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[家族性黑斑息肉综合征患者中LKB1基因的突变筛查]

[Mutation screening of LKB1 gene in familial Peutz-Jeghers syndrome patients].

作者信息

Chen Chun-yan, Zhang Xiao-mei, Wang Fang-yu, Wang Zhen-kai, Zhu Ming, Ma Guo-jian, Zhang Yuan-ying, Jin Xin-xin, Shi Hui, Liu Jiong

机构信息

Department of Gastroenterology and Hepatology, Nanjing University/Nanjing General Hospital of Nanjing Military Command, Nanjing, Jiangsu, Peoples's Republic of China.

出版信息

Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2012 Apr;29(2):121-5. doi: 10.3760/cma.j.issn.1003-9406.2012.02.001.

Abstract

OBJECTIVE

To screen for potential mutations of LKB1 gene in Chinese familial Peutz-Jeghers syndrome (PJS) patients and analyze their clinical manifestations.

METHODS

Eleven PJS families were collected and genomic DNA of peripheral blood was extracted. Typically mucosal pigmentation and hamartomatous polyps were present in all 11 probands. Mutation screening of the probands were carried out by PCR and direct sequencing. Two hundred and fifty healthy adults were enrolled as normal controls, for whom genomic DNA of peripheral blood was also extracted. PCR-denaturing high performance liquid chromatography was carried out to verify the mutation identified in the patients.

RESULTS

Nine germline mutations were identified in eight PJS patients, which included 7 point mutations, 1 deletion and 1 insertion. Among these, 4 were considered to be pathogenic, of which 2 were de novel, 4 were considered to be polymorphism, and 1 was uncertain.

CONCLUSION

LKB1 gene mutations with pathogenic effect are a common cause of familial PJS in Chinese patients. Most mutations are point mutations.

摘要

目的

筛查中国家族性黑斑息肉综合征(PJS)患者中LKB1基因的潜在突变,并分析其临床表现。

方法

收集11个PJS家系,提取外周血基因组DNA。所有11名先证者均有典型的黏膜色素沉着和错构瘤性息肉。对先证者进行PCR和直接测序进行突变筛查。招募250名健康成年人作为正常对照,也提取其外周血基因组DNA。采用PCR-变性高效液相色谱法验证患者中鉴定出的突变。

结果

在8例PJS患者中鉴定出9种胚系突变,其中包括7种点突变、1种缺失和1种插入。其中,4种被认为是致病性的,其中2种是新发的,4种被认为是多态性的,1种不确定。

结论

具有致病作用的LKB1基因突变是中国患者家族性PJS的常见原因。大多数突变是点突变。

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