遗传 ›› 2014, Vol. 36 ›› Issue (11): 1145-1151.

• 综述 • 上一篇    下一篇

重复引物PCR技术在超大片段动态突变疾病基因检测中的应用进展

陈晟1,吴志英2   

  1. 1. 福建医科大学附属第一医院神经内科
    2. 上海:华山医院神经内科,复旦大学神经病学研究所
  • 收稿日期:2014-07-25 修回日期:2014-10-14 出版日期:2014-11-20 发布日期:2014-10-28
  • 通讯作者: 吴志英 E-mail:zhiyingwu@fudan.edu.cn

Advances in repeat-primed PCR assay for the genetic diagnosis of dynamic mutation diseases with large pathogenic expansions

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  • Received:2014-07-25 Revised:2014-10-14 Online:2014-11-20 Published:2014-10-28

摘要:

动态突变疾病是指基因编码区或非编码区发生核苷酸重复序列异常扩增所导致的一类遗传性疾病。发生于非翻译区的动态突变常常伴有超大片段重复序列,应用普通PCR法无法对该片段进行扩增,而传统的Southern blot等技术费时费力,无法应用于临床基因诊断。在此背景下,重复引物PCR技术应运而生。本文将分别阐述重复引物PCR技术在强直性肌营养不良症、Friedreich共济失调、脊髓小脑性共济失调10型及C9orf72基因突变引起的额颞叶痴呆或肌萎缩侧索硬化等疾病基因检测中的应用进展。

关键词: 重复引物PCR技术, 超大片段重复序列, 基因诊断, 动态突变疾病

Abstract:

Dynamic mutation diseases are genetic diseases caused by unstable repeat expansions in coding region or noncoding region. The unstable repeat expansions located in the noncoding region usually perform as large expansions which the standard PCR assay is difficult to amplify. Traditional detection methods, including Southern blot, are supposed to be time-consuming and labor-wasting. A new method called fluorescent repeat-primed PCR assay was brought into genetic diagnosis. Here, we reviewed the advances in repeat-primed PCR assay for the genetic diagnoses of myotonic dystrophy, Friedreich's ataxia, SCA10, and amyotrophic lateral sclerosis or frontotemporal dementia caused by C9orf72 mutations.

Key words: repeat-primed PCR assay, large pathogenic expansions, genetic diagnosis, dynamic mutation disease