钠通道基因SCN5A突变与扩张型心肌病

心脏钠通道基因SCN5A突变可以导致多种心律失常,近年研究发现该基因突变与扩张型心肌病也有关,但致病机制不甚清楚。本文通过比较与扩张型心肌病有关的多个已发现SCN5A突变的电生理特点,提出该基因突变可能通过改变细胞内钠浓度来影响细胞内钙稳态而导致扩张型心肌病;新近发现的A1180V突变携带者表现出的异常心电图,很可能为某些扩张型心肌病患者进行早期诊断,提供一种有效而简便的方法。     

基因相关研究与诺贝尔奖

基因是能够表达和产生基因产物（蛋白质或RNA）的DNA序列。到2003年为止,因为研究基因而获得诺贝尔奖的共有51人,其中获生理学或医学奖44人（占生理学或医学总获奖人数178的24.72%）、化学奖7人（占化学总获奖人数123的5.69 %）。文章从6个方面对此作了评述：果蝇是基因研究的良好材料;DNA双螺旋模型的提出为基因研究提供了坚实基础;基因调控研究阐明了基因的许多功能;遗传学中心法则造就了11位获奖者;基因工程技术使人们有可能改造和利用基因;基因特性的深入研究使人们更加容易理解许多生命现象。Abstract: Gene is a DNA sequence which can be expressed and produces gene products (protein or RNA). By 2003, there are 51 Nobel Prize owners related to gene studies. Among them, 44 persons are in physiology or medicine (account for 24.72% of total 178), 7 persons are in chemistry (account for 5.69% of total 123). The paper reviews them in following 6 aspects: Drosophlie melanogaster is a good material for gene study; the double helix model of DNA structure provides a hard foundation in gene study; the studies on gene regulation illuminate many functions of gene; genetic central dogma researches created 11 Noble Prize laureates; gene engineering technologies make possible to modify and use genes; and the thorough studies of gene characteristic made us easier to understand many life phenomena.     

人类单纯性先天性心脏病中TBX5基因的突变及表达研究

本文首次较为完整地报道了藏汉通婚子代群体的14项肤纹参数（其中藏父汉思及汉父藏母各100 例）,并将这些肤纹参数分别与其藏汉父母样本的有关肤纹参数进行比较,再与1000例藏族及1040例 汉族两个大样本的有关肤纹参数进行比较。结果表明：藏汉后代的肤纹特征介于藏族和汉族之间,提示 肤纹参数的多因子遗传本质。     

人胰岛素基因在体内外表达的研究

利用定点突变人胰岛素基因,以脂质体载体和质粒不同比例形成的复合物进行体内外转染。体外转染鼠肝细胞,G418进行筛选,利用放免法测定培养液中胰岛素含量;体内通过肝门脉注射,测定模型鼠血糖及转染后7天时血液中胰岛素的含量,结果显示目的基因已转入肝细胞,且体内外转染都有一定量的成熟胰岛素表达,体外转染中质粒与脂质体比为1∶6转染后24h表达量最高为10.45μIU/ml,体内转染使模型鼠的糖尿病症状明显改善,血糖最高降幅达55%。 Abstract:The transfection of mutated human insulin gene was studied using the complex of different proportion of plasmid and Liposome.Hepatic cell was used as the target cell in vitro,isolation of Hepatic cell including insulin gene was carried out by G418,the expression level of insulin in medium was measured by RIA method.The portal vein was cannulated with therapeutic gene in vivo,the blood glucose of the model was regularly examined and the insulin level was detected on the seventh day after transfection.The results showed that the target gene was transferred into the hepatic cell,expression of mature insulin was detected both in vivo and in vitro,It reached the peak 10.45μIU/ml on the 24th hour after transfection with the proportion 1:6 of.plasmid and Liposome in hepatic cell.Diabetic sympotom of the model was improved after transgene,the blood glucose could decrease 55% at the most.     

