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4个肾上腺脑白质营养不良家系的基因诊断

Gene diagnosis of four Chinese pedigrees with X-linked adrenoleukodystrophy
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摘要 目的对4个肾上腺脑白质营养不良家系进行基因突变分析。方法应用RT-PCR技术,对4个患者的AB-CD1基因编码区,分4个片段进行扩增并对PCR产物直接测序。应用变性高效液相色谱技术、PCR-限制性酶切等方法分析相应的基因组DNA,进一步确证ABCD1的突变位点。结果在3名肾上腺脑白质营养不良患者的ABCD1基因上,存在2个不同的碱基置换(807G>A和2113T>C)和1个碱基插入(1126insGCCATCG),分别造成2个错义突变(A141T和L576P)和1个移码突变(fsI246);在患儿1母亲的一个ABCD1等位基因上存在1801-1802位碱基缺失,造成移码突变(fsE471),另一个等位基因未发现突变。结论在中国人ALD患者中发现2个新的ABCD1基因突变(fsI246、L576P)。不同家系具有不同的突变位点,且突变类型和表型之间无特殊的相关性。 Objective: To identify the mutational genotype of four Chinese families with X -linked adrenoleukodystrophy (X- ALD) . Methods : The coding region of ABCD1 gene of four patients was amplified in 4 segments by PCR after reverse transcription using RT - PCR technology. The PCR products were purified and directly sequenced. To confirm the mutations, the genomic DNA was analyzed by PCR - restrictive digestion or denaturing high performance liquid chromatography. Results : Two base substitutions ( 807G 〉 A and 2113T 〉 C), one base deletion (1801delAG) and one base insertion (1126insGCCATCG) were identified in four X -ALD pedigrees, which resulted in two missense mutations (A141T and L576P) and two frame shift mutations (fs E471 and fs 1246). Conclusion: Two novel ABCD1 mutations, which were fs I246 and L576P, were detected in Chinese X -ALD patients. There were different ABCD1 gene mutations in different pedigrees and no obvious correlation between genotype and phenotype was found.
出处 《中国优生与遗传杂志》 2007年第10期39-41,80,共4页 Chinese Journal of Birth Health & Heredity
关键词 肾上腺脑白质营养不良 ABCD1基因 基因突变 变性高效液相色谱 Adrenoleukodystrophy ABCD1 gene Gene mutation Denaturing high performance liquid chromatography
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参考文献11

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二级参考文献20

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