Wang Songtao, Pan Hong, Pei Pei, Zheng Xuefei, Zhang Ying, Ma Yinan, Bao Xinhua, Yang Yanling, Wu Ye, Qi Yu
Department of Laboratory Center, Peking University First Hospital, Beijing 100034, China.
Department of Laboratory Center, Peking University First Hospital, Beijing 100034, China. Email:
Zhonghua Yi Xue Za Zhi. 2014 Aug 26;94(32):2514-8.
To evaluate the feasibility of screening large cohorts of patients with developmental delay or intellectual disability (DD/ID) with multiplex ligation-dependent probe amplification (MLPA).
The peripheral blood samples were collected and DNA extracted from 276 patients with DD/ID from June 2012 to December 2013. MLPA was employed, including two distinct kits SALSA P036 and P070 for sub-telomere screening and SALSA P245 for 22 common microdeletion and microduplication syndromes.
MLPA analysis revealed 58 (21%) cases of chromosome aberrations. Among 32 cases of subtelomeric rearrangements on one chromosome, there were deletion (n = 25) and duplication (n = 7); subtelomeric deletions on p and q arms of one chromosome (n = 2); subtelomeric rearrangements on 2 chromosomes, one deletion and other duplication (n = 9); subtelomeric rearrangements on 3 chromosomes, 2 duplications and other deletion (n = 1). There were 1 case of subtelomeric rearrangements on chromosome X. A total of 11 syndromes were detected among 22 common microdeletion and microduplication syndromes and 6 located at subtelomeric regions.
MLPA is an effective cytogenetic diagnostic tool for detecting chromosomal abnormalities, such as DD/ID.
评估采用多重连接依赖探针扩增技术(MLPA)对大量发育迟缓或智力残疾(DD/ID)患者进行筛查的可行性。
收集2012年6月至2013年12月期间276例DD/ID患者的外周血样本并提取DNA。采用MLPA技术,包括用于亚端粒筛查的两种不同试剂盒SALSA P036和P070,以及用于22种常见微缺失和微重复综合征的SALSA P245。
MLPA分析显示58例(21%)存在染色体畸变。在一条染色体上发生32例亚端粒重排中,有缺失(n = 25)和重复(n = 7);一条染色体的p臂和q臂均存在亚端粒缺失(n = 2);两条染色体发生亚端粒重排,一条缺失另一条重复(n = 9);三条染色体发生亚端粒重排,两条重复另一条缺失(n = 1)。X染色体上有1例亚端粒重排。在22种常见微缺失和微重复综合征中共检测到11种综合征,其中6种位于亚端粒区域。
MLPA是检测染色体异常(如DD/ID)的一种有效的细胞遗传学诊断工具。