山东大学耳鼻喉眼学报

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慢性进行性眼外肌麻痹及KearnsSayre综合征患者线粒体DNA突变的研究

田旭1,孙明2,张爽2   

  1. 1. 山东大学校医院眼科, 山东 济南 250061; 2. 山东大学齐鲁医院眼科, 山东 济南 250012
  • 收稿日期:2006-06-29 修回日期:1900-01-01 出版日期:2006-08-24 发布日期:2006-08-24
  • 通讯作者: 田旭

TIAN Xu1,SUN Ming2,ZHANG Shuang2   

  1. 1. Department of Ophthalmology, Shandong University Hospital, Jinan 250061, Shandong, China; 2. Department of Ophthalmology, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Received:2006-06-29 Revised:1900-01-01 Online:2006-08-24 Published:2006-08-24
  • Contact: TIAN Xu

摘要: 目的:检测慢性进行性眼外肌麻痹(chronic progressive external ophthalmoplegia, CPEO)及KearnsSayre综合征(KSS)患者骨骼肌细胞线粒体DNA的缺失情况。方法:从11例CPEO和KSS患者的骨骼肌活检标本中,提取总体DNA。限制性内切酶PvuⅡ消化1?h,将消化后的DNA片段进行琼脂糖凝胶电泳,使DNA片段按大小分离。用毛细转移法将凝胶上的DNA转移至正电荷尼龙膜上。从正常人全血中提取全长线粒体DNA作为探针,进行地高辛dUTP标记,并与正电荷尼龙膜进行预杂交、杂交、杂交后冲洗及显色反应。结果:11例中,7例除有一条正常大小杂交带外,还有一条异常的缺失型线粒体DNA杂交带。剂量分析表明,缺失型线粒体DNA占总线粒体DNA的50%~75%。缺失片断在4.5~5.5?kb之间。结论:CPEO及KSS患者骨骼肌线粒体DNA缺失率较高,线粒体DNA基因缺失与线粒体疾病密切相关。

关键词: 线粒体脑肌病, 慢性进行性眼外肌麻痹, KearnsSayre综合征, 线粒体DNA, 突变分析

Abstract: To study the mitochondrial deletion DNAs of skeletal muscle from patients with chronic progressive external ophthalmoplegia(CPEO) and KearnsSayre syndrome. Methods: DNA samples extracted from skeletal muscles of 11 patients with CPEO and KearnsSayre syndrome were digested with the restriction endonuclease PvuⅡ. DNA fragments were separated by standard protocols of an agarose gel electrophoresis. The DNAs in the agarose gel then were transfered to positively charged nylon membrane by capillary transfer. Total mitochondrial DNA was extracted from normal people′s blood as probes,which were labeled with digoxigenindUTP. The positively charged nylon membranes were studied by prehybridization, hybridization, posthybridization washes, and immunological detection. Results: One normal and one abnormal bands, corresponding to single mitochondrial DNA deletion were presented in 7 patients. The proportion of deleted fragments ranged from 50%~75%. The deletions ranged in size from 4.5~5.5 kb. Conclusion: We found a high frequency of mitochondrial DNA deletions in Chinese patients with CPEO and KSS. Thus, the mitochondrial DNA deletion is considered to be closely related with CPEO and KSS.

Key words: Chronic progressive external ophthalmoplegia, Mitochondrial myopathy, KearnsSayre syndrome, Mitochondrial DNA, Mutation analysis

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