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[来自亨特综合征患者的艾杜糖醛酸-2-硫酸酯酶基因新突变]

[A new mutation of iduronate-2-sulfatase gene from the patient with Hunter syndrome].

作者信息

Guo Yi-bin, Lin Qun-di, Du Chuan-shu

机构信息

Department of Medical Genetics, Sun Yat-sen Medical College, Sun Yat-sen University, Guangzhou, Guangdong 510080, P.R.China.

出版信息

Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2006 Feb;23(1):67-9.

Abstract

OBJECTIVE

To identify the mutations of iduronate-2-sulfatase (IDS) gene, and to establish a basis of prenatal gene diagnosis of Hunter syndrome.

METHODS

Urine glycosaminoglycan (GAG) assay was used to preliminary diagnosis of mucopolysaccharidosis. PCR-denaturing high-performance liquidchromatograptly (PCR-DHPLC) analysis was performed to detect the mutation in exons 9, 3, 8 of the IDS gene. DNA sequencing was applied to analyze the mutation detected by PCR-DHPLC.

RESULTS

Abnormal peaks were found by PCR-DHPLC. A new frame-mutation (1569+TT) in exon 9 of IDS gene was identified by DNA sequencing. Two "T"q inserted in position 1569 base pair (1569+TT) caused a substitution of codon 482 (TTA, leucine) to 482 (TTT, phenylalanine). The "TT" insertion results in the decrease of amino acids from 550 to 482. The patient is a hemizygote and his mother is a heterozygote.

CONCLUSION

A new frame-shift mutation of IDS gene is found to report. The mutation (1569+TT) results in 68 amino acids lost. Probably it causes the enzyme activity seriously dropped down and being pathologically the basis of disease.

摘要

目的

鉴定艾杜糖-2-硫酸酯酶(IDS)基因的突变情况,为黏多糖贮积症Ⅱ型(Hunter综合征)的产前基因诊断奠定基础。

方法

采用尿糖胺聚糖(GAG)检测对黏多糖贮积症进行初步诊断。应用聚合酶链反应-变性高效液相色谱(PCR-DHPLC)分析检测IDS基因第9、3、8外显子的突变情况。采用DNA测序对PCR-DHPLC检测到的突变进行分析。

结果

PCR-DHPLC检测发现异常峰。DNA测序鉴定出IDS基因第9外显子存在一个新的移码突变(1569+TT)。在第1569个碱基对位置插入两个“T”(1569+TT),导致密码子482(TTA,亮氨酸)替换为482(TTT,苯丙氨酸)。“TT”插入导致氨基酸数量从550个减少至482个。该患者为半合子,其母亲为杂合子。

结论

发现并报道了一种新的IDS基因移码突变。该突变(1569+TT)导致68个氨基酸缺失,可能致使酶活性严重下降,是疾病发生的病理基础。

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