扩张型心肌病动物模型的研究进展

扩张型心肌病严重危害人类健康,为了广泛深入地研究和治疗DCM,迫切需要该病的动物模型。本文按DCM的病因：家族性/遗传性,病毒性/免疫性,酒精性/中毒性及其他病因,对近年来应用较为成熟的DCM模型作一综述,分析各自的优缺点。     

“基因”一词的由来

1909年,约翰森创造“基因”(gene)一词作为遗传单位的名称。该词是由德?弗里斯创造的“泛生子”(pangene)一词缩短而成的,而“泛生子”一词则衍生于达尔文提出的“泛生论”(theory of pangenesis)。约翰森的这一创造堪称“推陈出新”的典范。 Abstract: In1909,Johannsen coined the word “gene”, shortened from the pangene of de Vries and ultimately derived from Darwin’s word pangenesis,to denote the unit of heredity.It was an outstanding example of“weeding through the old to bring forth the new ”.     

中国人α珠蛋白基因-α3.7缺失亚型的研究

-α3.7是中国人常见的缺失型α-地中海贫血-2。根据重组位点的不同,-α3.7可分为-α3.7Ⅰ型、-α3.7Ⅱ型和-α3.7Ⅲ型,并且亚型的种类和频率具有种族差异性。本研究在中国人群中用PCR基因分析方法检出具有α珠蛋白基因-α3.7缺失的患者56例,然后用ApalⅠ和BalⅠ限制性内切酶进行分型。 结果表明,在这56例具有-α3.7缺失的患者中,有54例是-α3.7Ⅰ型,有2例是-α3.7Ⅱ型,尚未发现-α3.7Ⅲ型。此结果丰富了我国α地贫基因型谱的资料。 Abstract:-α3.7 is a common deletional α-thalassemia-2 in China.According to different recombination sites,-α3.7 can be divided into -α3.7Ⅰ、-α3.7Ⅱand -α3.7Ⅲ.The frequency and population distribution of these -α3.7 are quite different.In this study,we detected 56 patients among Chinese population of -α3.7 defect in alpha globin gene by PCR method,then the PCR product was digested by the restriction enzyme ApalⅠand BalⅠ.The sub-typing result shows that in the 56 cases of -α3.7 defect,54 out of 56 is -α3.7Ⅰ,2 out of 56 is -α3.7Ⅱ and none of -α3.7Ⅲ is detected.This result enriches the data about the alpha thalassemia genotypes of Chinese people.     

人细胞生长相关5个新基因的染色体定位及其基因结构

基因的染色体定位对我们研究基因相互关系、基因的组织与进化及理解基因与疾病关系具有重要的意义。本文采用RH-PCR方法及生物信息学方法对PP3898、PP1158、PP753、SP260、HC56等5条人细胞生长相关新基因进行染色体定位,并分析了其基因结构。PP3898及PP1158定位于19p13.3,PP753及SP260定位于1q21.1,HC56定位于17p13.3。PP3898含有19个外显子和18个内含子,可读框为2565bp;PP1158含有7个外显子和6个内含子,可读框为1218bp;SP260含有10个外显子和9个内含子,可读框为690bp;HC56为单外显子,可读框为3141bp。另外,对染色体定位获得的信息进行了分析。 Abstract:Five novel human genes related to cell growth control were newly isolated and identified by high-throughput functional screening.In this paper,the chromosomal localization of these five genes is reported.Radiation hybrid mapping and in silico mapping,and their genomic organization were analyzed respectively.PP3898 and PP1158 were assigned to chromosome 19p13.3,SP260 and PP753 to chromosome 1q21.1,and HC56 to chromosome 17p13.3.PP3898 contains nineteen exons and eighteen introns,PP1158 seven exons and six introns,SP260 ten exons and nine introns,and HC56 only one exon.The implications of chromosomal localization are discussed.     

