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[杜兴/贝克型肌营养不良症家族中Xp缺失的基因分析及产前诊断]

[Genetic analysis and prenatal diagnosis of Xp deletion in a family with Duchenne/Becker muscular dystrophy].

作者信息

He Jing, Wang Lei, Tang Xinhua, Yang Bicheng, Su Jie, Jiang Fuman, Zhu Baosheng, Zhang Qi

机构信息

College of Life Science and Technology, Key Laboratory for Birth Defects and Genetic Diseases, The Affiliated Hospital, Kunming University of Science and Technology, Kunming, Yunnan 650500, P.R. China. Email:

出版信息

Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2015 Oct;32(5):687-90. doi: 10.3760/cma.j.issn.1003-9406.2015.05.017.

Abstract

OBJECTIVE To delineate a deletional mutation of the Dystrophin gene on the short arm of chromosome X in a family affected with Duchenne/Becker muscular dystrophy. METHODS G-banded karyotyping, multiple ligation probe amplification (MLPA), array-based comparative genomic hybridization(array-CGH) and whole genome exon high-throughput sequencing were employed to delineate the mutation in the family. RESULTS GTG banding has demonstrated deletion of the terminal part of the short arm of chromosome X in the fetus. The same deletion was also found in its mother and maternal grandmother. MLPA analysis has revealed removal of exons 52 to 79 of the Dystrophin gene. A 30 Mb deletion in Xp22.33-p21.1 and a 10 Mb duplication in Xq27.2-q28 were identified by array-CGH and whole genome exon high-throughput sequencing. CONCLUSION The Xp deletion has led to deletion of exons 52 to 79 of the Dystrophin gene in the family. The female carriers also had certain features of Turner syndrome due to the same deletion.

摘要

目的 确定一个患杜兴/贝克型肌营养不良症家庭中X染色体短臂上抗肌萎缩蛋白基因的缺失突变。方法 采用G显带核型分析、多重连接探针扩增(MLPA)、基于芯片的比较基因组杂交(array-CGH)和全基因组外显子高通量测序来确定该家庭中的突变。结果 GTG显带显示胎儿X染色体短臂末端部分缺失。在其母亲和外祖母中也发现了相同的缺失。MLPA分析显示抗肌萎缩蛋白基因外显子52至79缺失。通过array-CGH和全基因组外显子高通量测序鉴定出Xp22.33-p21.1区域有30 Mb的缺失以及Xq27.2-q28区域有10 Mb的重复。结论 Xp缺失导致该家庭中抗肌萎缩蛋白基因外显子52至79缺失。由于相同的缺失,女性携带者也具有某些特纳综合征的特征。

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