目的检测单纯型大疱性表皮松解症(EBS)致病基因角蛋白5(K5)和角蛋白14(K14)基因突变,分析基因型和表型之间的相关性。方法采用PCR和直接测序法对中国汉族人3个EBS家系进行K5基因和K14基因的突变检测,以100例健康人作为正常对照。结果K5基因发现2个突变,一个为移码突变c.1649de1G,另一个为错义突变c.508G〉A;K14基因发现一个错义突变,为c.1237G〉A;在正常对照中未发现上述突变。结论K5或K14基因突变导致该3个家系中患者发病。
Objective To detect the mutations of K5 and K14 gene in three Chinese families with epidermolysis bullosa simplex(EBS) and analyze the genotype-phenotype correlations. Methods All the coding exons of K5 and K14 gene of these patients and all available unaffected family members and 100 unrelated population-matched vol-unteers were amplified by polymerase chain reaction. The products were analyzed by direct sequencing. Results The frameshifi mutation (c. 1649delG) and missense mutation (c. 508G 〉 A)were identified in KS; another mis-sense mutation (c. 1237G〉A)were identified in K14. Conclusion These mutations in K5 or K14 gene are responsible for the EBS in these three families.