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论文摘要

中国西南地区170例杜氏/贝氏肌营养不良症dystrophin基因变异谱分析

Gene Mutation Spectrum Analysis of 170 Patients with Duchenne/Bayesian Muscular Dystrophy inSouthwest of China

作者:王军, 彭武, 胡雪姣等

Author:WANG Jun, PENG Wu, HU Xue-jiao. et alY。

收稿日期:          年卷(期)页码:2016,47(2):232-237

期刊名称:四川大学学报(医学版)

Journal Name:JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION)

关键字:杜氏肌营养不良症 贝氏肌营养不良症 Dystrophin基因 多重连接探针扩增

Key words:Duchenne muscular dystrophy Becker muscular dystrophy Dystrophin gene MLPA

基金项目:

中文摘要

目的 构建中国西南地区杜氏/贝氏肌营养不良症(DMD/BMD)dystrophin基因变异谱,探讨dystrophin基因型与临床表型之间的关系。方法 采用多重连接探针扩增技术(multiplex ligation-dependent probe amplification,MLPA)对170例DMD/BMD患者进行dystrophin基因分析,其中3例怀疑点突变患者采用Sanger测序分析基因突变位点。结果 Dystrophin基因突变MLPA检出率为72.94%,其中基因缺失、重复及点突变所占比例分别为62.35% (106/170), 8.82% (15/170)及1.76% (3/170)。共发现64种不同类型突变,连续外显子44~55缺失突变型占全部缺失型患者的75.47%。大部分5′端断裂点集中在2个热区(主热区:内含子43~55;次热区:内含子1~20)。基因型-表型分析显示DMD/BMD严重程度与基因缺失型或重复型无关,而与改变开放阅读框架型突变有关( r=0.640, P

英文摘要

Objective To determine gene variations and genotype-phenotype correlations in Duchenne/Bayesian muscular mystrophy (DMD/BMD) patients, and the association between dystrophin gene polymorphisms and clinical phenotype. Methods Multiplex ligation-dependent probe amplification (MLPA) was adopted to detect dystrophin gene variations in 170 patients. Sanger sequencing was performed in 3 cases with decreased peaks in MLPA results. Results The MLPA detected 72.94% mutations in dystrophin gene, including 62.35% (106/170) deletions, 8.82% (15/170) duplications, and 1.76% (3/170) point mutations. 64 different types of mutations were found. 75.47% of deletions occurred in the range from exon 44 to 55. Most 5’ breakpoints of exonic variations were located in 2 hotspots (major hotspot: intron 43-55; minor hotspot: intron 1-20), which is different from findings of other studies. Genotype-phenotype analysis showed that the severity of DMD/BMD was associated with frame shift mutation ( r =0.640, P

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