DETECTION OF NEOANTIGENS USING PEPTIDE ARRAYS
20190113511 ยท 2019-04-18
Inventors
Cpc classification
G01N33/564
PHYSICS
G01N33/6845
PHYSICS
International classification
G01N33/564
PHYSICS
G01N33/543
PHYSICS
Abstract
The present disclosure provides a method of identifying a peptide antigen, including: contacting an antibody-comprising composition to a peptide microarray having an array surface and a plurality of feature pairs disposed thereon. Each of the feature pairs includes a first feature of wild-type peptides having a defined sequence and a second feature of mutant peptides having the defined sequence with a single amino acid mutation. Each of the wild-type peptides and the mutant peptides has an array-coupled terminus coupled to the array surface and an opposing free terminus, and the position of the amino acid mutation in the mutant peptides is located closer to the array-coupled terminus of the mutant peptides than tire free terminus. The method further includes detecting binding of an antibody in the antibody-comprising composition to at least one of the feature pairs on the peptide microarray, and identifying feature pairs exhibiting differential binding.
Claims
1.-20. (canceled)
21. A method of identifying a neoantigen in a subject, comprising (a) contacting an antibody-comprising composition derived from a subject to a peptide microarray having addressable features on the peptide microarray surface, wherein each feature comprises a wild-type peptide or a mutant peptide; (b) detecting binding of an antibody in the antibody-comprising composition to at least one of the features on the peptide microarray surface; (c) identifying features containing: (i) a mutant peptide where binding has occurred, and (ii) a corresponding wild-type peptide where binding has not occurred; and (d) identifying the mutant peptide from the feature of step (c), as a neoantigen.
22. The method of claim 21, wherein the antibody-comprising composition is blood serum.
23. The method of claim 21, wherein the position of the mutation in the mutant peptide is placed 5 amino acids away from its C-terminus.
24. The method of claim 21, wherein the mutant on the mutant peptide is single amino acid mutation.
25. The method of claim 24, wherein the single amino acid mutation is selected from one of a substitution, a modification, a deletion, and an insertion.
26. The method of claim 21, wherein each of the array-coupled termini are coupled to the peptide microarray surface via one of a linker and a spacer.
27. The method of claim 26, wherein the spacer includes at least one amino acid selected from glycine and serine.
28. The method of claim 26, wherein the linker includes at least one 6-hexanoic acid molecule.
29. The method of claim 21, wherein each of the wild-type peptides and each of the mutant peptides has a length of at least 12 amino acids.
30. The method of claim 29, wherein the position of the amino acid mutation in the mutant peptides is located within the first 6 amino acid positions numbered from the array-coupled terminus of the mutant peptides.
31. The method of claim 21, wherein each of the wild-type peptides and each of the mutant peptides has a length of at least 16 amino acids.
32. The method of claim 21, wherein the antibody that binds to the neoantigen of step (d) is identified as an antibody specific to the neoantigen.
33. A method of detecting an antibody specific to a neoantigen in a subject, comprising: (a) contacting an antibody-comprising composition derived from a subject to a peptide microarray having addressable features on the peptide microarray surface, wherein each feature comprises a wild-type peptide or a mutant peptide; (b) detecting binding of an antibody in the antibody-comprising composition to at least one of the features on the peptide microarray surface; (c) identifying features containing: (i) a mutant peptide where binding has occurred, and (ii) a corresponding wild-type peptide where binding has not occurred; (d) identifying the mutant peptide from the feature of step (c), as a neoantigen; and (e) identifying the antibody that binds to the neoantigen of step (d), as an antibody specific to the neoantigen.
34. The method of claim 33, wherein the antibody-comprising composition is blood serum.
35. The method of claim 33, wherein the position of the mutation in the mutant peptide is placed 5 amino acids away from its C-terminus.
