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耳聋基因检测在产前筛查中的应用

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目的 探讨耳聋基因检测项目在产前筛查中应用的价值。方法 选取2020年4月-2023年9月自愿来吉林市妇产医院检测耳聋基因项目的2980名听力正常的孕妇以及部分孕妇的配偶(137人),采用导流杂交法检测我国4种易感耳聋基因的9个位点,包括GJB2-235、GJB2-299、GJB2-35、GJB2-176,SLC26A4-IVS7(-2)、SLC26A4-2168,GJB3-538,mtDNA1555、mtDNA1494。通过所得阳性数据计算各个基因位点所占阳性百分比。确认受检孕妇为耳聋基因携带者后,对其配偶采用相同的流程进行检测,并对所得数据进行分析。结果 2980名听力正常的孕妇中检测出耳聋基因携带者共148例,阳性检出率4。97%。其中携带GJB2基因突变者82例,占比2。75%;携带SLC26A4基因突变者57例,占比1。92%;携带GJB3基因突变者6例,占比0。20%;携带mtDNA基因突变者3例,占比0。10%。148名耳聋基因携带者中有137名配偶参加了检测。其中有2例为耳聋易感基因携带者,1例为GJB2-235杂合突变,1例为SLC26A4-IVS7(-2)杂合突变。结论 听力正常的孕妇仍有耳聋易感基因的携带者,其中以GJB2-235杂合突变和SLC26A4-IVS7(-2)杂合突变为主。
Application of Deafness Gene Detection in Prenatal Screening
Objective To explore the value of genetic testing for hearing loss in prenatal screening. Methods 2980 pregnant women with normal hearing who voluntarily came to Jilin Obstetrics and Gynecology Hospital for testing the deaf gene program from April 2020 to Sep-tember 2023,as well as the spouses of some pregnant women(137 individuals),were selected. Flow cytometry was used to detect 9 loci of four susceptible deaf genes in China,including GJB2-235,GJB2-299,GJB2-35,GJB2-176;SLC26A4-IVS7(-2),SLC26A4-2168;GJB3-538;mtDNA1555,mtDNA1494. Calculate the percentage of positive genes at each locus based on the obtained positive data. After confirming that the tested pregnant woman was a carrier of the hearing loss gene,the same process was used to test her spouse,and the ob-tained data was analyzed. Results A total of 148 deaf gene carriers were detected among 2980 pregnant women with normal hearing,with a positive detection rate of 4.97%. Among them,there were 82 cases carrying GJB2 gene mutations,accounting for 2.75%;57 cases carrying SLC26A4 gene mutations,accounting for 1.92%;There were 6 cases carrying GJB3 gene mutations,accounting for 0.20%;There were 3 cases carrying mtDNA gene mutations,accounting for 0.10%. Out of 148 carriers of the deaf gene,137 spouses participated in the testing. Among them,2 cases were carriers of susceptibility genes for deafness,1 case was a GJB2-235 heterozygous mutation,and 1 case was a SLC26A4-IVS7(-2)heterozygous mutation. Conclusion Pregnant women with normal hearing still have carriers of suscepti-bility genes for deafness,with GJB2-235 heterozygous mutation and SLC26A4-IVS7(-2)heterozygous mutation being the main carriers.

genetic testinghereditary hearing lossprenatal screening

田雨鑫、章启钰

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吉林市妇产医院 产前诊断中心,吉林 吉林 132013

长春中医药大学 护理学院,长春 130117

基因检测 遗传性耳聋 产前筛查

国家级大学生创新训练项目

202310199030

2024

吉林医药学院学报
吉林医药学院

吉林医药学院学报

影响因子:0.459
ISSN:1673-2995
年,卷(期):2024.45(5)