Mutlu Pelin, Ural Ali Uğur, Gündüz Ufuk
Middle East Technical University, Department of Biological Sciences, Ankara, Turkey. E-ma-il:
Turk J Haematol. 2014 Sep 5;31(3):231-8. doi: 10.4274/tjh.2013.0231.
Hemophilia B is caused by coagulation defects in the factor IX gene located in Xq27.1 on the X chromosome. A wide range of mutations, showing extensive molecular heterogeneity, have been described in hemophilia B patients. Our study was aimed at genetic analysis and prenatal diagnosis of hemophilia B in order to further elucidate the pathogenesis of the hemophilia B pedigree in China.
Polymerase chain reaction amplification and direct sequencing of all the coding regions was conducted in hemophilia B patients and carriers. Prenatal diagnosis of the proband was conducted at 20 weeks.
We identified the novel point mutation 10.389 A>G, located upstream of the intron 3 acceptor site in hemophilia B patients. The fetus of the proband's cousin was identified as a carrier.
Our identification of a novel mutation in the F9 gene associated with hemophilia B provides novel insight into the pathogenesis of this genetically inherited disorder and also represents the basis of prenatal diagnosis.
乙型血友病是由位于X染色体Xq27.1上的凝血因子IX基因的凝血缺陷引起的。在乙型血友病患者中已描述了广泛的突变,表现出广泛的分子异质性。我们的研究旨在对乙型血友病进行基因分析和产前诊断,以进一步阐明中国乙型血友病家系的发病机制。
对乙型血友病患者和携带者进行所有编码区的聚合酶链反应扩增和直接测序。在先证者妊娠20周时进行产前诊断。
我们在乙型血友病患者中鉴定出位于内含子3受体位点上游的新的点突变10.389 A>G。先证者堂妹的胎儿被鉴定为携带者。
我们鉴定出与乙型血友病相关的F9基因新突变,为这种遗传性疾病的发病机制提供了新见解,也为产前诊断奠定了基础。