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中国先天性双侧输精管缺如男性中 CFTR 多态性 poly-T、TG 重复和 M470V。

The CFTR polymorphisms poly-T, TG-repeats and M470V in Chinese males with congenital bilateral absence of the vas deferens.

机构信息

Reproductive Medicine Center, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, China.

出版信息

Asian J Androl. 2012 Sep;14(5):687-90. doi: 10.1038/aja.2012.43. Epub 2012 Jul 30.

Abstract

Congenital bilateral absence of the vas deferens (CBAVD) is a frequent cause of obstructive azoospermia, and mutations of the cystic fibrosis transmembrane conductance regulator (CFTR) gene have also been frequently identified in patients with CBAVD. However, the distribution of the CFTR polymorphisms M470V, poly-T, TG-repeats and F508del mutation in the Chinese CBAVD population with presumed low cystic fibrosis (CF) frequency remains to be evaluated. Samples obtained from 109 Chinese infertile males with CBAVD and 104 normal controls were analyzed for the presence of CFTR (TG)m(T)n, M470V and F508del by PCR amplification followed by direct sequencing. Our study showed that the F508del mutation was not found in our patients. The 5T mutation was present with high frequency in Chinese CBAVD patients and IVS8-5T linked to either 12 or 13 TG repeats was highly prevalent among CBAVD patients (97.22% of 72 cases and 96.91% of 97 alleles with IVS8-5T). Moreover, a statistically significant relationship between TG12-5T-V470 haplotype and CBAVD was detected. This study indicated that the CFTR polymorphisms poly-T, TG-repeats and M470V might affect the process of CBAVD in the Chinese population.

摘要

先天性双侧输精管缺如(CBAVD)是梗阻性无精子症的常见原因,囊性纤维化跨膜电导调节因子(CFTR)基因突变也在 CBAVD 患者中频繁发现。然而,在中国 CBAVD 人群中,假定 CF 频率较低,CFTR 多态性 M470V、多-T、TG 重复和 F508del 突变的分布仍有待评估。我们分析了 109 例中国不育男性 CBAVD 患者和 104 例正常对照者 CFTR(TG)m(T)n、M470V 和 F508del 的存在情况,采用 PCR 扩增后直接测序。我们的研究表明,我们的患者中未发现 F508del 突变。5T 突变在中国 CBAVD 患者中存在高频,IVS8-5T 与 12 或 13 TG 重复相关,在 CBAVD 患者中高度流行(72 例中的 97.22%和 97 个等位基因中的 IVS8-5T 的 96.91%)。此外,还检测到 TG12-5T-V470 单倍型与 CBAVD 之间存在统计学显著关系。本研究表明,多-T、TG 重复和 M470V 等 CFTR 多态性可能影响中国人群 CBAVD 的发生过程。

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