36. The method of claim 33, wherein the mutant on the mutant peptide is single amino acid mutation.
37. The method of claim 36, wherein the single amino acid mutation is selected from one of a substitution, a modification, a deletion, and an insertion.
38. The method of claim 33, wherein each of the array-coupled termini are coupled to the peptide microarray surface via one of a linker and a spacer.
39. The method of claim 38, wherein the spacer includes at least one amino acid selected from glycine and serine.
40. The method of claim 38, wherein the linker includes at least one 6-hexanoic acid molecule.
41. The method of claim 33, wherein each of the wild-type peptides and each of the mutant peptides has a length of at least 12 amino acids.
42. The method of claim 41, wherein the position of the amino acid mutation in the mutant peptides is located within the first 6 amino acid positions numbered from the array-coupled terminus of the mutant peptides.
43. The method of claim 33, wherein each of the wild-type peptides and each of the mutant peptides has a length of at least 16 amino acids.
44. A method of detecting an autoantibody in a subject, comprising: (a) contacting an antibody-comprising composition derived from a subject to a peptide microarray having addressable features on the peptide microarray surface, wherein each feature comprises a wild-type peptide or a mutant peptide; (b) detecting binding of an antibody in the antibody-comprising composition to at least one of the features on the peptide microarray surface; (c) identifying features containing: (i) a wild-type peptide where binding has occurred, and (ii) a corresponding mutant peptide where binding has not occurred; and (d) identifying the antibody that binds to the wild-type peptide of step (c), as an autoantibody of step (d), as an autoantibody.
45. The method of claim 44, wherein the antibody-comprising composition is blood serum.
46. The method of claim 44, wherein the position of the mutation in the mutant peptide is placed 5 amino acids away from its C-terminus.
47. The method of claim 44, wherein the mutant on the mutant peptide is single amino acid mutation.
48. The method of claim 47, wherein the single amino acid mutation is selected from one of a substitution, a modification, a deletion, and an insertion.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0035]
[0036]
[0037]
DETAILED DESCRIPTION OF THE INVENTION
Definitions
[0038] As used herein, the terms peptide and oligopeptide refer to organic compounds composed of amino acids, which may be arranged in either a linear, or cyclic chain of amino acids joined together by peptide bonds between the carboxyl and amino groups of adjacent residues. The terms peptide and oligopeptide refer to shorter-polypeptides, i.e., organic compounds composed of less than 50 amino acid residues.
[0039] The term natural amino acid refers to one of the 20 amino acids encoded by the standard genetic code and typically found in proteins and used for protein biosynthesis as well as other amino acids which can be incorporated into proteins during translation (including pyrrolysine and selenocysteine). The 20 natural amino acids include histidine, alanine, valine, glycine, leucine, isoleucine, aspartic-acid, glutamic acid, serine, glutamine, asparagine, threonine, arginine, proline, phenylalanine, tyrosine, tryptophan, cysteine, methionine, and lysine.
[0040] The term non-natural amino acid refers to an organic compound that is not among those encoded by the standard genetic code, or incorporated into proteins during, translation. The non-natural amino acids include amino acids or analogs of amino acids, for example, the D-isostereomers of amino acids (D-amino acids), the beta-amino-analogs of amino acids, citrulline, homocitrulline, homoarginine, hydroxyproline, homoproline, ornithine, 4-amino-phenylalanine, cyclohexylalanine, -aminoisobutyric acid, N-methyl-alanine, N-methyl-glycine, norleucine, N-methyl-glutamic acid, tert-butylglycine, -aminobutyric acid, tert-butylalanine, 2-aminoisobutyric add, -aminoisobutyric acid, 2-aminoindane-2-carboxylic acid, selenomethionine, dehydroalanine, lanthionine, -amino butyric add, and derivatives thereof wherein the amine nitrogen has been mono- or di-alkylated.
