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DMD基因突变的孤独症谱系障碍儿童1例报告并文献复习
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作者 詹国栋 李建英 +5 位作者 游聪 周丽容 刘映平 刘宇翀 邹小兵 岑超群 《实用临床医学(江西)》 CAS 2024年第3期47-54,59,共9页
目的对DMD基因突变的1例6岁孤独症谱系障碍(autism spectrum disorder,ASD)男性患儿进行报告,并通过文献回顾探讨DMD基因缺陷患者的ASD共患率,分析该类患者的遗传学特点,以提高对该亚型ASD的认识。方法利用染色体微阵列分析技术对ASD先... 目的对DMD基因突变的1例6岁孤独症谱系障碍(autism spectrum disorder,ASD)男性患儿进行报告,并通过文献回顾探讨DMD基因缺陷患者的ASD共患率,分析该类患者的遗传学特点,以提高对该亚型ASD的认识。方法利用染色体微阵列分析技术对ASD先证者进行检测,多重连接探针扩增技术(multiplex ligation-dependent probe amplification,MLPA)对候选突变进行家系验证。对患儿临床表型与基因型进行分析,并系统复习DMD基因突变与ASD的相关文献。结果患儿存在DMD基因arr[hg19]Xp21.1(31,518,750-31,878,971)×0微缺失,涉及DMD基因48—55号外显子,MLPA验证提示该缺失遗传自无疾病表型的母亲。文献回顾表明:贝克尔肌营养不良症(Becker muscular dystrophy,BMD)患者ASD的共患率在0.00%(0/17)~11.43%(8/70),而杜氏肌营养不良症(Duchenne muscular dystrophy,DMD)在0.0%(0/50)~54.5%(30/55)。BMD与DMD相比,前者所有队列ASD共患率的中位数(3.6%)低于后者的中位数(6.4%),但差异无统计学意义。DMD基因突变的位置与ASD发病是否相关存在争议。结论DMD基因48—55号外显子缺失可能是患儿存在BMD和ASD的共同病因。DMD基因的基因型与ASD临床表型的关系需要进一步的研究。 展开更多
关键词 DMD基因 孤独症谱系障碍 杜氏营养不良 贝克尔肌营养不良 基因变异
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Multiplex ligation-dependent probe amplification for rapid detection of deletions and duplications in the dystrophin gene 被引量:1
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作者 李少英 孙筱放 +2 位作者 黎青 张慧敏 蒋永华 《Journal of Medical Colleges of PLA(China)》 CAS 2007年第6期341-346,共6页
Objective:Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are X-linked disorders caused by mutations in the dystrophin gene. The majority of recognized mutations are copy number changes of i... Objective:Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are X-linked disorders caused by mutations in the dystrophin gene. The majority of recognized mutations are copy number changes of individual exons. The objective of the present study was to assess the multiplex ligation-dependent probe amplification (MLPA) effects of detection of gene mutations. Methods: Samples of 20 control males and 80 males and their mothers referred to our diagnostic facility on the clinical suspi- cion of DMD or BMD were tested by MLPA and multiplex PCR. Results : The mean DQs for all peak of 20 control male samples was 1.02 (range from 0.83 to 1.21) by MLPA. Deletions or duplications were iden- tified in 6 out of 31 families that had been previously tested as negative by multiplex PCR. One case of complex rearrangement involving a duplication of two regions: dupEX3-9 and dupEX 17-41 were found by MLPA. Conclusions: MLPA is a highly sensitive method and rapid alternative to multiplex PCR for detec- tion of DMD and BMD. 展开更多
关键词 duchenne muscular dystrophy becker muscular dystrophy multiplex ligation-dependentprobe amplification molecular diagnostic techniques
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