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应用Minigene剪接变异体分析技术诊断PMM2基因非经典剪接位点新变异的致病性
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作者 周琴 林伟霞 宋元宗 《暨南大学学报(自然科学与医学版)》 CAS 北大核心 2024年第2期124-131,共8页
目的:研究Minigene剪接变异体分析技术在诊断磷酸甘露糖变位酶2(PMM2)相关先天性糖基化障碍(PMM2-CDG)中的价值,探讨磷酸甘露糖变位酶2(PMM2)基因剪接位点新变异对其转录产物的影响。方法:通过对1例PMM2-CDG患儿进行高通量测序查找可能... 目的:研究Minigene剪接变异体分析技术在诊断磷酸甘露糖变位酶2(PMM2)相关先天性糖基化障碍(PMM2-CDG)中的价值,探讨磷酸甘露糖变位酶2(PMM2)基因剪接位点新变异对其转录产物的影响。方法:通过对1例PMM2-CDG患儿进行高通量测序查找可能的遗传学病因,利用Minigene剪接变异体分析技术,研究PMM2基因新剪接位点变异的致病性。根据美国医学遗传学与基因组学学会(ACMG)指南,判断新变异的致病性。结果:遗传学分析发现患儿系PMM2基因母源性c.691G>A(p.Val231Met)变异和父源性c.447+5G>A变异复合杂合子。Minigene剪接变异体分析发现:变异c.447+5G>A导致PMM2基因转录产物形成r.348_447del转录本,为致病性PMM2基因变异。患儿的临床特征为皮肤巩膜黄染,血清总胆红素、非结合胆红素和总胆汁酸明显升高,白蛋白明显降低,甲胎蛋白、铁蛋白和促甲状腺素等升高,对症支持治疗效果欠佳。结论:Minigene剪接变异体分析可为PMM2-CDG确诊和家系遗传咨询提供新的分子标记物,扩展了PMM2基因变异谱,为该病的临床诊治提供新的参考依据。 展开更多
关键词 磷酸甘露糖变位酶2(PMM2)基因 PMM2相关先天性糖基化障碍(PMM2-CDG) minigene剪接变异体分析
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Rescue of the albino phenotype by introducing a functional tyrosinase minigene into Kunming albino mice 被引量:2
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作者 Dong Xiao Ying Yue +8 位作者 Xin-Yan Deng Bing Huang Zhong-Min Guo Yun Ma Yi-Li Lin Xun Hong Huan Tang Kang Xu Xi-Gu Chen 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第2期244-249,共6页
AIM: To use the tyrosinase minigene as a visual marker to perform microinjection training and improve the techniques related with transgene to greatly elevate the effidency of gene transfer. METHODS: A mouse tyrosin... AIM: To use the tyrosinase minigene as a visual marker to perform microinjection training and improve the techniques related with transgene to greatly elevate the effidency of gene transfer. METHODS: A mouse tyrosinase minigene, i.e., TyBS, in which the 2.25-kb authentic genomic 5' non-coding flanking sequence of mouse tyrosinase was fused to a mouse tyrosinase cDNA, was introduced into the fertilized eggs of outbred Kunming albino mice. RESULTS: Of the 11 animals that developed from the injected eggs, two mice (P1 and #8) exhibited pigmented hair (P1) and eyes (P1 and #8), as confirmed by PCR analysis for the tyrosinase minigene integrated into the genome. When founder P1 was bred to Kunming male mouse, six progeny out of 11 offspring inherited the transgene and the pigmented-eye phenotype. CONCLUSION: Taken together, these results suggest that this minigene encodes the active tyrosinase protein and that its 5' flanking region contains the sequences regulating the expression of mouse tyrosinase gene as expected. We have rescued the albino phenotype by introduction and expression of a functional tyrosinase minigene in the Kunming albino mouse and the transgene can be passed to subsequent generation. These findings also indicate that TyBS can be a useful visual marker gene in the co-transgenic experiments. 展开更多
关键词 minigene Transgenic mice MELANIZATION Phenotypic rescue
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ENDOGENOUS EXPRESSION AND HLA STABILIZATION ASSAY OF PLASMODIUM FALCIPARUM CTL EPITOPE MINIGENE IN HUMAN HLA- A2.1 AND HLA- B51 CELLS
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作者 唐玉阳 王恒 《Chinese Medical Sciences Journal》 CAS CSCD 2001年第1期29-34,共6页
To evaluate the Plasmodium falciparum CTL epitope vaccines in HLA class I allele specific human cell lines that have high frequency among Chinese population. Methods. Synthesized oligonucleotides encoding for P.f. CTL... To evaluate the Plasmodium falciparum CTL epitope vaccines in HLA class I allele specific human cell lines that have high frequency among Chinese population. Methods. Synthesized oligonucleotides encoding for P.f. CTL epitope genes, constructed eukaryotic expression plasmids, transfected the minigenes into HLA class I allele specific human cell lines and identified endogenous expressing of the minigenes by RT- PCR and HLA stabilization assay. Results. Two mini- genes encoding Plasmodium falciparum CTL epitopes were designed and cloned, respectively, into an eukaryotic expressing vector to form TR26 which was restricted to HLA- B51, SH6 which was restricted to HLA- A2.1, and TS, which had the two aforementioned mini- genes fused in tandem. All of these CTL epitope genes were transfected and endogenously expressed in respective cell lines containing appropriate HLA molecules. The obviously increased expressions of HLA class I molecules were detected in the transfected cell lines. It was demonstrated that the