由21三体综合征的核型引起的思考

不同的医学遗传学教材上对21三体综合征的概念及核型说法不一, 作者在查阅了大量教材的基础上, 对21三体综合征的概念及核型等问题进行了认真的思考, 并提出了自己的观点, 认为21三体综合征的核型应该为两种类型: 即三体型和嵌合型, 而先天愚型的核型应该为3种类型: 即三体型、嵌合型和易位型。     

唐氏综合征血清学指标简介

唐氏综合征(Down′s syndrome,DS)是一种最常见的常染色体遗传病之一,是先天性智力低下最常见的遗传类型。本文对近年来唐氏综合征产前筛查采用的血清学指标进行综述。     

唐氏综合征的产前筛查

问：我妻子的产前筛查报告结果是这样的：24周岁，临床诊断：8周3天，PAPPA：138mIU／L，MOM值：0．2：Freebeta．hCG：45．70ng／mL，MOM值：1．1；21三体风险：1／170（高风险）。请问这份报告单说明什么问题？应该采取什么措施？     

唐氏综合征的临床检测及其产前诊断方法

1　概述唐氏综合征 (Downs Syndrome,简称 DS) ,是由英国爵士 Down于 186 6年首先发现并描述本征 ,故得名。195 9年 L ejeune等证实本征是由于 G组增加 1条额外的 2 1号染色体所致 ,故又名 2 1-三体综合征 (2 1Trisomysyndrome) ,简称 2 1-三体 ;由于本征患者主要的临床症状是先天性多发性畸形 ,相似而特殊的面容 ,生长发育迟滞 ,智能低下 ,口常半开 ,流涎 ,舌常伸出口外 ,因此又称为伸舌样呆痴。患者精神发育迟滞或智力低下 (mne-tal retardation,MR)是本征最突出最严重的表现 ,本征患者智商通常在 2 5～ 5 0之间 ,有些患者甚至连生活…     

唐氏综合征的临床特征,遗传机理与防治措施

唐氏综合征的临床特征、遗传机理与防治措施凌庆枝（安徽省淮南矿业学院医学分院２３２００１）１概述唐氏综合征（Ｄｏｗｎ’ｓＳｙｎｄｒｏｍｅ）,又称先天愚型。伸舌样呆痴、２１－三体综合征,是一种常染色体畸变遗传病。此病最早由约翰·兰登·唐（ＪｏｈｎＬａｎｇ...     

唐氏综合征小鼠模型的遗传背景和应用

唐氏综合征(Down syndrome, DS)是最常见的常染色体异常疾病,由人类21号染色体(human chromosome 21, Hsa21)的重复引起。由于Hsa21的直系同源基因分散于小鼠16、17和10号染色体上,所以用小鼠模拟人类唐氏综合征并不容易。早期的Ts65Dn小鼠虽然具有DS表型特征,但其重复片段由电离辐射产生,未包含所有Hsa21直系同源基因。2004年,Cre/LoxP重组酶系统介导的染色体编辑技术在Ts1Rhr小鼠中的成功应用,解决了特定片段重复化的难题,使DS小鼠模型在基因重复和表型模拟方面实现了精准化。本文从同源基因重复和DS表型模拟两方面简要介绍了不同时期DS小鼠模型的优势和局限,为科研人员在DS研究中对不同小鼠模型的选用提供了参考。     

两种细胞来源的21-三体综合征诱导多能干细胞系的建立及比较

21-三体综合征是染色体异常导致的疾病,通过重编程21-三体综合征患儿两种组织来源的细胞成为多能干细胞,比较两种组织来源的细胞建立21-三体综合征诱导多能干细胞（T21-iPSCs）系的效率,为进一步研究21-三体综合征发病机制提供细胞模型,并为选择高效制备T21-iPSCs的组织类型提供理论依据。该实验利用慢病毒介导4种转录因子（Oct4、Sox2、Klf4、c-Myc）分别诱导人21-三体综合征的羊水细胞和胎儿皮肤成纤维细胞,建立诱导多能干细胞系（Trisomy 21 human amniotic fl uid induced pluripotent stem cells,T21 hAF-iPSCs;Trisomy 21 human dermal fi broblast induced pluripotent stem cells,T21 hDF-iPSCs）,T21 hAF-iPSCs及T21 hDF-iPSCs在蛋白和mRNA水平上均表达人胚胎干细胞的多能性分子标记,如Oct4、Nanog等,具有在体外及体内分化三个胚层的能力,其在培养过程中能维持异常核型并能维持自我更新状态。结果发现,利用羊水细胞建立T21-iPSCs效率高于皮肤成纤维细胞,羊水细胞可能是制备T21-iPSCs的理想细胞类型。     

