在遗传性运动和感官神经病变I型的De-novo突变
J E Hoogendijk1, G W Hensels, A A Gabreëls-Festen
1Department of Neurology, Academic Medical Center, Amsterdam, The Netherlands.
Lancet (London, England)
|May 2, 1992
概括
大多数孤立的Charcot-Marie-Tooth1型 (HMSN I) 病例现在被认为是自体主导的. 染色体17重复,主导性HMSN I的常见原因,在大多数零星患者中出现新突变,影响遗传咨询.
科学领域:
- 遗传学 是一个遗传学.
- 神经学 神经学
- 分子生物学分子生物学
背景情况:
- 遗传性运动和感觉神经病变I型 (HMSN I),也称为夏科特-玛丽-牙病1型,是一种外周神经系统疾病.
- 以前,单独的HMSN I病例通常被认为是自体衰退的.
- 最近的研究确定了17号染色体上的特定重复是自体主导HMSN I的主要原因.
研究的目的:
- 调查HMSN I.的零星 (孤立) 病例的遗传基础.
- 为了确定17号染色体重复的频率,患者呈现出孤立的HMSN I.
- 澄清遗传模式和对HMSN I.遗传咨询的影响.
主要方法:
- 零星HMSN I患者的遗传分析.
- 对已知染色体17重复的查与自体主导的HMSN I.相关.
- 间歇性与家族性HMSN I病例中的遗传发现的比较.
主要成果:
- 在90% (10人中9人) 的零星HMSN I患者中,发现了染色体17重复的de-novo (新) 突变.
- 这一发现挑战了先前的假设,即在孤立的HMSN I.中经常出现自体逆向遗传.
- 确定的突变是相同的重复,负责大多数HMSN I的自体主导形式.
结论:
- 大多数零星的HMSN I病例是由de-novo自体主导突变引起的,特别是染色体17重复.
- 这一遗传发现需要对隔离HMSN I的个体进行遗传咨询策略的重新评估.
- 了解de-novo突变的流行率对于准确的遗传风险评估和计划生育至关重要.
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