two discrete Plasmodium falciparum epitope genes were effectively processed and presented, and the close proximity of the two epitope genes in one chain as in mini- gene TS did not interfere with the processing and presenting of each epitope gene in corresponding cell line. Conclusion. A successful expression and presentation of multiple CTL epitope mini- gene in MHC class I allele specific human cell lines were demonstrated by an in vitro assay, which could be corresponding to the vaccination of CTL vaccines in people with different MHC I molecules. This work also suggested the possibility of constructing a multiple CTL epitope plasmodium falciparum DNA vaccine that could cover most of Chinese population. 展开更多
关键词 endogenous expressing peptide epitope minigene CTL HLA stabilization assay
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A novel pathogenic splicing mutation of RPGR in a Chinese family with X-linked retinitis pigmentosa verified by minigene splicing assay
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作者 Hui-Qin Wang Pei-Kuan Cong +2 位作者 Tian He Xiao-Feng Yu Ya-Nan Huo 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2023年第10期1595-1600,共6页
AIM:To report a novel splicing mutation in the RPGR gene(encoding retinitis pigmentosa GTPase regulator)in a three-generation Chinese family with X-linked retinitis pigmentosa(XLRP).METHODS:Comprehensive ophthalmic ex... AIM:To report a novel splicing mutation in the RPGR gene(encoding retinitis pigmentosa GTPase regulator)in a three-generation Chinese family with X-linked retinitis pigmentosa(XLRP).METHODS:Comprehensive ophthalmic examinations including best corrected visual acuity,fundus photography,vision field,and pattern-visual evoked potential were performed to identify the disease phenotype of a six-yearold boy from the family(proband).Genomic DNA was extracted from peripheral blood of five available members of the pedigree.Whole-exome sequencing(WES),Sanger sequencing,and pSPL3-based exon trapping were used to investigate the aberrant splicing of RPGR.Human Splice Finder v3.1 and NNSPLICE v0.9 were used for in silico prediction of splice site variants.RESULTS:The proband was diagnosed as having retinitis pigmentosa(RP).He had severe symptoms with early onset.A novel splicing mutation,c.619+1G>C in RPGR was identified in the proband by WES and in four family members by Sanger sequencing.Minigene splicing assays verified that c.619+1G>C in RPGR would result in the formation of a damaging alternative transcript in which the last 91 bp of exon 6 were skipped,leading to the subsequent deletion of 623 correct amino acids(c.529_619del p.Val177Glnfs*16).CONCLUSION:We identify a novel splice donor site mutation causing aberrant splicing of RPGR.Our findings add to the catalog of pathological mutations of RPGR and further emphasize the functional importance of RPGR in RP pathogenesis and its complex clinical phenotypes. 展开更多
关键词 retinitis pigmentosa X-linked inheritance RPGR splicing mutation pSPL3 minigene assay
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Minigene Analysis of the c.743 + 40A >G Intronic Variant in the <i>CFTR</i>Gene
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作者 Ayman El-Seedy Raed Farhat +2 位作者 Marie-Claude Pasquet Alain Kitzis Véronique Ladeveze 《Health》 2014年第12期1352-1360,共9页
Background: Since the identification of the cystic fibrosis transmembrane regulator (CFTR) gene in 1989, many polymorphisms have been identified in cystic fibrosis (CF) or CFTR-related disorders (CFTR-RDs) patients an... Background: Since the identification of the cystic fibrosis transmembrane regulator (CFTR) gene in 1989, many polymorphisms have been identified in cystic fibrosis (CF) or CFTR-related disorders (CFTR-RDs) patients and still remain to be characterized at the molecular level. These polymorphisms are difficult to classify as pathogenic or non-disease causing because the polymorphisms are either located in the coding region, but are synonymous, or are found in the intronic regions. Here we investigated the potential impact of the c.743 + 40A > G polymorphism within CFTR intron 6 on the alternative splicing. Indeed, this variant has been observed frequently in our examined patients. Moreover, a family carrying this variant exhibited CFTR-RD phenotype. Methods: By denaturing high pressure liquid phase chromatography (DHPLC) and sequencing, thirty of 293 subjects French origin carried the c.743 + 40A > G variant. Of these, 