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杜兴氏和贝克氏肌营养不良症患者中肌营养不良蛋白基因的缺失分析:在携带者诊断中的应用

Deletion analysis of the dystrophin gene in Duchenne and Becker muscular dystrophy patients: use in carrier diagnosis.

作者信息

Kumari D, Mital A, Gupta M, Goyle S

机构信息

Human Molecular Genetics Laboratory, School of Life Sciences, Jawaharlal Nehru University, New Delhi, India.

出版信息

Neurol India. 2003 Jun;51(2):223-6.

Abstract

The dystrophin gene was analyzed in 8 Duchenne muscular dystrophy (DMD) and 10 Becker muscular dystrophy (BMD) unrelated families (22 subjects: 18 index cases and 4 sibs) for the presence of deletions by multiplex polymerase chain reaction (mPCR; 27 exons) and Southern hybridization using 8 cDMD probes. Deletions were identified in 5 DMD and 7 BMD patients (6 index cases and 1 sib). The concordance between the clinical phenotype and "reading frame hypothesis" was observed in 11/12 patients (92%). The female relatives of DMD/BMD patients with identifiable deletions were examined by quantitative mPCR. Carriers were identified in 7 families. We also describe a variation in the HindIII pattern with cDNA probe 8 and 11-14. Molecular characterization of the dystrophin gene in this study has been helpful in advising the patients concerning the inheritance of the condition, and carrier diagnosis of female relatives, and should also prove useful for prenatal diagnosis.

摘要

通过多重聚合酶链反应(mPCR;27个外显子)和使用8种cDMD探针的Southern杂交,对8个杜兴氏肌营养不良症(DMD)家族和10个贝克氏肌营养不良症(BMD)家族(22名受试者:18名索引病例和4名同胞)的肌营养不良蛋白基因进行缺失分析。在5名DMD患者和7名BMD患者(6名索引病例和1名同胞)中发现了缺失。12名患者中有11名(92%)观察到临床表型与“读码框假说”之间的一致性。对具有可识别缺失的DMD/BMD患者的女性亲属进行定量mPCR检测。在7个家族中鉴定出携带者。我们还描述了cDNA探针8和11 - 14的HindIII模式的变异。本研究中肌营养不良蛋白基因的分子特征有助于为患者提供有关该病遗传、女性亲属携带者诊断的建议,也应证明对产前诊断有用。

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