Molecular genetic analysis of cytosine-adenine-guanine repeats in huntingtin gene

Pankaj Gadhia, Avani Sangani, S. Vaniawala
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Abstract

Background: Huntington’s disease (HD) is a dominantly transmitted progressive neurodegenerative disorder due to abnormal expansion of cytosine-adenine-guanine (CAG) repeats in the huntingtin gene. Materials and Methods: The study involved a total of 35 HD patients identified through clinical evaluations. CAG repeats expansion analysis was conducted using polymerase chain reaction (PCR) to confirm positive cases. Results: Employing CAG flacking PCR in 35 cases, 19 tested positive, predominantly displaying CAG repeats in the range of 40–50. Noteworthy cases include a 5-month-old patient with 44 CAG repeats and an 80-year-old patient with 46 CAG repeats. Conclusion: The identification of the genetic defect in HD permits direct genetic testing to comprehend the complexities of HD in India, aiming for effective approaches in diagnosis, treatment, and prevention.
亨廷基因中胞嘧啶-腺嘌呤-鸟嘌呤重复序列的分子遗传分析
背景:亨廷顿氏病(Huntington's disease,HD)是一种显性遗传的进行性神经退行性疾病,由亨廷丁基因中胞嘧啶-腺嘌呤-鸟嘌呤(CAG)重复序列的异常扩增引起。材料与方法:本研究共涉及 35 名通过临床评估确定的 HD 患者。使用聚合酶链反应(PCR)对 CAG 重复序列扩增进行分析,以确认阳性病例。结果:通过对 35 例患者进行 CAG 重迭 PCR 分析,19 例检测结果呈阳性,主要显示 CAG 重复序列在 40-50 之间。值得注意的病例包括一名 5 个月大的患者,其 CAG 重复序列为 44 个;一名 80 岁的患者,其 CAG 重复序列为 46 个。结论:通过鉴定 HD 的基因缺陷,可以直接进行基因检测,了解印度 HD 的复杂性,从而采取有效的方法进行诊断、治疗和预防。
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