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中国脊髓性肌萎缩症患儿的SMN基因研究

[Study of SMN gene in Chinese children with spinal muscular atrophy].

作者信息

Liu Wei-Liang, Li Fang, Ma Hong-Wei, Li Hai-Yan

机构信息

Department of Pediatrics, Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2010 Jul;12(7):539-43.

Abstract

OBJECTIVE

To study the incidence of homozygous absence of SMN1 exons 7 and 8, SMN gene conversion frequency and SMN subtle mutations in children with spinal muscular atrophy (SMA).

METHODS

The homozygous deletion was detected by PCR-RFLP in 106 Chinese children with SMA, gene conversion by RFLP and subtle mutations by sequencing.

RESULTS

The rate of deletion of SMN1 exons 7 and/or 8 was 91.5%. Deletion of SMN1 exon 8 but existence of exon 7 was noted in one child with SMA. There were no significant differences in the gene conversion frequency among children with different types of SMA and who had homozygous deletion of SMN1 exon 7 but existence of exon 8. The gene conversion frequency was 8.3% in children with homozygous deletion of SMN1 exon 7. No subtle mutations were found around SMN1 exon 7.

CONCLUSIONS

Deletion of SMN1 exons 7 and/or 8 is the main cause of SMA in Chinese children. There exists a SMN gene conversion phenomenon in SMA. Deletion of exon 8 might lead to SMA. The hot area of subtle mutations of this disease might not be around SMN1 exon 7.

摘要

目的

研究脊髓性肌萎缩症(SMA)患儿中SMN1基因第7和8外显子纯合缺失的发生率、SMN基因转换频率以及SMN微小突变情况。

方法

采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)方法检测106例中国SMA患儿的纯合缺失,采用RFLP方法检测基因转换,采用测序方法检测微小突变。

结果

SMN1基因第7和/或8外显子缺失率为91.5%。1例SMA患儿存在SMN1基因第8外显子缺失但第7外显子存在。不同类型SMA患儿以及SMN1基因第7外显子纯合缺失但第8外显子存在的患儿之间基因转换频率无显著差异。SMN1基因第7外显子纯合缺失患儿的基因转换频率为8.3%。在SMN1基因第7外显子周围未发现微小突变。

结论

SMN1基因第7和/或8外显子缺失是中国SMA患儿的主要病因。SMA中存在SMN基因转换现象。第8外显子缺失可能导致SMA。该疾病微小突变的热点区域可能不在SMN1基因第7外显子周围。

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