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微卫星不稳定检测在新疆地区人群HNPCC家系筛查中的应用
引用本文:齐芸,张剑权,李志刚,黄桂林.微卫星不稳定检测在新疆地区人群HNPCC家系筛查中的应用[J].临床和实验医学杂志,2012,11(22):1763-1765.
作者姓名:齐芸  张剑权  李志刚  黄桂林
作者单位:[1]石河子大学医学院 [2]石河子大学医学院第一附属医院普外二科,新疆石河子832002
基金项目:新疆哈萨克家族性HNPCC微卫星不稳定和错配修复基因突变规律研究国家自然基金81060035;新疆人群HNPCC家系筛查及微卫星不稳定和错配修复基因突变规律研究博士资金2010JC17;
摘    要:目的通过微卫星不稳定性(MSI)检测在中国新疆地区人群遗传性非息肉病性结直肠癌(HNPCC)家系筛查,为临床筛查提供相关依据。方法通过聚合酶链反应-单链构象多态性(PCR-SSCP)技术对新疆地区的HNPCC家系组(A组12例)、可疑HNPCC家系组(B组10例)及散发型大肠癌(C组20例)进行检测及分析。结果 HNPCC家系、可疑HNPCC家系组及散发型大肠癌高度微卫星不稳定(MSI-H)情况分别为83.3%、50.0%、10.0%,HNPCC家系、可疑HNPCC家系组分别较散发型大肠癌高度微卫星不稳定情况高(P<0.05),差异有统计学意义。结论 MSI与HNPCC情况高度相关,作为HNPCC筛查的重要手段,对指导临床有重要意义。

关 键 词:非息肉病性结直肠癌  DNA错配修复  微卫星不稳定

Application of microsatellite instability examination for the screening of hereditary nonpolyposis coiorectal cancer pedigree in Xinjiang area.
Institution:QI Yun, ZHANG jian- quan, LI Zhi- gang, et al. 1. The Medical College of Shihezi University; 2. The Second General Surgery Department, The First Affiliated Hospital of the Medical College, Shihezi University, Shihezi Xinjiang 832002, China.
Abstract:Objective To use microsatellite instability (MSI) examination to test hereditary nonpolyposis colorectal cancer (HNPCC) pedigree in Xinjiang area in order to provides related basis for clinical screening. Methods PCR - SSCP was conducted in HNPCC pedigree ( group A, 12 cases), the suspicious HNPCC pedigree ( group B, 10 cases) and the sporadic colorectal cancer cases ( group C, 20 cases) in Xin- jiang area. The results were analyzed. Results The percentages of MSI - H were 83.3 %, 50.0% and 10% in group A, group B and group C respectively. There was significant difference between group A and group C, and between group B and group C ( P 〈 0.05 ). Conclusion MSI and HNPCC is highly related. MSI identification therefore is of clinical importance for guiding the screening of HNPCC .
Keywords:Hereditary nonpolyposis colorectal cancer  DNA mismatch repair  Microsatellite instability
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