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两个X连锁隐性少汗型外胚层发育不良家系的ED1基因分子遗传学研究

[Molecular genetics study of ED1 gene for two X-linked hypohidrotic ectodermal dysplasia families].

作者信息

Zhu Ha-iyan, Wang Wan-jun, Zhu Rui-fang, Zhu Xiang-yu, Yang Ying, Wu Xing

机构信息

Prenatal Diagnosis Center, the Affiliated Drumtower Hospital, Nanjing University Medical School, Nanjing, Jiangsu 210008, P. R. China.

出版信息

Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2013 Aug;30(4):399-402. doi: 10.3760/cma.j.issn.1003-9406.2013.04.004.

Abstract

OBJECTIVE

To provide genetic diagnosis and counseling for patients from two families affected with X-linked hypohidrotic ectodermal dysplasia.

METHODS

Potential mutation of the ED1 gene was screened by DNA sequencing. For family 1, multiplex ligation-dependent probe amplification (MLPA) analysis and haplotyping of ED1 gene were also carried out for prenatal diagnosis.

RESULTS

For the patient from family 1, deletion of the exon 1 of the ED1 gene and 2 short tandem repeat(STR) sites (DXS8269 and DXS1422) were detected. His daughter was carrier of the deletion. Upon prenatal diagnosis, the fetus was confirmed to be a normal male, for whom the haplotype of ED1 gene has differed from that of the proband. In family 2, a c.463C>T mutation in exon 3 of the ED1 gene was detected in the proband, whose mother was heterozygous for the same mutation.

CONCLUSION

The deletion (exon 1) and missense (R155C) mutation in ED1 gene have probably underlied the disease in the two families. During prenatal diagnosis, it may be necessary to obtain precise results through combining mutation detection and haplotype analysis of the ED1 gene.

摘要

目的

为两个患有X连锁少汗性外胚层发育不良的家庭的患者提供基因诊断和遗传咨询。

方法

通过DNA测序筛查ED1基因的潜在突变。对于家系1,还进行了多重连接依赖探针扩增(MLPA)分析和ED1基因单倍型分析以进行产前诊断。

结果

对于家系1的患者,检测到ED1基因外显子1缺失以及2个短串联重复序列(STR)位点(DXS8269和DXS1422)。他的女儿是该缺失的携带者。产前诊断时,确认胎儿为正常男性,其ED1基因单倍型与先证者不同。在家系2中,在先证者中检测到ED1基因外显子3中的c.463C>T突变,其母亲为该相同突变的杂合子。

结论

ED1基因的缺失(外显子1)和错义(R155C)突变可能是这两个家庭患病的原因。在产前诊断期间,可能有必要通过结合ED1基因的突变检测和单倍型分析来获得准确结果。

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