Sankila E M, Tolvanen R, van den Hurk J A, Cremers F P, de la Chapelle A
Department of Medical Genetics, University of Helsinki, Finland.
Nat Genet. 1992 May;1(2):109-13. doi: 10.1038/ng0592-109.
Choroideremia (CHM) is an X-linked progressive degeneration of the choroid and retina. 12% of unrelated male patients carry deletions of the partially cloned CHM gene. In Finland, there are more than 120 living CHM patients belonging to eight apparently unrelated pedigrees. Molecular deletions involving the CHM gene have been detected in three families. We have screened the remaining five families for point mutations. In one large family a single nucleotide (T) insertion into the donor splice site of exon C leads to two aberrantly spliced mRNAs both producing a premature stop codon. The mutation can be assayed easily by amplification and digestion with Msel. Our findings provide additional evidence for the pathogenetic role of CHM mutations and provide a diagnostic tool for one fifth of the world's known CHM patients.
无脉络膜症(CHM)是一种X连锁的脉络膜和视网膜进行性变性疾病。12%的非相关男性患者携带部分克隆的CHM基因缺失。在芬兰,有120多名现存的CHM患者,分属于8个明显不相关的家系。在3个家族中检测到涉及CHM基因的分子缺失。我们对其余5个家族进行了点突变筛查。在一个大家系中,一个单核苷酸(T)插入到外显子C的供体剪接位点,导致两个异常剪接的mRNA,二者均产生一个过早的终止密码子。该突变可通过用Msel进行扩增和消化来轻松检测。我们的发现为CHM突变的致病作用提供了更多证据,并为世界上五分之一已知的CHM患者提供了一种诊断工具。