胃癌中APC基因I1307K突变及蛋白质表达

为探讨肿瘤抑制基因APC结构及表达异常与胃癌发生、发展的关系,采用ARMS PCR检测胃癌中APC基因I1307K突变存在与否,免疫组织化学方法分析胃癌中APC蛋白表达水平。结果表明,在 62例胃癌高发区易感人群血液标本及45例胃癌中未检测到I1307K突变;胃癌（早期、进展期）中APC蛋白表达阳性率显著低于正常黏膜,进展期胃癌中APC蛋白表达阳性率显著低于早期胃癌,淋巴结转移阳性的胃癌中APC蛋白表达阳性率显著低于淋巴结转移阴性者。因此认为I1307K突变可能与国人胃癌发生无明显相关;APC蛋白低表达与胃癌发生、进展及淋巴结转移密切相关。 Abstract:In order to explore the correlation of the abnormalities of tumor suppressor gene APC with the carcinogenesis and progression of gastric cancer.The I1307K mutation of APC gene in gastric cancer was analysed using Amplification Refractory Mutation System PCR(ARMS ,PCR),also the expression of APC protein in gastric cancer of different stages was detected by immunohistochemical method.We found that there wasn't I1307K mutation of APC gene in 62 cases of blood samples of susceptible population in high incidence areas of gastric cancer and 45 cases of gastric cancer tissues.The positive rates of APC protein in gastric cancer (both early and progressive gastric cancer) were significantly lower than that in normal mucosa,the positive rates of APC protein in progressive gastric cancer were significantly lower than that in early gastric cancer,the positive rates of APC protein in gastric cancer with lymph node metastasis were significantly lower than that in gastric cancer without lymph node metastasis.So it was thought that there might be no correlation between the I1307K mutation of APC gene and carcinogenesis of gastric cancer in China,but the decreased expression of APC protein was closely related to the carcinogenesis,progression and lymph node metastasisof gastric cancer.     

P16基因与散发性食管癌的研究

本文对47例散发性食管癌中P16基因的第二外显子,先用外侧引物扩增进行缺失筛查,再用三对内侧引物扩增经首次外侧引物扩增所得的PCR的产物,进行套式PCR结合SSCP及PCR直接银染测序技术检测突变。结果检出食管癌中有2例缺失,5例突变。在检测出的食管癌的突变中,我们发现所有的突变均为125位密码子的错义突变,为CGG→CTG的颠换,使p16蛋白该位的碱性的精氨酸变为酸性的亮氨酸。这一结果提示P16基因可能与食管癌的发生密切相关。本文参考P16基因的结构功能区对所测突变进行了讨论,提出了进一步研究的设想。 Abstract:To elucidate the involvement of abnormalities of exon2 of P16 gene located at chromosomal region 9p21 in the development of upper disgective tract cancer,we analysed DNA from 47 patients with sporadic esophageal tumors using PCR,nested-PCR,SSCP,PCR-direct DNA sequencing.We detected allelic deletions in 2 samples(4.2％),missense mutations in 5 samples(10.6％).Furthermore these mutations were the CGG→CTG transversion at the same site of the codon 125,leading to the change from Arg→Leu,once transcribed.     

一组有或无基因突变的特发性扩张型心肌病患者临床发病及预后的分析

目的:分析携带基因突变和未携带基因突变的特发性扩张型心肌病(IDCM)患者的临床发病及预后的差异性。方法:收集2011年01月-2014年09月于南京鼓楼医院就诊的IDCM患者115例,经靶向二代测序鉴定后分为基因突变组和未突变组,出院后对两组患者进行定期随访,将两组患者的临床资料及随访结果进行统计学分析。结果:两组患者的一般临床特征(如性别比例、首发症状年龄、血压、糖尿病比例等)无显著差异(P0.05);辅助检查特征(如左室射血分数、左室舒张末内径、室壁厚度、QRS-T夹角和血肌酐水平等)无显著差异(P0.05);治疗情况(如药物和器械治疗)无差异(P0.05);随访资料(如再入院和生存分析)亦无统计学差异(P0.05,Log rank P=0.12);将性别比例、是否吸烟、是否合并糖尿病、是否植入器械、是否发生突变等临床参数进行Cox回归分析,发现上述参数未影响患者的临床预后(P0.05)。结论:本组资料显示携带基因突变的IDCM患者临床发病及预后较未携带突变者无显著差异。     

