阿尔及利亚西部视网膜母细胞瘤患者RB1基因测序及计算机分析

Lotfi Louhibi, Nacera TABET AOUL, A. Boubekeur, Khadidja Mahmoudi, N. Saidi-Mehtar
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摘要

视网膜母细胞瘤(RB)是一种眼内恶性肿瘤,发生在儿童出生后的头几个月,发病率为1 / 15,000活产。位于染色体13q14.2上的逆转录基因RB1是这种病理的起源。视网膜母细胞瘤的发展需要该基因的两个等位基因突变。本研究的目的首先是在体质水平上识别影响RB1基因的突变,发现早期高危受试者或无症状携带者,其次是对分子发病机制的理解做出贡献。这项研究涉及阿尔及利亚西部的61名视网膜母细胞瘤患者。血液中的DNA被用于扩增和基因测序。结果通过生物信息学方法进行计算机分析,以了解突变对pRB1蛋白功能的影响。扩增和测序结果显示19个不同的变异碱基,包括8个外显子变化:3个错义突变和5个无义突变位于外显子1、7、8、12、18、19、20和23。在12个RB1基因内含子中有大量的突变。这些突变在没有家族病史的儿童的生发水平被确定。总之,本研究报告了在鉴定的8个RB1外显子1和7中两个新的RB1突变。在我们研究的人群中,在散发性视网膜母细胞瘤中描述的突变在13.11%的病例中是可传播的。本研究将提高基因检测在管理和家庭筛查中的作用。
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Sequencing of RB1 Gene and In Silico Analysis in Western Algerian Population Affected by Retinablastoma
Retinoblastoma (RB) is an intraocular malignant tumour which occurs in children during the first months of life, with an incidence of 1 in 15,000 live births. Antioncogene RB1 located on chromosome 13q14.2, is at the origin of this pathology. For retinoblastoma development, two allele mutations of this gene are required. The aim of this study firstly, was to identify mutations that affect the RB1 gene in constitutional level, to detect early subject at risk or asymptomatic carriers and secondly to contribute on the understanding of the molecular pathogenesis. The study concerned 61 patients with retinoblastoma in Western Algeria. DNA from blood was used for amplification and gene sequencing. The results were completed by in-silico analysis using bio-informatic methods to know the mutation impact on the pRB1 protein function. Amplification and sequencing results gave nineteen different variations bases, including eight exonic changes: three missense mutations and five nonsense mutations located in exons 1,7,8,12,18,19,20 and 23. There are an important number of mutations located in twelve RB1 gene introns. These mutations were identified in germinal level for children with no family history of the disease. In conclusion, this study reported two new RB1 mutations in exons 1 and 7 among the eight identified. The mutations described in sporadic forms of retinoblastoma are transmissible forms in 13.11% of cases in our studied population. This study would improve role of genetic testing for management and family screening.
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