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预防医学  2016, Vol. 28 Issue (11): 1103-1106    
  论著 本期目录 | 过刊浏览 | 高级检索 |
93例耳聋患儿耳聋基因检测结果
余红1, 杨晶群1, 刘丹1, 吴志强2, 孙冬梅2
1.绍兴市妇幼保健院,浙江绍兴312000;
2.杭州华大基因研发中心
An analysis on hereditary deafness gene test results of 93 cases of deaf children
YU Hong,YANG Jing-qun, LIU Dan,WU Zhi-qiang,SUN Dong-mei
Maternal and Child Health Care Hospital of Shaoxing City, Shaoxing,Zhejiang, 312000 ,China
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摘要 目的 分析93例耳聋患儿耳聋基因携带情况,为预防遗传性耳聋提供依据。方法对绍兴市耳聋康复中心确诊的93例耳聋患儿,采用基质辅助激光解吸电离飞行时间质谱技术(MALDI-TOF-MS)检测4个常见耳聋基因GJB2、GJB3、MT-RNR1和SLC26A4的20个热点突变;采用Sanger测序法检测突变基因的全外显子,对Sanger测序无法解决的部分则采用长片段PCR、GapPCR和定量 PCR进行检测。结果 93例耳聋患儿经MALDI-TOF-MS检测,其中48例检出耳聋基因突变,检出率为51.61%。其中GJB2基因突变35例,检出率为37.63%,分别为致病突变24例,杂合突变11例;SLC26A4基因突变13例,检出率为13.98%,分别为SLC26A4致病突变6例,杂合突变7例;未检出MT-RNR1和GJB3基因突变。对18例检出杂合突变患儿中的17例进行突变杂合基因的全外显子检测,结果检出12例(70.59%)存在其他位点的杂合突变。最终42例患儿检出耳聋致病基因,检出率为45.16%。结论 93例耳聋患儿中,GJB2、SLC26A4基因检出率较高,对常规筛查中发现的携带杂合突变基因患儿进行该基因的全外显子检测,有助于提高耳聋致病基因检出率。
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余红
杨晶群
刘丹
吴志强
孙冬梅
关键词 遗传性耳聋基因突变外显子测序    
AbstractObjective To learn the situation of deafness gene among deaf children and to provide suggestions for intervention.Methods Twentyhot spot mutations of the common deafness genes of GJB2, GJB3, MT-RNR1, SLC26A4 for 93 deafness patients were detected by MALDI-TOF-MS, and Sanger sequencing method was used to detect the whole exon of the gene for the heterozygous mutant.Results A total of 48 cases were detected with mutation among the 93 patients using MALDI-TOF-MS, and the detection rate was 51.61%. Thirty five cases were GJB2 mutation, and the detection rate was 37.63%, in which 24 cases were homozygous mutation or compound heterozygous mutations and 11 cases were heterozygous mutation. Thirteen cases were SLC26A4 mutation, and the detection rate was 13.98%, in which 6 cases were homozygous mutation or compound heterozygous mutations and 7 cases were single heterozygous mutation. Mutation in MT-RNR1 and GJB3 gene were not detected. Among the 18 mutation cases, 17 cases were detected the whole exon of the gene with mutation using Sanger sequencing, and 12 cases were detected other loci heterozygous mutation (70.59%). And a total of 42 cases were found out the cause of the deafness, and the detection rate was 45.16%.Conclusion The mutation of the common deafness gene in patients with deafness in the region has a high detection rate. The whole exon of the gene with mutation was detected, which can improve the detection rate of the cause of deafness.
Key wordsGenetic Deafness Deafness    Gene Mutation    Exon sequencing
收稿日期: 2016-05-03          
中图分类号:  R764.43  
基金资助:中国疾病预防控制中心妇幼保健中心“2016 年度合生元母婴营养与健康研究项目”(2016FYH013);绍兴市科技计划项目(2015B70066)
通信作者: 余红,E-mailsxyuh@126.com   
作者简介: 余红,本科,主任医师,主要从事儿童保健工作
引用本文:   
余红, 杨晶群, 刘丹, 吴志强, 孙冬梅. 93例耳聋患儿耳聋基因检测结果[J]. 预防医学, 2016, 28(11): 1103-1106.
YU Hong,YANG Jing-qun, LIU Dan,WU Zhi-qiang,SUN Dong-mei. An analysis on hereditary deafness gene test results of 93 cases of deaf children. Preventive Medicine, 2016, 28(11): 1103-1106.
链接本文:  
http://www.zjyfyxzz.com/CN/      或      http://www.zjyfyxzz.com/CN/Y2016/V28/I11/1103
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