[0041] The terms microarray, peptide microarray, peptide array, or simply array refer to a two-dimensional arrangement of features (oligopeptides), on the surface of a solid or semi-solid support. A-single microarray or, in some cases, multiple microarrays (e.g., 3, 4, 5, or more microarrays) can be located on one solid support. The size of the microarrays depends on the number of microarrays on one solid support. The higher the number of microarrays per solid support, the smaller the arrays have to be to fit on the solid support. The arrays can be designed in any shape, but preferably they are designed as squares or rectangles. The ready to use product is the oligopeptide microarray on the solid or semi-solid support referred to as a microarray slide.
[0042] The term feature refers to a defined area on the surface of a microarray. The feature comprises biomolecules, such as in the context of the present invention, peptides. One feature can contain biomolecules with different properties, such as different sequences or orientations, as compared to other features. The size of a feature is determined by two factors: i) the number of features on an array (the higher the number of features on an array, the smaller is each single feature); and ii) the number of individually addressable aluminum mirror elements which are used for the irradiation of one feature. The higher the number of mirror elements used for the irradiation of one feature, the bigger is each single feature. The number of features on an array may be limited by the number of mirror elements (pixels) present in the micro mirror device. For example, the state of the art micro mirror device from Texas Instruments, Inc. currently contains 4.2 million mirror elements (pixels), thus the number of features within such exemplary microarray is therefore limited by this number. However, it should be understood that the micro mirror device from Texas Instruments, Inc. is provided only for exemplary purposes and higher density arrays are or will become available.
[0043] The term solid or semi-solid support refers to any solid material, having a surface area to which organic molecules can be attached through bond formation or absorbed through electronic or static interactions such as covalent bond or complex formation through a specific functional group. The support can be a combination of materials such as plastic on glass, carbon on glass, and the like. The functional surface can be simple organic molecules but can also comprise of co-polymers, dendrimers, molecular: brushes, and the like.
[0044] The term wild-type peptide refers to a peptide that is a portion of the protein and has the amino acid sequence of the wild-type (unmutated) protein such as found for example in a reference database (e.g., UNIPROT).
[0045] The term mutant peptide refers to a peptide that is a portion of the protein and has the sequence that differs from the wild-type sequence by one amino acid. A single amino acid change in a protein may be represented in multiple mutant peptides depending on the placement of the mutant amino acid within the peptide.
[0046] The terms wild-type peptide and corresponding mutant peptide and mutant peptide and corresponding wild-type peptide refer to a pair of peptides where in one is wild-type and the other differs from that wild-type peptide by at least one amino acid. Each mutant peptide typically has only one corresponding wild-type peptide but each wild-type peptide may have several corresponding mutant peptides.
[0047] The present invention relates to a method of making and using a peptide microarray containing wild-type and mutant peptide sequences. A mutant protein comprising the mutant peptide sequence may result from a point mutation creating a single nucleotide polymorphism (SNP) in the coding region of the gene encoding the protein. A serum, from a subject may contain antibodies, to wild-type proteins (autoantibodies) as well as antibodies to mutant proteins (neoantigens). In some embodiments, screening the microarray with a serum may reveal the presence of autoantibodies (possibly indicative of autoimmune disease). In other embodiments, screening the microarray with a serum may reveal the presence of neoantigens (possibly indicative of a tumor or mismatch repair deficiency).
[0048] The inventors discovered that the ability of an antibody to distinguish between two peptides differing by a single amino acid is position-dependent. The inventors discovered that in the context of a microarray, the ability to detect a single amino acid difference is dramatically improved when the mutant amino acid is positioned closer to the array-coupled terminus of the peptide.
