46,XY女性性反转患者SRY基因启动子区一个新的点突变及其功能分析

通过ＤＮＡ序列测定在一名４６,ＸＹ女性反转患ＳＲＹ基因启动子区发现了一个新的突变：ｎｔ－８１Ｇ－Ａ。该突变不见于正常男性,因此不是ＤＮＡ多态性。为了检测这一点突变对ＳＲＹ基因表达功能的影响,构建了分别由正常或突变的人ＳＲＹ基因启动子区片段调控氯霉素乙酰转移酶报告基因表达的两个质粒,寡核苷酸探针杂交证实该启动子片段正常或携带有Ｇ－Ａ突变。     

46,XY女性性反转患者SRY基因的两个新突变类型

Y染色体上的性别决定区域——SRY基因作为睾丸决定因子,可以调控男性性别发育过程。SRY基因是一种转录因子,属于带有高迁移率族蛋白家族,该家族成员包含能与DNA结合的HMG盒基序。已知SRY基因的缺失和点突变是造成XY女性性反转的病因之一。通过筛查10位中国46,XY女性性反转病人SRY基因的开放阅读框区域,探寻新的突变类型。用标准方法从外周血中抽提gDNA,通过聚合酶链式反应扩增SRY基因中部的609bp的DNA片段。扩增后的PCR片段被克隆到pUCm-T载体中,在ABI377-3自动测序仪上完成测序。运用限制性内切酶酶切分析的方法验证DNA测序的结果。结果表明,在两个患者的SRY基因中分别发现了新的核苷酸点突变,并都导致氨基酸替代。一个突变发生在SRY基因的5’端HMG盒外的核苷酸第113位腺嘌呤(A)被鸟嘌呤(G)取代,并导致谷氨酸被甘氨酸替换;另一个突变是第387位核苷酸发生T被A替换,该突变引起第129位的酪氨酸变成终止密码,她父亲的SRY序列被证明是正常的野生型。通过查询文献和人类基因突变数据库(HGMD),这两个突变都是以前未见报道过的新型SRY基因突变,并使因核苷酸替换引起SRY基因突变总数增加到45。     

46,XY女性性反转患者SRY基因启动子区一个新的点突变及其功能分析

通过ＤＮＡ序列测定在一名４６,ＸＹ女性性反转患者ＳＲＹ基因启动子区发现了一个新的突变：ｎｔ．－８１Ｇ→Ａ．该突变不见于正常男性,因此不是ＤＮＡ多态性．为了检测这一点突变对ＳＲＹ基因表达功能的影响,构建了分别由正常或突变的人ＳＲＹ基因启动子区片段调控氯霉素乙酰转移酶（ＣＡＴ）报告基因表达的两个质粒,寡核苷酸探针杂交证实该启动子片段正常或携带有Ｇ→Ａ突变．这两个质粒分别与ｐＳＶ－β－半乳糖苷酶内对照质粒共转染ＨｅＬａ细胞后,瞬间表达分析显示这一突变对ＣＡＴ酶活性水平无显著影响（０．５０＞Ｐ＞０．２０）．上述正常和突变的ＳＲＹ基因启动子片段与Ｋ５６２细胞核抽提物的凝胶阻滞实验也表明,突变对Ｋ５６２细胞核蛋白与ＳＲＹ基因启动子区的结合影响不大．研究ＳＲＹ基因的表达调控对阐明人的性别决定机制及性反转的病理机制具有重要意义     

一位46,XY,t(11;18)平衡易位携带者的联会复合体分析

运用表面铺展联会复合体(synaptonemal cotnplex,SC)的电镜技术对一位46,XY,t(11;18)平衡易位携带者性细胞进行SC观察,分析了30个精母细胞(从早粗线期→晚粗线期)中SC图象,这些精母细胞中均显示了1个性二价体、20个常染色体二价体(SC)和1个四价体。对其中的21个四价体配对行为进行分析,发现有20个四价体发生部分异源配对,其中4、14和2个四价体分别发生在早、中和晚粗线期,发生在早粗线期的异源配对是一种直接的异源配对,与以前报道的发生在晚粗线期经联会调整的异源配对不同。并对该患者发生生殖失败的机制进行了讨论。     

