羊水直接扩增快速诊断骨骼发育异常类单基因遗传病
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江苏省妇幼健康重点人才(FRC201744),;江苏省青年医学重点人才(QNRC2016618);江苏省医学重点学科(实验室)(ZDXKA2016002)


Direct amplification of amniotic fluid for rapid diagnosis of monogenic genetic diseases of skeletal dysplasia
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    摘要:

    目的:以最原始的羊水样本为起始模板直接进行PCR扩增,建立一种快速、简便的骨骼发育异常单基因遗传病的产前基因诊断方法。方法:对2013年4月—2018年1月于南京医科大学第一附属医院就诊的超声提示骨骼发育异常的38例胎儿行羊膜腔穿刺并进行软骨发育不全、软骨发育低下、致死性发育不全及成骨发育不全4种单基因遗传病诊断,抽取孕妇羊水后不经过胎儿细胞培养,也不经过羊水中胎儿细胞DNA的提取,加入中性盐等物质作为PCR缓冲液,控制缓冲液pH值为8~10,扩增FGFR3及COL1A2基因上的靶标片段,直接在反应体系中加入8 μL羊水进行PCR扩增测序,行产前基因诊断;考察扩增体系中的成分及含量对羊水直接扩增方法的影响。结果:38例胎儿样本中检出单基因遗传病致死性发育不全3例,分别为Ⅰ型1例,Ⅱ型2例;软骨发育不全3例,软骨发育低下1例。中性盐缓冲液、0.20 U/μL Promega Taq DNA聚合酶、每条引物1.2 pmol/μL用于羊水直接扩增效率最佳。结论:本方法省略了羊水细胞培养和羊水中胎儿DNA核酸提取这两步繁琐步骤,无需浓缩羊水即可直接扩增,缩短了诊断时间,节约了诊断成本,可以减少PCR过程中可能出现的样本交叉污染,是一种很有前景的快速产前基因诊断新方法。

    Abstract:

    Objective:This study aims to establish a rapid and simple method for prenatal diagnosis of single gene disorders related to skeletal dysplasia by PCR amplification using amniotic fluid. Methods:Thirty eight fetuses with bone dysplasia diagnosed by ultrasound from April 2013 to January 2018 were carried out amniocentesis combined with diagnosis of single gene disorders of achondroplasia,hypochondroplasia,thanatophoric dysplasia and osteogenesis imperfecta in First Affiliated Hospital of Nanjing Medical University. Amniotic fluid extracted from pregnant women was added to PCR buffer containing neutral salt and other substances without fetal cell culture or extraction of DNA. The pH value of buffer was controlled at 8-10. The target fragments of FGFR3 and COL1A2 genes was amplified by directly adding 8 μL of amniotic fluid to the reaction mixture of PCR amplification and followed by sequencing to perform prenatal diagnosis. The effect of components in reaction mixture on amplification efficiency in the method was investigated. Results:In 38 cases of fetal samples,3 cases of thanatophoric dysplasia(including 1 case of type Ⅰ and 2 cases of type Ⅱ),3 cases of achondroplasia and 1 case of hypochondroplasia were detected. The best amplification efficiency was obtained by using neutral salt buffer,0.20 U/μL Promega Taq DNA polymerase and 1.2 pmol/μL each primer. Conclusion:This method omits the two tedious steps,which were amniotic fluid cell culture and extraction of fetal DNA from amniotic fluid. Furthermore,amplification can be carried out directly without concentration of amniotic fluid. The method shortens the time of diagnosis,saves the cost of diagnosis,and further reduces the possible cross contamination of samples in PCR processes. It will be a promising,rapid,and efficient tool for prenatal gene diagnosis.

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黄 欢,卢守莲,王 珏,孙丽洲.羊水直接扩增快速诊断骨骼发育异常类单基因遗传病[J].南京医科大学学报(自然科学版),2020,(3):409-413

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  • 收稿日期:2018-12-27
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  • 在线发布日期: 2020-03-30
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