Moreno Aznar L, Sarriá Chueca A, Bueno Lozano G, Bueno Sánchez M
Departamento de Pediatria, Facultad de Medicina, Zaragoza.
An Esp Pediatr. 1988 Jun;28(6):531-6.
Congenital adrenal hyperplasia caused by a deficiency of 21-hydroxylase is an inherited disorder of adrenal steroidogenesis. In this study, the deficiency incidence is presented according to different author's and countries' results. Nowadays knowledge concerning its genetics are reviewed, especially HLA linkage. Allelic variants of deficiency and the "linkage disequilibrium" with HLA complete antigens are described. Finally, the main applications of that knowledge are presented: heterozygote detection and prenatal diagnosis.
由21-羟化酶缺乏引起的先天性肾上腺皮质增生症是一种肾上腺类固醇生成的遗传性疾病。在本研究中,根据不同作者和国家的结果列出了缺乏症的发病率。本文综述了目前关于其遗传学的知识,特别是HLA连锁关系。描述了缺乏症的等位基因变异以及与HLA完整抗原的“连锁不平衡”。最后,介绍了该知识的主要应用:杂合子检测和产前诊断。