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同时含有插入与缺失的复杂突变的起源
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作者 肖莉 周翠兰 +3 位作者 殷宇芳 陈成利 廖端芳 李凯 《南华大学学报(医学版)》 2007年第5期782-783,共2页
根据提出的突变规律,分别从复杂插入—缺失突变的数量结构特征和序列结构特征两方面,对人类基因组突变数据库中同时含有插入与缺失的复杂突变进行分析,并探讨其意义。
关键词 小插入 小缺失 复杂突变
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EGFR复杂突变对酪氨酸激酶抑制剂治疗非小细胞肺癌疗效影响的研究进展 被引量:3
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作者 付于卉 姜达 《中国肿瘤生物治疗杂志》 CAS CSCD 北大核心 2022年第7期692-697,共6页
表皮生长因子受体-酪氨酸激酶抑制剂(EGFR-TKI)是治疗EGFR基因突变的非小细胞肺癌(NSCLC)的靶向药物,因其具有精准、高效、安全和使用便捷等优点而备受瞩目。但是,EGFR基因复杂突变(主要包括EGFR基因复合突变与EGFR基因共突变)会影响NS... 表皮生长因子受体-酪氨酸激酶抑制剂(EGFR-TKI)是治疗EGFR基因突变的非小细胞肺癌(NSCLC)的靶向药物,因其具有精准、高效、安全和使用便捷等优点而备受瞩目。但是,EGFR基因复杂突变(主要包括EGFR基因复合突变与EGFR基因共突变)会影响NSCLC患者对EGFR-TKI治疗的敏感性。通过降低药物与肿瘤细胞之间的结合力或关键信号转导通路等多种作用途径,可影响NSCLC患者的近期疗效及预后。根据现有证据分析影响TKI治疗NSCLC疗效的EGFR基因复杂突变类型的研究发现,大多数EGFR基因复杂突变能够导致TKI疗效不佳,其作用机制可能与突变类型本身对药物的敏感性、介导病理类型更加恶化或与导致DNA损伤修复障碍等作用相关。因此,提出多靶向药物联合治疗、EGFR-TKI联合化疗或联合血管靶向治疗等方案,为EGFR基因复杂突变的NSCLC患者提供了新的增强EGFR-TKI疗效的临床治疗策略。 展开更多
关键词 非小细胞肺癌(NSCLC) 靶向治疗 表皮生长因子受体 酪氨酸激酶抑制剂 复杂突变
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一个家族性噬血细胞综合征家系的临床表型和基因突变分析 被引量:4
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作者 孙舒雯 郭霞 +3 位作者 朱易萍 杨雪 李强 高举 《中华医学遗传学杂志》 CAS CSCD 北大核心 2014年第5期570-573,共4页
目的对1个四川籍家族性噬血细胞综合征(familial hemophagocytic lymphohistiocytosis,FHLH)家系进行基因突变分析,为其家系成员提供准确的病因诊断和遗传咨询。方法分析1例FHLH先证者的临床病例资料,应用聚合酶链反应对先证者及... 目的对1个四川籍家族性噬血细胞综合征(familial hemophagocytic lymphohistiocytosis,FHLH)家系进行基因突变分析,为其家系成员提供准确的病因诊断和遗传咨询。方法分析1例FHLH先证者的临床病例资料,应用聚合酶链反应对先证者及父母与原发性噬血细胞综合征(primary hemophagocytic lymphohistiocytosis,pHLH)发病相关的8个致病基因(PRF1、Unc13D、STX11、STXBP2、RAB27A、LYST、SH2D1A、B侬C4)进行扩增,对扩增产物进行测序和序列分析。结果先证者临床表现为反复发热2’月,肝脾淋巴结肿大,外周血三系降低,高铁蛋白血症,低纤维蛋白原血症,骨髓检查见组织细胞吞噬血细胞,噬血细胞综合征诊断明确,使用激素治疗8周停药后病情反复,先证者有可疑家族史。测序结果显示先证者PRF1基因第3外显子存在c.1349C〉T(P.Thr450Met)杂合错义突变和第2外显子c.445G〉A(P.Gly149Ser)杂合错义突变;先证者父亲PRF1基因第2外显子存在C.445G〉A杂合错义突变(P.Gly149Ser)和第3外显子C.900C〉T同义突变(P.His300His);先证者母亲PRn基因第3外显子存在C.1349C〉T杂合错义突变(P.Thr450Met)。PRF1基因第3外显子C.1349C〉T(P.Thr450Met)和第2外显子c.445G〉A(P.Gly149Ser)突变均为已报道的致病性突变。结论根据先证者临床表现、实验室检查及家系分子遗传学检测结果,可临床诊断为FHLH-2型患者。基因测序结果表明这是一个常染色体隐性遗传的家族性噬血细胞综合征家系。 展开更多
关键词 家族性噬血细胞综合征 PRF1基因 复杂性杂合突变
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Phenotype-genotype correlation with Sanger sequencing identified retinol dehydrogenase 12(RDH12) compound heterozygous variants in a Chinese family with Leber congenital amaurosis
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作者 Yun LI Qing PAN Yang-shun GU 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2017年第5期421-429,共9页
