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采用更先进技术进行B型血友病的携带者检测和产前诊断。

Carrier detection and prenatal diagnosis of hemophilia B with more advanced techniques.

作者信息

Caprino D, Acquila M, Mori P G

机构信息

Department of Pediatric Hematology/Oncology, G. Gaslini Children's Hospital, Genoa, Italy.

出版信息

Ann Hematol. 1993 Dec;67(6):289-93. doi: 10.1007/BF01696349.

Abstract

We used the PCR to amplify three polymorphic regions of Factor IX gene on 35 Italian families: DdeI intron 1, Mn1I exon f, and the polymorphism HhaI located 8 kb at the 3' end of FIX gene. We analyzed the Mn1I and HhaI markers on DGGE and DdeI polymorphism on agarose gel. We reached an informativity of 78% and we found one mutation at codon 145 (exon f) during the screening for Mn1I polymorphism. Furthermore, we performed 16 prenatal diagnoses on chorionic villus samples; five were female and 11 male. Four were uninformative three healthy and one affected male fetus were recognized by PCR techniques, two healthy and one affected fetus by Southern analysis. In three pregnant women examined for the first time during pregnancy, the PCR technique allowed us to perform a rapid diagnosis of noncarrier status, avoiding the fetal sampling procedures.

摘要

我们使用聚合酶链反应(PCR)扩增了35个意大利家庭中凝血因子IX基因的三个多态性区域:DdeI内含子1、Mn1I外显子f以及位于FIX基因3'端8kb处的HhaI多态性。我们在变性梯度凝胶电泳(DGGE)上分析了Mn1I和HhaI标记,并在琼脂糖凝胶上分析了DdeI多态性。我们获得了78%的信息度,并且在筛查Mn1I多态性时,在密码子145(外显子f)处发现了一个突变。此外,我们对绒毛膜绒毛样本进行了16次产前诊断;其中5例为女性,11例为男性。4例结果无信息,通过PCR技术识别出3例健康男性胎儿和1例患病男性胎儿,通过Southern分析识别出2例健康胎儿和1例患病胎儿。在3名孕期首次接受检查的孕妇中,PCR技术使我们能够快速诊断出非携带者状态,避免了胎儿取样程序。

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