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[一种用于染色体高分辨率显带的简单方法及其在出生缺陷诊断中的应用]

[A simple method for high-resolution banding of chromosomes and its application to diagnosis of birth defects].

作者信息

Fukushima Y

出版信息

Hokkaido Igaku Zasshi. 1986 Nov;61(6):935-46.

PMID:3030912
Abstract

A simple method for obtaining high-resolution banding patterns on elongated chromosomes is devised as follows: Peripheral lymphocytes cultured for 3 days with phytohemagglutinin were exposed to 10 micrograms/ml ethidium bromide for 2 hours and with 0.02 micrograms/ml colcemid for 1 hour prior to harvesting. After preparation by steam-dry method, high-resolution G-bands were obtained by Giemsa staining following exposure to hydrogen peroxide and trypsin treatment. 19 cases of the Prader-Willi syndrome, 3 cases of the aniridia-Wilms' tumor syndrome, 2 cases of the Langer-Giedion syndrome, 2 cases of retinoblastoma and 6 cases with multiple congenital anomalies whose diagnosis was not made by routine chromosome analysis were examined by this method. 18 of the 19 cases of the Prader-Willi syndrome had a deletion of 15q11.2. 2 of the 3 cases of the aniridia-Wilms' tumor syndrome had a deletion of 11p13 and the other had a balanced insertion with a breakpoint at 11p13. The 2 cases of the Langer-Giedion syndrome had a deletion of 8q23.3-24.13. One of retinoblastoma had a deletion of 13q14 and the other had a balanced reciprocal X/13 translocation with breakpoints at Xp11.21 and 13q12.3. The last 6 cases had subtle chromosomal aberrations: 46, XX, del (5) (q15q22), 46, XX, del (13) (q32.3), 46, XX, inv dup (6) (p25p21.3), 46, XX, -5, +der (5), t (3; 5) (p23; p13) mat, 46, XX, -5, +der (5), t (5; 9) (p13.3p21) mat, and 46, XX, -4, +der (4), t (4; 16) (p15.2; p13.1) pat. The simple method for high-resolution banding of chromosomes is useful for diagnosis of many kinds of birth defects.

摘要

一种在细长染色体上获得高分辨率带型的简单方法如下

用植物血凝素培养3天的外周血淋巴细胞,在收获前用10微克/毫升溴化乙锭处理2小时,并用0.02微克/毫升秋水仙酰胺处理1小时。通过蒸汽干燥法制备后,经过氧化氢处理和胰蛋白酶处理后用吉姆萨染色获得高分辨率G带。用该方法检查了19例普拉德-威利综合征、3例无虹膜-威尔姆斯瘤综合征、2例朗格-吉迪恩综合征、2例视网膜母细胞瘤以及6例常规染色体分析未明确诊断的多发先天性畸形病例。19例普拉德-威利综合征中有18例存在15q11.2缺失。3例无虹膜-威尔姆斯瘤综合征中有2例存在llp13缺失,另1例有一个平衡插入,断点在11p13。2例朗格-吉迪恩综合征存在8q23.3 - 24.13缺失。1例视网膜母细胞瘤存在13q14缺失,另1例有一个平衡的相互X/13易位,断点在Xp11.21和13q12.3。最后6例有细微的染色体畸变:46, XX, del(5)(q15q22)、46, XX, del(13)(q32.3)、46, XX, inv dup(6)(p25p21.3)、46, XX, -5, +der(5), t(3; 5)(p23; p13)mat、46, XX, -5, +der(5), t(5; 9)(p13.3p21)mat以及46, XX, -4, +der(4), t(4; 16)(p15.2; p13.1)pat。这种简单的染色体高分辨率显带方法对多种出生缺陷的诊断很有用。

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1
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