[0049] Methods of forming a peptide microarray are known in the art. Certain methods of producing, peptide arrays comprise spotting prefabricated peptides or in-situ synthesis by spotting reagents on membranes see U.S. Pat. No. 6,375,903. Other known methods used for generating peptide arrays of higher density involve photolithographic techniques, where the synthetic design of the desired biopolymers is controlled by suitable photolabile protecting groups (PLPG) releasing the linkage site for the respective next amino acid upon exposure to electromagnetic radiation, such, as light (Fodor at al., (1993) Nature 364:555-556; Fodor et al., (1991) Science 251:767-773). Two different photolithographic techniques are known in the art. The first is a photolithographic mask used to direct light to specific areas of the synthesis surface effecting localized deprotection of the PLPG. These masked methods include the synthesis of polymers utilizing a mount (mask) which engages a substrate and provides a reactor space between the substrate and the mount. See U.S. Pat. Nos. 5,143,854 and 5,445,934. The second photolithographic technique is the so-called maskless photo-lithography, where light is directed to specific areas of the synthesis surface effecting localized deprotection of the PLPG By digital projection technologies, such as micromirror devices (Singh-Gasson et. al., Nature Biotechn. 17 (1999) 974-978). Such maskless array synthesis eliminates the need for time-consuming and expensive production of exposure masks. The peptide microarrays utilized in the method of the present invention may be synthesized by any of the methods described above or any other methods known in the art including the method previously described by the inventors in U.S. application Ser. No. 14/577,334 Systemic Discovery, Maturation and Extension of Peptide Binders to Proteins filed on Dec. 19, 2014.
[0050] In some embodiments, the method of the invention involves the use of an array of peptide features on a solid support each feature having the structure illustrated in
[0051] Within the microarray feature, the peptides are about 12-20 amino acids long. In some embodiments, the peptides on the array are synthesized using only-natural amino acids encoded by the standard genetic code. Non-natural amino acids may also be used. All 20, or fewer than 20 (e.g., only 18 natural amino acids) can be used. In some embodiments, the array is synthesized using 18 natural amino acids and not including cysteine (Cys) and methionine (Met). In yet other embodiments, the peptide sequences on the array further exclude any dimer or a longer repeat of the same amino acid.
[0052] For maskless array-based synthesis, the number of features that can be synthesized on a given peptide array depends in part on the number of individual mirrors provided on the micromirror device. In one example, a peptide array can contain up to 2.910.sup.6 features having up to 10.sup.7 reactive sites that could yield a full length peptide. Smaller or larger arrays can also be designed. For example, an array representing a comprehensive list of all possible 5-mer peptides using all natural amino acids, excluding cysteine will have 2,476,099 (2.510.sup.6) peptides. An array excluding certain amino acids and amino acid dimers can currently have about 1M (10.sup.6) peptides. Further, it will be appreciated that arrays can be synthesized using alternative or additional synthesis techniques, such as mask-based array and spotted or printed array synthesis.
[0053] Binding of an antibody to one or more peptides on the microarray may be detected by methods known in the art. For example, a reporter-conjugated secondary antibody (e.g., anti-IgG for the appropriate organism) may be used. Commercial anti-IgG antibodies conjugated to reporter, molecules are available.
[0054] In some embodiments, the invention is a method of identifying one or more neoantigens in a subject using a peptide microarray. The method comprises a step of contacting one or more antibodies from a subject (e.g., a serum or composition comprising one or more isolated antibodies) to a microarray having addressable features, wherein each feature comprises a wild-type or a mutant peptide (neoantigen). The mutant position in the neoantigen is placed near the C-terminus of the peptide, preferably 5 amino acids away from the C-terminus. The method further comprises comparing the signals from the neoantigens and wild-type peptides to verify that one or more antibodies from the subject are specific to the neoantigen and the neoantigen is likely present in the subject.
[0055] In some embodiments, the invention is a method of identifying one or more antibodies specific to neoantigens in a subject using a peptide microarray. The method comprises a stop of contacting one or more antibodies from a subject (e.g., a serum or composition comprising one or more isolated antibodies) to a microarray having-addressable features, wherein each feature comprises a wild-type or a mutant peptide (neoantigen). The mutant position in the neoantigen is placed near the array-coupled terminus of the peptide, preferably within the first 6 amino-acid positions numbered from the array-coupled terminus. The method further comprises comparing the signals from the neoantigens and wild-type peptides to verify that one or more antibodies' from the subject are specific to the neoantigen and identifying the anti-neoantigen antibodies.
