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  • 王敏,王娟,徐鼎,等.目标区域测序诊断CRB1突变导致的视网膜变性[J].同济大学学报(医学版),2015,36(6):13-18.    [点击复制]
  • WANG Min,WANG Juan,XU Ding,et al.Genetic diagnosis of CRB1 mutations in retinal degenerative diseases by target exon sequencing[J].同济大学学报(医学版),2015,36(6):13-18.   [点击复制]
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目标区域测序诊断CRB1突变导致的视网膜变性
王敏,王娟,徐鼎,吕立夏,王方,徐国彤
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(同济大学医学院眼科研究所临床视觉科学实验室,上海 200092;同济大学附属第十人民医院眼科,上海 200072;同济大学医学院眼科研究所临床视觉科学实验室,上海 200092;同济大学医学院再生医学系生物化学与分子生物学教研室,上海 200092)
摘要:
目的 研究一例疑是视网膜变性的患儿,进行基因检测并作出明确的基因诊断。方法 常规检查患儿和家属的眼睛,特别是视网膜的情况。收集患者及家庭成员的外周静脉血液,提取基因组DNA。通过目标区域外显子组序列捕获联合新一代测序(简称目标区域测序),利用生物信息学分析筛选出一系列可能的突变,再通过Sanger测序和共分离研究进行验证,从而确定先证者的致病突变。最后,通过PCR和Sanger测序检测突变基因。结果 患儿视力障碍严重,眼底检查所见符合视网膜变性。其他人眼睛正常。基因诊断结果表明,先证者携带CRB1基因的复合杂合性致病突变(c.3521G>C和c.1141_1142 insTGGCT)。这两个突变分别来源于父亲(c.3521G>C, p.C1174S)和母亲(c.1141_1142insTGGCT),为隐性遗传。患儿的弟弟(新生儿)只有一个c.1141_1142 insTGGCT突变,表明他不会发病。建议新生儿长大后在生育前要进行遗传检查和咨询。结论 目标区域测序的基因诊断方法是检测视网膜变性疾病突变基因的强大工具,有利于对患者做出早期、明确、分子水平的诊断,在特定疾病的理解、预防和预后判定方面能发挥重要作用。同时为其尚无法做临床检查和诊断的新生儿弟弟进行了基因诊断,通过预测,排除了发病的可能。
关键词:  基因诊断  目标区域测序  CRB1基因  视网膜变性
DOI:10.16118/j.1008-0392.2015.06.003
投稿时间:2015-06-05
基金项目:国家自然科学基金(81100674);上海市卫生局项目(2010Y145,20134222);中山眼科中心眼科学国家重点实验室开放课题(2013KF05)
Genetic diagnosis of CRB1 mutations in retinal degenerative diseases by target exon sequencing
WANG Min,WANG Juan,XU Ding,LV Li-xia,WANG Fang,XU Guo-tong
(Laboratory of Clinical Vision Science, Tongji Eye Institute, Tongji University, Shanghai 200092, China;Dept.of Ophthalmology, Tenth People's Hospital, Tongji University, Shanghai 200072, China;Laboratory of Clinical Vision Science, Tongji Eye Institute, Tongji University, Shanghai 200092, China;Teaching and Research Section of Biochemistry andMolecular Biology, Regenerative Medicine, Medical College, Tongji University, Shanghai 200092, China;Laboratory of Clinical Vision Science, Tongji Eye Institute, Tongji University, Shanghai 200092, China;Dept.of Ophthalmology, Tenth People's Hospital, Tongji University, Shanghai 200072, China;Teaching and Research Section of Biochemistry andMolecular Biology, Regenerative Medicine, Medical College, Tongji University, Shanghai 200092, China)
Abstract:
Objective To investigate genetic diagnosis of CRB1 mutations in retinal degeneration by target exon sequencing. Methods A 3-year child with suspected Leber's congenital amaurosis(LCA) and 3 family members were included in the study. Peripheral vein blood was collected and genome DNA was extracted; the target exon capture and next generation sequencing(Candidate Exon Sequencing) was performed. Sanger sequencing validation and family cosegregation study were used to identify the causative mutation based on bioinformatic analysis. ResultsCompound heterozygote mutations of CRB1 gene, c.3521G>C and c.1141_1142 insTGGCT, were identified in the proband. The gene mutations(c.3521G>C, p.C1174S) and(c.1141_1142insTGGCT) were detected from the father and mother of the proband, respectively; while only one mutation(c.1141_1142 insTGGCT) was detected in proband's younger brother. Conclusion Target exon sequencing can be used to screen known causative gene for retinal degenerative diseases.
Key words:  genetic diagnosis  target exome capture  CRB1  retinal degeneration

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