46,XY女性患者SRY基因启动子区域的突变分析

大约15%的46,XY女性患者中发现SRY基因编码区突变,其他患者可能是SRY基因的调节区, 包括启动子区域发生了突变,或者其他相关基因发生突变所致。本文采用限制性酶切、PCR-SSCP及银染检测技术,对7例患者SRY基因的启动子区域进行了突变筛查, 结果未发现异常,提示这些患者的病因与SRY基因启动子区域本身无关,结合对患者SRY基因HMG基序DNA的突变分析结果,表明除SRY基因异常外还存在其他导致46,XY女性性反转综合征的遗传机制。 Abstract:Using restriction endonuelease digestion and PCR-SSCP with silver staining,we analyzed the promotor region of SRY gene in seven 46,XY femalcs.The results showed no abnormality,thus ruling out the mutations in the promotor region of the SRY gene as a possible cause of sex reversal in these XY females.In view with the absence of the mutations in the HMG regions of the SRY genes of several patients,it is suggested that SRY gene is not the only gene responsible for testicular development but is one of many hierarchical genes involved in a genetic cascade for sexual differentiation.     

469 XY,t(2;12）致习惯性流产家系的细胞遗传学研究

本实验室发现一例“YXY, 1(2;12)(g37;ql5）引起妻子习惯性流产的病例，并对其父毋进行了细 胞遗传学检查。本病例经湖南医学院医学细胞遗传学国家培训中心鉴定为国内外首次发现。     

《遗传学》:除了XY,决定性别还有另一种关键基因

<正>男人和女人有许多明显不同的地方,以往认为所有这些不同背后的本质原因隐藏在我们的第23对染色体——X和Y染色体中,过去的绝大部分研究都集中在这两个基因是怎样编码蛋白质从而决定性别的。最近,美国冷泉港实验室(CSHL)科学家发现,还有一种非常小的亚基因单位能编码一种短RNA分子(mi RNAs),在区别两种性别方面也发挥着关键作用。相关论文发表在最近的《遗传学》杂志上。     

孕早期产前诊断46,XX,rec(4)和46,XY,inv(4)及其家系的细胞遗传学研究

本文报道了用绒毛细胞直接制备染色体的方法,诊断出一个家系中3例染色体异常胎儿。一例核型为:46,XX,rec(4),dup p,inv(4)(P12 q35)pat;另外两例核型为:46,XY,inv(4)(p12 q35)Pat。对此家系2代中8人进行了染色体检查。其中3人核型为46,XY,inv(4)(P12q35)。3例胎儿的异常染色体是来自他们的父亲(4号染色体臂间倒位携带者)。并讨论了臂间倒位染色体携带者对后代的影响。     

一个中国Gilbert综合征家系的遗传学分析

对一个中国汉族Gilbert综合征遗传家系致病基因突变位点进行鉴定,以期了解该病的分子遗传学基础。首先提取先证者基因组DNA,PCR扩增尿苷二磷酸葡萄糖醛酸转移酶UGT1A1基因的5个外显子,以琼脂糖电泳鉴定PCR产物,纯化后直接测序鉴定。基因扫描显示,与血清胆红素水平密切相关的UGT1A1基因在第1和第5外显子存在纯合突变,而 UGT1A1基因启动子区域和内含子/外显子剪接边界位点序列未检测到突变。进一步对其他家系成员该基因的相应位点进行突变检测,结果显示他们在第1和第5外显子也存在杂合突变,其中还有两个成员在启动子区域检测到(TA)插入突变。对家系成员未抗凝新鲜血液进行生化检测证实了基因突变分析的结果。综合以上结果发现该家系三种突变并存,致病因素为第1和/或第5外显子突变,为显性遗传,两种突变位点纯合导致先证者出现严重胆红素代谢功能障碍。该家系因此成为Gilbert综合征突变位点及其致病机理研究的一个典型临床病例。     

孕早期产前诊断46，XX，rec(4)和46，XY,inv(4)和及其家系的细胞遗传学研究

本文报道了用绒毛细胞直接制备染色体的方法，诊断出一个家系中3例染色体异常胎儿。一例核型为：46,XX,rec(4),dup p, inv(4)(P12 q35)另外两例核型为：46, XY, inv(4)(p12 q35)pat。对此家系2代中8人进行了染色体检查。其中3人核型为46, XY, inv(4)(p12q35)。3例胎儿的异常染色体是来自他们的父亲（4号染色体臂间倒位携带者）。并讨论了臂间倒位染色提携带者对后代的影响。     