[0056] In some embodiments, the invention is a method of detecting autoantibodies in a subject using a peptide microarray. The method comprises a step of contacting one or more antibodies from a subject (e.g., a serum or composition comprising one or more isolated antibodies), to a microarray having addressable features, wherein each feature comprises a wild-type or a mutant peptide (neoantigen). The mutant position iii the neoantigen is placed near the array-coupled terminus of the peptide, preferably within the first 6 amino acid positions numbered from the array-coupled terminus. The method further comprises comparing the signals from, the neoantigens and wild-type peptides to verify that one or more antibodies from the subject are specific to wild-type peptides and autoantibodies are likely present in the subject. In some embodiments, the method further comprises diagnosing autoimmune disease in the subject.
[0057] In some embodiments, the invention is a microarray for identifying neoantigens or autoantibodies in a subject. The microarray comprises addressable features, wherein each feature comprises a wild-type or a mutant peptide (neoantigen). The mutant position in the neoantigen is placed near the array-coupled terminus of the peptide, preferably within the first 6 amino acids positions numbered from the array-coupled terminus. In some embodiments, the invention is a system for identifying neoantigens or autoantibodies. The system comprises the microarray described above and method of detecting antibodies bound to the microarray, such as a secondary antibody and a reporter molecule. The system may also comprise computational means of identifying autoantibodies or neoantigens. Detection may involve a step of comparing binding, to the wild-type peptide and a corresponding mutant peptide. The computational means are capable of correlation of the signal and the corresponding peptide sequence on the microarray to identify the sequence of the neoantigen. In some embodiments, the system further comprises reporting means for reporting the neoantigen sequences.
[0058] The invention is based on the surprising discovery that for optimal discrimination by an antibody, the mutant residue must be placed closer to the array-coupled terminus (bound to solid support) and not closer to the free terminus that is facing the antibody-containing solution and opposing the array-coupled terminus. The unexpected results shown in the examples below enabled the inventors to create the novel methods and compositions described herein.
[0059] Turning now to
[0060] With continued reference to
[0061] Each of the peptides 110 further includes an array-coupled terminus 114 and a free terminus 116. The array-coupled terminus 114 can be either of the amino-terminus (i.e., N-terminus) or the carboxyl-terminus (i.e., C-terminus) of a peptide 110 depending on the selected synthesis approach. Generally, each of the peptides 110 are coupled to the array surface 102 via the same terminus (i.e., either the N-terminus or the C-terminus). In the case that the array-coupled terminus is the C-terminus of each of the peptides 110, the peptides 110 are coupled to the array surface 102 via the amino acid 112 present at the C-terminus of each of the peptides 110. In general, the coupling is achieved through the C-terminal carboxyl group of the peptide 110, and can further include one or more additional linker or spacer molecules (see
[0062] As described above, the array-coupled terminus 114 is coupled to the array surface 102. In this configuration, the amino acids 112 in the peptides 110 can be numbered starting from position 1 at the array-coupled terminus 114 and ending with position i at the free terminus 116, where i is the total number of amino acids 112 in the particular peptide 110. In the present example, amino acids 118a and 118b are at amino acid position 6 as numbered from the array-coupled terminus 114 of the peptides 110.