16 patients were affected by CF or CFTR-RD. Wild-type sequences and mutant CFTR intron 6 and its boundaries were inserted into the pTBNdeI hybride minigene and expressed in three different cell lines. After RT-PCR analysis of mRNA using specific primers, sequences of the minigene transcripts were obtained. Results: No aberrant splicing was detected with minigene carrying c.743 + 40A > G variant in all transfected cell lines. However, an alternative splicing in the positive control was detected with a minigene carrying the c.1392G > T + 1G > T mutation: 5 nucleotides were deleted from mRNA sequences, indicating that used cell lines are appropriate for studying the splicing. Conclusion: Transient transfections of a minigene containing the c.743 + 40A > G polymorphism showed no splicing errors, and thus this intronic alteration was finally classified as non-pathogenic. As it is always associated with c.2562T > G and c.4389G > A, or TG12-7T poly-morphisms, further experiments are needed to determine the role of these complex alleles in disease pathogenesis. 展开更多
关键词 CYSTIC Fibrosis Polymorphism Complex ALLELE Hybrid minigene Splicing
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家族性血小板疾病伴急性髓系白血病倾向致病基因RUNX1新变异c.509-2A>G的识别和致病性
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作者 马菁菁 张成成 +3 位作者 邓梅 林伟霞 郭丽 宋元宗 《暨南大学学报(自然科学与医学版)》 北大核心 2025年第3期366-374,共9页
目的:家族性血小板疾病伴急性髓系白血病倾向(familial platelet disorder with predisposition to acute myeloid leukemia, FPD/AML)是RUNX1(runt-related transcription factor 1)基因变异导致的罕见常染色体显性遗传病。本研究报告... 目的:家族性血小板疾病伴急性髓系白血病倾向(familial platelet disorder with predisposition to acute myeloid leukemia, FPD/AML)是RUNX1(runt-related transcription factor 1)基因变异导致的罕见常染色体显性遗传病。本研究报告了1例FPD/AML 3日龄男婴患儿的临床表型和RUNX1基因型特征,旨在为其临床诊治提供参考。方法:收集并整理患儿的临床信息,提取患儿及其父母外周血DNA,运用高通量测序(next generation sequencing, NGS)方法寻找可能的遗传学病因,基于Minigene剪接变异体分析技术研究了剪接位点新变异的异常剪接机制,并根据美国医学遗传学与基因组学学会指南分析新变异的致病性。结果:患儿因检查发现血小板减少2 d入院。实验室检查发现血小板减少和骨髓巨核细胞发育不良。分子遗传学检查发现患儿是RUNX1基因c.509-2A>G变异的杂合子,为国内外文献所未曾报道的新生变异。Minigene基因分析发现该变异导致异常转录本r.509_515del (p.Gly170Alafs*3)的形成,可明确诊断为FPD/AML。经对症支持处理,患儿血小板数量稳定,但仍明显低于正常,远期预后尚有待随访观察。结论:本研究识别了1个新生RUNX1基因剪接位点变异,并通过Minigene技术确认了其可导致FPD/AML,拓展了RUNX1基因变异谱,对FPD/AML的诊治具有一定参考价值。 展开更多
关键词 RUNX1基因 家族性血小板疾病伴急性髓系白血病倾向 minigene剪接变异体分析
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鼠p53 172位点不同结构的minigene四环素负调控表达模式对肺癌细胞体外生长的影响 被引量:2
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作者 马怡红 吴秉铨 +5 位作者 谢建武 由江峰 柳剑英 崔湘霖 王洁良 惠培 《中华病理学杂志》 CAS CSCD 北大核心 2000年第5期359-362,共4页
目的 利用四环素负调控表达载体诱导表达鼠野生型p5 3、假野生突变型p5 3和突变型p5 3(172位点氨基酸分别是精氨酸、亮氨酸和组氨酸 ) ,比较一个位点不同DNA结构的p5 3minigene对细胞生长的影响。方法 通过基因重组构建四环素负调控... 目的 利用四环素负调控表达载体诱导表达鼠野生型p5 3、假野生突变型p5 3和突变型p5 3(172位点氨基酸分别是精氨酸、亮氨酸和组氨酸 ) ,比较一个位点不同DNA结构的p5 3minigene对细胞生长的影响。方法 通过基因重组构建四环素负调控表达的小鼠上述 3种p5 3minigene真核表达载体 ,由LipofectAMINE介导转染p5 3突变的PG细胞 ,嘌呤霉素筛选得到稳定克隆 ,利用四甲基偶氮唑盐比色法、流式细胞术、蛋白质免疫印迹等方法比较 3种p5 3对细胞体外生长的影响。结果 野生型和假野生突变型p5 3可以导致细胞生长变慢、细胞周期阻滞、p2 1表达增高 ,突变型则无以上效应。结论 野生型和假野生突变型p5 3具有抑制细胞生长引起周期阻滞的功能 ,突变型p5 3则丧失了野生型p5 3的抑瘤功能 ;p5 3基因的某些突变 (如鼠 172位点精氨酸→亮氨酸 ) 展开更多
关键词 肺肿瘤 四环素 负调控 p^53minigene
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Establishment and application of minigene models for studying pre-mRNA alternative splicing 被引量:1
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作者 LI Jing CHEN Xianhua +3 位作者 LIN Wanmin LI Lishu HAN Yu XU Ping 《Science China(Life Sciences)》 SCIE CAS 2004年第3期211-218,共8页
The objective of the present study is to establish a minigene model for studying pre-mRNA alternative splicing. To prepare the minigene DNA constructs, with human or mouse genomic DNA as templates, GluR-B , FGF-2R and... The objective of the present study is to establish a minigene model for studying pre-mRNA alternative splicing. To prepare the minigene DNA constructs, with human or mouse genomic DNA as templates, GluR-B , FGF-2R and Zis 搈inigene?fragments were amplified us-ing PCR and cloned to the eukaryotic expression vectors. The three constructed minigenes and the expression vectors of Tra2b1 and Zis2 were co-transfected in Hela cells. RT-PCR analysis was performed to semi-quantitatively determine the spliced products from the minigenes. The results demonstrated that the constructed minigenes are useful in studying the pre-mRNA al-ternative splicing in cultured cells. With the established Zis minigene, we for the first time found that Zis2 isoform regulates the alternative splicing of Zis minigene. 展开更多
关键词 minigene GluR-B FGF-2R ZIS Tra2β pre-mRNA splicing.
