Kainulainen K, Pulkkinen L, Savolainen A, Kaitila I, Peltonen L
Laboratory of Molecular Genetics, National Public Health Institute, Helsinki, Finland.
N Engl J Med. 1990 Oct 4;323(14):935-9. doi: 10.1056/NEJM199010043231402.
Marfan syndrome, "the founding member" of the heritable disorders of connective tissue, is a common autosomal dominant disorder with highly variable clinical manifestations in the skeletal, ocular, and cardiovascular systems. The fundamental defect leading to this disease has escaped definition despite decades of research efforts by several groups of investigators.
Using linkage analyses with polymorphic markers of the human genome, we mapped the genetic defect to chromosome 15 in five families with Marfan syndrome. With three polymorphic markers we obtained definitive proof of linkage in these families (lod score = 3.92, theta = 0.0 +/- 0.11). The most probable location of the gene for the disease is currently D15S45 (lod score = 3.32, theta = 0.0 +/- 0.12).
The chromosomal localization of the mutation in Marfan syndrome is a first step toward the isolation and characterization of the defective gene and serves as a diagnostic test in families in which cosegregation of these markers with the disease has been confirmed.
马方综合征作为遗传性结缔组织疾病中的“鼻祖”,是一种常见的常染色体显性疾病,在骨骼、眼部和心血管系统中具有高度可变的临床表现。尽管几组研究人员经过数十年的研究努力,但导致这种疾病的根本缺陷仍未明确。
通过对人类基因组多态性标记进行连锁分析,我们将五个马方综合征家系中的遗传缺陷定位到了15号染色体上。利用三个多态性标记,我们在这些家系中获得了连锁的明确证据(对数优势比分 = 3.92,重组率 = 0.0 ± 0.11)。目前该疾病基因最可能的位置是D15S45(对数优势比分 = 3.32,重组率 = 0.0 ± 0.12)。
马方综合征突变的染色体定位是分离和鉴定缺陷基因的第一步,并且在已证实这些标记与疾病共分离的家系中可作为一种诊断检测方法。