S539, D18S51, D19S433, D21S11, D2S1338, D3S1358, D5S818, D7S820, D8S1179, FGA, THO1, TPOX, and vWA) with high genetic polymorphism in the Han population, which are suitable for individual identification, parent-child identification, and basic data for establishing STR gene databases in the Han population. Therefore, these 15 STR gene loci can effectively monitor the transplant status of patients before and after transplantation.
Collect peripheral blood or bone marrow from donors and recipients before surgery, and collect peripheral blood or bone marrow every month or according to schedule after surgery. After DNA extraction, use specific primers labeled with fluorescence to multiplex amplify the above STR sites. After capillary electrophoresis and fragment analysis, calculate the chimerism rate. Hematopoietic chimerism is generally divided into three types. When the percentage of donor cells occupying the recipient's bone marrow or peripheral blood exceeds 95%, that is, the donor cells are completely implanted, which is called complete chimerism. If the recipient cells still appear in the bone marrow or peripheral blood after transplantation, both donor and recipient cell components can be detected simultaneously, with donor cells accounting for 5-95%, which is called mixed chimerism. Microchimerism refers to donor cells<5%.
STR-PCR In Hematopoietic Stem Cell Transplantation Application