Ghandil Pegah, Ghadiri Ataallah, Farhud Daryoush, Zeinali Sirous
Pasteur Institute of Iran, Tehran, Iran.
Thromb Res. 2004;113(5):289-93. doi: 10.1016/j.thromres.2004.03.009.
Indirect genetic diagnosis using polymorphic DNA markers can be useful in large-scale screening programs, which is technically simpler, more rapid and amenable. The main objective of this study was to test the informativeness of two common intragenic markers (TaqI and XmnI) in Iranian haemophilia B families to detect the carriers by using a strategy that would be accurate and informative, yet less expensive compared to direct mutation analysis. The efficacy of these sites has been examined in 50 unrelated Iranian haemophilia B families and 50 normal females. The method used was polymerase chain reaction/restriction fragment length polymorphism (PCR/RFLP), which is economical and the enzymes XmnI and TaqI are cheap enough to be accessible in most of laboratories in developing countries. Our results show that 25% of X-chromosomes had the restriction site for TaqI enzyme. The XmnI site was 21%. The heterozygosity rates for TaqI and XmnI polymorphisms were 37% and 38%, respectively. Using the two polymorphisms together, the informative rate reached 46%. Taking advantage of TaqI and XmnI polymorphisms, carrier detection was performed for seven females with unknown status in five haemophilia B families (including one large extended family) with positive history. Six of the girls were normal and one was haemophilia B carrier. Therefore, carrier detection might be possible for informative Iranian haemophilia B families in the familial cases. Additionally, similarities in term of heterozygosity rates for these two polymorphic sites were seen between some European and Iranian populations.
使用多态性DNA标记进行间接基因诊断在大规模筛查项目中可能是有用的,该方法在技术上更简单、更快速且易于操作。本研究的主要目的是测试两种常见的基因内标记(TaqI和XmnI)在伊朗B型血友病家族中的信息含量,通过一种准确且信息丰富但比直接突变分析成本更低的策略来检测携带者。已在50个无亲缘关系的伊朗B型血友病家族和50名正常女性中检测了这些位点的有效性。所使用的方法是聚合酶链反应/限制性片段长度多态性(PCR/RFLP),该方法经济实惠,并且XmnI和TaqI酶价格便宜,在发展中国家的大多数实验室都可以获得。我们的结果表明,25%的X染色体具有TaqI酶的限制性位点。XmnI位点为21%。TaqI和XmnI多态性的杂合率分别为37%和38%。同时使用这两种多态性,信息率达到46%。利用TaqI和XmnI多态性,对5个有阳性家族史的B型血友病家族(包括一个大型扩展家族)中7名身份不明的女性进行了携带者检测。其中6名女孩正常,1名是B型血友病携带者。因此,对于有信息价值的伊朗B型血友病家族性病例,有可能进行携带者检测。此外,在一些欧洲和伊朗人群中,这两个多态性位点的杂合率相似。