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强直性脊柱炎一家系全外显子组测序分析
Hits: 2383   Download times: 819   Received:August 21, 2019    
作者Author单位UnitE-Mail
任伟凡 REN Wei-fan 杭州市萧山区中医院, 浙江 杭州 311201 Xiaoshan District Hospital of Traditional Chinese Medicine in Hangzhou City, Hangzhou 311201, Zhejiang, China  
胡劲涛 HU Jing-tao 浙江中医药大学, 浙江 杭州 310053  
高炀 GAO Yang 浙江中医药大学, 浙江 杭州 310053  
杜伟斌 DU Wei-bin 杭州市萧山区中医院, 浙江 杭州 311201 Xiaoshan District Hospital of Traditional Chinese Medicine in Hangzhou City, Hangzhou 311201, Zhejiang, China  
章何陋 ZHANG He-lou 浙江中医药大学, 浙江 杭州 310053  
吴奕江 WU Yi-jiang 浙江中医药大学, 浙江 杭州 310053  
吴风晴 WU Feng-qing 浙江中医药大学, 浙江 杭州 310053  
柴乐 CHAI Le 浙江中医药大学, 浙江 杭州 310053  
全仁夫 QUAN Ren-fu 杭州市萧山区中医院, 浙江 杭州 311201 Xiaoshan District Hospital of Traditional Chinese Medicine in Hangzhou City, Hangzhou 311201, Zhejiang, China quanrenfu@126.com 
期刊信息:《中国骨伤》2020年33卷,第7期,第672-676页
DOI:10.12200/j.issn.1003-0034.2020.07.017
基金项目:浙江省科技计划项目(编号:2014C03031)


目的: 对一强直性脊柱炎(ankylosing spondylitis,AS)家系进行全外显子测序,筛选该家系的易感基因,为其发病机制提供理论依据。

方法: 收集1组AS家系成员的临床资料,其中男性患者2例,年龄分别为48岁和18岁,病程分别为23年和4年。提取相关家系成员外周血DNA进行全外显子测序,测序结果与人类数据库比对,过滤掉同义突变及高频突变,整合家系成员单核苷酸非同义突变,寻找致病基因。

结果: 家系成员共得原始数据80 G,数据具有较高质量值,通过对家系患者与正常人测序结果比对分析,同时经过多个生物数据库数据过滤,发现JAK2基因12号外显子上存在的杂合突变c.1709A>G(p.Tyr570Cys)为该家系的可能致病基因突变。另外,该家系MUC3A基因c.1151T>C突变可能是该家系患病成员肠道症状的原因之一。

结论: 运用全基因组外显子测序寻找AS易感基因是可行的,JAK2基因c.1709A>G突变可能是导致该家系AS的致病突变及位点。
[关键词]:脊柱炎,强制性  全外显子组测序  病史采集
 
Whole-exome sequencing in a pedigree with ankylosing spondylitis
Abstract:

Objective: To choose the disease-causing gene in a Chinese pedigree with ankylosing spondylitis (AS) by whole-exome sequencing(WES),and provide theory basis for mechanism of disease.

Methods: Clinical data of AS pedigree were collected,including 2 males,the age were 48 and 18 years old,the course of disease were 23 and 4 years. Whole blood genomic DNA of AS was extracted to perform whole-exome sequencing,the results were compared with human databases,common variations which had been reported were wiped out,then non-synonymous single nucleotide variants(SNVs) from the family members were combined,and candidate genes was selected initially.

Results: Totally 80 G data was obtained from AS family with high quality. By comparing results between patient and normal subject,and filtering with number of biological database,the result showed heterozygous mutation of JAK2 gene 12 exon c.1709 A>G (p.Tyr570Cys) may be the potential disease-causing gene. The variant c.1151T>C of MUC3A gene may be one of the causes of intestinal symptoms in the family members.

Conclusion: It is feasible to find t candidate gene mutations of AS by Exon sequencing. The mutation c.1709 A>G in gene JAK2 identified by whole-exome sequencing might be the pathogenic mutation in this AS pedigree.
KEYWORDS:Spondylitis,ankylosing  Whole exome sequencing  Medical history taking
 
引用本文,请按以下格式著录参考文献:
中文格式:任伟凡,胡劲涛,高炀,杜伟斌,章何陋,吴奕江,吴风晴,柴乐,全仁夫.强直性脊柱炎一家系全外显子组测序分析[J].中国骨伤,2020,33(7):672~676
英文格式:REN Wei-fan,HU Jing-tao,GAO Yang,DU Wei-bin,ZHANG He-lou,WU Yi-jiang,WU Feng-qing,CHAI Le,QUAN Ren-fu.Whole-exome sequencing in a pedigree with ankylosing spondylitis[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(7):672~676
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