检验医学2024,Vol.39Issue(2) :107-113.DOI:10.3969/j.issn.1673-8640.2024.02.002

脆性X综合征遗传学诊断方法研究进展

Research progress in genetic diagnostic methods of fragile X syndrome

蒋祝 谭建新 谭娟 罗春玉 许争峰
检验医学2024,Vol.39Issue(2) :107-113.DOI:10.3969/j.issn.1673-8640.2024.02.002

脆性X综合征遗传学诊断方法研究进展

Research progress in genetic diagnostic methods of fragile X syndrome

蒋祝 1谭建新 1谭娟 1罗春玉 1许争峰1
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作者信息

  • 1. 南京医科大学附属妇产医院南京市妇幼保健院遗传医学中心,江苏南京 210004
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摘要

脆性X综合征(FXS)是导致智力障碍和发育障碍的主要单基因病之一,呈X连锁不完全显性遗传.FXS的病因是FMR1基因内(CGG)n重复序列的不稳定扩展及其上游CpG岛的异常甲基化,进而导致脆性X智力低下蛋白(FMRP)减少或缺乏,FMRP的水平直接关系到临床表型的严重程度.临床表现和基因检测是诊断FXS的主要依据.然而,FMR1基因分子结构和遗传模式的特殊性使得FXS的分子诊断和遗传咨询面临挑战.因此,如何简便而准确地进行FMR1基因检测一直是临床关注的焦点.文章针对FXS遗传学诊断方法的研究进展进行综述,旨在促进FXS的规范诊断,为临床提供帮助.

Abstract

Fragile X syndrome(FXS)is one of the main monogenic diseases that cause intellectual and developmental disorders,and it shows an X-linked incomplete dominant inheritance.The etiology of FXS is unstable extension of(CGG)n repeat within FMR1 gene and abnormal methylation of its upstream CpG island,which would lead to decreasing or deficiency of fragile X mental retardation protein(FMRP).The level of FMRP is directly related to the severity of clinical phenotype.Clinical manifestation and genetic testing are the main diagnostic criteria for FXS.However,the unique molecular structure and genetic pattern of FMR1 gene pose challenges to the molecular diagnosis and genetic counseling of FXS.Therefore,how to detect FMR1 gene conveniently and accurately has always been a focus of attention.This review focuses on the research progress of FXS genetic diagnostic methods,aiming to promote the standardized diagnosis of FXS and provide assistance for clinic.

关键词

FMR1基因/(CGG)n重复/脆性X综合征/基因诊断

Key words

FMR1 gene/(CGG)n repeat/Fragile X syndrome/Genetic diagnosis

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基金项目

国家重点研发计划(2022YFC2703400)

出版年

2024
检验医学
上海市临床检验中心

检验医学

CSTPCD
影响因子:1.715
ISSN:1673-8640
参考文献量47
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