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[一个常染色体显性遗传性多囊肾病家系中PKD1基因新型剪接突变的鉴定]

[Identification of a novel splicing mutation of PKD1 gene in a pedigree affected with autosomal dominant polycystic kidney disease].

作者信息

Xu Peiwen, Zou Yang, Li Jie, Huang Sexin, Gao Ming, Kang Ranran, Gao Yuan

机构信息

Center for Reproductive Medicine, Shandong University; National Research Center for Assisted Reproductive Technology and Reproductive Genetics; The Key Laboratory for Reproductive Endocrinology of Ministry of Education, Jinan, Shandong 250001, China.

出版信息

Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2016 Dec 10;33(6):778-781. doi: 10.3760/cma.j.issn.1003-9406.2016.06.007.

Abstract

OBJECTIVE

To identify potential mutations of PKD1 gene in a family affected with autosomal dominant polycystic kidney disease (ADPKD).

METHODS

The coding regions of the PKD1 gene were subjected to PCR and Sanger sequencing. Reverse transcription-PCR (RT-PCR) was used to determine the relative mRNA expression in the patient.

RESULTS

A splicing site mutation, c.8791+1_8791+5delGTGCG (IVS23+1_+5delGTGCG), was detected in the PKD1 gene in all 5 patients from the pedigree but not in 6 phenotypically normal relatives and 40 healthy controls. Sequencing of RNA has confirmed that there were 8 bases inserted in the 3' end of exon 23 of the PKD1 gene.

CONCLUSION

The novel c.8791+1_8791+5delGTGCG mutation has created a new splice site and led to a frameshift, which probably underlies the ADPKD in the family. Above finding has enriched the mutation spectrum of the PKD1 gene.

摘要

目的

鉴定一个常染色体显性遗传性多囊肾病(ADPKD)家系中PKD1基因的潜在突变。

方法

对PKD1基因的编码区进行聚合酶链反应(PCR)和桑格测序。采用逆转录聚合酶链反应(RT-PCR)测定患者体内的相对信使核糖核酸(mRNA)表达。

结果

在该家系的所有5名患者中检测到PKD1基因存在一个剪接位点突变,即c.8791+1_8791+5delGTGCG(IVS23+1_+5delGTGCG),但在6名表型正常的亲属和40名健康对照中未检测到。RNA测序证实PKD1基因第23外显子的3'端插入了8个碱基。

结论

新发现的c.8791+1_8791+5delGTGCG突变产生了一个新的剪接位点并导致移码,这可能是该家系中ADPKD的发病原因。上述发现丰富了PKD1基因的突变谱。

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