Wilson病ATP7B基因启动子区突变对基因表达的影响

目的 探讨Wilson病ATP7B基因启动子区突变与Wilson发病的关系。方法 在48例患者中发现2例存在-183（C→T）突变，对发现存在突变的样本的DNA片段进行分离，克隆入pGL2荧光素酶报告基因，转染细胞，测定荧光素酶的活性，以野生型的ATP7B基因启动子作为对照，分析ATP7B基因启动子点突变对转录活性的影响。结果 含正常与含突变ATP7B启动子区序列的pGL2载体的荧光素酶转录活性相比较差异无统计学意义（n=3，P〉0．05）。结论 启动子区-183（C→T）突变不影响基因转录活性。提示该突变的意义有待进一步的探讨。

Effect of the mutation of promoter region in Wilson disease ATP7B gene on the expression of reporter gene

OBJECTIVE: To find out the relationship between mutation of ATP7B gene promoter region and pathogenesis of Wilson disease(WD). METHODS: Two of 48 WD patients presented C-->T base substitution mutations at the position -183. DNA sequences of the promoter region from normal and mutant samples were separated. The fragments containing the promoter region were cloned upstream of the luciferase. Luciferase activity was analyzed. RESULTS: The luciferase activity of reporter gene containing normal sequence of ATP7B gene promoter region did not show significant difference as compared with that of reporter gene containing mutant promoter(n=3, P > 0.05). CONCLUSION: No influence of C-->T base substitution mutations on the activity of promoter was observed in study. The results suggest that WD pathogenesis relates little to the mutations of the promoter region in Chinese.