[0063] In some embodiments, it may be useful to provide for pairs of peptide features 106 on the microarray 100. For example, pairs of wild-type and mutant peptide features can be used for the identification of neoantigens as described herein. Each pair of features 106 includes a first-feature 106a of wild-type peptides and a second feature 106b of mutant peptides. The wild-type peptides have a defined sequence of amino acids 112, whereas the mutant peptides have the same defined sequence as the wild-type peptides with the exception that the sequence of the mutant peptides includes a single amino acid mutation (e.g., an amino acid substitution, insertion, modification, deletion, or the like) relative to the wild-type peptides. In the example illustrated in
[0064] In example, if the amino acid 118a is an alanine in the wild-type peptides 110 in the feature 106a, the amino acid 118b can be a histidine in the mutant peptides 110 in the feature 106b. In another example, if the amino acid 118a is an arginine in the wild-type peptides 110 in the feature 106a, the amino acid 118b can be a citrulline in the mutant peptides 110 in the feature 106b. It will be appreciated that yet other amino add mutations can be made.
[0065] As shown in
[0066] Subsequent to contacting, the microarray 100 with one or more primary antibodies, the microarray 100 can be contacted with a composition comprising one or more secondary antibodies such as the labeled secondary antibody 124 and the labeled secondary antibody 126. The labeled secondary antibody 124 and the labeled secondary antibody 126 can have different labels. For example, the labeled secondary antibody 124 can have a Cy3 label and the labeled secondary antibody 126 can have a Cy5 label. The labeled secondary antibody 124 and the labeled secondary antibody 126 bind to or otherwise interact with the primary antibodies [e.g., the first primary antibody 120 and the second primary antibody 122] to enable the identification of which of the features 106 were bound by the primary antibodies (e.g., primary antibody 120 and primary antibody 122). In one aspect the microarray 100 can be scanned with a detector capable of visualizing which of the features 106 are labeled with the secondary antibody 124 and tire secondary antibody 126. In general, this approach enables the detection of binding of a primary antibody in an antibody-comprising composition to feature pairs on the peptide microarray, and subsequent identification of feature pairs exhibiting differential binding to the primary antibodies. In one aspect, the mutant peptides identified through such a differential binding experiment can be characterized as neoantigens.
[0067] Turning now to
[0068] As described herein, the surprising discovery has been made that placement of the polymorphic (i.e., wild-type vs. mutant) amino acid can affect the detection sensitivity of an antibody that preferentially binds the mutant sequence over the wild-type sequence. Whereas existing solutions place the polymorphism in the center of the peptide, the present disclosure provides for a system and method for placement of the polymorphism to achieve greater discrimination (defined herein as the difference between the signal derived from the mutant peptide and signal derived from the wild type peptide). Surprisingly, by placing the polymorphism closer to the array-bound terminus of the peptide being interrogated, the resulting measures of discrimination and reproducibility were substantially better.
[0069] In one aspect, the pair of wild-type and mutant peptides is synthesized such that the single amino acid mutation or polymorphism is located closer to the array-bound terminus than the free terminus of the peptides, in another aspect, the pair of wild-type and mutant peptides is synthesized such that the single amino add mutation or polymorphism is located within the first 12 amino acid positions as numbered from the array-coupled terminus of the mutant peptides, in another aspect, the pair of wild-type and mutant peptides is synthesized such that the single amino add mutation or polymorphism is located within the first 9 amino add positions as numbered from the array-coupled terminus of the mutant peptides, in still another aspect, the pair of wild-type and mutant peptides is synthesized such that the single amino acid mutation or polymorphism, is located within the first 6 amino acid positions as numbered from the array-coupled terminus of the mutant peptides. In a further aspect, the pair of wild-type and mutant peptides is synthesized such that the single amino acid mutation or polymorphism is located al the 6.sup.th amino acid position as numbered from the array-coupled terminus of the mutant peptides.