应用CRISPR/Cas13b编辑技术治疗TNNT2R141W转基因小鼠的扩张型心肌病

本研究旨在应用CRISPR/Cas13b系统对TNNT2R141W转基因扩张型心肌病（dilated cardiomyopathy,DCM）小鼠（DCM小鼠）进行探索性治疗,尝试发现治疗扩张型心肌病的一种新方式,为CRISPR/Cas13b系统在体内应用提供实验基础。随机设计11种Cas13b-TNNT2 gRNA并成功构建表达质粒,把它和人源TNNT2过表达质粒共同转染到293T细胞中,通过实时定量PCR（quantitative real-time PCR,Q-PCR）检测人源TNNT2 mRNA的表达水平。结果显示,gRNA 2引导Cas13b敲低目标基因的效率最高,达到80%（P<0.0001）。把gRNA2表达质粒包装到慢病毒载体中转导出生后1天的DCM小鼠原代心肌细胞,Q-PCR检测结果表明CRISPR/Cas13b系统对人源TNNT2 mRNA的敲低效率达到55%（P<0.01）。把PspCas13b和gRNA2的表达载体分别包装到AAV9病毒载体中,然后将200 μL 约1×1012 AAV9病毒颗粒通过尾静脉注射到4月龄DCM小鼠体内,待注射小鼠发育至5月龄时,Q-PCR检测结果显示,AAV9+DCM组TNNT2R141W表达水平较未注射组对照明显下降至40%（P<0.01）。对5月龄野生型（WT）、DCM（未注射病毒组）和AAV9+DCM（基因组编辑工具注射组）三组小鼠的心脏形态、心功能、心肌纤维化和心力衰竭等表型的观察结合显示：DCM小鼠的心脏形态异常,而AAV9+DCM小鼠心脏形态趋于正常;对三组小鼠的心脏进行超声心动图并对心功能指标进行统计发现,DCM组较WT组小鼠的左心室射血分数（left ventricular percent ejection fraction,LV EF%）、左心室短轴缩短率（left ventricular percent fractional shortening,LV FS%）分别下降了50.4%（P<0.0001）,55.1%（P<0.0001）,而AAV9+DCM组较DCM组小鼠的LV EF%、LV FS%分别上升了66.5%（P<0.01）,77.0%（P<0.01）;通过Q-PCR和天狼星红染色检测三组小鼠的心脏纤维化程度,结果显示DCM组较WT组小鼠的Col3a1和Postn两种纤维化基因,分别高表达5.2倍（P<0.001）、4.5倍（P<0.01）,而AAV9+DCM组较DCM组小鼠两种基因表达分别下降了2.0倍（P<0.05）、1.4倍（NS）,天狼星红染色结果显示纤维化区域明显下降;通过Q-PCR和蛋白质免疫印迹分别检测三组小鼠的心脏心力衰竭基因Nppb mRNA和Nppa蛋白质的表达水平,结果表明DCM组较WT组小鼠Nppb mRNA表达上升14.2倍（P<0.01）,而AAV9+DCM组较DCM组小鼠Nppb mRNA表达明显下降下降2.8倍（P<0.05）,Nppa蛋白质表达趋势与Nppb相同。把gRNA 5和含有R141W突变（gRNA 5T）和正常的TNNT2 mRNA（gRNA 5V）序列分别组合转染到293T细胞中,通过Q-PCR检测两种序列mRNA的表达水平。结果显示,gRNA 5T序列表达效率为30%（P<0.0001）,而并未检测到gRNA 5V mRNA的敲低。本研究通过设计靶向TNNT2R141W mRNA的gRNA,特异性敲低TNNT2R141W转基因小鼠体内突变的mRNA,有效改善了转基因小鼠的心功能,为临床进一步探索扩张型心肌病的治疗奠定了实验室基础。     

家族性扩张型心肌病的分子遗传研究进展

扩张型心肌病是一种以左心室和,或右心室扩大、心肌收缩功能受损为主要特征的心肌疾病,是除冠心病和高血压以外导致心力衰竭的主要病因之一。家族性扩张型心肌病约占扩张型心肌病的35％。目前为止,发现的和扩张型心肌病相关的基因突变主要是心肌蛋白基因突变和细胞骨架蛋白基因突变,此外还有线粒体DNA的突变和能量代谢相关的基因突变。本文对引起家族性扩张型心肌病的分子遗传进展进行了总结。     

Dyssynchronous Ventricular Activation in Asymptomatic Wolff-Parkinson-White Syndrome: A Risk Factor for Development of Dilated Cardiomyopathy

