Axelrod E V, Mironov K O, Dunaeva E A, Shipulin G A
The central research institute of epidemiology of Rospotrebnadzor, 111123, Moscow, Russia.
Klin Lab Diagn. 2016;61(5):316-320. doi: 10.18821/0869-2084-2016-61-5-316-320.
The three main mutations in gene HFE (C282Y, H63D, S65C) are the cause of development of 97% of cases of inherent hemochromatosis. It is known that about 85% of patients with inherent hemochromatosis are either homo-zygotic agents of mutation C282Y or carry compound-heterozygote C282Y/H63D. Therefore, the molecular genetic study intended for detection of these three mutations in gene HFE takes important place in diagnostic of inherent hemochromatosis. The study was organized to develop methods for detection of mutations C282Y, H63D, S65C on the basis of two molecular genetic methods - polymerase chain reaction in real-time and pyrosequenation. As reference method was used published method by Moyses C.B. et al. (2008). These methods were applied to analyzing 129 DNA samples. There were no discordant results. Among analyzed clinical DNA samples, mutant alleles of gene HFE were detected in 42 samples (32.5%)ю The mutation C282Y is detected in heterozygotic condition in 4 samples (3.1%); mutation H63D was detected in heterozygotic condition in 31 samples (24%) and in homo-zygotic condition in 4 samples (4%). The mutation S65C encountered in heterozygotic condition in one sample (0.8%) and in one sample compound-heterozygote H63D/S65C was detected (0.8%). The comparative characteristic of these three methods was made according the following parameters: time, number of analysis stages and convenience of interpretation of results. The main merit of method based on polymerase chain reaction in real-time is time of analysis implementation. The main merit of method based on pyrosequenation is automatic identification of genotype.
基因HFE中的三种主要突变(C282Y、H63D、S65C)是97%的遗传性血色素沉着症病例发病的原因。已知约85%的遗传性血色素沉着症患者要么是C282Y突变的纯合子,要么携带复合杂合子C282Y/H63D。因此,旨在检测基因HFE中这三种突变的分子遗传学研究在遗传性血色素沉着症的诊断中具有重要地位。该研究旨在基于两种分子遗传学方法——实时聚合酶链反应和焦磷酸测序,开发检测C282Y、H63D、S65C突变的方法。作为参考方法,采用了Moyses C.B.等人(2008年)发表的方法。这些方法应用于分析129份DNA样本。未出现不一致的结果。在分析的临床DNA样本中,42份样本(32.5%)检测到基因HFE的突变等位基因。4份样本(3.1%)在杂合状态下检测到突变C282Y;31份样本(24%)在杂合状态下检测到突变H63D,4份样本(4%)在纯合状态下检测到突变H63D。在1份样本(0.8%)中在杂合状态下检测到突变S65C,在1份样本中检测到复合杂合子H63D/S65C(0.8%)。根据以下参数对这三种方法进行了比较:时间、分析阶段数和结果解释的便利性。基于实时聚合酶链反应的方法的主要优点是分析实施时间。基于焦磷酸测序的方法的主要优点是基因型的自动识别。