Chiang Han-Sun, Wu Chien-Chih, Wu Yi-No, Lu Jyh-Feng, Lin Gin-Hong, Hwang Jiann-Loung
College of Medicine, Catholic Fu Jen University, and Department of Urology, Taipei Medical University Hospital, Taipei, Taiwan.
J Formos Med Assoc. 2008 Sep;107(9):736-40. doi: 10.1016/S0929-6646(08)60119-9.
Cystic fibrosis (CF), caused by mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene, is one of the most common autosomal recessive diseases in Caucasians. We screened for the CFTR gene mutation in a Caucasian father with congenital bilateral absence of the vas deferens (CBAVD), a Taiwanese mother, and twins resulting from an intracytoplasmic single sperm injection (ICSI) procedure. DNA fragments that showed abnormal banding patterns on temporal temperature gradient gel electrophoresis analysis followed by analysis of DNA sequence was used. The Caucasian father with CBAVD had _F508 and p.L375F mutations. The two children were heterozygous for the _F508 and p.L375F mutations, respectively. Mutation analysis of the CFTR gene should always be recommended for infertile couples seeking ICSI. The possibility of the children resulting from ICSI being a victim or carrier of CBAVD or CF, especially when the father is Caucasian with CBAVD, should be discussed during genetic counseling.
囊性纤维化(CF)由囊性纤维化跨膜传导调节因子(CFTR)基因突变引起,是白种人中最常见的常染色体隐性疾病之一。我们对一位患有先天性双侧输精管缺如(CBAVD)的白种人父亲、一位台湾母亲以及通过胞浆内单精子注射(ICSI)技术出生的双胞胎进行了CFTR基因突变筛查。采用了在时间温度梯度凝胶电泳分析中显示异常条带模式并随后进行DNA序列分析的DNA片段。患有CBAVD的白种人父亲有_F508和p.L375F突变。两个孩子分别为_F508和p.L375F突变的杂合子。对于寻求ICSI的不育夫妇,应始终建议进行CFTR基因突变分析。在遗传咨询过程中,应讨论ICSI出生的孩子成为CBAVD或CF受害者或携带者的可能性,尤其是当父亲是患有CBAVD的白种人时。