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同一等位基因复合杂合突变导致Ⅰ型遗传性抗凝血酶缺陷症
引用本文:顾怡,沈薇,张岚,张纪蔚,应春妹,郁婷婷,王学锋,傅启华. 同一等位基因复合杂合突变导致Ⅰ型遗传性抗凝血酶缺陷症[J]. 血栓与止血学, 2011, 17(2): 53-56
作者姓名:顾怡  沈薇  张岚  张纪蔚  应春妹  郁婷婷  王学锋  傅启华
作者单位:1. 上海交通大学医学院附属仁济医院,检验科,上海,200127;上海交通大学医学院附属上海儿童医学中心检验科,上海,200127
2. 上海交通大学医学院附属仁济医院,检验科,上海,200127
3. 上海交通大学医学院附属仁济医院,血管外科,上海,200127
4. 上海交通大学医学院附属上海儿童医学中心检验科,上海,200127
5. 上海交通大学医学院附属瑞金医院输血科,上海,200127
基金项目:仁济医院第四期学科建设资助项目
摘    要:
目的对1例遗传性抗凝血酶(AT)缺陷症先证者及其家系进行表型诊断和基因诊断。方法采用免疫比浊法和发色底物法分别检测先证者及其家系成员的AT抗原(AT:Ag)和AT活性(AT:A),抽提外周血基因组DNA,PCR扩增AT基因(SERPINC1)7个外显子及其侧翼序列,应用直接测序法对先证者进行AT基因序列分析。针对先证者中发现的突变位点,对其家系成员进行相应基因突变检测,同时在100例正常人中筛查以排除多态性。结果先证者AT:Ag和AT:A分别为114 mg/L和54.8%。其AT基因外显子2区发现了2个杂合点突变,分别为c.134G〉A和c.342T〉G。其家系部分成员检测到相应的杂合突变。家系遗传分析表明,2个杂合突变位于同一等位基因。结论同一等位基因复合杂合突变是导致该家系Ⅰ型遗传性AT缺陷症的分子原因。

关 键 词:抗凝血酶缺陷症  基因  突变

Compound Mutations in One Allele of AT Gene Causing Type I Inherited Antithrombin Deficiency
GU Yi,SHEN Wei,ZHANG Lan,ZHANG Ji-wei,YING Chun-mei,YU Ting-ting,WANG Xue-feng,FU Qi-hua. Compound Mutations in One Allele of AT Gene Causing Type I Inherited Antithrombin Deficiency[J]. Chinese Journal of Thrombosis and Hemostasis, 2011, 17(2): 53-56
Authors:GU Yi  SHEN Wei  ZHANG Lan  ZHANG Ji-wei  YING Chun-mei  YU Ting-ting  WANG Xue-feng  FU Qi-hua
Affiliation:GU Yi1,3,SHEN Wei1,ZHANG Lan2,ZHANG Ji-wei2,YING Chun-mei1,YU Ting-ting3,WANG Xue-feng4,FU Qi-hua3 (1.Department of Laboratory Medicine,2.Department of Vascular Surgery,Renji Hospital,Shanghai Jiaotong University College of Medicine,Shanghai,200127,China.3.Department of Laboratory Medicine,Shanghai Children's Medical Center,Shanghai Jiaotong University Colleg of Medicine,China,4.Department of Clinical Transfusion,Ruijin Hospital,20002...
Abstract:
Objective To investigate the clinical phenotype and gene mutation for a pedigree with inherited antithrombin(AT) deficiency.Methods Immunonephelometry and chromogenic assay were used for detecting plasma level of AT antigen(AT:Ag) and AT activity(AT:A),respectively.All of the seven exons and their intron-exon boundaries of AT gene(SERPINC1)were amplified by PCR using the DNA extracted from the proband's peripheral blood,and PCR products were analyzed by direct sequencing.The corresponding gene fragment with...
Keywords:Antithrombin deficiency  Gene  Mutation  
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