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心肌病相关基因剪接变异预测软件的评估与临床应用
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作者 王梓懿 刘浩 +1 位作者 吴东洋 赵春霞 《癌变·畸变·突变》 CAS 2024年第2期85-93,共9页
目的:发生在非经典剪接区域的基因突变是遗传性心肌病的重要致病因素。目前研究者已经开发了多种软件来预测变异对可变剪接的影响。然而,这些预测软件在遗传性心肌病基因诊断中的应用尚不明确。因此,本研究拟评估相关软件的预测性能,并... 目的:发生在非经典剪接区域的基因突变是遗传性心肌病的重要致病因素。目前研究者已经开发了多种软件来预测变异对可变剪接的影响。然而,这些预测软件在遗传性心肌病基因诊断中的应用尚不明确。因此,本研究拟评估相关软件的预测性能,并探讨这些预测软件在肥厚型心肌病(HCM)患者中的临床应用。方法:对1 212名散发性肥厚型心肌病患者进行全外显子组测序(WES),并从公开发表研究中收集引起HCM相关基因可变剪接的突变位点。基于剪接区域特异性的策略来评估剪接变异预测软件的性能,找到针对各个区域的最优预测软件来筛选候选剪接变异,最后在体外HEK293细胞中通过Minigene实验来验证这些变异的剪接结果。结果:性能评估表明,各个剪接区域的最佳预测软件分别是Pangolin(深外显子、核心供体和扩展供体区)、MLCsplice(扩展供体、核心受体和扩展受体区)、MMSplice和SpliceAI(扩展供体区)。本研究在4.5%(54/1 212)的散发性肥厚型心肌病病例中预测得到43个“优先变异”,其中有23个变异经实验证实会导致异常剪接。结论:基于剪接区域特异性预测方法可以有效识别剪接变异,从而提高遗传性心肌病基因检测的诊断率。 展开更多
关键词 可变剪接 肥厚型心肌病 全外显子组测序 minigene实验 致病性验证
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人SLC25A13基因内含子突变IVS6-11A>G导致转录子剪接异常 被引量:2
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作者 陈君霖 李海清 +2 位作者 刘妍霖 李冰肖 张占会 《暨南大学学报(自然科学与医学版)》 CAS CSCD 北大核心 2018年第5期369-375,共7页
目的:通过minigene剪接实验分析SLC25A13基因内含子突变IVS6-11A> G是否导致转录子剪接异常,并确定其剪接方式,进而明确其在Citrin缺陷病的致病性.方法:构建携带突变的目的片段外显子捕获载体,转染293T细胞后逆转录PCR扩增转录产物,... 目的:通过minigene剪接实验分析SLC25A13基因内含子突变IVS6-11A> G是否导致转录子剪接异常,并确定其剪接方式,进而明确其在Citrin缺陷病的致病性.方法:构建携带突变的目的片段外显子捕获载体,转染293T细胞后逆转录PCR扩增转录产物,测序并分析.结果:IVS6-11A> G突变导致SLC25A13基因内含子6的3'端10个碱基保留于转录子中,致蛋白翻译提前终止,Citrin蛋白功能丧失.结论:SLC25A13基因IVS6-11A> G突变为剪接突变,其剪接方式为可变3'剪接,该突变为Citrin缺陷病致病突变. 展开更多
关键词 SLC25A13基因 IVS6-11A>G minigene剪接 CITRIN缺陷病
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LHCGR基因新突变(c.458T>C)致46,XY性发育障碍1例的报道及文献复习 被引量:1
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作者 徐志勇 张家勋 +4 位作者 刘洋 耿茜 谢建生 李晓军 吴维青 《中华男科学杂志》 CAS CSCD 北大核心 2020年第12期1105-1111,共7页
目的:分析1例46,XY性发育障碍(46,XY DSD)患者的临床特点及致病基础,结合文献复习探讨黄体生成素/绒毛膜促性腺激素受体(LHCGR)基因错义突变与表型之间的关系。方法:应用高通量测序技术分析患者致病基因变异,应用Sanger测序验证检出的... 目的:分析1例46,XY性发育障碍(46,XY DSD)患者的临床特点及致病基础,结合文献复习探讨黄体生成素/绒毛膜促性腺激素受体(LHCGR)基因错义突变与表型之间的关系。方法:应用高通量测序技术分析患者致病基因变异,应用Sanger测序验证检出的基因突变,借助minigene技术研究突变对剪接功能的影响,使用ANNOVAR变异注释软件分析突变的致病性;通过文献及数据库复习,总结LHCGR基因错义突变与临床表型之间的关系。结果:患者LHCGR基因发生c.458T>C(p.Leu153Pro)纯合突变,位于第5外显子最后一个碱基,为新的突变,其母亲为此突变的杂合子;体外minigene实验显示此突变不影响基因剪接功能,ANNOVAR软件分析结果提示该突变为致病性变异,结合其他研究结果,推测该为失活性突变,可能影响其与配体的结合,从而导致LHCGR受体蛋白调节男性性腺发育功能受损,引起睾丸间质细胞发育不全(LCH)I型;汇总文献及数据库,导致LCH表现的LHCGR基因错义突变仅19种,呈现散在分布。结论:本研究丰富了LHCGR基因变异数据库,为LCH基因型及表型相关性研究及基因功能的研究提供了参考依据。 展开更多
关键词 性发育障碍 睾丸间质细胞发育不全 黄体生成素/绒毛膜促性腺激素受体基因 minigene实验
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Comprehensive genetic diagnosis of patients with Duchenne/Becker muscular dystrophy(DMD/BMD)and pathogenicity analysis of splice site variants in the DMD gene 被引量:4
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作者 Yan-mei YANG Kai YAN +7 位作者 Bei LIU Min CHEN Li-ya WANG Ying-zhi HUANG Ye-qing QIAN Yi-xi SUN Hong-ge LI Min-yue DONG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2019年第9期753-771,共19页
