Thompson M W, Ray P N, Belfall B, Duff C, Logan C, Oss I, Worton R G
J Med Genet. 1986 Dec;23(6):548-55. doi: 10.1136/jmg.23.6.548.
Cloning of a DNA segment including the translocation breakpoint in a female with an X;21 translocation and X linked muscular dystrophy has led to identification of three subclones which detect polymorphic markers. The alleles of these markers, XJ1 X 1, XJ1 X 2, and XJ2 X 2, are in strong linkage disequilibrium. Linkage analysis in 31 families with Duchenne or Becker muscular dystrophy has shown recombination within the XJ segment in one case, and recombination of DMD with both the XJ segment and the pERT87 segment in a second, but has revealed no recombination between the XJ and pERT87 segments. The XJ markers increase the proportion of DMD and BMD families that are informative for carrier detection and prenatal diagnosis, but in view of the risk of recombination they must be used with caution. The site(s) of the DMD mutation(s) relative to the XJ and pERT87 markers, and the detailed molecular structure of the DMD region, remain to be determined.
对一名患有X;21易位和X连锁型肌营养不良症的女性患者进行DNA片段克隆,该片段包含易位断点,结果鉴定出三个能检测多态性标记的亚克隆。这些标记XJ1 X 1、XJ1 X 2和XJ2 X 2的等位基因处于强连锁不平衡状态。对31个患有杜氏或贝克型肌营养不良症的家庭进行连锁分析,结果显示,在一个病例中XJ片段内发生了重组,在另一个病例中DMD基因与XJ片段和pERT87片段均发生了重组,但未发现XJ和pERT87片段之间发生重组。XJ标记增加了可用于携带者检测和产前诊断的杜氏肌营养不良症(DMD)和贝克型肌营养不良症(BMD)家庭的比例,但鉴于存在重组风险,使用时必须谨慎。DMD突变位点相对于XJ和pERT87标记的位置以及DMD区域的详细分子结构仍有待确定。