vWD家系基因连锁分析的临床应用研究与vWF胶原结合分析试验的建立及其临床应用
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摘要
目的
     研究中国人vWF基因内含子40中2个四核苷酸STR位点的扩增长度片段多态性(amp-FLP),并进行血管性血友病(vWD)家系分析。
     方法
     聚合酶链反应(PCR)扩增A、B两个位点片段,用聚丙烯酰胺凝胶电泳(PAGE)和高敏感度银染方法分析A、B两位点的amp-FLP,对一个vWD家系成员DNA标本进行检测。
     结果
     该家系中A、B位点均有5种多态性,单倍型A3/B1与致病基因连锁,结合临床症状,为遗传咨询提供了线索。
     结论
     PCR联合PAGE检测STR位点方便、快速,适用于临床应用进行遗传性疾病的家系分析和遗传咨询;nt1890-1990和nt2215-2380
    
    四川大学硕士学位论文
    是适用于vWD家系连锁分析和遗传咨询较好的vWF基因内遗传
    标记。
OBJECTIVE
    To set up a convenient method for analysis of the amplified fragment
    length polymorphism of short tandem within intron 40 of von
    Willebrand factor gene .
    METHODS
    Followed polymerase chain reaction followed by polyacrylamide gel
    electrophoresis and silver stain were used to analyze the amplified
    fragment length polymorphism of two locus (A and B).
    RESULTS
    Five types of amp-FLP were identified on loci A and B. Haplotypes
    A3/B1 was found to link with defective vWF gene in this family.
    CONCLUSION
    
    
    
    
    Combining PCR and PAGE is a fast and practical method to carry out
    family analysis of inherited disease; nt1980-1990 and nt2215-2380 of
    vWF gene are two ideal genetic labels in linkage study and hereditary
    consultation of vWD family.
引文
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    4. Emmanuel JF. von Willebrand factor collagen-binding (activity) assay in the diagnosis of von Willebrand disease: a 15-year journey. Seminars in Thrombosis and Hemostasis. 2002,28(2);191-202.
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    6. Ploos HK, Amstel V, Reitsma PH. Tetranucleotide repeat polymorphism in the vWF gene. Nucle Acide Res. 1990,18:4957.
    7. Mercier B, Gaucher C,Mazurier C. Characterization of 98 alleles
    
    in 105 unrelated individuals in the F8 vWF gene. Nucleic Acids Res, 1991;19:4800.
    8.王迎春,李震宇,王泳等 中国汉族人vWF基因内可变数目串联重复序列的研究 中国实验血液学杂志 1998;6(4)293-295
    9.杜珍珍,于立志,王鸿利等 多重聚合酶链反应检测vWF基因内微卫星DNA与vWD患者家系分析 中华血液学杂志 1998,19(3)118-121
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    11. Adriana IW, Susana SM, Aligia NB, et al. Clinical features and laboratory patterns in a cohort of consecutive Argentinian patients with yon Willebrand's disease. Journal of hematology, 2001,86(4); 420-427.
    12. Gaucher, C.G, Mercier, B, Mazurier, C. von Willebrand factor disease family study: comparison of three methods of analysis of the von Willebrand factor gene polymorphism related to a variable number tandem repeat sequence in intron 40. Br. J. Haematol. 1992,82, 73—80.