Duchenne muscular dystrophy(DMD)and Becker muscular dystrophy(BMD)are caused by mutations in the DMD gene.The aim of this study is to identify pathogenic DMD variants in probands and reduce the risk of recurrence of t... Duchenne muscular dystrophy(DMD)and Becker muscular dystrophy(BMD)are caused by mutations in the DMD gene.The aim of this study is to identify pathogenic DMD variants in probands and reduce the risk of recurrence of the disease in affected families.Variations in 100 unrelated DMD/BMD patients were detected by multiplex ligation-dependent probe amplification(MLPA)and next-generation sequencing(NGS).Pathogenic variants in DMD were successfully identified in all cases,and 11 of them were novel.The most common mutations were intragenic deletions(69%),with two hotspots located in the 5'end(exons 2–19)and the central of the DMD gene(exons 45–55),while point mutations were observed in 22%patients.Further,c.1149+1G>A and c.1150?2A>G were confirmed by hybrid minigene splicing assay(HMSA).This two splice site mutations would lead to two aberrant DMD isoforms which give rise to severely truncated protein.Therefore,the clinical use of MLPA,NGS,and HMSA is an effective strategy to identify variants.Importantly,eight embryos were terminated pregnancies according to prenatal diagnosis and a healthy boy was successfully delivered by preimplantation genetic diagnosis(PGD).Early and accurate genetic diagnosis is essential for prenatal diagnosis/PGD to reduce the risk of recurrence of DMD in affected families. 展开更多
关键词 Dystrophin gene VARIATION Genetic diagnosis Splice site mutation Hybrid minigene splicing assay
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Effects of splice sites on the intron retention in histamine H_3 receptors from rats and mice
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作者 Wenyong Ding Lin Lin +3 位作者 Feng Ren Hanfa Zou Ziyuan Duan Jianwu Dai 《Journal of Genetics and Genomics》 SCIE CAS CSCD 2009年第8期475-482,共8页
In the alternative splicing, intron retention, of histamine H3 receptors in rats and mice, the short transcript isoforms that are excised alternatively spliced introns are easily detected in a very low level in rats a... In the alternative splicing, intron retention, of histamine H3 receptors in rats and mice, the short transcript isoforms that are excised alternatively spliced introns are easily detected in a very low level in rats and are undetectable in mice using the regular PCR protocol. The retained introns have common 5' splice site and different 3' splice sites. The detailed mechanism for the special alternative splicing remains largely unclear. In this study, we developed a minigene splicing system to recapitulate natural alternative splicing of the receptors and investigated the effects of 5' and 3' splice sites on intron retention in HeLa cells. Mutating weak 5' and 3' splice sites of the alternatively spliced introns toward the canonical consensus sequences promoted the splicing of the corresponding introns in rat and mouse minigenes. The effect of splice site strength was context-dependent and much more sigiaificant for the 3' splice site of the longer alternative intron than for the 3' splice site of the shorter alternative intron and the common 5' splice sites; it was also more significant in the rat minigene than in the mouse minigene. Mutating the 3' splice site of the longer alternative intron resulted in almost complete splicing of the intron and made the corresponding isoform to become the nearly exclusive transcript in the rat minigene. 展开更多