A subset of children and adults with Wolff-Parkinson-White (WPW) syndrome develop dilated cardiomyopathy (DCM). Although DCM may occur in symptomatic WPW patients with sustained tachyarrhythmias, emerging evidence suggests that significant left ventricular dysfunction may arise in WPW in the absence of incessant tachyarrhythmias. An invariable electrophysiological feature in this non-tachyarrhythmia type of DCM is the presence of a right-sided septal or paraseptal accessory pathway. It is thought that premature ventricular activation over these accessory pathways induces septal wall motion abnormalities and ventricular dyssynchrony. LV dyssynchrony induces cellular and structural ventricular remodelling, which may have detrimental effects on cardiac performance. This review summarizes recent evidence for development of DCM in asymptomatic patients with WPW, discusses its pathogenesis, clinical presentation, management and treatment. The prognosis of accessory pathway-induced DCM is excellent. LV dysfunction reverses following catheter ablation of the accessory pathway, suggesting an association between DCM and ventricular preexcitation. Accessory pathway-induced DCM should be suspected in all patients presenting with heart failure and overt ventricular preexcitation, in whom no cause for their DCM can be found.     

Dilated cardiomyopathy in a spider monkey (Ateles paniscus)

Background A spider monkey with severe dyspnea was referred to our clinic. Methods and Results Radiographs revealed an enlarged cardiac silhouette. Ventricular tachycardia and ST segment depression were also diagnosed after an ECG. These findings coupled with the postmortem examination confirmed dilatative cardiomyopathy. Conclusions This case is worthy of presentation since dilatative cardiomyopathy has been rarely encountered in spider monkeys.     

利用套叠PCR技术进行基因突变和拼接

利用套叠PCR技术（又称重叠区扩增基因拼接法）对hGM-CSF基因内第28位氨基酸处的糖基化位点进行突变和进行人促性腺激素基因,腺苷酸激酶短肽与胰岛素样生长因子－基因三者之间的拼接,结果表明采用该技术能在体外实行有效的基因重组和定点突变,其成功率为100％,这一技术不需要内切酶消化和连接酶处理,技术操作员简单易行,在基因拼接,基因内部突变方面具有良好的应用价值。     

脂蛋白脂酶基因的克隆、序列测定及定点突变

 以人的脂肪组织总RNA为模板 ,参考已报道的脂蛋白脂酶 (lipoproteinlipase ,LPL)cDNA设计引物 ,利用RT PCR方法扩增得到了LPLcDNA ,并经序列测定证实其序列是正确的 .在冠心病患者LPL基因第 5外显子的 830位碱基处发现了G→A的转换 ,该变异导致LPL基因第 192位的密码子CGA被CAA取代 ,使LPL第 192位精氨酸改变为谷氨酰胺 .在变异碱基附近设计合成两条引物 ,其中一条包含所要改变的碱基 ,利用基于PCR的定点突变技术和体外重组的方法获得了G830A变异的LPLcDNA     

基于Web of Science数据库扩张型心肌病研究的文献计量学分析

目的:对扩张型心肌病(Dilated Cardiomyopathy,DCM)的研究,目前仍是国际上对于原发性心肌病研究的热点问题。本文针对DCM相关领域的研究文献进行计量分析,从而进一步深入了解国际DCM研究进展,为该研究的相关领域提供参考。方法:基于(SCIE)引文数据库为检索对象,检索2003-2012年DCM的所有相关文献,分别对不同国家和地区、著者、机构、文献来源期刊及论文学科分布等进行统计分析。结果:共检索出DCM研究文献12728篇,研究论文发表共涉及了107个国家和地区,美国的发文数最多4500篇,占35.36%,其次为德国和日本。中国居第9位,504篇占总发文量的3.96%;主要刊登期刊涵盖了国际上心血管领域的15种知名期刊;研究热点涉及心血管系统及脏病学、分子生物学、基因遗传学等学科。结论:目前DCM研究仍是人们关注的一个热点,美国、德国、日本等发达国家在该领域的研究居领先水平,中国在这一领域也做出了贡献。与领先国家和机构相比,我国亟需进一步加强对DCM的研究。为我国进一步了解和深入研究DCM的方向提出参考。