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2例儿童先天性粒细胞减少症的基因诊断

  

  1. 郑州儿童医院 血液肿瘤科,河南 郑州 450000
  • 出版日期:2018-04-05 发布日期:2018-04-24
  • 通讯作者: 通信作者:乔明吟, Email:qaof12345679@163.com

Genetic diagnosis of two children with congenital neutropenia

  1. Department of  Pediatric Hematology and Oncology,   Zhengzhou Children’s Hospital,  Zhengzhou 450000,  China
  • Online:2018-04-05 Published:2018-04-24
  • Contact: Corresponding author:Qiao Mingyin,Emil:qaof12345679@163.com

摘要: 目的  提高对先天性粒细胞减少症(CN)的认识,通过检测基因突变类型,探讨其分子学发病机制。方法  使用DNA直接测序法分析患儿全基因组,分析其有意义的突变类型,查找数据库进行相应序列对比,再进行一代测序(Sanger法)验证。结果  先证者一存在G6PC3基因存在双重杂合子突变:IVS3+1G>T及c.915(E6):缺失G,先证者二存在CXCR4基因突变:c.1004(exon1)c.1005(exon1)缺失AA。结论  2例先天性粒细胞减少症的患儿均存在异常的基因突变,基因诊断对先天性粒细胞减少症的诊断有重大意义,对临床研究及治疗提供依据。

关键词: 中性粒细胞减少, 基因, CXCR4基因, G6PC3基因

Abstract: Objective  To improve the understanding and diagnosis of congenital neutropenia(CN)  in children and explore the procedures by the use of gene mutation.Methods  Direct DNA sequencing of PCR were applied to analyze the whole genome.  The database were screened to conduct relevant sequence alignment.  The mutations were confirmed by reverse sequencing. Results  Propositus 1 had double heterozygous mutations, IVS3+1 G> T and c.915(E6):, while was in lack of G. Propositus 2 had heterozygous mutations: c.1004(exon1)c.1005(exon1) ,while in lack of  AA.Conclusion  Both of the two children with congenital neutropenia had abnormal gene mutation.  Gene diagnosis is of great significance to define congenital neutropenia and  provide the background for further clinical research as well as therapy in these patients.

Key words: neutropenia;genes, CXCR4 gene, G6PC3 gene