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中国眼皮肤白化病家系中 TYR、OCA2 和 SLC45A2 基因突变分析。

Mutational Analysis of TYR, OCA2, and SLC45A2 Genes in Chinese Families with Oculocutaneous Albinism.

机构信息

The General Hospital of the People's Liberation Army, Beijing, P.R. China.

Department of Biochemistry and Molecular Biology, Center for DNA Typing, Air Force Medical University, Xi'an, Shaanxi, P.R. China.

出版信息

Mol Genet Genomic Med. 2019 Jul;7(7):e00687. doi: 10.1002/mgg3.687. Epub 2019 Jun 14.

Abstract

BACKGROUND

Oculocutaneous albinism (OCA) is a group of heterogeneous autosomal recessive genetic disorder of melanin synthesis results in hypopigmented hair, skin, and eyes. OCA type 1, OCA type 2, and OCA type 4, which are respectively caused by mutations in TYR, OCA2, and SLC45A2 have high morbidity rates in Asia.

METHODS

TYR, OCA2, and SLC45A2 mutation analysis was carried out on 18 nonconsanguineous OCA patients and four fetuses were included for prenatal diagnose. Three genes of all individuals were amplified by polymerase chain reaction and examined by Sanger sequencing. The pathogenicity of the detected mutations were analyzed by Mutation Taster, PolyPhen 2, and SIFT software, and the conservation of the substituted amino acids were analyzed by MEGA software.

RESULTS

Eleven TYR mutations, three OCA2 mutations, and two SLC45A2 mutations were identified in 14 OCA type 1 patients, two OCA type 2 patients, and two OCA type 4 patients. c.1021A>G, p.R341G in TYR, c.1096_1104del, p.V366*, and c.1079C>T, p.S360F in OCA2 were novel. One of the four fetuses carried compound heterozygous mutation of TYR and became spontaneous abortion, the other three carried no mutations and appeared normal at birth.

CONCLUSION

In this study, specific clinical characteristics of OCA patients were described. Three novel pathogenic mutations were identified which will enrich the mutation spectrum of OCA, and the prenatal genetic screening in fetus at risk of OCA can provide vital information for genetic counseling.

摘要

背景

眼皮肤白化病(OCA)是一组由黑色素合成异常导致的常染色体隐性遗传疾病,表现为毛发、皮肤和眼睛色素减退。OCA 1 型、OCA 2 型和 OCA 4 型分别由 TYR、OCA2 和 SLC45A2 基因突变引起,在亚洲发病率较高。

方法

对 18 名非近亲结婚的 OCA 患者和 4 名胎儿进行 TYR、OCA2 和 SLC45A2 基因突变分析,用于产前诊断。所有个体的三个基因均通过聚合酶链反应扩增,并通过 Sanger 测序进行检查。通过 Mutation Taster、PolyPhen 2 和 SIFT 软件分析检测到的突变的致病性,并通过 MEGA 软件分析取代氨基酸的保守性。

结果

在 14 名 OCA 1 型患者、2 名 OCA 2 型患者和 2 名 OCA 4 型患者中发现了 11 个 TYR 突变、3 个 OCA2 突变和 2 个 SLC45A2 突变。c.1021A>G,p.R341G 在 TYR 中,c.1096_1104del,p.V366*和 c.1079C>T,p.S360F 在 OCA2 中是新的。这四个胎儿中有一个携带 TYR 的复合杂合突变,导致自然流产,另外三个胎儿未携带突变,出生时正常。

结论

本研究描述了 OCA 患者的具体临床特征。发现了三个新的致病性突变,丰富了 OCA 的突变谱,对 OCA 高危胎儿的产前遗传筛查可为遗传咨询提供重要信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fda/6625147/bea8f42a30d8/MGG3-7-e00687-g001.jpg

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