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目的 用基因连锁分析方法对一个Alport综合征家系的致病基因定位。方法应用聚合酶链反应(PCR)方法分别扩增与2号染色体上Ⅳ型胶原α3和α4链基因(COMA3/COL4A4)连锁的微卫星遗传标记CA11、PAX3、D2S401及与X染色体上Ⅳ型胶原α5链基因(COL4A5)紧密连锁的微卫星遗传标记2B6。DXS101,找出家系中与疾病连锁的单体型,并计算出 Lod Score值,从而判定是否存在连锁关系。结果基因连锁分析提示这个家系致病基因与 2号染色体上 CA11、PAX3。D2S401一起分离(Lod Score= 2.10, θ= 0),不与 X染色体上2B6及DXS101一起分离(Lod Score= 0, θ=0.5)。结论这个Alpoft综合征家系的致病基因与COL4A3/COL4A4基因连锁。可能因2号染色体上Ⅳ型胶原α3/α4链基因突变致病。
Objective To locate the causative genes of a Alport syndrome pedigree by genetic linkage analysis. Methods The microsatellite markers CA11, PAX3 and D2S401 linked to the α3 and α4 chain genes of type Ⅳ collagen (COMA3 / COL4A4) on chromosome 2 were amplified by polymerase chain reaction (PCR) Microsatellite Genetic Markers 2B6 in which the α5 chain gene (COL4A5) is tightly linked. DXS101, to find haplotypes in the pedigree linked to the disease and calculate the Lod Score to determine if there is a linkage. Results Gene linkage analysis suggested that this pedigree was associated with CA11 and PAX3 on chromosome 2. D2S401 (Lod Score = 2.10, θ = 0), not with 2B6 and DXS101 on the X chromosome (Lod Score = 0, θ = 0.5). Conclusion The causative gene of Alpoft syndrome pedigree is linked to COL4A3 / COL4A4 gene. May be due to chromosome 2 collagen type α3 / α4 chain mutations cause disease.