Liu X X, Guo S, Zhong N
Department of Medical Genetics, Tongji Medical University, Wuhan.
J Tongji Med Univ. 1993;13(2):105-10. doi: 10.1007/BF02887925.
We have successfully diagnosed 24 individuals of 5 haemophilia A pedigrees with RFLP linkage analysis and gene amplification in vitro (PCR) technique. Detecting with the I14-E18, we found the carriers of family A and B were not heterozygotes of Bcl I RFLP. They were homozygotes of 3.0 kb/3.0 kb and 2.3 kb/2.3 kb respectively, while the carriers of family C and D were heterozygotes of 3.0 kb/2.3 kb and 3.3 kb/2.3 kb respectively. So it could be made gene diagnosis with Bcl I RFLP in family C and D. In family D, pathologic gene was linked to 3.3 kb band. We have exactly made gene diagnosis to family A and B with RFLP linkage analysis after PCR. Our results showed that the carriers of family A and B all were heterozygotes of 142 bp/99 bp, In family A and B, pathologic FVIII gene was linked to 142 bp fragment. With Bgl II/DX13, we made a RFLP linkage analysis of haemophilia A fetus at the early pregnant period, whose mother was heterozygote of 5.8 kb/2.8 kb, and the fetus was hemizygote of 2.8 kb/-. So it was very clear that the fetus was patient of haemophilia A. We suggested that the pregnant woman to induce abortion to prevent a sick baby from being born.
我们运用限制性片段长度多态性(RFLP)连锁分析和体外基因扩增(PCR)技术,成功诊断了5个甲型血友病家系中的24名个体。用I14-E18进行检测时,我们发现A家系和B家系的携带者并非Bcl I RFLP的杂合子。他们分别是3.0 kb/3.0 kb和2.3 kb/2.3 kb的纯合子,而C家系和D家系的携带者分别是3.0 kb/2.3 kb和3.3 kb/2.3 kb的杂合子。因此,可用Bcl I RFLP对C家系和D家系进行基因诊断。在D家系中,致病基因与3.3 kb条带连锁。我们通过PCR后的RFLP连锁分析,准确地对A家系和B家系进行了基因诊断。结果显示,A家系和B家系的携带者均为142 bp/99 bp的杂合子,在A家系和B家系中,致病的FVIII基因与142 bp片段连锁。用Bgl II/DX13对一名孕早期甲型血友病胎儿进行了RFLP连锁分析,其母亲是5.8 kb/2.8 kb的杂合子,胎儿是2.8 kb/-的半合子。所以很明显该胎儿是甲型血友病患者。我们建议孕妇引产,以防止患病婴儿出生。