关键词 histamine H3 receptor (H3R) altemative splicing intron retention splice site minigene
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Novel hydroxymethylbilane synthase gene mutation identified and confirmed in a woman with acute intermittent porphyria:A case report
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作者 Yu-Qing Zhou Xiao-Qing Wang +3 位作者 Jun Jiang Shu-Ling Huang Zhuo-Jin Dai Qiao-Qiong Kong 《World Journal of Clinical Cases》 SCIE 2022年第33期12319-12327,共9页
BACKGROUND Acute intermittent porphyria(AIP)is a rare autosomal dominant porphyrin metabolic disease caused by a mutation in the hydroxymethylbilane synthase(HMBS)gene.This study aimed to explore the clinical manifest... BACKGROUND Acute intermittent porphyria(AIP)is a rare autosomal dominant porphyrin metabolic disease caused by a mutation in the hydroxymethylbilane synthase(HMBS)gene.This study aimed to explore the clinical manifestations of a patient with AIP,to identify a novel HMBS gene mutation in the proband and some of her family members,and to confirm the pathogenicity of the variant.CASE SUMMARY A 22-year-old Chinese woman developed severe abdominal pain,lumbago,sinus tachycardia,epileptic seizure,hypertension,and weakness in lower limbs in March,2018.Biochemical examinations indicated hypohepatia and hyponatremia.Her last menstrual period was 45 d prior to admission,and she was unaware of the pregnancy,which was confirmed by a pregnancy test after admission.Sunlight exposure of her urine sample for 1 h turned it from yellow to wine red.Urinary porphyrin test result was positive.Based on these clinical manifestations,AIP was diagnosed.After increasing her daily glucose intake(250–300 g/d),abdominal pain was partially relieved.Three days after hospitalization,spontaneous vaginal bleeding occurred,which was confirmed as spontaneous abortion;thereafter,her clinical symptoms completely resolved.Genetic testing revealed a novel heterozygous splicing variant of the HMBS gene in exon 10(c.648_651+1delCCAGG)in the proband and four other family members.The pathogenicity of the variant was verified through bioinformatic methods and a minigene assay.CONCLUSION We identified a novel HMBS gene mutation in a Chinese patient with AIP and confirmed its pathogenicity. 展开更多
关键词 Acute intermittent porphyria Hydroxymethylbilane synthase gene Novel mutation minigene assay Bioinformatics analysis Case report
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Identification of a Fetal De Novo Splice Variant in ARCN1 Associated With Growth and Skeletal Abnormalities
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作者 Wencong He Zejun Yang +4 位作者 Jianjian Cui Ruilin Ma Hui Tao Yanan Li Yin Zhao 《Maternal-Fetal Medicine》 2025年第1期9-14,共6页
