多重荧光定量PCR快速诊断唐氏综合征患儿
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Application of multiplex quantitative fluorescent PCR in rapid diagnosis of children with Down′s syndrome
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    摘要:

    摘要:目的:探讨用多重荧光定量聚合酶链反应(QF-PCR)对唐氏综合征(DS)患儿进行快速诊断的可行性。 方法:对21号染色体上D21S1442、D21S1432、D21S11、D21S1435、D21S1412和D21S1809 6个短串联重复序列(STR)位点进行多重QF-PCR扩增,PCR产物进行毛细管电泳,用GeneMapper软件对STR DNA进行多态性分型,并对患儿外周血进行淋巴细胞培养和染色体核型分析。 结果:6个STR位点检测198例DS患儿的敏感性为99.0%,特异性为100%;181例标准型DS患儿共检出180例,检出率为99.5%;14例异位型DS患儿的检出率为100%;2例嵌合型DS患儿,检出1例;另检出1例特殊核型DS患儿。 结论:多重QF-PCR检测具有快速、准确等特点,可用于DS患儿的临床诊断。

    Abstract:

    Abstract: Objective:To explore the feasibility of multiplex quantitative fluorescent PCR (QF-PCR) for rapid diagnosis of the children with Down′s syndrome. Method:The loci of six short tandem repeat (STR) on chromosome 21, D21S1442, D21S1432, D21S11, D21S1435, D21S1412 and D21S1809, were amplified by multiplex QF-PCR. The PCR products were detected by capillary electrophoresis. The polymorphism of STR DNA was analyzed with GeneMapper software. The peripheral blood lymphocytes were cultured and chromosome karyotyping was performed for each case. Results:The sensitivity and specificity of the detection with six STR loci were 99.0% and 100% respectively according to the results of 198 cases with Down′s syndrome. Among the 181 cases of standard type of Down′s syndrome, 180 cases (99.45%) were diagnosable. All the 14 cases of ectopic type of Down′s syndrome were diagnosable (100%). One of the 2 cases of mosaicism of Down′s syndrome was diagnosed, and another special karyotype of Down′s syndrome was found. Conclusion:The detection of multiplex QF-PCR for diagnosis of Down′s syndrome should be time saving and accurate, so it is suitable to be applied for clinical diagnosis since the high sensitivity and specificity.

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胡晞江,童静,戴翔,向萍霞,刘翎,冷培.多重荧光定量PCR快速诊断唐氏综合征患儿[J].临床检验杂志,2013,31(10):747-750

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  • 收稿日期:2013-07-13
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  • 在线发布日期: 2013-12-11
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