乳糖不耐症早期遗传筛查研究进展:MCM6基因13910C/T多态性追踪

M. A. Arroyo, A. C. Lopes, V. B. Piatto, J. Maniglia
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引用次数: 5

摘要

多年来,乳糖不耐症一直被认为是许多儿童和成人的普遍问题。目的:探讨-13910C/T多态性在新生儿追踪中的流行情况,为早期诊断乳糖耐受/不耐受提供依据。材料和方法:在对310名巴西新生儿的横断面研究中,从白细胞脐带中提取DNA,利用聚合酶链反应和限制性片段长度多态性测试,使用特异性引物扩增MCM6基因-13910C/T多态性的区域。结果:共评价了160例男婴(52%)和150例女婴(48%)。其中,191例(62%)为CC基因型(乳糖不耐症),95例(31%)为CT基因型,24例(7%)为TT基因型,共119例(38%)为乳糖耐症新生儿。据此发现了新生儿性别分布与表型的关系;男性97例(32%),女性94例(30%),男性63例(20%),女性56例(18%),但差异无统计学意义(p = 0.801)。结论:分子分析使鉴定巴西新生儿乳糖酶持久性变异的存在或不存在成为可能。新生儿分子诊断可以优化新生儿乳糖不耐症筛查阳性结果的随访。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perspectives for Early Genetic Screening of Lactose Intolerance: - 13910C/T Polymorphism Tracking in the MCM6 Gene
Introduction: For many years Lactose intolerance has been, considered as a universal problem in many children and adults. Objective: The aim is to investigate the prevalence of polymorphism -13910C/T, in a neonatal tracking, for early diagnosis of lactose tolerance/intolerance. Materials and Methods: In a cross-sectional study of 310 Brazilian newborns, DNA was extracted from leukocyte umbilical cord and specific primers were used to amplify the region that encloses the -13910C/T polymorphism of the MCM6 gene, using the polymerase chain reaction and the restriction fragment length polymorphism tests. Results: One hundred and sixty (52%) male newborns and 150 (48%) female new borns were evaluated. Out of these, 191 (62%) presented CC genotype (lactose intolerant), 95 (31%) CT genotype, and 24 (7%) TT genotype, comprising a total of 119 (38%) lactose tolerant newborns. Accordingly the newbornsgender distribution in relation to the phenotypes has been found; 97 (32%) of male gender and 94 (30%) of female gender lactose intolerant, and 63 (20%) male and 56 (18%) female lactose tolerant newborns, not being such distribution statistically significant (p = 0.801). Conclusions: The molecular analysis made possible the identification of the presence or absence of lactase persistence variant in the Brazilian newborns. The neonatal molecular diagnosis can optimize the follow-up of positive results in newborn screening for lactose intolerance.
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