Using Fluorescence PCR Analysis For Gene Diagnosis and Carrier Detection of Chinese Wilson”s Disease
Objective To develop a noval gene diagnostic method for detecting the high frequency spot of gene mutation in Chinese Wilson”s disease by using the most advanced fluorescence PCR in order to make an early diagnosis and carrier detection. Methods 66 Chinese WD patients from 58 families had typical nanifestations of WD, and significant low levels of serum ceruioplasmin (CP), low levels of serum copper., high levels of urine copper. 55 family members (parents 33 and siblings 22) from 42 families of 58 WD families were normal phenotype with normal levels of CP. 30 in patients suffering from acute cerebrovascular disease, vertigo and headache had no blood relationship to be the control group. We got 5ml blood from each object to collect DNA, and designed two fluorcscent gene probes to hybridize with thc normal and mutant sequence of Arg778Leu respectively. The content of probe hybridization was concordant with the fluoresccin which was released during PCR process. The homozygote, heterozygote of WD and normal were identified by thc results of fluorescence PCR and through analysis we obtained the mutation rate of Arg778Leu. After that we selected 3 random samples (2 from WD patients, I from control group) for direct DNA sequencing in exon 8 of WD gencto testify the accuracy of fluorescence PCR. Results Among 66 Chinese WD patients, homozygous for mutation of Arg778Leu had been found in 5 cases and compound heterozygous found in 21 cases. and the mutation rate of Arg778Leu in our study was totally 39.4%. Of 55 normal phenotype family members. 12 individuals incluing parents 7 and siblings 5 were detected as heterozyous in which 11 (7 parents and 4 siblings) had been confirmed as WD gene carriers but not pre-symptomatic patients according to the throughtout examination and the normal CP. There were no mutation of Arg778Leu in all 30 control cases. Thc results of direct DNA sequencing of 3 at random samples were consilient to those results detected by fluorescence PCR. Conclusion The viewpant which the Arg778Leu mutation is the high frequency spot of Chincse WD gene should be supported by our study. Fluorescence PCR analysis is a rapid. accurate gene diagnostic method and demonstrates a high detecting rate. therefore. it is now the most advanced gene diagnostic method for Wilson”s disease.
acute cerebrovascular disease、random samples、high frequency、DNA sequencing、mutation rate、early diagnosis、gene mutation、serum copper、sequence of、in order
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R3 ;TN7
2005-07-07（万方平台首次上网日期，不代表论文的发表时间）
共1页
86
