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纸质出版:2016
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宣杰,吴静,李海军,朱晓燕,朱小敏,宿艳,李欣,黄辉,祁鸣,谢琳.常染色体显性遗传玻璃体视网膜脉络膜病变一家系的致病基因筛查及临床分析[J].陆军军医大学学报(原第三军医大学学报),2016,38(07):771-775.
Xuan Jie,Wu Jing,Li Haijun,Zhu Xiaoyan,Zhu Xiaomin,Su Yan,Li Xin,Huang Hui,Qi Ming,Xie Lin.Autosomal dominant vitreoretinochoroidopathy: screening for disease-causing genes and clinical analysis of a pedigree[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(07):771-775.
宣杰,吴静,李海军,朱晓燕,朱小敏,宿艳,李欣,黄辉,祁鸣,谢琳.常染色体显性遗传玻璃体视网膜脉络膜病变一家系的致病基因筛查及临床分析[J].陆军军医大学学报(原第三军医大学学报),2016,38(07):771-775. DOI:
Xuan Jie,Wu Jing,Li Haijun,Zhu Xiaoyan,Zhu Xiaomin,Su Yan,Li Xin,Huang Hui,Qi Ming,Xie Lin.Autosomal dominant vitreoretinochoroidopathy: screening for disease-causing genes and clinical analysis of a pedigree[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(07):771-775. DOI:
目的 使用外显子结合目标区域捕获测序检测常染色体显性遗传玻璃体视网膜脉络膜病变(autosomal dominant vitreoretinochoroidopathy
ADVIRC)家系的致病基因,并分析其临床表型。 方法 收集重庆地区常染色体显性遗传玻璃体视网膜脉络膜病变先证者及4代成员的临床资料,完善眼科检查。采集该家系4例患者及8例健康成员的外周静脉血,提取基因组DNA,运用外显子结合目标区域捕获测序芯片进行测序,并对测序结果进行分析后得到候选致病基因性突变位点。运用PCR和直接测序进行验证,确定致病基因。根据致病基因的临床表型对该家系进行临床分析。 结果 基因检测发现第六外显子的杂合突变BEST1(c.704TRC),家系患者中出现的小角膜、先天性白内障、周边视网膜脉络膜发育不良、晚期易发生青光眼等符合该突变基因的临床表型。 结论 BEST1基因的c.704TRC杂合突变为该ADVIRC家系的致病基因之一。
Objective To detect disease-causing genes in a Chinese pedigree with autosomal dominant vitreoretinochoroidopathy (ADVIRC) by capture and sequencing for exon binding target region
and analyze the clinical phenotypes. Methods A ADVIRC pedigree
including 4 patients (probands) and 8 health family members
was recruited in this study. All the patients and family members of 4 generations received complete ophthalmic examinations. Peripheral blood samples were collected from 12 persons of the family to extract their DNA from the peripheral blood leukocytes using phenol-chloroform DNA extraction. A capture sequencing chip based on exon in combination with target-binding region was used to sequence. And then PCR and direct sequencing were employed for mutation analysis on the candidate etiologic genes in all members of the family. Clinical analysis was performed in the family according to the clinical phenotypes. Results Heterozygous mutation of BEST1 (c.704TRC) in exon 6
were discovered in the ADVIRC family in this study. This mutation was reported in China for the first time. Microcornea
congenital cataract
retinal choroid dysplasia and glaucoma were found in the family members
which were in accordance with clinical phenotypes of the mutation. Conclusion Heterozygous mutation of BEST1 (c.704TRC) is one of disease-causing genes of the ADVIRC pedigree.
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