三酶焦测序体系的建立及其在唐氏综合征快速诊断中的应用

为了避免四酶焦测序体系中由于三磷酸腺苷双磷酸酶(apyrase)造成的测序结果偏差, 文章建立了一种定量性能好的无三磷酸腺苷双磷酸酶的三酶焦测序体系。方法是将生物素修饰的DNA模板、荧光素酶和ATP硫酸化酶固定在磁性微球表面进行焦测序反应, 当加入一种dNTP进行焦测序反应完后, 采用磁性分离技术, 除去焦测序反应产生的ATP和剩余的dNTP, 然后加入另一种dNTP进行测序, 按同样的方法去除影响下一轮测序反应的成分, 实现循环测序。此体系能准确判读待测DNA的碱基序列, 且可定量测定单核苷酸序列多态性(SNP)中两种等位基因型的相对比值。文章成功检测了16例正常人和8例唐氏综合征患者样本中21号染色体上两个杂合率较高位点(rs1042917和 rs4818219)的等位基因型比值, 所得结果能够明确说明待测样本中来自于父方和母方的21号染色体数目是否相等。该法具有良好的定量性能, 适合于SNP等位基因型的定量分析, 可以用于唐氏综合征的快速检测。     

21三体综合征及其产前筛查的研究现状和发展方向

简要介绍了目前21三体综合征产前筛查所采取的孕母血清标记物结合B型超声波筛查的方法,比较了不同组合的检出率等指标,并指出产前筛查可能的发展方向。     

21- 三体综合征亲子鉴定一例暨文献复习

目的:对亲子鉴定中检出的三带型等位基因座进一步探讨其发生原因,与同行共享。方法:亲子鉴定中发现一个体两个等位基因座(D21S11和Penta D)检出三等位基因,进一步采集其静脉血进行血细胞培养作染色体分析。结果:该个体染色体核型为:47,XY,+21。结论:染色体为三体型的个体在基因检测时能检测到三等位基因。     

Cytogenetic and comorbidity profile of Down syndrome in Mansoura University Children's Hospital, Egypt

BACKGROUND:

Down syndrome (DS) is the most common chromosomal disorder. It has three chromosomal patterns.

AIM:

To determine the cytogenetic and comorbidity profiles of DS in the Genetic Unit of Mansoura University Children''s Hospital, Mansoura, Egypt.

MATERIALS AND METHODS:

A retrospective analysis was performed on the case records of 712 cytogenetically diagnosed cases of DS at the Genetic Unit of Mansoura University Children''s Hospital, Egypt, during a 10-year period.

RESULTS:

About 19% of the cases had one or more cardiac anomalies and about 8% were hypothyroid. Nondisjunction was the most common type of abnormality, followed by translocation and lastly mosaic: 96.1, 3.1, and 0.8%, respectively. Hypothyroidism was significantly more common in translocation and mosaic karyotypes than in the nondisjunction karyotypes. First and second birth orders were significantly higher in the translocation and mosaic groups than in the nondisjunction group. Mothers are significantly older at the index pregnancy in the nondisjunction group than in the other two groups. We compared our findings with those of previous studies.

CONCLUSION:

Knowing karyotype of DS will help in genetic counseling of the parents. Wide-scale national community-based survey with DS registry could help in estimating the size of the problem.     

Cytogenetic and molecular studies of Down syndrome individuals with leukemia.