Background: Leber congenital amaurosis (LCA) is a group of clinically and genetically heterogeneous retinal dystrophy. To date, 22 genes are known to be responsible for LCA, and some specific phenotypic features co... Background: Leber congenital amaurosis (LCA) is a group of clinically and genetically heterogeneous retinal dystrophy. To date, 22 genes are known to be responsible for LCA, and some specific phenotypic features could provide significant prognostic information for a potential genetic etiology. This study is to identify gene variants responsible for LCA in a Chinese family using direct Sanger sequencing, with the help of phenotype-genotype correlations. Methods: A Chinese family with six members including two individuals affected with t.CA was studied. All pa- tients underwent a complete ophthalmic examination. Based on phenotype-genotype correlation, direct Sanger sequencing was performed to identify the candidate gene on all family members and normal controls. Targeted next-generation sequencing was used to exclude other known LCA genes. Results: By Sanger sequencing, we identified two novel missense variants in the retinol dehydrogenase 12 (RDH12) gene: a c. 164C〉A transversion predicting a p.T55K substitution, and a c.535C〉G transversion predicting a p.H179D substitution. The two affected subjects carried both RDH12 variants, while their parents and offspring carried only one of heterozygous variants, showing complete cosegregation of the variants. The compound heterozygous variants were not present in 600 normal controls Besides, the RDH12 variants were confirmed by targeted next-generation sequencing. Conclusions: The RDH12 compound heterozygous variants might be the cause of the LCA family. Our study adds to the molecular spectrum of RDH12-related retinopathy and offers an effective example of the power of phenotype-genotype correlations in molecular diagnosis of LCA. 展开更多
关键词 Leber congenital amaurosis Phenotvpe-qenotvpe correlation RDH12 Compound heterozy.qosity
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The complex structures of ALKBH2 mutants cross-linked to dsDNA reveal the conformational swing of β-hairpin
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作者 CHEN BaoEn GAN JianHua YANG CaiGuang 《Science China Chemistry》 SCIE EI CAS 2014年第2期307-313,共7页
Mammalian AlkB homologue 2(ALKBH2)is the primary housekeeping DNA demethylase,effectively repairing endogenously formed methylated lesions in double-stranded DNA.Our previous studies demonstrated that a hydrophobicβ-... Mammalian AlkB homologue 2(ALKBH2)is the primary housekeeping DNA demethylase,effectively repairing endogenously formed methylated lesions in double-stranded DNA.Our previous studies demonstrated that a hydrophobicβ-hairpin motif of ALKBH2 could play crucial roles in base-pair stability interrogation and damaged base flipping.Using chemical cross-linking strategy,we obtained two crystal structures of human ALKBH2 mutant bound to duplex DNA.The structural analysis suggests that theβ-hairpin motif is flexible in conformation and is likely to slide along the DNA duplex in local regions to search for damaged base.This study provides a new mechanistic insight into DNA damage detection by ALKBH2. 展开更多
关键词 DNA repair ALKBH2 chemical cross-linking B-hairpin motif damage detection
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