Dowling-Meara型单纯性大疱性表皮松解症一家系角蛋白基因突变研究

Keratin gene mutation in a pedigree of Dowling-Meara epidermolysis bullosa simplex

  • 摘要: 目的: 研究一家族性Dowling Meara型单纯性大疱性表皮松解症(EBS)中的遗传基础,分析患者的基因突变及确定EBS的亚型。方法: 应用外周血提取DNA、PCR扩增、基因序列分析的方法检测患病家族者的K5和K14的所有外显子区。结果: 检测K5基因的所有外显子,未发现突变位点;检测了K14基因的所有外显子,在第一外显子区发现了R125C的突变。两例患者(母亲和女儿)具有相同的突变,而未患病的父亲及正常对照则无此突变。结论: 该EBS DM家系中存在K14基因R125C的突变,角蛋白基因突变的检测是区分EBS DM患者表型和明确诊断的有效的方法。

     

    Abstract: Objective: To investigate the gene mutation in a pedigree of Dowling-Meara Epidermolysis Bullosa Simplex (EBS), confirm the type of EBS. Mehtods: The all exons of K5 and K14 gene of genomic DNA from patientsperipheral blood were amplified by PCR, and than PCR products were purified and sequenced. Result: The mutation R125C was identified in exon 1 of K14. The two patients (mother and daughter) had the same mutation;the unaffected father did not. Conclusions: The gene sequence analysis is the best method for confirming diagnoses in this kind of patient and illustrate the usefulness of keratin mutation screening to distinguish the phenotype of EBS-DM.

     

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