临床儿科杂志 ›› 2020, Vol. 38 ›› Issue (3): 225-.doi: 10.3969/j.issn.1000-3606.2020.03.016

• 综合报道 • 上一篇    下一篇

戊二酸血症I 型患儿家系基因变异检测及产前诊断

陆璐 1, 马定远 2, 成建 2   

  1. 1.江苏卫生健康职业学院生化教研室(江苏南京 211800);2.南京医科大学附属妇产医院产前 诊断中心(江苏南京 210004)
  • 发布日期:2020-04-07
  • 通讯作者: 成建 电子信箱:chengjian_nj@njmu.edu.cn
  • 基金资助:
    国家自然科学基金面上项目(No.81671475)

Genetic variation detection and prenatal diagnosis in a family of glutaric aciduria type Ⅰ pedigree

LU Lu1, MA Dingyuan2, CHENG Jian2   

  1. 1. Department of Biochemistry, Jiangsu Health Vocational College, Nanjing 211800, Jiangsu, China; 2. Department of Prenatal Diagnosis, The Affiliated Obstetrics and Gynecology Hospital of Nanjing Medical University, Nanjing 210004, Jiangsu, China
  • Published:2020-04-07

摘要:  目的 确定戊二酸血症I型家系的致病基因,以提供遗传咨询和产前诊断。方法 应用Ion Torrent半导体测 序技术检测1例戊二酸血症I型患儿戊二酰辅酶A脱氢酶(GCDH)基因,筛选致病变异,并对患儿双亲以Sanger测序验证。 患儿母亲再孕18周时行羊膜腔穿刺术取羊水胎儿细胞检测GCDH基因。结果 男性患儿, 4岁,GCDH基因(NM_000159) 存在致病变异c.395G>A(p.R132Q)杂合突变,来自父亲;c.769C>T(p.R257W)杂合突变,来自母亲。患儿母亲羊水标 本基因检测显示胎儿GCDH基因c.395位点和c.769均未发生变异,新生儿血串联质谱检测及生长发育情况均无异常。结 论 成功确定一个戊二酸血症I型家系的GCDH基因致病突变位点,并为患儿母亲提供了产前分子遗传学诊断。

关键词:  Ion Torrent测序; 戊二酸血症I型; 产前诊断

Abstract: Objective To identify pathogenic gene mutations of glutaric aciduria typeⅠand provide genetic counseling and prenatal diagnosis for a Chinese family. Methods Mutation of glutaryl-CoA dehydrogenase (GCDH) gene was detected in the proband with glutaric aciduria typeⅠby Ion Torrent semi-conductor sequencing for the screening of the pathogenic mutations. Both parents were verified by Sanger sequencing. Amniotic fluid fetal cells were extracted by amniocentesis at 18 weeks of gestation to detect GCDH gene. Results The 4-year-old boy had pathogenic variations in the GCDH gene (NM_000159), including heterozygous mutations from the father c.395G>A (p.R132Q) and from the mother c.769C>T (p.R257W). The gene detection of amniotic fluid samples of the mother showed no mutation in c.395 and c.769 of GCDH gene, and there was no abnormality in the results of blood tandem mass spectrometry and growth in the neonate. Conclusions The pathogenic mutation site of GCDH gene in a family of glutaric aciduria typeⅠwas successfully identified and prenatal molecular genetic diagnosis was provided to the mother of the child.

Key words: Ion torrent sequencing; glutaric aciduria typeⅠ; prenatal diagnosis