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目的建立快速、准确、有效的Wilson病(Wilsondisease,WD)患者早期诊断及杂合子检测的基因诊断技术。方法应用D13S301、D13S316、D13S296、AFM238vc3、AFM084xc5等5个微卫星DNA(shorttandemrepeat,STR),经聚合酶链反应(PCR),扩增片段长度多态性-聚丙烯酰胺凝胶电泳(AFLP-PAGE),对23个WD家系120名成员的DNA进行单体型分析。结果2例拟诊患者得到确诊。在31例WD同胞中,检出肯定症状前患者4例、杂合子8例、正常人17例、可疑患者2例。结论STR单体型可提供高信息量的遗传诊断信息,为WD基因诊断提供了重要的新途径
Objective To establish a rapid, accurate and effective gene diagnosis technique for early diagnosis and heterozygosis detection in patients with Wilson’s disease (WD). Methods Five microsatellite DNAs, D13S301, D13S316, D13S296, AFM238vc3 and AFM084xc5, were amplified by polymerase chain reaction (PCR) and amplified fragment length polymorphism-polyacrylamide gel electrophoresis (AFLP-PAGE ), Haplotype analysis of DNA from 120 members of 23 WD families. Results Two patients diagnosed were diagnosed. In 31 WD siblings, 4 patients were positive before positive symptoms, 8 were heterozygous, 17 were normal, and 2 were suspicious. Conclusion STR haplotypes provide high-informative genetic diagnostic information and provide important new ways for WD gene diagnosis