Genetic Analysis of a Family with 46, XY “Female” Associated with Infertility

Genetic analysis of a family with 46, XY “female” associated with infertility was performed using the conventional G-banding and gene mutation screening. The karyotypes of the two female patients were 46, XY and those of their parents were normal. The mutation screenings in sex-determining region Y (SRY) gene and androgen receptor (AR) gene were carried out. No mutation has been found in the whole coding sequence of SRY gene. The mutation of codon 840 CGT (arginine) to CAT (histidine) of AR gene led to the infertility in the patients. The patients showed androgen insensitivity. The clinical phenotype of theirs presented more deleteriously than and different from the one reported before, though they had the same mutation of codon 840 CGT (arginine) to CAT (histidine) of AR gene, which was very different from the mutation of 840 CGT (arginine) to TGT (cysteine) at the same codon.     

Investigation of genetic markers in a true Hermaphrodite with chi 46,XX/46,XY

Summary We documented a new case of chi 46,XX/46,XY true hermaphroditism substantiated by the evaluation of chromosomal heteromorphism in banded preparations. The patient, a 12-year-old Japanese boy with ambiguous external genitalia, was seen because of abnormal breast development. Surgical exploration showed the right gonad to be an ovotestis and the left gonad to be an ovary. Cytogenetic studies revealed cell admixtures of 46,XX and 46,XY karyotypes in peripheral lymphocytes, skin fibroblasts, and gonadal fibroblasts. From the pedigree studies, the paternal double genetic contributions were evidenced by the differences of sex chromosomes and the blood group types for the ABO and MNSs systems in the two cell lines of the patient. The maternal double genetic contributions were confirmed by the inheritance of Q-fluorescent markers on chromosomes 13 and 22 and by alleles for the Kidd blood group system.     

46,XX, der(15),t(Y;15)(q12;p11) karyotype in an azoospermic male

We report on a Yq/15p translocation in a 23-year-old infertile male referred for Klinefelter Syndrome testing, who had azoospermia and bilateral small testes. Hormonal studies revealed hypergonadotropic hypogonadism. Conventional cytogenetic procedures giemsa trypsin giemsa (GTG) and high resolution banding (HRB) and molecular cytogenetic techniques Fluorescence In Situ Hybridization (FISH) performed on high-resolution lymphocyte chromosomes revealed the karyotype 46,XX, t(Y;15)(q12;p11). SRY-gene was confirmed to be present by classical Polymerase Chain Reaction (PCR) methods. His father carried de novo derivative chromosome 15 [45,X, t(Y;15)(q12;p11)] and was fertile; the karyotype of the father using G-band technique confirmed a reciprocal balanced translocation between chromosome Y and 15. In the proband, the der (15) has been inherited from the father because the mother had a normal karyotype (46,XX). In the proband, the der (15) could have produced genetic imbalance leading to unbalanced robertson translocation between chromosome Y and 15, which might have resulted in azoospermia and infertility in the proband. The paternal translocation might have lead to formation of imbalanced ova, which might be resulted infertility in the proband. Sister''s karyotypes was normal (46,XX) while his brother was not analyzed.     

混合家系遗传参数估计方法研究

针对混合家系遗传参数估计,本文在假定公畜方差组分和母畜方差组分相等这一理论基础上,通过对方差分析的期望均方组成分析,提出了新的遗传力估计方法,以及某些特殊情况下的近似估计方法。通过一个估测实例比较了几种遗传力估计方法,结果表明,本文方法与全同胞组分估计最为接近,而且遗传力标准误最小,本文近似估计方法的效果也较好。对各种方法而言,资料越不平衡其差异越大。本文方法可以在一定程度上弥补全同胞分析时,因实际资料的公母畜方差组分差异过大的缺陷,具有实际可行性。此外,由于本文方法是用单因方差分析解决二因方差分析问题,计算更为简便,并可免于计算混合家系平均亲缘相关系数。