There is an increased risk of leukemia in Down syndrome (DS) patients, with estimates ranging from 14 to 30 times the incidence rate observed for chromosomally normal children. Furthermore, one type of leukemia, called "transient leukemia" (TL), occurs almost exclusively in DS infants. The basis of the association between DS and leukemia is unknown, but we and others have hypothesized that it may be influenced by the mechanism of origin of the extra chromosome. Therefore, we initiated a cytogenetic and molecular study of nondisjunction in leukemia DS individuals. To date, we have obtained blood and/or tissue samples from 55 individuals consisting of 17 cases with TL, 7 cases of acute nonlymphocytic leukemia subtype M7 (ANLL-M7, or acute megakaryoblastic leukemia, postulated to be related to TL), and 31 cases of other forms of leukemia. Analysis of these cases suggests differences between DS children with TL and those with other types of leukemia or DS individuals with no history of leukemia. Specifically, the TL and ANLL-M7 cases have a highly significant increase in the frequency of "atypical" constitutional karyotypes (i.e., mosaic trisomies, rings, and/or isochromosomes) and are almost always male. Additionally, genetic mapping studies suggest an increase in the frequency of disomic homozygosity, especially in proximal 21q, in DS individuals with TL and ANLL-M7.     

Cytogenetic study of 20 cases of refractory anemia

The myelodysplastic syndromes are a group of hematological disorders not yet clearly defined. The authors describe the chromosomal aspects of 20 cases observed in the region of Clermont-Ferrand in comparison with the bibliographical data.     

南宁的外来入侵植物

根据野外调查及文献资料的整理,对南宁地区外来入侵植物的种类组成、危害现状、原产地、生活型和入侵生境等进行了分析。结果表明,南宁现有外来入侵植物72种,隶属于25科55属,其中菊科植物19种,禾本科9种,苋科和茄科各6种,分别占总种数的26.4%、12.5%和8.3%。就危害程度而言,已造成严重危害的种数达12种,中等危害有17种,轻度危害有43种。从原产地分析来看,源自美洲的入侵植物多达62种,占总种数的86.1%,其次为源自非洲(5种)、地中海(3种)和欧洲(2种)的植物。这些外来入侵植物中,草本植物种类最为丰富(57种,占种总数的79.2%),其次为灌木(10种,13.9%)和乔木(3种,4.2%)。此外,南宁外来入侵植物的种类组成与广州、澳门和厦门等地的共有种数相对较多,而与青岛、北京和沈阳等地的共有种数较少。同时对外来入侵植物的防控对策进行了简要分析。     

Antioxidants in Down syndrome

Individuals with Down syndrome (DS) have high levels of oxidative stress throughout the lifespan. Mouse models of DS share some structural and functional abnormalities that parallel findings seen in the human phenotype. Several of the mouse models show evidence of cellular oxidative stress and have provided a platform for antioxidant intervention. Genes that are overexpressed on chromosome 21 are associated with oxidative stress and neuronal apoptosis. The lack of balance in the metabolism of free radicals generated during processes related to oxidative stress may have a direct role in producing the neuropathology of DS including the tendency to Alzheimer disease (AD). Mitochondria are often a target for oxidative stress and are considered to be a trigger for the onset of the AD process in DS. Biomarkers for oxidative stress have been described in DS and in AD in the general population. However, intervention trials using standard antioxidant supplements or diets have failed to produce uniform therapeutic effect. This chapter will examine the biological role of oxidative stress in DS and its relationship to abnormalities in both development and aging within the disorder. This article is part of a Special Issue entitled: Antioxidants and Antioxidant Treatment in Disease.     

Antioxidants in Down syndrome

Individuals with Down syndrome (DS) have high levels of oxidative stress throughout the lifespan. Mouse models of DS share some structural and functional abnormalities that parallel findings seen in the human phenotype. Several of the mouse models show evidence of cellular oxidative stress and have provided a platform for antioxidant intervention. Genes that are overexpressed on chromosome 21 are associated with oxidative stress and neuronal apoptosis. The lack of balance in the metabolism of free radicals generated during processes related to oxidative stress may have a direct role in producing the neuropathology of DS including the tendency to Alzheimer disease (AD). Mitochondria are often a target for oxidative stress and are considered to be a trigger for the onset of the AD process in DS. Biomarkers for oxidative stress have been described in DS and in AD in the general population. However, intervention trials using standard antioxidant supplements or diets have failed to produce uniform therapeutic effect. This chapter will examine the biological role of oxidative stress in DS and its relationship to abnormalities in both development and aging within the disorder. This article is part of a Special Issue entitled: Antioxidants and Antioxidant Treatment in Disease.