Objective:To report a fetus with ARCN1-related syndrome caused by a novel de novo heterozygous variant,highlighting the importance of early genetic diagnosis in prenatal care.Methods:The clinical and genetic data of a... Objective:To report a fetus with ARCN1-related syndrome caused by a novel de novo heterozygous variant,highlighting the importance of early genetic diagnosis in prenatal care.Methods:The clinical and genetic data of a fetus with a complex combination of clinical signs and a novel de novo heterozygous variant were collected and have been summarized in this study.The potential pathogenic variant was identified throughout the whole exome sequencing and the effects of candidate variants were further validated by a minigene splicing assay.Results:Prenatal systematic ultrasound detected fetal growth restriction.Genetic analysis identified a novel de novo heterozygous variant within the ARCN1 gene—c.1241+5G>A—located in intron 8.In vitro minigene splicing assays demonstrated that the variant led to two abnormal transcripts.The longer transcript retained 189 base pairs of intron 8,resulting in a truncated protein of 414 amino acids(p.Ser415*).The shorter transcript involved exon 8 skippings,producing a truncated protein of 407 amino acids(p.Ile378Serfs*31).Conclusion:A novel de novo heterozygous variant of the ARCN1 gene,namely NM_001655.5:c.1241+5G>A,was discovered and identified in a fetus with rhizomelic short stature,microretrognathia,and developmental delays. 展开更多
关键词 Whole geome sequencing Aberrant splicing Archain 1 Intronic variant minigene splicing assay MICROGNATHIA
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原发性肥大性骨关节病1例患儿的遗传学分析
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作者 王陈 邱雪平 +4 位作者 程亚婷 李博宇 张元珍 马建鸿 郑芳 《中华医学遗传学杂志》 CAS CSCD 2024年第9期1100-1104,共5页
目的探讨1例原发性肥大性骨关节(PHO)病患儿的遗传学病因。方法选取2021年7月27日于武汉大学中南医院就诊的1例患儿为研究对象。采集患儿及其父母的外周血样,提取基因组DNA,进行全外显子组测序,对疑似的剪接变异进行Sanger测序家系验证... 目的探讨1例原发性肥大性骨关节(PHO)病患儿的遗传学病因。方法选取2021年7月27日于武汉大学中南医院就诊的1例患儿为研究对象。采集患儿及其父母的外周血样,提取基因组DNA,进行全外显子组测序,对疑似的剪接变异进行Sanger测序家系验证,并通过minigene实验进行体外功能验证;采用长片段PCR对疑似的外显子缺失变异进行验证。本研究通过武汉大学中南医院医学伦理委员会的审查(伦理号:[2021]伦审字62号)。结果WES结果显示患儿携带HPGD基因复合杂合变异,包括父源性杂合缺失变异(Exon 3 del)和母源性杂合剪接变异(c.421+1G>T)。长片段PCR验证了患儿及其父亲存在包含第3外显子在内的7565 bp片段的杂合缺失(c.218-1304_324+6156del),minigene实验结果显示母源性的剪接变异导致了第4外显子的跳跃剪接。结论HPGD基因c.218-1304_324+6156del杂合缺失变异和c.421+1G>T杂合剪接变异可能是该患儿的致病原因,上述结果丰富了HPGD基因的变异谱,为受累家庭的遗传咨询和产前诊断提供了依据。 展开更多
关键词 原发性肥大性骨关节病 全外显子组测序 HPGD基因 minigene实验
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全外显子测序技术在遗传性眼病诊断中的应用研究 被引量:1
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作者 张丽 刘聪 +1 位作者 陈松长 徐晨明 《中华医学杂志》 CAS CSCD 北大核心 2024年第26期2438-2444,共7页
目的评估全外显子组测序(WES)在遗传性眼病诊断中的应用。方法本研究收集2020年12月至2023年12月以先天性眼部疾病为主诉在复旦大学附属妇产科医院进行生殖遗传咨询的患者为研究对象,共24例。所有病例均已排除了已知感染或暴露于已知的... 目的评估全外显子组测序(WES)在遗传性眼病诊断中的应用。方法本研究收集2020年12月至2023年12月以先天性眼部疾病为主诉在复旦大学附属妇产科医院进行生殖遗传咨询的患者为研究对象,共24例。所有病例均已排除了已知感染或暴露于已知的致畸药物、核型和染色体微阵列分析(CMA)异常。采集先证者及其家系成员外周血样本,提取基因组DNA并进行WES检测,其中单人WES 3例,家系WES 21例,分析筛选出潜在致病位点并进行致病性分类及Sanger测序验证。针对RPGRIP1:c.1611+26G>A内含子变异构建minigene载体行逆转录实时荧光定量聚合酶链反应(RT-qPCR)检测mRNA剪接影响。结果24个家系中20(83.3%)个获得了明确病因的阳性结果,共涉及21个基因,鉴定出30个不同变异,其中19个为新变异。家系3产前诊断分析结果显示胎儿PRPF8基因携带c.6970G>T杂合无义突变;家系24中非经典剪接位点minigene载体RT-PCR结果提示突变型质粒转录产物12号内含子部分保留104 bp,即p.Glu538Valfs*12。结论WES在遗传性眼病诊断中的高检出率进一步支持了其应用优势,可作为明确遗传性眼病病因的重要分子检测工具。 展开更多
