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强直性肌营养不良是由于MT-PK基因3'非编码区CTG三核苷酸重复序列的过度扩增。文献报道一般正常人CTG的拷贝数为5~35次,而患者在50次以上,且有民族差异。目前尚无我国人群的资料。为了解中国汉族人群CTG三核苷酸重复序列的分布情况,采用PCR聚丙烯酰胺凝胶电泳和银染等技术,对成都地区159例正常汉族人该重复序列进行了分析,发现汉族与其它民族CTG重复序列的拷贝数分布不尽相同,在分析的318条染色体中,共发现14种等位基因,其中CTG拷贝数以5的频率最高,占39.3%,其余依次为11拷贝(20.75%)、12拷贝(18.24%)、13拷贝(11.32%)及10拷贝(4.09).拷贝数大于14的等位基因很少,占4.08%,拷贝数大于19的等位基因更少,仅占0.94%。此外拷贝数为6~9的等位基因很少,仅6拷贝和8拷贝的等位基因各一个。共发现纯合子40例,其中:26例5/5,6例11/11,5例12/12和3例13/13,杂合率为74.8%,本系统的多态信息容量值为0.76。
Myotonic dystrophy is due to over-amplification of CTG trinucleotide repeats in the 3 ’non-coding region of the MT-PK gene. Reported in the literature normal CTG copy number of 5 to 35 times, while patients in more than 50 times, and ethnic differences. There is currently no information on the population of our country. To understand the distribution of CTG trinucleotide repeats in Chinese Han population, PCR-PAGE and silver-staining techniques were used to analyze the repeats of 159 Han normals in Chengdu and found that Han and other ethnic groups CTG repeats had different copy number distributions. Of the 318 analyzed chromosomes, 14 alleles were found, of which CTG had the highest frequency of 5 copies (39.3%) and the rest 11 (20) .75%), 12 copies (18.24%), 13 copies (11.32%) and 10 copies (4.09). Alleles with copy numbers greater than 14 were rare, accounting for 4.08% and alleles with copy numbers greater than 19 were fewer, accounting for only 0.94%. In addition, few copies of 6 to 9 alleles, only 6 copies and 8 copies of each of the alleles. A total of 40 cases of homozygotes were found, of which 26 cases were 5/5, 6 cases 11/11, 5 cases 12/12 and 3 cases 13/13, the heterozygosity was 74.8%. The polymorphic information capacity of this system Is 0.76.