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三个肾上腺脑白质营养不良家系的产前分子诊断 被引量:1

Prenatal molecular diagnosis of 3 Chinese X-linked adrenoleukodystrophy pedigrees
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摘要 目的对3名来自不同家系的肾上腺脑白质营养不良(ALD)携带者所怀胎儿进行产前分子诊断。方法在采用STR位点分析方法排除母体基因组DNA污染后,分别应用变性高效液相色谱和DNA测序方法对3个胎儿的羊水基因组DNA进行分析。结果胎儿1和携带者1的分析结果完全一样,均出现洗脱双峰,并经DNA测序证实,该胎儿为S108X突变携带者;胎儿2、胎儿3和正常对照一致,均为洗脱单峰,经DNA测序证实,这两个胎儿的基因组DNA上均不存在基因突变(R617C突变和1801.02del AG突变)。结论胎儿1带S108X突变,为ALD携带者;胎儿2不带R617C突变,为正常纯合子;胎儿3不带1801—02del AG突变,为正常半合子。 Objective To carry out prenatal molecular diagnosis on 3 fetuses from different pedigrees with X-linked adrenoleukodystrophy (ALD). Methods The amniotic fluid was obtained with the help of a clinical doctor and the genomic DNA was isolated from it. Maternal DNA contamination was excluded by fluorescent STR profiling. The S108X, R617C and 1801-02 del AG mutations found in the 3 different pedigrees were searched in genomic DNA of amniotic fluid cells (AFC) from 3 fetuses by denaturing high performance liquid chromatography (DHPLC) and DNA direct sequencing. Results Two different eluting peaks were detectable from the genomic DNA of the fetus 1 and her mother using DHPLC but not from that of the fetus' s father and unrelated controls. S 108X mutation was found in one allele of the fetus and her mother using DNA direct sequencing. One eluting peak was visualized in the genomic DNA of the fetus 2 and 3 using DHPLC, which was identical to those from the DNA of their fathers and controls. R617C mutation or 1801-02 del AG mutation was not detectable in their genomic DNA. Conclusion Fetus 1 had S108X mutation on her ABCD1 gene and she was an ALD carrier. Fetus 2 had no R617C mutation on her ABCD1 gene and she was a normal homozygote. Fetus 3 had no 1801-02 del AG mutation on his ABCD1 gene and he was a normal hemizygote.
出处 《中华神经医学杂志》 CAS CSCD 2006年第9期943-946,共4页 Chinese Journal of Neuromedicine
关键词 肾上腺脑白质营养不良 产前分子诊断 ABCD1基因 基因突变 变性高效液相色谱 Adrenoleukodystrophy Prenatal molecular diagnosis ABCD1 gene Gene mutation Denatured high performance liquid chromatograrn
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参考文献14

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二级参考文献14

  • 1黄梁浒,曾健,杨渤生,黄惠娟,吴玉水,兰风华.3个肾上腺脑白质营养不良家系的基因突变分析[J].中华医学遗传学杂志,2004,21(3):193-197. 被引量:14
  • 2Moser HW, Loes DJ, Melhem ER, et al. X-linked adrenoleukodystrophy:overview and prognosis as a function of age and brain magnetic resonance imaging abnormality. A study involving 372 patients. Neuropediatrics, 2000,31: 227-239.
  • 3Corzo D, Gibson W, Johnson K, et al. Contiguous deletion of the X-linked adrenoleukodystrophy gene( ABCD1 ) and DXS1357E: a novel neonatal phenotype similar to peroxisomal biogenesis disorders. Am J Hum Genet,2002,70:1520-1531.
  • 4Shapiro E, Krivit W, Lockman L, et al. Long-term effect of bone-marrow transplantation for childhood-onset cerebral X-linked adrenoleukodystrophy.Lancet ,2000,356:713-718.
  • 5Kok F, Neumann S, Sarde CO, et al. Mutational analysis of patients with Xlinked adrenoleukodystrophy. Hum Mutat, 1995,6:104-115.
  • 6Moser HW, Moser AB, Powers JM, et al. The prenatal diagnosis of adrenoleukodystrophy. Demonstration of increased hexacosanoic acid levels in cultured amniocytes and fetal adrenal gland. Pediatr Res, 1982,16: 172-175.
  • 7Gray RG, Green A, Cole T, et al. A misdiagnosis of X-linked adrenoleukodystrophy in cultured chorionic villus cells by the measurement of very long chain fatty acids. Prenat Diagn, 1995,15: 486-490.
  • 8Carey WF, Poulos A, Sharp P, et al. Pitfalls in the prenatal diagnosis of peroxisomal beta-oxidation defects by chorionic villus sampling. Prenat Diagn, 1994,14:813-819.
  • 9van Oost BA, van Zandvoort PM, Tunte W, et al. Linkage analysis in Xlinked adrenoleukodystrophy and application in post- and prenatal diagnosis. Hum G enet, 1991,86:404-407.
  • 10Imamura A, Suzuki Y, Song XQ, et al. Prenatal diagnosis of adrenoleukodystrophy by means of mutation analysis. Prenat Diagn, 1996,16: 259-261.

共引文献2

同被引文献10

  • 1兰风华,黄梁浒,杨渤生.肾上腺脑白质营养不良的分子诊断与分子机制[J].东南国防医药,2005,7(5):321-323. 被引量:9
  • 2黄梁浒,王志红,杨渤生,郑德柱,吴玉水,兰风华.7个肾上腺脑白质营养不良家系的基因突变分析[J].解放军医学杂志,2006,31(6):540-542. 被引量:3
  • 3Bezman L, Moser AB, Raymond GV, et al. Adrenoleukodystrophy : incidence, new mutation rate, and results of extended family screening. Ann Neurol,2001,49 :512-517.
  • 4Moser HW, Raymond GV, Dubey P. Adrenoleukodystrophy : new approaches to a neurodegenerative disease. JAMA, 2005,294 : 3131-3134.
  • 5Mosser J, Douar AM, Sarde CO, et al. Putative X-linked adrenoleukodystrophy gene shares unexpected homology with ABC transporters, Nature,1993,361:726-730.
  • 6Huang LH, Huang H J, Yang BS, et aL Prenatal molecular diagnosis of adrenoleukodystrophy. Chin J Med Genet, 2005, 22 : 612-615.
  • 7Montagna G, Di Biase A, Cappa M, et al. Identification of seven novel mutations in ABCD1 by a DHPLC-based assay in Italian patients with X-linked adrenoleukodystrophy. Hum Mutat, 2005, 25:222-227.
  • 8Imamura A, Suzuki Y, Song XQ, et al. Prenatal diagnosis of adrenoleukodystrophy by means of mutation analysis. Prenat Diagn, 1996,16:259-261.
  • 9Moser HW, Moser AB, Powers JM, et al. The prenatal diagnosis of adrenoleukodystrophy. Demonstration of increased hexacosanoic acid levels in cultured anmiocytes and fetal adrenal gland. Pediatr Res, 1982,16 : 172-175.
  • 10van Oost BA,van Zandvoort PM,Tunte W,et al. Linkage analysis in X-linked adrenoleukodystrophy and application in postand prenatal diagnosis. Hum Genet, 1991, 86:404-407.

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