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收稿:2017-12-15,
纸质出版:2018-06-15
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郑小琴, 毛宇, 邱碧原, 等. 65例染色体核型为46, XY的尿道下裂患者
Xiaoqin ZHENG, Yu MAO, Biyuan QIU, et al. Gene mutation analysis of
郑小琴, 毛宇, 邱碧原, 等. 65例染色体核型为46, XY的尿道下裂患者
Xiaoqin ZHENG, Yu MAO, Biyuan QIU, et al. Gene mutation analysis of
Objective
2
To investigate
AR
and
SRD5A2
mutation in 65 hypospadias cases having 46
XY karyotype
and to explore the genetic causes of hypospadias.
Methods
2
Sanger sequencing was used to detect the coding regions of
AR
and
SRD5A2
genes in 65 hypospadias patients having 46
XY karyotype who admitted in the Sichuan Provincial People's Hospital from 2015 to 2017. Family analysis was performed on the candidate pathogenic mutations. Bioinformatics analysis was carried out on the obtained mutant genes.
Results
2
Among the 65 hypospadias patients
8 had semi-heterozygous mutations in
AR
gene
with 7 different mutant alleles
of which 2 mutations c.1792A
>
C and c.2581A
>
T have not been reported. Twenty-five patients had homozygous or complex heterozygous mutations in
SRD5A2
gene
including 17 different mutant alleles
of which 4 have never been reported (c.269A
>
C
c.350C
>
A
c.365A
>
G
and c.662T
>
G). The exon 1 and exon 4 have of
SRD5A2
gene were hot spot regions. c.680G
>
A and c.16C
>
T were hot spot mutation. The detection rate of
AR
and
SRD5A2
mutations was 51% (33/65).
Conclusion
2
There exist genetic causes of hypospadias in the hypospadias patients with 46
XY karyotype. The 6 novel mutations have enriched the mutation spectrum of the
AR
and
SRD5A2
genes.
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