Shen Ben-chang, Zhang Cheng, Sun Xiao-fang, Zhang Hui-min, Li Shao-ying
Department of Medical Genetics and Cell Bidogy, School of Basic Science, Guangzhou Medical College, Guangzhou, Guangdong, 510182 P. R. China.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2007 Aug;24(4):460-3.
To detect genomic deletion and duplication mutations in the dystrophin gene of the Duchenne muscular dystrophy (DMD) patients and their potential female carriers.
Genomic deletions and duplications of the DMD gene in 32 affected males and 27 potential female carriers were screened by mutiplex ligation-dependent probe amplification (MLPA).
Of the 32 investigated affected males, 24 were detected to have deletions of one or more exons of the DMD gene, 1 patient had a duplication from exon 5 to 55, 1 patient had a nonsense point mutation (R768X) in exon 19, the other 6 affected males were predicted to have possible disease-causing point mutations. MLPA analysis showed a DMD deletion or duplication in 18 female relatives, and the female carriers had the same deletion or duplication as their probands, respectively.
MLPA analysis is proven to be an efficient tool for identification of both affected males and female carriers of DMD rearrangements in cases in which the disease-causing mutation in the affected male was not known. It could provide useful information for the genetic counseling of the family involved.
检测杜氏肌营养不良症(DMD)患者及其潜在女性携带者的肌营养不良蛋白基因中的基因组缺失和重复突变。
采用多重连接依赖探针扩增技术(MLPA)对32例受影响男性和27例潜在女性携带者的DMD基因进行基因组缺失和重复检测。
在32例受调查的受影响男性中,24例被检测出DMD基因一个或多个外显子缺失,1例患者存在从外显子5到55的重复,1例患者在外显子19中有一个无义点突变(R768X),其他6例受影响男性预计有可能致病的点突变。MLPA分析显示18名女性亲属存在DMD缺失或重复,且女性携带者分别与其先证者具有相同的缺失或重复。
在受影响男性致病突变未知的情况下,MLPA分析被证明是鉴定DMD重排的受影响男性和女性携带者的有效工具。它可为相关家庭的遗传咨询提供有用信息。