关键词 眼疾病 遗传性 分子诊断技术 全外显子测序 剪接位点变异 minigene验证
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ABCC6基因变异所致婴儿泛发性动脉钙化1例患儿的遗传学分析
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作者 赵春娟 刘田田 +2 位作者 刘芳 崔丽茹 王军屏 《中华医学遗传学杂志》 CAS CSCD 2024年第6期734-740,共7页
目的:探讨1例罕见的ABCC6基因变异所致婴儿泛发性动脉钙化(GACI)患儿的临床表现与遗传学病因。方法:选取2022年8月26日就诊于首都医科大学附属北京儿童医院保定医院的1例44 d女性患儿作为研究对象。收集患儿的临床资料,通过核心家系全... 目的:探讨1例罕见的ABCC6基因变异所致婴儿泛发性动脉钙化(GACI)患儿的临床表现与遗传学病因。方法:选取2022年8月26日就诊于首都医科大学附属北京儿童医院保定医院的1例44 d女性患儿作为研究对象。收集患儿的临床资料,通过核心家系全外显子组测序(Trio-WES)、全基因组拷贝数变异测序(CNV-seq)以及Minigene剪接实验对变异进行致病性分析。结果:患儿主要表现为发热、炎症指标高、抗感染治疗无效,超声显示全身大、中动脉广泛钙化、管壁增厚,考虑为GACI以及相关的动脉炎,经糖皮质激素、生物制剂治疗后发热缓解。Trio-WES发现患儿携带ABCC6基因复合杂合变异c.4404-1G>A与c.4041+5G>T,后者既往未见报道。根据美国医学遗传学与基因组学学会(ACMG)相关指南,两个变异被分别判定为可能致病性(PVS1+PM2_Supporting)与临床意义不明(PM2_Supporting+PM3+PP3)。CNV-seq检测未见异常。Minigene剪接实验进一步验证两个变异均可影响剪接。结论:对于不明原因及常规治疗无效的发热,需要及时完善基因检测,避免GACI的漏诊。 展开更多
关键词 发热 泛发性动脉钙化 ABCC6基因变异 全外显子组测序 minigene剪接
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Leber先天性黑矇10型一家系CEP290基因变异及临床表型分析
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作者 张海涛 朱子芊 +4 位作者 但汉东 徐英英 郭含超 石路 毛良伟 《中华眼底病杂志》 CAS CSCD 北大核心 2024年第4期273-280,共8页
目的确定并观察1个汉族Leber先天性黑矇(LCA)家系的致病基因变异和临床表型。方法回顾性研究。2022年5月在河南省立眼科医院就诊的LCA10型一家系(1例患者和2名家系成员)纳入研究。详细询问患者病史、家族史并行眼底彩色照相、闪光视网... 目的确定并观察1个汉族Leber先天性黑矇(LCA)家系的致病基因变异和临床表型。方法回顾性研究。2022年5月在河南省立眼科医院就诊的LCA10型一家系(1例患者和2名家系成员)纳入研究。详细询问患者病史、家族史并行眼底彩色照相、闪光视网膜电图(F-ERG)检查。采集先证者及其父母的外周静脉血3 ml,提取全基因组DNA。全外显子组测序(WES)、线粒体环基因组(mtDNA)测序以获得致病基因及变异。通过生物信息学分析方法对所有变异位点进行注释,并参考美国医学遗传学和基因组学学会(ACMG)对所有变异位点进行致病等级评估。对候选位点进行Sanger验证,并对致病性证据不足的错义变异行Minigene体外功能验证。结果先证者,男,7个月。视物追随反应差,指压眼征、畏光、眼球震颤,黄斑中心凹周围区视网膜色素上皮部分脱失。2岁时,F-ERG检查发现,双眼a、b波振幅重度降低,峰时延长,甚至无波形。先证者父母临床表型未见明显异常。WES结果显示,先证者CEP290基因第40、2号外显子分别存在c.5515_5518del(p.Glu1839Lysfs*11)(V1)移码变异和c.74C>T(p.Ala25Val)(V2)错义变异。mtDNA测序结果为阴性。Sanger验证结果表明,先证者父亲、母亲分别携带杂合移码变异V1、新发错义变异V2,构成复合杂合变异。Minigene体外功能验证结果表明,V2变异使2号外显子产生一个新的剪接供体位点,从而导致2号外显子右侧缺失30个碱基对,蛋白质框内缺失10个氨基酸残基。ACMG评级分别为致病(V1)、可能致病变异(V2)。结论CEP290基因c.5515_5518del和新发变异c.74C>T构成复合杂合变异可能是本家系的致病原因,分别导致截短蛋白的产生和前体信使RNA的异常剪接。LCA具有发病年龄小、视功能严重损害和致病变异多样性等特点。 展开更多
关键词 Leber先天性黑矇10型 CEP290基因 全外显子组测序 minigene剪接验证
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NIPBL基因剪接变异致德朗热综合征1型胎儿的产前诊断及遗传学分析 被引量:1
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作者 梁磊 王海欣 +1 位作者 蔡泽宇 赵建荣 《中华医学遗传学杂志》 CAS CSCD 2022年第10期1107-1110,共4页
目的分析一例德朗热综合征1型胎儿的遗传学病因。方法收集胎儿及其父母的临床资料,采集羊水及父母的外周血样,提取基因组DNA,通过全基因组低深度重测序、全外显子组测序(whole exome sequencing,WES)及Sanger测序筛查NIPBL基因的变异位... 目的分析一例德朗热综合征1型胎儿的遗传学病因。方法收集胎儿及其父母的临床资料,采集羊水及父母的外周血样,提取基因组DNA,通过全基因组低深度重测序、全外显子组测序(whole exome sequencing,WES)及Sanger测序筛查NIPBL基因的变异位点,参考美国医学遗传学与基因组学学会指南判断变异的致病性,利用minigene技术分析变异对mRNA的影响。结果测序结果提示胎儿NIPBL基因的内含子上存在c.5808+5G>A杂合变异,预测可能影响mRNA剪接,胎儿父母未检测到相同的变异。上述变异在ExAC、1000G、dbSNP等数据库中均未见收录,综合分析判断其为有害变异。minigene实验结果证实该变异会影响mRNA剪接,导致第31外显子的跳跃。结论确诊了一例德朗热综合征1型胎儿。minigene实验可以在体外验证WES检测所发现的剪接变异,可为判断这类变异的致病性提供更多的证据。 展开更多
关键词 德朗热综合征1型 NIPBL基因 全外显子组测序 minigene
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