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发育医学电子杂志  2013, Vol. 1 Issue (1): 42-45    
  临床遗传   论著 |
中国A1port综合征一家系的基因分析
都娟 黄建萍 赵晓艳 王硕
北京军区总医院附属八一儿童医院肾病和免疫科,北京100700
Identica60n of a muta60n in the5 gene iIl a Chinese familyth Alport syndrome
DU han。HUANG Jiall一曲g,ZHAo Xiao—yan
(Depa岫enl of Nephroiogy&弛ematology,
Bayi Childfeds Hospi翻A蕊lialed
to Be每ing Mi珏taq Region
Gene嘲Hospi伽,BeiJing 100700。China
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输出:  BibTeX | EndNote (RIS)      
摘要 【摘要】 目的分析一个家系Alport综合征的基因突变和临床表型特点。方法总结该家系的临
床特点,采用外显子捕获一第二代测序技术对该家系所有患者的c删J、c删4和cD厶甜3基因进
行突变检测。结果先证者及同胞姐均以血尿为主要首发症状,伴有不同程度的蛋白尿,肾功能均正
常,。肾活检电镜提示典型Alport综合征表现。但先证者出现的临床症状早于其姐,临床表型也更重,
且已出现高频神经性耳聋及视力减退。其母为cKDⅢ期,肾活检提示为FsGs。通过基因筛查发现家
系中的2例患儿均携带“地钳j基因突变(p.Glvl32Glu),此突变来自其母。用sI丌和PolyPhen软件
进行蛋白功能预测显示为致病性突变。结论本研究采用外显子捕获一第二代测序技术在一个Alport综
合征家系中检测到c删5基因突变,基因型和临床表型的关系尚待进一步研究。
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关键词:  基因  “地钳工突变;Alpon综合征;家系    
Abstract: 【Abstract】
Objectives
To
analyze
the clinical features and
gene muta矗om of a Chinese family with
Alpon Syndrome.Methods
The clinical and
laboratory
data of a Chinese
fam订y with Alport Syndrome
were summarized.C0删5,COL钳4 and COj已钳J
genes
were
analyzed using next—generation sequencing.
Results Pmband and his fellow sister
presents
a typical clinical
picture
with onset of
micmscopic
hematuria
and
pmteinuria.They had nomal
renal function.Ultrastmctural
analysis
of renal
biopsy
was
compatible
with a
diagnosis
of AS.However,pmband manifestats earlier and severer clinical
symptoms,including
sensorineural
hearing
10ss and ocular abno硼alities than his sister.Their morther
deVeloped renal failure.A renal biopsy
reVealed focal segmental
glomemlosclerosis.A Glyl32Glu mutation
in CD己钳5 was identified in the
famiy.The
mutation seemed to be
pathogenic by
the
analysis using prediction
software SIFT and
PolyPhen.Conclusion
Our
study
contributes to fhrther
study
of pathogenesis of
Alport syndrome,genetic counselling and prenatal
diagnosis
in Chinese
population.
Key words:  enes    a删工Mutation    Alport Syndmme    Family
               出版日期:  2013-01-30      发布日期:  2019-09-06      期的出版日期:  2013-01-30
通讯作者:  黄建萍 https://baike.baidu.com/item/%E9%BB%84%E5%BB%BA%E8%90%8D/13466277?fr=aladdin    E-mail:  Email:jphuang010@yahoo.com.cn
引用本文:    
都娟 黄建萍 赵晓艳 王硕. 中国A1port综合征一家系的基因分析[J]. 发育医学电子杂志, 2013, 1(1): 42-45.
DU han。HUANG Jiall一曲g, ZHAo Xiao—yan. Identica60n of a muta60n in the5 gene iIl a Chinese familyth Alport syndrome. Journal of Developmental Medicine(Electronic Version), 2013, 1(1): 42-45.
链接本文:  
http://www.fyyxzz.com/CN/  或          http://www.fyyxzz.com/CN/Y2013/V1/I1/42
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