目的:研究一中国汉族人多发性脂囊瘤(SM)家系KRT17基因的突变情况,了解SM和KRT17基因异常的关系。方法:采用聚合酶链反应(PCR)扩增该家系成员的KRT17基因第1号外显子,并对PCR产物进行序列分析。结果:该家系中有5例患者KRT17基因的1号外显子第281位碱基鸟嘌呤(G)被腺嘌呤(A)所替代,导致第94位的精氨酸被组氨酸取代(R94H),而该家系中有2名正常人及与该家系无关的100名正常人中未发现此突变。结论:首次报道在中国汉族人SM家系中发现KRT17基因的错义突变c.281G〉A(p.R94H),该突变为本研究中所有患者的致病突变。
Objective: To detect the mutation of KRT17 gene in a Chinese family with steatocystoma multiplex (SM) and to analyze the relationship between SM and KRT17 gene mutation. Methods: The exon 1 of the KRT17 gene was amplified by polymerase chain reaction (PCR) and subsequently detected by direct sequencing analysis. Results: Five patients with SM in the family showed a point mutation at nucleotide 281 (G→A) compared with that of the normal controls, resulting in the substitution of histidine for arginine at codon 94. The mutation was not found in 2 normal individuals of the family and 100 unrelated controls. Conclusion: The c.281G〉 A mutation of KRT17 gene is firstly reported in the Chinese pedigree with SM and seems to be the pathogenic mutation in all affected individuals.