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巴西转诊中心囊性纤维化跨膜电导调节因子基因中 ΔF508 突变的流行率。

Prevalence of ΔF508 mutation in the cystic fibrosis transmembrane conductance regulator gene among cystic fibrosis patients from a Brazilian referral center.

机构信息

Genética Molecular e Citogenética, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brazil.

出版信息

J Pediatr (Rio J). 2012 Nov-Dec;88(6):531-4. doi: 10.2223/JPED.2225. Epub 2012 Oct 11.

DOI:10.2223/JPED.2225
PMID:23064458
Abstract

OBJECTIVE

To verify the presence of ΔF508 mutation in the cystic fibrosis transmembrane conductance regulator gene among patients with cystic fibrosis diagnosed by the sweat test for sodium and chlorine and followed at the Pediatric Pneumology Outpatient Clinic of Universidade Estadual de Campinas, Brazil, a referral center for the treatment of cystic fibrosis.

METHODS

The study analyzed 167 DNA samples from cystic fibrosis patients. Patients' genotype was determined by polymerase chain reaction, and allele and genotype frequencies of ΔF508 mutation were calculated.

RESULTS

The genotype frequencies found for -/-, ΔF508/-, and ΔF508/ΔF508 genotypes were respectively: 43.7% (73 patients), 32.9% (55 patients), and 23.4% (39 patients). Of the 334 alleles analyzed, we observed a frequency of 201 (60.18%) alleles for the absence of ΔF508 mutation and of 133 (39.82%) for the presence of ΔF508 mutation. Hardy-Weinberg equilibrium was calculated, obtaining a chi-square value = 16.34 (p ≤ 0.001). The study population was out of equilibrium. The expected values for -/-, ΔF508/-, and ΔF508/ΔF508 genotypes were respectively: 32.22% (60.48 patients), 47.93% (80.04 patients), and 15.86% (26.48 patients).

CONCLUSIONS

In the analyzed population, ΔF508 mutation was less prevalent than the allele without this mutation. The frequency observed in this study was similar to that from other areas in Brazil and in the world, mainly due to the predominantly Caucasian origin of the population included in the study.

摘要

目的

验证巴西坎皮纳斯州立大学儿科肺病门诊诊断为囊性纤维化并进行汗液钠氯检测的囊性纤维化患者的囊性纤维化跨膜电导调节因子基因中是否存在ΔF508 突变,该门诊是巴西治疗囊性纤维化的指定中心。

方法

本研究分析了 167 例囊性纤维化患者的 DNA 样本。通过聚合酶链反应确定患者的基因型,并计算 ΔF508 突变的等位基因和基因型频率。

结果

发现-/-、ΔF508/-和 ΔF508/ΔF508 基因型的基因频率分别为:43.7%(73 例)、32.9%(55 例)和 23.4%(39 例)。在分析的 334 个等位基因中,我们观察到 201 个(60.18%)等位基因缺失 ΔF508 突变,133 个(39.82%)等位基因存在 ΔF508 突变。计算 Hardy-Weinberg 平衡,得到卡方值=16.34(p≤0.001)。研究人群处于不平衡状态。-/-、ΔF508/-和 ΔF508/ΔF508 基因型的预期值分别为:32.22%(60.48 例)、47.93%(80.04 例)和 15.86%(26.48 例)。

结论

在所分析的人群中,ΔF508 突变的发生率低于无此突变的等位基因。本研究观察到的频率与巴西和世界其他地区的频率相似,主要是由于纳入研究的人群主要是白种人。

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