[0070] Referring now to
EXAMPLES
Example 1. Testing Sera from Colorectal Cancer (CRC) Patients
[0071] Six serum samples were bound to an array design to determine the optimal position for the detection of antibodies against neoantigens. Three of the serum samples were obtained from colorectal cancer patients and were previously characterized by ELISA to contain autoantibodies against p53. The labels low, med, and high corresponded to the level of autoantibodies found by ELISA. The other three samples were obtained from healthy individuals. Roth control and ISD were serum samples derived from single donors. MPS was a pooled serum sample from multiple, healthy individuals. With reference to
Reproducibility
[0072] To assess detection reproducibility, we calculated the Pearson's correlation coefficients of the discrimination between 3 technical replicates. Discrimination is defined as the difference in the log transformed signal between the mutant and wild-type peptide. The mean Pearson's correlation of all pairwise comparison (i.e., replicate 1 vs. replicate 2, replicate 2 vs. replicate 3, and replicate 1 vs. replicate 3) were reported for each mutational position. In addition, Pearson's correlation coefficients were calculated both for mean discrimination (Table 1) and raw discrimination (Table 2).
TABLE-US-00001 TABLE 1 Pearsons correlation coefficients of discrimination means between replicates demarcated by the mutation position mutation position Pearsons Correlation Coefficients for discrimination means (#d from C-terminus) low med high control ISD MPS 6 0.953 0.927 0.956 0.916 0.945 0.954 9 0.951 0.916 0.954 0.907 0.944 0.950 12 0.942 0.904 0.958 0.915 0.927 0.942
TABLE-US-00002 TABLE 2 Pearsons correlation coefficients of raw discrimination between technical replicates demarcated by the mutation position mutation position Pearsons Correlation Coefficients for raw discrimination (#d from C-terminus) low med high control ISD MPS 6 0.851 0.752 0.837 0.756 0.798 0.839 9 0.834 0.723 0.831 0.737 0.797 0.818 12 0.803 0.684 0.836 0.723 0.753 0.787
[0073] As can been seen in Tables 1 and 2, placing the mutation in position 6 relative to the C-terminus of an 18-mer peptide yielded the highest Pearson's correlation coefficient when comparing the raw discrimination values and discrimination means between technical replicates. Collectively, by placing the mutation in position 6 (counting from the C-terminus or array-coupled terminus), discrimination becomes more reproducible between experiments. Accordingly, it was demonstrated that placing the mutation or polymorphism closer to the array-coupled terminus provides for improved capabilities for accurately and reproducibly detecting the polymorphism.
Sensitivity
[0074] To address sensitivity, the number of mutations, defined as a mean fold difference between control signal and mutant signal threshold of 2 and a statistical significance of 0.01 (2 sample homoscedastic t-test) across probe replicates, are tabulated in Table 3 for a mutation in positions 6, 9, and 12 (Counting from the C-terminus or array-coupled terminus). The overall trend is an increased ability to detect mutations when the mutation is placed in position 6 as numbered from the C-terminus (i.e., the array-coupled terminus).
TABLE-US-00003 TABLE 3 The amber of mutations detected stratified by the mutation position mutation position Number of Mutations Detected (#d from C-terminus) Low med high control ISD MPS 6 153 95 98 147 157 153 9 132 70 79 129 131 126 12 111 61 77 112 98 92
[0075] The present invention is presented in several varying embodiments in the following description with reference to the Figures, in which like numbers represent the same or similar elements. Reference throughout this specification to one embodiment, an embodiment, or similar language means that a particular feature, structure, or characteristic described in connection with the embodiment is included in at least one embodiment of the present invention. Thus, appearances of the phrases in one embodiment, in an embodiment, and similar language throughout this specification may, but do not necessarily, all refer to the same embodiment.
[0076] The described features, structures, or characteristics of the invention may be combined in any suitable manner in one or more embodiments. In the following description, numerous specific details are recited to provide a thorough understanding of embodiments of the system. One skilled in the relevant art will recognize, however, that the system and method may both be practiced without one or more of the specific details, or with other methods, components, materials, and so forth. In other instances, well-known structures, materials, or operations are not shown or described in detail to avoid obscuring aspects of the invention. Accordingly, the foregoing description is meant to be exemplary, and does not limit the scope of present inventive concepts.
[0077] Each reference identified in the present application is herein incorporated by reference in its entirety.