肝脏 ›› 2017, Vol. 22 ›› Issue (1): 7-.

• 论著 • 上一篇    

家族性胆红素异常患者UGT1A1基因检测及其基因多态性分析

孙梅, 谈国蕾, 王建芳, 吴旭平   

  1. 210003 南京 东南大学附属第二医院肝病研究室
  • 收稿日期:2016-07-28 发布日期:2020-06-22
  • 通讯作者: 吴旭平,Email:xuping_wu@126com

The polymorphism of UGT1A1 gene in patients with Gilbert's syndrome

SUN Mei, TAN Guo-lei, WANG Jianfang, WU Xu-ping   

  1. Second Hospital of Nanjing Affiliated to Medical School Nanjing,Jiangsu,China,210003
  • Received:2016-07-28 Published:2020-06-22
  • Contact: WU Xu-ping,Email:xuping_wu@126.com

摘要: 目的 了解家族性胆红素异常患者和正常人尿苷二磷酸葡萄糖醛酸转移酶1A1基因(UGT1A1)的变异情况。方法 分别检测29例家族性胆红素异常患者和22例正常人群的UGT1A1,比较分析其多态性分布。分别设计UGT1A1基因各个外显子及增强子区扩增引物,对PCR扩增产物进行测序。结果 主要检测到UGT1A1基因中三个区域的变异,增强子区,外显子1和TATA盒区的变异。其中29例Gilbert综合征患者中,增强子区UGT1A1*60 3279(T>G),10例G/G变异,15例 T/G杂合;TATA盒区,15例 TATA(7)变异,2例 TATA(6)/TATA(7)杂合;外显子1中,UGT1A1*6211(G>A),3例A/A纯合变异,15例G/A杂合变异;UGT1A1*27 686(C>A),3例 A/C杂合变异。20例正常对照组中,增强子区 UGT1A1*60 3279(T>G),2例G/G变异,11例 T/G杂合;TATA盒区,7例TATA(6)/TATA(7)杂合;外显子1中,UGT1A1*6 211(G>A),5例G/A杂合变异;UGT1A1*27 686(C>A),无A/C杂合变异。结论 家族性胆红素异常患者中UGT1A1变异率高于正常对照组,UGT1A1变异可作为Gilbert综合征诊断的参考指标。

关键词: 尿苷二磷酸葡萄糖醛酸转移酶1A1基因, Gilbert综合征, 基因多态性

Abstract: Objective To investigate the polymorphism of UDP glucuronosyltransferase family 1 member A1(UGT1A1)in 29 patients with Gilbert's syndrome and 22 healthy controls.Methods DNA isolated from peripheral blood and amplified by polymerase chain reaction(PCR)was subjected for sequencing UGT1A1 gene exons and enhancer regions.Results UGT1A1 gene variations were detected in enhancer region,TATA box region and the exon 1 region,respectively.Among 29 patients with Gilbert's syndrome,10 G/G homozygosis and 15 T/G heterozygosis were detected in enhancer region UGT1A1*60 3729(T>G),15 TATA(7)TAA homozygosis and 2 TATA(6)/TATA(7)TAA heterozygosis in TATA box region,and 3 A/A homozygosis and 15 G/A heterozygosis in exon 1 region.In 20 healthy controls,2 G/G and 11 T/G mutations were detected in enhancer region UGT1A1*60 3729(T>G),7 homozygous TATA(6)/TATA(7)TAA mutation in TATA box region,and 5 G/A mutations in exon 1 region.Conclusion UGT1A1 gene mutations in patients with Gilbert's syndrome is higher than that in healthy controls,which could only be used as a reference index for diagnosis of Gilbert's syndrome.

Key words: Glucuronosyltransferase 1A1 gene(UGT1A1), Gilbert's syndrome, Gene polymorphism