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囊性纤维化携带者筛查实验室方法的评估:可靠性、敏感性、特异性及成本

Evaluation of laboratory methods for cystic fibrosis carrier screening: reliability, sensitivity, specificity, and costs.

作者信息

Miedzybrodzka Z H, Yin Z, Kelly K F, Haites N E

机构信息

University of Aberdeen Department of Obstetrics and Gynaecology, UK.

出版信息

J Med Genet. 1994 Jul;31(7):545-50. doi: 10.1136/jmg.31.7.545.

DOI:10.1136/jmg.31.7.545
PMID:7525964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1049977/
Abstract

We report a comparative evaluation of three different laboratory methods for screening large numbers of mouthwash DNA samples for common cystic fibrosis mutations. Sensitivity, specificity, and costs of ARMS (allele refractory mutation detection system), dot blotting, and a deletion/digest/PAGE method (multiplex PCR of exons 10 and 11, digest with HincII followed by polyacrylamide gel electrophoresis (PAGE)) were assessed. ARMS was the most reliable and sensitive method and so was considered more suitable than the cheaper deletion/digest/PAGE. As well as being less reliable than ARMS, the dot blotting method assessed was considerably more costly. ARMS was the best laboratory method for CF screening tested.

摘要

我们报告了三种不同实验室方法对大量漱口水DNA样本进行常见囊性纤维化突变筛查的比较评估。评估了ARMS(等位基因特异性突变检测系统)、斑点印迹法和一种缺失/消化/聚丙烯酰胺凝胶电泳法(外显子10和11的多重PCR,用HincII消化,随后进行聚丙烯酰胺凝胶电泳(PAGE))的敏感性、特异性和成本。ARMS是最可靠、最灵敏的方法,因此被认为比成本较低的缺失/消化/PAGE法更合适。所评估的斑点印迹法不仅比ARMS可靠性低,而且成本高得多。ARMS是所测试的用于囊性纤维化筛查的最佳实验室方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1630/1049977/72cdf9298da2/jmedgene00286-0045-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1630/1049977/0bee874174be/jmedgene00286-0044-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1630/1049977/f483a300124f/jmedgene00286-0044-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1630/1049977/72cdf9298da2/jmedgene00286-0045-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1630/1049977/0bee874174be/jmedgene00286-0044-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1630/1049977/f483a300124f/jmedgene00286-0044-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1630/1049977/72cdf9298da2/jmedgene00286-0045-a.jpg

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引用本文的文献

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Genetic testing in the European Union: does economic evaluation matter?欧盟的基因检测:经济评估重要吗?
Eur J Health Econ. 2012 Oct;13(5):651-61. doi: 10.1007/s10198-011-0319-x. Epub 2011 May 20.
2
Cost effectiveness of antenatal screening for cystic fibrosis.囊性纤维化产前筛查的成本效益
BMJ. 1995 Dec 2;311(7018):1460-3; discussion 1463-4. doi: 10.1136/bmj.311.7018.1460.

本文引用的文献

1
Prevalence of cystic fibrosis mutations in the Grampian region of Scotland.苏格兰格兰扁地区囊性纤维化突变的患病率。
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2
Antenatal cystic fibrosis carrier screening--whether, when and how?产前囊性纤维化携带者筛查——是否进行、何时进行以及如何进行?
Paediatr Perinat Epidemiol. 1993 Oct;7(4):368-75. doi: 10.1111/j.1365-3016.1993.tb00416.x.
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Simple non-invasive method to obtain DNA for gene analysis.获取用于基因分析的DNA的简单非侵入性方法。
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Identification of the cystic fibrosis gene: genetic analysis.囊性纤维化基因的鉴定:遗传分析
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Identification of mutations in regions corresponding to the two putative nucleotide (ATP)-binding folds of the cystic fibrosis gene.在与囊性纤维化基因的两个假定核苷酸(ATP)结合折叠相对应的区域中鉴定突变。
Proc Natl Acad Sci U S A. 1990 Nov;87(21):8447-51. doi: 10.1073/pnas.87.21.8447.
6
Three point mutations in the CFTR gene in French cystic fibrosis patients: identification by denaturing gradient gel electrophoresis.法国囊性纤维化患者CFTR基因中的三个点突变:通过变性梯度凝胶电泳鉴定。
Hum Genet. 1990 Sep;85(4):446-9. doi: 10.1007/BF02428305.
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A mutation in the second nucleotide binding fold of the cystic fibrosis gene.囊性纤维化基因第二个核苷酸结合结构域中的突变。
Am J Hum Genet. 1991 Mar;48(3):608-12.
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Nearly 80% of cystic fibrosis heterozygotes and 64% of couples at risk may be detected through a unique screening of four mutations by ASO reverse dot blot.通过等位基因特异性寡核苷酸反向斑点杂交对四种突变进行独特筛查,可检测出近80%的囊性纤维化杂合子和64%有风险的夫妇。
Genomics. 1991 Dec;11(4):1149-51. doi: 10.1016/0888-7543(91)90043-e.
9
A deletion mutation of the cystic fibrosis transmembrane conductance regulator (CFTR) locus: Delta I507.囊性纤维化跨膜传导调节因子(CFTR)基因座的缺失突变:ΔI507
Adv Exp Med Biol. 1991;290:393-8. doi: 10.1007/978-1-4684-5934-0_48.
10
The incidence of different cystic fibrosis mutations in the Scottish population: effects on prenatal diagnosis and genetic counselling.苏格兰人群中不同囊性纤维化突变的发生率:对产前诊断和遗传咨询的影响。
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