首页|河南省育龄人群中4种常见遗传代谢病孕前携带者筛查

河南省育龄人群中4种常见遗传代谢病孕前携带者筛查

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目的:探讨河南省育龄人群中4 种常见遗传代谢病(高苯丙氨酸血症、肝豆状核变性、甲基丙二酸血症、眼皮肤白化病)携带者筛查的价值.方法:采集 2022 年 7 月至 12 月参加河南省孕前优生健康检查项目的 612 对(1 224 人)育龄夫妇的外周血,采用高通量测序技术检测 7 个基因(PAH、PTPS、MUT、MMACHC、ATP7B、TYR、OCA2)外显子区及剪切区系列变异.结果:致病基因总体携带率为 8.74%(107/1 224),PAH、PTPS、ATP7B、MMACHC、MUT、TYR及OCA2 基因携带率分别为 2.53%、0.33%、2.04%、1.72%、0.74%、1.63%和 0.16%;河南省北方地区总携带率(3.35%)最高.PAH基因致病变异检出19 种,其中c.721C>T携带率(0.41%)最高.PTPS基因致病变异检出2 种,携带率均为0.16%.ATP7B基因致病变异检出9 种,其中c.2333G>T携带率(0.49%)最高.MMACHC基因致病变异检出10 种,其中c.609G>A携带率(0.41%)最高.MUT致病变异检出 6 种,其中c.1663G>A携带率(0.33%)最高.TYR 基因致病变异检出 9 种,其中 c.929_930insC 携带率(0.57%)最高.OCA2 基因仅检出1 种变异,c.1182 +1G>A,携带率为0.16%.根据Hardy-Weinberg定律计算,河南省育龄夫妇该4 种遗传代谢病总体患病率约为1/2 018.结论:初步明确了4 种遗传代谢病在河南省育龄人群中的携带率及患病率,为出生缺陷防控的一级预防提供了参考.
Carrier screening for 4 inherited metabolic diseases in population of childbearing age from Henan Province
Aim:To evaluate the value of carrier screening for 4 inherited metabolic diseases(hyperphenylalaninemia,Wilson disease,methylmalonic acidemia and oculocutaneous albinism)among population of childbearing age in Henan Prov-ince.Methods:A total of 1 224(612 couples)were recruited from the Henan preconception eugenics health screening pro-gram from July to December,2022,the exon region and splicing region of 7 genes(PAH,PTPS,MUT,MMACHC,ATP7B,TYR,OCA2)were tested by high throughput sequencing.Results:The overall carrying rate of the 4 diseases was 8.74%(107/1 224),the carrying rates of PAH,PTPS,ATP7B,MMACHC,MUT,TYR and OCA2 were 2.53%,0.33%,2.04%,1.72%,0.74%,1.63%and 0.16%,respectively,and the highest carrying rate(3.35%)was found in northern Henan Province.Atotalof19 pathogenicvariantsof PAHgeneweredetected,andthetoponevariant(0.41%)wasc.721C>T.Two pathogenic variants of PTPS gene were detected and the carrying rate were0.16%.The c.2333G>T was carried most frequently(0.49%)amongthetotally9 pathogenic variants of ATP7B gene.The c.609G>A was carried most frequently(0.41%)among the totally 10 pathogenic variants of MMACHC gene.The c.1663G>A was carried most frequently(0.33%)amongthetotally6 pathogenicvariantsof MUTgene.The9pathogenicvariantsof TYRgeneweredetected,and thecarryingrateofc.929_930insC was the highest(0.57%).Only one mutation of OCA2 gene was detected,which was c.1182 +1G>A(0.16%).According to the Hardy-Weinberg law,the incidence rate of these 4 inherited metabolic disea-ses among childbearing age population in Henan Province was about 1/2 018.Conclusion:The carrying rate and the mor-bidity rate of 4 inherited metabolic diseases in population of childbearing age in Henan Province is defined,which could pro-vide a reference for the primary prevention of birth defects.

inherited metabolic diseasescarrier screeninghigh-throughput sequencingHenan Provincepopulation of childbearing age

王艳丽、王强、孔祥东、刘莉娜、刘国涛、张超楠、孔明月、祁少可、位婷婷

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国家卫生健康委员会出生缺陷预防重点实验室

河南省人口缺陷干预技术研究重点实验室

河南省生殖健康科学技术研究院优生遗传研究实验室 郑州 450002

郑州大学第一附属医院遗传与产前诊断中心 郑州 450052

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遗传代谢病 携带者筛查 高通量测序技术 河南省 育龄人群

河南省科技攻关计划项目国家卫生健康委员会出生缺陷预防重点实验室开放课题河南省医学科技攻关计划(联合共建)项目河南省医学科技攻关计划(联合共建)项目

222102310573ZD202004LHGJ20210275LHGJ20220271

2024

郑州大学学报(医学版)
郑州大学

郑州大学学报(医学版)

CSTPCD北大核心
影响因子:1.246
ISSN:1671-6825
年,卷(期):2024.59(1)
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